Psychological Impairment as a Predictor of Suicide Ideation in Individuals with Anorexia Nervosa

Anorexia nervosa (AN) is an eating disorder characterized by severe food restriction resulting in low body weight and an intense fear of gaining weight. This disorder has one of the highest suicide rates of any psychiatric illness; however, few studies have investigated prospective predictors of suicide ideation (SI) in this population. Quality‐of‐life impairment may be particularly relevant for understanding suicide risk in AN, given associations with SI in other psychiatric disorders and associations with chronicity and severity in AN. This study explored associations between eating disorder‐related impairment and SI in individuals with AN (n = 113) who completed assessments at treatment discharge and 3, 6, and 12 months after discharge. Greater psychological impairment predicted future occurrence of SI controlling for age, depression, history of SI, and eating disorder variables. Associations were specific to psychological impairment as other domains of impairment did not predict SI over time. Findings highlight the potential importance of targeting interpersonal–psychological consequences of AN to decrease future suicide risk.     

EVALUATION OF A SEXUAL ASSAULT RISK REDUCTION AND SELF-DEFENSE PROGRAM: A PROSPECTIVE ANALYSIS OF A REVISED PROTOCOL

The current study extends the development and evaluation of an existing and previously evaluated sexual assault risk reduction program with a self-defense component for college women ( N = 300). The program protocol was revised to address psychological barriers to responding assertively to risky dating situations, and a placebo-control group was utilized rather than a wait-list control group. Relative to the placebo-control group, the program was effective in increasing levels of self-protective behaviors, self-efficacy in resisting against potential attackers, and use of assertive sexual communication over a 4-month interim. Results also suggested reduction of incidence of rape among program participants over the 2-month follow-up. Implications for future development and evaluation of sexual assault risk reduction programming are presented.     

The use of abstract graphemic information in lexical access

Three experiments investigated the nature of the information required for the lexical access of visual words. A four-field masking procedure was used, in which the presentation of consecutive prime and target letter strings was preceded and followed by presentations of a pattern mask. This procedure prevented subjects from identifying, and thus intentionally using, prime information. Experiment I extablished the existence of a semantic priming effect on target identification, demonstrating the lexical access of primes under these conditions. It also showed a word repetition effect independent of letter case. Experiment II tested whether this repetition effect was due to the activation of graphemic or phonemic information. The graphemic and phonemic similarity of primes and targets was varied. No evidence for phonemic priming was found, although a graphemic priming effect, independent of the physical similarity of the stimuli, was obtained. Finally Experiment III demonstrated that, irrespective of whether the prime was a word or a nonword, graphemic priming was equally effective. In both Experiments II and III, however, the word repetition effect was stronger than the graphemic priming effect. It is argued that facilitation from graphemic priming was due to the prime activating a target representation coded for abstract (non-visual) graphemic features, such as letter identities. The extra facilitation from same identity priming was attributed to semantic as well as graphemic activation. The implications of these results for models of word recognition are discussed.