Facial asymmetry detection in patients with body dysmorphic disorder

Cognitive-behavioral models of body dysmorphic disorder (BDD) propose that individuals with BDD may possess a better or more developed sense of aestheticality than do individuals without BDD. Evidence for this proposition, however, is limited. One perceptual process that could contribute to heightened aestheticality is the ability to detect differences in symmetry. In this experiment we tested whether individuals with BDD (n = 20), relative to individuals with obsessive compulsive disorder (OCD; n = 20) and healthy controls (n = 20), show an enhanced ability to detect differences in the symmetry of others’ faces, symmetry of dot arrays, and/or show a greater preference for symmetrical faces. Individuals with BDD were not significantly more accurate in detecting differences in facial symmetry or dot arrays relative to individuals with OCD and healthy controls. Individuals with OCD took longer to make facial symmetry judgments than did individuals in the other two groups. All participants, regardless of diagnostic group, preferred more symmetrical faces than nonsymmetrical ones. Taken together, our results do not support a heightened perceptual ability or evaluative preference for symmetry among individuals with BDD.     

Anxiety and coping with community disasters: The Israeli experience

This study compared anxiety levels and coping strategies in Israeli adults during the Al-Aqsa Intifada (n = 707) and under ballistic missile attacks targeted at Israeli civilians during the Persian Gulf War (n = 328). In view of the differences among the two disaster situations in terms of severity of impact, scope, duration, predictability, and controllability, it was hypothesized that higher levels of state anxiety would be observed for the terror attack than for the missile attack crisis. Furthermore, problem-focused coping was predicted to be more salient than emotion-focused coping during the Gulf War—at a time where more protective action could be taken. Overall, the data supported the hypotheses. The data are discussed and explicated in the context of stress and coping theory and research.     

Sense of Coherence (SOC) in Christian Orthodox Monks and Nuns in Greece

This paper aims to investigate the stress management skills of Christian Orthodox monks and nuns, as measured by Antonovsky’s scale sense of coherence (SOC). A case–control study was designed to test the hypotheses whether monks and nuns have higher SOC than secular people. The study population consisted of 193 individuals, 96 monks and nuns (study group) and 97 secular men and women (control group). SOC score was higher in monks and nuns as compared to the secular population (p = 0.002), men as compared to women (p = 0.012) and persons of older age (p = 0.004) as compared to younger individuals.     

Combined Medication and CBT for Generalized Anxiety Disorder With African American Participants: Reliability and Validity of Assessments and Preliminary Outcomes

Using data from a study of combined cognitive behavioral therapy (CBT) and venlafaxine XR in the treatment of generalized anxiety disorder (GAD), the current article examines the reliability and convergent validity of scales, and preliminary outcomes, for African American compared with European American patients. Internal consistency and short-term stability coefficients for African Americans (n = 42) were adequate and similar or higher compared with those found for European Americans (n = 164) for standard scales used in GAD treatment research. Correlations among outcome measures among African Americans were in general not significantly different for African Americans compared with European Americans. A subset of patients with DSM-IV–diagnosed GAD (n = 24 African Americans; n = 52 European Americans) were randomly selected to be offered the option of adding 12 sessions of CBT to venlafaxine XR treatment. Of those offered CBT, 33.3% (n = 8) of the African Americans and 32.6% (n = 17) of the European Americans accepted and attended at least one CBT treatment session. The outcomes for African Americans receiving combined treatment were not significantly different from European Americans receiving combined treatment on primary or secondary efficacy measures.     

Mindfulness and Emotion Regulation Difficulties in Generalized Anxiety Disorder: Preliminary Evidence for Independent and Overlapping Contributions

Diminished levels of mindfulness (awareness and acceptance/nonjudgment) and difficulties in emotion regulation have both been proposed to play a role in symptoms of generalized anxiety disorder (GAD); the current studies investigated these relationships in nonclinical and clinical samples. In the first study, among a sample of 395 individuals at an urban commuter campus, self-reports of both emotion regulation difficulties and aspects of mindfulness accounted for unique variance in GAD symptom severity, above and beyond variance shared with depressive and anxious symptoms, as well as variance shared with one another. In the second study, individuals with GAD (n = 16) reported significantly lower levels of mindfulness and significantly higher levels of difficulties in emotion regulation than individuals in a nonanxious control group (n = 16). Results are discussed in terms of directions for future research and potential implications for treatment development.     

Focussing on overexcitabilities: Studies with intellectually gifted and academically talented adults

The concept of “overexcitability” has recently become popular within the field of giftedness and talent research. Some authors argue that overexcitability questionnaires can be used to identify gifted/talented individuals. A sample of intellectually gifted adults (n = 96; mean age: 31.4; SD = 0.3) was compared to a sample of adults of average intelligence (n = 91; mean age: 31.4; SD = 0.4). Additionally, a sample of 123 high achievers (mean age = 30.5; SD = 0.3) was compared to 97 average achievers (mean age: 30.5; SD = 0.3). The “Overexcitability Questionnaire-Two” was used to assess emotional, imaginational, intellectual, psychomotor, and sensual overexcitability. The gifted adults scored statistically significantly higher on “intellectual overexcitability” (d = .42). High and average achievers differed statistically significantly in “intellectual overexcitability” (d = .56) and “sensual overexcitability” (d = .32). For the giftedness sample, the accuracy of group membership prediction (gifted/non-gifted) via discriminant analyses was 60.4%. For the performance sample, the accuracy was 63.4%. The observed differences in the overexcitabilities were small; the risk of misclassification is too big to attempt to identify gifted or high achieving adults solely on the basis of overexcitability scores.     

RIASEC interest and confidence cutoff scores: Implications for career counseling

One strategy commonly used to simplify the joint interpretation of interest and confidence inventories is the use of cutoff scores to classify individuals dichotomously as having high or low levels of confidence and interest, respectively. The present study examined the adequacy of cutoff scores currently recommended for the joint interpretation of the Strong Interest Inventory (SII: Donnay, Morris, Schaubhut, & Thompson, 2005) and the Skills Confidence Inventory (SCI: [Betz, Borgen et al., 1996] and [Betz et al., 2005]). Cutoff score criteria were evaluated based on a sample of college students and employed adults (n = 1000), and cross-validated with a second sample of college students (n = 1, 149) who completed an experimental measure of RIASEC interests and confidence. Results were interpreted in the context of social cognitive career theory (Lent, Brown, & Hackett, 1994) by testing predictions regarding the relative frequency of individuals with either matched or mismatched levels of interest and confidence.     

Support for a two-factor model of impulsivity and hazardous substance use in British and Australian young adults

Multiple lines of evidence suggest impulsivity comprises two distinct components relevant to substance misuse. Reward drive reflects sensitivity to rewarding stimuli and subsequent approach motivation. Rash impulsiveness reflects the ability to inhibit such approach behavior in light of negative consequences. However, several studies suggest the latter trait to be a more robust predictor. This begs the question as to whether a less parsimonious two-factor model is necessary. This study employed structural equation modeling to compare the fit of one- and two-factor impulsivity models to alcohol and drug use data provided by British (n = 183) and Australian (n = 271) young adults. Results consistently supported the two-factor model and its cross-cultural consistency, with rash impulsiveness being the more robust predictor.     

Reactive and proactive control in incarcerated and community adolescents and young adults

This study compared the cognitive control skills of male incarcerated adolescents (n = 44), male control adolescents (n = 33), male incarcerated young adults (n = 41), and male control young adults (n = 35) using the AX-continuous performance test (AX-CPT). This test measures proactive control (the ability to maintain a mental representation of goal-related information in preparation for a behavioral response) and reactive control (the ability to activate goal-related information in response to an external trigger). Incarcerated individuals had more difficulty implementing proactive control, whereas control individuals had more difficulty implementing reactive control. Adolescents had more difficulty with both reactive and proactive control compared with young adults, suggesting that both skills improve with age. Additional analyses indicated that the effect of age on proactive control was due to the presence of attention-deficit/hyperactivity disorder, whereas the effect of age on reactive control appeared to be a natural developmental trend that could not be explained by other variables. These findings are considered in relation to the dual mechanisms of control theory [Braver, T. S., Gray, J. R., & Burgess, G. C. (2007). Explaining the many varieties of working memory variation: Dual mechanisms of cognitive control. In A. R. A. Conway, C. Jarrold, M. J. Kane, A. Miyake, & J. N. Towse (Eds.), Variation in Working Memory. New York: Oxford University Press.].     

Factor structure of the Brief Psychiatric Rating Scale for Children (BPRS-C) among Hospital Patients and Community Clients

The factor structure, reliability and concurrent validity of the Brief Psychiatric Rating Scale for Children (BPRS-C) was examined. The BPRS-C was designed to measure child psychopathology with seven scales consisting of three items each. Two large samples of intake assessments at admission to the public mental health system of state psychiatric hospitals (n = 6712) and community mental health centers (n = 21,459) for children aged 3–17 were examined. In both samples exploratory and confirmatory factor analysis found seven factors that generally supported the BPRS-C seven scale structure. Reliability as measured by internal consistency was acceptable with an average alpha of .72 (SD = .09). Mean scale scores across diagnoses and concurrent correlations with the Child Behavior Checklist (CBCL) were consistent with expectations.     

Stability and change in interests: A longitudinal examination of grades 7 through college

The joint issue of stability and change of interests in adolescence and early adulthood was investigated longitudinally over three years in three different grade cohorts. The patterns of structural stability, mean stability, rank order stability, and profile stability as well as how these patterns were moderated by gender were examined based on three cohorts of grades 7 and 8 (n = 3191), grades 9 and 10 (n = 6818), and grades 11 and 12 (n = 1078) using the Personal Globe Inventory-Short (Tracey, 2010). Results indicated that adherence to the RIASEC circular model was high and stable; there was a lack of appreciable change in interest means; interests were stable; interest crystallization, profile, and pattern were stable. While the results supported late adolescence and early adulthood being a stable period for interests in general, more changes were found among male and younger students. The implication of the current study was discussed along with its limitations and suggestions for future research.     

Social comparison orientation as related to two types of closeness

Two studies examined the relationship between social comparison orientation (SCO) and two types of closeness (dimensional closeness and psychological closeness) in the context of appearance-related comparisons among women. A pilot study showed that these two types were relatively independent constructs, and provided evidence for the differential validity of the constructs. Consistent with our expectations, women high in SCO perceived more dimensional closeness with other women in terms of appearance (Study 1, n = 94) and perceived more psychological closeness with other women (Study 2; n = 126) than women low in SCO. Overall, women, but especially women high in SCO, reported most dimensional closeness in response to the most attractive women and most psychological closeness in response to women of medium levels of attractiveness.     

Enhancing the Benefits of Written Emotional Disclosure Through Response Training

Writing about a personal stressful event has been found to have psychological and physical health benefits, especially when physiological response increases during writing. Response training was developed to amplify appropriate physiological reactivity in imagery exposure. The present study examined whether response training enhances the benefits of written emotional disclosure. Participants were assigned to either a written emotional disclosure condition (n = 113) or a neutral writing condition (n = 133). Participants in each condition wrote for 20 minutes on 3 occasions and received response training (n = 79), stimulus training (n = 84) or no training (n = 83). Heart rate and skin conductance were recorded throughout a 10-minute baseline, 20-minute writing, and a 10-minute recovery period. Self-reported emotion was assessed in each session. One month after completing the sessions, participants completed follow-up assessments of psychological and physical health outcomes. Emotional disclosure elicited greater physiological reactivity and self-reported emotion than neutral writing. Response training amplified physiological reactivity to emotional disclosure. Greater heart rate during emotional disclosure was associated with the greatest reductions in event-related distress, depression, and physical illness symptoms at follow-up, especially among response trained participants. Results support an exposure explanation of emotional disclosure effects and are the first to demonstrate that response training facilitates emotional processing and may be a beneficial adjunct to written emotional disclosure.     

The associations of the Five Factor Model of personality with inflammatory biomarkers: A four-year prospective study

This study evaluated the associations of the Five Factor Model of personality with two inflammation biomarkers, C-reactive protein and fibrinogen, and the possible moderating effects of common health-related behaviors (physical activity and smoking) concurrently and over four years, while adjusting for socio-demographic and health status. Participants were individuals who underwent a health examination at two points of time, T1 (n = 1709) and T2 (n = 923), about four years apart. Regression analyses uncovered positive associations between Neuroticism and Extraversion with two inflammatory biomarkers at baseline (T1) and over time (T2) and increases in their levels over time. Additionally, a synergistic interaction of neuroticism and physical inactivity was associated with higher levels of inflammation biomarkers at both time periods. Openness was negatively associated with inflammation biomarkers at T1 and T2, but not with changes in their levels. No significant associations were found for Agreeableness and Conscientiousness. The results suggest that personality traits might be involved in the inflammatory process both concurrently and over time, and thus indicate a possible mechanism by which personality traits might influence health, especially cardiovascular disease risk.     

How does non-nutritive sucking support infant feeding?

Fifty nine premature infants participated in a randomized controlled study to determine the effectiveness of non-nutritive sucking (NNS). It was predicted that NNS would not accelerate the development of full oral feeding or early language skills as sometimes perceived in practice. However, it was predicted that using NNS as a strategy to support parents to identify and respond to early communication and oral readiness signs would increase confidence in infant management and enable quicker discharge home. Infants were aged 26–35 weeks gestation. Infants with no significant difficulties were randomly assigned to one of three groups; Group 1, NNS pre-tube feeding (n = 19); Group 2, NNS on onset of tube feeding (n = 20) and Group 3, Control (n = 20). Follow-up occurred at 6 months. There were no significant differences with number of days to full oral feeding between the groups receiving NNS and the Control group, χ²(2, n = 59) = 4.33, p = .115. A significant difference in number of days in hospital between the Control group and the other two groups was found χ² (2, n = 59) = 7.678, p = .022. Significant changes were noted with the development of more normal sucking patterns in Groups 1–3. At 6 months there were no significant differences in receptive or expressive language skills between all groups. NNS had no significant impact on the transition to full oral feeding or later language development. There was a significant difference in the number of days in hospital between the Control group and the other two groups which involved parents in identification of early communication signs. Possible reasons for this change and future directions are discussed.     

Psychometric properties and construct validity of the Muscle Appearance Satisfaction Scale among Hungarian men

Limited studies have evaluated the psychometric properties of the Muscle Appearance Satisfaction Scale (MASS), a measure of muscle dysmorphia, in different cultures and languages. The aims were to examine the psychometric properties of the Hungarian version of the MASS (MASS-HU), and to investigate its relationship with self-esteem and exercise-related variables. Two independent samples of male weight lifters (ns = 289 and 43), and a sample of undergraduates (n = 240) completed the MASS, Eating Disorder Inventory, and Rosenberg Self-esteem Scale. Exploratory factor analysis supported the original five-factor structure of the MASS only in the weight lifter sample. The MASS-HU had excellent scale score reliability and good test-retest reliability. The construct validity of the MASS-HU was tested with multivariate regression analyses which indicated an inverse relationship between self-esteem and muscle dysmorphia. The 18-item MASS-HU was found to be a useful measure for the assessment of muscle dysmorphia among male weight lifters.     

Disclosure of anxiety in everyday life: Effects of social anxiety

The current study examined the likelihood of disclosing one’s anxiety to others during anxiety-provoking conversations, as reported by individuals high or low in social anxiety. It investigated to whom these disclosures are made, and the content and intended purposes of these disclosures. Undergraduate students and community members low (n = 79) or high (n = 81) in social anxiety completed the Anxiety Disclosure in Everyday Life questionnaire, as well as several other measures as part of another study. Analyses indicated that individuals high in social anxiety were significantly less likely to disclose their anxiety as compared to individuals low in social anxiety. The likelihood of disclosing one’s anxiety varied significantly depending on to whom one was speaking, with intimate partners being disclosed to the most. The content of the disclosures typically involved stating that one is feeling shy or nervous without offering an explanation, or attributing it to one’s personality traits (e.g., shyness), with the intended purpose often being to elicit assistance or reassurance from their conversation partner or to manage the impressions of others.     

The Driving Behavior Survey as a Measure of Behavioral Stress Responses to MVA-Related PTSD

Numerous treatments are available that address the core symptoms of posttraumatic stress disorder (PTSD). However, there are a number of related behavioral stress responses that are not assessed with PTSD measures, yet these behavioral stress responses affect quality of life. The goal of the current study was to investigate whether a recently developed measure of behavioral stress response, the Driving Behavior Survey (DBS), was sensitive to change associated with treatment among a group of participants diagnosed with PTSD. The DBS indexes anxious driving behavior, which is frequently observed among individuals with motor vehicle accident-related PTSD. Participants (n = 40) were racially diverse adults (M age = 40.78, 63% women) who met diagnostic criteria for motor vehicle accident-related PTSD. Hierarchical linear modeling analyses indicated that participants who were assigned to a brief, exposure-based intervention displayed significant reductions on the DBS subscales relative to participants assigned to the wait-list control condition (r = .41–.43). Moreover, mediational analyses indicated that the observed reductions on the DBS subscales were not better accounted for by reductions in PTSD. Taken together, these findings suggest that the DBS subscales are sensitive to changes associated with PTSD treatment and can be used to augment outcome assessment in PTSD treatment trials.     

Culture,method, and the content of self-concepts: Testing trait,individual–self-primacy,and cultural psychology perspectives

Three theoretical perspectives on cultural universals and differences in the content of self-concepts were tested in individualistic (United States, n = 178; Australia, n = 112) and collectivistic (Mexico, n = 157; Philippines, n = 138) cultures, using three methods of self-concept assessment. Support was found for both trait perspectives and the individual–self-primacy hypothesis. In contrast, support for cultural psychology hypotheses was limited because traits and other personal attributes were not more salient, or social attributes less salient, in individualistic cultures than collectivistic cultures. The salience of some aspects of self-concept depended on the method of assessment, calling into question conclusions based on monomethod studies.