Screening for and Preventing Perinatal Depression

New York City (NYC) public hospitals recently mandated that all pregnant women be screened for depression, but no funds were allocated for screening or care coordination/treatment, and research suggests that unfunded mandates are not likely to be successful. To address this, we implemented an on-site depression prevention intervention (NYC ROSE) for positive depression screens among pregnant, mostly Black and Hispanic, lower-income women in one public hospital. In this paper, we used Aarons’ implementation model to describe the successes and challenges of screening and intervention. Patient tracking sheets and electronic medical records were abstracted. Key informant interviews and an informal focus group were conducted, and staff observations were reviewed; common implementation themes were identified and fit into Aarons’ model. We found that a lack of funding and staff training, which led to minimal psychoeducation for patients, were outer context factors that may have made depression screening difficult, screening results unreliable, and NYC ROSE enrollment challenging. Although leadership agreed to implement NYC ROSE, early involvement of all levels of staff and patients would have better informed important inner context factors, like workflow and logistical/practical challenges. There was also a mismatch between the treatment model and the population being served; patients often lived too far away to receive additional services on site, and economic issues were often a higher priority than mental health services. Screening and interventions for perinatal depression are essential for optimal family health, and a detailed, thoughtful and funded approach can help ensure effectiveness of such efforts.     

Overparenting and Narcissism in Young Adults: The Mediating Role of Psychological Control

Overparenting, or “helicopter parenting,” can be generally characterized as parenting that is well-intentioned, but over-involved and intrusive. This style of parenting has been especially highlighted in the lives of young adults, who may be inhibited by this form of parenting in the appropriate development of autonomy and independence. Overparenting shares conceptual similarities with parents’ psychological control practices, which involve emotional and psychological manipulation of children (e.g., inducing guilt, withholding love as a form of control). Although these constructs contain key differences, both have been linked to narcissism in young adults, by way of parental over-involvement in children’s lives. Thus, we sought to explore parental psychological control as a mediator between overparenting and narcissism, including in regard to both grandiose and vulnerable narcissistic phenotypes. Participants included 380 young adult college students (age range: 18–26 years) who completed the Pathological Narcissism Inventory, as well as reports of their parents’ behaviors related to overparenting and psychological control. Mediation analyses through Process in SPSS supported the hypothesized role of parental psychological control as a mediator between overparenting and narcissistic traits, including traits related to both grandiose and vulnerable narcissism. Effect sizes for each analysis were modest. This study further clarifies the nature of overparenting, and speaks to the need for further research in establishing the mechanisms by which overparenting may lead to narcissistic traits among young adults.     

Irrational choice behavior in human and nonhuman primates

Choice behavior in humans has motivated a large body of research with a focus on whether decisions can be considered to be rational. In general, humans prefer having choice, as do a number of other species that have been tested, even though having increased choice does not necessarily yield a positive outcome. Humans have been found to choose an option more often only because the opportunity to select it was diminishing, an example of a deviation from economic rationality. Here we extend this paradigm to nonhuman primates in an effort to understand the mechanisms underlying this finding. In this study, we presented two groups of laboratory monkeys, capuchins (Cebus apella) and rhesus macaques (Macaca mulatta), as well as human subjects, with a computerized task in which subjects were presented with two differently colored icons. When the subject selected an icon, differing numbers of food pellets were dispensed (or points were assigned), making each icon correspond to a certain level of risk (one icon yielded 1 or 4 pellets/points and the other yielded 2 or 3). Initially, both options remained constantly available and we established choice preference scores for each subject. Then, we assessed preference patterns once the options were not continuously available. Specifically, choosing one icon would cause the other to shrink in size on the screen and eventually disappear if never selected. Selecting it would restore it to its full size. As predicted, humans shifted their risk preferences in the diminishing options phase, choosing to click on both icons more equally in order to keep both options available. At the group level, capuchin monkeys showed this pattern as well, but there was a great deal of individual variability in both capuchins and macaques. The present work suggests that there is some degree of continuity between human and nonhuman primates in the desire to have choice simply for the sake of having choice.     

Psychophysical investigation of vigilance decrement in jumping spiders: overstimulation or understimulation?

The inability to maintain signal detection performance with time on task, or vigilance decrement, is widely studied in people because of its profound implications on attention-demanding tasks over sustained periods of time (e.g., air-traffic control). According to the resource depletion (overload) theory, a faster decrement is expected in tasks that are cognitively demanding or overstimulating, while the underload theory predicts steeper decrements in tasks that provide too little cognitive load, or understimulation. Using Trite planiceps, a jumping spider which is an active visual hunter, we investigated vigilance decrement to repetitive visual stimuli. Spiders were tethered in front of two stimulus presentation monitors and were given a polystyrene ball to hold. Movement of this ball indicates an attempt to turn towards a visual stimulus presented to a pair of laterally facing (anterior lateral) eyes for closer investigation with high acuity forward-facing (anterior median) eyes. Vigilance decrement is easily measured, as moving visual stimuli trigger clear optokinetic responses. We manipulated task difficulty by varying the contrast of the stimulus and the degree of ‘noise’ displayed on the screen over which the stimulus moved, thus affecting the signal:noise ratio. Additionally, we manipulated motivation by paired testing of hungry and sated spiders. All factors affected the vigilance decrement, but the key variable affecting decrement was stimulus contrast. Spiders exhibited a steeper decrement in the harder tasks, aligning with the resource depletion theory.     

A retrospective study on risk assessment and management of forensic psychiatric inpatients in Hong Kong

The Department of Forensic Psychiatry of Castle Peak Hospital is the only facility in Hong Kong that provides territory-wide forensic psychiatric services for patients with criminal involvement. This retrospective study aimed to explore whether the rehabilitation programs provided by the department could significantly reduce the risks of forensic psychiatric inpatients as measured by the Short-Term Assessment of Risk and Treatability (START). START ratings of inpatients who were hospitalized in the department for more than 3 months and were discharged to the community during the period from 11 April 2015 to 31 March 2019 were analyzed. A total of 79 patients were assessed, of whom 61 (77.2%) were males. Fifty-four (68.4%) patients suffered from schizophrenia. START scores upon admission (strength score = 5.67; vulnerability score = 17.43) and upon discharge (strength score = 6.87, vulnerability score = 11.18) indicated significant reduction of risks among inpatients (p < 0.05).     

The Theory of Male Reference Group Identity Dependence: Roles of Social Desirability, Masculinity Ideology, and Collective Identity

Data from 118 college men from the southeastern United States (U.S.) were analyzed using zero-order and partial correlations to test male reference group identity dependence theory’s propositions regarding the relations of male reference group identity attitudes (i.e., no reference group, reference group dependent, reference group nondependent similarity, and reference group nondependent diversity) with traditional masculinity ideology and dimensions of men’s gender-based collective identity (i.e., affirmative evaluation of collective identity, importance of collective identity). Male reference group identity attitudes yielded theoretically-consistent relations with the affirmative evaluation and importance of collective identity. Specifically, the no reference group attitudes were correlated negatively whereas nondependent diversity attitudes were correlated positively with affirmative evaluation; the group dependent attitudes were correlated positively with importance of collective identity; and the nondependent similarity attitudes were correlated positively with both affirmative evaluation of collective identity and the importance of collective identity. This pattern reveals the differential salience of collective identity dimensions in male reference group identity attitudes, suggesting that group dependent attitudes reflect importance of collective identity without an evaluation valence, nondependent diversity attitudes reflect affirmative evaluation whereas the no reference group attitudes reflect nonaffirmative evaluation of collective identity, and nondependent similarity attitudes involve both affirmative evaluation and importance of collective identity. Additional findings added to prior data suggesting reevaluation of the posited role of traditional masculinity ideology in male reference group identity theory. The pattern of findings was not changed by controlling for self-deceptive enhancement and impression management dimensions of social desirability.