Life events as predictors of mania and depression in bipolar I disorder

To date, few prospective studies of life events and bipolar disorder are available, and even fewer have separately examined the role of life events in depression and mania. The goal of this study was to prospectively examine the role of negative and goal-attainment life events as predictors of the course of bipolar disorder. One hundred twenty-five individuals with bipolar I disorder were interviewed monthly for an average of 27 months. Negative and goal-attainment life events were assessed with the Life Events and Difficulties Schedule. Changes in symptoms were evaluated using the Modified Hamilton Rating Scale for Depression and the Bech-Rafaelsen Mania Scale. The clearest results were obtained for goal-attainment life events, which predicted increases in manic symptoms over time. Negative life events predicted increases in depressive symptoms within regression models but were not predictive within multilevel modeling of changes in depressive symptoms. Given different patterns for goal attainment and negative life events, it appears important to consider specific forms of life events in models of bipolar disorder.     

Growing Pains: How Psychologists Can Help to Meet the Clinical Needs of Clients With Autism Spectrum Disorders

The pervasiveness and the prevalence of the autism spectrum disorders (ASD) are now much more recognized than in years past. The treatment needs of higher functioning people with ASD unfortunately often go unmet, and there is tremendous potential for psychologists to help meet these needs. The four articles in this special series provide current, best practice reviews and recommendations for practicing psychologists who work in this area. They highlight commonalities that cut across ASD and other clinical populations, and offer considerations that are unique to working with clients who have ASD. This commentary emphasizes the need for clinicians and applied psychological scientists to consider some of these issues in their own work.     

Successive independence and behavioral contrast in a closed economy.

Two pigeons had access to multiple concurrent schedules of reinforcement for 24 hours per day in their home cages. The variable-interval schedules comprising the multiple concurrent schedules were varied across 16 conditions. In three sets of conditions, one schedule was varied while its concurrent alternative and the concurrent schedules in the other component were held constant. Behavioral contrast was observed; that is, as the rate of reinforcement arranged by the varied schedule decreased, response rates on the constant schedules typically increased. These conditions formed part of two larger sets of conditions in which the concurrent schedules in one multiple-schedule component remained constant while the concurrent schedules in the other component were varied. Successive independence was found, in that behavior allocation during the constant component did not vary as a function of the reinforcer ratios in the varied component. Successive independence between components in multiple concurrent schedules is a robust result that occurs in closed economies and under conditions that promote behavioral contrast.     

Delayed and current stimulus control in successive discriminations

In a successive discrimination in which successively alternating red and green hues signaled component variable-interval schedules, sensitivity of the ratio of responses in the two components to variation in the component reinforcer ratio decreased systematically during the course of the component. This decrease in stimulus control or discrimination over the course of the component was shown to be the result of delayed control of responding during the component by the stimulus transition between components. When the red–green stimulus transition was altered by interpolating a white stimulus at the end of each 60-s component, discrimination at the beginning of the component (measured by the power-function exponent for sensitivity to reinforcement) was reduced. Conditions with the white stimulus inserted in other quarters of the component indicated that the current discriminative stimulus exerts control over responding throughout the component, whereas during about the first half of the component, response differentials are influenced by the transition between discriminative stimuli.     

A Well-Kept Secret: What Counseling Psychology Can Offer Social Psychology1

Although social psychology has increasingly influenced counseling psychology, the impact that counseling psychology has had or could have on social psychology is less well developed. This paper considers factors that have limited counseling's influence on social psychology. In addition, contributions that counseling can make to social psychology are presented. It is argued that both disciplines have evolved to investigate the behavior of “normal” individuals in social contexts. It is concluded that there is much to be gained by both specialties in a fuller and more comprehensive integration and understanding of the findings and methods of the other.     

Overvaluation of shape and weight in binge eating disorder, bulimia nervosa, and sub-threshold bulimia nervosa

Increasing empirical evidence supports the validity of binge eating disorder (BED), a research diagnosis in the appendix of DSM-IV, and its inclusion as a distinct and formal diagnosis in the DSM-V. A pressing question regarding the specific criteria for BED diagnosis is whether, like bulimia nervosa (BN), it should be characterized by overvaluation of shape and weight. This study compared features of eating disorders in 436 treatment-seeking women comprising four groups: 195 BED participants who overvalue their shape/weight, 129 BED participants with subclinical levels of overvaluation, 61 BN participants, and 51 participants with sub-threshold BN. The BED clinical overvaluation group had significantly higher levels of specific eating disorder psychopathology than the three other groups which did not differ significantly from each other. Findings suggest that overvaluation of shape and weight should not be considered as a required criterion for BED because this would exclude a substantial proportion of BED patients with clinically significant problems. Rather, overvaluation of shape and weight warrants consideration either as a diagnostic specifier or as a dimensional severity rating as it provides important information about severity within BED.     

How does mindfulness-based cognitive therapy work?

Mindfulness-based cognitive therapy (MBCT) is an efficacious psychosocial intervention for recurrent depression ( [Kuyken et?al., 2008], [Ma and Teasdale, 2004] and [Teasdale et?al., 2000]). To date, no compelling research addresses MBCT’s mechanisms of change. This study determines whether MBCT’s treatment effects are mediated by enhancement of mindfulness and self-compassion across treatment, and/or by alterations in post-treatment cognitive reactivity. The study was embedded in a randomized controlled trial comparing MBCT with maintenance antidepressants (mADM) with 15-month follow-up (Kuyken et al., 2008). Mindfulness and self-compassion were assessed before and after MBCT treatment (or at equivalent time points in the mADM group). Post-treatment reactivity was assessed one month after the MBCT group sessions or at the equivalent time point in the mADM group. One hundred and twenty-three patients with ≥3 prior depressive episodes, and successfully treated with antidepressants, were randomized either to mADM or MBCT. The MBCT arm involved participation in MBCT, a group-based psychosocial intervention that teaches mindfulness skills, and discontinuation of ADM. The mADM arm involved maintenance on a therapeutic ADM dose for the duration of follow-up. Interviewer-administered outcome measures assessed depressive symptoms and relapse/recurrence across 15-month follow-up. Mindfulness and self-compassion were measured using self-report questionnaire. Cognitive reactivity was operationalized as change in depressive thinking during a laboratory mood induction.MBCT’s effects were mediated by enhancement of mindfulness and self-compassion across treatment. MBCT also changed the nature of the relationship between post-treatment cognitive reactivity and outcome. Greater reactivity predicted worse outcome for mADM participants but this relationship was not evident in the MBCT group.MBCT’s treatment effects are mediated by augmented self-compassion and mindfulness, along with a decoupling of the relationship between reactivity of depressive thinking and poor outcome. This decoupling is associated with the cultivation of self-compassion across treatment.     

Facebook tells me so: applying the theory of planned behavior to understand partner-monitoring behavior on Facebook

The social networking site (SNS) Facebook is becoming increasingly recognized as a medium through which individuals can investigate and monitor others' activities. However, little is known about whether Facebook monitoring behavior occurs within romantic relationships and, accordingly, the psychological predictors of this behavior. The present study employed an extended theory of planned behavior (TPB) framework including self-esteem, partner trust, and demographic characteristics, to predict frequent Facebook partner-monitoring. Facebook users (N=244) in romantic relationships completed measures assessing the standard TPB constructs (attitude, subjective norm, and perceived behavioral control), additional predictor variables (self-esteem and partner trust), and demographic characteristics (age, gender, relationship length, daily Facebook logins, and time spent per login). One week later, participants reported their level of Facebook partner-monitoring during the previous week. Regression analyses supported the standard TPB constructs of attitude and subjective norm in predicting intentions to engage in frequent Facebook partner-monitoring, with intention, in turn, predicting behavior. Partner trust, but not self-esteem, significantly predicted frequent Facebook partner-monitoring intentions. Of the demographic characteristics, daily Facebook logins significantly predicted both intention and behavior and, unexpectedly, relationship length directly affected behavior. Overall, the current study revealed that frequent Facebook partner-monitoring is influenced by attitudinal, normative, and relational factors and, potentially, increased visits to Facebook. These findings provide a new understanding of an individual's use of the world's leading SNS to monitor their partner's activities and provide a foundation for future studies to investigate the potential negative implications this activity may have for those in romantic relationships.     

How semantic categorization influences inhibitory processing in middle-childhood: an Event Related Potentials study

Throughout middle-childhood, inhibitory processes, which underlie many higher order cognitive tasks, are developing. Little is known about how inhibitory processes change as a task becomes conceptually more difficult during these important years. In adults, as Go/NoGo tasks become more difficult there is a systematic decrease in the P3NoGo response, indicating the use of effective inhibitory strategies (Maguire et al., 2009). This paper investigates the age at which children employ similar inhibitory strategies by studying behavioral and Event Related Potential (ERP) measures of response inhibition for three Go/NoGo tasks. Seventeen 7-8 year-olds and twenty 10-11-year-olds completed three Go/NoGo tasks that differed in the level of categorization necessary to respond. Both age groups displayed slower reaction times as the tasks became more difficult. Further, both groups displayed the predicted Go vs. NoGo P3 amplitude differences in the two simplest tasks, but no significant P3 differences for the most complex task. The reason for this pattern of responses was different in the different age groups. Similar to adults in previous work, the oldest children showed an attenuation of the P3 NoGo response with task difficulty, and no corresponding changes in the Go amplitude. The younger children displayed the opposite pattern, a significant increase in the Go amplitude with task difficulty, and no changes in the NoGo response. These response patterns indicate that efficient inhibitory strategies are developing throughout middle-childhood.     

Making causal judgments from the proportion of confirming instances: the pCI rule

It is proposed that causal judgments about contingency information are derived from the proportion of confirmatory instances (pCI) that are evaluated as confirmatory for the causal candidate. In 6 experiments, pCI values were manipulated independently of objective contingencies assessed by the deltaP rule. Significant effects of the pCI manipulations were found in all cases, but causal judgments did not vary significantly with objective contingencies when pCI was held constant. The experiments used a variety of stimulus presentation procedures and different dependent measures. The power PC theory, a weighted version of the deltaP rule, the Rescorla-Wagner associative learning model (R. A. Rescorla & A. R Wagner, 1972), and the deltaD rule, which is the frequency-based version of the pCI rule, were unable to account for the significant effects of the pCI manipulations. These results are consistent with a general explanatory approach to causal judgment involving the evaluation of evidence and updating of beliefs with regard to causal hypotheses.