Does comorbid attention-deficit/hyperactivity disorder impact the clinical expression of pediatric obsessive-compulsive disorder?

What is the impact of attention-deficit/hyperactivity disorder (ADHD) on the phenotypic expression of pediatric obsessive-compulsive disorder (OCD). We examined phenotypic features, and functional and clinical correlates in youths with OCD, with and without comorbid ADHD, from a large sample of consecutively referred pediatric psychiatry patients. Although comorbid ADHD had no meaningful impact on the phenotypic expression or clinical correlates of OCD, it was associated with higher rates of compromised educational functioning compared with other OCD youths. Our findings suggest that the OCD phenotype runs true and is not impacted by comorbid ADHD in youths diagnosed with both OCD and ADHD. In such affected youths, both disorders contribute to morbid dysfunction and require treatment. More work is needed to determine whether OCD plus ADHD represents a developmentally and etiologically distinct form of the OCD syndrome.     

A Self-Plagiarism Intervention for Doctoral Students: A Qualitative Pilot Study

This purpose of this qualitative study was to gather detailed information about student perceptions of self-plagiarism and the perceived effectiveness of a brief self-plagiarism video tutorial. Semi-structured interviews (n = 7) were conducted and health sciences doctoral students were queried regarding their knowledge and perceptions of self- plagiarism. The population for this study was new doctoral students, as well as students who had committed self-plagiarism during the semester. Overall, participants reported a specific self-plagiarism intervention was more helpful in preventing self- plagiarism than a traditional plagiarism intervention and that the intervention should be included in initial program orientation. Overwhelmingly, students did not believe self- plagiarism was a serious academic offense and think they own their intellectual property and unpublished works.     

Measurement Skills in Low-Income Elementary School Students: Exploring the Nature of Gender Differences

In this research, we examined overall performance and gender differences in measurement skills in elementary-school students from low-income families. In Study 1, accuracy and error patterns were analyzed in a large sample of fourth-graders; in Study 2 error patterns and strategy usage were examined with a smaller sample of fourth-graders. Study 1 showed no main effect of gender on students’ performance. Instead, as predicted, the direction of gender difference varied as a function of problem type: boys outperformed girls on spatial/conceptual measurement, whereas girls outperformed boys on formula-based measurement, as well as on a test of computation skills. Study 2 revealed both similarities and differences in the way boys and girls approached measurement problems. Girls appeared to have specific difficulty with spatial/conceptual problems where objects and measurement units were not pictorially presented. When recording their solutions, girls generally wrote down calculations while boys made drawings. Overall, the students performed poorly in measurement; strategy analysis allowed for examination of common weaknesses, indicating possible ways of improving performance of underserved groups.     

Anxiety in Children with Mood Disorders: A Treatment Help or Hindrance?

This study examined the role of comorbid anxiety in treatment outcome for children with mood disorders (N = 165; age 8–11) participating in Multi-Family Psychoeducational Psychotherapy (MF-PEP). Assessments occurred at baseline, 6, 12, and 18 months for two randomly assigned groups: immediate treatment and 1-year wait-list. Most children (69%) had comorbid anxiety disorders. Baseline comorbid anxiety, as reported on the Children’s Interview for Psychiatric Syndromes (ChIPS), was associated with higher Children’s Depression Rating Scale- Revised (CDRS-R) scores but not Young Mania Rating Scale (YMRS) scores. Higher levels of anxiety symptoms were associated with lower Children’s Global Assessment Scale (C-GAS) scores. Participation in MF-PEP did not significantly reduce anxiety symptoms (p = 0.62). However, presence of comorbid anxiety did not impede reduction in depressive (CDRS-R, p = 0.74) or manic (YMRS scores, p = 0.94) symptoms following MF-PEP. More baseline anxiety symptoms were associated with greater improvement in C-GAS scores post-treatment (p = 0.02). Implications are discussed.     

Retrieval properties of negative vs. positive mental images and autobiographical memories in social anxiety: outcomes with a new measure

High (n = 41) and low (n = 39) socially anxious (SA) participants completed the Waterloo Images and Memories Interview (WIMI), a new assessment tool that measures the accessibility and properties of mental images and associated autobiographical memories that individuals may experience across both anxiety-provoking (negative) and non-anxiety-provoking (positive) social situations. Results indicated that both high and low SA individuals experience negative images and associated autobiographical memories in anxiety-provoking social situations, but the rates of endorsement of such images and memories among high SA participants were substantially lower than those reported in recent studies. Moreover, whereas low SA individuals were capable of accessing a relatively balanced array of both negative and positive self-representations that were rich in episodic detail, high SA individuals retrieved a higher, more unbalanced ratio of negative-to-positive images and memories, as well as impoverished positive images that were significantly degraded in episodic detail. Finally, negative images influenced the two groups differently, with high SA individuals experiencing more negative emotional and cognitive consequences associated with bringing such images to mind. These results are discussed in relation to theoretical models of learning and memory within the context of contemporary cognitive behavioral models of social anxiety.     

Does the isolation effect require attention?

An item that differs from the surrounding items is remembered better than an item that is consistent with its surroundings; this is known as the von Restorff effect or isolation effect (von Restorff, Psychologische Forschung, 18, 299–342, 1933). Theoretical explanations have proposed that the isolate is processed differently from control items, though some research has suggested that this processing might require more attention for semantic than for physical isolates. To test this possibility, in the present study we examined the isolation effects for physical isolates and semantic isolates under full and divided attention. Participants viewed lists of categorized words, with some lists containing either a physical or a semantic isolate, followed by immediate written free recall. Across three experiments, divided attention eliminated the semantic isolation effect but did not impact the physical isolation effect. Furthermore, semantic isolates were output earlier in recall than controls, whereas physical isolates were output more similarly to controls. These findings suggest that semantic isolation effects require attention during encoding, whereas physical isolation effects are relatively automatic.     

Finding Female Fulfillment: Intersecting Role-Based and Morality-Based Identities of Motherhood, Feminism, and Generativity as Predictors of Women’s Self Satisfaction and Life Satisfaction

Focused on 113 U.S. mothers of college-aged daughters, we extend the existent role-based identity literature to address role- and morality-based identities and their ties to women’s fulfillment. Specifically, women’s identities as mothers, feminists, and generative individuals were assessed for their associations with each other, as well as their unique and combined associations with women’s self satisfaction and life satisfaction. Across the results, generativity yielded the greatest significance. Women with higher generativity identity report having higher self satisfaction and life satisfaction; women who were highly committed to mothering have stronger associations between generativity and life satisfaction. Women with strong generativity identities also tend to identify themselves as feminists. Feminist and mothering identity were not related to one another nor directly tied to satisfaction with one’s self nor life. Implications are discussed regarding continued assessment of role- and morality-based identity intersections as well as to the functions and limitations of the three identities and their assessment featured herein.     

Disulfiram maintenance employee alcoholism treatment: A three-phase evaluation

Absenteeism rates of industrial employees (N = 21) referred by their employers to alcoholism treatment were evaluated during three phases: pre-treatment (the 24 months immediately prior to treatment); treatment (the period of continuous treatment enrolment, averaging 10.6 months); and post-treatment (the period immediately following treatment, averaging 4.4 months). Treatment consisted of disulfiram maintenance—routine supervised ingestion of disulfiram—without scheduled counseling. The median per cent of scheduled work days absent for each phase was: pre-treatment, 9.8%; treatment, 1.7%; post-treatment, 6.7%. Absenteeism during the treatment phase was significantly less (p < 0.01) than that during pre-treatment and post-treatment, which did not differ significantly from one another. The five-fold reduction in absenteeism was specifically related to treatment delivery, and appears superior to the two-fold reduction reported for traditional employee alcoholism treatment via counseling.