Injury increases the risk for PTSD: an examination of potential neurobiological and psychological mediators

A growing number of common traumatic events involve both physical and emotional injuries. In contrast to previously held beliefs, the rapidly growing body of literature shows quite convincingly that physical injury, over and above exposure to the traumatic event itself, increases rather than decreases the risk for posttraumatic stress disorder (PTSD). A pertinent question becomes how bodily injury contributes to the risk of developing PTSD. In this article, we review contemporary findings regarding the neurobiological and psychological mechanisms by which bodily injury may augment or independently contribute to chronic posttraumatic stress. In addition, we propose three theoretical pathways through which physical injury can increase the risk for PTSD. These pathways are: additive, unique, and recovery impeding. Finally, we highlight unresolved issues pertaining to each one of these pathways and propose directions for future research to address them.     

Subtyping stuttering I: a review

A reliable and practical subtype system of stuttering should enhance all related scientific work concerned with this disorder. Although a fair number of classification systems have been offered, to date, none has received wide recognition or has been routinely applied in research or clinical spheres. Whereas progress has been made in understanding and treating the disorder, for the most part stuttering continues to be viewed and addressed as a unitary problem. The objectives of the current article are to (a) highlight the motivation for identifying sub-types of stuttering, (b) outline the issues involved in researching subtypes, and (c) address the question of whether or not subtyping is plausible for this disorder. Toward these ends, a broad-based review of past concepts regarding subtypes of stuttering and stutterers is presented according to seven categories that reflect the various authors' conceptual or experimental approaches. Selected studies for each category are also presented to illustrate the research problems and challenges. It is concluded that islands of progress can be identified in subtype research, particularly in studies of children. It is recommended that future studies include multiple factors or domains in the data collection process, especially with young children during the formative years of the disorder, when substantial overlap in the development of several speech/language domains occurs. EDUCATIONAL OBJECTIVES: (a) Readers will be able to describe the theory and research concerning the numerous attempts to subtype stuttering, particularly during the past 50 years; (b) Readers will be able to explain the general issues that need to be resolved in order to identify subtypes as well as current and future research strategies aimed at achieving these goals.     

Changes in positive and negative affect as predictors of change in felt age: Results from the Health and Retirement Study

The present study aimed to examine how changes in positive and negative affect and their interaction predict changes in felt age in a longitudinal design of two waves drawn from the Health and Retirement Study (HRS). Participants (n = 4174) at an average age of 67.97 completed the 2008 and 2012 left behind questionnaire of the HRS. Our results showed that an increase in positive affect and a decrease in negative affect from Wave 1 to Wave 2 predicted an accelerated decrease in felt age. There was an interaction effect showing that for those with an increase in negative affect, a higher change in positive affect predicted reduced odds for accelerated increase in felt age. To conclude, improving favorable change in the combination between positive and negative affect might in turn relate to the individual’s self-perceptions of aging, in the second half of life.     

Positivity ratio of flourishing individuals: Examining the moderation effects of methodological variations and chronological age

We tested the relationship between flourishing and positivity ratio while accounting for different measures of affect and rating scale formats. We further examined age-related differences in positivity ratio. Studies 1 and 2 showed that positivity ratio is affected by the measure used, but not by the rating scale format. Study 3 further showed that positivity ratio is higher among older adults. The above pattern of methodological variations was replicated in Study 4 with daily ratings of emotions and in Study 5 where emotions were rated on an extended scale. Study 5 also replicated the aforementioned age effect. Together these studies suggest that positivity ratio is moderated by methodological variants and individual differences, such as chronological age. Future studies should account for these possible moderation effects when exploring the positivity ratio and its relationship to flourishing.     

Disfluent speech associated with brain damage

The frequency and type of disfluencies in the spontaneous speech of 15 people with Broca's aphasia and right hemiplegia was studied. Two aged-matched control groups (15 nonaphasic stroke patients with left hemiplegia and 15 normals) were also studied. The frequency of disfluencies in the speech of aphasics was three times greater than that in the speech of either control group. However, most of the disfluencies uttered by aphasics were of the types commonly found in speech of normals.     

Attentional demands following perceptual skill training

Practicing simple visual tasks induces substantial improvement. We investigated whether increased efficiency is accompanied by automaticity and immunity to across-task interference. We found that although practice speeds orientation feature detection, it does not abolish susceptibility to interference from introduction of concurrent central-letter identification, which takes priority. Yet following training with each task, observers successfully managed to perform the tasks concurrently. The effectiveness of separate training implies that the role of improved intertask coordination in achieving concurrent performance was minor. Indeed, even when initial training was concurrent, improvement on the two tasks was sequential, and the higher-priority (central) task was learned first. However, automatic processing was not accomplished either, because increasing the difficulty of the higher-priority task interfered with performance of both tasks. What appears to be orchestrated posttraining performance is actually mainly an emergent property of speeded initial processes rather than either eliminated bottlenecks or improved central executive management.     

Possession attachment: Individual differences in the endowment effect

The endowment effect suggests that people become attached to objects that are in their possession, and they demand a higher price to sell an object they own than they would be willing to pay to buy the same object. The results of four experiments support the suggestion that “possession attachment” is related to adult attachment styles in close relationships. Measures of attachment style in close relationships significantly predicted both actual and hypothetical selling prices moderating the endowment effect (Study 1), and significantly correlate with ratings of possession attachment (Study 2). Specifically, attachment anxiety is positively correlated with the selling prices of objects, while attachment avoidance shows no significant relation with object evaluation. The third and fourth experimental studies further demonstrated that attachment anxiety enhances possession evaluation and inhibits trades. The studies used real commodities and real money, and therefore, they have implications for everyday decisions as well as for the development of theories to better understand decisions about trades, negotiations, and choice of goods. Copyright © 2010 John Wiley & Sons, Ltd.