Normative Profiles Research Articles

Parent–Child Value Similarity Across and Within Cultures

Normative socio-cultural influences may lead to parent–child value similarity over and above familial processes. Such influences, in which the mainstream position taken by people in a given culture leads to an average similarity between unrelated members of the culture, have been investigated for the most part by considering one country at a time. This has, however, left several questions open; among these is the question of whether parent–child value similarity is a matter of societal homogeneity in values. In an attempt to answer this query, the current study intends to examine the effect of the national and ethnic normative profiles, that is, groups’ average profiles, on parent–child value similarity, while assuming a cross-cultural perspective. It involves 212 mother–adolescent dyads from Northern Italy and 222 Jewish and Arab mother–adolescent dyads from Israel, all participants in the Value of Children (VOC) Study. In the more homogeneous value context of Italy, parent–child value similarity was strongly inflated by the broad socio-cultural context and can best be viewed as a general similarity to a national standard. On the contrary, in the less homogeneous context of Israel, when accounting for the effects of normative profiles, there was still similarity unique to a particular dyad: Mothers and children, especially from the Arab group, were similar to each other in those values which distinguish them from the other people in the country. All in all, the results help us to disentangle the origins and to interpret the actual meaning of detected parent–child value similarity.

Profiles of observed infant anger predict preschool behavior problems: moderation by life stress.

Using both traditional composites and novel profiles of anger, we examined associations between infant anger and preschool behavior problems in a large, longitudinal data set (N = 966). We also tested the role of life stress as a moderator of the link between early anger and the development of behavior problems. Although traditional measures of anger were largely unrelated to later behavior problems, profiles of anger that dissociated typical from atypical development predicted behavior problems during preschool. Moreover, the relation between infant anger profiles and preschool behavior problems was moderated such that, when early life stress was low, infants with atypical profiles of early anger showed more preschool behavior problems than did infants with normative anger profiles. However, when early life stress was high, infants with atypical and normative profiles of infant anger did not differ in preschool behavior problems. We conclude that a discrete emotions approach including latent profile analysis is useful for elucidating biological and environmental developmental pathways to early problem behaviors.

Randomized Controlled Trial of Mindfulness-Based Cancer Recovery Versus Supportive Expressive Group Therapy for Distressed Survivors of Breast Cancer (MINDSET)

To compare the efficacy of the following two empirically supported group interventions to help distressed survivors of breast cancer cope: mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET). This multisite, randomized controlled trial assigned 271 distressed survivors of stage I to III breast cancer to MBCR, SET, or a 1-day stress management control condition. MBCR focused on training in mindfulness meditation and gentle yoga, whereas SET focused on emotional expression and group support. Both intervention groups included 18 hours of professional contact. Measures were collected at baseline and after intervention by assessors blind to study condition. Primary outcome measures were mood and diurnal salivary cortisol slopes. Secondary outcomes were stress symptoms, quality of life, and social support. Using linear mixed-effects models, in intent-to-treat analyses, cortisol slopes were maintained over time in both SET (P = .002) and MBCR (P = .011) groups relative to the control group, whose cortisol slopes became flatter. Women in MBCR improved more over time on stress symptoms compared with women in both the SET (P = .009) and control (P = .024) groups. Per-protocol analyses showed greater improvements in the MBCR group in quality of life compared with the control group (P = .005) and in social support compared with the SET group (P = .012). In the largest trial to date, MBCR was superior for improving stress levels, quality of life and social support [CORRECTED] for distressed survivors of breast cancer. Both SET and MBCR also resulted in more normative diurnal cortisol profiles than the control condition. The clinical implications of this finding require further investigation.

Mothers’ vagal regulation during the Still-Face Paradigm: Normative reactivity and impact of depression symptoms

This study examined mothers’ physiological reactivity in response to infant distress during the Still-Face Paradigm. We aimed to explore normative regulatory profiles and associated physiological and behavioral processes in order to further our understanding of what constitutes regulation in this dyadic context. We examined physiological patterns—vagal tone, indexed by respiratory sinus arrhythmia (RSA)—while mothers maintained a neutral expression over the course of the still face episode, as well as differential reactivity patterns in mothers with depression symptoms compared to non-depressed mothers. Behavioral and physiological data were collected from mothers of 5-month-old infants during the emotion suppression phase of the Still-Face Paradigm. We used Hierarchical Linear Modeling to examine changes in mothers’ RSA during infant distress and explored maternal depression as a predictor of physiological profiles. Mothers were generally able to maintain a neutral expression and simultaneously demonstrated a mean-level increase in RSA during the still face episode compared to baseline, indicating an active regulatory response overall. A more detailed time-course examination of RSA trajectories revealed that an initial RSA increase was typically followed by a decrease in response to peak infant distress, suggesting a physiological mobilization response. However, this was not true of mothers with elevated depressive symptoms, who showed no change in RSA during infant distress. These distinct patterns of infant distress-related physiological activation may help to explain differences in maternal sensitivity and adaptive parenting.

Feasibility of a computer-assisted alcohol SBIRT program in an urban emergency department: patient and research staff perspectives

ObjectivesThe study objective was to assess the feasibility of a computerized alcohol-screening interview (CASI) program to identify at-risk alcohol users among adult emergency department (ED) patients. The study aimed to evaluate the feasibility of implementing a computerized screening, brief intervention, and referral to treatment (SBIRT) program within a busy urban ED setting, to report on accurate deployment of alcohol screening results, and to assess comprehension and satisfaction with CASI from both patient and research staff perspectives.MethodsResearch assistants (RAs) screened a convenience sample of medically stable ED patients. The RAs brought CASI to patients’ bedsides, and patients entered their own alcohol consumption data. The CASI intervention consisted of an alcohol use screening identification test, a personalized normative feedback profile, NIAAA low-risk drinking educational materials, and treatment referrals (when indicated).ResultsFive hundred seventeen patients were enrolled. The median age of participants was 37 years (range, 21-85 years); 37% were men, 62% were Hispanic, 7% were Caucasian, 30% were African American, and 2% were multiracial. Eighty percent reported regular use of computers at home. Eighty percent of patients approached consented to participate, and 99% of those who started CASI were able to complete it. Two percent of interviews were interrupted for medical tests and procedures, however, no patients required breaks from using CASI for not feeling well. The CASI program accurately provided alcohol risk education to patients 100% of the time. Thirty-two percent of patients in the sample screened positive for at-risk drinking. Sixty percent of patients reported that CASI increased their knowledge of safe drinking limits, 39% reported some likeliness to change their alcohol use, and 28% reported some intention to consult a health care professional about their alcohol use as a result of their screening results. Ninety-three percent reported CASI was easy to use, 93% felt comfortable receiving alcohol education via computer, and 89% liked using CASI. Ninety percent of patients correctly identified their alcohol risk level after participating in CASI. With regard to research staff experience, RAs needed to provide standby assistance to patients during <1% of CASI administrations and needed to troubleshoot computer issues in 4% of interviews. The RAs distributed the correct alcohol risk normative profiles to patients 97% of the time and provided patients with treatment referrals when indicated 81% of the time. The RAs rated patients as “not bothered at all” by using CASI 94% of the time.ConclusionsThis study demonstrates that an ED-based computerized alcohol screening program is both acceptable to patients and effective in educating patients about their alcohol risk level. Additionally, this study demonstrates that few logistical problems related to using computers for these interventions were experienced by research staff: in most cases, staff accurately deployed alcohol risk education to patients, and in all cases, the computer provided accurate education to patients. Computer-assisted SBIRT may represent a significant time-saving measure, allowing EDs to reach larger numbers of patients for alcohol intervention without causing undue clinical burden or interruptions to clinical care. Future studies with follow-up are needed to replicate these results and assess drinking reductions post-intervention.

Profiling in sport using momentum and perturbations

Examining a team’s performance from a physical point of view their momentum might indicate unexpected turning points in defeat or success. Physicists describe this value as to require some effort to be started, but also that it is relatively easy to keep it going once a sufficient level is reached (Reed and Hughes, 2006). Unlike football, rugby, handball and many more sports, a regular volleyball match is not limited by time but by points that need to be gathered. Every minute more than one point is won by either one team or the other. That means a series of successive points enlarges the gap between the teams making it more and more difficult to catch up with the leading one. This concept of gathering momentum, or the reverse in a performance, can give the coaches, athletes and sports scientists further insights into winning and losing performances. Momentum investigations also contain dependencies between performances or questions if future performances are reliant upon past streaks. Squash and volleyball share the characteristic of being played up to a certain amount of points. Squash was examined according to the momentum of players by Hughes et al. (2006). The initial aim was to expand normative profiles of elite squash players using momentum graphs of winners and errors to explore ‘turning points’ in a performance. Dynamic systems theory has enabled the definition of perturbations in sports exhibiting rhythms (Hughes et al., 2000; McGarry et al., 2002; Murray et al., 2008), and how players and teams cause these disruptions of rhythm can inform on the way they play, these techniques also contribute to profiling methods. Together with the analysis of one’s own performance it is essential to have an understanding of your oppositions’ tactical strengths and weaknesses. By modelling the oppositions’ performance it is possible to predict certain outcomes and patterns, and therefore intervene or change tactics before the critical incident occurs. The modelling of competitive sport is an informative analytic technique as it directs the attention of the modeller to the critical aspects of data that delineate successful performance (McGarry & Franks, 1996). Using tactical performance profiles to pull out and visualise these critical aspects of performance, players can build justified and sophisticated tactical plans. The area is discussed and reviewed, critically appraising the research completed in this element of Performance Analysis.

¿Puede el CCC-2 diferenciar perfiles pragmáticos?

Objective: The current study aims to check the ability of the Spanish translation of the Children´s Communication Checklist-2 (CCC-2) to discriminate and identify pragmatic profiles. Method: A normative profile of the instrument was performed on a 100 Spanish-speaking sample. To determinate to what extend the Spanish translation of the CCC-2 is able to discriminate between children with a pragmatic language disorder and an expressive language disorder a comparison was made between 10 subjects with an Asperger syndrome and 10 subjects with Down syndrome versus a Control group. Results: The Spanish translation of the CCC-2 is able to identify pragmatic profiles and to discriminate between normative and clinic profiles as Asperger syndrome and Down syndrome. Furthermore, this instrument is able to obtain a quantitative profile picture of the communication impairments of those children.

¿Puede el CCC-2 diferenciar perfiles pragmáticos?

Objective: The current study aims to check the ability of the Spanish translation of the Children´s Communication Checklist-2 (CCC-2) to discriminate and identify pragmatic profiles. Method: A normative profile of the instrument was performed on a 100 Spanish-speaking sample. To determinate to what extend the Spanish translation of the CCC-2 is able to discriminate between children with a pragmatic language disorder and an expressive language disorder a comparison was made between 10 subjects with an Asperger syndrome and 10 subjects with Down syndrome versus a Control group. Results: The Spanish translation of the CCC-2 is able to identify pragmatic profiles and to discriminate between normative and clinic profiles as Asperger syndrome and Down syndrome. Furthermore, this instrument is able to obtain a quantitative profile picture of the communication impairments of those children.

Normative MMPI-2 Profiles of Christian Counseling Students: An Investigation of Subculture in Standardized Testing

This research sought to explore whether a normative profile on the MMPI-2 emerged for counseling students in a counselor training program at a seminary in the Midwest and the extent to which this profile compares to those proposed for counseling students or those preparing for pastoral ministry. Normative profiles of master’s level counseling students were compared to profiles of similar samples. Findings indicated that profiles of the current student sample are similar to those of other religious students. Implications of these findings are explored regarding the use of the MMPI-2 with counseling students who are members of the Christian subculture.

On the impact of TRIPS on 'least developed countries': a tale of double standards?

As the dynamics of economic integration keep working to alter existing equilibria in international trade relations, it seems useful that the ‘timeless’ debate about how and with what effect the rules governing intellectual property rights (IPRs) intervene in relations between developed and developing countries, be focused on the least developed countries (Article 66 TRIPs). This is not simply because said countries are obviously in the direst need to ‘catch up’, but also because they constitute today’s most relevant frontier of that international – better: geopolitical – trade competition issue that still divides the ‘two worlds’ sorted out from the colonial era. Indeed, the qualification itself of countries as ‘developing’ is increasingly subject to continuous revision in the face of the growth of economies like China’s, India’s, Brazil’s and others’. And it seems all too likely that the consequent new balance of power will act as a driving factor of decline of ‘unilateralism’ in international relations – even as concerns present intellectual property (IP) international regulation, largely framed by a traditionally dominant (even diplomatically boosted) ‘Washington consensus’. As Graham Dutfield has asked, ‘Will the United States government be so pro-patent when the proportion of domestic patents granted to Indian and Chinese inventors increases dramatically?’1 However, the hypothesis that the progress of international economic integration might per se ensure a general ‘rebalancing’ of the traditionally dominant IP law patterns is far from granted. Even the present global financial and economic crisis might play ambiguously on the emerging countries’ assessment of their own geopolitical interests and consequent IP policies. Will they act as drivers of the progress of the less developed, or will they ‘forget their past’ and coalesce with the developed world in maintaining, and indeed expanding, the scope of the deep ‘asymmetries’ of terms of trade, as also enhanced by existing international (TRIPs, in particular) regulation of IP, versus many countries (African, first and foremost, but not only) still struggling to achieve a reasonable economic and technological standard in vital societal sectors? In proceeding to my analysis, I will try to avoid the trap of generic politically inspired discourse on TRIPs by calling the readers’ attention to two specific normative profiles of the Agreement which draw less attention than deserved, and that can work to aggravate the LDCs’ weak position, especially as concerns the sharing of

Semantic assessment battery for Malay-speaking adults with aphasia

Background: There are no language assessment tools designed specifically for the 200 million Malay-speaking people in SE Asia so practitioners use translations or informal tests. This paper describes the development of a semantic battery in Malay, a language that differs substantially from English. Methods & Procedures: The battery was developed in Singapore using a cognitive neuropsychological model of language representation and administered to three cohorts of neurologically intact adults with Malay as their first-language (N = 63, age ranges 20–40, 40–60, > 60 years). The 12 subtests (6 each for nouns and verbs) cover input and output modalities (listening, reading, speaking, and spelling) and all the picture referents were standardised locally. Outcomes & Results: From an initial pool of 130 items, an item analysis revealed that 52 nouns and 45 verbs (97 words) achieved > 80% accuracy across subtests for first-language speakers of Malay. The normative profiles developed for each cohort suggest that educational background influenced processing abilities, especially reading and spelling skills. Conclusions: The Malay Semantic Battery provides an example of how culturally and linguistically appropriate assessment tools can be developed from first principles at minimal cost. Details of the battery will be made available to clinicians online, or through e-mail, to support their planning of targeted intervention programmes.

Loyalists, cynics and outsiders: who are the critics of the justice system in the UK and the Netherlands?

AbstractRecent surveys in the UK and the Netherlands indicate that there is widespread dissatisfaction with the justice system. But who are these ‘critics’ of the justice system? Most previous studies only produced general statistics, while the persons behind the figures remained invisible. By contrast, this article aims to put a face to these numbers and discusses two ways of analysing the profile of the critics. Based on a review of existing survey data, the article first looks at their ‘demographic profile’. Next, the article also considers a second, alternative, approach. Based on their level of legal awareness and legal identification, it distinguishes four different ‘normative profiles’: legalists, loyalists, cynics and outsiders. Moreover, the article shows how these normative profiles may be applied in future comparative studies on legal mobilisation and legal protest. It is concluded that combining both approaches will help us to look beyond common stereotypes and consider the critics of the justice system as real persons with genuine concerns about the administration of justice in their country.

Scholarly productivity, impact, and quality among Academic Psychologists at Group of Eight Universities

Scholarly research among academics in Schools and Departments of Psychology in the Group of Eight Australian universities was assessed for each academic level (Lecturer to Professor) on productivity (number of articles), impact (number of citations to those articles), and quality (journal rankings). Publications were determined over an 8-year period, 2001–2008. Citations to these works over the same period were also measured. Quality was determined using the Excellence in Research for Australia draft journal rankings. Scholarly productivity was a function of academic level: as academic level increased (Lecturer through Professor) so too did number of publications. Research impact (citations) was also greatest among established Staff (Professors). Research quality was independent of academic level and largely independent of gender. Normative research profiles are provided for each academic level.

Profiles of Personal Resiliency for Normative and Clinical Samples of Youth Assessed by the Resiliency Scales for Children and AdolescentsTM

Cluster analyses with the three global scores of the Resiliency Scales for Children and Adolescents™ (RSCA) were used to determine personal resiliency profiles within normative (641) and outpatient clinical (285) samples of youth aged 9 to 18 years. Normative and clinical profiles were compared with each other and the clinical profiles were then compared with profiles previously found for an inpatient psychiatric sample. Three profiles were identified for the normative sample indicating high resiliency (31%), average resiliency (44%), and low resource vulnerability (25%). The four profiles that were found in the predominately outpatient sample matched Kumar et al.’s profiles and represented average resiliency (23%), low resource vulnerability (26%), high vulnerability (31%), and very high vulnerability (20%). Comparison of the normative and outpatient clinical samples indicated differences in resiliency profiles as well as overlap. Implications for preventive screening and treatment of youth are discussed.

Normative Voice Range Profiles in Vocally Trained and Untrained Children Aged Between 7 and 10 Years

Only limited data on normal vocal constitution and vocal capabilities in school-aged children are available. To take better care of children's voices, it might be helpful to know voice ranges and limits of not only vocally trained but also vocally untrained children. Goal of this study was the evaluation of singing voice capabilities of vocally healthy children with different social and vocal/musical backgrounds using voice range profile measurements (VRP). VRP percentiles that reflect constitutional aspects were suggested. In this cross-sectional study, 186 children (aged between seven and 10 years), attending five schools, were included. VRP measurements were performed under field conditions. Interviews and questionnaires regarding vocal strain and vocal training were applied; the answers were used for classification of singing activity and vocal training (KLASAK). All children reached a mean singing voice range of at least two octaves. By using the answers of interviews and questionnaires, the children could be classified according to vocal strain and vocal training. The groups showed no significant differences regarding VRP measurements. In the following step, percentiles were calculated. Twenty-five percent of all children (P25) reached a minimum voice range of almost two octaves, namely, 22 semitones (ST) from 220 to 784 Hz with soft and loud singing. Half of the children (P50) had a voice range of 24 ST (2 octaves), while soft singing and a larger voice range of 26 ST while loud singing. The measurements of third quartile (P75) revealed that 25% of children have even a larger voice range than 29 dB (from 196 Hz/g to 1047 Hz/c3) and can sing at most frequencies louder than 90 dB. P90 demonstrated that 10% of the children can sing even lower or higher than the frequency range between 196 Hz/g and 1319 Hz/e3 analyzed. The voice range seems not to be constrained by social but by voice/musical background: children of vocally/musically encouraged schools had wider voice ranges. This underlines the necessity of regular singing lessons already in primary schools. The percentile VRP introduced might help to evaluate the vocal constitution and vocal capabilities of a child.

An Interoperability Test Framework for HL7-Based Systems

Health Level Seven (HL7) is a prominent messaging standard in the eHealth domain, and with HL7 v2, it addresses only the messaging layer. However, HL7 implementations also deal with the other layers of interoperability, namely the business process layer and the communication layer. This need is addressed in HL7 v3 by providing a number of normative transport specification profiles. Furthermore, there are storyboards describing HL7 v3 message choreographies between specific roles in specific events. Having alternative transport protocols and descriptive message choreographies introduces great flexibility in implementing HL7 standards, yet, this brings in the need for test frameworks that can accommodate different protocols and permit the dynamic definition of test scenarios. In this paper, we describe a complete test execution framework for HL7-based systems that provides high-level constructs allowing dynamic set up of test scenarios involving all the layers in the interoperability stack. The computer-interpretable test description language developed offers a configurable system with pluggable adaptors. The Web-based GUIs make it possible to test systems over the Web anytime, anywhere, and with any party willing to do so.

What Is the Evidence for Use Dependent Learning After Stroke?

Our laboratory has been interested in the patterns of synaptic plasticity after cortical stroke in animal models.1 These protein expression studies suggest that regions both ipsilateral and contralateral to the stroke are involved during the recovery period. An emerging issue of interest is whether the recovered function is indeed normal or reflects some compensatory function.2 One approach to resolving these questions is to assess different patterns of functional recovery in patients who do and do not recover function with and without therapy and compare them to normal patterns. Investigation of the molecular mechanisms of brain plasticity after injury suggests that functional activity stimulates this recovery and guides the development of functional pathways.3,4 Several investigators postulate that recovery from stroke resembles “use-dependent” learning.5 For this report, we review pertinent literature related to this phenomenon, assess how recovery of language resembles normal language function, and provide examples from our own research on functional imaging that assess patterns of activation related to recovery. The primary treatment modality that we review is constraint-induced language therapy (CILT), in which stroke patients are restricted to using verbal communication.6 CILT is based on principles of constraint-induced therapy for other conditions.6 CILT is performed in chronic stroke …

Patterns of memory: a normative taxonomy of the Wide Range Assessment of Memory and Learning-Second Edition (WRAML-2).

Memory is arguably the most important function of cognition. When left undetected, memory impairments are linked to life long underachievement and negative social consequences. Given that the construct of memory is multidimensional, the current study examined patterns of multiple indicators associated with memory across individuals ranging in age from 5 to 85 years who had been administered the Wide Range Assessment of Memory and Learning-Second Edition (WRAML-2). Multistage cluster analysis with independent age replications was used to empirically identify normative profiles in a sample of (n = 1172) typically developing individuals. This procedure considered how various indicators of memory operate in concert by accounting for the nonlinear multivariate relationships among them. Results supported nine common (or core) profile types that satisfied all formal heuristic and statistical criteria, including complete coverage, satisfactory within-type homogeneity, between-type dissimilarity, and replicability. A summary of the defining characteristics for each profile is provided.

Quelles règles déontologiques pour les enquêtes à visée de recherche ou de surveillance parmi les enfants ?

Purpose: To develop a brief, multidimensional screening instrument for adolescents that addresses psychosocial domains critical to adolescent preventive health care services.Methods: Secondary analyses were conducted on survey data obtained in 1995 from a school sample of 76,159 students in grades 9 and 12, as well as 893 adolescents from juvenile correctional facilities, 500 adolescents from chemical dependency treatment programs, and 575 adolescents from residential behavioral treatment programs. A comprehensive set of 300 survey items was used in a series of discriminant analyses to determine which items best distinguished males and females in each clinical sample from their counterparts in the school sample.Results: The item selection for the Adolescent Health Review was guided both by empirical analyses and clinical judgment. The final screen is comprised of 33 demographic and clinical items that address a variety of psychosocial domains. The computerized, self-administered screen can be completed in about 3 minutes. The screen is scored automatically and produces an easy-to-read risk-assessment profile. Because screening items were drawn from a large epidemiologic survey, normative profiles are available for each age and gender subgroup.Conclusions: A brief, empirically derived screening instrument, designed to address a range of adolescent risks, offers an opportunity for information gathering that otherwise might not be incorporated into routine clinic visits.

Normative Genetic Profiles of RAAS Pathway Gene Polymorphisms in North Indian and South Indian Populations

Population-based genetic association studies, popularly known as case-control studies, have continued to be the most preferred method for deciphering the genetic basis of various complex diseases, even in the post-human genome sequencing era. However, interpopulation differences in allele, genotype, and haplotype frequencies and linkage disequilibrium patterns lead to inconsistent results in candidate gene association studies. Therefore, for any meaningful disease association study, knowledge of the normative genetic background of the baseline population is a prerequisite. In addition, such genetic variation data also provide a ready-made menu of allele frequencies and linkage disequilibrium patterns of various polymorphisms in specific candidate genes in a particular population, which is a useful reference for further genetic association studies. Such genetic variation data are lacking for the Indian population, which represents about one-sixth of the world's population. In the present study we have reported the allele, genotype, and haplotype frequencies, Hardy-Weinberg equilibrium status, and linkage disequilibrium patterns of 12 polymorphisms in six candidate genes from the renin-angiotensin-aldosterone system among Indians. Because of their different history of origin, the Indian population is broadly divided into two subpopulations: North Indians (Caucasian Europeans) and South Indians (Dravidians). Considering this well-documented difference in gene pools, we have presented a comparative account of the normative genetic data of North Indian and South Indian populations with at least four individuals of urban and suburban origin from each of the representative states of northern and southern India.