Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration

Background

Avoidance and hypervigilance to reminders of a traumatic event are among the main characteristics of post-traumatic stress disorder (PTSD). Attentional bias toward aversive cues in PTSD has been hypothesized as being part of the dysfunction causing etiology and maintenance of PTSD. The aim of the present study was to investigate the cognitive strategy underlying attentional bias in PTSD and whether normal cognitive processing is restored after a treatment suppressing core PTSD symptoms.

Methods

Nineteen healthy controls were matched for age, sex and education to 19 PTSD patients. We used the emotional stroop and detection of target tasks, before and after an average of 4.1 sessions of eye movement desensitization and reprocessing (EMDR) therapy.

Results

We found that on both tasks, patients were slower than controls in responding in the presence of emotionally negative words compared to neutral ones. After symptoms removal, patients no longer had attentional bias, and responded similarly to controls.

Conclusion

These results support the existence of an attentional bias in PTSD patients due to a disengagement difficulty. There was also preliminary evidence that the disengagement was linked to PTSD symptomatology. It should be further explored whether attentional bias and PTSD involve common brain mechanisms.     

Développement de la précision temporo-motrice et cadences spontanées de jeunes enfants

Fifty children (six to ten years old) were asked to tap a flat surface as regularly as possible with their finger at different semi-spontaneous tempi. Their chosen tapping speed was estimated by each sequence's mean inter-tap interval. The range of chosen speeds widens with age. The just tenable difference (JTD) between inter-tap intervals is proportional to their reference, the mean. The motor-timing precision, estimated through the standard-deviation/mean ratio, clearly improves with age. Children are more precise at faster tempi, not around their “normal” tempo as adults. Our simple semi-spontaneous finger-tapping task could be applied to the clinical evaluation of age-dependent explicit and implicit timing components in motor performance.     

Finding words in a language that allows words without vowels

Across many languages from unrelated families, spoken-word recognition is subject to a constraint whereby potential word candidates must contain a vowel. This constraint minimizes competition from embedded words (e.g., in English, disfavoring win in twin because t cannot be a word). However, the constraint would be counter-productive in certain languages that allow stand-alone vowelless open-class words. One such language is Berber (where t is indeed a word). Berber listeners here detected words affixed to nonsense contexts with or without vowels. Length effects seen in other languages replicated in Berber, but in contrast to prior findings, word detection was not hindered by vowelless contexts. When words can be vowelless, otherwise universal constraints disfavoring vowelless words do not feature in spoken-word recognition.     

The Relations Between Traumatic Experiences,Activity, and Cognitive and Emotional Responses Among Palestinian Children

The relations between the level of traumatic experiences, degree of active participation in the Intifada, and cognitive and emotional responses were studied among 108 Palestinian children of 11–12 years of age in the Gaza Strip. The results showed that the more traumatic experiences the children had and the more they participated in the Intifada, the more concentration, attention, and memory problems they had. Traumatic experiences also increased neuroticism and risk-taking, and Intifada participation decreased self-esteem. Children's active participation in the Intifada could not protect children from developing emotional problems, as was originally assumed. The highest level of neuroticism was found among active boys who were exposed to many traumatic experiences.     

Ta‘a and modern legal reform: A rereading

Based largely on court records dating from the Ottoman and modern periods, and focusing on the issue of ta'a (a wife's obedience to her husband), this article argues that nineteenth/twentieth‐century law reform proved a mixed bag for Egyptian women. Egypt's contemporary personal status laws, while based on the Shari'a, differ significantly from gender laws, also based on the Shari'a, that were applied by courts before the reform of laws began in the 1880s. In other words, gender laws have always been legally based on the Shari'a, yet the laws and their application after legal reforms differ significantly from their application before. These differences are consequential enough to warrant calling the Shari'a practiced today ‘a new Sharia’ to differentiate it from what was practiced before.     

Arab communities in Britain: Cleavages and commonalities

Contemporary Arab communities in Britain remain sociologically under‐researched, even though the settlement of some of them can be traced back to the nineteenth century. This article provides some preliminary insights into cleavages and commonalities characterizing Arab communities in the U.K., and argues the need for a research agenda in order to ensure their equitable place in British society. See’ at beginning of page 256.     

Effects of physical and verbal aggression,depression, and anxiety on drinking behavior of married partners: a prospective and retrospective longitudinal examination

In an ethnically diverse sample of 195 married couples, we conducted a latent factor growth analysis to investigate the longitudinal link (4 time points over 4½ years) between marital aggression (physical and verbal aggression self‐ and partner‐reports) and individual internalizing symptoms (depression and anxiety) as they relate to trajectories of alcohol use among husbands and wives. Alcohol use was operationalized as a latent factor with self‐ and partner reports of problem drinking as measured by the Michigan Alcoholism Screening Test and the Alcohol Dependence Scale. Verbal aggression by husbands or wives, by itself, has no effect on their alcohol use over time. In conjunction with depression, however, verbally aggressive husbands do have elevated drinking levels. The effects of husbands' and wives' physical aggression on their own and their partners' drinking behavior were also significant. This study is one of the first to examine the change over time in alcohol use for marital partners as related to marital aggression and internalizing symptoms. Our results shed light on areas of marital functioning (aggression, internalizing, alcohol use) that have not been investigated in conjunction with each other in a longitudinal design. Aggr. Behav. 35:296–312, 2009. © 2009 Wiley‐Liss, Inc.     

Mental flexibility as resiliency factor among children exposed to political violence

The research focused on mental flexibility versus rigidity in explaining psychological adjustment in the violent conditions of Intifada, and in more peaceful times 3 years later, among 86 Palestinian children. A picture test based on Brunswik (1949) was applied to measure flexible‐rigid cognitive style, and neuroticism, self‐esteem, emotional disorders, and PTSD were used as outcome variables. Results revealed a moderating role of mental flexibility by showing that children were protected from negative long‐term consequences of traumatic events if their perception indicated mental flexibility. However, in the midst of violence mental flexibility was not associated with good psychological adjustment. Mental flexibility was, in turn, determined by environmental and cognitive factors: The more intelligent and the less exposed to traumatic events children were, the higher mental flexibility they showed.     

Counterfactual thinking and posttraumatic stress reactions

Preoccupation with alternative outcomes (counterfactual thinking) is a central component of the ruminations of trauma victims. The questions investigated were whether such thinking should be distinguished from general rumination and whether elements of counterfactual thinking might relate to the process of adjustment. A sample of assault victims was interviewed. They completed a battery of self-report scales and thought-listing procedures. Frequency of counterfactual thinking was closely associated with continuing levels of posttraumatic distress. However, high availability of counterfactuals (as indexed by verbal fluency) was related to potentially adaptive outcomes, such as the generation of behavioral plans. In addition, as expected, levels of different aspects of counterfactual thinking were moderated by metacognitive control strategies as a function of time since the trauma.     

Does the Cover Letter Really Matter?

Many journals require a covering letter alongside the submission process. Some of them, particularly elitist journals, pay a particular attention to the cover letter to such extent an editor may decide not to send a paper out for external peer-review because of a ‘bad’ or absence of a covering letter. As stated in the instructions of many journals, the goal of the covering letter is to emphasize the novelty and to communicate the potential implications of the reported findings. Authors are also invited to tell the handling editor how the topic is related to the journal’s scope and to demonstrate how the results fit in broader context of the literature. Here, I briefly discuss if the cover letter is really necessary.