The epidemiology of suicide-related outcomes in Mexico

Nationally representative data from the Mexican National Comorbidity Survey are presented on the lifetime prevalence and age-of-onset (AOO) distributions of suicide ideation, plan and attempt and on temporally prior demographic and DSM-IV psychiatric risk factors. Lifetime ideation was reported by 8.1% of respondents, while 3.2% reported a lifetime plan and 2.7% a lifetime suicide attempt. Onset of all outcomes was highest in adolescence and early adulthood. The risk of transition from suicide ideation to plan and attempt was highest within the first year of onset of ideation. The presence of one or more temporally prior DSM-IV/CIDI (Composite International Diagnostic Instrument) disorder was strongly related to each suicide-related outcome. Suicidal outcomes are prevalent, have an early AOO, and are strongly related to temporally prior mental disorders in Mexico. Given the early AOO, intervention efforts need to focus more than currently on children and adolescents with mental disorders to be effective in prevention.     

Learning of letter names follows similar principles across languages: Evidence from Hebrew

Letter names play an important role in early literacy. Previous studies of letter name learning have examined the Latin alphabet. The current study tested learners of Hebrew, comparing their patterns of performance and types of errors with those of English learners. We analyzed letter-naming data from 645 Israeli children who had not begun formal reading instruction: a younger group (mean age 5 years 2 months) and an older group (mean age 6 years 2 months). Children's errors often involved letters with similar shapes or letters adjacent to one another in the alphabet. Most Hebrew letter names are not very similar to one another phonologically, and there were fewer phonologically based confusions than in English. We found both general frequency effects and frequency effects that reflected the letters in individual children's names. On average, girls knew more letter names than did boys. The results suggest that letter name learning follows similar principles across languages.     

Vowel processing during silent reading: evidence from eye movements

Two eye movement experiments examined whether skilled readers include vowels in the early phonological representations used in word recognition during silent reading. Target words were presented in sentences preceded by parafoveal previews in which the vowel phoneme was concordant or discordant with the vowel phoneme in the target word. In Experiment 1, the orthographic vowel differed from the target in both the concordant and discordant preview conditions. In Experiment 2, the vowel letters in the preview were identical to those in the target word. The phonological vowel was ambiguous, however, and the final consonants of the previews biased the vowel phoneme either toward or away from the target's vowel phoneme. In both experiments, shorter reading times were observed for targets preceded by concordant previews than by discordant previews. Implications for models of word recognition are discussed.     

Emotion recognition in stroke patients with left and right hemispheric lesion: results with a new instrument-the FEEL Test

The aim of this study was to investigate the effect of a stroke event on people's ability to recognize basic emotions. In particular, the hypothesis that right brain-damaged (RBD) patients would show less of emotion recognition ability compared with left brain-damaged (LBD) patients and healthy controls, was tested. To investigate this the FEEL Test (Facially Expressed Emotion Labeling) was used, a computer based psychometric test that assesses one's ability to recognize facially displayed basic emotions via a forced-choice paradigm. We examined 24 patients after a stroke event (13 RBD, 11 LBD) and compared them with a matched group of healthy controls (HC, n=29). Results showed that the stroke patients performed significantly worse in the FEEL Test than did HC (p<.001). This deficit was especially evident for negative emotions (fear, anger, sadness, and disgust). In contrast to other studies we did not find any significant differences between RBD and LBD patients in their ability to recognize emotions. These results indicate that a stroke event has a negative effect on the recognition of facially displayed emotions but suggest that this effect is apparently not dependent on the side of the brain damage.     

Right amygdalar and temporofrontal activation during autobiographic, but not during fictitious memory retrieval

What distinguishes the recall of real-life experiences from that of self-created, fictitious emotionally laden information? Both kinds of information belong to the episodic memory system. Autobiographic memories constitute that part of the episodic memory system that is composed of significant life episodes, primarily of the distant past. Functional imaging was used to study the neural networks engaged in retrieving autobiographic and fictitious information of closely similar content. The principally activated brain regions overlapped considerably and constituted temporal and inferior prefrontal regions plus the cerebellum. Selective activations of the right amygdala and the right ventral prefrontal cortex (at the level of the uncinate fascicle interconnnecting prefrontal and temporopolar areas) were found when subtracting fictitious from autobiographic retrieval. Furthermore, distinct foci in the left temporal lobe were engaged. These data demonstrate that autobiographic memory retrieval uses (at least in non-brain damaged individuals) a network of right hemispheric ventral prefrontal and temporopolar regions and left hemispheric lateral temporal regions. It is concluded that it is the experiential character, its special emotional infiltration and its arousal which distinguishes memory of real-life from that of fictitious episodes. Consequently, our results point to the engagement of a bi-hemispheric network in which the right temporo-prefrontal hemisphere is likely to be responsible for the affective/arousal side of information retrieval and the left-hemispheric temporal gyrus for its engram-like representation. Portions of the neural activation found during retrieval might, however, reflect re-encoding processes as well.     

Construct representation and definitions in psychopathology: the case of delusion

Background  

Delusion is one of the most intriguing psychopathological phenomena and its conceptualization remains the subject of genuine debate. Claims that it is ill-defined, however, are typically grounded on essentialist expectations that a given definition should capture the core of every instance acknowledged as delusion in the clinical setting.     

The reaction-time task-rule congruency effect is not affected by working memory load: further support for the activated long-term memory hypothesis

Previous studies claimed that task representation is carried out by the activated long-term memory portion of working memory (WM; Meiran and Kessler in J Exp Psychol Human Percept Perform 34:137–157, 2008). The present study provides a more direct support for this hypothesis. We used the reaction-time task-rule congruency effect (RT-TRCE) in a task-switching setup, and tested the effects of loading WM with irrelevant task rules on RT-TRCE. Experiment 1 manipulated WM load in a between-subject design. WM participants performed a color/shape task switching, while having 0, 1 or 3 numerical task rules as WM load. Experiment 2 used a similar load manipulation (1 or 3 rules to load WM) in a within-subject design. Experiment 3 extended these results by loading WM with perceptual tasks that were more similar to the shape/color tasks. The results show that RT-TRCE was not affected by WM load supporting the activated long-term memory hypothesis.     

Mentalisierung und chronische Depression

Mentalization has mainly been studied in borderline patients but in this study the capacity for mentalization was investigated in patients suffering from chronic depression. Mentalization was measured with the reflective functioning scale (RFS) in patients with chronic depression (n=20) who started long-term psychoanalytic treatment and the results were compared to healthy controls. The results showed that global RF scores did not differ significantly between patients and controls. However, depressed patients had a lower RF score for depression relevant topics in comparison to the initial individual values. Furthermore, RF appears to be related to general psychological competence but unrelated to clinical parameters [Beck Depression Inventory (BDI) and symptom check list (SCL-90)]. Therapeutic outcome as measured with BDI and SCL-90 was not moderated by RF scores at baseline. Correlations between RF and the helping alliance questionnaire (HAQ) indicate that patients with higher RF scores establish a therapeutic alliance more easily than patients with lower RF scores.