Neurocognitive Performance in Alcoholics: Is Polysubstance Abuse Important?

The neurocognitive effects of alcohol have been frequently examined. Studies reveal a wide array of cognitive deficits. Attempts to develop a parsimonious model for these effects have been difficult because of the intra- and intersubject variability. Complicating the development of a model of cognitive deficits in substance abusers is the common practice of polysubstance abuse. The use of theoretical models that focus on the underlying cognitive processes offers flexibility while maintaining sufficient theoretical precision. This article briefly reviews the literature on neurocognitive changes associated with substance abuse as well as the various theoretical models that have been studied. It also provides an overview of recovery of function. Its primary objective is to evaluate cognitive function among alcoholic subtypes, defined by patterns of other drug use. This analysis suggests there are significant differences in neurocognitive function among these subtypes.     

Career guidance in five English independent schools

English independent schools are not required to follow government statutory guidance in a number of aspects including career education and guidance, and yet many are actively engaged in careers work and this has caught the attention of policymakers. State schools are subject to statutory guidance but, according to Ofsted and other authorities, the majority fail to adequately support young people through their post-school transitions. Using evidence from five English independent schools, the type of provision they offer is analysed against benchmarks of good practice to identify where their support is focussed. The factors that shape the resourcing and design of career education and guidance in the five schools are also explored. The extent to which the practices observed in the case studies can be replicated in all, or a sub-set of state schools, is discussed in the light of policy influence of independent schools.     

The role of self-esteem in the misinformation effect

Previous research using the Gudjonnson suggestibility scale has suggested a role for self-esteem in suggestibility, with participants low in self-esteem being more suggestible than participants high in self-esteem. Four experiments are presented examining the role of self-esteem in the misinformation effect and whether enhanced suggestibility effects in participants low in self-esteem reflect genuine memory impairment. In Experiments 1 and 4 participants completed a standard recognition test. In Experiment 2 participants completed the modified recognition test. In Experiment 3 participants completed a free recall test. In Experiments 1 and 4 participants low in self-esteem demonstrated greater misinformation effects than participants high in self-esteem. In Experiment 3 a 3-day retention interval was employed with the modified test and no differences were found between the two groups on the reporting of the new item. The findings suggest that participants low in self-esteem are particularly sensitive to demand characteristics and post-event suggestion but do not suffer from genuine memory impairment.     

Lesbian, Gay, and Bisexual Identity Scale (LGBIS): construct validation, sensitivity analyses and other psychometric properties

According to Mohr and Fassinger (2006), identity is seen as both self-identification and collective identification with values, beliefs, traits or behaviours and attachments. Their Lesbian, Gay, and Bisexual (LGB) multidimensional identity model accounts for important variables regarding the constitution of identities. This model not only accesses numerous dimensions of the lives of LGB individuals, but is also based on a body of research that recognizes how LGB difficulties are caused by societal intolerance and marginalization (Mohr & Fassinger, 2000). The Lesbian, Gay, and Bisexual Identity Scale (LGBIS; Kendra & Mohr, 2008) constitutes an operationalization of this multidimensional model, and the aim of this article is to present its construct validity by analysing its factor structure using a sample of Portuguese lesbian, gay and bisexual participants. Results from exploratory and confirmatory factor analyses, as well as from factor invariance analysis across sub-samples are presented. In a general way, the factor structure obtained in this study follows the original proposal of Kendra and Mohr's (2008) LGBIS. Moreover, scale sensitivity analyses are presented in order to check for eventual differences in the factor structure and/or factor intercorrelations regarding participant gender and sexual orientation. These results are then discussed in the light of LGB identity models.     

Psychological morbidity, illness representations, and quality of life in female and male patients with obstructive sleep apnea syndrome

Obstructive sleep apnea syndrome (OSAS) is a sleep-related breathing disorder that affects both women and men. The aim of this study was to characterize and investigate the differences in terms of anxiety, depression, illness perception, and quality of life between female and male OSAS patients from a total of 111 patients (33 women and 78 men) who were recently diagnosed with OSAS in an outpatient clinic of a University Hospital in Portugal. They underwent a standardized protocol that included evaluation to assess of psychological morbidity (anxiety and depression - Hospital Anxiety and Depression Scale), illness representations (Brief Illness Perception Questionnaire), and quality of life (Sleep Apnea Quality of Life Index). The most significant differences between female and male OSAS patients result of apnea/hypopnea index (AHI), after controlling for body mass index (p?相似文献   

Ruminations and Flow: Why Do People with a More Harmonious Passion Experience Higher Well-Being?

Research shows that harmonious and obsessive passion are positively and negatively linked to well-being respectively (e.g., Vallerand et al. in J Personal 75:505?C534, 2007; Psychol Sport Exerc 9:373?C392, 2008). The present study investigated the psychological mechanisms underlying the different impact of the two types of passion on well-being. A theoretical model involving passion, ruminations, flow experiences, and well-being was tested. Results showed that the more people have a harmonious passion, the more they tend to experience flow in their favorite activity, which in turn predicts higher well-being. Obsessive passion did not seem to be systematically linked to flow in the favorite activity. In contrast, the more people have an obsessive passion, the more they tend to ruminate about their passionate activity while engaging in another activity, which did not seem to be systematically the case for people with a harmonious passion. These ruminations are negatively related to flow experiences in the other activity, which are positively associated with well-being. Flow and ruminations thus seem to contribute to the understanding of the link between passion and well-being.     

Bullying and PTSD Symptoms

PTSD symptoms related to school bullying have rarely been investigated, and never in national samples. We used data from a national survey to investigate this among students from grades 8 and 9 (n?=?963). The prevalence estimates of exposure to bullying were within the range of earlier research findings. Multinomial logistic regression showed that boys were 2.27 times more likely to be exposed to frequent bullying than girls. A latent variable second-order model demonstrated an association between frequency of bullying exposure and PTSD symptoms (beta?=?0.49). This relationship was not moderated by gender. However, the average levels of PTSD symptoms as well as clinical range symptoms were higher for girls. For all bullied students, 27.6% of the boys and 40.5% of the girls had scores within the clinical range. A mimic model showed that youth who identify as being both a bully and a victim of bullying were more troubled than those who were victims only. Our findings support the idea that exposure to bullying is a potential risk factor for PTSD symptoms among students. Future research could investigate whether the same holds for PTSD through diagnostic procedures, but this will depend on whether or not bullying is decided to comply with the DSM-IV classification of trauma required for diagnosis. Results are discussed with regard to their implications for school interventions.     

The Use of Propensity Scores in Mediation Analysis

Mediation analysis uses measures of hypothesized mediating variables to test theory for how a treatment achieves effects on outcomes and to improve subsequent treatments by identifying the most efficient treatment components. Most current mediation analysis methods rely on untested distributional and functional form assumptions for valid conclusions, especially regarding the relation between the mediator and outcome variables. Propensity score methods offer an alternative whereby the propensity score is used to compare individuals in the treatment and control groups who would have had the same value of the mediator had they been assigned to the same treatment condition. This article describes the use of propensity score weighting for mediation with a focus on explicating the underlying assumptions. Propensity scores have the potential to offer an alternative estimation procedure for mediation analysis with alternative assumptions from those of standard mediation analysis. The methods are illustrated investigating the mediational effects of an intervention to improve sense of mastery to reduce depression using data from the Job Search Intervention Study (JOBS II). We find significant treatment effects for those individuals who would have improved sense of mastery when in the treatment condition but no effects for those who would not have improved sense of mastery under treatment.