Cognitive and temperamental vulnerability to depression: Longitudinal associations with regional cortical activity

Posterior cortical activity may be related to individual differences in temperamental emotionality, especially traits implicated in depression vulnerability. We previously reported that electroencephalographic (EEG) indices of cortical activity in posterior regions were associated with temperamental positive emotionality (PE) in early childhood. This project examined whether EEG indices of regional cortical activity, assessed at age 5–6, were associated with child temperament and cognitive vulnerability to depression, assessed at age 7. Asymmetry in posterior cortical activity measured at age 5–6 was associated with PE at follow-up at age 7, and with greater helplessness during a standardised laboratory task simulating a mild interpersonal rejection. Findings provide further support for the notion that low PE and depression are associated with similar patterns of cortical activity. Furthermore, these patterns of activity may have observable behavioural and cognitive correlates that are meaningfully linked to the phenomenology of depression.     

An fMRI investigation of posttraumatic flashbacks

Flashbacks are a defining feature of posttraumatic stress disorder (PTSD), but there have been few studies of their neural basis. We tested predictions from a dual representation model of PTSD that, compared with ordinary episodic memories of the same traumatic event, flashbacks would be associated with activity in dorsal visual stream and related areas rather than in the medial temporal lobe. Participants with PTSD, with depression but not PTSD, and healthy controls were scanned during a recognition task with personally relevant stimuli. The contrast of flashbacks versus ordinary episodic trauma memories in PTSD was associated with increased activation in sensory and motor areas including the insula, precentral gyrus, supplementary motor area, and mid-occipital cortex. The same contrast was associated with decreased activation in the midbrain, parahippocampal gyrus, and precuneus/posterior cingulate cortex. The results were discussed in terms of theories of PTSD and dual-process models of recognition.     

A Review of: “Woolfolk,R. L., & Allen,L. A. (2007). Treating Somatization: A Cognitive-Behavioral Approach.”

A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.     

A Review of: “Hollander,M. (2008). Helping Teens Who Cut: Understanding and Ending Self Injury.”

Based upon informal observation of adverse effects arising during behaviorally oriented parent-training programs, 119 parents attending such programs answered a structured questionnaire regarding six specific adverse effects. Each of the “side effects” were reported by a substantial portion of the participants. In most cases, the severity of effects was not extreme. The mean number of side effects reported by each parent was 1.70. Based upon these findings, clinicians conducting such parent-training programs are encouraged to provide content material to prevent or ameliorate these adverse effects.     

A Review of: “Kennedy-Moore,E., & Lowenthal,M. S. (2011). Smart Parenting for Smart Kids: Nurturing Your Child's True Potential.”

Behavioral procedures aimed at decreasing disruptiveness through increasing self-evaluative skills and programming generalization in a class of disruptive retarded children were examined. Phases of the study included: (a) baseline; (b) systematic feedback; (c) a token economy; (d) matching of teacher's ratings by students; (e) four fading phases during which progressively fewer students were required to match the teacher; (f) self-evaluation during which each student received the amount of points self-allotted regardless of teacher's ratings; (g) doubling of point costs of back-up reinforcers ("Inflation"); (h) complete removal of back-up reinforcers ("Points Only"); and (i) return to baseline conditions. The class was observed 5 days per week dueing a morning experimental period and several times per week in the afternoon as a measure of generalization. Additional measures of generalization included days when the token program was not in effect ("Off Days") and when the class was taught by a substitute teacher. Behavior was recorded according to an interval sampling observational code. The results showed that systematic feedback was effective in significantly reducing disruptiveness with even greater reductions resulting from the token program and the subsequent matching and fading phases. Decreased levels of disruptiveness were maintained throughout self-evaluation and the phases which followed. Decreased levels of disruption also generalized to afternoon sessions, to days when the experimental procedures were not in effect, and to self-evaluate, the class initially matched the teacher's ratings with about 50% accuracy. This gradually increased to consistently above 90% during the latter phases. The study demonstrated that retarded children can learn to accurately observe and veridically evaluate their own behavior, and that this has beneficial effects in terms of decreased disruptiveness.