Anorexia nervosa: treatment satisfaction

Patient satisfaction plays a central role in treatment alliance and outcome. Investigating patient expectations and experiences of treatment sheds light on its importance. This study examines adolescent anorexia nervosa patients and their parents' satisfaction with family‐based treatment. Patients and parents answered a questionnaire at the eighteen‐month follow‐up focusing on expectations and experiences of treatment, therapists, aims of treatment and accomplishment. The results show that 73 per cent of the patients and 83 per cent of the parents felt that their pre‐treatment expectations had been fulfilled. The majority agreed that individual patient sessions and parental sessions were of great help, while the patients valued family therapy sessions as being less helpful than did parents. In overall terms, parents were more pleased with the therapists than were the patients. These data suggest that family‐based treatment with individual sessions for patients, in parallel with parental sessions combined with family sessions, corresponds well to patients' and parents' treatment expectations.     

Emotion processing facilitates working memory performance

The effect of emotional stimulus content on working memory performance has been investigated with conflicting results, as both emotion-dependent facilitation and impairments are reported in the literature. To clarify this issue, 52 adult participants performed a modified visual 2-back task with highly arousing positive stimuli (sexual scenes), highly arousing negative stimuli (violent death) and low-arousal neutral stimuli. Emotional stimulus processing was found to facilitate task performance relative to that of neutral stimuli, both in regards to response accuracy and reaction times. No emotion-dependent differences in false-alarm rates were found. These results indicate that emotional information can have a facilitating effect on working memory maintenance and processing of information.     

Do men with excessive alcohol consumption and social stability have an addictive personality?

The existence of an "addictive" personality has been extensively debated. The current study investigated personality in male individuals with excessive alcohol consumption (n=100) in comparison to a population-based control group (n=131). The individuals with excessive alcohol consumption were recruited by advertisements in a regional daily newspaper and controls from a population based Swedish Twin Registry. Personality was assessed by the Karolinska Scales of Personality (KSP). Comparisons were made with normative data. Furthermore, by using a multivariate projection-based approach (Principal Component Analysis; PCA), hidden structures of traits and possible relationships among the individuals with excessive consumption and the controls was investigated. The individuals with excessive alcohol consumption as well as the controls had mean values within the normative range in all scales of the KSP. Moreover, the PCA analysis revealed no systematic between-group separation. Taken together, this result demonstrates that male individuals with excessive alcohol consumption do not have a personality different from that of a general population, which supports the notion of no "addictive personality".     

Executive functions and child problem behaviors are sensitive to family disruption: a study of children of mothers working overseas

Mothers in Sri Lanka are increasingly seeking overseas employment, resulting in disruption of the childcare environment. The present study was designed to evaluate the effects of maternal migration on executive function (EF) and behavior, thereby also contributing to the scientific understanding of environmental effects--or more specifically family effects--on children's neurocognitive functioning. A sample of 60 healthy 11-year-old children whose mothers had been working overseas for more than 1 year formed the study group, and a comparison group was recruited from the same schools. Evaluations were made twice over a 1-year interval with regard to the EF components inhibition and working memory as well as teacher ratings of internalizing and externalizing behavior. The children in the study group were found to have poorer EF and higher levels of externalizing behaviors. A composite score of inhibition partially mediated the group effect on externalizing behavior. Current home environment was assessed using the HOME scale, was poorer for the study group and was related to EF, but not to behavior problems. Keeping in mind the correlational nature of the present data, our results were discussed in relation to studies showing cognitive effects of stress.     

Islamic identity and its role in the lives of young Swedish Muslims

This paper concerns the level of wellbeing experienced by Swedish Muslim youths and young adults as well as the ways in which this is influenced both positively and negatively by their sense of Islamic religious identity. Taking Akerlof and Crantons’ Treatise on “identity economics” as its point of departure, the paper explores, discusses and analyses the following two questions: (1) what are the contexts in which identification with Islam tends to facilitate the wellbeing of Swedish Muslim youths and young adults; and (2) what are the contexts in which identification with Islam tends to destabilize (or increase the sociocultural discomfort of) this same group. Here, the notion of Islam as a “resource” is important, since this underlines its potential to resolve the types of existential dilemmas that are often found to confront the young and undermine their sense of wellbeing. The paper bases its assessments on the results of a questionnaire concerning life, values, relations, leisure time activities and religion that was distributed to a total of 4,000 young Swedes, a certain number of whom identified themselves as “Muslims”. Apart from studying the survey’s Muslim-specific results, I have conducted a number of additional interviews with young Muslim respondents, aiming to extend our understanding beyond the strictly quantitative findings of the material. The survey indicates that, much like their Christian counterparts, a majority of the Muslim respondents considered their belief in Islam to be a private, personal matter; one-third described themselves as “seekers”—an identification that previous research has found to be associated primarily with secular majority youth. The results further indicate that a majority of Muslim youths have a low level of confidence in religious leaders and that very few are actively involved in mosque activities and the like; on the contrary, they prefer to spend their leisure hours earning money, being with friends and/or “working out” at the gym. While the survey found that the vast majority of Muslim respondents looked upon the social and spiritual dimensions of Islam as a positive resource, the interviews indicate that the ability of young Muslims to appropriately shift between different forms of cultural belonging is highly advantageous as well.     

Creativity in old age

Sixty elderly subjects (M = 72 years) were tested and interviewed to find out how they experience and come to terms with the advent of illness, aging, and death. The choice of test instruments was steered by the necessity to learn how our subjects handled their anxiety (the Meta‐Contrast Technique [MCT]); to operationally define the concept of self‐image (the Identification Test [IT]); and to illuminate the findings from the perspective of creativity (the Creative Functioning Test [CFT]). The results revealed creativity to be a key factor in aging. The attitude of creative individuals towards aging was less negative and their attitude to illness less defensive. On the whole, their self‐projections were not only more flexible but also more emotional. However, creativity is not uninfluenced by context, particularly when it is of medium strength. The results also revealed that the subliminal messages used in the IT to manipulate the projected self‐image were effective.     

Assessing Type A behavior in children: a longitudinal exploration of the overlap between Type A behavior and hyperactivity

Child Type A behavior and its relation to hyperactivity were investigated developmentally using a longitudinal normal sample of 91 children (46 boys and 45 girls) between the ages of 4 and 8-9. In light of the overlap found in several studies between Type A behavior, as measured by the Matthews Youth Test for Health (MYTH) questionnaire, and hyperactivity measured by questionnaires, an attempt was made to measure Type A behavior as distinct from hyperactivity using behavioral observations. The MYTH questionnaire and behavioral observations were used to assess Type A behavior and questionnaire-based measures and behavioral observations were used to assess hyperactivity. Predictions were made regarding individual stability in phenomena and in measures. The results indicated considerable stability in the respective Type A and hyperactivity measures over time, and further, that behavioral observations make it possible to measure Global Type A behavior and Type A Competitiveness as distinct from hyperactivity, although the status of Type A Impatience at early ages is not yet settled. The MYTH and the observed Type A behavior showed differential relations to external criteria, such as achievement measures and problem behavior. This has implications for future measurement and perhaps conceptualization of Type A behavior in children, and thereby also for studying the developmental aspects of Type A behavior.     

Intensive cognitive behavioural group treatment for social phobia: a pilot study

The aim of this pilot study was to examine the effectiveness of an intensive form of cognitive behavioural group treatment practised routinely in a psychiatric clinic. A total of 27 outpatients with social phobia of long duration were assigned to a 41-hour treatment administered over 2 periods of 3.5 and 4.5 days, 1 week apart. Four groups, each comprising 6-8 patients, participated in the study. All except 1 patient (26/27) completed the treatment and 20 patients participated in all follow-up sessions after 3, 6 and 12 months. Treatment significantly reduced fear and avoidance of social interaction and performance, anticipatory anxiety and symptoms' influence on daily life. Follow-up assessments indicated maintained or increased improvement from post-test to 1 year and large sensitivity to treatment at both post-test and 1 year. Of the patients in the study, 85% were taking a prescribed drug, and 70% had taken medication for at least 1 year before they entered the treatment. At 1-year follow-up 52% had discontinued medication.     

The N400 component in parents of children with specific language impairment

Children with specific language impairment (SLI) often have a family history of language disorder. In this study, ERPs in response to a visual semantic priming task were recorded in parents of children with SLI. Despite equal performance, the ERPs displayed differences in language processing: larger N400 amplitudes indicated that the parents, especially the fathers, were less primed by the preceding context. Difference waveforms showed that the fathers of SLI children, contrary to controls, had less differentiated responses to congruent versus incongruent sentences. We propose that the N400 observations may be residual markers of past language deficiencies in the fathers. No differences in the N400 effect were found in the mothers of SLI children.     

Odor-intensity interaction in binary and ternary mixtures

Eight subjects scaled the overall perceived odor intensity of binary and ternary mixtures of the odorous substances pyridine, acetone, and ethyl acrylate. The results concerning basic principles of additivity for binary mixtures comply with those of earlier studies. For the ternary mixtures, the degree of arithmetic additivity in odor intensity seemed lower when a third component was addedto a binary mixture than when the second component was added to-asmgle-udor, but this did not reach statistical significance. In general, the degree of arithmetic additivity inherent in the power function for single substanceswas found to be of the same size as the degree of additivity for binary as well as ternary mixtures. However, for binary mixtures, the additivity of the mixtures was found to approximatethat ofthe substancewith the lower exponent. In addition, the degree of additivity of the binary mixture was monotonically related to the average arithmetic additivity of the power functions for the two components.