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PubMed1997

Social problem solving and autobiographical memory in non-clinical depression.

OBJECTIVES: We examine the proposal that specific autobiographical memories may play a major role in successful social problem solving (SPS). DESIGN AND METHODS: Depressed and control students report on the types of memories they retrieve while performing an SPS task and a cueing task. RESULTS: The retrieval of specific memories on the cueing task and during SPS was found to be positively related to SPS skill. CONCLUSIONS: Specific memories are important for successful SPS. However, the relationship between a specific memory deficit and poor SPS is mediated by severity of depression.

Adult↗
PubMed2006

Problem Solving for Better Health Nursing: a working approach to the development and dissemination of applied research in developing countries.

This article describes the international component of the Problem Solving for Better Health Nursing (PSBHN) program initiated by the Dreyfus Health Foundation (DHF) in 2002. PSBHN is operational in 14 countries in addition to the United States. A PSBHN initiative is described, and attention is given to lessons learned and plans for the future.

Attitude of Health Personnel↗
PubMed2000

Expressed emotion and attributions in the relatives of bipolar patients: an analysis of problem-solving interactions.

Among the relatives of schizophrenic and depressed patients, high expressed emotion (EE) attitudes are associated with "controllability attributions" about the causes of patients' symptoms and problem behaviors. However, previous studies have judged EE attitudes and causal attributions from the same assessment measure, the Camberwell Family Interview (CFI; C. E. Vaughn & J. P. Leff, 1976). The authors examined causal attributions among relatives of 47 bipolar patients, as spontaneously expressed to patients in family problem-solving interactions during a postillness period. Relatives rated high EE during the patients' acute episode (based on the CFI) were more likely than relatives rated low EE to spontaneously attribute patients' symptoms and negative behaviors to personal and controllable factors during the postillness interactional assessment. Thus, the EE-attribution linkage extends to the relatives of bipolar patients evaluated during a family interaction task.

Adolescent↗
PubMed1996

The effects of frontal lobe damage on everyday problem solving.

The prefrontal cortex plays an especially important role in human social-cognitive behavior. It has been difficult to quantify deficits in this domain in patients with frontal lobe lesions using standardized psychological instruments. We administered the Everyday Problem Solving Inventory (EPSI), which is composed of a range of scenarios depicting everyday social problems and their possible solutions, to a group of patients with frontal lobe lesions who were required to rate each of 4 possible solutions to each problem for their effectiveness. Our sample consisted of 27 normal controls (NCs), 33 patients with focal frontal lobe lesions (FLL), and 3 patients with frontal lobe dementia (FLD). The performance of the FLL patients on the EPSI instrument was also compared with their performance on traditional neuropsychological tests. The results indicated that the FLD patients' EPSI rank ordering of social problem solutions was uncorrelated with the performance of NCs and about half of the FLL patients EPSI rank orderings of solutions also varied substantially from those of the NCs. These same FLL patients also had the lowest scores, compared to FLL patients whose judgements on the EPSI were similar to that of the NCs, on a set of neuropsychological tasks sensitive to frontal lobe dysfunction. There was no obvious relationship between locus of lesion within the frontal lobes and performance on the EPSI. These results suggest that some patients with prefrontal lobe lesions may have impaired social judgement that can be directly revealed through the use of a conventional psychological inventory such as the EPSI.

Adult↗
PubMed1984

Conversational interactions between mothers and learning-disabled or nondisabled children during a problem-solving task.

This study focused on mother-child interactions during a problem-solving task to determine whether (a) mothers of learning-disabled children engage in conversational buffering to facilitate their child's participation in the task, and (b) whether learning-disabled children differ from nondisabled children in their use of language with their mothers. The results of this study provide some evidence that mothers of both learning-disabled and nondisabled children engage in conversational buffering, although there were few differences between the mothers of the learning-disabled and nondisabled children. Differences between learning-disabled and nondisabled children showed that the learning-disabled were more likely to agree with and less likely to disagree with their mothers than were the nondisabled children. These findings provide some evidence of maternal conversational buffering and suggest that learning-disabled children's previously reported unassertive conversational style in peer interactions extends to talk with their mothers.

Child↗
PubMed1979

Age differences in relationships between crystallized and fluid intelligences and problem solving.

One hundred and sixty-two subjects at three age levels were tested to examine the relationship between crystallized (Gc) and fluid (Gf) abilities and three problem solving tasks varying in the abstractness concreteness of their stimuli and emphasis on past experience. It was predicted that the difference in correlations between crystallized and fluid abilities and each of these tasks would increase with increased age. The hypotheses were partially supported in the young and elderly groups of subjects. On tasks using concrete stimuli, emphasizing past experience, where no cross-sectional decline was observed, Gc (relative to Gf) accounted for an increasing proportion of variance in performance with increased age. On tasks using abstract stimuli, de-emphasizing past experience, where significant cross-sectional declines were obtained, Gf (relative to Gc) correlated more highly with performance. Contrary to previous research, relationships between Gf and Bc supported a reintegration of abilities in old age.

Adolescent↗
PubMed2000

A nurse-coordinated educational initiative addressing primary care professionals' attitudes to and problem-solving in depression in older people--a pilot study.

This study assessed the feasibility and efficacy of an intervention focusing on primary care professionals' attitudes to, problem-solving in and practice relating to depression in old age before and after a nurse-implemented educational intervention. One hundred and twenty-one practices were approached, in which 297 doctors worked. Most practices did not want to be involved in this study. Evidence from previous studies and this one suggests that GPs are more amenable to interventions which are implemented by doctors rather than other health personnel. In addition, the lack of interest in this intervention may be a reflection of the therapeutic nihilism of primary care physicians regarding depression in older people. Sixteen surgeries expressed an interest in the study, of whom 14 participated in the study comprising 40 GPs. Thirty-one GPs and 24 nurses completed the baseline questionnaires. Only six GPs and no nurses returned completed questionnaires post-intervention. The only statistically significant before versus after change in the attitude questionnaire was found in 'I need more training to be able to deal effectively with depression in the elderly'. Mean scores were 0.73 and 0.47 respectively (p<0.05; 95%CI 3.2-47.1). Significant improvements post-intervention were, however, found in the answers to three questions (all p<0.05) addressing whether patients with depression complicated by or presenting with physical illness were referred appropriately and/or followed up. The results of our study do not indicate that the evaluation of nurse-led educational interventions in primary care is feasible in the field of depression in old age. The belief that all that is needed is the provision of accessible education of professionals by experts in the field to change attitudes and practice has not been reinforced. The high refusal rate suggests that such interventions are unlikely in any case to be generally acceptable.

Aged↗
PubMed1998

Meeting the expectations of chronic tinnitus patients: comparison of a structured group therapy program for tinnitus management with a problem-solving group.

Two different group treatments were evaluated in 144 in-patients suffering from impairment due to chronic tinnitus. A tinnitus management therapy (TMT) was developed using principles of cognitive-behavioral therapy and compared with problem solving group therapy. Self-ratings were used to evaluate the help patients found in dealing with life problems and tinnitus as well as the degree to which they felt they were being properly treated and taken seriously. Patients showed significantly more satisfaction with the TMT group and evaluated the help they found in coping with tinnitus and life problems significantly higher. Thus, in the light of unsatisfactory medical solutions and the poor acceptance of some psychological treatments for tinnitus, TMT appears to be an acceptable and helpful treatment program.

Adaptation, Psychological↗
PubMed1983

Problem-solving deficits and depressive symptoms among children.

Depressive symptoms among 40 fourth- and fifth-grade students as measured by the Children's Depression Inventory, correlated highly with impaired problem solving at block designs (r = .64) and anagrams (r = .67). Similar impairments have been found among depressed adults, suggesting that depression among children may be continuous with depression among adults.

Child↗
PubMedDate not supplied

A validation study: simulations as a measure of nurse practitioners' problem-solving skills.

A national sample of 79 masters- and certificate-prepared family and adult nurse practitioners completed six instruments designed to validate one type of clinical simulation, patient management problems (PMPs). The instruments were: a self-chart audit, self-evaluation rating scale, colleague evaluation rating scale, multiple-choice examination. PMP simulation, and demographic questionnaire. Use of a multitrait-multimethod correlation matrix, a multivariate analysis of covariance, and a stepwise multiple regression analysis provided modest evidence to support the claim that the PMP simulation is a valid measure of the construct clinical problem solving. In fact, a multiple-choice examination appeared to be an equal, if not superior, instrument.

Clinical Competence↗
PubMed1997

[A nursing intervention study in interdisciplinary cooperation: challenges and problem solving strategies].

Doing a nursing intervention study in two hospitals in collaboration with physicians challenged all participating parties. The course of the study was influenced and partially changed by unforeseen problems. This article presents organizational perspectives on carrying through an intervention study while daily patient care is taking place and discusses specific issues of collaborating with physicians and nurses. Problem solving strategies and consequences from experiences with this study are presented.

Cooperative Behavior↗
PubMed1990

The effects of analogical training models and age on problem-solving in a new domain.

Young and middle-aged adults learned a microcomputer drawing package either with or without an analogical model of the package. Following training, problem-solving flexibility was assessed. Although no age differences were obtained following no-model training, middle-aged subjects performed worse than young subjects following model-based training. These results support the hypothesis that model-based training encourages elaboration and abstraction processes, and that older adults are less likely or less able to engage in such processing.

Adult↗
PubMed2006

Development of a positive youth development program: promoting the mental health of stressful adolescents using principles of Problem Solving Therapy.

This paper outlines the proposal for the development, implementation, and evaluation of a positive youth development program that attempts to promote the mental health of stressful Chinese adolescents using principles of Problem Solving Therapy (PST). There are two general aims of PST: to help clients identify life difficulties and resolve them, as well as to teach them skills on how to deal with future problems. The proposed project will utilize the principles of PST as the guiding framework to run two mental health promotion courses for adolescents who are experiencing disturbing stressful responses and students who want to improve their stress management style. Both objective and subjective outcome evaluation strategies will be carried out to assess the effectiveness of the intervention to promote the psychological well-being in adolescents who are experiencing stress. A related sample proposal is described that can give social workers some insight on how to prepare a proposal for developing the Tier 2 Program of the Project PATHS (Positive Adolescent Training through Holistic Social Programs).

Adolescent↗
PubMedDate not supplied

[A comparison of problem solving by extrapolation before and after removal of the archicortex and Wulst in cows].

The change in the capacity for extrapolation was studied in crows after ablation of Wulst and the archicortex. After the ablation of the archicortex, the solution of the extrapolation problem does not change. After the ablation of Wulst, the number of "refusals" to solve increases, the number of correct responses diminishes, although it remains significantly higher than the number of errors. It is assumed that the archicortex and Wulst play no decisive part in the process of solving problems involving extrapolation; yet Wulst apparently controls the achievement of the final reaction, by-passing the screen.

Animals↗
PubMed1983

Problem-solving skills in happy and distressed couples: effects of videotape and verbal feedback.

Investigated communication in happy and distressed married couples, in two studies. Fifty-eight couples' problem-solving behaviors were evaluated by the spouses themselves and by trained observers. Some distressed couples viewed their own videotape; others received a placebo intervention. Half of the distressed couples received written feedback before a second discussion. Results indicated that (a) distressed and happy couples differed on some behavioral measures; (b) both happy and distressed wives engaged in more negative behaviors than husbands; (c) videotape and written feedback were ineffective in altering behaviors; (d) husbands' and wives' negative behaviors were correlated highly; and (e) spouses' and observers' ratings were independent. Implications for research on marriage and for behavioral couple therapy are discussed.

Adaptation, Psychological↗
PubMed2006

[Perceptions of self and relationship in problem solving situations: the influence of the differences for the tasks].

The purpose of this study was to examine how the differences of task influenced the perceptions of self and their relationship in problem solving situation, and to study the relation between self and their relationship. The participants were 64 college students. Two same-sex students made a pair and were engaged to solve the task together. After pairs solved the task, they completed the questionnaire. Pairs were randomly divided into one of two experimental conditions. In the "ability task" condition, pairs solved the logical task, and pairs of the "interpersonal relations task" condition solved the task concerning interpersonal relations. The results indicated that the self and their relationship were perceived differently between the two conditions of tasks.

Adult↗
PubMed2004

Coordinated problem solving through resource sharing in a distributed environment.

An important feature in a distributed problem solving system is that the resources of different nodes can be shared through cooperation. In this paper, the generalized partial global planning (GPGP) approach used for multiagent systems is extended by providing a coordination mechanism for resource sharing across nodes. In our framework, multiple conflicting criteria (or objectives) like quality, cost, and duration may be associated with an input task. Preference ratings expressed subjectively may be assigned to each of the criteria. Task assignment in this system, which is a multiobjective decision making problem, is important for the satisfaction of the criteria. It has to be done with imprecise information since the system is dynamic and preference ratings are specified subjectively. A technique for task assignment using the fuzzy set approach is also presented in this paper. Simulation studies for the coordination mechanism and the task assignment have been performed to demonstrate their effectiveness.

Letter↗