No abstract

In this experiment it was predicted that the presence or absence of a performance‐contingent incentive (monetary reward) would mediate effects of the coronary‐prone behavior pattern on behavioral and cardiovascular responses to a difficult cognitive task. Accordingly, 44 subjects of the Type A (coronary‐prone) and Type B (non‐coronary‐prone) behavior patterns were assigned to one of two task conditions, labelled Incentive and No Incentive. Results indicated that under No Incentive Type As performed better at the experimental task and reported less state anxiety than Type Bs, whereas in the Incentive condition, Type A and B subjects showed no differences in task performance or self‐report of anxiety. Concerning cardiovascular measures, analysis of variance revealed significantly greater systolic blood pressure and pulse pressure elevations for Type A than Type B subjects, but showed no reliable interactions of the Type A, B and Incentive factors nor any related effects regarding heart rate or diastolic blood pressure. Individual differences in subjects' scores on the inventory for coronary‐prone behavior pattern, however, correlated positively with heart rate accelerations in the No Incentive condition, but did not covary with heart rate changes under Incentive. With respect to subjects' perceptions of the task, self‐report data suggested that Type As responded in a more active and involved manner and resisted feelings of helplessness to a greater extent than their Type B counterparts.

The article provides an overview of the Tripler Army Medical Center Inpatient Obesity Program. Termed the LEAN Program (emphasizing healthy Lifestyles, Exercise, Emotions, Attitudes and Nutrition), it is the first inpatient hospital program completely developed, administratively owned, and directed by Department of Defense psychologists. The major components of the program are discussed, as is the conceptual framework that underlies the development. The LEAN Program model is offered as a guide for those who wish to develop other programs in inpatient health psychology.

This paper provides an overview of the Tripler Army Medical Center LEAN Program for the treatment of obesity, hypercholesterolemia, and essential hypertension. The LEAN Program, a multi-disciplinary prevention program, emphasizes healthy Lifestyles, Exercise and Emotions, Attitudes, and Nutrition for active duty service members. The treatment model offers a medically healthy, emotionally safe, and reasonable, low-intensity exercise program to facilitate weight loss. We will discuss the philosophy behind the LEAN Program and the major components. Thereafter, we will briefly discuss the preliminary results.

The redeployment phase of Operation Desert Storm resulted in a number of clinical and casualty management challenges to the mental health support system. Psychological factors affecting post-combat adjustment may be unique to this short, successful operation. Evacuation policy and available assets will be discussed in light of their effects on clinical presentations, and recommendations made for combat psychiatric policy in future foreign interventions.