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Research in psychology has shown that even routinely experienced everyday objects such as brands can trigger cognitively engaging, emotional, and socially meaningful experiences. In this article, we review three key areas where current advances reside: brands as passive objects with utilitarian and symbolic meanings, brands as relationship partners and regulators of personal relationships, and brands as creators of social identity with social group linking value. Research in these areas is grounded in a number of fundamental perspectives within cognitive, emotional, motivational, personality, interpersonal, and group psychology. We conclude by addressing emerging areas for research.
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Comportamento do Consumidor , Marketing/métodos , Adulto , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Mídias Sociais , Inquéritos e QuestionáriosRESUMO
Recent research has started to show the key role of daily food provision practices in affecting household food waste. Building on and extending these previous contributions, the objective of this paper is to investigate how individuals' everyday practices regarding food (e.g., shopping, cooking, eating, etc.) lead to food waste, and how policy makers and the food industry can implement effective strategies to influence such practices and ultimately help consumers reduce food waste. The research performs three Studies; a critical incident qualitative study (Study 1; N = 514) and a quantitative, survey-based study (Study 2; N = 456) to identify and examine relevant food management behaviors associated with domestic waste. Lastly, findings from a field experiment (Study 3; N = 210) suggest that a specific educational intervention, directed at increasing consumers' perceived skills related to food preparation planning behaviors, reduces domestic food waste. Implications of the research for policy makers and the food industry are discussed.
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Comportamento de Escolha , Comportamento do Consumidor , Culinária , Preferências Alimentares , Comportamentos Relacionados com a Saúde , Adulto , Análise por Conglomerados , Características da Família , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estudos Longitudinais , Masculino , Pesquisa Qualitativa , Fatores SocioeconômicosRESUMO
We experimentally investigate how and when the public responds to government actions during times of crisis. Public reactions are shown to follow different processes, depending on whether government performs in exemplary or unsatisfactory ways to the COVID-19 pandemic. The 'how' question is addressed by proposing that negative moral emotions mediate public reactions to bad government actions, and positive moral emotions mediate reactions to good government actions. Tests of mediation are conducted while taking into account attitudes and trust in the government as rival hypotheses. The 'when' question is studied by examining self-regulatory moderators governing the experience of moral emotions and their effects. These include conspiracy beliefs, political ideology, attachment coping styles and collective values. A total of 357 citizens of a representative sample of adult Norwegians were randomly assigned to two experimental groups and a control group, where complaining, putting pressure on the government and compliance to Covid-19 policies were dependent variables. The findings show that negative moral emotions mediate the effects of government doing badly on complaining and pressuring the government, with conspiracy beliefs moderating the experience of negative moral emotions and attachment coping moderating the effects of negative moral emotions. The results also show that positive moral emotions mediate the effects of government doing well on compliance with COVID-19 regulations, with political ideology moderating the experience of positive moral emotions and collective values moderating the effects of positive moral emotions.
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COVID-19 , Adulto , Humanos , Atitude , Governo , Noruega , PandemiasRESUMO
Several studies indicate that the cerebellum might play a role in experiencing and/or controlling emphatic emotions, but it remains to be determined whether there is a distinction between positive and negative emotions, and, if so, which specific parts of the cerebellum are involved in these types of emotions. Here, we visualized activations of the cerebellum and extracerebellar regions using high-field fMRI, while we asked participants to observe and imitate images with pictures of human faces expressing different emotional states or with moving geometric shapes as control. The state of the emotions could be positive (happiness and surprise), negative (anger and disgust), or neutral. The positive emotional faces only evoked mild activations of crus 2 in the cerebellum, whereas the negative emotional faces evoked prominent activations in lobules VI and VIIa in its hemispheres and lobules VIII and IX in the vermis. The cerebellar activations associated with negative emotions occurred concomitantly with activations of mirror neuron domains such as the insula and amygdala. These data suggest that the potential role of the cerebellum in control of emotions may be particularly relevant for goal-directed behavior that is required for observing and reacting to another person's (negative) expressions.
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Cerebelo/fisiologia , Cognição/fisiologia , Emoções/fisiologia , Função Executiva/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Mapeamento Encefálico/métodos , Feminino , Objetivos , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Estimulação Luminosa/métodosRESUMO
Employees' work-related well-being has become one of the most significant interests of researchers and organizations due to the COVID-19 pandemic. This study examines how job characteristics such as mental load and team support, and technology-related factors such as perceived ease of use, perceived usefulness, and technology acceptance, impact employees' work engagement as a dimension of work well-being. Data were collected through a sample of 610 academic employees from three Norwegian universities after COVID-19 restrictions were implemented. The structural model estimation showed that mental load, perceived team support, and technology acceptance were significantly related to work engagement. It also showed that perceived usefulness, perceived ease of use, and mental load were significantly related to technology acceptance. Furthermore, the analysis showed that technology acceptance partially mediates the relationship between job characteristics and work engagement, and fully mediates the relationship between technology-related perceptions and work engagement. Building on the technology acceptance model (TAM) and job demands-resources (JD-R) theory, this study provides insights into the effects of job-related and technology-related factors on remote workers' well-being. By doing so, we contribute to the existing literature by demonstrating how remote working with the use of newly implemented technologies can be related to employees' well-being during a pandemic.
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COVID-19 , Humanos , Pandemias , SARS-CoV-2 , Tecnologia , Engajamento no TrabalhoRESUMO
OBJECTIVES: Women reaching menopause must make a controversial decision about whether to use hormone therapy (HT). The theory of planned behaviour (TPB) was the organizing framework. The objectives were to determine if (1) influence of different TPB constructs varied with stage of menopause and HT use, (2) women with diabetes were influenced in significantly different ways from women without, (3) the overall perceived behavioural control (PBC) and self-efficacy (SE) have independent effects on intention, and (4) physician influence was mediated by subjective norm (SN). DESIGN: Cross-sectional survey of women from a managed care organization. METHODS: Multiple regression analysis was used to analyse 765 responses (230 from women with diabetes) and separately four main subgroups: (1) early menopause stage and never used HT, (2) late menopause stage and never used HT, (3) late menopause stage and previously used HT, and (4) late menopause stage currently using HT. RESULTS: For the entire sample, the model explains 68% of variance in intention, where SE, physicians' influence, self-identification with menopause as a natural part of ageing, self-identification as someone who wants to delay menopause, HT status, menopause status, and diabetes were added to the TPB. For the entire sample, SE added 2% to the explained variance and the physician determinant added 7%. CONCLUSIONS: An augmented TPB is useful for understanding women's HT use decisions. The theory explains more variance in intention before a behaviour is enacted than after, and decision structure changes over time. PBC and SE have independent effects on intention.
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Tomada de Decisões , Diabetes Mellitus Tipo 2/psicologia , Terapia de Reposição de Estrogênios/psicologia , Intenção , Perimenopausa/psicologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos Epidemiológicos , Humanos , Controle Interno-Externo , Pessoa de Meia-Idade , Perimenopausa/efeitos dos fármacos , Papel do Médico/psicologia , Autoeficácia , Estados UnidosRESUMO
We used dual electroencephalography (EEG) to measure brain activity simultaneously in pairs of trustors and trustees playing a 15-round trust game framed as a "trust game" versus a "power game". Four major findings resulted: first, earnings in each round were higher in the trust than in the power game. Second, in the trust game, reaction time for strategic deliberations was significantly longer for the trustee than the trustor. In the power game, however, the trustee took longer to think about how much money to repay, whereas the trustor took longer to think about how much money to invest. Third, prediction accuracy for the amount exchanged was higher in the trust game than in the power game. Fourth, interbrain synchronicity gauged with the phase-locking value of alpha bands in the brain - especially the frontal and central regions - was higher in the power game than in the trust game. We infer that this last finding reflects elevated mutual strategic deliberation in the power game. These behavioral and neuroscience-based findings give a better understanding of the framing effects of a trust game on the strategic deliberations of both trustor and trustee seeking to attain wealth.
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Diencéfalo/fisiologia , Jogos Experimentais , Rede Nervosa/fisiologia , Poder Psicológico , Confiança/psicologia , Adulto , Encéfalo/fisiologia , Eletroencefalografia/métodos , Humanos , Masculino , Estimulação Luminosa/métodos , Tempo de Reação/fisiologia , Adulto JovemRESUMO
A person's ability to form relationships and seek and attain social status affects their chances of survival. We study how anxious and avoidant-attachment styles and subsequent winning or losing affects the testosterone (T) levels of team members playing two status contests. The first is a management game played by teams striving to earn the most profits. Winners and losers emerge due to the cognitive endeavor of the players, which provokes intense status dynamics. Avoidant-attached winners do not show higher T levels whereas anxious-attached winners do. The second is an economic game which is rigged and favors some teams to become richer than others; teams have the option though to trade with each other and reduce the self-perpetuating rich-poor dynamics embedded in the game. Besides attachment styles, we here also explore how authentic pride as a self-conscious emotion affects team members' T levels as players trade with others to create more fairness. As in the first status contest, players' T levels are not significantly affected by their avoidant attachment style, neither as a main effect nor in interaction with winning or losing the game. However, similar to the first game, players' anxious attachment style affects their T levels: anxious-attached players generate significantly higher T levels when winning the game, but only when experiencing high authentic pride during the game. In short, the moderating effects of attachment style on winners' T levels are partly replicated in both status games which allows us to better understand the functioning of working models of attachment styles during and after status contests and gives us a better understanding of working models of attachment styles in general.
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We investigate the relationship between facial attractiveness and athletic prowess. We study the connection between subjective facial attractiveness (measured on a 5-point scale of judged facial attractiveness) and athletes by gender and age of respondents. Five age classes were investigated in Studies 1-5: preadolescents (average age: 8.85 years: n = 92), adolescents (average age: 15.8 years; n = 82), young adults (average age: 21.6 years; n = 181), middle-aged adults (average age: 47.5 years; n = 189), and older adults (65 years old; n = 183). The findings show that world-class athletes are perceived as more facially attractive than amateur athletes, with women athletes perceived as more facially attractive than men, and these findings generally occur to a greater extent for female than male respondents. These findings hold for preadolescents, adolescents, young adults, and older adults. However, results were mixed for middle-aged adults where generally amateur athletes were evaluated more attractive than world-class and men athletes more attractive than women.
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Atletas/psicologia , Desempenho Atlético/psicologia , Beleza , Expressão Facial , Adolescente , Adulto , Fatores Etários , Idoso , Análise de Variância , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Caracteres Sexuais , Adulto JovemRESUMO
D. Howell, E. Breivik, and J. B. Wilcox (2007) have presented an important and interesting analysis of formative measurement and have recommended that researchers abandon such an approach in favor of reflective measurement. The author agrees with their recommendations but disagrees with some of the bases for their conclusions. He suggests that although latent variables refer to mental states or mental events that have objective reality, to gain knowledge of the existence of these states or events requires that emphasis be placed on the nature and interpretation of the relationship between latent and manifest variables. This relationship is not a causal one but rather a kind of correspondence rule that contains theoretical, empirical, operational, and logical meanings as part of its content and structure. Implications of the above views are discussed for formative and reflective measurement.
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Coleta de Dados/estatística & dados numéricos , Interpretação Estatística de Dados , Ciências Sociais/estatística & dados numéricos , Atitude , Causalidade , Emoções , Humanos , Processos Mentais , Modelos Estatísticos , Nomogramas , Testes Psicológicos/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Projetos de Pesquisa/estatística & dados numéricos , Estatística como AssuntoRESUMO
We apply a new methodology to investigate goal setting by hypertensive patients that uncovers the reasons why people have a goal to manage hypertension or not (e.g. to reduce/maintain one's current blood pressure). The reasons are found to consist of superordinate goals in support of one's focal hypertension goal and the hierarchical mental network underlying the superordinate goals. We show that, not only do such superordinate goals influence patients' beliefs, feelings and decisions, but the relationships among superordinate goals are particularly efficacious in the formation of beliefs and attitudes, as well as intentions to self-regulate hypertension and actual efforts in doing so. Hypotheses were tested on a sample of 219 patients at a university-based hypertension clinic.
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Objetivos , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Hipertensão/prevenção & controle , Hipertensão/psicologia , Autoeficácia , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Comportamental , Pesquisa Comportamental , Pressão Sanguínea/fisiologia , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Ambulatório Hospitalar , Estudos Prospectivos , Psicometria/instrumentação , Inquéritos e QuestionáriosRESUMO
BACKGROUND: The prevalence of diabetes mellitus is high among patients with developmental disabilities (cerebral palsy, autism, Down's syndrome and cognitive disabilities). OBJECTIVES: The purpose of this study was to examine the racial health disparities in medication adherence and medication persistence in developmentally disabled adults with type 2 diabetes enrolled in Medicaid. METHODS: This was a retrospective cohort study using the MarketScan(®) Multi-State Medicaid Database. Adults aged 18-64 years with a prior diagnosis of a developmental disability (cerebral palsy/autism/down's/cognitive disabilities) and a new diagnosis of type 2 diabetes enrolled in Medicaid from January 1, 2004 and December 31, 2006, were included. Adults were included if they had a continuous enrollment for at least 12 months and were excluded if they were dual eligible. Anti-diabetes medication adherence and diabetes medication persistence were measured using multivariate logistic regression and the Cox-proportional hazard regression, respectively. RESULTS: The study population comprised of 1529 patients. Although overall diabetes medication adherence in this population was optimal, African Americans had significantly lower odds (25%) of adhering to anti-diabetes medications compared to Caucasians (OR = 0.75, 95% CI = 0.58-0.97, P < 0.05). Also, after controlling for other covariates, the rate of discontinuation was higher in African Americans compared to Caucasians (hazard ratio = 1.03, 95% CI = 0.91-1.18, P < 0.629). CONCLUSION: In this study, racial disparities were found in anti-diabetes medication adherence among Medicaid enrollees with developmental disabilities (DD). Studies conducted in the future should examine predictors that impact access to care, availability of primary and specialized care, social support as well as beliefs of racial minority populations with developmental disabilities and chronic conditions like diabetes to optimize medication use outcomes in this especially vulnerable population.
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Deficiências do Desenvolvimento/epidemiologia , Diabetes Mellitus Tipo 2/tratamento farmacológico , Disparidades nos Níveis de Saúde , Hipoglicemiantes/administração & dosagem , Adesão à Medicação/estatística & dados numéricos , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Estudos de Coortes , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Medicaid , Adesão à Medicação/etnologia , Pessoa de Meia-Idade , Análise Multivariada , Estudos Retrospectivos , Estados Unidos , População Branca/estatística & dados numéricos , Adulto JovemRESUMO
We compare the ability of two social psychological models to explain self-regulation decisions to control hypertension by 208 patients at a hospital clinic: the theory of planned behaviour (TPB) and the model of goal-directed behaviour (MGB). The sample was drawn from patients at a large research hospital in North America. The findings show that the MGB not only explains significantly more variance in decision making than the TPB, but it provides an account for how reasons for acting become integrated and transformed into intentions to act, which the TPB does not address. The MGB does this in part by introducing the variable, desire, as an essential mediator between reasons for acting and intentions. The MGB also incorporates the effects of anticipated emotions on decision making, which are forms of forward-looking counterfactual thinking with respect to goals. In addition, the present study reconceptualized instrumental behaviour to encompass how hard one tries to act in the senses of (1) devoting time to planning with respect to reducing/maintaining blood pressure, (2) expending mental/physical energy to reduce/maintain blood pressure, (3) maintaining will power to reduce/maintain blood pressure, and (4) sustaining self-discipline (e.g. in overcoming obstacles) to reduce/maintain blood pressure. Key differences, as well as commonalities, in decision making are pointed-out between men and women and between people whose goal is to reduce versus maintain blood pressure.
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Tomada de Decisões , Comportamentos Relacionados com a Saúde , Hipertensão/psicologia , Hipertensão/terapia , Esforço Físico , Teoria Psicológica , Autocuidado/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Comportamental , Emoções , Feminino , Objetivos , Humanos , Intenção , Controle Interno-Externo , Masculino , Pessoa de Meia-Idade , Motivação , Avaliação de Resultados em Cuidados de SaúdeRESUMO
The interdependencies of Pharmacy and Therapeutics Committee members in 222 teaching hospitals were studied by use of the social relations model. Cooperation, influence, frustration and enjoyment were studied among four-person subgroups chosen from the five roles recommended for hospitals by the American Society of Hospital Pharmacists: physician-chair, physician-nonchair, pharmacist, nurse and administrator. The results show that the elicitation and reception of cooperation, influence, frustration and enjoyment vary considerably by role (as manifest in actor and partner effects); small amounts of individual reciprocity (i.e. the association between actor and partner effects) were found for some measures of interdependence across roles, while small amounts of dyadic reciprocity (i.e. the association between reciprocal relationship effects) were found for many relationships. Significant group level (i.e. committee) effects were found as well.
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Tomada de Decisões Gerenciais , Hospitais de Ensino/organização & administração , Relações Interdepartamentais , Relações Interprofissionais , Serviço de Farmácia Hospitalar/organização & administração , Comitê de Farmácia e Terapêutica/organização & administração , Comportamento Cooperativo , Processos Grupais , Humanos , Modelos Organizacionais , Papel ProfissionalRESUMO
BACKGROUND: Direct-to-consumer (DTC) advertising of prescription drugs is a widely discussed issue in health care. However, little is known about the characteristics of the motivational themes used in this type of advertising. OBJECTIVES: The aim of this study was to investigate the concurrent presentation of motivational themes in DTC print and television advertisements. METHODS: The content analyses focused on advertisements of 2 targeted drug classes (cyclooxygenase-2 enzyme inhibitors and 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors) in magazines and on television. Targeted print advertisements (for celecoxib, rofecoxib, atorvastatin, pravastatin, and simvastatin) from September to December 2001 and targeted television advertisements (for celecoxib, rofecoxib, and simvastatin) from November 2001 were investigated. The motivational themes were assessed using a theoretical framework based on self-regulatory focus theory and cultural orientation. Self-regulatory focus was examined in terms of goal orientation (promotion vs prevention) and emotional aspects, (e.g., cheerfulness, dejection, quiescence, agitation). The cultural orientation was examined in terms of individualism versus collectivism. The visual-verbal match was categorized as direct if the audio and visual information was semantically redundant, as partial if it was partially related, and as no match at all if it was different or conflicting. RESULTS: Twelve print advertisements in 10 magazines and 4 television advertisements on 4 television networks were examined; the interrater reliability scores from 3 independent, trained judges ranged from 0.93 to 0.99. The score was low (0.57) in the visual-verbal match measurement for television advertisements. Products in the same category appeared to be promoted using different self-regulatory foci. For example, celecoxib and atorvastatin advertisements tended to be promotion oriented, whereas pravastatin advertisements tended to be prevention oriented. Motivational themes were found throughout the print advertisements (e.g., pictures, headlines, main text). Only a few advertisements illustrated factual information about a product in a pictorial format. The cultural orientation of the advertisements was similar across brands, with individualistic appeals being common. On television, visual-verbal matches (either direct or partial matches) were generally found, except in the section where risk information was presented. CONCLUSION: In this content analysis, prescription drugs in the same class appeared to be promoted using different self-regulatory foci, but individualistic appeals were found more often than collectivistic appeals across brands.
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Publicidade/métodos , Indústria Farmacêutica/métodos , Motivação , Inibidores de Ciclo-Oxigenase , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases , Publicações Periódicas como Assunto , TelevisãoRESUMO
In this study, the authors investigated how salespeople within an interdependent-based culture (the Philippines) and an independent-based culture (the Netherlands) experience and self-regulate shame. Filipino and Dutch employees were found to experience shame as a consequence of customer actions in largely similar ways (i.e., for both, shame is a painful self-conscious emotion with unique physiological/behavioral urges, self-focused attention, and felt threat to the core self) but have different responses to their felt shame. Specifically, shame is self-regulated dissimilarly in the 2 cultures and leads to opposite effects on performance, namely, enhanced customer relationship building and civic virtue and helping occur for Filipino employees, and diminished sales volume, communication effectiveness, and relationship building transpire for Dutch employees. The positive effects experienced by Filipino employees occur through direct responses to felt shame and as a result of adaptive resource utilization. The negative effects experienced by Dutch employees occur as a result of the dysfunctional (from the firm's point of view) discharge of protective actions.
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Comércio , Cultura , Vergonha , Controles Informais da Sociedade , Afeto , Feminino , Humanos , Masculino , Países Baixos , Filipinas , Projetos Piloto , Inquéritos e QuestionáriosRESUMO
The authors developed a framework for thinking about motives in goal setting. The reasons for choosing a particular goal are represented in a hierarchical network of motives. To uncover context-specific motives and their interconnections, the authors propose a procedure based on the elicitation of justifications for one's goal. The authors applied the procedure to the motivation of volunteering to join the Italian Army by officers (N = 151) and 3 groups of enlisted soldiers (Garibaldi Brigade, N = 141; Folgore Brigade, N = 144; and volunteers in training, N = 150). The resulting idiographic motives and linkages between motives were validated by regressing attitudes, intentions to reenlist, and commitment toward the army on motives and linkages between motives. A heuristic nomothetic summary of goals, arranged in an interconnected hierarchy, was derived.
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Objetivos , Militares/psicologia , Modelos Teóricos , Motivação , Adulto , Atitude , Mobilidade Ocupacional , Humanos , MasculinoRESUMO
TWO CLASSIC STRATEGIC ORIENTATIONS HAVE BEEN FOUND TO PERVADE THE BEHAVIOR OF MODERN SALESPERSONS: a sales orientation (SO) where salespersons use deception or guile to get customers to buy even if they do not need a product, and a customer orientation (CO) where salespersons first attempt to discover the customer's needs and adjust their product and selling approach to meet those needs. Study 1 replicates recent research and finds that the Taq A1 variant of the DRD2 gene is not related to either sales or CO, whereas the 7-repeat variant of the DRD4 gene is related to CO but not SO. Study 2 investigates gene × phenotype explanations of orientation of salespersons, drawing upon recent research in molecular genetics and biological/psychological attachment theory. The findings show that attachment style regulates the effects of DRD2 on CO, such that greater avoidant attachment styles lead to higher CO for persons with the A2/A2 variant but neither the A1/A2 nor A1/A1 variants. Likewise, attachment style regulates the effects of DRD4 on CO, such that greater avoidant attachment styles lead to higher CO for persons with the 7-repeat variant but not other variants. No effects were found on a SO, and secure and anxious attachment styles did not function as moderators.
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We took EEG recordings to measure task-free resting-state cortical brain activity in 35 participants under two conditions, alone (A) or together (T). We also investigated whether psychological attachment styles shape human cortical activity differently in these two settings. The results indicate that social context matters and that participants' cortical activity is moderated by the anxious, but not avoidant attachment style. We found enhanced alpha, beta and theta band activity in the T rather than the A resting-state condition, which was more pronounced in posterior brain regions. We further found a positive correlation between anxious attachment style and enhanced alpha power in the T vs. A condition over frontal and parietal scalp regions. There was no significant correlation between the absolute powers registered in the other two frequency bands and the participants' anxious attachment style.
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OBJECTIVES: Very few studies have captured the differences in the outcomes of pediatric patients based on the patients' type of health insurance plan. The purpose of this retrospective cohort study was to examine the impact of the type of health insurance plan (public insurance vs. private insurance) on outcomes (health care utilization and medication adherence) in children with asthma. METHODS: This retrospective cohort study analyzed Medicaid/commercial data from eight states licensed under Thomson Medstat. Subjects were 11,027 children with asthma (6435 enrolled in Medicaid and 4592 enrolled in a commercial health maintenance organization) who newly started asthma pharmacotherapy and were followed up for 12 months before and after the index anti-asthmatic medication fill. Data on health care utilization and medication adherence were examined to compare health care utilization-based outcomes. Quantile regression analysis was used to study medication adherence, and Poisson regression was used to determine health care utilization. RESULTS: Patients with a private insurance plan had significantly higher medication adherence rates (p < .01) compared with those who had a Medicaid plan. Patients with Medicaid plans also were associated with 20% more inpatient hospitalizations and 48% increased odds of emergency department visits, but they had 42% fewer outpatient visits compared with those who had a private plan (all p < .05). CONCLUSION: Children with asthma who are enrolled in Medicaid receive fairly comprehensive coverage of medical services, and thus further research is needed to determine the reasons for poor health care utilization-related outcomes in this population.