Assessing PTSD in the military: Validation of a scale distributed to Danish soldiers after deployment since 1998

Since 1998, soldiers deployed to war zones with the Danish Defense (≈31,000) have been invited to fill out a questionnaire on post‐mission reactions. This provides a unique data source for studying the psychological toll of war. Here, we validate a measure of PTSD‐symptoms from the questionnaire. Soldiers from two cohorts deployed to Afghanistan with the International Security Assistance Force (ISAF) in 2009 (ISAF7, N = 334) and 2013 (ISAF15, N = 278) filled out a standard questionnaire (Psychological Reactions following International Missions, PRIM) concerning a range of post‐deployment reactions including symptoms of PTSD (PRIM‐PTSD). They also filled out a validated measure of PTSD‐symptoms in DSM‐IV, the PTSD‐checklist (PCL). We tested reliability of PRIM‐PTSD by estimating Cronbach's alpha, and tested validity by correlating items, clusters, and overall scale with corresponding items in the PCL. Furthermore, we conducted two confirmatory factor analytic models to test the factor structure of PRIM‐PTSD, and tested measurement invariance of the selected model. Finally, we established a screening and a clinical cutoff score by application of ROC analysis. We found high internal consistency of the PRIM‐PTSD (Cronbach's alpha = 0.88; both cohorts), strong item‐item (0.48–0.83), item‐cluster (0.43–0.72), cluster‐cluster (0.71–0.82) and full‐scale (0.86–0.88) correlations between PRIM‐PTSD and PCL. The factor analyses showed adequate fit of a one‐factor model, which was also found to display strong measurement invariance across cohorts. ROC curve analysis established cutoff scores for screening (sensitivity = 1, specificity = 0.93) and clinical use (sensitivity = 0.71, specificity = 0.98). In conclusion, we find that PRIM‐PTSD is a valid measure for assessing PTSD‐symptoms in Danish soldiers following deployment.     

An interpersonal analysis of adult attachment style: circumplex descriptions,recoiled developmental experiences,self-representations,and interpersonal functioning in adulthood

Previous research suggests that the structure of adult attachment is dimensional, but the specific dimensions remain unclear. Given its relational nature, studies should examine attachment structure in association with conceptually related interpersonal constructs. The interpersonal model (Kiesler, 1996) provides an integrative framework to examine this structure and associations between dimensions of attachment security (i.e., Anxiety and Avoidance) and: 1) the dimensions of the interpersonal circumplex, 2) the five-factor model of personality, 3) recollections of mothers and fathers, and 4) current self-processes and adult social functioning. In two samples of undergraduates, the Anxiety and Avoidance dimensions were associated with a hostile-submissive interpersonal style. Canonical correlation analyses revealed that dimensions representing combinations of Anxiety and Avoidance, and roughly corresponding to the dimensions from Secure (i.e., low Anxiety and Avoidance) to Fearful (i.e., high Anxiety and Avoidance) attachment and from Preoccupied (i.e., high Anxiety and low Avoidance) to Dismissive (i.e., low Anxiety and high Avoidance) attachment related to the interpersonal constructs. The Secure to Fearful dimension (i.e., overall attachment security) seemed to share relatively more variance with the interpersonal constructs. These dimensions were associated with theoretically consistent characteristics, recollections of early experiences with parents, self-representations, and social functioning.     

STIVID: A VBSCRIPT-based program for adding visual and auditory stimuli on videotapes

Some psychological experiments require placement of visual and auditory stimuli on predefined frames in a videotape. We introduce STIVID (STImuli on VIDeo) as a method of performing this task. STIVID can add images, words, simple shapes, and audio tones to specific frames of existing video files created in AVI format. STIVID is written in Visual Basic and uses VBScripts to modify the AVI files. Three applications of this program are discussed: adding stimuli for reaction time experiments with couples watching a relational conflict, use of distractors in ADHD experiments, and placing eye masks on actors in existing videotapes to manipulate perceptibility of the target’s facial expression during the mind-reading process.     

The Yin and Yang of cell cycle progression and differentiation in the oligodendroglial lineage

In white matter disorders such as leukodystrophies (LD), periventricular leucomalacia (PVL), or multiple sclerosis (MS), the hypomyelination or the remyelination failure by oligodendrocyte progenitor cells involves errors in the sequence of events that normally occur during development when progenitors proliferate, migrate through the white matter, contact the axon, and differentiate into myelin-forming oligodendrocytes. Multiple mechanisms underlie the eventual progressive deterioration that typifies the natural history of developmental demyelination in LD and PVL and of adult-onset demyelination in MS. Over the past few years, pathophysiological studies have mostly focused on seeking abnormalities that impede oligodendroglial maturation at the level of migration, myelination, and survival. In contrast, there has been a strikingly lower interest for early proliferative and differentiation events that are likely to be equally critical for white matter development and myelin repair. This review highlights the Yin and Yang principles of interactions between intrinsic factors that coordinately regulate progenitor cell division and the onset of differentiation, i.e. the initial steps of oligodendrocyte lineage progression that are obviously crucial in health and diseases.     

A study on the mediating role of disgust with meat in the prediction of red meat consumption among young females

• Recent studies have examined young females' negative sentiments toward meat in the western world. This paper explored the role of various factors that may trigger disgust with meat and hence avoidance of red meat among young females. These include negative body esteem, disgust motivations related to ideational concerns, sensory‐affective concerns, and anticipation of negative consequences relating to the consumption of meat. The investigation showed that all of these factors were positively related to disgust with meat, and disgust with meat influenced red meat consumption negatively.

Copyright © 2006 John Wiley & Sons, Ltd.     

Utility of the impact of event scale in screening for posttraumatic stress disorder

This study assesses the optimal cut-off point for the Impact of Event Scale and compares its screening properties with those of the Self-rating Inventory for Posttraumatic Stress Disorder among war-related trauma victims. 74 patients with war-related trauma were administered the Impact of Event Scale and the Self-rating Inventory for Posttraumatic Stress Disorder, followed 1 wk. later by the Clinician-administered PTSD Scale. Receiver operating characteristic analysis indicated for the Impact of Event Scale a sensitivity of .77 and a specificity of .51 at a cut-off value of 36. For the Self-rating Inventory for Posttraumatic Stress Disorder a sensitivity of .86 and a specificity of .69 were found at a cut-off value of 52. The authors conclude that careful use of the Impact of Event Scale as a screening measure for Posttraumatic Stress Disorder is warranted.     

Stimulation seeking and hyperactive behavior in children with ADHD: a re-analysis

To examine the stimulation-seeking function of hyperactivity in children with ADHD, Antrop and colleagues analyzed the behavior of 30 hyperactive and 30 nonhyperactive children during a waiting situation, either with or without extra stimulation. The behavior was assessed by frequency measures. In their study it was hypothesized that children with ADHD would show a greater decrease in activity in the presence of stimulation than control children. Since confirmation for this hypothesis was only found for 2 of 25 target behaviors, the present re-analysis included other behavioral measures to assess two relationships: first, how hyperactivity varies under fixed time conditions, using measures of duration and intensity of behavior instead of frequency measures, and second, how the perceived duration of waiting time affects behavior. Analysis indicated that children with ADHD showed a greater decrease in behavior in the presence of stimulation for touching objects and movements of trunk, as reported. Further, children who underestimated the waiting period were more apt to seek additional stimulation in its absence than those who overestimated the waiting period.     

Processing approaches to cognition: the impetus from the levels-of-processing framework

Processing approaches to cognition have a long history, from act psychology to the present, but perhaps their greatest boost was given by the success and dominance of the levels-of-processing framework. We review the history of processing approaches, and explore the influence of the levels-of-processing approach, the procedural approach advocated by Paul Kolers, and the transfer-appropriate processing framework. Processing approaches emphasise the procedures of mind and the idea that memory storage can be usefully conceptualised as residing in the same neural units that originally processed information at the time of encoding. Processing approaches emphasise the unity and interrelatedness of cognitive processes and maintain that they can be dissected into separate faculties only by neglecting the richness of mental life. We end by pointing to future directions for processing approaches.     

The effects of second-language acquisition on verbal fluency among elderly israelis

The present study investigated the effect of age of second-language acquisition (Hebrew) on verbal fluency in a random sample of 196 elderly Israelis from four distinct ethnic groups. Using conventional statistics, it was shown that phonemic fluency, particularly switching, is associated with education and the age of Hebrew acquisition, while semantic fluency, particularly clustering, is associated with age. Ethnic differences were not significant after controlling for the age of Hebrew acquisition and education. Additional analyses show that the tendency of subjects to use borrowed, non-Hebrew words on the phonemic fluency task was associated with lower total scores on this task and later age of Hebrew acquisition. In contrast, the tendency to use non-Hebrew words on the semantic fluency task was associated with age and higher total scores. These findings are discussed with regard to recent functional imaging studies of bilingual subjects. Such findings indicate that native and second languages form distinct areas of activation in the dominant anterior language area, an area often associated with phonemic processing and switching, whereas an overlap of activation of various languages has been demonstrated within the posterior language areas, those that are often associated with semantic processing.     

Modality effects in false recall and false recognition

R. E. Smith and R. R. Hunt (1998) reported a dramatic reduction in false remembering in a list-learning paradigm by switching from auditory to visual presentation at study. The current authors replicated these modality effects using written recall and visual recognition tests but obtained smaller effects than those in R. E. Smith and R. R. Hunt's study. In contrast, no modality effect occurred on auditory recognition tests. Manipulating study and test modality within-subjects (Experiment 2) and between-subjects (Experiment 3) yielded similar results. It was also found that subjects frequently judged critical nonstudied words as having been presented in the modality of their corresponding study lists. The authors concluded that subjects could retrieve distinctive information about a study list's presentation modality to reduce false remembering but only did so under certain conditions. The modality effect on false remembering is a function of both encoding and retrieval factors.