Reward Dysregulation and Mood Symptoms in an Adolescent Outpatient Sample

Research on bipolar spectrum disorders (BPSD) in adolescence has burgeoned in the last decade, but continued work is needed to identify endophenotypic markers associated with illness onset and course. The present study examined reward dysregulation—measured via the behavioral activation system (BAS)—as one putative marker of BPSD in adolescence. A diverse group of 425 outpatient adolescents between 11 and 17 years of age (52 % male) completed the Behavioral Inhibition and Activation Scale (BIS-BAS) scale to measure reward dysregulation. Semi-structured interviews determined diagnoses and severity of mood symptoms. Parent-reported BAS was associated with increased symptoms of mania, and parent and adolescent-reported BAS were associated with symptoms of depression. Parent-reported BIS scores were associated with increased symptoms of mania. Results held independent of diagnostic status. Furthermore, parent BIS/BAS reports were stronger predictors for manic symptoms compared to adolescent-reports. Results extend work in adults with BPSD, suggesting a transdiagnostic association between reward dysregulation and mood symptom severity in adolescence.     

“Here we're all in the same boat” – a qualitative study of group based rehabilitation for sick‐listed citizens with chronic pain

Musculoskeletal pain impacts upon everyday life. A degree of chronicity may pose an increased risk of sickness absence. One of two rehabilitative interventions, “Tailored Physical Activity” or “Chronic Pain Self‐Management Program”, was offered to sick‐listed citizens who experienced pain. The objectives of this paper were to: (1) Assess what factors are experienced as problematic for sick‐listed citizens in everyday life with chronic pain, and (2) Evaluate the significance of two distinct rehabilitative interventions on the future everyday lives of sick‐listed citizens. Seven semi‐structured interviews with sick‐listed citizens were analyzed using a phenomenological‐hermeneutical approach. Results were discussed by applying the theoretical framework of Antonovsky's salutogenetic model and Yaloms principles for group psychology. The potential for development of citizen's coping is evaluated based on Roessler's notion of progression. The analysis revealed four main themes: (1) Living with pain and unemployment; (2) “Putting my foot down” and “asking for help”; (3) Significance of the group, including instructors, and; (4) Aspects significant to progression. Unemployment is a major life event that promotes stress and can be accompanied by problems related to depressed mood, acceptance of the life situation, feelings of not being useful, feelings of losing control and identity conflicts. Group characteristics that gave a significant basis for progression in the self‐management program are both emotional and instrumental, while the physical training program offers a “here‐and‐now”‐experience and motivation to participate. This study indicates that the self‐management program could potentially improve coping while the physical activity program revealed one example of a means of progression.     

Children’s Maternal Representations Moderate the Efficacy of Parent–Child Interaction Therapy—Emotion Development (PCIT-ED) Treatment For Preschool Depression

Research on Child and Adolescent Psychopathology - A randomized controlled trial (RCT) demonstrated that a novel psychotherapy, Parent–Child Interaction Therapy—Emotion Development...     

Family Imprisonment,Maternal Parenting Stress and Its Impact on Mother-Child Relationship Satisfaction

Parental imprisonment, and more recently other close family imprisonment, has been associated with long-term harms to children. A number of researchers have proposed that parenting stress caused by family imprisonment could impact on caregivers’ ability to offer a secure parent–child relationship after a close family member is imprisoned. Such relationship problems might then mediate further harms to children. The Family Stress-Proximal Process (FSPP) model conceptualises family imprisonment as an ongoing stressor that influences relational processes in families. Using HILDA, a nationally-representative Australian survey, we test key aspects of this theoretical model for women affected by close family imprisonment. We demonstrate that recent close family imprisonment does indeed significantly increase risks of high maternal parenting stress. Women affected by this high parenting stress are also significantly more likely to report feeling less satisfied with their relationship with their child one year later. Nonetheless, only a third of women experiences high parenting stress after close family imprisonment. And, women who experience close family imprisonment without high parenting stress do not have a greater risk of subsequent relationship dissatisfaction. We conclude that the prevention or reduction of parenting stress in families affected by close family imprisonment could have a protective effect on subsequent mother-child relationships.     

Functional connectivity differences in autism during face and car recognition: underconnectivity and atypical age‐related changes

Face recognition abilities improve between adolescence and adulthood over typical development (TD), but plateau in autism, leading to increasing face recognition deficits in autism later in life. Developmental differences between autism and TD may reflect changes between neural systems involved in the development of face encoding and recognition. Here, we focused on whole‐brain connectivity with the fusiform face area (FFA), a well‐established face‐preferential brain region. Older children, adolescents, and adults with and without autism completed the Cambridge Face Memory Test, and a matched car memory test, during fMRI scanning. We then examined task‐based functional connectivity between the FFA and the rest of the brain, comparing autism and TD groups during encoding and recognition of face and car stimuli. The autism group exhibited underconnectivity, relative to the TD group, between the FFA and frontal and primary visual cortices, independent of age. Underconnectivity with the medial and rostral lateral prefrontal cortex was face‐specific during encoding and recognition, respectively. Conversely, underconnectivity with the L orbitofrontal cortex was evident for both face and car encoding. Atypical age‐related changes in connectivity emerged between the FFA and the R temporoparietal junction, and R dorsal striatum for face stimuli only. Similar differences in age‐related changes in autism emerged for FFA connectivity with the amygdala across both face and car recognition. Thus, underconnectivity and atypical development of functional connectivity may lead to a less optimal face‐processing network in the context of increasing general and social cognitive deficits in autism.     

Memories of real-life decisions

Three studies investigated decision makers’ memory representations of choice alternatives in most important real-life decisions. In Study 1, each participant recalled the most important decision that she or he had ever made and rated to what degree a number of characteristics could describe the decisions. In Study 2, the participants were asked to think about an important decision that they had made during the last 7–10 days. In Study 3, the memory representations of decisions of a group of action-oriented participants were compared with those of a group of state-oriented participants (Kuhl, 1983). Characteristics related to standard decision theory, like consequences, values, and likelihood, had high ratings of applicability as well as affect/feeling. When testing the applicability of a circumplex model, the fuzzy-trace theory of memory, and differences between state- and action-oriented decision makers, we found (1) that there was no support for the circumplex model of emotions. Instead, an important decision problem was characterised by both positive and negative affect/emotion and thus, a bipolar mapping was found inadequate; (2) that a comparison of abstract and concrete aspects showed that the abstract characteristics scored higher, thereby supporting the fuzzy-trace theory; and (3) that the prediction that action-oriented participants would score higher than state-oriented participants on the characteristic of activity was not supported. However, state-oriented decision makers rated passivity higher than action-oriented decision makers for the important decision of leaving a partner. State-oriented decision makers used perceptual/cognitive scenario representations to a greater extent than action-oriented participants. Finally, it was stressed that in the development of decision theories it is essential to find theoretical representations as close as possible to how decision makers themselves represent the decisions. The method used in this contribution is focused on the role of memory in decision making and gives further insights into how important real-life decisions are represented by different decision makers.     

It Takes Two to Tangle: Gender Symmetry in Intimate Partner Violence

This study examined the equivalence of male and female intimate partner violence (IPV) across three samples of the New Zealand population (student, general, and incarcerated). Additionally, we compared the attitudes of victims and perpetrators. Findings revealed that although the incarcerated sample experienced a higher frequency of violence, the nature of IPV was similar across the samples. More importantly, our findings showed gender symmetry in IPV with male and female IPV being similar in frequency, severity, and injury. There was, however, some variation in the type of physical abuse acts perpetrated as a function of gender. Furthermore, victims and perpetrators reported similar attitudes and behaviors that differentiated them from participants with no history of physical violence. These included being more hostile, holding traditional gendered beliefs, and lacking communication and anger management skills. A rethinking of how we view IPV is recommended in light of these findings.     

The Biological Roots of Complex Thinking: Are Heritable Attitudes More Complex?

ABSTRACT Are highly heritable attitudes more or less complex than less heritable attitudes? Over 2,000 participant responses on topics varying in heritability were coded for overall integrative complexity and its 2 subcomponents (dialectical complexity and elaborative complexity). Across different heritability sets drawn from 2 separate prior twin research programs, the present results yielded a consistent pattern: Heritability was always significantly positively correlated with integrative complexity. Further analyses of the subcomponents suggested that the manner in which complexity was expressed differed by topic type: For societal topics, heritable attitudes were more likely to be expressed in dialectically complex terms, whereas for personally involving topics, heritable attitudes were more likely to be expressed in elaboratively complex terms. Most of these relationships remained significant even when controlling for measurements of attitude strength. The authors discuss the genetic roots of complex versus simple attitudes, implications for understanding attitude development more broadly, and the contribution of these results to previous work on both heritability and complexity.     

Small Subitizing Range in People with Williams syndrome

Recent evidence suggests that the rapid apprehension of small numbers of objects-- often called subitizing-- engages a system which allows representation of up to 4 objects but is distinct from other aspects of numerical processing. We examined subitizing by studying people with Williams syndrome (WS), a genetic deficit characterized by severe visuospatial impairments, and normally developing children (4-6.5 years old). In Experiment 1, participants first explicitly counted displays of 1 to 8 squares that appeared for 5 s and reported "how many". They then reported "how many" for the same displays shown for 250 ms, a duration too brief to allow explicit counting, but sufficient for subitizing. All groups were highly accurate up to 8 objects when they explicitly counted. With the brief duration, people with WS showed almost perfect accuracy up to a limit of 3 objects, comparable to 4 year-olds but fewer than either 5 or 6.5 year-old children. In Experiment 2, participants were asked to report "how many" for displays that were presented for an unlimited duration, as rapidly as they could while remaining accurate. Individuals with WS responded as rapidly as 6.5 year-olds, and more rapidly than 4 year-olds. However, their accuracy was as in Experiment 1, comparable to 4 year-olds, and lower than older children. These results are consistent with previous results indicating that people with WS can simultaneously represent multiple objects, but that they have a smaller capacity than older children, on par with 4 year-olds. This pattern is discussed in the context of normal and abnormal development of visuospatial skills, in particular those linked to the representation of numerosity.