Effects of a brief behavioral treatment for PTSD-related sleep disturbances: a pilot study

OBJECTIVE: Sleep disturbances are a core feature of post-traumatic stress disorder (PTSD), and are often resistant to first-line pharmacological and psychological PTSD interventions. The goal of this pilot study was to explore the effects of a very brief intervention for PTSD-related nightmares and insomnia in victims of violent crimes with PTSD. METHODS: Seven adult victims of violent crimes with a current diagnosis of PTSD received a single, 90-min intervention session that used cognitive-behavioral techniques aimed at reducing post-traumatic nightmares and insomnia. Sleep diary measures, and measures of sleep quality, PTSD severity, anxiety, and depression were completed at baseline and 6 weeks post-intervention. RESULTS: Improvements in self-report and sleep diary measures of sleep quality and dream frequency were observed post-intervention. Clinically meaningful reductions in daytime PTSD symptom severity were also observed. CONCLUSIONS: A very brief behavioral intervention targeting post-traumatic nightmares and insomnia was associated with significant improvements in sleep and daytime PTSD symptom severity. Brief sleep-focused intervention may be helpful adjuncts to first-line PTSD treatments.     

Assessment of abnormal personality in childhood: a Delphi survey of questionnaire data

As an investigation into the feasibility of recording personality status from questionnaire data in younger people we used a three phase Delphi survey to assess items from the Christchurch Health and Development Study, administered at ages 12 to 16 years. Twelve experts took part in Phase I, and 22 in Phases II and III, 16 of whom were experts in adult personality disorder (PD), and 6 were experts who work with children. In total, 189 questions (55% of the total (238) in the questionnaires) were identified as possibly being related to personality abnormality in one or more clusters with high consensus. Experts who work with children were less likely to label features as related to personality than experts in PD (p < 0.001), and the four personality factors (equivalent to Mulder and Joyce's antisocial, asocial, asthenic, and anankastic) chosen for assessment showed variable agreement. Confirmatory factor analysis showed the best fitting model of the data was a 3 factor solution involving asocial/asthenic, antisocial, and anankastic factors. This represents the first attempt to use existing recorded data to code personality status and the results of this Delphi survey give some grounds for optimism that this approach has potential in the early identification of personality features.     

Factor structure,validity, and reliability of the fear questionnaire in a Hong Kong Chinese population

This study examined the factor structure, validity, and reliability of the Fear Questionnaire in Hong Kong. The sample consisted of 226 college students who were ethnic Chinese and they came from different parts of Hong Kong. Exploratory factor analysis produced three meaningful factors. Confirmatory factor analysis supported the three-factor model of Marks and Mathews (1979) in the present sample of subjects. Findings also showed that the Fear Questionnaire was both reliable and valid. Limitations of the study and implications for future research in this area were discussed. In particular, the need to assess the cross-cultural application of the Fear Questionnaire was stressed.This research project was supported by the Research and Conference Grants of the University of Hong Kong.     

Association of prenatal attachment and early childhood emotional,behavioral, and developmental characteristics: A longitudinal study

This study examines the associations between prenatal attachment and child development, socioemotional behavioral problems, and competence at early childhood. It also inquires whether maternal depression and anxiety at the prenatal period and at early childhood are associated with child outcomes. The study consisted of 83 mothers and their children. Data regarding the prenatal attachment, depression, and anxiety were collected during Weeks 28 to 40 of gestation. When the children were 21 to 31 months old, the Brief Infant and Toddler Social Emotional Assessment (BITSEA) and the Ankara Developmental Screening Inventory (ADSI) were applied to children along with Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) administered to mothers. Results showed that prenatal attachment scores significantly correlated with BITSEA-Competency subscale scores and ADSI total scores at early childhood, r(83) = 0.246, P = .025, and r(82) = 0.316, P = .004, respectively. Prenatal attachment levels were found to be the predictors of both behavioral and emotional competence and development at early childhood, b = 0.081, t(83) = 2.273, P = .014, and b = 0.281, t(83) = 3.225, P = .002, respectively. In addition, prenatal attachment was shown to be even a stronger predictor of development than was worsening maternal depression at early childhood, b = −0.319, t(83) = 2.140, P = .035. Our results indicate that fostering prenatal attachment may be beneficial for better infant outcomes at early childhood.     

Personal constructs of fluency: a study comparing stutterers and nonstutterers

The personal construct systems relating to fluency of a group of five stutterers and a group of five nonstutterers were examined using the repertory grid technique. The results support findings that stereotypical notions about stuttering were characteristic of both stutterers and nonstutterers and did not support Fransella's 1972 assumption that constructs relating to fluency differ in the communication subsystems of stutterers and nonstutterers.     

Salutogenic constructs across Pakistan and Germany: A cross sectional study

Background/ObjectiveProtective factors are relevant for mental health in general, however, universality of the instruments has been rarely tested. Therefore, the current study aimed to examine psychometric properties and cross-cultural measurement invariance of salutogenic constructs.MethodData was collected from university students of Pakistan (n = 1,841) and Germany (n = 7,890). Single-group confirmatory analysis (CFA) and multiple-group CFA was tested to examine the proposed factor structure and measurement invariance of Positive Mental Health Scale, Resilience Scale, Perceived Social Support Questionnaire, and Life Satisfaction Scale across student samples from Pakistan and Germany respectively.ResultsWe found strong measurement invariance for the Positive Mental Health Scale, Life Satisfaction Scale, and partial strong measurement for the Resilience Scale, and Perceived Social Support Questionnaire.ConclusionsThe results indicate that these scales could be recommended for the meaningful comparison of latent means across cultures. Understanding these differences would further advance our knowledge about the mechanism underlying positive mental health.     

A population-based 2-year longitudinal study of insomnia disorder in a Chinese population in Hong Kong

There is a paucity of literature examining the longitudinal course of insomnia using standardized diagnostic criteria. This study aims to evaluate the persistence, remission, relapse, and incidence rates of insomnia symptoms and insomnia disorders according to the Diagnostic and Statistical Manual of Mental Disorders, 4th and 5th edition (DSM-IV and DSM-5). A total of 398 community dwellers were interviewed annually over two years using the Brief Insomnia Questionnaire, a validated questionnaire for deriving insomnia diagnoses. Normal sleepers were defined according to the DSM-5 quantitative criteria as having insomnia symptoms at most twice per week. Estimates were weighted against population age and sex distribution. Persistence for two consecutive years was 26.3, 26.4, and 23.0% for insomnia symptoms, DSM-IV, and DSM-5 insomnia disorders; remission rate was 55.8, 22.9, and 26.1%, relapse rate was 21.8, 1.3, and 0%, while incidence rate was 62.4, 19.6, and 4.5%. The common trajectories for DSM-IV insomnia disorder were to remain the same (26.4%), followed by a change to insomnia symptoms at the second year (25.7%), and at the third year (17.3%). For DSM-5 insomnia disorder, a change to insomnia symptoms at the second year was the commonest (28.3%), followed by continuing the same (23.0%), and a change to insomnia symptoms at the third year (14.0%). Over a two-year naturalistic follow-up, persistence of insomnia disorder was roughly 25%. Changes from insomnia disorder to insomnia symptoms were common; however, remission only occurred in about 25%, highlighting the chronic course of insomnia, perhaps due to a lack of treatment, under-treatment, or resistance to treatment. Incidence of insomnia symptoms was 62.4%, suggesting a high risk of developing insomnia in the general population.     

Parent-child mutuality in early childhood: two behavioral genetic studies

Parent-child dyadic mutuality (shared positive affect, responsiveness, and cooperation) is an important component of family socialization processes. This study sought to extend previous research on mutuality by using a quantitative genetic design to examine between- and within-family variations (e.g., sibling differences) and gene-environment processes. The first study included 125 pairs of identical and same-sex fraternal 3-year-old twins. Observations of mutuality and parents' and observers' ratings of family environment and child behavior were gathered. Greater mutuality was associated with higher socioeconomic status. Moderate sibling similarity in parent-child mutuality was accounted for by child genetic similarity, suggesting evocative gene-environment correlation and nonshared environmental processes. These findings were replicated in a 2nd study of 102 pairs of adoptive and biological siblings.     

Hiding valuables: A questionnaire study of mnemonically risky behavior

A survey investigated incidences where individuals intentionally hid objects but later forgot the item's location. Surveys from 111 younger and 99 older adults yielded the following prototypical scenario: the person hid the valuable 1 year ago to prevent theft, and waited 1 month before an initial 30-minute search, which included looking in dresser drawers plus 1.5 other locations. The person made three additional searches (total searches = 4) for the missing valuable over a 2 week period. Three-quarters of the hidden valuables were eventually found (usually by accident) about 1 month after hiding the object. About half of the time, the person had already searched the hiding area. Older adults typically hid jewellery from thieves, while younger adults hid money from friends and relatives. Older adults searched more often for longer periods of time for the hidden object, and took longer to eventually find the object, compared with younger adults.     

Measurement of fine-grained aspects of toddler temperament: the early childhood behavior questionnaire

This article describes the development, reliability, and factor structure of a finely differentiated (18 dimensions) parent-report measure of temperament in 1.5- to 3-year-old children, using a cross-sectional sample (N=317) and a longitudinal sample of primary (N=104) and secondary (N=61) caregivers. Adequate internal consistency was demonstrated for all scales and moderate inter-rater reliability was evident for most scales. Longitudinal stability correlations were primarily large over 6- and 12-month spans and moderate to large from 18 to 36 months. Factor analysis revealed a three-factor structure of Surgency/Extraversion, Negative Affectivity, and Effortful Control. In both samples and for both primary and secondary caregivers, older children received higher scores for Attention Focusing, Discomfort, Inhibitory Control, and Positive Anticipation. Primary caregivers rated females higher in Fear, and lower in High-intensity Pleasure, than males; secondary caregivers rated females higher than males in several aspects of Effortful Control.     

A cross-sectional behavioral genetic analysis of task persistence in the transition to middle childhood

Task persistence, measured by a composite score of independent teacher, tester and observer reports, was examined using behavioral genetic analysis. Participants included 92 monozygotic and 137 same-sex dizygotic twin pairs in Kindergarten or 1st grade (4.3 to 7.9 years old). Task persistence was widely distributed, higher among older children, positively associated with standardized tests of cognitive performance and achievement, and negatively associated with parents', teachers' and observers' reports of behavioral problems. Cross-sectional analysis indicated a strong developmental shift from shared environment variance among younger children to additive genetic variance in older children.     

On the nature and function of scoring protocols used in exercise motivation research: An empirical study of the behavioral regulation in exercise questionnaire

ObjectivesThe purpose of this study was to examine the effects of different scoring protocols used with instruments designed to assess motivation in line with Organismic Integration Theory (OIT; Deci & Ryan, 2002).DesignThis study used non-probability based sampling within a cross-sectional (survey) design.MethodsParticipants across four samples (N's ranged from 236 to 1200) completed either (a) the Behavioral Regulation in Exercise Questionnaire (BREQ), (b) the BREQ-2, or (c) the BREQ-2R in conjunction with a self-report assessment of physical activity behavior.ResultsParticipants endorsed more self-determined than controlled motives for physical activity. Identified regulation was the dominant correlate of more frequent physical activity behavior. The link between external regulation and physical activity was consistently weak. Multiple regression analyses revealed identified regulation was the strongest predictor of physical activity compared with other motives. Regression models using omnibus scoring protocols accounted for less variance in physical activity behavior in contrast to an item-aggregation scoring protocol.ConclusionsIdentified regulation may be a key source of physical activity motivation in adults. The scoring protocol used with OIT-based instruments represents an important consideration for advancing physical activity research.