Einzel- und Paarintervention f��r depressive Koronarpatienten

Depressive symptoms in patients presenting with coronary heart disease have an impact on quality of life, health behavior, and prognosis. The psychotherapeutic interventions which had been tested for their efficacy in previous randomized controlled trials, showed only minor effects. A stepwise approach consisting of individual and group psychotherapeutic interventions was tested for efficacy in a German multicenter study. The presented paper describes the therapeutic procedure for two individual sessions and one couple session by means of case examples. The main focus was to determine depressive symptoms along with underlying maladaptive personality traits such as negative affectivity and social inhibition (type D pattern). Depressive mood, disappointments and mortifications both in private and professional life and also during the previous treatment are verbalized. Dysfunctional relation patterns and maladaptive sickness behavior are taken up by the psychotherapist and alternative behavior patterns are developed. The objective of the couple session is strengthening the partnership resources and offering relief of fears and worries relative to the heart disease. The psychotherapeutic procedure is psychodynamically oriented but also contains cognitive-behavioral and interactional treatment approaches.     

Low environmental calcium blocks long-term memory formation in a freshwater pulmonate snail

The freshwater snail Lymnaea stagnalis (L.) is considered a calciphile and exhibits reduced growth and survival in environments containing less than 20 mg/l environmental calcium. Although it has no apparent effect on survival at 20 mg/l, reducing environmental calcium increases metabolic demand, and as such we consider that this level of calcium acts as a stressor on the snail. We exposed snails to acute periods of low environmental calcium and tested their ability to form intermediate-term memory (ITM) and long-term memory (LTM) following one trial operant conditioning (1TT) to reduce aerial respiratory activity in hypoxic conditions. We also assessed whether there were changes in the electrophysiological properties of a single neuron, right pedal dorsal 1 (RPeD1), which has been demonstrated to be necessary for LTM formation. Following training in high (80 mg/l) environmental calcium, L. stagnalis formed ITM and LTM lasting 24 h and demonstrated a significant reduction in all activity measured from RPeD1; however when snails were exposed to low (20 mg/l) environmental calcium they were able to form ITM but not LTM. Although no behavioral LTM was formed, a partial reduction in RPeD1 activtiy measured 24 h after training was observed, indicating a residual effect of training. The strong effect that environmental calcium concentration had on physiology and behavior in response to training to reduce aerial respiration in L. stagnalis suggests that it is an element of gastropod husbandry that needs to be carefully considered when studying other traits. This study also indicates that L. stagnalis found naturally in low calcium environments may be less able to adapt to novel stressors than populations found in harder waters.     

Exploratory regression analysis: A tool for selecting models and determining predictor importance

Linear regression analysis is one of the most important tools in a researcher’s toolbox for creating and testing predictive models. Although linear regression analysis indicates how strongly a set of predictor variables, taken together, will predict a relevant criterion (i.e., the multiple R), the analysis cannot indicate which predictors are the most important. Although there is no definitive or unambiguous method for establishing predictor variable importance, there are several accepted methods. This article reviews those methods for establishing predictor importance and provides a program (in Excel) for implementing them (available for direct download at . The program investigates all 2 ^p – 1 submodels and produces several indices of predictor importance. This exploratory approach to linear regression, similar to other exploratory data analysis techniques, has the potential to yield both theoretical and practical benefits.     

Target-flanker discriminability affects conflict size but not sustained suppression

On successive trials, repetitions of irrelevant information often tend to reduce congruency effects as compared to alternations of irrelevant information. The preferred explanation for this congruency modulation is the sustained-suppression hypothesis, suggesting that suppression of the irrelevant information on a given trial perseveres into the subsequent trial. However, in contrast to the generality of this idea, this modulation is only stable when the irrelevant information contains spatial features, which coincided in the existing research with large conflict sizes and response conflicts. In two arrow flanker experiments, we investigated whether the congruency modulation depends on the size of the conflict, by manipulating the saliency of the target (Experiment 1) and the flankers (Experiment 2). Although these manipulations affected the size of the conflict caused by the flankers, neither experiment showed an influence of conflict size on the reduction of the congruency effect for repetitions as compared to alternation of the irrelevant flankers. We conclude that sustained-suppression is not a consequence of large conflicts, at least if sustained-suppression causes the congruency modulation.     

Heart rate responses to induced challenge situations in greylag geese (Anser anser)

Adequate short-term responses to stressors are of great importance for the health and well-being of individuals and factors modulating the physiological stress response (e.g., controllability, suddenness, familiarity) of a stimulus are well described under laboratory conditions. In the present study we aimed at investigating the stress response in greylag geese (Anser anser) in the field, confronting individuals with naturally occurring stressors. We measured beat-to-beat heart rate (HR) via fully implanted transmitters during three different experimental challenges: (1) catching and holding, (2) confrontation with a model predator, and (3) approach by different humans. We compared this to a control period and HR during agonistic encounters, a naturally occurring stressor. All three experimental situations evoked a HR increase. Highest HR responses were elicited by catching and holding the animals. In the third experiment, HR responses were greatest when the geese were approached by a human stranger (i.e., somebody the geese have never seen before). Hence, geese discriminated between different kinds of stressors and adjusted their physiological response depending on the type of stressor. Our results show that geese were able to discriminate between individual humans. In line with a number of lab studies, we suggest that particularly the controllability of certain situation determines the intensity of the HR response, also in a natural setting in the field.     

Guidelines for Multicultural Assessment: An Asian Indian American Case Study

Accurate assessment of ethnic minority clients is often hindered by clinician bias and lack of culturally sensitive instruments. Multicultural guidelines can enhance clinician awareness and sensitivity in conducting assessments with diverse populations. These guidelines are illustrated using an Asian Indian American character from Lahiri's (2008) novel Unaccustomed Earth. La evaluación precisa de clientes pertenecientes a minorías étnicas se ve con frecuencia dificultada por el sesgo de los especialistas clínicos y la falta de instrumentos culturalmente sensibles. Las directrices multiculturales pueden ampliar la conciencia de los especialistas y su sensibilidad al llevar a cabo evaluaciones con poblaciones diversas. Estas directrices se ilustran usando un personaje indoasiáticoamericano extraído de la novela Unaccustomed Earth de Lahiri (2008).     

Evidenzbasierte Psychotherapie der Depression

Depressive disorders are among the most frequent reasons for utilizing the health care system. Despite the availability of efficacious treatments and further advances throughout the last years, there is still a need for improving diagnostic and therapeutic procedures. A promising approach is the implementation of evidence- and consensus-based guidelines. The German “Nationale VersorgungsLeitlinie Unipolare Depression” are evidence- and consensus-based clinical practise guidelines for patients with unipolar depression. All relevant stakeholders have been involved in its development and have passed the final version at the end of 2009 to foster compliance throughout. The available evidence allows the derivation of differentiated treatment recommendations, also with regard to concomitant antidepressant medication or as alternative treatment options. In acute therapy watchful waiting over 14 days is recommended for mild depression and psychotherapy after persistence of symptoms. In cases of moderate depression, psychotherapy and pharmacotherapy are equally recommended, in cases of severe depression a combination of both is recommended.     

Psychische Faktoren gastrointestinaler Erkrankungen

The list of potential or proven associations between psychological and intestinal functions in healthy subjects and in patients with functional and organic bowel disorders demonstrates that although these associations are manifold they are to a large extent incompletely understood, primarily of academic interest and not yet ready to be integrated into everyday clinical practice. However, of immediate practical relevance are psychotherapeutic as well as psychopharmacological approaches. It is, however, required that clinicians, both medical and psychological, are aware of the mechanisms of regulation of intestinal functions through central (CNS) and peripheral (ENS) neural circuits.     

The information content of panoramic images II: view-based navigation in nonrectangular experimental arenas

Two recent studies testing navigation of rats in swimming pools have posed problems for any account of the use of purely geometric properties of space in navigation (M. Graham, M. A. Good, A. McGregor, & J. M. Pearce, 2006; J. M. Pearce, M. A. Good, P. M. Jones, & A. McGregor, 2004). The authors simulated 1 experiment from each study in a virtual reality environment to test whether experimental results could be explained by view-based navigation. The authors recorded a reference image at the target location and then determined global panoramic image differences between this image and images taken at regularly spaced locations throughout the arena. A formal model, in which an agent attempts to minimize image differences between the reference image and current views, generated trajectories that could be compared with the search performance of rats. For both experiments, this model mimics many aspects of rat behavior. View-based navigation provides a sufficient and parsimonious explanation for a range of navigational behaviors of rats under these experimental conditions.     

Using Egalitarian Items to Measure Men’s and Women’s Family Roles

This study was designed to show that measuring gender ideology by egalitarian items might be problematic, as gender egalitarianism is not simply the reverse of gender traditionalism and includes very different stances. Egalitarian items are likely to lead to an insufficient discrimination between traditional and non-traditional respondents. While the former often ignore the egalitarian stance, the latter hold different egalitarian positions which prevents agreement with any specific item. Empirical evidence is reported from quantitative and qualitative data: an international survey based on random samples (n?=?5.692) and a cognitive study, which was conducted in Germany by both internet (n?=?889) and telephone (n?=?285). Here, the selection of a response category was analyzed by using probing questions.