-
Measurement and assessment: An editorial view.
If a thing exists, it can be measured. Measurement is a central component of assessment if we believe that fear, anxiety, intelligence, self-esteem, attention, and similar latent variables exist and are useful to us in developing an understanding of the human condition and leading us to ways to improve it. Much of what is published in Psychological Assessment deals with the development and the application of measurement devices of various sorts with the end goal of applications in assessment practice. What is submitted but not published largely deals with the same topics. As the new Editor writing the inaugural editorial, I am focusing on this topic for two major reasons. The first is that the most frequent reason why manuscripts are rejected in the peer-review process for Psychological Assessment and other high-quality journals devoted to clinical or neuropsychological assessment is inadequate attention to sound and high-quality measurement practices. The second reason is my surmise that measurement as a science is no longer taught with the rigor that characterized the earlier years of professional psychology. One of the tasks of Psychological Assessment is to promote a strong science of clinical assessment as practiced throughout professional psychology. To that end, I have attempted to pull together an eclectic group of Associate Editors and Consulting Editors. Our hope is to attract more and better manuscripts that deal with issues focusing on all aspects of clinical assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Comparing the relative fit of categorical and dimensional latent variable models using consistency tests.
Psychological Assessment - Vol 22, Iss 1A number of recent studies have used Meehl’s (1995) taxometric method to determine empirically whether one should model assessment-related constructs as categories or dimensions. The taxometric method includes multiple data-analytic procedures designed to check the consistency of results. The goal is to differentiate between strong evidence of categorical structure, strong evidence of dimensional structure, and ambiguous evidence that suggests withholding judgment. Many taxometric consistency tests have been proposed, but their use has not been operationalized and studied rigorously. What tests should be performed, how should results be combined, and what thresholds should be applied? We present an approach to consistency testing that builds on prior work demonstrating that parallel analyses of categorical and dimensional comparison data provide an accurate index of the relative fit of competing structural models. Using a large simulation study spanning a wide range of data conditions, we examine many critical elements of this approach. The results provide empirical support for what marks the first rigorous operationalization of consistency testing. We discuss and empirically illustrate guidelines for implementing this approach and suggest avenues for future research to extend the practice of consistency testing to other techniques for modeling latent variables in the realm of psychological assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Utility of the MMPI–2-RF (Restructured Form) validity scales in detecting malingering in a criminal forensic setting: A known-groups design.
Psychological Assessment - Vol 22, Iss 1The current study examined the utility of the recently released Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI–2-RF; Ben-Porath & Tellegen, 2008) validity scales to detect feigned psychopathology in a criminal forensic setting. We used a known-groups design with the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992) as the external criterion to determine groups of probable malingering versus nonmalingering. A final sample of 125 criminal defendants, who were administered both the SIRS and the MMPI–2-RF during their evaluations, was examined. The results indicated that the two MMPI–2-RF validity scales specifically designed to detect overreported psychopathology, F-r and FP-r, best differentiated between the malingering and nonmalingering groups. These scales added incremental predictive utility to one another in this differentiation. Classification accuracy statistics substantiated the recommended cut scores in the MMPI–2-RF manual (Ben-Porath & Tellegen, 2008) in this forensic setting. Implications for these results in terms of forensic assessment and detection of malingering are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Examining the construct validity of the Psychopathic Personality Inventory–Revised: Preferential correlates of fearless dominance and self-centered impulsivity.
Psychological Assessment - Vol 22, Iss 1Although the construct of psychopathy is frequently construed as a unitary syndrome, the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) and its revision, the PPI-R (Lilienfeld & Widows, 2005), are composed of 2 scales, termed Fearless Dominance (FD) and Self-Centered Impulsivity (SCI), which appear to reflect orthogonal dimensions. In this study, we examined the construct validity of the FD and SCI scales of the PPI-R as markers of these constructs with a range of theoretically relevant correlates assessed across multiple domains in a sample of 200 forensic psychiatric inpatients. Results were generally, though not uniformly, consistent with hypothesized relationships: The SCI scale positively and selectively predicted anger and hostility, impulsivity, total psychiatric symptoms, drug abuse or dependence, antisocial behavior, and violence risk, whereas FD predicted anger, depression, anxiety symptoms (negatively), and alcohol abuse or dependence (positively). (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Confirmatory factor analysis of the M5-50: An implementation of the International Personality Item Pool item set.
Psychological Assessment - Vol 22, Iss 1Goldberg’s International Personality Item Pool (IPIP; Goldberg, 1999) provides researchers with public-domain, free-access personality measurement scales that are proxies of well-established published scales. One of the more commonly used IPIP sets employs 50 items to measure the 5 broad domains of the 5-factor model, with 10 items per factor. The M5-50 (McCord, 2002) is a specific ordering and presentation of this 50-item set. Using data from a sample of 760 faculty, staff, and students at a midsized university, the authors assessed the reliability and construct validity of the M5-50. Cronbach’s alphas on the 5 scales ranged from acceptable to excellent. Confirmatory factor analysis indicated reasonably good model fit. Researchers who wish to measure personality would be well advised to consider using the M5-50. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Detection of malingered mental retardation.
Psychological Assessment - Vol 22, Iss 1In a cross-validation of results from L. O. Graue et al. (2007), standard psychological assessment instruments, as well as tests of neurocognitive and psychiatric feigning, were administered under standard instructions to 24 participants diagnosed with mild mental retardation (MR) and 10 demographically matched community volunteers (CVH). A 2nd group of 25 community volunteers was instructed to malinger MR (CVM) during testing. CVM participants obtained Wechsler Adult Intelligence Scale (3rd ed.; D. Wechsler, 1997) Full Scale Intelligence Quotient scores that were significantly lower than the demographically similar CVH group but comparable to the MR group, suggesting that CVM subjects feigned cognitive impairment. On the basis of standard cutting scores from test manuals or published articles, of the 11 feigning measures administered, only the Test of Memory Malingering (TOMM; T. N. Tombaugh, 1996) retention trial had a specificity rate >.90 in the MR group. However, the 2nd learning trial of the TOMM, as well as a short form of the Digit Memory Test (T. J. Guilmette, K. J. Hart, A. J. Guiliano, & B. E. Leininger, 1994), approached this level of specificity, with both at .88. These results raise concerns about the specificity rates at recommended cutting scores of commonly used feigning tests in defendants with MR. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
WISC-IV profiles in children with traumatic brain injury: Similarities to and differences from the WISC-III.
Psychological Assessment - Vol 22, Iss 1The Wechsler Intelligence Scale for Children—Fourth Edition (WISC–IV; D. Wechsler, 2003a) is often utilized to assess children with traumatic brain injury (TBI), although little information is available regarding its psychometric properties in these children. The current study examined WISC–IV performance in a sample of 61 children with TBI. As compared to the standardization sample, results indicated that the TBI group exhibited relative deficits on all subtest and index scores, with the greatest deficits on the Processing Speed Index (PSI) and Coding subtest scores. However, the Perceptual Reasoning Index score was not uniquely sensitive to brain injury, and the Cognitive Processing Index score was less sensitive to TBI than the PSI score. Also, the PSI did not uniquely predict learning and memory abilities, as had been reported in previous studies of the Wechsler Intelligence Scale for Children—Third Edition (WISC–III; D. Wechsler, 1991). The present findings indicate substantive differences between the WISC–III and WISC–IV profiles of children with TBI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
The criterion and discriminant validity of the Referential Thinking (REF) scale.
Psychological Assessment - Vol 22, Iss 1The Referential Thinking (REF) scale was designed to be a comprehensive self-report measure of both simple and guilty ideas of reference in the general population. One aim of the present study was to test the proposed interpretations of REF scores by comparing REF scores with ratings of delusions among psychotic patients. A 2nd aim was to test whether REF scores are better predicted by the severity of patients’ delusions of reference (DoRs) than by the severity of their auditory verbal hallucinations (AVHs), thus supporting the scores’ ability to discriminate between proneness to the 2 different symptoms. The REF scale was completed by 56 healthy controls and 53 acutely psychotic patients. The severity of the patients’ DoRs and AVHs were assessed in structured clinical interviews. REF scores differed significantly not only between the patients and controls but also between patients with versus without DoRs. REF scores correlated significantly with the severity of the patients’ DoRs but not their AVHs. The interpretation of REF scores as a measure of proneness to simple and guilty ideas of reference was supported. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Militant extremist mind-set: Proviolence, Vile World, and Divine Power.
Psychological Assessment - Vol 22, Iss 1In the present article, the authors report on the development of a scale for the measurement of the militant extremist mind-set. A previous pilot study identified 56 statements selected from writings of various terrorist groups as well as from psychological, historical, and political texts on terrorism. These statements, together with measures of personality, social attitudes, values, and social cynicism, were administered to participants from 9 countries (N = 2,424). A series of exploratory factor analyses of 56 statements produced 3 factors: Proviolence, Vile World, and Divine Power. Correlations of these factors with external variables indicate that Divine Power is a traditional religiosity scale, whereas Proviolence and Vile World scales cannot be accounted for by the existing psychological constructs. The distribution of scores on the Proviolence scale is skewed, indicating that the majority of participants disapprove of this attitude. The authors also present means for the countries included in the analysis. Participants from Malaysia endorse Vile World and Divine Power statements stronger than participants from other countries. The 3 Asian countries (China, Korea, and Malaysia) endorse Proviolence more strongly than countries from other parts of the world. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Psychometric functioning of the MMPI-2-RF VRIN-r and TRIN-r scales with varying degrees of randomness, acquiescence, and counter-acquiescence.
Psychological Assessment - Vol 22, Iss 1In the present study, the authors evaluated the effects of increasing degrees of simulated non-content-based (random or fixed) responding on scores on the newly developed Variable Response Inconsistency-Revised (VRIN-r) and True Response Inconsistency-Revised (TRIN-r) scales of the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Y. S. Ben-Porath & A. Tellegen, 2008) and compared the performance of these new scales with the existing VRIN and TRIN scales of the MMPI-2 (J. N. Butcher et al., 2001). The results support the interpretation of VRIN-r and TRIN-r scores as measures of random and fixed responding, respectively. Furthermore, the authors examined how scores on the Restructured Clinical (RC) scales (A. Tellegen et al., 2003) are affected by increasing levels of non-content-based responding and offer practical interpretive recommendations for test users. Finally, the results of the present study indicate that RC validity coefficients are relatively robust in the face of moderate degrees of non-content-based responding. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Multimethod assessment of psychopathy in relation to factors of internalizing and externalizing from the Personality Assessment Inventory: The impact of method variance and suppressor effects.
Psychological Assessment - Vol 22, Iss 1Research to date has revealed divergent relations across factors of psychopathy measures with criteria of internalizing (INT; anxiety, depression) and externalizing (EXT; antisocial behavior, substance use). However, failure to account for method variance and suppressor effects has obscured the consistency of these findings across distinct measures of psychopathy. Using a large correctional sample, the current study employed a multimethod approach to psychopathy assessment (self-report, interview and file review) to explore convergent and discriminant relations between factors of psychopathy measures and latent criteria of INT and EXT derived from the Personality Assessment Inventory (Morey, 2007). Consistent with prediction, scores on the affective–interpersonal factor of psychopathy were negatively associated with INT and negligibly related to EXT, whereas scores on the social deviance factor exhibited positive associations (moderate and large, respectively) with both INT and EXT. Notably, associations were highly comparable across the psychopathy measures when accounting for method variance (in the case of EXT) and when assessing for suppressor effects (in the case of INT). Findings are discussed in terms of implications for clinical assessment and evaluation of the validity of interpretations drawn from scores on psychopathy measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Assessing adult leisure activities: An extension of a self-report activity questionnaire.
Psychological Assessment - Vol 22, Iss 1Everyday leisure activities in adulthood and old age have been investigated with respect to constructs such as successful aging, an engaged lifestyle, and prevention of age-related cognitive decline. They also relate to mental health and have clinical value, as they can inform diagnosis and interventions. In the present study, the authors enhanced the content validity of the Victoria Longitudinal Study activity questionnaire by adding items on physical and social activities and validated a shortened version of the questionnaire. The proposed leisure activity model included 11 activity categories: 3 types of social activities (i.e., activities with close social partners, group-centered public activity, religious activities), physical activities, developmental activities, experiential activities, crafts, game playing, TV watching, travel, and technology use. Confirmatory factor analyses validated the proposed factor structure in 2 independent samples. A higher order model with a general activity factor fitted the activity factor correlations with relatively little loss of fit. Convergent and discriminant validity for the activity scales were supported by patterns of their correlations with education, health, depression, cognition, and personality. In sum, the scores derived from of the augmented Victoria Longitudinal Study activity questionnaire demonstrate good reliability, and validity evidence supports their use as measures of leisure activities in young, middle-aged, and older individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Independent examination of the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV): What does the WAIS-IV measure?
Psychological Assessment - Vol 22, Iss 1Published empirical evidence for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS–IV) does not address some essential questions pertaining to the applied practice of intellectual assessment. In this study, the structure and cross-age invariance of the latest WAIS–IV revision were examined to (a) elucidate the nature of the constructs measured and (b) determine whether the same constructs are measured across ages. Results suggest that a Cattell–Horn–Carroll (CHC)–inspired structure provides a better description of test performance than the published scoring structure does. Broad CHC abilities measured by the WAIS–IV include crystallized ability (Gc), fluid reasoning (Gf), visual processing (Gv), short-term memory (Gsm), and processing speed (Gs), although some of these abilities are measured more comprehensively than are others. Additionally, the WAIS–IV provides a measure of quantitative reasoning (QR). Results also suggest a lack of cross-age invariance resulting from age-related differences in factor loadings. Formulas for calculating CHC indexes and suggestions for interpretation are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
The dot pattern expectancy task: Reliability and replication of deficits in schizophrenia.
Psychological Assessment - Vol 22, Iss 1The dot pattern expectancy (DPX) task was created to efficiently assess context-processing deficits in patients with schizophrenia. Three studies investigated the characteristics of the DPX relevant for clinical applications. To answer questions regarding the psychometric properties of the task, performance on this task was studied in 2 healthy samples. Acceptable reliability and internal consistency and retest reliability were found for most measures of context processing, but not for a difficulty control condition. These characteristics were also found in a suggested brief version (DPXbrf), which may be more practical for clinical purposes. In a 3rd study, schizophrenia patients showed a specific deficit in context processing, replicating previous findings. Findings of these studies indicated some promise for use of this task in measuring context processing and also identified characteristics of this task that need to be strengthened to increase reliability, feasibility, and single-subject interpretability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Predicting recidivism with the Personality Assessment Inventory in a sample of sex offenders screened for civil commitment as sexually violent predators.
Psychological Assessment - Vol 22, Iss 1We examined the ability of scores from the Personality Assessment Inventory (PAI; Morey, 1991) to predict postrelease (M = 4.90 years follow-up) arrests in a sample of 1,412 sex offenders. We focused on scores from 4 PAI measures conceptually relevant to offending, including the Antisocial Features (ANT), Aggression (AGG), and Dominance (DOM) scales, as well as the Violence Potential Index (VPI). Scores from several PAI measures demonstrated small- to medium-sized effects in predicting violent nonsexual recidivism, nonviolent recidivism, and sex offender registry violations, with the AGG scale being the strongest (d = 0.50 for violent nonsexual recidivism, d = 0.55 for sex offender registry violations) and most consistent predictor of recidivism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Taxometrics, polytomous constructs, and the comparison curve fit index: A Monte Carlo analysis.
Psychological Assessment - Vol 22, Iss 1The taxometric method effectively distinguishes between dimensional (1-class) and taxonic (2-class) latent structure, but there is virtually no information on how it responds to polytomous (3-class) latent structure. A Monte Carlo analysis showed that the mean comparison curve fit index (CCFI; Ruscio, Haslam, & Ruscio, 2006) obtained with 3 taxometric procedures—mean above minus below a cut (MAMBAC), maximum covariance (MAXCOV), and latent mode factor analysis (L-Mode)—accurately identified 1-class (dimensional) and 2-class (taxonic) samples and produced taxonic results when applied to 3-class (polytomous) samples. From these results it is concluded that using the simulated data curve approach and averaging across procedures is an effective way of distinguishing between dimensional (1-class) and categorical (2 or more classes) latent structure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Cross-informant agreement for ratings for social skill and problem behavior ratings: An investigation of the Social Skills Improvement System—Rating Scales.
Psychological Assessment - Vol 22, Iss 1One of the most consistent findings in rating scale research with children and adolescents is the modest agreement among different informants’ ratings. The present study systematically explored patterns of agreement among teachers, parents/caregivers, and students in domains of social skills and problem behaviors using the Social Skills Improvement System—Rating Scales (SSIS–RS; F. M. Gresham & S. N. Elliott, 2008). Two subsamples from the normative sample of the SSIS–RS were used. The first sample of participants consisted of 168 students who had all 3 informants (parent, teacher, and self) complete the SSIS–RS scales, which was necessary to assess agreement across different raters. The second sample consisted of 164 students who had raters in a similar or same role (father–mother, teacher–teacher). The results replicated an extensive literature showing that cross-informant agreements for social skills and problem behaviors are weak to moderate. The current study invoked multitrait–multimethod logic to interpret the correlations among raters derived from different informants and showed that the convergent validity coefficients were consistently stronger than the discriminant validity correlations. Implications for assessment practices and future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Factor structure and psychometric properties of the Injection Phobia Scale–Anxiety.
Psychological Assessment - Vol 22, Iss 1The present investigation examined the factor structure and psychometric properties of the Injection Phobia Scale–Anxiety (IPS-Anx). Principal components analysis of IPS-Anx items in Study 1 (n = 498) revealed a 2-factor structure consisting of Distal Fear and Contact Fear. However, CFA results in Study 2 (n = 567) suggest that a 1-factor structure may be more parsimonious. IPS-Anx scores demonstrated excellent reliability including test–retest over a 12-week period in Study 3 (n = 195). Supportive evidence for convergent and divergent validity of IPS-Anx scores was also found in Study 4 (n = 319), with strong associations with disgust propensity and sensitivity and weak associations with positive affect. Further evidence of validity was found in Study 5 (n = 1,674) because IPS-Anx scores discriminated those who have experienced fainting symptoms or avoided medical procedures from those without a history of such symptoms. In Study 6, data from Studies 2 through 5 were pooled, and the findings of Study 2 were replicated. The 1-factor model also fit the data well for men and women in Study 6. Lastly, IPS-Anx scores differentiated those with blood-injection-injury phobia (n = 39) from those without this phobia (n = 43) in Study 7. These findings suggest that the IPS-Anx has excellent psychometric properties, making it suitable for use in programmatic research on injection phobia. However, future research examining the validity of a short form of the scale with only the Contact Fear items may further improve the efficiency and utility of the IPS-Anx. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale.
Psychological Assessment - Vol 22, Iss 1Although several measures of obsessive-compulsive (OC) symptoms exist, most are limited in that they are not consistent with the most recent empirical findings on the nature and dimensional structure of obsessions and compulsions. In the present research, the authors developed and evaluated a measure called the Dimensional Obsessive-Compulsive Scale (DOCS) to address limitations of existing OC symptom measures. The DOCS is a 20-item measure that assesses the four dimensions of OC symptoms most reliably replicated in previous structural research. Factorial validity of the DOCS was supported by exploratory and confirmatory factor analyses of 3 samples, including individuals with OC disorder, those with other anxiety disorders, and nonclinical individuals. Scores on the DOCS displayed good performance on indices of reliability and validity, as well as sensitivity to treatment and diagnostic sensitivity, and hold promise as a measure of OC symptoms in clinical and research settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Incomplete psychometric equivalence of scores obtained on the manual and the computer version of the Wisconsin Card Sorting Test?
Psychological Assessment - Vol 22, Iss 1The Wisconsin Card Sorting Test (WCST) assesses executive and frontal lobe function and can be administered manually or by computer. Despite the widespread application of the 2 versions, the psychometric equivalence of their scores has rarely been evaluated and only a limited set of criteria has been considered. The present experimental study (N = 100 healthy adults) therefore examined the psychometric equivalence of 4 scores (i.e., Total Correct, Percentage of Errors, Perseverative Errors, and Failure-to-Maintain-Set) obtained on the 2 versions of the WCST in terms of 4 key criteria identified within the framework of classical test theory. The results showed considerable differences in variances, small to modest parallel-forms reliability coefficients, and small to modest temporal stability coefficients. Taken together, our results suggest that scores on the manual version and the computer version of the WCST show incomplete psychometric equivalence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
-
Psychological Flexibility as a Fundamental Aspect of Health
Publication year: 2010
Source: Clinical Psychology Review, In Press, Accepted Manuscript, Available online 12 March 2010
Todd B., Kashdan , Jonathan, Rottenberg
Traditionally, positive emotions and thoughts, strengths, and the satisfaction of basic psychological needs for belonging, competence, and autonomy have been seen as the cornerstones of psychological health. Without disputing their importance, these foci fail to capture many of the fluctuating, conflicting forces that are readily apparent when people navigate the environment and social world. In this paper, we review literature to offer evidence for the prominence of psychological flexibility in understanding psychological health. Thus far, the importance of psychological flexibility has been obscured by the isolation and disconnection of research conducted on this topic. Psychological flexibility spans a wide range... -
Upward Spirals of Positive Emotions Counter Downward Spirals of Negativity: Insights from the Broaden-and-Build Theory and Affective Neuroscience on The Treatment of Emotion Dysfunctions and Deficits in Psychopathology☆
ScienceDirect Publication: Clinical Psychology ReviewPublication year: 2010
Source: Clinical Psychology Review, In Press, Accepted Manuscript, Available online 12 March 2010
Eric L., Garland , Barbara, Fredrickson , Ann M., Kring , David P., Johnson , Piper S., Meyer , ...
This review integrates Fredrickson's broaden-and-build theory of positive emotions with advances in affective neuroscience regarding plasticity in the neural circuitry of emotions to inform the treatment of emotion deficits within psychopathology. We first present a body of research showing that positive emotions broaden cognition and behavioral repertoires, and in so doing, build durable biopsychosocial resources that support coping and flourishing mental health. Next, by explicating the processes through which momentary experiences of emotions may accrue into self-perpetuating emotional systems, the current review proposes an underlying architecture of state-trait interactions that engenders lasting affective dispositions. This theoretical framework is then used... -
Behavioural group therapy for obsessive-compulsive disorder in Norway. An open community-based trial
Publication year: 2010
Source: Behaviour Research and Therapy, In Press, Accepted Manuscript, Available online 12 March 2010
Åshild Tellefsen, Håland , Patrick A., Vogel , Birgit, Lie , Gunvor, Launes , Are Hugo, Pripp , ...
The aim of the current study was to test the effectiveness of ERP-based 12 weeks group therapy for OCD patients in a community-based, general Norwegian outpatient clinic. The sample consisted of 54 patients diagnosed with OCD. The Yale-Brown Obsessive- Compulsive Scale (Y-BOCS), the Beck Depression Inventory (BDI) and the Spielberger State Anxiety Inventory (STAI-S) were administered before treatment, after treatment and at 3- and 12-month follow-ups. Analyses with mixed models for repeated measurements showed that group behavioural therapy offered to OCD patients significantly improved ratings of obsessive-compulsive symptoms, depression and anxiety. These improvements were maintained at 3- and 12- month... -
Differences in Latent Inhibition as a Function of the Autogenous-Reactive OCD Subtype
ScienceDirect Publication: Behaviour Research and TherapyPublication year: 2010
Source: Behaviour Research and Therapy, In Press, Accepted Manuscript, Available online 12 March 2010
Han-Joo, Lee , Michael J., Telch
We examined differences in a visual search-based latent inhibition (LI) task in 48 non-treatment seeking individuals diagnosed with obsessive-compulsive disorder (OCD) and 26 non-OCD controls, using a visual search-based LI task as a function of participants’ primary obsessional presentation based on the autogenous-reactive subtype model of obsessions (Lee & Kwon, 2003; Lee & Telch, 2007). We hypothesized that LI would be significantly attenuated among OCD participants whose primary obsessions were characterized by aversive impulses, images, or thoughts with sexual, aggressive, blasphemous, and repulsive themes (autogenous obsessions) due to their weakened attentional inhibitory mechanisms and elevated schizotypal personality features, as compared... -
The effects of mastery on pain and fatigue resolution.
pubmed: (cognitive behavior ...Related Articles The effects of mastery on pain and fatigue resolution.
Oncol Nurs Forum. 2009 Sep;36(5):544-52
Authors: Byma EA, Given BA, Given CW, You M
PURPOSE/OBJECTIVES: To determine whether mastery, the personal control felt over occurrences perceived to have an important effect on one's life, influences the resolution of pain and fatigue severity. DESIGN: Secondary data analysis of two randomized clinical trials. SETTING: Accrual from two comprehensive cancer centers, one community oncology program, and six hospital-affiliated ambulatory oncology centers. SAMPLE: 330 patients with solid tumors who were undergoing chemotherapy and receiving a nurse-presented, six-contact, eight-week intervention for symptom management. METHODS: Analysis included baseline and interventional data. Logistic regression and survival analysis methods were used to explain relationships between mastery and time to resolution and resolution of pain and fatigue severity. MAIN RESEARCH VARIABLES: Mastery, pain and fatigue severity resolution, and time to resolution. FINDINGS: No significant differences in mastery were found among key socioeconomic and cancer-related variables. Mastery was a significant predictor of pain resolution status but did not significantly decrease time to resolution. Mastery did not have a significant effect on fatigue resolution status or time to fatigue resolution after adjusting for other covariates. CONCLUSIONS: Mastery was symptom specific, predicting pain resolution but not fatigue. Cancer may have an equalizing effect on mastery early in diagnosis and treatment. IMPLICATIONS FOR NURSING: Nurses should develop interventions that increase mastery in patients with cancer, which may lead to improved resolution of pain. Additional research is needed to explore how mastery may affect resolution of pain severity and other symptoms experienced by people with cancer.
PMID: 19726394 [PubMed - indexed for MEDLINE]
-
Attributions for Relatives’ Behavior and Perceived Criticism: Studies With Community Participants and Patients With Anxiety Disorders
Publication year: 2010
Source: Behavior Therapy, In Press, Accepted Manuscript, Available online 11 March 2010
Dianne L., Chambless , Kimberly D., Blake , Rachel A., Simmons
The relationship between perceived criticism from one’s relative and attributions about that relative’s behavior was examined in two studies. In Study 1, 50 community couples volunteered to participate in a study of marital interaction. Participants rated their interaction-specific perceived criticism after a 10-min problem-solving interaction and their attributions for their spouses’ behavior during a review of the videotaped interaction. In Study 2, 70 outpatients with obsessive-compulsive disorder (n= 41) or panic disorder with agoraphobia (n= 29) completed a measure of global perceived criticism in their relationship with their spouse or other family member and on another occasion participated in a... -
Early Identification and Intervention for Behavior Problems in Primary Care: A Comparison of Two Abbreviated Versions of Parent-Child Interaction Therapy
ScienceDirect Publication: Behavior TherapyPublication year: 2010
Source: Behavior Therapy, In Press, Accepted Manuscript, Available online 11 March 2010
Michelle D., Berkovits , Kelly A., O’Brien , Carolyn G., Carter , Sheila M., Eyberg
Behavioral screening and preventive intervention were implemented for 3-to 6-year-olds in pediatric primary care with subclinical behavior problems. One hundred eleven children were screened with the Eyberg Child Behavior Inventory. Thirty children who scored within one standard deviation of the normative mean whose mothers indicated wanting help for their child’s behavior were randomized to one of two abbreviated versions of Parent-Child Interaction Therapy (PCIT) for use in pediatric primary care: (a) a 4-session group preventive intervention called Primary Care PCIT (PC-PCIT); or (b) written materials describing basic steps of PCIT and guidelines for practice, called PCIT Anticipatory Guidance (PCIT-AG). Decreases... -
Effects of functional relaxation and guided imagery on IgE in dust-mite allergic adult asthmatics: a randomized, controlled clinical trial.
Related Articles Effects of functional relaxation and guided imagery on IgE in dust-mite allergic adult asthmatics: a randomized, controlled clinical trial.
J Nerv Ment Dis. 2010 Feb;198(2):125-30
Authors: Lahmann C, Henningsen P, Schulz C, Schuster T, Sauer N, Noll-Hussong M, Ronel J, Tritt K, Loew T
Although relaxation and imagination techniques have repeatedly proven their effectiveness in asthma, nothing is known about the immunological effects of these complementary interventions. Therefore, the aim of this study is to investigate the effects of the brief relaxation technique of functional relaxation (FR) with guided imagery (GI) on serum IgE in adult patients with dust mite allergic asthma in a randomized, controlled trial. Sixty-four patients were treated over a 4-week period and assessed at baseline, after treatment and after 4 months for follow-up. Due to its significant role in the pathophysiology of allergic asthma, the serum IgE was employed as outcome measure in this investigation. Participation in FR, GI, and FR/GI led to decreases in serum IgE (IU/mL) of -54.7 +/- 67.1, -49.5 +/- 93.4, and -28.4 +/- 93.9 compared with an increase of 27.7 +/- 43.2 in CI. Our study confirmed a positive and clinically relevant effect of FR and GI on total serum IgE levels.
PMID: 20145487 [PubMed - indexed for MEDLINE]
-
Process and outcome in psychodynamic hospitalization-based treatment for patients with a personality disorder.
pubmed: psychotherapy and ((...Related Articles Process and outcome in psychodynamic hospitalization-based treatment for patients with a personality disorder.
J Nerv Ment Dis. 2010 Feb;198(2):110-5
Authors: Vermote R, Lowyck B, Luyten P, Vertommen H, Corveleyn J, Verhaest Y, Stroobants R, Vandeneede B, Vansteelandt K, Peuskens J
This study examined the relationship between the psychotherapeutic process and outcome in 44 patients who completed hospitalization-based psychodynamic treatment for personality disorders. Using self-report and interview ratings, outcome was assessed in terms of symptoms and personality functioning, and the psychotherapeutic process in terms of self and object relations, felt safety, and reflective functioning. Symptom and process measures were administered at intake, every 3 months during treatment, and at 3 and 12 months follow-up. Personality measures were collected at intake, the end of treatment, and at 3 and 12 months follow-up. Using Piecewise Linear Growth Curve Analysis results showed improvement in symptoms, personality functioning, self and object relations and felt safety, but not in reflective functioning. Linear changes in self and object representation and felt safety, but not in reflective functioning, predicted improvement in outcome.
PMID: 20145485 [PubMed - indexed for MEDLINE]
-
The course of nonspecific chest pain in primary care: symptom persistence and health care usage.
pubmed: psychotherapy and ((...Related Articles The course of nonspecific chest pain in primary care: symptom persistence and health care usage.
Arch Intern Med. 2010 Feb 8;170(3):251-5
Authors: Glombiewski JA, Rief W, Bösner S, Keller H, Martin A, Donner-Banzhoff N
BACKGROUND: Nonspecific chest pain is common in primary care, yet knowledge is sparse about its course and outcome and how they relate to optimum health care usage. We investigated the following observations: (1) many patients who present with nonspecific chest pain in primary care show symptom persistence for 6 months, (2) many patients with nonspecific chest pain showed signs of overinvestigation, and (3) many patients with chronic chest pain were referred to mental health specialists. METHODS: We conducted a prospective, general physician-based cohort study with 6-week and 6-month follow-ups in 74 primary care offices in Hessen, Germany. Of approximately 190 000 consecutive patients who visited their general physicians from October 1, 2005, to July 31, 2006, 807 patients with nonspecific chest pain were identified by an expert committee (delayed-type reference standard). The dropout rate was 2.7%. Main outcome measures were persistent chest pain at a 6-month follow-up visit and health care usage at 6 months. RESULTS: The rate of persistent chest pain was 55.5%. A total of 10.7% of patients had inappropriate health care usage, defined as 2 or more visits to a cardiologist or 3 or more cardiac diagnostic investigations. Most patients with persistent nonspecific chest pain were referred to a cardiologist, and less than 2% were referred to mental health specialists. CONCLUSIONS: For most patients with nonspecific chest pain, standard medical care does not offer sufficient help for symptom relief. One-tenth of patients with persistent chest pain underwent additional diagnostic testing of no known clinical benefit. Psychological referrals were rarely given.
PMID: 20142569 [PubMed - indexed for MEDLINE]
-
The Developmental Path to Expertise in Group Psychotherapy
Journal of Contemporary PsychotherapyAbstractThis paper describes a trajectory by which an individual achieves expertise in group psychotherapy. Five developmental stages
are posited. In the decisional-anticipatory stage, interest is developed in group psychotherapy. In the trainee stage, the
individual masters the knowledge base of group psychotherapy and obtains fledgling experiences in a group. In the novice stage,
the individual obtains additional experience in running groups and becomes socialized into a community of group psychotherapists.
In the proficiency stage, the individual narrows his or her group psychotherapy focus and obtains more specialized experience
in that area. At this time, supervisory and consultation skills are often developed. In the final stage of expertise, the
expert must engage in a process of recognizing its limits and must devise ways to maintain it. Research that focuses on one
aspect of expertise, level of experience, is reviewed. Three dimensions of difference are identified: (a) complexity of conceptualization
of members and interventions; (b) fostering openness and engagement; and (c) focusing on process.- Content Type Journal Article
- Category Original Paper
- DOI 10.1007/s10879-010-9142-4
- Authors
- Virginia Brabender, Widener University Institute for Graduate Clinical Psychology Chester PA 19013 USA
- Journal Journal of Contemporary Psychotherapy
- Online ISSN 1573-3564
- Print ISSN 0022-0116
-
Cognitive-Behavioral Therapy for Children With Functional Abdominal Pain and Their Parents Decreases Pain and Other Symptoms.
Cognitive Therapy and ResearchCognitive-Behavioral Therapy for Children With Functional Abdominal Pain and Their Parents Decreases Pain and Other Symptoms.
Am J Gastroenterol. 2010 Mar 9;
Authors: Levy RL, Langer SL, Walker LS, Romano JM, Christie DL, Youssef N, Dupen MM, Feld AD, Ballard SA, Welsh EM, Jeffery RW, Young M, Coffey MJ, Whitehead WE
OBJECTIVES:Unexplained abdominal pain in children has been shown to be related to parental responses to symptoms. This randomized controlled trial tested the efficacy of an intervention designed to improve outcomes in idiopathic childhood abdominal pain by altering parental responses to pain and children's ways of coping and thinking about their symptoms.METHODS:Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions-a three-session intervention of cognitive-behavioral treatment targeting parents' responses to their children's pain complaints and children's coping responses, or a three-session educational intervention that controlled for time and attention. Parents and children were assessed at pretreatment, and 1 week, 3 months, and 6 months post-treatment. Outcome measures were child and parent reports of child pain levels, function, and adjustment. Process measures included parental protective responses to children's symptom reports and child coping methods.RESULTS:Children in the cognitive-behavioral condition showed greater baseline to follow-up decreases in pain and gastrointestinal symptom severity (as reported by parents) than children in the comparison condition (time x treatment interaction, P<0.01). Also, parents in the cognitive-behavioral condition reported greater decreases in solicitous responses to their child's symptoms compared with parents in the comparison condition (time x treatment interaction, P<0.0001).CONCLUSIONS:An intervention aimed at reducing protective parental responses and increasing child coping skills is effective in reducing children's pain and symptom levels compared with an educational control condition.Am J Gastroenterol advance online publication, 9 March 2010; doi:10.1038/ajg.2010.106.
PMID: 20216531 [PubMed - as supplied by publisher]
-
A randomized study of massed three-week cognitive behavioural therapy schedule for panic disorder.
Related Articles A randomized study of massed three-week cognitive behavioural therapy schedule for panic disorder.
Acta Psychiatr Scand. 2009 Sep;120(3):187-95
Authors: Bohni MK, Spindler H, Arendt M, Hougaard E, Rosenberg NK
OBJECTIVE: To compare the efficacy of massed vs. spaced group cognitive behavioural therapy (CBT) for patients with panic disorder with or without agoraphobia (PD). METHOD: Thirty-nine PD patients were randomly assigned to massed group CBT (daily 4-h sessions in week 1, two 2-h sessions in week 2 and one 2-h session in week 3) or traditional spaced weekly group CBT (13 consecutive, weekly 2-h sessions). The content and number of hours in the two treatment schedules were identical. Outcome was assessed after treatment, and at 3, 6 and 18 months of follow-up. RESULTS: Both treatment groups achieved significant improvement on all measures with large pre- to post-treatment and pre-treatment to follow-up effect sizes. No between-group differences were registered. Adherence and patient satisfaction did not differ between groups. CONCLUSION: The massed, 3-week group CBT schedule proved to be effective and feasible for PD patients with outcomes comparable with that of standard, spaced group CBT.
PMID: 19392811 [PubMed - indexed for MEDLINE]
-
Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence.
Community Mental Health JournalRelated Articles Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence.
AIDS Behav. 2010 Feb;14(1):1-10
Authors: Burton J, Darbes LA, Operario D
HIV is frequently transmitted in the context of partners in a committed relationship, thus couples-focused HIV prevention interventions are a potentially promising modality for reducing infection. We conducted a systematic review of studies testing whether couples-focused behavioral prevention interventions reduce HIV transmission and risk behavior. We included studies using randomized controlled trial designs, quasi-randomized controlled trials, and nonrandomized controlled studies. We searched five electronic databases and screened 7,628 records. Six studies enrolling 1,084 index couples met inclusion criteria and were included in this review. Results across studies consistently indicated that couples-focused programs reduced unprotected sexual intercourse and increased condom use compared with control groups. However, studies were heterogeneous in population, type of intervention, comparison groups, and outcomes measures, and so meta-analysis to calculate pooled effects was inappropriate. Although couples-focused approaches to HIV prevention appear initially promising, additional research is necessary to build a stronger theoretical and methodological basis for couples-focused HIV prevention, and future interventions must pay closer attention to same-sex couples, adolescents, and young people in relationships.
PMID: 18843530 [PubMed - indexed for MEDLINE]
-
The effectiveness of a web-based self-help intervention to reduce suicidal thoughts: A randomized controlled trial.
International Journal for the Advancement of CounsellingThe effectiveness of a web-based self-help intervention to reduce suicidal thoughts: A randomized controlled trial.
Trials. 2010 Mar 9;11(1):25
Authors: van Spijker BA, van Straten A, Kerkhof AJ
ABSTRACT: BACKGROUND: Suicide, attempted suicide and suicidal thoughts are major public health problems worldwide. Effective face-to-face treatments are Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT) and Problem Solving Treatment (PST). However, about two-thirds of persons who die by suicide have not been in contact with mental health care services in the preceding year, and many have never been treated. Furthermore, many patients do not disclose their suicidal thoughts to their care provider. This may be out of shame, due to fear of stigma or due to lack of trust in (mental) health care. Since many suicidal individuals seek information online, the internet provides an opportunity to reach suicidal individuals who would not be contacted otherwise. By providing a self-help intervention online, persons can anonymously learn to gain control over their suicidal thoughts. There is convincing evidence that self-help is effective for a number of mental disorders. In this study the effectiveness for suicidal thoughts is examined. METHODS: In this study, a recently developed self-help intervention will be evaluated in a Randomized Controlled Trial. The intervention is based on Cognitive Behavioural Therapy and is aimed at subjects who experience mild to moderate suicidal thoughts. This is defined as a score between 1 and 26 on the Beck Scale for Suicidal Ideation (BSS). Higher and lower scores are excluded. In addition, severely depressed subjects are excluded. In total, 260 subjects will be randomly allocated to the intervention-condition (N=130) or to the information-control condition (N=130). Self-report questionnaires will be filled out at baseline, 6 weeks after baseline and 18 weeks after baseline. Primary outcome measure is the reduction in frequency and intensity of suicidal thoughts. Secondary outcome measures are the reduction of hopelessness, anxiety and depression, sleeplessness, worry and quality of life measures. DISCUSSION: This study is the first to evaluate the effectiveness of a web-based self-help intervention for suicidal thoughts. Several limitations and strengths of the design are discussed. Trial Registration: Netherlands Trial Register, NTR1689.
PMID: 20214777 [PubMed - as supplied by publisher]
-
Scientists establish leech as model for study of reproductive behavior
ScienceDaily: Mind & Brain NewsResearchers have discovered that injecting a simple hormone into leeches creates a novel way to study how hormones and the nervous system work together to produce species-specific reproductive behavior.
-
New Gene Test Better at Detecting Autism Than Standard Genetic Testing
Medscape Psychiatry & Mental Health HeadlinesChromosomal microarray analysis is more effective at identifying genetic abnormalities in ASD than other genetic tests and should be considered first-tier in initial evaluation of ASD.
Medscape Medical News -
Flu 'triples baby's schizophrenia risk'
Mental Health - Latest NewsFurther coverage of the story reporting that Influenza A infection during pregnancy can affect the brains of babies, according to a study published in the journal Biological Psychiatry.
-
Reality TV shows 'leading youngsters to have cosmetic surgery'
Mental Health - Latest NewsFurther coverage of the results published in the journal Body Image, which shows that those who had favourable impressions of reality TV shows featuring cosmetic surgery were also more likely to have an interest in pursuing surgery.
-
Babies are born to dance, new research shows
ScienceDaily: Mind & Brain NewsA study of infants finds they respond to the rhythm and tempo of music and find it more engaging than speech. The research suggest that babies may be born with a predisposition to move rhythmically in response to music.
-
Improve Romance through Introspection
Psych Central NewsA new research study has discovered that if you are true to yourself, better romantic relationships will follow.
The study examined how dating relationships were affected by the ability of people to see themselves clearly and objectively, act in ways consistent with their beliefs, and interact honestly and truthfully with others — in other words, the ability to follow the words of William Shakespeare: “to thine own self be true,” said Amy Brunell, lead author of the study and assistant professor of psychology at Ohio State University’s Newark campus.
Findings showed that college students who reported being more true to themselves also reported more positive dating relationships.
“If you’re true to yourself, it is easier to act in ways that build intimacy in relationships, and that’s going to make your relationship more fulfilling,” Brunell said.
The study appears online in the journal Personality and Individual Differences and will be published in an upcoming print edition.
Participating in the study were 62 heterosexual couples, all of whom were college students. The participants completed a long list of questionnaires in three separate sessions that took place about two weeks apart.
The first set of questionnaires probed how true participants were to themselves, a characteristic that psychologists call “dispositional authenticity.”
This was measured through the answers to questions like “For better or for worse, I am aware of who I truly am.”
In the second phase, participants answered questions examining various aspects of their relationship functioning, including their willingness to discuss their emotions with their partner, and whether they kept secrets.
The third phase involved measures of relationship satisfaction and personal well-being.
Overall, the study found that both men and women who reported being more true to themselves also behaved in more intimate and less destructive ways with their partner, and that led to them feeling their relationship was more positive. In addition, they also reported greater personal well-being.
But the study revealed an interesting gender difference in how authenticity in men and women affected their partners, Brunell said.
Men who were more true to themselves had partners who showed more healthy relationship behaviors. However, there was no significant relationship between women being true to themselves and men’s relationship behaviors.
That finding may be the result of relationship gender roles in our society, she said.
“Typically in dating and marital relationships, the women tend to be ‘in charge’ of intimacy in the relationship,” Brunell explained.
“So when men have this dispositional authenticity, and want to have an open, honest relationship, it makes women’s job easier – they can more easily regulate intimacy,” she said.
But since men have less of a role in developing relationship intimacy, they were not affected as much by whether their partners were true to themselves or not.
The study also confirmed findings from other studies that show that when men or women act in constructive, healthy ways in a relationship, it increases their partners’ satisfaction with the relationship.
Brunell said being true to yourself doesn’t mean that you should accept all of your flaws and not try to make positive changes in your life. But you should be aware of both your limitations and areas where you can improve. One payoff could be better romantic relationships.
“It shouldn’t be a surprise, but being true to yourself is linked to having healthier and happier relationships for both men and women,” she said.
Source: Ohio State University
-
Are Maturity and Spiritual Development Separate?
Psych Central NewsA new study discovers established spirituality is not always associated with psychological maturity. In fact, a person can reach a high level of spiritual development without being emotionally and psychologically mature.
According to Prof. Ofra Mayseless, dean of the faculty of education at the University of Haifa, psychological maturity is defined as the capacity to control impulses and acceptance of responsibility for the consequences of one’s actions.
This study, a first in its field, examined the interplay between the two developmental domains. It addressed a central conceptual question: If these developmental domains are related, how do they converge and mutually interact?
For example, is a certain level of emotional maturity required before an individual develops to be highly spiritual?
What might be the ramifications of having transcendental experiences when an individual is not emotionally mature?
A sample group of 215 college students aged 19-30 revealed that the two developmental domains (psychological maturity and spiritual development) were moderately correlated, yet that each seemed to have different antecedents (e.g., social support and having firm ethnic identity was especially significant for achieving spiritual development).
Prof. Mayseless added that the findings also confirmed a link between psychological and spiritual maturity and an individual’s set of values. This raised the question of whether both developmental domains contribute to the development of a particular attribute or whether only one domain alone contributes to that attribute.
“For example,” Prof. Mayseless explained, “psychological maturity can contribute to a person’s level of generosity, while spiritual development may not add unique contribution after taking into account the person’s psychological maturity.
“However, this was not the case. This study has shown that both psychological maturity and being spiritually developed each contributes to an individual’s generosity and pro-social actions, independently.”
“The truth is, that I wanted to find that an individual reaching both types of maturity has an added value; that someone who is both psychologically and spiritually developed would demonstrate a higher set of values, such as generosity, endurance, pluralism. But this was not what we found,” Prof. Mayseless said.
“While this study has shown that each developmental domain contributes independently of the other, the contribution that each makes to a particular attribute are similar. There is probably some connection between them, but this might only be identified by a longitudinal study where we would follow individuals for some time to learn about changes in each domain,” concluded Prof. Mayseless.
Source: University of Haifa
-
Analysis of High School Sex
Psych Central NewsA new study provides a better understanding of why sexually experienced high school girls resume sexual activity after periods of abstinence.
Indiana University School of Medicine researchers believe the information is important for dealing with sexually transmitted diseases (STDs) and pregnancy in high school girls and beyond.
While there has been a significant amount of research on teenagers’ initial sexual experiences, the IU study is among the first to examine changes over time in decision-making about sexual abstinence among sexually active teenage girls.
This information may help tailor effective counseling to prevent adolescent pregnancy and STDs.
The new findings are reported in the March 2010 issue of Perspectives on Sexual and Reproductive Health.
Characteristics associated with the risk of a teen girl having sex after a period of abstinence differed according to how long she had been abstinent.
In the short term, a young woman was more likely to have sex when her relationship with her partner was good, when the girl felt good and when she was interested in having sex.
Long term, sexual interest and relationship quality were the two most important predictors of resumption of sex after a period of abstinence.
“Sexuality is an important developmental task for teens. They need to go from childhood to sexually mature adulthood while remaining sexually disease free and without getting pregnant.
“We conducted this study to better understand the factors that influenced teenage girls who became sexually active again after a period of abstinence. With this new understanding we can better help young women remain healthy and avoid unwanted pregnancy,” said study first author Mary A. Ott, M.D., assistant professor of pediatrics at the Indiana University School of Medicine.
Diagnosis of a STD was associated with a reduced risk of subsequent sex for a short time. However having an STD increased risk for sexual activity in the intermediate time period and was unrelated to the decision to have sex in the long run.
The study authors hypothesize that the switch may reflect either relationship turmoil after diagnosis of an STD, followed by “makeup” sex, or may reflect adherence to Centers for Disease Control and Prevention recommendations for a period of abstinence following STD treatment, followed by resumption of previous sexual activity.
“Either way, the findings suggest that counseling only about abstinence after a sexually transmitted infection is insufficient. Clinicians should anticipate resumption of sexual behavior and tailor counseling appropriately,” said Dr. Ott.
The researchers also found that, in the short term, girls who characterized themselves as irritable, angry or unhappy were unlikely to return to sexual activity after a period of abstinence. That finding contradicts anecdotal information that depressed individuals are likely to engage in sexual activity.
The researchers evaluated 354 sexually active urban teen girls for up to four and a half years between 1999 and 2006. Study participants were 14 to 17 years old and not pregnant when they enrolled. Sexual experience was not an inclusion criterion, but 81 percent of participants were sexually experienced at enrollment; most of the others had their first sexual experience during the study period.
Participants reported a total of 9,236 abstinence periods, which averaged 31 days.
“Having data from the same group of young women over such a long period of time, as they go through periods of having sex and times when they are not having sex and as they change partners, enables us to understand a complex process of motivation in a way that previous studies have not.
“What we have established in this study are the major factors associated with the decision to resume sex,” said study senior author J. Dennis Fortenberry, M.D., professor of pediatrics.
-
Chemical Changes in Brain Linked to Antisocial Behavior
Psych Central NewsNew research suggests a chemical imbalance resulting in a hypersensitive brain reward system may play a critical role in the development of dangerous, impulsive and antisocial behavior.
Researchers at Vanderbilt University believe the findings provide evidence of differences in the brain’s reward system that may underlie vulnerability to what’s typically referred to as psychopathy.
Normal individuals who scored high on a measure of impulsive and antisocial traits display a hypersensitive brain reward system, according to a brain imaging study by researchers.
The study in the current issue of the journal Nature Neuroscience was funded by the National Institute on Drug Abuse (NIDA), a component of the National Institutes of Health.
Psychopathy is a personality disorder characterized by a combination of superficial charm, manipulative and antisocial behavior, sensation-seeking and impulsivity, blunted empathy and punishment sensitivity, and shallow emotional experiences.
Psychopathy is a particularly robust predictor of criminal behavior and recidivism.
Since psychopathic individuals are at increased risk for developing substance use problems, the Vanderbilt team decided to investigate possible links between the brain’s reward system (activated by abused substances and natural reward), and a behavioral trait (impulsive/antisociality) characteristic of psychopathy.
Researchers used two different technologies to measure the brain’s reward response.
In the first experiment, positron emission tomography (PET) was used to image the brain’s dopamine response in subjects who received a low oral dose of amphetamine. Dopamine is a brain chemical associated with reward and motivation.
In the second experiment, the same subjects participated in a game, in which they could make (or lose) money while their brains were being scanned using functional magnetic resonance imaging (fMRI).
The results in both cases show that individuals who scored high on a personality assessment that teases out traits like egocentricity, manipulating others, and risk-taking had a hypersensitive dopamine response system.
The picture that emerges from these high resolution PET and fMRI scans suggests that alterations in the function of the brain’s reward system may contribute to a latent psychopathic trait.
The researchers speculate that a heightened response to an anticipated reward could make such individuals less fearful about the consequences of their behavior, which, combined with a reduced sensitivity to others’ emotions and resistance to learning from mistakes, could lead to the manipulative and aggressive style of behaviors that is common in psychopaths.
The traits analyzed in this study have been previously shown to predict antisocial behavior and substance abuse in both incarcerated and community samples.
“By linking traits that suggest impulsivity and the potential for antisocial behavior to an overreactive dopamine system, this study helps explain why aggression may be as rewarding for some people as drugs are for others,” said NIDA Director Dr. Nora Volkow.
“However, while having an antisocial trait may be a driving factor, it is clearly not sufficient to trigger aggressive behaviors; thus, we need to continue to investigate the other contributors to psychopathy.”
While the Vanderbilt researchers believe they’ve made an important first step showing that characterizations of psychopathic behavior are closely related to changes in brain activity, they hope to validate their findings with new studies on individuals who have been actually diagnosed as psychopaths.
“The amount of dopamine released was up to four times higher in people with high levels of these traits, compared to those who scored lower on the personality profile,” says Joshua Buckholtz, doctoral candidate in neuroscience and the lead author of the study.
“Because of these exaggerated dopamine responses, individuals with a latent psychopathic trait may become focused on a chance to get a reward, and less able to shift their attention until they get what they’re after. This pattern, along with other traits, could develop into psychopathic personality disorder.”
Source: National Institute on Drug Abuse/National Institutes of Health
-
Texas Psychiatrist John Oldham Voted APA President-elect
Psychology / Psychiatry News From Medical News TodayTexas psychiatrist John M. Oldham, M.D., was elected president-elect by members of the American Psychiatric Association. Oldham is senior vice president and chief of staff at The Menninger Clinic and a professor of psychiatry at Baylor College of Medicine. The election results were formally approved by the Board of Trustees on Saturday. Beginning in May 2010, Dr...
-
New HoP Issue Now Online
Advances in the History of PsychologyThe February 2010 issue of History of Psychology has just been released online. The issue begins with a statement from the journal’s new editor, Wade Pickren. Also included in this issue are three all new articles, a section devoted to teaching the history of psychology, a new “Sources, research notes, and news” section, as well as an interview with Kenneth B. Clark (right).
-
A very historical madness
Mind HacksH-Madness is a fantastic new blog on the history of madness written by professional historians with a clear passion for their work.
Although aimed at "university and college faculty, students, and independent researchers" it is written in a striaghtforward style and includes original articles, book and film reviews, as well as news about academic publications, events and talks.
-
"Myths about Suicide" - A new book by Thomas Joiner
Psychotherapy Brown Bag -
Do infants prefer music over speech?
Research Blogging - Psychology - EnglishIn this weeks online edition of PNAS Marcel Zentner and Tuomas Eerola report on a study in which they carried out two experiments with a total of 120 infants, aged between 5 and 24 months. The infants were exposed to various musical and rhythmic stimuli, including isochronous drumbeats. Control stimuli consisted of adult- and infant-directed speech. The researchers could show that infants engage significantly more in rhythmic movement to music, and other rhythmically regular sounds, than to speech.
-
What is "Self Transcendence"?
Research Blogging - Psychology - EnglishResearchBlogging.orgA recent study by Italian researchers uncovered the fact that neurosurgery involving certain brain structures can effect personality changes that make one feel more "spiritual". 88 patients underwent pre- and post-surgical personality assessments while treated for tumours, and the results were combined with lesion mapping procedures (to precisely locate lesions) after surgery to measure changes in a personality construct called Self-Transcendence (ST).
-
Spotlight on Inactivity
Research Blogging - Psychology - EnglishA report published yesterday in the UK by Professor Sir Liam Donaldson the UK Government's Chief Medical Officer, and the professional head of all medical staff in England, draws attention to the role of inactivity in the nations health. The report states that "the benefits of regular physical activity to health, longevity, well being and protection from serious illness have long been established. They easily surpass the effectiveness of any drugs or other medical treatment.
-
Don't eat on a full brain
Research Blogging - Psychology - EnglishHere's a interesting study. Simple experimental design. Take 165 undergraduate students and enroll them in a study you tell them is about memory and where as part of their reward for inclusion, they'll be given a snack. Ask half of them to memorize a 2 digit number and the other half a 7 digit number and once they've memorized their numbers ask them to go into a second room where they are faced with their snack choice - either a piece of chocolate cake or a cup of fruit salad.
-
Chocolate Against Stress
Research Blogging - Psychology - English40 grams of dark chocolate per day reduces the urinary excretion of the stress hormone cortisol and it almost normalizes the stress related differences in energy metabolism and gut microbial activities between participants with low and high anxiety traits.
You are what you eat, it has been described how dietary preferences is associated with metabolic processes [...]
No related posts.
Related posts brought to you by Yet Another Related Posts Plugin....
-
Earworms, lyrics, and tunes in the brain
Research Blogging - Psychology - EnglishLast time I left off quoting Lady GaGa's epically annoying song "Poker Face". I continue to rag on it because I can't seem to escape it's repetitive and forced impingement on my valuable eardrums. Unfortunately, the city doesn't afford much auditory privacy and some people in the subway are really determined to lose their hearing before old age. Whatever happened to iPod etiquette? According to Oliver Sack's book Musicophilia I've got a bad case of the earworm. This is when a piece of music repeats compulsively in one's mind.
-
Yes, the Little Things Matter: Parents' Role in Helping Kids Become Socially Competent
Research Blogging - Psychology - EnglishParents out there you know how it goes: you play the same game over and over again with your toddler or you help them put together a puzzle. This is the daily "stuff" of parenting and you may feel it doesn't make a difference. Well, turns out, it does make a difference! A recent study from the University of Montreal and the University of Minnesota shows that how parents interact with young children helps them develop crucial cognitive skills.
-
Humans Want to Share Information
60-Second Psych -
Psychologists' rift
Radio National - Life Matters -
#232 – Mindfulness and The Art of Choice with Karen Sherman, PhD
Shrink Rap Radio Psychology Interviews: Exploring brain, body, mind, spirit, intuition, leadership, research, psychotherapy and more! -
Episode 118: Are You REALLY Listening? Sanford Meisner, Acting and Psychology
The Psych Files Podcast -
2010-03-13 Archival Curiosities: Elizabeth Kubler-Ross on death and dying.
All in the Mind -
March 2010: School performance and bipolar disorder
CPD Online talks to... -
Thomas Metzinger explores Consciousness on BSP 67
Brain Science Podcast -
Happy People Talk More Seriously
60-Second Psych -
2010-03-06 Stressed out! The powerful biology of stress
All in the Mind -
Explore Consciousness with Thomas Metzinger
Brain Science Podcast
-
new book – ‘The Genius in All of Us’
my mind on books -
links from ‘The Twitter Book’
my mind on books -
Insomnia and Anxiety(Carney et al.)
Springer Psychology titles -
Insomnia and Anxiety(Carney et al.)
Springer Psychology titles -
new book – ‘Wisdom: From Philosophy to Neuroscience’
my mind on books -
new book – ‘See What I’m Saying: The Extraordinary Powers of Our Five Senses’
my mind on books -
new book – ‘Cro-Magnon: How the Ice Age Gave Birth to the First Modern Humans’
my mind on books -
Parent-Child Interaction Therapy(McNeil et al.)
Springer Psychology titles -
International Handbook of Anger
Springer Psychology titles -
Pediatric Neuropsychology Case Studies
Springer Psychology titles