The Relationship Between Childhood Trauma,Combat Exposure,and Posttraumatic Stress Disorder in Male Veterans

The current study investigated the effects of combat exposure, childhood trauma, and depression on posttraumatic stress disorder (PTSD) severity. Participants were 299 male veterans from the Korean War, World War II, Vietnam, and the first Gulf War who were being screened for admission to the PTSD unit. Participants were assessed with the Clinician-Administered PTSD Scale (CAPS), Combat Exposure Scale (CES), Hamilton Depression Rating Scale (HAMD), Childhood Trauma Questionnaire (CTQ), and Mississippi Scale for PTSD (MPTSD). Results of multiple regression analyses indicated that, as expected, combat exposure and depression were significant predictors of PTSD severity. When examined with combat exposure, childhood trauma has a complex relationship to PTSD severity. Examination of the interaction between the CES and CTQ suggests that when levels of combat are low and childhood trauma levels are high, the CTQ is related to higher levels of PTSD severity on the CAPS, regardless of depression. Treatment implications are discussed.     

The effects of therapist-client age similarity on pretherapy expectations

The present study investigated the effects of similarity between psychotherapist age and client age on client's preference for a therapist, willingness to disclose, expected therapeutic climate, and perceptions of therapist competence. Similarity theory provided a rationale for the hypothesis that prospective clients would perceive a psychotherapist similar in age more favorably than a therapist dissimilar in age. Support for the hypothesis was obtained on the dimensions of client preference, willingness to disclose, and therapist competence. Also, consistent with previous research, high experienced therapists were viewed more favorably than low experienced therapists.This research is based on a doctoral dissertation submitted by Kathleen M. Tall under the direction of Michael J. Ross to Saint Louis University.     

Surgeons and the Spirit: A Study on the Relationship of Religiosity to Clinical Practice

This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotters Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon.     

Clinical status of at-risk individuals 5 years later: further validation of the psychometric high-risk strategy

The authors hypothesized that at-risk individuals identified on the basis of their Chapman scale scores would be diagnosed with schizophrenia-spectrum disorders at follow-up. In the present study, the authors interviewed 135 young adults approximately 5 years following their initial assessment. The at-risk groups included high scorers on the Perceptual Aberration and/or Magical Ideation Scales (n=59) and high scorers on the revised Social Anhedonia Scale (n=32). The control participants (n=44) scored below 0.5 SD of the same-sex group means on all the scales. At the follow-up, the groups differed in terms of their likelihood of having a schizophrenia-spectrum diagnosis, Chi2(2)=9.79, p<.01. The at-risk groups reported more frequent and severe psychotic-like experiences relative to the control group. These findings support the predictive validity of the Chapman psychosis-proneness scales and may enhance the power of early detection efforts.     

Attempting to avoid false memories in the Deese/Roediger—McDermott paradigm: Assessing the combined influence of practice and warnings in young and old adults

On each of five study-test trials, young and old adults attempted to memorize the same list of 60 words (e.g., bed, rest, awake), which were blocked according to their convergence on four corresponding associates. Half of the participants in each age group were given an explicit warning about the DRM paradigm prior to encoding and were asked to attempt to avoid recalling any associated but nonpresented words (e.g., sleep). Lists were presented auditorily at either a fast (1,250 msec/word) or a slow (2,500 msec/word) rate. Without a warning, the probability of veridical recall across trials increased for both age groups; however, the probability of false recall across trials decreased only for young adults. When a warning about false recall was provided, young adults virtually eliminated false recall by the second trial. Even though old adults also used warnings to reduce false recall on Trial 1, they were still unable to decrease false memories across the remaining four study-test trials. Old adults also reduced false recall more with slow than with fast presentation rates. Taken together, these findings suggest that old adults have a breakdown in spontaneous, self-initiated source monitoring as reflected by little change in false recall across study-test trials but a preserved ability to use experimenter-provided warnings or slow presentation rates to reduce false memories.     

When fit fosters favoring: The role of private self-focus

The present research extends work on the ‘the value from fit’ principle by showing that regulatory fit effects on persuasion and behavioral compliance are stronger for people high, as opposed to low, in private self-focus. Previous research has shown that people high in private self-focus are strongly affected by external information. In the current work, we demonstrated that people high (vs. low) in private self-focus are more persuaded by information that matches (vs. mismatches) activated self-knowledge.     

A Limited Information Estimator for Dynamic Factor Models

Structural equation modeling (SEM) is an increasingly popular method for examining multivariate time series data. As in cross-sectional data analysis, structural misspecification of time series models is inevitable, and further complicated by the fact that errors occur in both the time series and measurement components of the model. In this article, we introduce a new limited information estimator and local fit diagnostic for dynamic factor models within the SEM framework. We demonstrate the implementation of this estimator and examine its performance under both correct and incorrect model specifications via a small simulation study. The estimates from this estimator are compared to those from the most common system-wide estimators and are found to be more robust to the structural misspecifications considered.     

Social exclusion and the deconstructed state: time perception, meaninglessness, lethargy, lack of emotion, and self-awareness

The authors hypothesize that socially excluded individuals enter a defensive state of cognitive deconstruction that avoids meaningful thought, emotion, and self-awareness, and is characterized by lethargy and altered time flow. Social rejection led to an overestimation of time intervals, a focus on the present rather than the future, and a failure to delay gratification (Experiment 1). Rejected participants were more likely to agree that "Life is meaningless" (Experiment 2). Excluded participants wrote fewer words and displayed slower reaction times (Experiments 3 and 4). They chose fewer emotion words in an implicit emotion task (Experiment 5), replicating the lack of emotion on explicit measures (Experiments 1-3 and 6). Excluded participants also tried to escape from self-awareness by facing away from a mirror (Experiment 6).     

Personality characteristics as a function of frequency and type of substance use

Problematic and unhealthy personality characteristics have typically been the focus of researchers interested in the possible causes of substance use/abuse. Recent research has begun to identify differences between individuals based upon frequency of use, with indications that moderate users may have "healthier" characteristics than either abstainers or regular users. The present study was conducted in a rural setting and compared personality structure (based on the California Psychological Inventory) among three groups of college students: abstainers, experimenters, and regular users. The comparisons were conducted as a function of all illicit substance use (excluding alcohol) and for alcohol use only. Minimal support was obtained for the above hypothesis when comparing the three groups on illicit substance use. When comparing the three groups on alcohol use only, support for the theory was identified, with fewer differences found between the experimenters and the abstainers than between the experimenters and the regular users. It is suggested that rural use of psychoactive substances may be more limited to alcohol due to easier availability and less stigma. Data supporting the "healthier" personality structure of moderate users of alcohol would thus be more likely in rural settings even though such use would still be "risky" behavior given its illegality for individuals under age 21. The need for adaptations to current treatment approaches is suggested.     

MMPI-A validity scale uses and limitations in detecting varying levels of random responding

Although there is a substantial research literature on the effects of random responding on the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989), there are very few studies available on this topic with the MMPI-A (Butcher et al., 1992). Archer and Elkins (1999) found that MMPI-A validity scales F and VRIN were particularly useful in detecting entirely random profiles from those derived standardly in clinical settings but noted that "all random" protocols could not be used to evaluate the usefulness of the T-score difference between the first half (F1) and the second half (F2) of the MMPI-A test booklet. Following up on this issue, this study extended the methodology of previous research by examining the hit rate, positive predictive power, negative predictive power, sensitivity, and specificity of VRIN, F, F1, F2 and the absolute value of the T-score difference between F1 and F2 (denoted as IF1-F21) in 5 samples varying in the degree of protocol randomness. One of the samples consisted of 100 adolescent inpatients administered the MMPI-A under standard instructions, and another sample consisted of 100 protocols randomly generated by computer. The additional 3 samples of 100 protocols each contained varying degrees of computer-generated randomness introduced in the latter half of the MMPI-A item pool. Over- all, the results generally indicate that several MMPI-A validity scales are useful in detecting protocols that are largely random, but all of these validity scales are more limited in detecting partially random responding that involves less than half the total item pool located in the second half of the test booklet. Clinicians should be particularly cautious concerning validity inferences based on the observed T-score difference that occurs for the F1 and F2 subscales and current findings do not support the clinical usefulness of this index.