The role of a lifetime history of oppositional defiant and conduct disorders in adults with ADHD: implications for clinical practice

IntroductionAttention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD) are frequently co-occurring disorders in children and adolescents. However, their clinical status among adults is still under discussion. This study analyzes how the current clinical presentation of adult ADHD might be influenced by a lifetime history of CD and ODD. METHODS: We compared three groups of patients: ADHD without history of CD/ODD (n = 178), ADHD + history of ODD (n = 184), and ADHD + history of CD (n = 96). RESULTS: A history of CD (and to a lower extent ODD) is associated with a more severe and externalizing profile.ConclusionPast CD and ODD entail a significant negative mental health impact on persistent ADHD, reinforcing the importance of actively assessing the developmental history of adult ADHD patients.     

Effectiveness of peer-led dissonance-based eating disorder prevention groups: Results from two randomized pilot trials

ObjectiveThe present preliminary trials tested whether undergraduate peer leaders can effectively deliver a dissonance-based eating disorder prevention program, which could facilitate broad dissemination of this efficacious intervention.MethodIn Study 1, female undergraduates (N = 171) were randomized to peer-led groups, clinician-led groups, or an educational brochure control condition. In Study 2, which improved a design limitation of Study 1 by using completely parallel outcome measures across conditions, female undergraduates (N = 148) were randomized to either immediate peer-led groups or a waitlist control condition.ResultsIn Study 1, participants in peer- and clinician-led groups showed significantly greater pre–post reductions in risk factors and eating disorder symptoms than controls (M d = .64 and .98 respectively), though clinician- versus peer-led groups had higher attendance and competence ratings, and produced stronger effects at posttest (M d = .32) and at 1-year follow-up (M d = .26). In Study 2, participants in peer-led groups showed greater pre–post reductions in all outcomes than waitlist controls (M d = .75).ConclusionsResults provide novel evidence that dissonance-based eating disorder prevention groups led by undergraduate peers are feasible and produce greater reductions in eating disorder risk factors and symptoms than minimal-intervention control conditions, but indicate that effects are smaller for peer- versus clinician-led groups.     

Asymmetries in visuomotor recalibration of time perception: Does causal binding distort the window of integration?

The recalibration of perceived visuomotor simultaneity to vision-lead and movement-lead temporal discrepancies is marked by an underlying causal asymmetry, if the movement (button press) is voluntary and self-initiated; a visual stimulus lagging the button press may be interpreted as causally linked sensory feedback (intentional or causal binding), a leading visual stimulus not. Here, we test whether this underlying causal asymmetry leads to directional asymmetries in the temporal recalibration of visuomotor time perception, using an interval estimation paradigm. Participants were trained to the presence of one of three temporal discrepancies between a motor action (button press) and a visual stimulus (flashed disk): 100 ms vision-lead, simultaneity, and 100 ms movement-lead. By adjusting a point on a visual scale, participants then estimated the interval between the visual stimulus and the button press over a range of discrepancies. Comparing the results across conditions, we found that temporal recalibration appears to be implemented nearly exclusively on the movement-lead side of the range of discrepancies by a uni-lateral lengthening or shortening of the window of temporal integration. Interestingly, this marked asymmetry does not lead to a significantly asymmetrical recalibration of the point of subjective simultaneity or to significant differences in discriminability. This seeming contradiction (symmetrical recalibration of subjective simultaneity and asymmetrical recalibration of interval estimation) poses a challenge to common models of temporal order perception that assume an underlying time measurement process with Gaussian noise. Using a two-criterion model of the window of temporal integration, we illustrate that a compressive bias around perceived simultaneity (temporal integration) even prior to perceptual decisions about temporal order would be very hard to detect given the sensitivity of the psychophysical procedures commonly used.     

Dopamine modulates frontomedial failure processing of agentic introverts versus extraverts in incentive contexts

The agency facet of extraversion (aE) describes individual differences in goal-directed behavior and has been linked to dopamine function in incentive contexts. Because dopamine presumably modulates the processing of negative feedback/failure, aE may relate to failure processing in incentive contexts. To test this hypothesis, N = 86 participants performed a virtual ball-catching task. An incentive context was created by displaying potential rewards and subtle manipulations of task performance, which either was (control group) or was not (incentive context group) made explicit. To probe the involvement of dopamine, participants received either placebo or the selective dopamine D2 receptor antagonist sulpiride (200 mg). Failure processing was assessed through negative-feedback-evoked differences in the frontal midline theta electroencephalogram power (DFMT) and in the feedback-related negativity event-related potential component (FRN). Before incentives were introduced, DFMT (but not the FRN) was related to neuroticism/anxiety. Importantly, once incentives were displayed, aE was associated with DFMT, FRN, task performance, and changes in self-reported positive affect, which further depended on incentive context group and/or substance group: In the incentive context group but not in the control group, agentic extraverts showed relatively blunted DFMT after placebo. Sulpiride significantly enhanced DFMT, whereas it reduced FRN amplitudes and performance in agentic extra- versus introverts. These findings provide strong support for current dopamine models of aE and failure processing, and also highlight the importance of task context. Moreover, the dissociations of FRN and DFMT suggest the existence of two nonredundant electrophysiological indices of feedback processing, both relating to dopamine and aE.     

What Threatens,Defines: Tracing the Symbolic Boundaries of Contemporary Masculinity

A robust literature ties emasculation to a range of compensatory behaviors. The present study shifts focus away from the effects of masculinity threat toward an understanding of young adult men’s experiences of emasculation in their own words. Drawing on 42 in-depth interviews with undergraduate men attending a selective U.S. university, we examine the behaviors, situations, and narratives—both experienced and hypothetical—that privileged young men perceive as threatening. We use these data not only to contribute to the empirical literature on masculinity threat, but also as a novel approach for theorizing about the meaning and structure of masculinity more broadly. This is an important task given recent social and economic changes that may have altered contemporary definitions of masculinity. Emasculation accounts provide unique analytical leverage for revealing men’s often unspoken understandings of acceptable masculine behavior. We find that, while many interviewees superficially espoused egalitarian and anti-homophobic beliefs, their emasculation narratives implicitly call for the subordination of women and other men. These performances consequently obscure and maintain traditional, hegemonic power relations. We discuss the implications of our finding for scholars, practitioners, and individual men who desire a more equitable gender structure.     

Autobiographical reasoning in life narratives buffers the effect of biographical disruptions on the sense of self-continuity

Personal identity depends on synchronic coherence and diachronic continuity of the self. Autobiographical remembering and autobiographical knowledge as well as the stability of bodily integrity, of social roles, of significant others and of physical and sociocultural environment have been suggested as supporting a pre-reflective sense of self-continuity. Stark biographical discontinuities or disruptions in these areas may destabilise the sense of self-continuity. To test the hypothesis that autobiographical reasoning in life narratives helps to compensate the effects of biographical discontinuities on the sense of self-continuity, life narratives of a lifespan sample with the ages of 16, 20, 24, 28, 44 and 69 (N = 150, 78 female) were investigated. Results confirm that if, and only if there have been biographical disruptions in the past four years, then autobiographical reasoning correlates positively with a sense of self-continuity. The findings contradict the thesis that mere remembering of past episodes is sufficient to maintain a sense of self-continuity under conditions of biographical change.     

Characteristics and Components of the TADS CBT Approach

In this paper, we describe the Acute phase of a cognitive-behavioral therapy (CBT) developed for and utilized in the Treatment for Adolescents with Depression Study (TADS). The Acute phase of TADS CBT consists of eight skills that were considered essential to any CBT intervention for adolescent depression (e.g., mood monitoring, increasing pleasant activities, identifying cognitive distortions and developing realistic counter-thoughts). In addition, five optional individual CBT skills (e.g., relaxation, affect regulation) can be incorporated into treatment, depending on the needs of the adolescent. We describe each of these individual skills by reviewing the rationale for their inclusion in the treatment protocol and describing the format that is used to teach the skill area. Recommendations are provided for dealing with common challenges that can occur in the teaching of each skill module. It is our hope that clinicians will find this a useful introduction to this particular form of treatment and a practical guide to dealing with clinical problems common to the delivery of any cognitive behavioral intervention with depressed teens.     

Attention: reaction time and accuracy reveal different mechanisms

The authors propose that there are 2 different mechanisms whereby spatial cues capture attention. The voluntary mechanism is the strategic allocation of perceptual resources to the location most likely to contain the target. The involuntary mechanism is a reflexive orienting response that occurs even when the spatial cue does not indicate the probable target location. Voluntary attention enhances the perceptual representation of the stimulus in the cued location relative to other locations. Hence, voluntary attention affects performance in experiments designed around both accuracy and reaction time. Involuntary attention affects a decision as to which location should be responded to. Because involuntary attention does not change the perceptual representation, it affects performance in reaction time experiments but not accuracy experiments. The authors obtained this pattern of results in 4 different versions of the spatial cuing paradigm.     

The Effects of Social-Comparison Versus Mastery Praise on Children’s Intrinsic Motivation

Two studies examined the effects of social-comparison versus mastery praise on 4th- and 5th-grade children’s intrinsic motivation. Children received a high score and either social-comparison praise, mastery praise, or no praise for working on a set of novel puzzles. They then worked on a different task and were given either ambiguous feedback (Study 1) or positive feedback (Study 2) before completing measures of intrinsic motivation. Mastery praise enhanced intrinsic motivation and social-comparison praise curtailed it when uncertainty about children’s subsequent performance was introduced (Study 1) and, for girls, even in situations of continued success (Study 2). Social-comparison praise also tended to discourage children from seeking subsequent self-evaluative normative information. Theoretical and practical implications are discussed.