Validation and predictive utility of the Sociocultural Attitudes Toward Appearance Questionnaire for Eating Disorders (SATAQ-ED): internalization of sociocultural ideals predicts weight gain

A widely used measure of societal influences on body image and eating disturbances—the Sociocultural Attitudes Toward Appearance Questionnaire (SATAQ) was validated in women with eating disorders. The original SATAQ and measures of convergence and divergence were administered to 165 eating disordered inpatients. Factor analyses were conducted to determine the underlying structure of the SATAQ. Convergent validity, diagnostic category norms and the predictive utility of the revised SATAQ were examined. Factor analyses indicated three factors: Internalization, Awareness, and Success. Internalization significantly predicted treatment success after controlling for admission BMI and drive for thinness. The revised SATAQ-ED measures multiple aspects of societal influence, predicts short-term outcome, and can be a useful tool for evaluating potential outcome and treatment efficacy.     

Examining the Course of Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors in Outpatient and Inpatient Adolescents

Suicidal and nonsuicidal self-injurious thoughts and behaviors (SITBs) among youth are major public health concerns. Although a growing body of research has focused on the complex association between nonsuicidal and suicidal self-injury, the temporal relationship between these two classes of behaviors is unclear. The current study addresses this empirical gap by examining the course of SITBs in adolescents receiving outpatient (N = 106; 82.1 % female) and inpatient (N = 174; 75.9 % female) treatment. SITBs (co-occurrence, age-of-onset, and time lag between SITBs) and major psychiatric disorders were assessed at a single time point with well-validated structured interviews. Adolescents in both clinical samples reported high co-occurrence of SITBs: most adolescents reported both lifetime nonsuicidal self-injury (NSSI) and suicidal thoughts. A similar temporal pattern of SITBs was reported in the two samples: thoughts of NSSI and suicide ideation had the earliest age-of-onset, followed by NSSI behaviors, suicide plans, and suicide attempts. However, the age-of-onset for each SITB was younger in the inpatient sample than in the outpatient sample. In terms of time lag between SITBs, suicide ideation occurred on average before initial engagement in NSSI, suggesting that pathways to NSSI and suicidal behavior may occur simultaneously rather than in succession from nonsuicidal to suicidal self-injury. Results also indicated that the time to transition between SITBs was relatively fast, and that a key period for intervention and prevention is within the first 6–12 months after the onset of suicidal thinking. Taken together, these findings have important implications for understanding the time-lagged relationship between nonsuicidal and suicidal self-injury.     

The Problematization of Sexuality among Women Living with HIV and a New Feminist Approach for Understanding and Enhancing Women’s Sexual Lives

In the context of HIV, women’s sexual rights and sexual autonomy are important but frequently overlooked and violated. Guided by community voices, feminist theories, and qualitative empirical research, we reviewed two decades of global quantitative research on sexuality among women living with HIV. In the 32 studies we found, conducted in 25 countries and composed mostly of cis-gender heterosexual women, sexuality was narrowly constructed as sexual behaviours involving risk (namely, penetration) and physiological dysfunctions relating to HIV illness, with far less attention given to the fullness of sexual lives in context, including more positive and rewarding experiences such as satisfaction and pleasure. Findings suggest that women experience declines in sexual activity, function, satisfaction, and pleasure following HIV diagnosis, at least for some period. The extent of such declines, however, is varied, with numerous contextual forces shaping women’s sexual well-being. Clinical markers of HIV (e.g., viral load, CD4 cell count) poorly predicted sexual outcomes, interrupting widely held assumptions about sexuality for women with HIV. Instead, the effects of HIV-related stigma intersecting with inequities related to trauma, violence, intimate relations, substance use, poverty, aging, and other social and cultural conditions primarily influenced the ways in which women experienced and enacted their sexuality. However, studies framed through a medical lens tended to pathologize outcomes as individual “problems,” whereas others driven by a public health agenda remained primarily preoccupied with protecting the public from HIV. In light of these findings, we present a new feminist approach for research, policy, and practice toward understanding and enhancing women’s sexual lives—one that affirms sexual diversity; engages deeply with society, politics, and history; and is grounded in women’s sexual rights.     

The Differential Role of Anxiety Sensitivity and its Components in the Relation between Emotional Nonacceptance and Anxiety and Depressive Symptoms and Disorders among Latinos in Primary Care

The present investigation examined anxiety sensitivity (AS) in the relation between emotional nonacceptance (unwillingness to experience unwanted emotions) and mood and anxiety symptoms among Latinos seeking health services at a primary healthcare facility. Participants included 267 adult Latinos (85.4% female; Mage = 38.8 years, SD = 10.7, and 95.9% used Spanish as their first language). Results indicated that emotional nonacceptance was indirectly related to number of mood and anxiety disorders, anxious arousal, social anxiety, and depressive symptoms through AS. The observed effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and negative affectivity. Using a multiple mediation model revealed that the AS cognitive, physical, and social concerns demonstrated unique incremental explanatory effects (above and beyond the other two AS sub-scales) for depressive, anxious arousal, and social anxiety symptoms, respectively. Thus, specific sub-scales of AS were uniquely related with the expression of particular affective symptom domains. Overall, the present findings suggest that there is merit in focusing further scientific attention on the interplay between nonacceptance and AS in regard to better understanding and intervening to reduce anxiety/depressive vulnerability among Latinos in primary care.     

Sleep Quality and the Subjective Experience of Autobiographical Memory: Differential Associations by Memory Valence and Temporality

The primary goal of the present research was to examine associations between sleep quality and the subjective experience of autobiographical events. In an online study, 141 university students reported on past events that varied by valence (positive or negative) and temporality (most significant or from the previous 2 weeks); they also completed measures of sleep quality and depression. Relative to participants with good sleep quality, participants with poor sleep quality thought more about their negative experiences, reported negative events that occurred more frequently, and used more negative emotion words when describing recent negative events. In some instances, depressive symptoms mediated the relation between sleep quality and elements of autobiographical reports. Future experimental work should examine the directionality of these effects, with the ultimate goal of improving sleep quality, mental health, and the manner in which individuals discuss and make meaning of their negative life events. Copyright © 2017 John Wiley & Sons, Ltd.     

A Rapid Systematic Review of Outcomes Studies in Genetic Counseling

As healthcare reimbursement is increasingly tied to value-of-service, it is critical for the genetic counselor (GC) profession to demonstrate the value added by GCs through outcomes research. We conducted a rapid systematic literature review to identify outcomes of genetic counseling. Web of Science (including PubMed) and CINAHL databases were systematically searched to identify articles meeting the following criteria: 1) measures were assessed before and after genetic counseling (pre-post design) or comparisons were made between a GC group vs. a non-GC group (comparative cohort design); 2) genetic counseling outcomes could be assessed independently of genetic testing outcomes, and 3) genetic counseling was conducted by masters-level genetic counselors, or non-physician providers. Twenty-three papers met the inclusion criteria. The majority of studies were in the cancer genetic setting and the most commonly measured outcomes included knowledge, anxiety or distress, satisfaction, perceived risk, genetic testing (intentions or receipt), health behaviors, and decisional conflict. Results suggest that genetic counseling can lead to increased knowledge, perceived personal control, positive health behaviors, and improved risk perception accuracy as well as decreases in anxiety, cancer-related worry, and decisional conflict. However, further studies are needed to evaluate a wider array of outcomes in more diverse genetic counseling settings.     

Implicit and explicit false belief development in preschool children

The ability to represent the mental states of other agents is referred to as Theory of Mind (ToM). A developmental breakthrough in ToM consists of understanding that others can have false beliefs about the world. Recently, infants younger than 2 years of age have been shown to pass novel implicit false belief tasks. However, the processes underlying these tasks and their relation to later‐developing explicit false belief understanding, as well as to other cognitive abilities, are not yet understood. Here, we study a battery of implicit and explicit false belief tasks in 3‐ and 4‐year‐old children, relating their performance to linguistic abilities and executive functions. The present data show a significant developmental change from failing explicit false belief tasks at 3 years of age to passing them at the age of 4, while both age groups pass implicit false belief tasks. This differential developmental trajectory is reflected by the finding that explicit and implicit false belief tasks do not correlate. Further, we demonstrate that explicit false belief tasks correlate with syntactic and executive functions, whereas implicit false belief tasks do not. The study thus indicates that the processes underlying implicit false belief tasks are different from later‐developing explicit false belief understanding. Moreover, our results speak for a critical role of syntactic and executive functions for passing standard explicit false belief tasks in contrast to implicit tasks.     

Revised Provisional Diagnostic Profile: 2016

ABSTRACT

In Anna Freud’s and other previous versions of the diagnostic profile, drive theory and the structural model were the central organizing concepts. Though these are retained in the current version, greater emphasis has been made of other conceptual perspectives. In particular, the importance of understanding the impact of the child’s external world and the child’s attachment security; also the central importance of affects, both their recognition and management. These changes are seen in such sections as those on the ego which has been expanded to include a section on play and affects. The developmental line of anxiety and the concept of theory of mind have also been added.     

Word category and verb--argument structure information in the dynamics of parsing

One of the core issues in psycholinguistic research concerns the relationship between word category information and verb-argument structure (e.g. transitivity) information of verbs in the process of sentence parsing. In two experiments (visual versus auditory presentation) using event-related brain potentials (ERPs), we addressed this question by presenting sentences in which the critical word simultaneously realized both a word category and a transitivity violation. ERPs for sentences with both types of violation clustered with the patterns for sentences with a word category violation only, but were different from the patterns elicited by argument structure violations in isolation, since only the latter elicited an N400 ERP component. The finding that an argument structure violation evoked an N400 only if the phrase structure of the respective sentence was correct suggests that a successful integration of the word category information of a verb functionally precedes the application of its argument structure information.