Maintained attitudinal changes in nursing personnel after a brief training on suicide prevention

Nursing personnel (N = 317) working at a general hospital attended a 6-hour training program on suicide prevention. They answered anonymously pre- and post-training the Suicide Behavior Attitude Questionnaire (SBAQ), which comprises 21 visual analogue scale items divided in three factorial subscales. The results indicated there were positive changes in the attitudes and these gains were significantly maintained at the 6-month follow-up evaluation. Improvement was in the Feelings and Professional Capacity subscales (ANOVA; p = 0.0001 and 0.01, respectively). There was no change on the Right to Suicide subscale. Because attitudes influence the effectiveness of health care personnel interventions, our findings may have important implications for the development of suicide prevention programs.     

TOMM Performances and Self-Reported Symptoms of Depression and Anxiety

The Test of Memory Malingering (TOMM) is the most frequently used symptom validity test (SVT) by neuropsychologists and appears to be robust in the context of a number of neurological and psychiatric conditions. The current study cross-validated and extended prior research by examining the relation between scores on self-report measures of depression and anxiety, independently and combined, and scores on the TOMM in an outpatient neuropsychology clinic. A total of 262 files were reviewed, 67 of which contained complete data on the TOMM, Beck Depression Inventory-II, and the State-Trait Anxiety Inventory. Results show that scores on self-report inventories of depression and anxiety are not significantly related to scores on the TOMM, cross-validating previous research. Extending prior research, current analyses demonstrate that TOMM scores are not significantly influenced by the combined relation of self-reported symptoms of depression and anxiety. Findings support the utility of the TOMM with patients reporting affective disturbances.     

Personality change at the intersection of autonomic arousal and stress

We hypothesized that personality change in children can be predicted by the interaction of family risk with susceptibility to autonomic arousal and that children characterized by both high-risk families and highly reactive autonomic nervous systems tend to show maladaptive change. This hypothesis was tested in a 6-year longitudinal study in which personality-type prototypicality, problem behavior, and negative emotional intensity were measured at 2-year intervals. The results indicated that children who both had exaggerated skin conductance responses (a measure of autonomic reactivity) and were living in families with multiple risk factors were most likely to develop an undercontrolled personality type and to exhibit increases in problem behavior and negative emotional intensity. The implications of the results for understanding personality change are discussed.     

Interfaces: toward a new generation of systemic models in family research and practice

After reviewing Engel's bio-psycho-social proposal and Kandel's "principles for an integration between mind and brain," the author introduces a set of akin propositions that aim at integrating neurosciences, genetics, the mind, and the social world into a succinct set of systemic formulations focusing on interlevel interfaces, with profound implications for the training, practice, and research in the field of family processes and therapy.     

Distress in response to emotional and sexual infidelity: evidence of evolved gender differences in Spanish students

The authors studied gender differences in response to hypothetical infidelity in Spanish students. Using a forced-choice methodology, the authors asked a sample of 266 participants to indicate which kind of infidelity would be more distressing: emotional or sexual. Men were significantly more distressed by sexual infidelity than were women, and women were significantly more distressed by emotional infidelity than were men. Results supported the hypothesis that particular infidelity types, which resemble adaptive problems that human beings faced in the past, contribute to the psychology of jealousy. The results are consistent with previous cross-cultural research.     

Fear Extinction to an Out-Group Face: The Role of Target Gender

ABSTRACT— Conditioning studies on humans and other primates show that fear responses acquired toward danger-relevant stimuli, such as snakes, resist extinction, whereas responses toward danger-irrelevant stimuli, such as birds, are more readily extinguished. Similar evolved biases may extend to human groups, as recent research demonstrates that a conditioned fear response to faces of persons of a social out-group resists extinction, whereas fear toward a social in-group is more readily extinguished. Here, we provide an important extension to previous work by demonstrating that this fear-extinction bias occurs solely when the exemplars are male. These results underscore the importance of considering how gender of the target stimulus affects psychological and physiological responses to out-group threat.     

Overvaluation of shape and weight in binge eating disorder, bulimia nervosa, and sub-threshold bulimia nervosa

Increasing empirical evidence supports the validity of binge eating disorder (BED), a research diagnosis in the appendix of DSM-IV, and its inclusion as a distinct and formal diagnosis in the DSM-V. A pressing question regarding the specific criteria for BED diagnosis is whether, like bulimia nervosa (BN), it should be characterized by overvaluation of shape and weight. This study compared features of eating disorders in 436 treatment-seeking women comprising four groups: 195 BED participants who overvalue their shape/weight, 129 BED participants with subclinical levels of overvaluation, 61 BN participants, and 51 participants with sub-threshold BN. The BED clinical overvaluation group had significantly higher levels of specific eating disorder psychopathology than the three other groups which did not differ significantly from each other. Findings suggest that overvaluation of shape and weight should not be considered as a required criterion for BED because this would exclude a substantial proportion of BED patients with clinically significant problems. Rather, overvaluation of shape and weight warrants consideration either as a diagnostic specifier or as a dimensional severity rating as it provides important information about severity within BED.     

The effect of varying the number of response alternatives in rating scales: Experimental evidence from intra-individual effects

Despite a hundred years of questionnaire testing, no consensus has been reached on the optimal number of response alternatives in rating scales. Differences in prior research may have been due to the use of various psychometric models (classical test theory, item factor analysis, and item response theory) and different performance criteria (reliability, convergent/discriminant validity, and internal structure of the questionnaire). Furthermore, previous empirical studies on this issue have tackled the experimental design from a between-subjects perspective, thus ignoring intra-individual effects. In contrast with this approach, we propose a within-subjects experimental design and a comprehensive statistical methodology using structural equation models for studying all of these aspects simultaneously, therefore increasing statistical power. To illustrate the method, two personality questionnaires were examined using a repeated measures design. Results indicated that as the number of response alternatives increased, (1) internal consistency increased, (2) there was no effect on convergent validity, and (3) goodness of fit worsened. Finally, the article assesses the practical consequences of this research for the design of future personality questionnaires.