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Depression and Heart Rate Variability in Patients with Coronary Artery Disease
Depression is an independent risk factor for morbidity and mortality in patients with coronary artery disease (CAD). Altered autonomic nervous system (ANS) activity, a common feature of depression, is also a risk factor for cardiac events in patients with CAD. Heart rate variability (HRV) reflects ANS activity, and reduced HRV predicts morbidity in cardiac populations. The purpose of this study was to determine whether differences in HRV exist between depressed and nondepressed patients with CAD. Twenty-one depressed inpatients, with angiographically documented CAD were retrospectively matched to 21 nondepressed CAD patients by sex, age, and smoking status. Demographic, medical, psychological interview data, and 24-hour ECG recordings were obtained. Depressed subjects had significantly lower HRV, or trends toward lower HRV, than nondepressed subjects, even after controlling for severity of CAD. Subject groups did not differ on left ventricular ejection fraction, history of myocardial infarction, or any other relevant medical variable assessed. These results suggest that depression is associated with decreased HRV in patients with CAD, and may help to explain the increased rates of cardiac events observed in CAD patients with depression.
The Effect of Memory Requirement on Schema Learning
A number of previous investigations have suggested that schema learning would be more readily facilitated by a recognition task than a reproduction task due to the increased memory requirement of the reproduction task. Differential memory requirements of 0, 4, 8, 16 and 32 seconds were imposed on 50 Ss in a recognition task to determine if increased memory requirements improved schema learning in the same mode as the reproduction task. The results indicated no significant improvement in schema learning with increased memory requirement. The data does suggest negative transfer from reproduction to recognition task. Recommendations for design and procedural improvements are included.
Predictive Validity of the Retail Employment Inventory for the Selection of Over-the-Road Truck Drivers
An independent pilot study suggested that the Retail Employment Inventory (REI) might be predictive of subjectively and objectively measured Over the Road (OTR) truck driver performance. The present validation study consisted of three parts. First, an examination of the relationship between REI scores and 11 objective, performance criteria revealed weak and non-significant correlations. Second, a comparison of subjective ratings and REI scores failed to replicate the findings of the pilot study. And third, to confirm that the task components of the OTR job were correctly identified in the pilot study, a second job analysis was performed. Possible reasons for the failure of the REI to predict OTR performance and directions for future research are discussed.
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