Hypomanic personality, social anhedonia and impulsive nonconformity: evidence for familial aggregation?

Schizophrenic and affective spectrum disorders aggregate in the families of patients afflicted with such disorders. Possible vulnerability markers for these disorders should therefore also run in families. The Chapmans and their coworkers developed the Hypomanic Personality Scale (HYP) to identify people at risk for affective disorders, and the scales Social Anhedonia (SA) and Impulsive Nonconformity (IMP) to assess schizotypy (Chapman et al., 1976, 1984; Eckblad & Chapman, 1986). The present family study investigated the familial resemblance of the HYP, SA, and IMP Scale using a maximum-likelihood approach. Index participants and their relatives (n = 717) completed a questionnaire packet that included the above-mentioned scales. Stepwise several models of familial correlations were specified and tested dealing with the influence of sex of parents and offspring and of interindividual cross-trait resemblance. For all three measures, there was evidence of familial resemblance. For SA and IMP, we found hints for possible assortative mating; additionally for HYP and IMP, an interindividual cross-trait resemblance (with correlations of 0.14 and 0.18, respectively) between family members emerged. The results support the validity of the HYP, SA, and IMP Scale. It is discussed whether HYP and IMP represent different aspects of a shared latent liability.     

Exploring the latent structure of the Perceptual Aberration, Magical Ideation, and Physical Anhedonia Scales in a German sample.

The schizotypy model proposed by Meehl (1990) assumes a discontinuous distribution of schizophrenia liability. The "schizogene" is thought to determine if one is at risk for psychosis (i.e., whether one is a member of the taxon or its complement, which are considered to be the two latent classes). Using a German non-student sample (n = 809) we wanted to (1) replicate the results of prior research pertaining to the latent structure and base rate of schizotypy assessed by the Perceptual Aberration Scale (PER; Chapman, Chapman, & Raulin, 1978), and (2) investigate whether the same holds true for two other prominent psychometric indices, the Magical Ideation Scale (MI; Eckblad & Chapman, 1983) and the Physical Anhedonia Scale (PhA; Chapman et al., 1976), if one uses the same kind of analysis--the MAXCOV-HITMAX analysis based on subsets of items (Meehl, 1973). Pertaining to PER and PhA, our results are in accordance with prior research showing a latent class structure and a base rate of about 12% for schizotypy. However, for MI, there was no evidence of a taxonic structure. Possible reasons for MI's negative results are discussed as well as the role of the concept "anhedonia."     

Psychological Flexibility,Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Journal of Clinical Psychology in Medical Settings - Chronic pain has an estimated annual prevalence rate between 10 and 35%. In the US, first-line treatment for chronic pain is often opioids....     

Sexualized and Athletic: Viewers’ Attitudes toward Sexualized Performance Images of Female Athletes

Using an experimental methodology, the present study investigated college students’ attitudes toward media images of female athletes. We are particularly focused on how viewers perceive media images of female athletes that have both an appearance and athleticism focus, such as those found in ESPN’s The Body Issue. An aim of our study was to assess viewers’ attitudes toward these images that are not purely objectified, thereby contributing to the objectification literature and providing empirical data relevant to theorizing on the social impact of these images. U.S. college students (n?=?563) viewed one of four types of images of the same athletes including: (a) sexualized athletes, (b) sexualized performance athletes (in which both athleticism and sexualization are present), (c) sport performance athletes (in which athletes are depicted playing their sport), or (d) non-sexualized athletes. They then rated the athletes’ competence, esteem, and sexual appeal. Overall, sexualized performance athletes were rated more positively than sexualized athletes, but less positively than sport performance athletes. These results have implications for advocacy efforts calling for more media coverage in which women are depicted as athletes rather than as sexual objects.

     

Interventions for Family Members and Carers of Patients with Borderline Personality Disorder: A Systematic Review

Carers of patients with borderline personality disorder (BPD) experience high levels of distress. Several studies have been carried out on interventions designed to decrease their burden. However, the evidence from these studies has not been summarized. The objective of this work is to explore the clinical utility of interventions developed for family members of patients with BPD. A systematic review was conducted following the PRISMA guidelines (registration number CRD42018107318), including psychological interventions focused on relatives of patients with BPD. The following databases were used: PsycINFO, PubMed, EBSCOhost, and Web of Science. Two independent researchers reviewed the studies to determine whether the eligibility criteria were met. A total of 2,303 abstracts were identified. After duplicates had been removed, 1,746 studies were screened. Finally, 433 full‐text articles were reviewed, yielding 11 studies that satisfied the inclusion criteria. Results show that these interventions with different clinical formats and settings are effective. The quality of the included studies varies, and the empirical support for these programs is still preliminary. The results help to establish a general framework for interventions specifically developed for family members of patients with BPD, but additional efforts should be made to improve the methodological quality of this field of research and more solidly determine the utility of these interventions. Given the paucity of data so far, this information may open up new lines of research to improve the effectiveness of future programs for carers of patients with BPD and help to reduce their burden.     

Intersections of Feminist Identification and Hostile Sexism

This research examines the relationship between religious identification and feminist identification. Additionally, it investigates the extent of hostile sexist attitudes among those who identify as religious feminists. Utilizing 2016 American National Election Survey data, I find that religious women are no more or less likely to identify as feminist than the religiously unaffiliated, while evangelical and black Protestant men are less likely to identify as feminist. Further, both black Protestant women and Catholic men who identify as feminist express hostile sexist sentiment to a higher degree than their feminist unaffiliated counterparts, along with Latinas and Asian‐identified men. This study offers quantitative insights into the relationship between feminist identification, religious affiliation, and hostile sexist attitudes. Additional implications for this study include conceptualizations of feminism and sexism more broadly in society.     

OBSERVATION AND COMPARISON OF MEALTIME BEHAVIORS IN A SAMPLE OF CHILDREN WITH AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDERS AND A CONTROL SAMPLE OF CHILDREN WITH TYPICAL DEVELOPMENT

Despite widespread use of behavioral observations to evaluate child feeding behaviors in research and clinical practice, few studies have comprehensively characterized mealtimes or identified features that differentiate children with and without disordered feeding; these were the aims of the current study. Mealtime observations were conducted for 18 children with avoidant restrictive food intake disorder (ARFID) and 21 typically developing children. Observations were coded inductively, and associations between disorder and observed mealtime actions were examined. Most behaviors were observed across both clinical and nonclinical mealtimes, and many did not differ in frequency between children with and without ARFID. However, significant group differences were observed in the frequencies of behaviors relating to food intake, visual and physical engagement with feeding, and movement during mealtimes. The comparability of behaviors across clinical and nonclinical groups suggests that eating behaviors exist on a continuum from “normal” to “abnormal,” with group differences relating to frequency rather than type of behavior. The behavioral differences observed in this study suggest that identification of children with ARFID should focus on child engagement with food and restlessness during mealtimes. Reliance on emotional and escape‐maintained behaviors will lead to underrecognition of families in need of clinical support.     

A Descriptive Analysis of the Theory and Processes of an Innovative Day Program for Young Women with Trauma-Related Symptoms

This article describes the theoretical foundation and processes of a trauma treatment and skills training program for young adult women. The goal of the program is to decrease length of hospital stay and increase community stability. Experiences of trauma in childhood may lead to struggles in young adulthood. Hypervigilance, hyperarousal, and poor responses to sensory stimuli are often evident, as is self-injurious behavior and episodic behavioral dysregulation. Grace House is operationalized around three components implemented by occupational therapists and other professional staff: Attachment, self-regulation, and competency; sensory-based strategies, and a strength-based approach that builds upon internal and external resources.     

The link between stress,well-being,and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention

Background/Objective: Prolonged stress can overwhelm coping resources, leading people to seek mental health care. Acceptance and commitment therapy (ACT) is an intervention that enhances well-being and reduces distress, assumedly by means of increasing psychological flexibility (PF). We examined the association between a total increase in PF during an intervention and decreases in stress and increases in well-being during and after the intervention. Method: The intervention was a randomized controlled trial of an ACT-based self-help intervention. Participants were 91 individuals reporting elevated levels of work-related stress. Measurements were completed at preintervention, postintervention, and 3-month follow-up. Results: Structural equation models revealed that the total increase in PF during the intervention was negatively associated with a decrease in stress (b = -0.63, SE = 0.14, p < .001) and positively associated with an increase in well-being during the intervention (b = 0.48, SE = 0.11, p < .001), but not with a decrease in stress (b = 0.03, SE = 0.27, p > .05) and well-being (b = -0.04, SE = 0.39, p > .05) following the intervention. Conclusions: Our study provides empirical support for decreasing stress and promoting well-being through ACT and emphasizes the potential of PF in promoting well-being.