The PHQ-9 assesses depression similarly in men and women from the general population

Gender-based differential item functioning occurs when men and women respond differently to an item despite being similar on the trait assessed by that item. The Patient Health Questionnaire-9 (PHQ-9) is a prominent screening tool for depression. Researchers exploring whether the PHQ-9 exhibits gender-based differential item functioning have used only specialized samples (e.g., individuals with cancer or vision loss). We explored gender bias in the PHQ-9 by means of differential item functioning analyses in a population-based sample.We made use of the National Health and Nutrition Examination Surveys (NHANES, 2008), a population-based sample of the USA including 5995 participants. Differential item functioning was assessed using the Mantel-Haenszel chi-square test and by comparing item characteristic curves between men and women.All items exhibited negligible differential item functioning as demonstrated by the Mantel-Haenszel test, with absolute standardized mean differences ranging from 0.00 to 0.06. Item characteristic curves were similar between genders for all but one item. Item 5 (i.e., changes in appetite) exhibited very minor non-uniform differential item functioning, wherein extremely depressed women endorsed higher response options on this item compared to equally depressed men.Researchers can use the PHQ-9 without concern of gender biases, particularly in epidemiological research.     

Mental age and cognitive stage in young handicapped and at-risk children

This research addressed the question of whether stage-related patterns of early cognitive development, reported for normally developing children in the first two and a half years of life, may also characterize the development of at-risk and handicapped children when mental age rather than chronological age is used to organize the data. Performance on a psychometric infant test and two neo-Piagetian-based stage measures was assessed for 95 at-risk and handicapped children. Mental age predicted cognitive level of performance for levels 1 to 3, representing the first year and a half of development, but did not predict the highest level, symbolic functioning. In addition, transition points between levels were observed at mental ages similar to the chronological ages when these transitions have been reported for normally developing infants, for all but the last level. The significance of the correspondence between the psychometric measure and the stage measures is discussed and several alternatives for the breakdown at the highest level are considered.     

Parental Perceptions of Individual and Dyadic Adjustment as Predictors of Observed Coparenting Cohesion: A Cross‐National Study

Over the past 20 years, systemically guided approaches to understanding early family processes have helped to provide greater clarity concerning the interplay among individual, dyadic, and family level processes. Parental depression, marital functioning, and child adjustment in particular appear to be reliable predictors of coparental and family level functioning. Indeed, cohesion at the level of the family group covaries in theoretically meaningful ways with these indicators of individual and dyadic adjustment. In this study, two collaborating research groups (one in Switzerland, the second in the United States) partnered to examine whether similar patterns of relationships exist among individual and marital adjustment and coparenting processes in families of 4‐year‐old children. Using similar constructs but disparate and occasionally dissimilar measures, both groups measured parent‐reported depression, marital satisfaction, and child behavior problems. Coparenting cooperation and warmth were observed during family interactions. Despite differences between samples and evaluation tools, similar results were found for the Swiss and U.S. samples. A model with depression, marital satisfaction, and child symptoms as predictors of a latent factor of observed coparenting cooperation and warmth showed good fit to data in both samples, suggesting the model was relevant for each. Parameter estimation showed that higher coparenting cooperation and warmth was predicted by lower maternal depression and higher child internalizing symptoms. The common significant effects despite differences in assessment paradigms and instrumentation are of substantive interest. Future directions pertinent to the coparenting questions addressed in this research are discussed.     

Suicidal persons and their partners: individual and interpersonal dynamics

The individual and interpersonal dynamics of 21 suicidal persons (15 females and 6 males) and their partners were investigated. Each couple was interviewed at the time of the suicidal person's psychiatric hospitalization following a recent episode of suicidal behavior or serious suicidal ideation. Each partner was administered two tests of individual functioning and one test of interpersonal functioning. The results revealed that the dynamics of these couples were characterized by complementarity at the level of overt individual functioning, and similarity at the level of covert individual functioning. Both partners in a couple tended to describe the suicidal partner as psychologically disabled and the nonsuicidal partner as well-functioning. However, the suicidal patients and their partners were similar in terms of covert individual functioning both showing a tendency toward anclitic, dependent object relations. The communication between the partners was found to be disturbed in a large majority of the couples. The implications of these findings are discussed in terms of an integrative model of individual and interpersonal dynamics.     

Neuropsychological aspects of Parkinson's disease

The neuropsychological effects of Parkinson's disease have gained wide recognition in recent literature. Effects have been documented in almost all areas of cognitive functioning, including general intellectual functioning, visual-spatial functioning, executive functions, attention and memory functions, language functions, and affective processes. Visual-spatial functions, memory functions, and executive functions have received particular interest. This review of the literature is an attempt to tie together the large number of studies in these cognitive areas and to present a suggestion for a comprehensive neuropsychological battery tailored to the patient with Parkinson's disease. Throughout the review, factors relevant to Parkinson's disease, e.g., dementia, motor symptoms, and hemiparkinsonism, are considered.     

Characterization and sociocultural predictors of neuropsychological test performance in HIV+ Hispanic individuals

Hispanic individuals in the U.S. have been disproportionately impacted by HIV/AIDS, yet little is known regarding the neuropsychological sequelae of HIV within the Hispanic population. This study characterized neuropsychological (NP) test performance of HIV+ English-speaking Hispanic participants (n = 51) and investigated the combined roles of sociocultural factors (e.g., ethnicity, socioeconomic status [SES] proxy, and reading level) on NP test performance among our HIV+ Hispanic and non-Hispanic White participants (n = 49). Results revealed that the pattern of NP impairment in HIV+ Hispanic participants is consistent with the frontal-striatal pattern observed in HIV-associated CNS sequelae, and the overall prevalence of global NP impairment was high compared to previous reports with more ethnically homogeneous, non-Hispanic White cohorts. Multivariate prediction models that considered both sociocultural factors and CD4 count revealed that reading level was the only unique predictor of global NP functioning, learning, and attention/working memory. In contrast, ethnicity was the only unique predictor of abstraction/executive functioning. This study provides support for the use of neuropsychological evaluation in detecting HIV-associated NP impairment among HIV+ Hispanic participants and adds to the growing literature regarding the importance of considering sociocultural factors in the interpretation of NP test performance.     

Individual differences in preschool children's knowledge of superordinate categories

The present study assesses intensional knowledge of superordinate categories in preschool children. This assessment is part of a larger programmatic research effort aimed at the development of a cognitive preschool screening test to detect learning problems prior to their manifestation in school failure. Necessary prerequisites for including intensional superordinate category knowledge as a potential component of this screening test are addressed: (a) Are there substantial variations in this knowledge across preschool children? (b) Can the knowledge be measured reliably using game-like picture tasks? (c) Do individual differences in this knowledge relate to the child's current level of intellectual functioning? An underlying assumption for the development of this screening test is that assessing gradually emerging abstract knowledge that develops through active, ongoing processing is more likely to predict learning problems than assessing knowledge that develops through rote associative learning. Consistent with this approach was the prediction that one component of intension, knowledge of differences, would be a better predictor of current functioning than knowledge of similarities. The data support this contention. Although both knowledge of similarities and differences was stable within an individual, variable among individuals and highly correlated with each other, only knowledge of differences related to the child's concurrent level of intellectual functioning.     

Cognitive and non-cognitive factors contributing to the longitudinal identification of successful older adults in the betula study

Studies of successful aging have typically defined elderly who fall in the upper end of a distribution of test scores as successful. A different definition of successful aging requires that older adults fall at or above the mean level of younger adults and maintain this level over time. Here we examined this definition of successful aging in a sample of 1463 individuals between the ages of 50 of 85. Based on principal coordinate analysis of cognitive and non-cognitive variables, we identified a group of 55 (8.3%) 70-85 years olds that were high functioning. This group of elderly showed elevated performance on a range of cognitive tasks. Non-cognitive factors that characterized this group included education and subjective health. The participants were retested 5 years later and the same type of analysis was repeated. Of the remaining individuals who initially were classified as high functioning, 18 (35%) remained high functioning and thus met the definition for successful aging. Years of education was a significant predictor of who remained successful over time.     

Recursive Partitioning to Identify Potential Causes of Differential Item Functioning in Cross-National Data

Differential item functioning (DIF) assessment is key in score validation. When DIF is present scores may not accurately reflect the construct of interest for some groups of examinees, leading to incorrect conclusions from the scores. Given rising immigration, and the increased reliance of educational policymakers on cross-national assessments such as Programme for International Student Assessment, Trends in International Mathematics and Science Study, and Progress in International Reading Literacy Study (PIRLS), DIF with regard to native language is of particular interest in this context. However, given differences in language and cultures, assuming similar cross-national DIF may lead to mistaken assumptions about the impact of immigration status, and native language on test performance. The purpose of this study was to use model-based recursive partitioning (MBRP) to investigate uniform DIF in PIRLS items across European nations. Results demonstrated that DIF based on mother's language was present for several items on a PIRLS assessment, but that the patterns of DIF were not the same across all nations.     

Physically Transcendent Awareness: A Comparison of the Phenomenology of Consciousness Before Birth and After Death

Veridical evidence of a physically transcendent source of consciousness comes from both extremes of the life span when central nervous system functioning is compromised, suggesting that some form of personhood can exist independently of known cellular processes associated with the body. In pre- and perinatal accounts, veridical memories have surfaced of events in the first two trimesters, long before the central nervous system is fully functional, continuing through the third trimester, when measurable brain activity begins, until just after birth. In the empirically verifiable out-of-body phase of near-death experience (NDE) accounts, a source of consciousness has been shown to record events when measurable metabolic processes, including brain activity, have ceased altogether. These two states have similar phenomenologies, suggesting that a physically transcendent source representing individual consciousness predates physical life at the moment of conception and survives it after death, and that its maturity and functioning do not directly reflect the level of central nervous system functioning in the body.     

Cognitive and Non-Cognitive Factors Contributing to the Longitudinal Identification of Successful Older Adults in the Betula Study

ABSTRACT

Studies of successful aging have typically defined elderly who fall in the upper end of a distribution of test scores as successful. A different definition of successful aging requires that older adults fall at or above the mean level of younger adults and maintain this level over time. Here we examined this definition of successful aging in a sample of 1463 individuals between the ages of 50 of 85. Based on principal coordinate analysis of cognitive and non-cognitive variables, we identified a group of 55 (8.3%) 70–85 years olds that were high functioning. This group of elderly showed elevated performance on a range of cognitive tasks. Non-cognitive factors that characterized this group included education and subjective health. The participants were retested 5 years later and the same type of analysis was repeated. Of the remaining individuals who initially were classified as high functioning, 18 (35%) remained high functioning and thus met the definition for successful aging. Years of education was a significant predictor of who remained successful over time.     

Satisfaction with Family Life in South Africa: The Role of Socioeconomic Status

This paper investigates the determinants of self-reported satisfaction with family life, applied to the South African context, with socioeconomic status (SES) as the main covariate and family functioning as the secondary covariate of interest. An individual-, household-, and subjective SES index is constructed via multiple correspondence analysis. Structural equation modelling (SEM) and multiple-group SEM (MGSEM) are used to analyse the role of SES in explaining satisfaction with family life. Higher levels of SES, especially household SES and subjective SES, are related to greater satisfaction with family life. Family functioning, in terms of better family flexibility, is associated with higher satisfaction with family life. The MGSEM results indicate that the role of family flexibility in explaining satisfaction with family life is similar across SES quartiles; family flexibility is an important predictor of family-life satisfaction, regardless of SES quartile.     

Family Awareness for Nonclinicians: Participation in a Simulated Family as a Teaching Technique

This paper describes a course in family theory geared to "well" family members that combines didactic and experiential teaching techniques. A key feature of the course is that students participate in a simulated family for twelve weeks. Family therapists are skilled at using techniques that powerfully dramatize family process; they can provide a needed and useful service to the community by teaching the dynamics of families functioning to people who have a personal or professional interest in learning more about families.     

Cognitive functioning and cortisol profiles in first episode major depression

Major Depressive Disorder (MDD) is often associated with high levels of stress and disturbances in the Hypothalamic Pituitary Adrenal (HPA) system, yielding high levels of cortisol, in addition to cognitive dysfunction. Previous studies have shown a relationship between cortisol profile and cognitive functioning in recurrent MDD in general. More specifically, the association between hypercortisolism and cognitive functioning, such as memory and Executive Functioning (EF), and also more recently cortisol suppression has been explored. However, no studies have investigated these relationships in patients diagnosed with first episode MDD. The aim of the present study was to examine the relationship between cortisol levels before and after the Dexamethasone suppression test (DST) and cognitive function in first episode MDD patients. Twenty‐one patients meeting the DSM‐IV criteria for a first episode of MDD diagnosis were included in the study. The control group was matched for age, gender and education level. Cortisol was measured in saliva collected with Salivette sampling devices. Saliva samples were collected 4 times during a 24 hours period over two consecutive days: at awakening, after 45 minutes, after 7 hours and at 11 pm. Dexamethasone (1.0 mg) was given orally on Day 1 at 11 pm. The neuropsychological test battery consisted of standardized tests measuring executive functioning (EF) and memory functioning. Cortisol levels did not differ significantly between patients and controls on Day 1, except for the last sample before Dexamethasone administration, where the control group showed higher levels. Both groups showed suppression after Dexamethasone. On Day 2 there was a significant difference between groups at the third sample, showing a significantly lower level in the control group, suggesting that the controls have a more effective suppression profile than the patients. There were no significant correlations between cortisol levels before or after Dexamethasone and cognitive measures. The results indicate impairment on HPA‐axis functioning in first episode MDD patients, with less suppression functioning compared to healthy controls, but no relationship between cortisol profile and cognitive functioning in EF or Memory.     

A Model of Stress and Counseling Interventions

Current popular interest in stress and its effects on physical and psychological functioning has implications for counselors and clients. Although many counselors have not been trained in the physiological and medical aspects of stress, they do have skills that can be appropriately applied to the alleviation and modification of environmental and internal sources of stress. This article describes a model to aid counselors in understanding stress and in designing and implementing counseling interventions to mediate its effects.     

Don't hide your happiness! Positive emotion dissociation, social connectedness, and psychological functioning

It is now clear that positive emotion leads to enhanced psychological functioning. What is less clear, however, is just why this is so. Drawing on a social-functional perspective, we argue that positive emotional behavior that accurately signals to others the individual's internal state will enhance social connectedness. Positive emotional behavior that does not accurately signal a person's experience--such as a smile that is not felt--may impede social connectedness and, in turn, psychological functioning. This perspective suggests that (a) the degree to which experience and behavior are dissociated during positive emotional episodes, over and above level of positive behavior, should predict worse psychological functioning and (b) the effect of dissociation should be mediated by social connectedness. To test these hypotheses, we conducted a short-term prospective longitudinal study, with a baseline assessment of depressive symptoms and well-being at Time 1. Six months later, at Time 2, we used a novel within-individual laboratory paradigm to measure the degree to which positive emotional behavior was dissociated from (vs. coherent with) a participant's positive emotional experience. We also assessed level of positive behavior and experience. Then, another 6 months later, we assessed social connectedness as a mediator and depressive symptoms and well-being as outcomes at Time 3. Even when controlling for baseline functioning and for level of positive emotion behavior and experience, we found that greater positive experience-behavior dissociation at Time 2 predicted higher levels of depressive symptoms and lower levels of well-being at Time 3. As predicted, these associations were mediated by social connectedness.     

Interest as a Motivational Resource: Feedback and Gender Matter, but Interest Makes the Difference

This study tested the hypothesis that interest in a certain topic enables children to sustain their intrinsic motivation in topic-related tasks when positive feedback is absent. Ninety-one Israeli children in the seventh grade completed a questionnaire assessing their interest in the topic of logic questions. Later, in individual sessions, children worked on logic questions, and either received positive feedback or no feedback on their performance. Then, they completed a questionnaire assessing their intrinsic motivation to participate in a similar task. As expected, children with a high level of interest reported more intrinsic motivation than did children not high on interest. Among children with moderate interest, absence of positive feedback was associated with decreased intrinsic motivation for boys, and increased motivation for girls. This gender-related pattern was interpreted as suggesting that girls with moderate interest perceived the positive feedback as an attempt to control them. The findings support the view that interest may serve as a personal resource that helps children to cope with non-optimal learning conditions.     

Moral reasoning,moral decision-making,and empathy in Korsakoff’s syndrome

Korsakoff’s syndrome (KS) is a neuropsychiatric disorder, caused by a vitamin B1 deficiency. Although it is known that patients with KS display diminished theory of mind functioning and frequently exhibit marked antisocial interactions little attention has so far focused on the integrity of moral decision-making abilities, moral reasoning, and empathy. In an experimental cross-sectional design, 20 patients diagnosed with KS, and twenty age-, education-, and gender-equivalent healthy participants performed tests assessing moral decision-making, moral reasoning maturity, empathy, and executive functioning. Participants were administered the Moral Behaviour Inventory (MBI) for everyday moral dilemmas, and ten cartoons of abstract moral dilemmas. Responses were scored according to the Kohlberg stages of moral reasoning. Empathy and executive functioning were assessed with the Interpersonal Reactivity Index (IRI) and the Frontal Assessment Battery (FAB). In contrast to frontal traumatic brain injury patients, KS patients did not display a utilitarian bias, suggesting preserved moral decision-making abilities. Of interest, KS patients had significantly lower levels of moral reasoning maturity on everyday moral dilemmas, and abstract moral dilemmas. In patients, empathy was moderately related to the level of moral maturity on both tasks, while executive functioning was not. In conclusion, KS patients have preserved moral decision-making abilities, but their moral reasoning abilities are poorer in everyday and abstract situations. Lower moral reasoning abilities and lower levels of empathy together may be responsible for adverse social functioning in KS.     

The specificity of behaviors and measurements

This essay examines the fundamental fact of specificity in behaviors both outside and inside the testing room. Two tests of the same construct typically have a moderate to low correlation between them, the level of relationship depending on whether the mode, the situation, the task, and the stimuli for one test are similar to or different from those for the other. The great majority of psychological tests have considerable specificity. Their scores tend to correlate far less than perfectly with other tests of the same variable. Even when an ability is defined within a model such as Guilford's Structure-of-Intellect, each test of that ability will usually have some specific determinants not shared by other tests of that aspect of intelligence. Moreover, such a test is likely to correlate almost as well with tests of other similar abilities as with tests of its particular one.