Body checking and avoidance and the core features of eating disorders among obese men and women seeking bariatric surgery

This study examined two aspects of body checking and avoidance, and their relations to the core psychopathology of eating disorders (EDs), in severely obese men and women seeking bariatric surgery. A consecutive series of 260 (44 male and 216 female) gastric bypass candidates were administered measures to assess body checking and avoidance, binge eating, restraint, and overevaluation of weight and shape. The majority of patients reported regularly pinching areas of their body to check for fatness and avoided wearing clothing that made them particularly aware of their body. Significant associations were observed between checking and restraint, and between avoidance and binge eating. Both checking and avoidance behaviors were significantly associated with overevaluation of weight and shape. The positive associations between each of the two behaviors (body checking and avoidance) with overevaluation of weight/shape remained significant even after controlling for the effects of avoidance on body checking and vice versa. Stepwise multiple regression analyses revealed that binge eating, body checking, and avoidance behaviors made significant unique contributions and jointly accounted for 22-25% of the variance in overevaluation of weight and shape, respectively. This study documents the presence of eating disorder psychopathology among severely obese patients seeking bariatric surgery. The findings support the view that body checking and avoidance behaviors are manifestations of overevaluation of weight and shape and disordered eating.     

Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample

This study examined the psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS) in a clinical sample of 513 youth referred for mental health assessment at a university clinic. Internal consistency and factor analysis provided support for the factorial validity of the RCADS. Convergent and discriminant validity tests against both clinical interview and self-report criteria also suggested favorable properties of the RCADS. In comparative tests with traditional measures of anxiety and depression, the RCADS generally showed greater correspondence to specific diagnostic syndromes. Clinical cutoffs are reported for the purposes of future clinical and research applications.     

Exploring the hand test with medically ill children and adolescents

Pediatric psychologists use the tools of assessment to evaluate the psychological functioning of youth with chronic and acute medical illnesses. This study is an exploration of the use of a performance-based measure, the Hand Test (HT; Wagner, 1983), with pediatric medical patients. A sample of medical inpatients (n = 27) and psychiatric outpatients (n = 24) were administered the HT, a self-report measure, and a parent-report behavior rating scale. Results indicate that the psychiatric group scored higher than the medical group on HT Aggression, Withdrawal, and Pathological scores. The Aggression (d = 0.90) and Pathological (d = 0.80) variables were particularly robust in differentiating between groups, but the Crippled variable did not differ between groups. Hierarchical logistic regression demonstrated the incremental validity of the HT over behavior ratings alone in the classification of clinical groups. Analyses indicated that the HT can add important information in the differentiation of medically ill children from those with psychological disturbance.     

Repetition blindness in rapid lists: activation and inhibition versus construction and attribution

The authors examine the repetition blindness effect--the failure to report one of the occurrences of a word presented twice in a rapid list. This phenomenon has been ascribed to inhibitory processes that prevent immediate tokenization of the 2nd occurrence of a repeated word. The authors present several kinds of evidence against that account, including observations that repetition blindness (a) does not occur when repetitions are not embedded in a list of familiar orthographic units, (b) is alleviated by precuing the subject with the identity of the word that may repeat within a rapid list, and (c) can be caused by cues presented after the list, when the opportunity for inhibition has passed. It is proposed that repetition blindness can better be understood through the principles of construction and attribution.     

Emotions, personality, and health: introduction to the special issue

Our intent in this introduction to the special issue on Emotions, Personality, and Health is to alert readers to the logic underlying the editors' choices of topics for the issue and to provide a brief summary of its contents. We discuss how the 10 articles fit together to provide a mosaic of diverse approaches to the study of emotion. Collectively, these articles show ways that emotion research may be integrated with personality theory to inform us about the psychological dimensions of health and illness.     

Children's performance on a false-belief task is impaired by activation of an evolutionarily-canalized response system

We examine whether children's performance on a false-belief task is impaired by task content that activates an early-developing, prepotent motivational system: predator-avoidance. In two studies (N = 46 and N = 37), children aged 3-4 years completed variants of a false-belief task that involved predator-avoidance, playmate-avoidance, prey-seeking, and playmate-seeking, respectively. The proportion of correct answers on the playmate-avoidance task (Study 1: 52%; Study 2: 51%) was significantly greater than the proportion of correct answers on the analogous predator-avoidance task (Study 1: 28%; Study 2: 22%). This difference was not an artifact of children generally performing better on playmate stories than on predator-prey stories. The findings are consistent with the hypothesis that activation of the predator-avoidance system generates prepotent response patterns that pre-empt full consideration of the mental states of the prey characters in false-belief stories.     

Confirmatory factor analysis of the WMS-III in patients with temporal lobe epilepsy

Five competing models specifying the factor structure underlying the Wechsler Memory Scale-Third Edition (D. Wechsler, 1997b) primary subtest scores were evaluated in a sample of patients with intractable temporal lobe epilepsy (N = 254). Models specifying separate immediate and delayed constructs resulted in inadmissible parameter estimates and model specification error. There were negligible goodness-of-fit differences between a 3-factor model of working memory, auditory memory, and visual memory and a nested--more parsimonious--2-factor model of working memory and general memory. The results suggest that specifying a separate visual memory factor provides little advantage for this sample--an unexpected finding in a population with lateralized dysfunction, for which one might have predicted separate auditory and visual memory dimensions.     

Familiarisation with faces selectively enhances sensitivity to changes made to the eyes

Two experiments were designed to isolate the facial information utilised in the learning of new faces. In experiments 1 and 2, two groups of subjects were each trained on different groups of faces by means of a dynamic video presentation. They were then shown both trained and novel faces in a same-different decision task, where 'different' trials included manipulations of internal and external facial features, and the task was to decide whether two images were identical or had a difference in one or more features. Both experiments showed that hair change was most easily detected in untrained (unfamiliar) faces. When faces had been trained (familiar), detection of eye changes was selectively enhanced and sensitivity to hair changes was maintained. While previous studies have suggested that familiar face representations are weighted towards their internal features, our experimental results show that this is due to selective enhancement of sensitivity to changes made to the eyes alone, with no reduction in the salience of the hair. Moreover, within the limits of the familiarisation used here, there was no enhancement of the representation of the other internal face features examined.