Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship

The study set out to examine the predictive effects of patients’ emotional distress and their relationships with their health care providers on satisfaction with obstetric services in high-risk pregnancies. Participants were 104 pregnant women with a history of recurrent losses, fetal demise, previous or current fetal genetic abnormality, advanced maternal age, or obstetric or medical complications of the present pregnancy. Self-report measures of emotional distress and the quality of their relationships with their medical provider were administered. Hierarchical multiple regression analyses were conducted to assess the predictive effect of these variables on satisfaction with services. Provision of information, constructive communication, and good relationships predicted elevated satisfaction with health services. Provision of information also buffered against the adverse effect of emotional distress on satisfaction with health services. These findings elucidate the central role of provider–patient interaction, particularly as it is related to provision of information, in high-risk pregnancy.     

Short-term predictive effects of the looming cognitive style on anxiety disorder symptoms under restrictive methodological conditions

The looming cognitive style (LCS), an overarching cognitive vulnerability for anxiety syndromes, pertains to a tendency to construct dynamic expectations (mental scenarios, images) of negative events as progressively increasing in danger and rapidly escalating in risk. This study tested the hypothesis that the LCS has functions as a cognitive antecedent and moderator for even short-term changes over a brief time interval in anxiety syndromes (worry, obsessive-compulsive disorder (OCD) symptoms, social anxiety, general anxiety) under restrictive methodological conditions. These included: (a) a one-week interval during which very little changes in anxiety were observed, and (b) controlling for participants' depression and intolerance of uncertainty. As hypothesized by our model, the looming cognitive style predicted short-term changes in worry and OCD symptoms over the week interval, and tended to predict changes in social (audience) anxiety. This style also functioned as a moderator and predicted changes in OCD symptoms among participants already high on this anxiety outcome. Intolerance of uncertainty predicted changes in social (audience) anxiety but not changes in OCD symptoms or worry. These findings support the looming vulnerability theory of anxiety, and encourage further attention into the possible role of the LCS as a cognitive antecedent and moderator of changes in a spectrum of anxiety syndromes.     

The Spanish and Catalan Versions of the Parent Development Interview-Revised (PDI-R): Adaptation and Validation Process

The reflective function (RF) or mentalization is nowadays considered a concept with a great explanatory and therapeutic potential. In this article we present the adaptation and validation of Parent Development Interview-Revised (PDI-R) to the Spanish and Catalan languages. It was performed by a cross-sectional design with a non-clinical sample of 61 Spanish and Catalan speaking mothers of under five mentally healthy children. The same sample responded to an Adult Attachment Questionnaire and to the Child Behavior Check List. The construct hypothesis based on attachment theory and mentalization research, expected a positive correlation between the parental RF level and adult attachment. Other hypothesis did not predict significant differences in the results of the two subsamples depending on sociodemographic characteristics. The results do confirm the hypothesis considered in a concordance way with the literature. The discussion provides some qualitative analysis closer to what is expected of the PDI-R’s clinical uses as a frame to work with parents. This study represents the PDI-R’s introduction in the Spanish and Catalan speaking population over the world. We think it opens the door to further research assessing the parental RF with Spanish speaking parents’ samples as well as to guide the clinical work with them.     

Transient spatial attention and the perceived duration of brief visual events

This study was designed to explore the effects of transient attention—the stimulus-driven component of spatial attention—on the perceived duration of a brief visual event. Observers had to compare the duration of two disks presented successively within a single trial. The disks’ location and duration varied independently. One of these disks, the “attended disk”, was preceded by an attentional cue indicating the disk's location, attracting transient attention in advanced to the disk location. This attentional cue was either a typical onset cue (Experiments 1, 2, and 4) or a singleton cue (Experiment 3) that minimized the differences between the cues. The other disk, the “neutral disk”, was cued with a neutral cue that did not convey information regarding the disk location. We found that the attraction of transient attention to the location of the attended disk prolonged its perceived duration, but only when compared to brief nonattend stimuli.     

MMPI X and Zero Items in a Psychiatric Outpatient Group

One of the most intriguing characteristics of interpersonal dependency is its ability to predict elevated levels of social support. Yet studies of interpersonal dependency use various measures to assess this effect. In this study, I compared 3 commonly used measures of interpersonal dependency in terms of their prediction of social support: Hirschfield's Interpersonal Dependency Inventory (IDI; Hirschfeld et al., 1977), the dependency factor of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976), and the Dependency subscale of the Personal Style Inventory (PSI; Robins et al., 1994). A total of 152 undergraduates were administered these measures as well as measures of depressive symptoms and social support a week prior to their first exam period and a week after this period (interval time = 8 weeks). DEQ–dependency predicted an increase in social support, whereas PSI–Dependency and IDI predicted a decrease in social support over time. DEQ–dependency appears to capture better than the other 2 measures the dialectic tension between risk and resilience in interpersonal dependency.     

Being Clean and Acting Dirty: The Paradoxical Effect of Self-Cleansing

In two studies we investigated the association between physical cleansing and moral and immoral behavior in real-life situations. In Study 1, after a workout at the gym, participants cheated more after taking a shower than before taking one. In the second study, participants donated more money to charity before rather than after they bathed for religious purification. The results extend previous findings about moral cleansing and moral licensing and are discussed within the framework of conceptual metaphor theory.     

What measure of interpersonal dependency predicts changes in social support?

One of the most intriguing characteristics of interpersonal dependency is its ability to predict elevated levels of social support. Yet studies of interpersonal dependency use various measures to assess this effect. In this study, I compared 3 commonly used measures of interpersonal dependency in terms of their prediction of social support: Hirschfield's Interpersonal Dependency Inventory (IDI; Hirschfeld et al., 1977), the dependency factor of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976), and the Dependency subscale of the Personal Style Inventory (PSI; Robins et al., 1994). A total of 152 undergraduates were administered these measures as well as measures of depressive symptoms and social support a week prior to their first exam period and a week after this period (interval time = 8 weeks). DEQ-dependency predicted an increase in social support, whereas PSI-Dependency and IDI predicted a decrease in social support over time. DEQ-dependency appears to capture better than the other 2 measures the dialectic tension between risk and resilience in interpersonal dependency.     

Is there a neutral metalanguage?

Logical pluralists are committed to the idea of a neutral metalanguage, which serves as a framework for debates in logic. Two versions of this neutrality can be found in the literature: an agreed upon collection of inferences, and a metalanguage that is neutral as such. I discuss both versions and show that they are not immune to Quinean criticism, which builds on the notion of meaning. In particular, I show that (i) the first version of neutrality is sub-optimal, and hard to reconcile with the theories of meaning for logical constants, and (ii) the second version collapses mathematically, if rival logics, as object languages, are treated with charity in the metalanguage. I substantiate (ii) by proving a collapse theorem that generalizes familiar results. Thus, the existence of a neutral metalanguage cannot be taken for granted, and meaning-invariant logical pluralism might turn out to be dubious.

     

Interpersonal relatedness,self-definition,and their motivational orientation during adolescence: a theoretical and empirical integration

The authors examined a theoretical model linking interpersonal relatedness and self-definition (S.J. Blatt, 1974), autonomous and controlled regulation (E. L. Deci & R. M. Ryan, 1985), and negative and positive life events in adolescence (N = 860). They hypothesized that motivational orientation would mediate the effects of interpersonal relatedness and self-definition on life events. Self-criticism, a maladaptive form of self-definition, predicted less positive events, whereas efficacy, an adaptive form of self-definition, predicted more positive events. These effects were fully mediated by the absence and presence, respectively, of autonomous motivation. Controlled motivation, predicted by self-criticism and maladaptive neediness, did not predict negative events. Results illustrate the centrality of protective, pleasure-related processes in adaptive adolescent development.     

Maternal Personality and Distress as Predictors of Child Neglect

Previous studies suggest that maternal personality problems predict child neglect. However, these studies have not distinguished between the common and unique contributions of various maternal personality dimensions, nor have they compared the contribution of maternal personality with maternal emotional distress. The current study addresses these issues using data collected by James Gaudin and distributed by the National Data Archive on Child Abuse and Neglect at Cornell University. Information was extracted on 94 neglectful and 101 comparison mothers. Logistic regression analyses revealed that a composite score reflecting maternal empathic capacity inversely predicted child neglect, whereas maternal depressive symptoms and loneliness did not. Results are discussed in terms of the importance of distinguishing between common and unique contributions of maternal personality dimensions to clinical and social outcomes and in terms of the relative contribution of maternal personality and emotional distress to child neglect.