Diagnosis and treatment of depression during pregnancy

Pregnancy has frequently been described as a time of affective well-being. However, a growing literature suggests that women are neither "protected" against new-onset or recurrence of depression during this time. Diagnosis and effective treatment of depression during pregnancy requires a careful weighing of risk of treatment which may include psychotropic medications against the risks associated with failure to adequately manage affective distress and its potential impact of maternal and fetal well-being. Treatment options during pregnancy are reviewed in the context of developing the most appropriate risk/benefit decision for individual patients with past or current depression who either anticipate pregnancy or who become pregnant.     

Is Neighborhood Context Differently Related to Externalizing Problems and Delinquency for Girls Compared with Boys?

Although a number of reviews of gender differences in conduct problems and delinquency exist, this paper fills a gap in reviewing neighborhood influences on gender differences in conduct problems and delinquency. These influences are known to be important for boys in childhood and adolescence, but cannot be assumed to be influential in the same manner for girls. The paper starts with several conceptualizations of the association between gender, neighborhoods and juvenile delinquency. It then addresses 4 key questions. Is residing in a disadvantaged neighborhood associated with problem behavior in girls? Are neighborhood effects independent of girls' age? Are girls in disadvantaged neighborhoods exposed to more risk factors than girls in advantaged neighborhoods? Can mediating risk factors explain gender differences in neighborhood effects on children's and adolescents' conduct problems and delinquent behavior? Answers to these questions are important to steer research and elucidate aspects of interventions that can be optimized for girls.     

Anxiety sensitivity interacts with marijuana use in the prediction of anxiety symptoms and panic-related catastrophic thinking among daily tobacco users

The present investigation evaluated whether anxiety sensitivity interacted with marijuana use in relation to the prediction of panic-relevant variables among young adult tobacco smokers (n=265). Approximately 73% of the sample was composed of current marijuana smokers, with 78.5% of this sub-sample using marijuana more than once per week. As expected, after covarying cigarettes per day, alcohol use, and negative affectivity, the interaction between marijuana use and anxiety sensitivity predicted anxiety symptoms and agoraphobic cognitions. Partially consistent with prediction, the interaction between frequency of marijuana use and anxiety sensitivity predicted only anxiety symptoms. These results are discussed in relation to better understanding the potential role of regular marijuana use and anxiety sensitivity for panic-relevant emotional vulnerability among regular tobacco smokers.     

The modern confessional: Anglo-American religious groups and the emergence of lay psychotherapy

This article reconceives of secularization as a gradual process of increasing interaction between the (social) scientific and spiritual realms by examining the influence of Christian ideas of group confession on lay psychotherapeutic groups in Britain, Canada, and the U.S. in the early twentieth century. This article focuses on three religious group leaders of the interwar period: Frank Buchman (1878-1961), Gerald Heard (1889-1971), and Henry Burton Sharman (1865-1953). Influenced by Natural Theology and the holiness movement, they placed sin and its redemption within the world, reconceiving it as psychological individualism and its redemption as self-sacrifice to the group. This reconception endorsed the moral power of groups and influenced Alcoholics Anonymous and various groups within the Human Potential Movement.     

Ordering our world: An examination of time in autobiographical memory

In two studies people judged the order in which two real-world events occurred. Ordering performance was better for events that were recent or widely separated in time. Ordering performance was also consistently related to predicted event memorability and to the amount of processing given to an event during encoding. Ordering performance was not consistently related to the person-typicality, pleasantness, or emotional intensity of the events, and was also not related to whether the two events judged came from the same thematic category. These results suggest that memory for event order is not entirely reconstructed from event content. We suggest that the self-concept may sometimes serve as an implicit timekeeper in autobiographical memory.     

A case study of community-based participatory research ethics: The healthy public housing initiative

We conducted and analyzed qualitative interviews with 12 persons working on the Healthy Public Housing Initiative in Boston, Massachusetts in 2001. Our goal was to generate ideas and themes related to the ethics of the community-based participatory research in which they were engaged. Specifically, we wanted to see if we found themes that differed from conventional research that is based on an individualistic ethics. There were clearly distinct ethical issues raised with respect to projects and individuals who engage in community-based collaborations. The differences that arose from the interviews were seeking equality between the partners, the need for the community partner to defend the community, dealing with unflattering data, meeting community expectations and producing tangible benefits to the community. Alison Kole is an MD/MPH candidate, Tufts University School of Medicine.     

Do We Know Which Interventions are Effective for Disruptive and Delinquent Girls?

Disruptive and delinquent girls are not well served by the mental health and juvenile justice systems. Interventions that have been developed for the behavior problems of boys are frequently applied to girls despite growing evidence for a female-specific phenotype, developmental course, and set of risk factors from middle childhood onwards. The current review demonstrates that evidence of the effectiveness of treatments for girls with disruptive and delinquent behaviors is extremely limited, with relatively few studies including sufficient numbers of females or reporting on treatment effects by gender. However, a small body of evidence suggests that interventions specifically designed to address female behavior problems or risk factors can be effective in ameliorating disruptive and delinquent behaviors in both pre-adolescence and adolescence. Multi-modal interventions that target interacting domains of risk also show promise. Methodological issues are discussed and recommendations are made for the development and evaluation of future interventions to prevent and reduce girls’ disruptive and delinquent behavior.     

Impaired social functioning and symptoms of personality disorders assessed by peer and self-report in a nonclinical population

Data regarding the connection between personality disorders (PDs) and impaired social functioning are often difficult to interpret because both sets of variables are influenced by depressed mood and both are usually assessed using self-report instruments. We studied PD symptoms in a nonclinical population and examined whether these symptoms are associated with social dysfunction, after controlling for current mental state. Participants were 577 undergraduate students who completed self-report measures of social functioning, PD symptoms, depression, and anxiety, as well as a peer-report PD inventory. As expected, self-reported PD scores and social dysfunction were both correlated with current levels of anxiety and depression. Both self- and peer-reported PD symptoms contributed to the prediction of level of social functioning above and beyond the influence of depressed mood. Overall, our results complement those from clinical samples and provide further evidence that there is an association between PD traits and impaired social functioning.     

The Schedule for Nonadaptive and Adaptive Personality (SNAP): temporal stability and predictive validity of the diagnostic scales

The authors investigated the test-retest reliability and predictive validity of the diagnostic scales from the Schedule for Nonadaptive and Adaptive Personality (SNAP). Participants were identified from a sample of 240 undergraduates who completed the SNAP and the Social Adjustment Scale (SAS-SR) at Time 1. The authors selected 50 people who met criteria for a personality disorder (PD) based on the SNAP and 50 who did not qualify for a diagnosis. Eighty-three of these people completed the SNAP and the SAS-SR for a second time approximately 9 months after initial screening. SNAP PD scales were relatively stable over time. Test-retest correlation coefficients ranged from .58 to .81. Scores on diagnostic scales for paranoid, schizoid, and schizotypal PD were inversely related to self-reported levels of adjustment for social roles concerned with work as a student, leisure activities, and relationships with family. The results provide some evidence for the validity of the SNAP