Functions of nonsuicidal self-injury among young women in residential care: a pilot study with the Swedish version of the Inventory of Statements about Self-Injury

Nonsuicidal self-injury (NSSI) refers to the direct and deliberate destruction of one's own body tissue in the absence of lethal intent. The Inventory of Statements about Self-Injury (ISAS) is a recently developed instrument that taps both the frequency of different forms of NSSI and the self-perceived functions of the behaviour. The purpose of the present pilot study was to use the ISAS to study the functions of self-injury in a group of women with severe forms of NSSI who were treated within Swedish residential care settings and also to compare the patients' views with their therapists' views concerning these functions. Consistent with previous research, the patients reported intrapersonal functions (e.g. affect regulation and self-punishment) as more relevant than interpersonal functions (e.g. interpersonal influence and peer bonding). The therapists' ratings differed little from the patients' self-reports, although significant differences were found for some functions: The patients rated self-care and toughness as more important than the therapists did; the therapists, on the other hand, rated interpersonal influence and the marking of distress as more relevant than the patients did. Although the present study did not contain a full validation of the Swedish version of the ISAS, the results showed good internal consistency for the interpersonal and intrapersonal factors of the Swedish version.     

A controlled trial of an internet-based intervention program for cannabis users

In the last decade, several programs for the treatment of cannabis-related disorders were developed. Until now, no information is available on the efficacy of Internet-based counseling approaches for this target group. This article describes the evaluation of "quit the shit," a web-based intervention developed to help young people to quit or reduce their cannabis use significantly. Cannabis users seeking web-based treatment were included in a two-arm controlled trial conducted on a website for drug-related information and prevention. After the baseline assessment, members of the treatment condition were randomized to a 50-day intervention program. Other trial participants were put on a waiting list. A post-test was conducted 3 months after randomization. Of all 1,292 subjects included in the trial, a total of 206 participants took part at the post-test. Per-protocol- and intention-to-treat analyses were conducted. Members of the treatment condition showed a significantly stronger reduction in cannabis use (primary outcome) than the control group. In the per-protocol analyses, moderate-to-strong effects were found for the reduction of the frequency and the reduction of the quantity of consumed cannabis. Small-to-moderate effects were observed on the secondary outcomes (use-related self-efficacy, anxiety, depression, and life satisfaction). Despite limitations concerning the interpretation of the results, the intervention seems to offer an effective treatment option for persons with cannabis-related problems.     

Work gets unfair for the depressed: cross-lagged relations between organizational justice perceptions and depressive symptoms

The organizational justice literature has consistently documented substantial correlations between organizational justice and employee depression. Existing theoretical literature suggests this relationship occurs because perceptions of organizational (in)justice lead to subsequent psychological health problems. Building on recent research on the affective nature of justice perceptions, in the present research we broaden this perspective by arguing there are also theoretical arguments for a reverse effect whereby psychological health problems influence perceptions of organizational justice. To contrast both theoretical perspectives, we test longitudinal lagged effects between organizational justice perceptions (i.e., distributive justice, interactional justice, interpersonal justice, informational justice, and procedural justice) and employee depressive symptoms using structural equation modeling. Analyses of 3 samples from different military contexts (N? = 625, N? = 134, N? = 550) revealed evidence of depressive symptoms leading to subsequent organizational justice perceptions. In contrast, the opposite effects of organizational justice perceptions on depressive symptoms were not significant for any of the justice dimensions. The findings have broad implications for theoretical perspectives on psychological health and organizational justice perceptions.     

Deliberate self-harm and psychological problems in young adolescents: evidence of a bidirectional relationship in girls

The purpose of this study was to test the hypotheses that there is a bidirectional prospective relationship between mental health and deliberate self-harm, in the sense that (1) psychological problems are a risk factor for the development of self-harm; (2) self-harm is a risk factor for the development of psychological problems; and (3) the relative absence of psychological problems is a protective factor against the continued use of self-harm in adolescents who have started to harm themselves. This was studied in a community sample of 879 young adolescents by means of a 2-wave longitudinal design with a one-year interval, with self-harm measured by a nine-item version of the Deliberate Self-Harm Inventory (DSHI-9r) and psychological problems by the self-report version of the Strengths and Difficulties Questionnaire (SDQ). The hypothesis of bidirectional relationship between psychological problems and self-harm was supported among girls, but not among boys - although there was evidence of psychological problems as a risk factor of self-harm in boys, the converse was not the case. The relative absence of psychological problems was found to be a protective factor against self-harm only among boys, but not among girls. The results are discussed in terms of self-harm having a different role in the development of psychopathology among girls than among boys.     

Emergence of perceptual Gestalts in the human visual cortex: the case of the configural-superiority effect

Many Gestalt phenomena have been described in terms of perception of a whole being not equal to the sum of its parts. It is unclear how these phenomena emerge in the brain. We used functional MRI to study the neural basis of the behavioral configural-superiority effect (i.e., visual search is more efficient when an odd element is part of a configuration than when it is presented by itself). We found that searching for the odd element in a display of four line segments (parts) was facilitated by adding two additional line segments to each of them (creating whole shapes). Functional MRI-based decoding of neural responses to the position of the odd element revealed a neural configural-superiority effect in shape-selective regions but not in low-level retinotopic areas, where decoding of parts was more pronounced. These results show how at least some Gestalt phenomena in vision emerge only at the higher stages of visual information processing and suggest that feed-forward processing might be sufficient to produce such phenomena.     

On the Relation Between Subjective Importance and Elicitation Order of Constructs

The subjective importance of constructs elicited with the repertory grid technique (RGT) has been conjectured to depend on elicitation order. Constructs elicited early in an interview are assumed to be subjectively more important than later ones. For the RGT, this conjecture is based on only one empirical study with a small sample size using person role titles as elements. This study has not been replicated or tested for other domains. The research for other elicitation techniques shows that the conjecture does not always hold true for nonperson domains. To assess if the order importance relation can be replicated for person and nonperson domains, we conducted two RGT studies with different designs (German study, triadic, nonperson elements, N = 60; Spanish study, dyadic, person elements, N = 61). Construct importance was assessed using importance rankings and ratings. We found no relation between the order of elicitation and importance for the nonperson elements and only a small significant relation using persons as elements. The results indicate that the conjecture should be treated with caution, as it may be weaker than previously assumed for the personal domain and not generalizable to other domains.     

Climatic effects on the sociocultural and psychological adaptation of migrants within China: A longitudinal test of two competing perspectives

Little is known about how climatic differences may psychologically impact individuals who migrate from one geographical area to another. A climatic demand theory perspective suggests that migration from more demanding climatic areas to less demanding climatic areas would lead to better psychological outcomes while predicting the opposite for migration from less demanding to more demanding climates. In contrast, a climatic‐fit perspective would predict that moving to areas that climatically are similar to one's home would lead to the best psychological outcomes whereas any major deviation would lead to worse outcomes. To test these competing perspectives, a longitudinal, multisite study was conducted with over 1,000 student migrants who moved from various areas in China to 12 cities. Participants’ life satisfaction and perceived stress were assessed upon arrival and at the end of the semester together with their sociocultural adaptation. Supporting the climatic‐fit perspective, multilevel analyses showed that participants reported the least stress and highest sociocultural adaptation when they migrated to host sites that were climatically similar to their homes. Conversely, individuals who migrated from very demanding to less demanding climatic regions and vice versa reported an increase in stress and lower sociocultural adaptation.     

Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy

Emotion regulation group therapy (ERGT) is a novel treatment specifically targeting deliberate non-suicidal self-harm (DSH) in individuals with borderline personality disorder (BPD). Identifying robust predictors of positive response to ERGT could aid clinicians in treatment selection; however, to date, only one such study has been conducted. Thus, we aimed to replicate previously identified predictors of treatment response to ERGT by investigating demographic, clinical, and diagnostic predictors in 95 women with BPD or subclinical BPD who had participated in an open-trial evaluation of ERGT. Outcomes evaluated were frequency of DSH and emotion dysregulation. Assessments were conducted at pretreatment, post-treatment, and 6-month follow-up. Multilevel mixed linear models and multilevel negative binomial generalized estimated equations were used to identify significant interactions between the predictors and outcomes.

We found that greater pretreatment DSH frequency was associated with greater improvements in DSH during treatment (b = 0.998, SE = 0.00, p = 0.03) and follow-up (b = 0.997, SE = 0.00, p < 0.01) and that greater BPD severity was associated with greater improvements in DSH during treatment (b = 0.84, SE = 0.06, p = 0.02) and in emotion dysregulation at follow-up (b = ?3.05, SE = 1.47, p = 0.04). Co-occurring disorders were associated with poorer treatment response during follow-up. Results were generally consistent with a previous study of the predictors of response to ERGT. The findings provide further support for the utility of this treatment across a range of BPD patients, including patients with severe DSH and BPD.