Measuring QoL with SF-36 in Older Americans with TBI

This study demonstrated reliability and factor structure of the Medical Outcomes Study Short-Form Health Survey (SF-36) among older Americans with Traumatic brain injury (TBI), and evaluated effects of injury severity and race on SF-36's items and latent domains. A representative sample of 654 older, racially diverse patients with TBI was selected from the South Carolina Traumatic Brain Injury Follow-up Registry. Reliability and factor structure of SF-36 were evaluated using Cronbach’s alpha and confirmatory factor analysis (CFA). Multiple-indicator multiple-causes (MIMIC) models were used to study effects of injury severity and race on items (differential item functioning, DIF) and latent domains (population heterogeneity) of SF-36. SF-36 was reliable and its current eightfactor structure was confirmed. While TBI severity did not impact latent domain scores of SF-36, race did. Blacks had higher vitality and lower role-emotional scores than whites. The measurement model was invariant to injury severity and race (free of DIF), and DIF did not contribute to the differences of vitality and role-emotional between black and white older TBI patients. SF-36 was valid to measure quality of life (OoL) after TBI in racially diverse elderly population. Blacks tend to assert to strong coping behaviors in the presence of physical stress while admitting low performance due to emotional stress. In QoL research where the primary outcomes are usually composite scores from instruments, MIMIC models have advantages over conventional multivariable regression models in testing the validity of the instruments and assessing covariate effects on latent traits of instruments while controlling for DIF effects.     

Race-related stress, racial identity status attitudes, and emotional reactions of Black Americans

The current study explored the relationship between race-related stress, racial identity status attitudes and emotional states among 229 Black Americans. Canonical correlation analyses revealed a shared variate between emotions and racial identity status attitudes in which anger, depression confusion and tension were related positively to Conformity and inversely related to Internalization status attitudes. Implications for research are discussed.     

Toddlers with Autism Spectrum Disorder are more successful at visual search than typically developing toddlers

Plaisted, O'Riordan and colleagues (Plaisted, O'Riordan & Baron-Cohen, 1998; O'Riordan, 2004) showed that school-age children and adults with Autism Spectrum Disorder (ASD) are faster at finding targets in certain types of visual search tasks than typical controls. Currently though, there is very little known about the visual search skills of very young children (1-3-year-olds) - either typically developing or with ASD. We used an eye-tracker to measure looking behavior, providing fine-grained measures of visual search in 2.5-year-old toddlers with and without ASD (this representing the age by which many children may first receive a diagnosis of ASD). Importantly, our paradigm required no verbal instructions or feedback, making the task appropriate for toddlers who are pre- or nonverbal. We found that toddlers with ASD were more successful at finding the target than typically developing, age-matched controls. Further, our paradigm allowed us to estimate the number of items scrutinized per trial, revealing that for large set size conjunctive search, toddlers with ASD scrutinized as many as twice the number of items as typically developing toddlers, in the same amount of time.     

A Jungian contribution to a dynamic systems understanding of disorganized attachment

This panel emerged from shared clinical concerns when working with adult patients whose presentation style was reminiscent of a disorganized (Type D) infant attachment pattern. Psychotherapeutic work with such patients poses complicated transference and countertransference dilemmas which are addressed by all four panellists via theory and clinical vignettes. In common is an interest in contemporary attachment, neuroscience and trauma theories and their relationship to analytical psychology. Intergenerational trauma seems to be a salient factor in the evolution of fragmented and fragmenting interactions that lead to failures in self-coherence and healthy interpersonal relationships. Such early relational trauma is compounded by further episodes of abuse and neglect leading to failure in a core sense of self. These clinicians share how they have integrated theory and practice in order to help dissociated and disorganized patients to transform their dark and extraordinary suffering through implicit and explicit experiences with the analyst into new, life giving patterns of relationship with self and others. The alchemy of transformation, both positive and negative, is evident in the case material presented.     

Adding fear to conflict: A general purpose cognitive control network is modulated by trait anxiety

Studies of cognitive control show that the dorsal anterior cingulate cortex (dACC) and dorsolateral prefrontal cortex are involved in the detection and resolution of cognitive conflict. However, the neural and behavioral mechanisms underlying emotional interference effects are less consistent. We used fMRI during emotional and nonemotional versions of a facial Stroop task to investigate the effects of emotional stimuli on cognitive control. In the full group there was limited evidence that different prefrontal circuits manage conflict arising from emotional and nonemotional distractors. However, individual differences in trait anxiety affected both behavioral performance and neural activity during the emotional task. Relative to low-anxiety (LA) subjects, high-anxiety (HA) subjects showed greater amygdala activity to task-relevant emotional information and impaired performance and greater conflict-related activity in the dACC when emotional content was task-irrelevant. Only LA subjects activated rostral ACC during the emotional task. This is consistent with cognitive models of individual differences that hypothesize deficient control of task-irrelevant emotional information in HA subjects. Additional behavioral and fMRI results from this study may be downloaded from http://cabn.psychonomic-journals .org/content/supplemental.     

Structuralism as a philosophy of mathematical practice

This paper compares the statement ‘Mathematics is the study of structure’ with the actual practice of mathematics. We present two examples from contemporary mathematical practice where the notion of structure plays different roles. In the first case a structure is defined over a certain set. It is argued firstly that this set may not be regarded as a structure and secondly that what is important to mathematical practice is the relation that exists between the structure and the set. In the second case, from algebraic topology, one point is that an object can be a place in different structures. Which structure one chooses to place the object in depends on what one wishes to do with it. Overall the paper argues that mathematics certainly deals with structures, but that structures may not be all there is to mathematics. I wish to thank Colin McLarty as well as the anonymous referees for helpful comments on earlier versions of this paper.     

"Just looking at food makes me gain weight": experimental induction of thought-shape fusion in eating-disordered and non-eating-disordered women

Thought-shape fusion (TSF) is a cognitive distortion that can be induced experimentally and is associated with eating pathology. The current study was conducted in order to elucidate the effects of TSF induction in females with eating disorders (n=35), as well as in restrained eaters (n=38) and unrestrained eaters (n=39). It was hypothesized that TSF induction would result in anxiety, guilt, increased feelings of fatness, perceived weight gain and feelings of moral wrong-doing relative to an anxiety and control induction. It was further hypothesized that restrained eaters and individuals with eating disorders would exhibit a stronger reaction to a TSF induction than would unrestrained eaters. The results indicated that, as predicted, TSF can be induced in individuals both with and without eating disorders, and individuals with eating disorders reported the highest levels of "state" TSF after the induction relative to the non-clinical controls. However, contrary to expectations, restrained eaters reported higher levels of perceived weight gain and moral wrong-doing after the anxiety induction (but not the TSF induction) relative to the control induction. Potential mechanisms for this pattern of results are discussed, and the clinical implications of research on TSF are also considered.     

It’s not just what you say but when you say it: Self-presentation and temporal construal

Three experiments demonstrated that the use and effectiveness of self-presentation strategies are affected by time. In Experiment 1, participants used more indirect self-presentation statements for the distant than near future, but used more direct self-presentation statements for the near than distant future. In Experiment 2, participants for whom indirect self-presentation strategies were made accessible rated a future interview as more temporally distant than those for whom direct self-presentation strategies were made accessible. In Experiment 3, participants rated their self-presentation attempts as more effective if they used direct strategies for the near future and indirect strategies for the distant future. Implications for studying the timing of self-presentation and its relation to temporal construal levels are discussed.     

Parental expressed emotion toward children: prediction from early family functioning

Expressed emotion (EE), an index of family member criticism and emotional overinvolvement, predicts outcome among adults and children with mental disorders. However, limited research exists on factors contributing to EE. Aims of the current study were to (a) examine EE in mothers of young children; (b) assess relationships between demographic factors and EE in a diverse sample; and (c) investigate whether family stress and functioning, including quality of marital relationship, life events, maternal stress, and family environment, predict EE. In the current study, 276 mothers completed questionnaires when their children were between 1 and 3 years of age and a measure of EE when their children were in kindergarten. Results indicated that family expressiveness was the most consistent predictor of EE. Further research seems warranted to better delineate associations between family functioning and EE.