Electronic diaries are increasingly used to assess daily pain in many different forms and populations. This systematic review aims to survey the characteristics of studies using electronic pain diaries and to examine how these characteristics affect compliance. A literature search of 11 electronic databases was conducted. Studies were evaluated on the basis of predetermined inclusion criteria by two independent reviewers. Study characteristics were grouped into four categories: general, population, electronic diary, and sampling procedure (i.e., response, attrition, and compliance rates) including strategies to enhance compliance. The 62 included publications reported from 43 different datasets. Papers were usually written in English and published as from 2000. Samples mostly consisted of female chronic pain patients aged 19-65 years from western countries. Most diaries held less than 20 items and were completed up to 6 times daily at fixed or prompted times for 1 month at most. Less than 25% of the studies reported both response and attrition rates; however, a majority reported compliance. Compliance was generally high, and positively associated with shorter diaries, age, having a user's manual, financial compensation and using an alarm. It is important that the various study characteristics are catalogued carefully, especially response and attrition rates, because they can affect compliance. Measures of momentary pain are often developed for the purpose of a certain study; standardisation and validation of these measures is recommended. Finally, authors should mention whether they report on data that has also been used in previous studies.

Objective: Genetics increasingly permeate everyday medicine. When patients want to make informed decisions about genetic testing, they require genetic knowledge. This study examined the genetic knowledge and attitudes of patients with chronic diseases, and the relationship between both. In addition, patients were asked about their preferred source of genetic information. Methods: Questionnaires were mailed to participants of a nationwide representative sample of patients with chronic diseases in the Netherlands (n = 1916). Results: The response rate was 82% (n = 1496). Perceived genetic knowledge was low, particularly among older and lower educated patients. Attitudes towards genetics were rather positive, especially among younger and higher educated patients. Some concerns were also documented, mainly about the consequences of genetic testing for employment and taking insurance. Patients who perceived to have little knowledge found it difficult to formulate an opinion about genetic testing. Higher levels of genetic knowledge were associated with a more favourable attitude towards genetics. Chronic patients prefer to receive genetic information from their GP. Conclusion: Chronic patients are ill prepared when they require genetic knowledge to make decisions regarding the treatment of their disease. This seems to result from a knowledge deficiency rather than from disagreement with the genetic developments. Practice implications: When chronic patients are in need of information about genetics or genetic testing, their general practitioner should provide this. #

Adequate knowledge and personal attitudes towards DNA-testing are major determinants of optimal utilization of genetic testing. This study aims to (1) assess the genetic knowledge and attitude towards genetic testing of patients with asthma, diabetes mellitus type II and cardiovascular diseases, (2) show that factual knowledge mainly relates to associations between genes and diseases, less is known on associations between genes, chromosomes, cells and body. The perceived knowledge on DNA-testing has not increased since 2002. The attitude towards genetic testing also appeared to be rather consistent. Less perceived medical genetic knowledge and more perceived social genetic knowledge were found predictive for a more reserved attitude towards genetic testing. In conclusion, advanced developments in the field of genetics are not accompanied by increased knowledge of patients with common multi-factorial diseases. The finding that more perceived social genetic knowledge results in more reluctance can be considered an indicator for the necessity of social debates on genetic testing.

These findings are in keeping with the notion that family environment factors such as attachment style and parental rearing are involved in the development of anger/hostility in youths.

Research D isasters strike suddenly, often involve large groups of people, cause substantial personal and societal damage, and lay a considerable burden on economic and public health resources. [1][2][3][4] Rescue workers who rush to help victims and secure the area to prevent further casualties often face dangerous and demanding tasks that involve the risk of possibly fatal injury. Because of potential traumatic effects from these experiences, rescue workers are at risk of health problems after a disaster event. 5Although the negative effects of disasters on the health of primary victims are well documented, 1,6-9 research on health consequences for rescue workers is relatively scarce. Rescue workers are, however, known to suffer psychological and physical health problems after disasters, 5,10-14 and interest in this group is increasing.15 For example, after the 9/11 attack in Manhattan, rescue workers experienced high levels of musculoskeletal, respiratory and eye disorders; 10 after the Oklahoma City bombing, firefighters showed significantly higher rates of posttraumatic stress disorder, depression and anxiety than before that event.14 Although rescue workers may suffer disaster-related health problems, their health seems to be affected less than that of primary victims, which suggests some level of additional resilience. 1,5,14,[16][17][18][19] Rescue work is generally performed by young, healthy men with extensive training and experience with calamities. Moreover, employers probably select personnel according to their suitability for emergency work, and self-selection makes it probable that only suitable individuals remain working in this demanding field. 1,14,16,20 Because prior health information on people who undergo a calamity is ordinarily unavailable, it remains uncertain whether the health problems observed can be attributed to the disaster. 21,22 In some countries, however, health information is routinely recorded in general practice, in hospitals and by occupational health services; this policy allows researchers to collect health data pre-and postdisaster and to validate whether the event directly affected the health of victims and rescue workers. [22][23][24][25][26] Predisaster health information has previously been used to examine the effect of a disaster on the health of rescue workers in 2 studies: in Oklahoma 14 and the Netherlands, 25 respectively. To investigate how a disaster affected the health of rescue workers, we made use of information on absences from work

This study examined the construct validity of the Dutch version of Buss and Perry's Aggression Questionnaire (AQ) in 73 adolescent male offenders aged 12 to 18 years who were participating in a residential rehabilitation program. There was a strong positive association between the Hostility subscale of the AQ and psychological and physical symptoms. The nature of this connection was discussed. It was argued that the Hostility subscale measures some unique aspect of aggression that is not incorporated by the Physical Aggression, Verbal Aggression, or Anger subscales of the AQ. As expected, the AQ scales correlated significantly with trait anger, social desirability, and age. Furthermore, staff ratings of physical violence, verbal aggression, anger, and negative attitude were obtained for each subject. Correlations between the AQ scales and these ratings were low. Possible explanations for this unexpected finding are discussed. Finally, normative and internal structure data are presented. Aggr. Behav. 28:87-96, 2002.

The Health of Volunteer Firefighters Three Years after a Technological Disaster: Mattijn MORREN, et al. NIVEL, Netherlands Institute forHealth Services Research, the Netherlands-On May 13, 2000, a firework depot exploded in a residential area of the city of Enschede, The Netherlands. Many disaster workers responded, including volunteer firefighters, a group that has received little attention in disaster research. This study examined the presence of health problems in volunteer firefighters who were involved in disaster work, three years after the disaster. Furthermore, it was investigated whether demographic characteristics and disaster exposure predicted health problems. The study population consisted of 246 volunteer firefighters who were deployed in disaster work and 71 non-deployed controls. These firefighters completed a questionnaire which inquired about their perceived health and health change, physical symptoms, post-traumatic stress, mental health problems, and health care utilization. Three years after the disaster, no health differences emerged between deployed and non-deployed firefighters. Good health and health improvement over the previous year were reported. Respondents who encountered more distressing experiences during disaster work or carried out more direct disaster-related recovery tasks reported more mental health problems and health care utilization. However, the most reliable predictors of health problems were distressing experiences unrelated to the disaster in personal life or during work. Three years after the disaster, the health of volunteer firefighters involved in the disaster work was not much impaired, possibly because aftercare was available and utilized. Nevertheless, disaster exposure was associated with elevated post-traumatic stress symptoms and mental health care utilization. Health care workers should direct specific attention to the treatment and prevention of post-traumatic stress symptoms in cases of major accidents or disasters. (J Occup Health 2005; 47: 523-532)

The present study examined the cognitive inhibition hypothesis (Kindt, Bierman, & Brosschot, 1997) which asserts that young children lack the ability to inhibit the processing of threat, but develop this with age. To examine this issue, high spider fearful children (N = 170) and low spider fearful children (N = 215) aged 7—11 years were tested by means of an emotional Stroop task. It was hypothesised that a processing bias for spider-related stimuli would be present in all 8- and 9-year-old children. That is, it was expected that responses to spider words would be slower compared to responses to control words. Furthermore, it was hypothesised that this processing bias would decrease with age in low fearful children, whereas it would persist in high fearful children. No support was found for these hypotheses. Instead of the predicted processing bias, data showed the reverse pattern; that is, children responded faster to spider words compared to control words. It is proposed that the reverse bias results from avoidance. More precisely, children may evade the processing of spider stimuli through fast responding.