Effort-reward imbalance, overcommitment, and psychological distress in Canadian police officers

The purpose of the present study was to examine the relationship among Effort, Reward, and Overcommitment dimensions of Siegrist's Effort-Reward Imbalance Model and Psychological Distress in a sample of 78 Canadian police officers. Ages of respondents ranged between 24 and 56 years (M=36.1, SD=8.0). 30% of respondents had been in policing for 16 years or more, 24% between 6 and 15 years, and 44% for 5 years or less. Ordinary least-squares regression was used to evaluate the relationship between the independent and dependent variables. After adjusting for age, sex, education, and marital status, higher levels of Effort-Reward Imbalance and Overcommitment were associated with greater Psychological Distress. Present findings support the utility of the model in this particular occupational group and add to the increasing literature suggesting association of Effort-Reward Imbalance, Overcommitment, and reduced mental health.     

Increased brain serotonin turnover in panic disorder patients in the absence of a panic attack: reduction by a selective serotonin reuptake inhibitor

Since the brain neurotransmitter changes characterising panic disorder remain uncertain, we quantified brain noradrenaline and serotonin turnover in patients with panic disorder, in the absence of a panic attack. Thirty-four untreated patients with panic disorder and 24 matched healthy volunteers were studied. A novel method utilising internal jugular venous sampling, with thermodilution measurement of jugular blood flow, was used to directly quantify brain monoamine turnover, by measuring the overflow of noradrenaline and serotonin metabolites from the brain. Radiographic depiction of brain venous sinuses allowed differential venous sampling from cortical and subcortical regions. The relation of brain serotonin turnover to serotonin transporter genotype and panic disorder severity were evaluated, and the influence of an SSRI drug, citalopram, on serotonin turnover investigated. Brain noradrenaline turnover in panic disorder patients was similar to that in healthy subjects. In contrast, brain serotonin turnover, estimated from jugular venous overflow of the metabolite, 5-hydroxyindole acetic acid, was increased approximately 4-fold in subcortical brain regions and in the cerebral cortex (P < 0.01). Serotonin turnover was highest in patients with the most severe disease, was unrelated to serotonin transporter genotype, and was reduced by citalopram (P < 0.01). Normal brain noradrenaline turnover in panic disorder patients argues against primary importance of the locus coeruleus in this condition. The marked increase in serotonin turnover, in the absence of a panic attack, possibly represents an important underlying neurotransmitter substrate for the disorder, although this point remains uncertain. Support for this interpretation comes from the direct relationship which existed between serotonin turnover and illness severity, and the finding that SSRI administration reduced serotonin turnover. Serotonin transporter genotyping suggested that increased whole brain serotonin turnover most likely derived not from impaired serotonin reuptake, but from increased firing in serotonergic midbrain raphe neurons projecting to both subcortical brain regions and the cerebral cortex.     

Examination of the MMPI-2 Restructured Clinical (RC) Scales in a Sample of Bariatric Surgery Candidates

The current study examined the MMPI-2 Restructured Clinical (RC) scales (Tellegen et al., MMPI-2 Restructured Clinical (RC) scales: Development, validation, and interpretation. Minneapolis: University of Minnesota Press, 2003) in a sample of 1,091 bariatric surgery candidates. The RC scales were developed to address concerns about limited discriminant validity of the Clinical scales. Internal consistency and external validity analyses were conducted to evaluate the RC scales in this setting. Results indicated that the RC scales are generally more internally consistent than the Clinical scales and display significantly better convergent and discriminant validity in predicting a variety of behavioral, psychological, and developmental variables relevant to preoperative bariatric psychological evaluations. Implications of the results and recommendations for future research with the RC scales in medical settings are discussed.     

Collaboration during visual search

Two experiments examine how collaboration influences visual search performance. Working with a partner or on their own, participants reported whether a target was present or absent in briefly presented search displays. We compared the search performance of individuals working together (collaborative pairs) with the pooled responses of the individuals working alone (nominal pairs). Collaborative pairs were less likely than nominal pairs to correctly detect a target and they were less likely to make false alarms. Signal detection analyses revealed that collaborative pairs were more sensitive to the presence of the target and had a more conservative response bias than the nominal pairs. This pattern was observed even when the presence of another individual was matched across pairs. The results are discussed in the context of task-sharing, social loafing and current theories of visual search.     

Factors in the assessment of suicidality in youth

Suicide remains a leading cause of death among youth, and suicide ideation and behavior are relatively common in both normal and clinical populations. Clinicians working with young people must assess for the presence of suicidal ideation, suicidal behavior, and other risk factors, in order to determine the level of risk. This paper provides the clinician with a summary of risk factors for youth suicide, as well as providing standardized terminology to enhance assessment of suicidal ideation and behavior.     

Word-list-learning performance in younger and older adults: intra-individual performance variability and false memory

We investigated the word-list-learning performance of younger and older adults over 4 consecutive days at different times of day to study age-related differences in consistency of performance over time and the influence of circadian variation on performance. Eighteen younger (M age, 23.4 years) and 18 older (M age, 73.3 years) men and women participated. The start time of testing alternated between morning and early evening across the 4 days of testing. On each test day, participants learned a different list of 15 unrelated words over four learning trials. As expected, younger adults performed better than older adults on immediate recall, delayed recall, and recognition. Contrary to our expectations, time of day did not significantly influence recall or recognition performance in either the older or younger adults. Older adults did show a greater incidence of false memory (i.e., previously learned list intrusions in free recall and false alarms in recognition) than younger adults. Older adults also exhibited greater intra-individual performance variability on the measures of false memory across test days. This variability was not related to circadian variation. False memory and variability of performance have both been linked to frontal systems dysfunction. The findings presented here are consistent with the notion that changes in cognition with aging in part reflect age-related decline in frontal lobe function.     

Physicalism and sparse ontology

A major stumbling block for non-reductive physicalism is Kim’s disjunctive property objection. In this paper I bring certain issues in sparse ontology to bear on the objection, in particular the theses of priority monism and priority pluralism. Priority pluralism (or something close to it, anyway) is a common ontological background assumption, so in the first part of the paper I consider whether the disjunctive property objection applies with equal force to non-reductive physicalism on the assumption that priority monism is instead true. I ultimately conclude that non-reductive physicalism still faces a comparable problem. In the second part, I argue, surprisingly enough, that what I call ‘fine-grained reductionism’, a particular version of which Kim proposes as an alternative to non-reductive physicalism, may work better in the monist framework than the pluralist one. I conclude that issues in sparse ontology, therefore, are more relevant to the debate about physicalism than one may have thought.

The modal status of materialism

Materialism, as traditionally conceived, has a contingent side and a necessary side. The necessity of materialism is reflected by the metaphysics of realization, while its contingency is a matter of accepting the possibility of Cartesian worlds, worlds in which our minds are roughly as Descartes describes them. In this paper we argue that the necessity and the contingency of materialism are in conflict. In particular, we claim that if mental properties are realized by physical properties in the actual world, Cartesian worlds are impossible.

Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills

This study evaluated the efficacy of three methods of training community mental health providers (N = 150) in Dialectical Behavior Therapy skills, including a written treatment manual; an interactive, multimedia online training (OLT); and a two-day instructor-led training workshop (ILT). A hybrid design was utilized that incorporated aspects of efficacy and effectiveness trials. Assessments were completed at baseline, post-training, and 30- and 90-days following training. The results indicate that learner satisfaction with the training was highest in OLT and ILT, and both resulted in significantly higher satisfaction ratings than the manual. OLT outperformed ILT and the manual in increasing knowledge of the treatment, whereas ILT and the manual did not differ. All three training methods resulted in comparable increases in clinicians' ability to apply course content in clinical simulations. Overall, the results provide strong support for the efficacy of technology-based OLT methods in disseminating knowledge of empirically supported treatments to community mental health providers, suggesting that OLT may be a high-quality, easily accessible, and affordable addition to traditional training methods.