Persistent alterations in biological profiles in women with abuse histories: influence of premenstrual dysphoric disorder.

OBJECTIVE: To examine dysregulation in biological measures associated with histories of abuse in women and whether women with premenstrual dysphoric disorder (PMDD) differ in their dysregulation. DESIGN: Twenty-five women meeting prospective criteria for PMDD and 42 non-PMDD controls underwent structured interview to determine abuse histories and lifetime Axis I diagnoses, excluding those with current Axis I disorders or using medications. MAJOR OUTCOME MEASURES: Plasma cortisol and norepinephrine (NE), heart rate (HR), blood pressure (BP), and vascular resistance index (VRI) were assessed at rest and in response to mental stress. RESULTS: A greater proportion of PMDD women had prior abuse compared with non-PMDD women. Regardless of PMDD status, all abused women had lower plasma NE and higher HRs and tended to have lower plasma cortisol at rest and during stress. Abused women also reported more severe daily emotional and physical symptoms. Greater VRI and BP at rest and during stress were seen only in PMDD women with abuse. CONCLUSION: There is persistent dysregulation in stress-responsive systems in all abused women that cannot be accounted for by current psychiatric illness or medications, and PMDD women may be differentially more vulnerable to the impact of abuse on measures reflecting alpha-adrenergic receptor function.     

The Interpretation of Anaphoric Noun Phrases Time Course, and Effects of Overspecificity

Two experiments investigated the interpretation of anaphoric noun phrases, and in particular those thatcould only be linked to their antecedents via knowledge-based inferences. The first experiment showed that much of the inferential processing was carried out as the anaphoric noun phrase was read, although there was some indication that inferential processing continued to the end of the clause. The second experiment attempted to establish why anaphoric noun phrases that are more specific than their antecedents cause problems. It showed that the difficulty did not lie in adding the extra information carried by the anaphor to the representation of the referent. Rather, we suggest, putting extra information in the anaphoric noun phrase disrupts the process of linking that noun phrase to its antecedent.     

The Rate and Characteristics of Suicide Attempters in the Native Hawaiian Adolescent Population

Native Hawaiian high school students, N = 1779, were surveyed for symptoms of psycho-pathology and suicide attempts in the previous 6 months. Seventy-seven (4.3%) of the students reported making a suicide attempt. There were no significant differences in prevalence rates for males and females. Depression, anxiety, aggression, substance abuse symptoms, and low family support, but not peer support, were significantly correlated with suicide attempts. On logistic regression, depression, substance abuse, and family support independently predicted attempts. The lack of gender difference may indicate a cultural characteristic of the Hawaiian population that differentiates it from mainstream American populations but likens it to the Native American population.     

Sex and genes,part 2: A biopsychosocial approach to assess and treat challenging sexual behavior in persons with intellectual disabilities including fragile X syndrome and 22q11.2 deletion syndrome

Individuals with intellectual disabilities (IDs) – and specifically those with genetic disorders – are more prone to medical and psychological challenges that affect their sexual development, experiences, and fertility. In this review paper we first provide an overview of the biopsychosocial (BPS) model and then explain how the model can guide and improve the assessment and treatment of challenging sexual behaviors by persons with IDs. We discuss two genetic conditions – fragile X syndrome and 22q11.2 deletion syndrome – in case studies, showing how the BPS model can be used to assess and treat the sexual problems of individuals with various types of ID. We conclude with BPS-formulated treatment considerations in three key domains: biomedical treatment (e.g., medication side effects; stopping or changing medications), psychological treatment (e.g., providing psychological therapies), and socio-environmental interventions (e.g., providing socio-sexual education and staff training). Together, these treatment interventions can aid clinicians to prevent and/or treat problematic sexual behaviors of people with IDs.     

Gender differences in friendship patterns

The same-sex and opposite-sex friendship patterns of men and women students from two first-year psychology classes at the University of Waikato in New Zealand were examined. A friendship questionnaire previously used in the United States of America was administered to compare results of the two cultures. Findings from this study support American research suggesting that women are more intimate and emotional in their same-sex friendships than men, and tend to place a higher value on these friendships than men do. In accordance with findings of the American sample, New Zealand women emphasized talking, emotional sharing, and discussing personal problems with their same-sex friends, and men showed an emphasis on sharing activities and doing things with their men friends. Differences between the American and New Zealand samples were shown for men in the number of friends and the intimacy levels of these friendships. New Zealand men preferred numerous but less intimate same-sex friends, while women (as in the United States) showed a preference for a few, close, intimate same-sex friends. Men, in contrast to women, derived emotional support and therapeutic value more from their opposite-sex relationships than their same-sex friendships. Finally, more men than women stated they would not cancel an engagement with an opposite-sex friend in order to go out with a same-sex friend. Results are interpreted as suggesting a need for changes in the current socialization process of males who are taught to repress their emotions and form rather less intimate and possibly less beneficial same-sex friendships than women.