A rat chamber and electrode procedure for avoidance conditioning

A method was developed for studying the reactions of rats to aversive shock. The distinctive features were the design of the chamber and a method of restraint that allowed the use of surface electrodes to deliver the shock. Advantages of this method were: (1) accurate specification of the shock actually received by the rat; (2) elimination of all unauthorized escape or avoidance reactions; (3) elimination of the shock scramblers and floor grids required with foot-shock; and, (4) rapid acquisition of performance under various avoidance procedures and various frequencies of shock delivery.     

Cross-Lagged Relationships Between Insomnia and Posttraumatic Stress Disorder in Treatment-Receiving Veterans

Insomnia is a risk factor for the development of posttraumatic stress disorder (PTSD) while it is also plausible that PTSD symptoms can maintain insomnia symptoms. The present study examined longitudinal bidirectional relationships between insomnia and PTSD symptoms in treatment-seeking veterans. Participants were 693 ex-serving members of the Australian Defence Force who participated in an accredited, hospital-based outpatient PTSD program. Participants completed self-reported assessments of PTSD and insomnia symptoms at four time points: intake, discharge, 3-month, and 9-months posttreatment follow-up.Cross-lagged pathway analyses indicated significant bi-directional pathways between insomnia symptoms and PTSD symptoms at most time points. A final cross-lagged model between insomnia symptoms and the PTSD symptom clusters indicated that the PTSD symptom paths on insomnia symptoms, between intake and discharge, were attributable to reexperiencing PTSD symptoms. In contrast, across posttreatment follow-up time points there were significant paths of insomnia symptoms on all PTSD symptom clusters except from insomnia at 3-months to avoidance symptom at 9-months. PTSD symptoms and insomnia symptoms have bidirectional associations over time that may lead to the mutual maintenance or exacerbation of each condition following PTSD treatment. Where residual insomnia symptoms are present post-treatment, a sleep-focussed intervention is indicated and a sequenced approach to treatment recommended.     

Confirmatory Validation and Measurement Equivalence of the Eating Loss of Control Scale in Binge Eating and Non-Clinical Samples

Although Loss of Control (LOC) is a transdiagnostic factor in eating pathology, there are few standalone assessments of LOC. The objective of this study was to evaluate the uni-dimensionality and measurement equivalence of the Eating Loss of Control Scale (ELOCS). Confirmatory factor analyses were used to achieve a well-fitting uni-dimensional model in clinical (N?=?226) and non-clinical (N?=?476) samples. Measurement equivalence was tested in a factor analytic framework, and effect sizes were computed to evaluate the impact of non-equivalence. A well-fitting model was achieved in both samples after the removal of 4 items. The instrument showed configural equivalence but not metric equivalence. Results suggest that the ELOCS is a reliable and valid measure of LOC in clinical and non-clinical samples. However, while the nature of the LOC construct is similar across binge eating and non-clinical participants, comparisons of ELOCS across these groups are affected by measurement non-equivalence. This research also revealed novel insights into the relative sensitivity of model fitting and effect size approaches to investigating measurement equivalence.     

Predicting the completion of an integrative and intensive outpatient chronic pain treatment with the personality assessment inventory

The effects of intensive, integrative treatments for chronic pain are affected by patient compliance, and in many cases, selecting noncompliant individuals adversely impacts the cost-effectiveness of such programs. The pretreatment identification of individuals who are at risk for dropout could assist clinicians in augmenting treatments with motivational enhancement strategies for high-risk patients or using such information to select individuals who are most likely to complete a given intervention program. In this study, we tested the ability of indicators from the Personality Assessment Inventory (PAI; Morey, 1991), administered prior to treatment, to identify individuals who dropped out of a 20-day chronic pain program. Results replicate findings from outpatient psychotherapy research in finding that PAI Mean Clinical Elevation and Treatment Process Index significantly differentiated dropouts from graduates, particularly when the Treatment Rejection scale suggested patients were motivated for treatment. We discuss these results and offer recommendations for the prediction of treatment dropout in pain settings.     

Optimal Scoring of the Multidimensional Pain Inventory in a Chronic Pain Sample

The Multidimensional Pain Inventory (MPI) is one of the most commonly used self-report instruments in pain settings. The MPI can be used to classify patients into three clusters or its nine scales can be treated as dimensions in efforts to understand patient heterogeneity. Previous research suggests the existence of a fourth cluster, whose members have been labeled ‘repressors,’ that emerges with the addition of a defensiveness scale to the MPI. The current paper compared the abilities of MPI cluster and dimensional models with and without a measure of defensiveness to capture variability in validating variables related to personality, psychopathology, physical functioning, and treatment outcome in a chronic pain sample. Results suggest that dimensional models consistently outperform cluster models in explaining variance in outcome variables, and that the addition of a measure of defensiveness increments the validity offered by the MPI scales. Implications for the assessment of pain patients are discussed.

Pharmacotherapy for the Pseudobulbar Affect in Individuals Who Have Sustained a Traumatic Brain Injury: a Systematic Review

Neuropsychology Review - Pseudobulbar affect is a debilitating condition that significantly reduces quality of life for many individuals following traumatic brain injury (TBI). It is characterized...     

Malingering on the Personality Assessment Inventory: Identification of Specific Feigned Disorders

Summary: Two nonverbal methods for assessing degree of interpersonal attraction were explored. Twenty children ranging from 11 to 13 years of age were asked to select two liked and two disliked classmates of the same sex. On four different trials, subjects selected one geometric block to represent themselves and one to represent a pre-selected classmate, then placed the figures on a ruled board. Distance between objects was measured and found to be significantly related to degree of peer liking. In addition, subjects were asked to draw each of the four peers. The human figure drawings were rated for total pictorial detail which was found to vary strongly across magnitude of liking for female subjects, and for parts integration which was found to vary with degree of peer liking for both sexes. The degree of rated positive affective tone of drawings was also found to increase with liking. Implications for the use of these two interpersonal assessment techniques in clinical practice were discussed.     

Connecting DSM-5 Personality Traits and Pathological Beliefs: Toward a Unifying Model

Dissatisfaction with the DSM-IV model of personality disorders has led to the development of alternative conceptualizations, including pathological trait models and models linked to particular theoretical approaches, such as Beck and Freeman’s (1990) cognitive framework. An important issue involves the potential to interweave such models into a single, parsimonious system that combines their distinct advantages. In this study, pathological trait and dysfunctional belief data from 616 individuals in a non-clinical sample were evaluated for commensurability using structural equation modeling. These models can be integrated via five higher-order factors, and that specific dimensions of dysfunctional beliefs can be differentiated based on features of the DSM-5 trait model. Overall, these results suggest that traits provide scaffolding for individual differences in pathological personality, within which dysfunctional beliefs offer specific vectors for clinical intervention in a cognitive framework. Implications of the empirical commensurability of trait and cognitive models are discussed.