Mental Health Services Use Intentions Among Canadian Military Recruits

Identifying the factors associated with mental health services use (MHSU) is an important step in developing strategies to improve services access and delivery. The aims of the present study were to (a) identify personality and individual difference characteristics associated with MHSU intentions within the framework of the Theory of Planned Behavior (TPB) and (b) explore complex relationships that might exist between these characteristics and determinants of MHSU intentions identified in TPB, including attitudes, subjective norms, and perceived behavioral control. Data for 244 Canadian Armed Forces recruits who completed a MHSU questionnaire following mental health training were linked to personality data collected earlier. Multivariate analyses showed that the relationship between agreeableness and MHSU intentions was mediated by instrumental attitudes and subjective norms. The relationship between hardiness and MHSU intentions was mediated by subjective norms and self-efficacy. Findings suggest it may be worthwhile to consider mental health education initiatives to improve MHSU.     

Perceived relevance of honesty and agreeableness to situations with non‐correspondent and correspondent outcomes: An interdependence perspective

According to interdependence theory, interpersonal situations that vary in their surface characteristics can be united by similarities in their underlying structure. Likewise, factor analytic approaches to personality combine many traits into a small number of factors. In the current research, we use interdependence theory and existing factor analyses of personality traits to measure people's lay theories about the ways traits and situations interact. We predict that traits representative of honesty–humility/virtue will be rated as more relevant to situations with non‐correspondent outcomes (a gain in one person's outcomes is associated with a loss in the other person's outcomes) than to situations with correspondent outcomes (a gain in one person's outcomes is associated with a gain in the other person's outcomes). Conversely, we predict that traits representative of agreeableness will be rated as more relevant to situations with correspondent outcomes than to situations with non‐correspondent outcomes. An experiment found the expected trait X situation interaction revealing that subjects expect certain types of traits to be most relevant to specific types of situations. Copyright © 2013 John Wiley & Sons, Ltd.     

Multiple hydrogen trapping at monovacancies

Novel structures for multiple hydrogen atoms trapped at a monovacancy are discussed. Using atomistic simulations based on semiempirical interatomic potentials and density functional theory, we find low-energy configurations for four, five, and six hydrogen atoms around a monovacancy different than those that have been previously studied in the literature. The energetics of hydrogen binding are compared to results, both theoretical and experimental, previously published in the literature. We argue that up to four hydrogen atoms may be exothermically bound to monovacancy.     

Uptake of Cardiac Screening and Genetic Testing Among Hypertrophic and Dilated Cardiomyopathy Families

Cardiomyopathy is a genetically and clinically heterogeneous, life threatening disease which affects people of all ages. Recent guidelines provide recommendations for cardiac screening and genetic testing in at-risk relatives, but the uptake and impact of these measures in the United States is unknown. This is a single institution retrospective study that characterizes the uptake of cardiac screening and genetic testing for relatives of a cohort of 57 probands with hypertrophic (HCM) and dilated cardiomyopathy (DCM) who underwent both clinical evaluation and genetic testing. Cardiac screening was indicated for 302 relatives. One hundred and seventy-three (57 %) completed cardiac screening. Forty of the 57 probands were mutation positive and genetic testing was indicated for 213 relatives. Eighty-four (39 %) completed genetic testing. The uptake of cardiac surveillance was greater than the uptake of genetic testing (p?<?0.0001) among relatives of mutation positive probands. Within the group of at-risk, asymptomatic relatives of probands, cardiac screening and genetic testing were positive in 25 % and 40 % of cases, respectively. These data demonstrate the important role and utility of cascade cardiac screening and genetic testing in the care of patients and families with HCM or DCM. The approach to cardiac screening and genetic testing should be family-specific and requires expertise in the genetics of cardiomyopathy.     

Understanding associations between negatively biased attention and depression and social anxiety: positively biased attention is key

ABSTRACT

Background and objectives: Although research supports the premise that depressed and socially anxious individuals direct attention preferentially toward negative emotional cues, little is known about how attention to positive emotional cues might modulate this negative attention bias risk process. The purpose of this study was to determine if associations between attention biases to sad and angry faces and depression and social anxiety symptoms, respectively, would be strongest in individuals who also show biased attention away from happy faces.

Methods: Young adults (N?=?151; 79% female; M?=?19.63 years) completed self-report measures of depression and social anxiety symptoms and a dot probe task to assess attention biases to happy, sad, and angry facial expressions.

Results: Attention bias to happy faces moderated associations between attention to negatively valenced faces and psychopathology symptoms. However, attention bias toward sad faces was positively and significantly related to depression symptoms only for individuals who also selectively attended toward happy faces. Similarly, attention bias toward angry faces was positively and significantly associated with social anxiety symptoms only for individuals who also selectively attended toward happy faces.

Conclusions: These findings suggest that individuals with high levels of depression or social anxiety symptoms attend preferentially to emotional stimuli across valences.     

Sensory Processing Difficulties, Behavioral Problems, and Parental Stress in a Clinical Population of Young Children

This study examined the relationship between sensory processing difficulties, parental stress, and behavioral problems in a clinical sample of young children with developmental and behavioral difficulties. We hypothesized that a high rate of sensory processing difficulties would be found, that there would be a high rate of comorbidity between sensory processing difficulties and behavioral problems, and that children’s sensory processing difficulties and parental stress would be highly correlated. Parents of 59 children ages two to five who attended an out-patient clinic in a low income, urban community completed the Child Behavior Checklist, Parental Stress Inventory-Short Form and the Short Sensory Profile. Children in this clinical population showed a high prevalence (55.9 %) of sensory processing difficulties, a significantly higher rate than previously reported. Sensory processing deficits were correlated with behavioral difficulties and parental stress levels-suggesting that as sensory processing difficulties increase, so do behavioral difficulties and parental stress. Parents of children with sensory processing deficits had significantly higher levels of parental stress than parents of children without sensory deficits. Parenting stress levels were also clinically elevated for the cohort of children in which sensory processing difficulties and behavioral concerns co-existed. These findings suggest that treatment outcomes might improve and parental stress could be reduced if mental health clinicians were trained to identify and address sensory problems. This could result in more children being screened and treated for sensory processing difficulties and an eventual reduction in the rates of parental stress.     

Predictors of Response and Mechanisms of Change in an Organizational Skills Intervention for Students with ADHD

The purpose of the study was to evaluate predictors of response and mechanisms of change for the Homework, Organization, and Planning Skills (HOPS) intervention for middle school students with Attention-Deficit/Hyperactivity Disorder (ADHD). Twenty-three middle school students with ADHD (grades 6–8) received the HOPS intervention implemented by school mental health providers and made significant improvements in parent-rated materials organization and planning skills, impairment due to organizational skills problems, and homework problems. Predictors of response examined included demographic and child characteristics, such as gender, ethnicity, intelligence, ADHD and ODD symptom severity, and ADHD medication use. Mechanisms of change examined included the therapeutic alliance and adoption of the organization and planning skills taught during the HOPS intervention. Participant implementation of the HOPS binder materials organization system and the therapeutic alliance as rated by the student significantly predicted post-intervention outcomes after controlling for pre-intervention severity. Adoption of the binder materials organization system predicted parent-rated improvements in organization, planning, and homework problems above and beyond the impact of the therapeutic alliance. These findings demonstrate the importance of teaching students with ADHD to use a structured binder organization system for organizing and filing homework and classwork materials and for transferring work to and from school.     

Predictors of Relational Aggression and the Moderating Role of Religiousness

Predictors of relational aggression and the moderating role of religiousness on associations between relevant predictors and relational aggression were examined in a sample of 244 university students. Increased childhood relational aggression, increased adult relational victimization, lower agreeableness, and lower emotional stability significantly predicted increased adult relational aggression. Prayer moderated the relationship between agreeableness and adult relational aggression and the association between relational victimization and aggression, and religious service attendance moderated the relationship between emotional stability and relational aggression. Results are discussed in terms of the higher level latent personality constructs of self-regulation and communion, which suggest a potential protective function for religiousness in association with relational aggression.     

The Moral Insignificance of ``Bare' Personal Reasons

Common sense supports the idea that we can have morally significantreasons for giving priority to the interests of persons for whom wehave special concern. Yet there is a real question about the natureof such reasons. Many people seem to believe that there are biologicalor metaphysical special relations, such as family, race, religion orpersonal identity, which are in themselves morally important and thussupply reasons for special concern. I maintain that there are nogrounds for accepting this. What matters morally, I argue, is thesubstance of personal or wider social relationships. My ``substantivist'account of the source of morally salient reasons for special concernis positioned between nonreductionist and strong voluntarist views ofspecial responsibilities. Substantivism is more plausible than theseviews and has important implications for how we approach morallyweighing personal versus impartial reasons.