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2007 Final Program - Society of Behavioral Medicine

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SOCIETY <strong>of</strong> BEHAVIORAL MEDICINE<br />

Rapid Communications Posters Thursday, March 22, <strong>2007</strong> • 6:30 PM-8:00 PM • Poster Session B<br />

areas <strong>of</strong> conflict. If clinicians can anticipate possible problem areas<br />

a couple may experience, preventive measures may be taken to<br />

avoid subsequent negative changes in conflict patterns. This study<br />

attempts to identify differences in perceived severity <strong>of</strong> conflict<br />

regarding several common topics in both breast cancer survivors and<br />

cancer-free controls. Data were collected as part <strong>of</strong> a larger study<br />

involving 206 breast cancer survivors and 206 age and ethnicitymatched<br />

women who had never received a cancer diagnosis. Pr<strong>of</strong>ile<br />

analysis will be used determine differences in these two groups in<br />

reported severity <strong>of</strong> conflict in several different areas, including<br />

money, friendships, and alcohol and drug use, as measured by the<br />

Knox Problem Inventory. Implications for health service providers<br />

working with breast cancer patients and survivors will be discussed.<br />

CORRESPONDING AUTHOR: Brittany E. Canady, MA,<br />

Department <strong>of</strong> Psychology, University <strong>of</strong> Houston, Houston, TX,<br />

77204-5022; bcanady@uh.edu<br />

2478<br />

LIFETIME HISTORY OF DEPRESSION PREDICTS<br />

INCREASED ODDS OF THE METABOLIC SYNDROME IN<br />

MIDDLE-AGED WOMEN<br />

Edie Goldbacher, MS, 1 , 2 Karen Matthews, PhD 1 and Joyce<br />

Bromberger, PhD 1<br />

1<br />

U <strong>of</strong> Pittsburgh, Pgh, PA and 2 VA Pittsburgh, PA.<br />

Emerging evidence suggests that the etiology <strong>of</strong> the metabolic<br />

syndrome (MS), a cluster <strong>of</strong> risk factors for coronary heart disease<br />

(CHD) and Type 2 diabetes, may be related to psychological<br />

characteristics. Despite substantial evidence for a role <strong>of</strong> depression<br />

in the pathogenesis <strong>of</strong> CHD and Type 2 diabetes, only one study has<br />

examined the relationship between clinical depression and the MS,<br />

and no study has used a longitudinal design. Our objective was to<br />

investigate the cross-sectional and prospective associations <strong>of</strong> a lifetime<br />

history <strong>of</strong> major depression with the MS in a sample <strong>of</strong> middleaged<br />

women. Participants consisted <strong>of</strong> women (1/3 Black) from the<br />

Pittsburgh cohort <strong>of</strong> the Mental Health Study ancillary investigation<br />

<strong>of</strong> The Study <strong>of</strong> Women’s Health Across the Nation (SWAN), a study<br />

<strong>of</strong> the menopausal transition. Logistic regression, controlling for<br />

baseline age and race, was used to evaluate the association between<br />

lifetime history <strong>of</strong> depression, measured at baseline by the SCID,<br />

and the MS (ATP-III criteria) across baseline and three bi-annual<br />

visits. Results showed that depression was associated with 1.62 greater<br />

odds (CI = 1.01, 2.59; p < .05) <strong>of</strong> having the MS during the study<br />

(123 with MS out <strong>of</strong> a total <strong>of</strong> 324 with no missing data). Similarly,<br />

Cox modeling, controlling for baseline age and race, revealed a trend<br />

for lifetime history <strong>of</strong> depression predicting 1.66 times greater odds<br />

(CI = 0.87, 3.15; p = .12) <strong>of</strong> developing the MS during the followup<br />

period (38 with MS out <strong>of</strong> a total <strong>of</strong> 336 women free <strong>of</strong> MS at<br />

baseline). This study is the first to demonstrate that a lifetime history<br />

<strong>of</strong> major depression is associated with increased odds <strong>of</strong> having the<br />

MS in women undergoing the menopausal transition, and it the first<br />

to indicate that a lifetime history <strong>of</strong> depression may contribute to<br />

the etiology <strong>of</strong> the metabolic syndrome in middle-age. SWAN was<br />

funded by the National Institute on Aging, the National Institute <strong>of</strong><br />

Nursing Research, the NIH Office <strong>of</strong> Research on Women’s Health,<br />

and the National Institute <strong>of</strong> Mental Health (Grants AG012546,<br />

MH059689).<br />

CORRESPONDING AUTHOR: Edie M. Goldbacher, MS,<br />

University <strong>of</strong> Pittsburgh, Pittsburgh, PA, 15213; goldbacherem@<br />

upmc.edu<br />

~ 90 ~<br />

2479<br />

PREVALENCE AND PSYCHOSOCIAL PARAMETERS OF<br />

SMOKING IN CYPRIOT MIDDLE AND HIGH SCHOOL<br />

STUDENTS<br />

Maria Karekla, PhD and Anastasia Symeou, MD<br />

Psychology, Intercollege, Nicosia, Cyprus.<br />

Smoking has been internationally recognized as an epidemic<br />

contributing to major health problems (WHO, 2004). Research has<br />

shown that smoking contributes to most <strong>of</strong> the preventable deaths,<br />

a number that reaches approximately 1 million deaths per year<br />

(ENSP, 2004). Although Cyprus is considered among the developed<br />

countries worldwide with a high prevalence <strong>of</strong> smoking (estimates<br />

<strong>of</strong> approximately 25-35% <strong>of</strong> the population, ENSP, 2004), not<br />

much has been done for the systematic scientific study <strong>of</strong> this<br />

problem. The present study aimed to investigate the prevalence <strong>of</strong><br />

smoking and the psychosocial parameters associated with initiation<br />

and continuation <strong>of</strong> smoking (e.g. knowledge, beliefs, attitudes,<br />

exposure to tobacco products and smoke, degree <strong>of</strong> nicotine<br />

dependence etc.) among Cypriot middle and high school students.<br />

Participants were 1628 (788 females; Mage = 16.53) middle and<br />

high school students. Thirty-two percent <strong>of</strong> participants reported<br />

that they have tried smoking whereas another 4.2% stated that<br />

they would like to try. As expected there is a progressive increase<br />

in those who smoke with age. Only 7% <strong>of</strong> those in the first grade<br />

<strong>of</strong> middle school smoke and the number increases to 34% by the<br />

third grade <strong>of</strong> middle school, whereas by the third grade <strong>of</strong> highschool<br />

66% <strong>of</strong> students report that they smoke. Interestingly, the<br />

number <strong>of</strong> smokers is similar across the sexes with females smoking<br />

at similar rates to males. These percentages are alarming, especially<br />

when coupled with the limited knowledge that Cypriot students<br />

have about the effects <strong>of</strong> smoking. Results will be further discussed<br />

in terms <strong>of</strong> the beliefs and attitudes students have about smoking.<br />

Also psychosocial parameters that lead to student’s initiating and<br />

continuing to smoke are explored<br />

CORRESPONDING AUTHOR: Maria Karekla, PhD, Psychology,<br />

Intercollege, Nicosia, 1700; karekla.m@intercollege.ac.cy<br />

2480<br />

THE EFFECTS OF AN OSTEOPOROSIS EXERCISE<br />

PROGRAM ON EXECUTIVE FUNCTION AND QUALITY OF<br />

LIFE IN OLDER ADULTS<br />

Joseph Nimon, BS anticipated and Cay Anderson-Hanley, PhD<br />

Psychology, Union College, Schenectady, NY.<br />

Prior research has demonstrated the beneficial role that aerobic<br />

exercise can have on the well-being and cognitive function <strong>of</strong><br />

older adults (Emery & Blumenthal, 1991; Etnier et al., 1997; Hall<br />

et al., 2001; Heyn et al., 2004). In this study we are attempting<br />

to replicate and extend work from a small randomized study in<br />

which osteoporosis exercisers were found to improve significantly<br />

on a measure <strong>of</strong> executive function as well as mood (Kazmerski &<br />

Anderson-Hanley, 2005). Here we have hypothesized that a nonaerobic<br />

osteoporosis exercise program can have a positive effect on<br />

executive function in older adults across a broader array <strong>of</strong> measures<br />

than in our original pilot, which utilized only a screening tool. The<br />

present study consisted <strong>of</strong> assessments <strong>of</strong> Executive function (Digit<br />

Span, COWA, Trails A&B, Stroop, and WCST), mood (GDS),

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