A Machine Learning Approach to Identifying the Thought Markers of Suicidal Subjects: A Prospective Multicenter Trial

Death by suicide demonstrates profound personal suffering and societal failure. While basic sciences provide the opportunity to understand biological markers related to suicide, computer science provides opportunities to understand suicide thought markers. In this novel prospective, multimodal, multicenter, mixed demographic study, we used machine learning to measure and fuse two classes of suicidal thought markers: verbal and nonverbal. Machine learning algorithms were used with the subjects’ words and vocal characteristics to classify 379 subjects recruited from two academic medical centers and a rural community hospital into one of three groups: suicidal, mentally ill but not suicidal, or controls. By combining linguistic and acoustic characteristics, subjects could be classified into one of the three groups with up to 85% accuracy. The results provide insight into how advanced technology can be used for suicide assessment and prevention.     

Gender differences in subjective distress to emotional and sexual infidelity: Evolutionary or logical inference explanation?

Men and women were asked to imagine a romantic partner being sexually unfaithful and/or emotionally unfaithful. Three hypotheses regarding gender differences in subjective distress to sexual and emotional infidelity, and in the inferences linking the infidelities were tested. The results indicated that more men than women were distressed by imagining a partner enjoying passionate sexual intercourse with another person, and more women than men were distressed by imagining a partner forming a deep emotional attachment to another person. Asking another group of women and men to imagine a partner committing both infidelities at the same time, and then to indicate which component of the combined infidelity was the most distressing, produced the same sexual asymmetries. The prediction that men will infer from a partner's sexual infidelity the co-occurrence of emotional infidelity and that women will infer from a partner’s emotional infidelity the co-occurrence of sexual infidelity was not supported. An evolutionary perspective, rather than an alternative analysis emphasizing the different inferences men and women draw from sex and love, provided a satisfactory explanation of the sexual asymmetries in the cues to jealousy.     

Young People's Experiences of Participation in Clinical Trials: Reasons for Taking Part

Given the lack of knowledge about safety and efficacy of many treatments for children, pediatric clinical trials are important, but recruitment for pediatric research is difficult. Little is known about children's perspective on participating in trials. The purpose of this study was to understand the experiences and motivations of young people who took part in clinical trials. This is a qualitative interview study of 25 young people aged 10–23 who were invited to take part in clinical trials. Interviews were audio or video recorded and analyzed using framework analysis. Young peoples' motivations were both personal benefit and helping others. Both incentives appeared to be more complex than expected. We introduce the terms “network of exchange” and “intergenerational solidarity” to describe these motivations. To improve recruitment, professionals should be more open about research opportunities, provide better information, and give young people feedback after the trial has ended.     

Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort

The aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ² (9)?=?17.06, p?=?.05, χ²/N?=?1.90, RMSEA?=?0.05, SRMR?=?0.04, CFI?=?.99, TLI?=?.97, GFI?=?0.99), indicating the influence of gastrointestinal symptoms on QoL was mediated by illness perceptions, fear of COVID-19, adaptive and maladaptive coping, and psychological distress. Interventions targeting the fear of COVID-19 in the context of an individual’s perceptions will likely enhance QoL during the pandemic.

     

Commentary on “The Negative Transitional Object: Theoretical Elaboration and Clinical Illustration”

This commentary engages with Pauley’s (this issue) clinical case through a brief discussion of the transitional object and a questioning of the author’s new concept the negative transitional object.     

Group and Leadership Effects on Social Anxiety Experienced During an Exercise Class1

This study examined the effects of the group environment and group leadership style on social anxiety experienced by participants (N= 90) in a 40‐min step aerobics class. In a 2±2 factorial design, group environment (enriched/bland) was manipulated, along with the fitness instructor's leadership style (enriched/bland). Participants in the enriched group condition had significantly higher social anxiety (M= 15.1) than did those in the bland group condition (M= 12.0, p < 0.05). Also, participants tended to have less social anxiety when the instructor used an enriched leadership style (M= 12.4) than when she used a bland leadership style (M= 14.8, p= 0. 08). Discussion focuses on aspects of the social environment that can affect social anxiety during group exercise classes.     

Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers

Enhancing the public health impact of evidence-based practices (EBPs) in usual care settings is a key priority of the National Institute of Mental Health. Longitudinal data from community mental health providers (N = 268) participating in a series of state-sponsored workshops in modular approaches to EBPs for youth are presented. EBP workshop attendance for youth anxiety resulted in increased knowledge for EBPs for anxiety (and not other conditions) and EBP workshop attendance for youth disruptive behaviors resulted in increased knowledge for EBPs for disruptive behaviors (and not other conditions). Providers' tendencies toward incorrectly classifying non-EBP therapies as evidence-based increased over time, suggesting that providers over-generalize the EBP label as a result of attending these types of workshops. Regarding EBP attitudes, most measures of attitudes improved when providers attended a workshop. Additionally, an overly inclusive view of what constitutes an EBP at intake was related to significant decreases in openness to trying EBPs over time, whereas more positive attitudes at intake was related to achieving a more refined view of what constitutes an EBP over the course of attending trainings. Study limitations and implications for implementation of EBPs in usual care settings are discussed.     

Sex differences during visual scanning of occlusion events in infants

A growing number of sex differences in infancy have been reported. One task on which they have been observed reliably is the event-mapping task. In event mapping, infants view an occlusion event involving 1 or 2 objects, the occluder is removed, and then infants see 1 object. Typically, boys are more likely than girls to detect an inconsistency between a 2-object occlusion event and a 1-object display. The current research investigated underlying reasons for this sex difference. Three eye-tracking experiments were conducted with infants at 9 and 4 months (mean age). Infants saw a ball-box or ball-ball occlusion event followed by a 1-ball display; visual scanning of the occlusion event and the 1-ball display was recorded. Older boys were more likely than older girls to visually track the objects through occlusion and more likely to detect an inconsistency between the ball-box event and the 1-ball display. In addition, tracking objects through occlusion was related to infants' scanning of the 1-ball display. Both younger boys and girls failed to track the objects through occlusion and to detect an inconsistency between the ball-box event and the 1-ball display. These results suggest that infants' capacity to track objects through occlusion facilitates extraction of the structure of the initial event (i.e., the number of distinct objects involved) that infants can map onto the final display and that sex differences in the capacity emerge between 4 and 9 months. Possible explanations for how the structure of an occlusion event is extracted and mapped are considered.     

Control cognitions and causal attributions as predictors of fatigue severity in a community sample

Control cognitions and causal attributions of fatigue were examined in relation to Weiner's Causal Attribution theory in a community sample. Participants were 97 females and 43 males, aged 18-83 years. Weiner's dimensions of stability and uncontrollability and physical and psychosocial attributions of fatigue were related to fatigue severity. Escape-avoidance coping mediated between psychosocial causal attributions of fatigue to fatigue; whereas planful problem-solving and exercise moderated between stability cognitions to fatigue and psychosocial attributions of fatigue to fatigue, respectively. This, the cause(s) of fatigue were perceived as stable, uncontrollable, and involving physical and psychosocial factors, participants reported worse fatigue. Taken together, the results suggest that fatigue treatments may be most effective when they are tailored or matched to the belief systems of the individuals with fatigue.