Psychopathology and response styles in the SCL-90 responses of acutely distressed persons

Using the responses of 197 suicidal and nonsuicidal patients of a crisis and short-term intervention unit, the item factor structure of the SCL-90 was examined. Results suggested a reduced dimensionality for the checklist rather than supporting the nine scales associated with the instrument's scoring key. The influence of various response styles on the SCL-90's dimensionality was also explored. Although a social desirability response style was strongly related to all SCL-90 subscales and factors, it did not offer a complete explanation for the checklist's apparent unidimensionality. Other explanations relating to methods of test construction and to patients' inability to differentiate symptoms were also preferred. Finally, although subscale scores may facilitate clinical interpretation, it was suggested that the SCL-90 might best be scored as a single index of general symptomatology.We wish to thank G. C. Fekken and R. N. MacLennan for their assistance with this project.This work was supported in part by Social Sciences and Humanities Research Council of Canada Grant 410-85-1043 and by an Ontario Ministry of Health Research Personnel Award.     

Skill‐based versus effort‐based task difficulty: A task‐analysis approach to the role of specific emotions in motivating difficult actions

We make a distinction between primarily effort-based and skilled-based tasks and examine the correspondence between emotion and task. We reverse attribution theory results wherein failure to expend effort engenders regret and accomplishing tasks with skill engenders pride, and propose these emotions as antecedents to effort-based and skill-based behaviors. Specifically, pride (regret) produces higher self-efficacy, behavioral intentions and sign-ups when the task (CPR training) is portrayed as skill-intensive (effort-intensive) compared to effort-intensive (skill-intensive) or easy. Our research highlights the value of integrating an attributional analysis of tasks into an appraisal theory of emotions and suggests mechanisms that might underlie this relationship.     

Age at menarche and digit ratio (2D:4D): relationships with body dissatisfaction, drive for thinness, and bulimia symptoms in women

This study examined the hypothesis that lower prenatal androgen exposure and earlier puberty are associated with more dysfunctional eating attitudes and behaviors. Relationships between both age at menarche (AAM) and 2D:4D (a marker of prenatal androgen exposure), and EDI-2-Body Dissatisfaction, EDI-2-Drive for Thinness, and EDI-2-Bulimia scores, were examined in women using correlations and regressions. Earlier menarche was associated with higher drive for thinness after controlling for BMI and negative affect, but only in women who were not exclusively heterosexual. Higher 2D:4D was associated with higher Bulimia and Body Dissatisfaction scores, but only in exclusively heterosexual women, and relationships disappeared when covariates were controlled. Later AAM and higher 2D:4D were unique predictors of higher Bulimia scores for exclusive heterosexuals when BMI was controlled. These findings suggest future research should examine sexual orientation as a mediator or moderator of prenatal and postnatal organizational hormonal effects on women's disordered eating attitudes and behaviors.     

Inanspruchnahme psychosozialer Versorgungsstrukturen

In spite of the high proportion of persons with a migration background in Germany, professional mental health care utilization by this population group still seems to be insufficient. This could be due to social as well as structural and individual barriers which impede the professional mental health care-seeking process. The heuristic Mental Health Action Process Approach (M-HAPA) model was developed in order to be able to empirically investigate the specific mechanism of action as well as the specific time of influence of these factors. An empirically supported model should possibly be able to justify targeted interventions. The M-HAPA model describes mental health care utilization behavior, combines the basic ideas of already existing models describing health behavior and health care utilization behavior as well as factors which are specifically relevant for the health care utilization behavior of persons with a migration background. This combination may serve as a basis for future research in the field of mental health care utilization behavior of persons with a migration background.     

Artificial Intelligence and Medical Humanities

The use of artificial intelligence in healthcare has led to debates about the role of human clinicians in the increasingly technological contexts of medicine. Some researchers have argued that AI will augment the capacities of physicians and increase their availability to provide empathy and other uniquely human forms of care to their patients. The human vulnerabilities experienced in the healthcare context raise the stakes of new technologies such as AI, and the human dimensions of AI in healthcare have particular significance for research in the humanities. This article explains four key areas of concern relating to AI and the role that medical/health humanities research can play in addressing them: definition and regulation of “medical” versus “health” data and apps; social determinants of health; narrative medicine; and technological mediation of care. Issues include data privacy and trust, flawed datasets and algorithmic bias, racial discrimination, and the rhetoric of humanism and disability. Through a discussion of potential humanities contributions to these emerging intersections with AI, this article will suggest future scholarly directions for the field.