Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data

The Unified Protocol (UP) is a transdiagnostic, emotion-focused cognitive-behavioral treatment developed to be applicable across the emotional disorders. The UP consists of 4 core modules: increasing emotional awareness, facilitating flexibility in appraisals, identifying and preventing behavioral and emotional avoidance, and situational and interoceptive exposure to emotion cues. Here we present data from 2 open clinical trials. In the first trial, an initial version of the UP was administered to a heterogeneous clinical sample, yielding significant pre- to posttreatment effects across disorders on a variety of measures. Analyses of clinical significance demonstrated modest results, with 56% of participants achieving responder status and 33% achieving high end-state functioning. Further manual development ensued, resulting in specific modifications and enhancements to core treatment components, and a second trial presents data from an additional pilot study of this revised version of the UP. Results from this trial demonstrated more robust treatment effects, with 73% achieving responder status and 60% achieving high end-state functioning. Results improved further at 6-month follow-up, with 85% classified as treatment responders and 69% achieving high end-state functioning. Implications for the treatment of emotional disorders as well as dimensional conceptualizations of psychopathology are discussed.     

Nature and facts about natural and artifactual categories: Sex differences in the semantic priming paradigm

There is abundant evidence from behavioral and neurophysiological experiments for the distinction of natural versus artifactual categories and a gender-specific difference: women’s performances in cognitive tasks increase when natural categories are used, whereas men’s performances increase with artifactual categories. Here, we used the semantic priming paradigm to study retrieval processes by presenting category labels as primes and exemplars as targets. Overall, in two experiments we found larger priming effects for natural than for artifactual categories. In addition, females showed positive priming effects for natural but negative effects for artifactual categories, whereas males showed positive priming effects for both categories. This pattern matches with that from other tasks and can be interpreted as evidence that the findings from these other tasks are, at least partially, indeed due to different representations or processing modes for males and females and not (exclusively) due to—for example—different familiarity with a category. In a further experiment, we showed that the found pattern for females can be manipulated by focusing on perceptual vs. functional features. The results can be interpreted as first evidence that there are (eventually in addition to different “crystallized” semantic structures) specific default processing modes that differ for males and females.     

The specificity of maternal parenting behavior and child adjustment difficulties: a study of inner-city African American families.

The specificity of the association between 2 parenting behaviors (warmth and supervision) and 2 indicators, aggressive behavior and depressive symptoms, of major child outcomes (externalizing problems and internalizing problems) was examined among 196 inner-city African American mothers and their school age children. Given the growing number of African American families affected by HIV/AIDS and demonstrated compromises in parenting associated with maternal infection, the moderating role of maternal HIV/AIDS was also examined. Findings from longitudinal analyses supported the specificity of maternal warmth but not of maternal supervision. Maternal warmth was a stronger predictor of decreases in child aggressive behavior than of decreases in depressive symptoms. In addition, maternal warmth was a stronger predictor of decreases in aggressive behavior than was maternal supervision. Parenting specificity was not moderated by maternal HIV/AIDS. Clinical implications and future research directions are discussed.     

Psychiatric Disorders in Clinical Genetics I: Addressing Family Histories of Psychiatric Illness

This is the first article of a two-part professional development series addressing genetic counseling for personal and family histories of psychiatric disorders. It is based on an Educational Breakout Session presented by the Psychiatric Special Interest Group of the National Society of Genetic Counselors at the 2006 Annual Education Conference. This article examines issues that arise in addressing family histories of psychiatric illness, while the second article in the series considers the generation and provision of individualized recurrence risks for psychiatric disorders. In this article we discuss the importance of managing uncertainty for affected individuals and their close family members who have been referred to genetics for a number of different indications. We then use four simulated cases to make recommendations about the scope and timing of discussions related to the psychiatric family history.     

Systemic administration of a nitric oxide synthase inhibitor impairs fear sensitization in the plus-maze

The aim of the present study was to evaluate the occurrence of fear sensitization in rats previously treated with an inhibitor of the NO syntheses and submitted to Trial1/Trial2 plus-maze (PM) procedure. Male Wistar rats received a systemic treatment with N(omega)-nitro-L-Arginine-methyl ester (L-NAME; 5, 10 or 50 mg kg(-1)) and were submitted to PM Trial1. In the following day the animals were re-exposed to the PM with no drug administration (Trial2). Some standards spatial-temporal measures, such as the percentage of entries (% Open arm entries) and time spent (% Open arm time) in the open arms and risk assessment frequency were recorded and used to estimate the animal level of fear sensitization in PM Trial2. The results showed that animals receiving L-NAME (50 mg kg(-1)) displayed increased % Open arm entries and % Open arm time in Trial2 in relation to the group receiving 0.9% saline, which is compatible with impaired fear/anxiety acquisition during Trial1/Trial2 PM procedure. In addition, rats treated with L-NAME (50 mg kg(-1)) exhibited low level of risk assessment in Trial2 in relation to the group treated with 0.9% saline, which indicates low level of fear/anxiety during PM re-exposure. The number of entries into the enclosed arms was not changed by any L-NAME treatment, which suggests no bias of the drug treatments on animal locomotor activity. The data suggest that NO synthesis may mediate the fear sensitization process in the PM.     

Going around transparent and grid‐like barriers: detour ability as a perception–action skill

Early detour ability may not generalize immediately across similar problems in different perception–action systems, but instead may reveal a pattern of developmental onset that is more domain‐specific. To investigate this possibility, we examined how 10‐month‐old (n = 24) and 12‐month‐old (n = 24) infants performed detours via different action modes and around barriers that differed in transparency. Infants made reaching and locomotor detours to retrieve an object located behind either an upright transparent barrier or an upright transparent barrier overlaid with a grid pattern. The results indicated that infants were more likely to make reaching than locomotor detours and explored the transparent and grid barriers differently. Additionally, younger infants more often attempted to contact the object through the entirely transparent barrier than did older infants, especially when making a reaching detour. The results suggest that during detour development, infants learn to coordinate relevant perceptual information with emerging actions.     

Knowledge,Attitudes, and Beliefs of Catholic Clerics’ Regarding Mental Health in Lebanon

Journal of Religion and Health - Arabic speakers rarely seek the help of professional mental health providers while they heavily rely on religious leaders. However, little is known about the...