Reporting of life events over time: methodological issues in a longitudinal sample of women

The number of life events reported by study participants is sensitive to the method of data collection and time intervals under consideration. Individual characteristics also influence reporting; respondents with poor mental health report more life events. Much current research on life events is cross-sectional. Data from a longitudinal study of women's health from 4 waves over a decade suggest that over time additional systematic biases in reporting life events occur. Inconsistency over time is due to both fall-off of reporting and telescoping. Intracategory variability and ambiguity of items, as well as respondent characteristics, also potentially contribute to response biases. Although some factors (e.g., item wording) are controllable, others (e.g., respondents' mental health) are not and must be factored into data analysis and interpretation.     

A framework for risk-benefit evaluations in biomedical research

Essentially all guidelines and regulations require that biomedical research studies have an acceptable risk-benefit profile. However, these documents offer little concrete guidance for implementing this requirement and determining when it is satisfied. As a result, those charged with risk-benefit evaluations currently assess the risk-benefit profile of biomedical research studies in unsystematic ways, raising concern that some research participants are not being protected from excessive risks and that some valuable studies involving acceptable risk are being rejected. The present paper aims to address this situation by delineating the first comprehensive framework, which is based on existing guidelines and regulations as well as the relevant literature, for risk-benefit evaluations in biomedical research.     

Coregistration of eye movements and EEG in natural reading: analyses and review

Brain-electric correlates of reading have traditionally been studied with word-by-word presentation, a condition that eliminates important aspects of the normal reading process and precludes direct comparisons between neural activity and oculomotor behavior. In the present study, we investigated effects of word predictability on eye movements (EM) and fixation-related brain potentials (FRPs) during natural sentence reading. Electroencephalogram (EEG) and EM (via video-based eye tracking) were recorded simultaneously while subjects read heterogeneous German sentences, moving their eyes freely over the text. FRPs were time-locked to first-pass reading fixations and analyzed according to the cloze probability of the currently fixated word. We replicated robust effects of word predictability on EMs and the N400 component in FRPs. The data were then used to model the relation among fixation duration, gaze duration, and N400 amplitude, and to trace the time course of EEG effects relative to effects in EM behavior. In an extended Methodological Discussion section, we review 4 technical and data-analytical problems that need to be addressed when FRPs are recorded in free-viewing situations (such as reading, visual search, or scene perception) and propose solutions. Results suggest that EEG recordings during normal vision are feasible and useful to consolidate findings from EEG and eye-tracking studies.     

Different approaches to understanding patients in general practice in Denmark: a qualitative study

General practitioners (GPs) treat more than 90% of common mental disorders. Their approaches to psychological interventions have been little studied and their process of understanding patients remains unexplored. This qualitative interview and observation study aimed to explore Danish GPs’ approaches to emotional problems and mental disorders in ‘talking therapy’ and in routine consultations. Different typical approaches were identified and could be described using the concept of mentalisation. Some participants used a basic reflective approach but no well-described method. Others were satisfied with the biomedical professional identity and did not engage in patients' emotional problems. The individual participant's approach in talking therapy was mirrored in routine consultations. Training a mentalising or reflective stance might promote more uniform therapeutic approaches to patients' emotional problems.     

The next generation of psychological autopsy studies. Part I. Interview content

The psychological autopsy (PA) is a systematic method to understand the psychological and contextual circumstances preceding suicide. The method requires interviews with one or more proxy respondents (i.e., informants) of decedents. The methodological challenges that need to be addressed when determining the content of these research interviews for PA studies are described and recommendations are made for meeting these challenges in future PA investigations. Ways to improve the data collected about mental disorders and life events--domains that are assessed in almost all PA studies--are discussed at length. Other understudied content areas considered include the role of personality traits, medical illness and functional limitations, availability of lethal agents, medications, and select distal variables including child maltreatment and family history of mental disorders and suicide. The benefits and challenges to using common protocols across studies are also discussed.     

Normal aging dampens the link between intrusive thoughts and negative affect in reaction to daily stressors

We charted daily variations in intrusive thoughts to gain access to adult age differences in affective reactivity to daily stressors. On 100 days, 101 younger and 103 older adults reported stressors, intrusive thoughts, and negative affect. Although increments in intrusive thoughts were similar in both age groups on days with stressors, older adults' negative affect increased less than younger adults' on such days. In addition, (a) levels of intrusive thoughts and negative affect across study time were positively associated; (b) days with increased thoughts were days with increased negative affect; and (c) experiencing above-average intrusive thoughts about stressors strengthened affective reactions to stress. Relative to younger adults, all three associations were reduced in older adults. We tentatively conclude that normal aging dampens the stress-induced link between intrusive thoughts and affect. This dampening may contribute to preserved affective well-being and reduced affective reactivity to daily stress in old age.     

„Bei den Seepferdchen bekommen die Väter die Kinder“: Verwirrende Realitäten bei der Aufmerksamkeitsdefizit-und-Hyperaktivitäts-Störung

Considering the in-patient diagnostics and treatment of an 11-year-old child with a complex attention disturbance who was treated before in an out-patient setting for many years with methylphenidat and behavioral therapy, we first point out the great variety of attention, cognitive and sensomotorical disorders. Such a comprehensive disorder should rather be considered as a complex neurotical developmental disorder (MCDD – Multiple Complex Development Disorder) and requires treatments in more than one field (psychotherapy, body therapy, training in learning etc.). The individual therapy presented here in detail is based on a developmentally oriented psychodynamic approach involving the latest results of infant, attachment and biomedical research. It is shown how the boy succeeds to develop mechanisms for self-regulation and to experience the therapist as a person who survives his attacks.     

Health Locus of Control After Lung Transplantation: Implications for Managing Health

Health locus of control (HLC) beliefs may influence the health behaviors that patients perform on their own behalf. Likewise, the HLC beliefs that clinicians consider desirable may influence how active they encourage patients to be in managing health. It remains unclear how involved lung recipients want to be and how involved transplant clinicians believe they should be. The aims of this study were to describe HLC beliefs and behaviors manifested by recipients and clinicians in the setting of lung transplantation. Mixed-methods were used, including quantitative techniques to measure demographics, clinical characteristics, and HLC using the Multidimensional Health Locus of Control Scale (MHLC), and qualitative techniques to explore how HLC beliefs were manifest in the clinical setting. Nearly all participants manifested behaviors consistent with high internality and externality, highlighting the importance of holding ‘dual health locus of control’ beliefs for optimal health management and lending support for recipients and clinicians to share responsibility for managing post-transplant health.Funded by the Nursing & Social Sciences Council of the International Society of Heart and Lung Transplantation.     

Stigma as framed on YouTube: Effects of personal experiences videos on students’ beliefs about medicalizing intersex

People with physical intersex characteristics can be subject to medical interventions that risk human rights to bodily integrity and self‐determination. Proponents and opponents of medicalization use personal narrative videos on YouTube to frame intersex as a stigma best understood through a medical or social identity frame. Ninety‐nine psychology students watched one of two YouTube videos with either a medical or social identity frame, or participated in a comparison group who watched no video. Participants extracted the videos’ medical or social identity framing in their own words. The social identity video increased participants’ sense that medicine was more harmful and less beneficial, and the medical video decreased participants’ sense that medicine was harmful. Although the videos aimed at bringing about social understanding of intersex people, neither video impacted stigmatizing beliefs about intersex people as a group. Rather, effects of the videos on beliefs about harms of medicalization were moderated by two stigma measures; social distance and gender binary beliefs. Medical intervention on intersex has been justified, in part, on grounds that stigma is inevitable. While intersex stigma has rarely been empirically examined, the present study shows that people with less propensity to stigmatize see less benefit from medicalizing intersex traits and are more open to learning few framings from personal experience videos.