Recent Developments in the Treatment of Depression

The cognitive and behavioral interventions can be as efficacious as antidepressant medications and more enduring, but some patients will be more likely to respond to one than the other. Recent work has focused on developing sophisticated selection algorithms using machine-learning approaches that answer the question, “What works best for whom?” Moreover, the vast majority of people suffering from depression reside in low- and middle-income countries where access to either psychotherapy or medications is virtually nonexistent. Great strides have been made in training nonspecialist providers (known as task sharing) to overcome this gap. Finally, recent work growing out of evolutionary psychology suggests that antidepressant medications may suppress symptoms at the expense of prolonging the underlying episode so as to increase the risk of relapse whenever someone tries to stop. We address each of these developments and their cumulative implications.     

Finding the Right Value: Framing Effects on Domain Experts

By defining the essence of a policy problem, an issue frame shapes how individuals think about a political issue. In this research, we investigate framing effects among domain experts, an understudied yet increasingly important set of individuals in the policymaking process. Because domain experts have extensive and highly structured knowledge on a particular topic, they are likely to actively process issue frames to which they are exposed. Consequently, we hypothesize that frames consistent with experts' values will be particularly influential, whereas frames inconsistent with their values will lead to contrast effects. We test our hypotheses on a unique set of domain experts by examining professional farmers' attitudes toward no‐till agriculture. Using an experimental design, we find evidence that environmental values interact with frames to influence farmers' interest in no‐till, especially when farmers are exposed to a novel frame.     

Disrupted Transition to Parenthood: Gender Moderates the Association Between Miscarriage and Uncertainty About Conception

Miscarriage is a devastating yet common experience shared by women and their partners. Doctors often recommend that couples attempt to conceive again after the experience of a miscarriage, yet little is known about the emotional toll of conception following miscarriage. In the current study, we addressed two primary research questions: (a) How does experiencing a miscarriage relate to recalled emotional experiences of uncertainty surrounding efforts to conceive again? and (b) does gender moderate the association between miscarriage and retrospective accounts of emotions surrounding efforts to conceive? An online sample of parents from across the U.S. (N?=?429; 84.4 % married or cohabiting) reported their number of prior miscarriages and completed online questionnaires assessing recalled psychological adjustment (anxiety, rumination, positive and negative emotions) during their efforts to conceive their youngest child. In addition, they provided written responses regarding their experiences during this time. Participants’ responses were quantitatively analyzed for word use using LIWC, a text-analysis software program, to obtain an observational indicator of emotions. For women but not men, miscarriage was associated with recalled anxiety, rumination, and negative emotions surrounding efforts to conceive a child, as well as the use of more negative emotion, sadness, and anxiety words when describing efforts to conceive. Thus, miscarriage seemed to taint the emotional experience of trying to conceive again, and this consequence seemed particularly poignant for women.     

Which behaviours? Identifying the most common and burdensome behaviour changes in amyotrophic lateral sclerosis

Behaviour change is increasingly recognised as a common feature of amyotrophic lateral sclerosis (ALS), and may be similar to that seen in frontotemporal dementia (FTD). The behaviours most disturbed in ALS, and those that relate most significantly to caregiver burden, however, have not been well established. Forty ALS participants and their caregivers, and 27 age- and gender-matched healthy controls and their relatives, participated in this study. ALS participants were assessed on a disease rating scale, and caregivers and control informants completed the revised version of the Cambridge Behaviour Inventory and a measure of burden. ALS caregivers reported significantly more disturbance than healthy control informants on the functional domains of everyday skills, self-care, and sleep, and in the behavioural domains of mood and motivation. There were no differences between groups in frequency of memory and orientation difficulties, or behaviours characteristic of FTD, such as changes to eating habits or stereotypic and motor behaviour, indicating that the behavioural profile in ALS may differ from FTD. In the ALS group, the domains with the strongest relationship to caregiver burden were everyday skills, motivation and memory, likely because poor motivation, memory dysfunction and difficulties completing activities of daily living require more carer support via direct supervision, prompting or hands on care. Services to support ALS patients and caregivers need to provide targeted interventions for those functional and behavioural changes which are most burdensome in the disease.     

Melody recognition at fast and slow tempos: effects of age, experience, and familiarity

Eighty-one listeners defined by three age ranges (18-30, 31-59, and over 60 years) and three levels of musical experience performed an immediate recognition task requiring the detection of alterations in melodies. On each trial, a brief melody was presented, followed 5 sec later by a test stimulus that either was identical to the target or had two pitches changed, for a same-different judgment. Each melody pair was presented at 0.6 note/sec, 3.0 notes/sec, or 6.0 notes/sec. Performance was better with familiar melodies than with unfamiliar melodies. Overall performance declined slightly with age and improved substantially with increasing experience, in agreement with earlier results in an identification task. Tempo affected performance on familiar tunes (moderate was best), but not on unfamiliar tunes. We discuss these results in terms of theories of dynamic attending, cognitive slowing, and working memory in aging.     

Repetition blindness in sentence contexts: Not just an attribution?

Selective "blindness" to repeated words in rapid serial visual presentation (RSVP) occurs even when omitting these words compromises sentence syntax and meaning. The contributions of lexical and contextual factors to this repetition blindness (RB) phenomenon were evaluated using three tasks that combined RB and ambiguity resolution paradigms. During an RSVP sentence, a repeated word and matched but incongruous control were presented simultaneously, and participants were asked to report the entire sentence, including only the appropriate word. Substantial RB was evident in impaired report of repeated targets, whereas report of nonrepeated targets was enhanced when the distractor was a repeat. Experiment 2 confirmed these results with reduced reporting requirements, and Experiment 3 demonstrated the independence of repetition and sentence congruity effects. Results across all contexts support a lexical account of RB, which assumes that reactivation and identification of rapidly repeated words are impaired due to the refractory nature of lexical representations.     

The effect of early cognitions on cigarette and alcohol use during adolescence

The present study predicts cigarette and alcohol use in adolescence from the development of children's cognitions in the elementary years. Using latent growth modeling, the authors examined a model using data from 712 participants in the Oregon Youth Substance Use Project, who were in the 2nd through 5th grade at the 1st assessment and followed for 6 annual or semiannual assessments over 7 years. Growth in children's prototypes and subjective norms in the elementary years (Times 1 through 4) were related to their substance use in adolescence (Time 6) through their willingness and intentions (Time 5) to smoke and drink. Across the sample, for both substances, the intercept and slope of prototypes were either indirectly related to use through willingness or directly related to use. Both the intercept and slope of subjective norms were indirectly related to use of both substances through both willingness and intentions and directly related to cigarette use. Results suggest that elementary children have measurable cognitions regarding substance use that develop during the elementary years and predict use later in adolescence. These findings emphasize the need for prevention programs targeted at changing children's social images of substance users and encouraging more accurate perceptions of peers' use.     

Integration of weight and distance information in young children: The role of relational complexity

Young children's integration of weight and distance information was examined using a new methodology that combines a single-armed apparatus with functional measurement. Weight and distance values were varied factorially across the item set. Children estimated how far the beam would tilt when different numbers of weights were placed at different distances from the pivot. There was a developmental progression from non-systematic responding (3-year-olds) to responding based on a single variable, usually weight (4-year-olds) to responding based on integration of weight and distance (5-, 6- and 7-year-olds). Individual analyses revealed additive and multiplicative integration rules in children aged from 5 years. Weight–distance strategy complexity increased with age and was associated with better performance on independent measures of relational processing, especially the more complex items. Thus weight–distance integration involves processing of complex relational information. The findings enhance the explanatory power of Relational Complexity theory as a domain-general approach to cognitive development.     

The Role of Stimulus Specificity on Infidelity Reactions: Seeing is Disturbing

Past research has found that males are more distressed by imagined scenarios of sexual infidelity compared with females, while females are more distressed by imagined scenarios of emotional infidelity. Expanding on the methodology originally employed by Buss et al. (Psychological Science, 3, 251–255, 1992), we examined sex differences in reactions to imagined infidelity by addressing the effects of visual images of potential interlopers. Additionally, this research measured affective responses in a continuous format by examining psychological discomfort. Participants in high-visual imagery and control conditions imagined infidelity (both emotional and sexual) and then reported levels of discomfort. Further, two indices of autonomic nervous system responding were assessed (skin conductance and pulse rate). Ninety-three (53 females, 40 males) college students participated. Visual stimuli produced greater psychological distress than thought-produced stimuli for all participants, especially males. Sex differences in reactions to infidelity consistent with past research were obtained for the categorical and continuous psychological indices. Implications for research in this area are discussed.

Can a Survey of British False Memory Society Members Reliably Inform the Recovered Memory Debate?

Gudjonsson has conducted a timely and welcome survey of BFMS members, who are to be commended for their frank responses. However, their answers can provide only partial information about the nature, circumstances and consequences of recovered memories. Attention is drawn to features of the way the data are presented that could result in potentially misleading conclusions. The unsystematic inclusion and exclusion of missing values has resulted in inflated frequencies when missing data are excluded from overall proportions. Furthermore, nearly a third of respondents were not sure, or denied, that recovered memories were involved in the accusations. The data are presented with no distinction between these respondents and respondents reporting clear recovered memory accusations. © 1997 by John Wiley & Sons, Ltd.