Modifying CBT for Perinatal Depression: What Do Women Want?: A Qualitative Study

The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling resulted in 23 participants selected by pregnancy, socioeconomic, and depression status. Participants completed semistructured interviews exploring their experiences of pregnancy and the postpartum period and its relationship to mood, and perspectives on ideal treatment content. Thematic analysis revealed a number of perinatal-specific themes that were relevant to CBT in three key domains: self, motherhood, and interpersonal. Mothers particularly struggled with: internalization of “motherhood myths,” self-sacrifice, and managing social support during this period. Shifts in women's themes across the perinatal period, and between racial and socioeconomic groups are discussed as are implications for modification of CBT to improve relevance for perinatal depression.     

Specificity of the 21-Item Test in two elderly samples

ABSTRACT The purpose of this study was to measure the specificity of the 21-Item Test for detecting malingering in an elderly sample. The 21-Item Test was administered to 20 community-dwelling elderly individuals with means for age, education, and Short Portable Mental Status Questionnaire (SPMSQ) error scores of 76.25 years (SD?=?7.19), 14.30 years (SD?=?3.89), and 0.30 (SD?=?4.70). None of these healthy elderly participants were cognitively impaired. A second group of 53 nursing home residents had means for age, education, and SPMSQ error scores of 82.79 years (SD?=?8.56), 11.14 years (SD = 2.46), and 3.17 (SD?=?2.46). Approximately 60% of the nursing home participants had cognitive impairment based on the SPMSQ. The cut offs provided by Iverson (1998 , 21 Item Test Research Manual) for interpretation of the forced-choice component of the 21-Item Test were insensitive to age and relatively insensitive to cognitive deficits. Specificity was 100% since no elderly participant from either group scored in the range indicative of sub-optimal effort or biased responding.     

Differential effects of psychopathy and antisocial personality disorder symptoms on cognitive and fear processing in female offenders

Psychopathy and antisocial personality disorder (APD) have long been considered important risk factors for criminal behavior and incarceration. However, little is known about the psychobiological underpinnings that give rise to the disinhibited behavior of female offenders. Using an instructed fear-conditioning paradigm and a sample of incarcerated female offenders, we manipulated attentional focus and cognitive load to characterize and differentiate between the dysfunctional cognitive and affective processes associated with these syndromes. We used fear-potentiated startle (FPS) and event-related potentials as measures of affective and cognitive processing, respectively. After controlling for APD symptoms, psychopathic women displayed greater FPS while attending directly to threat-relevant stimuli and displayed less FPS while performing a demanding task that directed attention to threat-irrelevant information. Conversely, controlling for psychopathy, women with high APD symptoms displayed less overall FPS, especially when instructed to focus on threat-relevant stimuli. However, as the demands on cognitive resources increased, they displayed greater FPS. For both psychopathy and APD, analysis of the event-related potentials qualified these findings and further specified the abnormal cognitive processes associated with these two syndromes. Overall, simultaneous analysis of psychopathy and APD revealed distinct patterns of cognitive processing and fear reactivity.     

A quasi-experimental analysis of the influence of neighborhood disadvantage on child and adolescent conduct problems

A quasi-experimental comparison of cousins differentially exposed to levels of neighborhood disadvantage (ND) was used with extensive measured covariates to test the hypothesis that neighborhood risk has independent effects on youth conduct problems (CPs). Multilevel analyses were based on mother-rated ND and both mother-reported CPs across 4-13 years (n = 7,077) and youth-reported CPs across 10-13 years (n = 4,524) from the Children of the National Longitudinal Survey of Youth. ND was robustly related to CPs reported by both informants when controlling for both measured risk factors that are correlated with ND and unmeasured confounds. These findings are consistent with the hypothesis that ND has influence on conduct problems.     

Development of the coordination between posture and manual control

Studies have suggested that proper postural control is essential for the development of reaching. However, little research has examined the development of the coordination between posture and manual control throughout childhood. We investigated the coordination between posture and manual control in children (7- and 10-year-olds) and adults during a precision fitting task as task constraints became more difficult. Participants fit a block through an opening as arm kinematics, trunk kinematics, and center of pressure data were collected. During the fitting task, the precision, postural, and visual constraints of the task were manipulated. Young children adopted a strategy where they first move their trunk toward the opening and then stabilize their trunk (freeze degrees of freedom) as the precision manual task is being performed. In contrast, adults and older children make compensatory trunk movements as the task is being performed. The 10-year-olds were similar to adults under the less constrained task conditions, but they resembled the 7-year-olds under the more challenging tasks. The ability to either suppress or allow postural fluctuations based on the constraints of a suprapostural task begins to develop at around 10 years of age. This ability, once developed, allows children to learn specific segmental movements required to complete a task within an environmental context.     

The independent effects of skin tone and facial features on Whites' affective reactions to Blacks

Research on skin tone and Afrocentric features provides evidence that people use phenotypes (visible physical characteristics) to make inferences about the degree to which stereotypes about the racial group apply to the individual (i.e., to make impressions of others). However, skin tone and Afrocentric features have been confounded in prior research on this topic. The present study examines whether facial features (lip thickness, nose width) have effects on Whites' affective reactions to Black targets, above and beyond the well-documented skin tone effect by experimentally crossing variation in facial features and skin tone. The results showed that both skin tone and facial features independently affected how negatively, as opposed to positively, Whites felt toward Blacks using both implicit and explicit measures. The findings that Whites reacted more negatively toward Blacks with darker skin tone and more prototypical facial features than toward Blacks with lighter skin tone and less prototypical facial features on the explicit measure may indicate that Whites are unaware of the negative effects that Blacks' phenotypes can have on their racial attitudes. The present study demonstrated that subtle facial features, in addition to salient skin tone, also play an important role when predicting Whites' feelings about Blacks. One implication is that it is important to raise people's awareness about the effects that Blacks' phenotypes can have on their attitudes.     

Bayesian generalization with circular consequential regions

Generalization–deciding whether to extend a property from one stimulus to another stimulus–is a fundamental problem faced by cognitive agents in many different settings. Shepard (1987) provided a mathematical analysis of generalization in terms of Bayesian inference over the regions of psychological space that might correspond to a given property. He proved that in the unidimensional case, where regions are intervals of the real line, generalization will be a negatively accelerated function of the distance between stimuli, such as an exponential function. These results have been extended to rectangular consequential regions in multiple dimensions, but not for circular consequential regions, which play an important role in explaining generalization for stimuli that are not represented in terms of separable dimensions. We analyze Bayesian generalization with circular consequential regions, providing bounds on the generalization function and proving that this function is negatively accelerated.     

Anton Boisen: A Portrait

This psychobiographical essay aims to shift Boisen scholarship from a focus on his disputed psychiatric diagnosis to a more inclusive investigation of the disparate aspects of his personality. I conclude that Boisen’s central personality trait was a brand of loquacity that lacked substance—specifically the substance of his deepest secrets. This caused a kind of chronic frustration in his relations with others and, I argue, led to his chronic, psychotic state of being. Additionally, I argue that Boisen’s psychosis and religious practice worked together to sustain his psychological regression.     

Psychometric properties of Attitudes Towards Lesbians and Gay Men Scale with Chinese university students

The 10-item Attitudes Towards Lesbian and Gay Men Scale was translated into traditional Chinese, with slight modification in item wordings (by replacing the words such as "lesbians" with "female homosexuals" and "gay men" with "male homosexuals"). Data were collected with a convenient sample of 462 Chinese undergraduate students in social work training programmes from three Hong Kong universities. Analysis of the data showed responses to the scale and its two subscales were internally consistent and a one-factor structure was found on the total scale and separately on each of its two subscales. Differences by religious belief and sex were observed using the total scale scores, as in previous studies using this scale. Researchers could consider using this scale with Hong Kong Chinese and in subsequent cross-cultural studies involving a wider range of Chinese respondents.