The Role of Attachment Style and Depression in Patients with Hepatitis C

Patients infected with chronic hepatitis C virus (HCV) commonly suffer from the triad of depression, pain and fatigue. This symptom triad in HCV is likely influenced by additional psychological and interpersonal factors, although the relationship is not clearly understood. This retrospective study aimed to characterize the relationship between attachment style and depressive and physical symptoms in the HCV-infected population. Over 18 months, 99 consecutively referred HCV infected patients were assessed with the Hamilton Depression Rating Scale (HDRS), Fatigue Severity Scale, Patient Health Questionnaire-15 for physical symptoms and the Relationship Questionnaire for attachment style. An ANOVA was used to identify differences between attachment styles and Pearson correlations were used to evaluate the association between depression, fatigue and physical symptoms. Approximately 15 % of patients in the sample had a fearful attachment style. Patients with fearful attachment style had significantly higher depressive symptoms compared to a secure attachment style (p = .025). No differences in physical and fatigue symptoms were observed between attachment styles. Further, HDRS scores were significantly associated with fatigue scores (p < .001) and physical symptoms (p < .001), reinforcing the relationship between these symptom domains in HCV-infected patients. Although depressive, physical and fatigue symptoms are inter-related in HCV-infected patients, our study results suggest that only depressive symptoms were influenced by the extremes of attachment style. Screening of relationship styles may identify at-risk HCV-infected individuals for depression who may have difficulty engaging in care and managing physical symptoms.     

Past Disclosure and Conversational Experience: Effects on Cardiovascular Functioning While Women Talk

A sense of self arises through social interaction and discourse, and this process of self-construction might have physiological correlates. We argue that cardiovascular reactivity (CVR) during communication is related to the salience of subjectivity and self-construction processes. We expected that the context in which a conversation occurs, the extent of disclosure during talk, and speakers' conversational histories (past conversational experience and past tendency to disclose) would be related to CVR. Women ( N = 44) engaged in talk to either a friend or a stranger about a personally relevant topic. Among low disclosers, extent of disclosure was positively related to CVR, while this effect was reversed for high disclosers. Low disclosers who tend not to disclose much but who usually feel comfortable conversing exhibited the largest cardiovascular responses. The findings highlight the importance of past social behavior and language use for physiological processes.     

The Influence of Retention,Turnover, and Alliance on Process and Outcomes in Rolling Group Psychotherapy for Cocaine Disorder

A longitudinal repeated measures design was used to investigate the influence of treatment retention, and membership turnover on individual outcomes, and the relationship between individual-level and group-level therapeutic alliance in rolling group psychotherapy for individuals with cocaine abuse disorder. Eighteen patients were studied; data were collected prior to therapy and then monthly for 24 months. Patient outcomes and process were assessed. Improvements in symptoms and psychological functioning were associated with retention in psychotherapy. Membership turnover had a negative influence on symptoms. Development of an individual alliance was affected by the development of group-level therapeutic alliance, but not by time spent in therapy.     

References to Mental States in Mother–Child Conversation in the Second Year of Life

Research into social influences on young children’s growing understanding of others’ inner states has highlighted the value of early conversational exchanges. This longitudinal study was aimed at investigating whether and how mothers changed their inner state words when children were 16 months olds (T1) and 4 months later (T2), and the children’ s ability to use references to mental states at 20 months. Overall language measures (e.g. number of words, mean length utterances) and internal state labels were analyzed during play interactions at T1 and T2 for the mothers, and at T2 for the children. Results highlighted that the mothers partially modified their mentalistic vocabulary over 4 months. Moreover, the use of maternal references directed to the other at T1 is linked to the children’s ability to use references with a commentary function at T2. Conversation with the caregivers during daily activity may constitute, for children, a key practice to enhance their metarepresentation skills.     

The Influence of Relational Knowledge and Executive Function on Preschoolers’ Repeating Pattern Knowledge

Children’s knowledge of repeating patterns (e.g., ABBABB) is a central component of early mathematics, but the developmental mechanisms underlying this knowledge are currently unknown. We sought clarity on the importance of relational knowledge and executive function (EF) to preschoolers’ understanding of repeating patterns. One hundred twenty-four children aged 4 to 5 years old were administered a relational knowledge task, 3 EF tasks (working memory, inhibition, set shifting), and a repeating pattern assessment before and after a brief pattern intervention. Relational knowledge, working memory, and set shifting predicted preschoolers’ initial pattern knowledge. Working memory also predicted improvements in pattern knowledge after instruction. The findings indicated that greater EF ability was beneficial to preschoolers’ repeating pattern knowledge and that working-memory capacity played a particularly important role in learning about patterns. Implications are discussed in terms of the benefits of relational knowledge and EF for preschoolers’ development of patterning and mathematics skills.     

The Effect of Victims' Social Support on Attributions of Blame in Female and Male Rape

The effects of perceived social support of the victim, victim gender, and participant gender on attributions of blame in rape were examined. The impact of attitudes toward gender roles was also investigated for their mediational role between participant gender and blame. Participants ( N= 121) read a report of an incident of rape and evaluated the victim and the perpetrator. Two ANOVAs showed that social support and participant gender influenced blame attributed to the victim, while victim gender influenced blame attributed to the perpetrator. Socially supported victims were blamed less than were unsupported victims. Men were more blaming of rape victims than were women, but further analyses showed this was mediated by attitudes toward gender roles. Men held significantly more traditional attitudes toward gender roles than did women, and this accounted for the effect of participant gender on victim perceptions. The perpetrator of male rape was blamed less than the perpetrator of female rape. Findings are discussed in terms of the differential attributional mechanisms that may underpin men's and women's reasoning about different types of rape.