HIV infection and mental health: suicidal behaviour--systematic review

Suicide has long been associated with serious illness generally and HIV specifically. New treatments have affected prognosis in HIV positively, but it is unclear how they impact on suicidal burden (thoughts, self-harm and completions). This review examines all published suicide and HIV data for a definitive account of (1) prevalence of HIV-related suicidality, (2) measurement within studies and (3) effectiveness of interventions. Standard systematic research methods were used to gather quality published papers on HIV and suicide, searching published databases according to quality inclusion criteria. From the search, 332 papers were generated and hand searched resulting in 66 studies for analysis. Of these, 75% were American/European, but there was representation from developing countries. The breakdown of papers provided 12, which measured completed suicides (death records), five reporting suicide as a cause of attrition. Deliberate self-harm was measured in 21, using 22 instruments; 16 studies measured suicidal ideation using 14 instruments, suicidal thoughts were measured in 17, using 15 instruments. Navigating the diverse range of studies clearly points to a high-suicidal burden among people with HIV. The overview shows that autopsy studies reveal 9.4% of deceased HIV+?individuals had committed suicide; 2.4% HIV+?study participants commit suicide; approximately 20% of HIV+?people studied had deliberately harmed themselves; 26.9% reported suicidal ideation, 28.5% during the past week and 6.5% reported ideation as a side effect to medication; 22.2% had a suicide plan; 19.7% were generally "suicidal" (11.7% of people with AIDS, 15.3% at other stages of HIV); 23.1% reported thoughts of ending their own life; and 14.4% expressed a desire for death. Only three studies recruited over 70% female participants (39 studies recruited over 70% men), and six focussed on injecting drug users. Only three studies looked at interventions - predominantly indirect. Our detailed data suggest that all aspects of suicide are elevated and urgently require routine monitoring and tracking as a standard component of clinical care. There is scant evidence of direct interventions to reduce any aspect of suicidality, which needs urgent redress.     

The distributional structure of grammatical categories in speech to young children

We present a series of three analyses of young children's linguistic input to determine the distributional information it could plausibly offer to the process of grammatical category learning. Each analysis was conducted on four separate corpora from the CHILDES database (MacWhinney, 2000) of speech directed to children under 2;5. We showthat, in accord with other findings, a distributional analysis which categorizeswords based on their co‐occurrence patterns with surroundingwords successfully categorizes the majority of nouns and verbs. In Analyses 2 and 3, we attempt to make our analyses more closely relevant to natural language acquisition by adopting more realistic assumptions about howyoung children represent their input. In Analysis 2, we limit the distributional context by imposing phrase structure boundaries, and find that categorization improves even beyond that obtained from less limited contexts. In Analysis 3, we reduce the representation of input elements which young children might not fully process and we find that categorization is not adversely affected: Although noun categorization is worse than in Analyses 1 and 2, it is still good; and verb categorization actually improves. Overall, successful categorization of nouns and verbs is maintained across all analyses. These results provide promising support for theories of grammatical category formation involving distributional analysis, as long as these analyses are combined with appropriate assumptions about the child learner's computational biases and capabilities.     

Estimating Structural Equation Models Using James–Stein Type Shrinkage Estimators

Psychometrika - We propose a two-step procedure to estimate structural equation models (SEMs). In a first step, the latent variable is replaced by its conditional expectation given the observed...     

Why egalitarianism might be good for your health: physiological thriving during stressful intergroup encounters

We compared how evaluations by out-group members and evaluations by in-group members affected participants' stress responses--their neuroendocrine reactivity, cognitive appraisals, and observed anxiety--and how participants' implicit racial bias moderated these responses. Specifically, White participants completed measures of racial bias prior to the experiment. During the experiment, participants performed speech and serial subtraction tasks in front of White or Black interviewers. Several saliva samples were obtained, and they were assayed for catabolic ("breaking down") and anabolic ("building up") hormones. Interviewers' race and participants' racial bias interacted in predicting stress responses. When interviewers were Black, lower racial bias was linked with more salutary stress responses: lower threat appraisals, less anxiety, and increased levels of anabolic hormones. When interviewers were White, no effect was found for threat appraisals or anabolic hormones, and the reverse effect was observed for anxiety. Egalitarianism may have physical and psychological benefits for people living in a diverse society.     

Mediation of a middle school skin cancer prevention program.

This study tested potential mediators of a school-based skin cancer prevention intervention for middle school children (6th-8th grades; N = 1,788). Ten variables were tested on 4 criteria to establish mediation, including (a) intervention related to outcome, (b) intervention related to mediators, (c) mediators related to outcome, and (d) mediated effect statistically significant. Sun-safe behaviors (e.g., sunscreen use) and potential mediators were measured with a self-report questionnaire. All criteria were met for Barriers--Sunscreen, Perceived Self-Efficacy, and Knowledge when the mediators were tested separately. In multiple mediator analyses, barriers to sunscreen use and self-efficacy satisfied Criteria 1-3 but were not statistically significant (Criterion 4). Barriers to sunscreen use, perceived self-efficacy for sun-safe behavior, and knowledge may serve as mediators.     

Individual differences in shifting decision criterion: A recognition memory study

An ability to flexibly shift a decision criterion can be advantageous. For example, a known change in the base rate of targets and distractors on a recognition memory test will lead optimal decision makers to shift their criterion accordingly. In the present study, 95 individuals participated in two recognition memory tests that included periodic changes in the base rate probability that the test stimulus had been presented during the study session. The results reveal a wide variability in the tendency to shift decision criterion in response to this probability information, with some appropriately shifting and others not shifting at all. However, participants were highly reliable in their tendency to shift criterion across tests. The goal of the present study was to explain what factors account for these individual differences. To accomplish this, over 50 variables were assessed for each individual (e.g., personality, cognitive style, state of mind). Using a regression model that incorporated different sets of factors, over 50?% of the variance was accounted for. The results of the analysis describe the total, direct, and mediating effects on criterion shifting from factors that include memory strength, strategy, and inherent characteristics such as a fun-seeking personality, a negative affect, and military rank. The results are discussed with respect to understanding why participants rarely chose an optimal decision-making strategy and provide greater insight into the underlying mechanisms of recognition memory.     

Homotopic language reorganization in the right hemisphere after early left hemisphere injury

Speech production is inextricably linked to speech perception, yet they are usually investigated in isolation. In this study, we employed a verbal-repetition task to identify the neural substrates of speech processing with two ends active simultaneously using functional MRI. Subjects verbally repeated auditory stimuli containing an ambiguous vowel sound that could be perceived as either a word or a pseudoword depending on the interpretation of the vowel. We found verbal repetition commonly activated the audition-articulation interface bilaterally at Sylvian fissures and superior temporal sulci. Contrasting word-versus-pseudoword trials revealed neural activities unique to word repetition in the left posterior middle temporal areas and activities unique to pseudoword repetition in the left inferior frontal gyrus. These findings imply that the tasks are carried out using different speech codes: an articulation-based code of pseudowords and an acoustic-phonetic code of words. It also supports the dual-stream model and imitative learning of vocabulary.     

CognitiveGenesis (CG): Assessing Academic Achievement and Cognitive Ability in Adventist Schools

CognitiveGenesis collected achievement and ability test data from 2006–2009 for all students in Seventh-day Adventist schools in North America. Students were above average in achievement compared to national norms and achieved above that predicted by their ability scores. The more years students attended Adventist schools, the higher they achieved, compared to the norm group. Change in students' achievement and ability over 1–3 years was greater than the change in the norm group for both males and females and students in all ethnic groups. Change in achievement and ability for students of all ability levels was equal to or greater than the change in the norm group.     

Emotional and Cognitive Processing in Sexual Assault Survivors' Narratives

Sexual assault sequelae include posttraumatic stress disorder (PTSD), depression, and substance use. Seminal treatment models have been developed based on emotional (Foa & Kozak, 1986) and cognitive (Resick & Schnicke, 1992) theories, and determined to be efficacious. Studies also have documented the utility of Pennebaker and Beall's (1986) narrative writing paradigm for trauma- related depressive and PTSD symptoms. Recently investigations have sought to explicate its benefit, focusing on mechanisms of action. This study aimed to examine the emotional activation and cognitive processing across narrative writing sessions with undergraduate sexual assault survivors. Results revealed statistically significant reductions in depressive symptoms and alcohol use, but not PTSD symptoms. Clinically meaningful and statistically significant emotional activation and habituation occurred within and across sessions. Implications and limitations are discussed.