Persönlichkeitsdiagnostik im DSM-5

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in May 2013 and features (in Section III) a new model for the diagnosis of personality disorders. The aim of this paper is to introduce this model to a broader German-speaking readership. The article begins by explaining why a new model seems necessary. Secondly, the different components of the new DSM-5 model are presented, the theoretical and empirical background is explained and it is shown how the model works using a clinical case example. Thirdly, several advantages of the new model as compared to the DSM-IV diagnostic categories (which will be retained in DSM-5 Section II) are discussed. Finally, the article highlights some open questions and problems that require further conceptual and empirical research.     

Novel associative processing and aging: effect on creative production

ABSTRACT

Creative production has been reported to decline with age. This study investigated age-related differences in creative verbal production. Participants were 30 younger and 30 older adults. Study testing included language and cognitive assessments and the experimental task wherein participants created short stories incorporating words that are not commonly related, semantically or associatively. The resulting stories were rated by independent blinded judges for originality, cohesion, appropriateness, and organization. Younger adults' stories were rated as being significantly more original and more appropriate. Integrating unrelated words to create original stories requires activating widely distributed lexical-semantic networks to develop novel associations. Potential decreased neural network connectivity due to white matter degradation, commonly seen in normal aging, as well as decrements in front-executive disengagement may have affected older adults' performance on this story creation task. Future research using neuroimaging may elucidate possible neuroanatomic correlates of age-related changes in associative creative production..     

The Impact of Abuse and Learning Difficulties on Emotion Understanding in Late Childhood and Early Adolescence

Children's affective experiences and cognitive abilities have an impact on emotion understanding. However, their relative contribution, as well as the possibility of an interaction between them, has rarely been examined. The aim of the present study was to evaluate the influence of severe abuse and learning difficulties on simple and complex components of emotion understanding in late childhood and early adolescence. A total of 28 older children and young adolescents were selected for the study. Half of the participants had suffered from severe abuse, and half of these abused children additionally had learning disabilities. The remaining half of the sample had no history of abuse but were matched with the abused children on learning difficulties, age and gender. The participants’ emotion understanding was assessed with the Test of Emotion Comprehension (TEC). Results showed that (a) learning difficulties but not abuse had an impact on emotion understanding, (b) there was no interaction effect of abuse and learning difficulties on emotion understanding, and (b) the observed effects of learning difficulties were most apparent for the understanding of relatively complex components of emotion and not for simple components. The results are discussed in terms of their theoretical and practical implications.     

Collective identity and wellbeing of Roma minority adolescents in Bulgaria

In Europe and particularly in Bulgaria, Roma represent the largest low‐status minority group that is subjected to marked public intolerance and discrimination. This study examined links among Roma (N = 207) and Bulgarian (N = 399) adolescents’ ethnic, familial, and religious identities as salient identity aspects for their psychological wellbeing. Results indicated that, as expected, Roma youth reported lower levels of wellbeing than Bulgarian youth. The latter revealed a weaker religious identity than Roma youth, whereas no ethnic group differences emerged regarding Bulgarian or familial identity. Furthermore, we observed that collective identity was higher in older participants of both groups. Finally, a multigroup analysis using structural equation modeling showed that collective identity was a positive predictor of wellbeing for both Roma and Bulgarian adolescents. Findings demonstrated differences in salience as well as structural communalities regarding ways in which collective identity affects wellbeing of youth from two ethnically diverse communities.     

Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials

Anxiety and depressive disorders are often comorbid. Transdiagnostic and tailored treatments seem to be promising approaches in dealing with comorbidity. Although several primary studies have examined the effects of Internet-delivered cognitive behavior therapy (iCBT) for anxiety and depression, no meta-analysis including different types of iCBT that address comorbidity has been conducted so far. We conducted systematic searches in databases up to 1 July 2016. Only randomized trials comparing transdiagnostic/tailored iCBT for adult anxiety and/or depression with control groups were included. Nineteen randomized trials with a total of 2952 participants that met inclusion criteria were analyzed. The quality of the studies was high, however the blinding criteria were not fulfilled. The uncontrolled effect size (Hedges’ g) of transdiagnostic/tailored iCBT on anxiety and depression outcomes was large and medium for quality of life. The controlled effect size for iCBT on anxiety and depression outcomes was medium to large (anxiety: g = .82, 95% CI: .58–1.05, depression: g = .79, 95% CI: .59–1.00) and medium on quality of life (g = .56, 95% CI: .37–.73). Heterogeneity was small (quality of life) to moderate (anxiety, depression). There was a large effect on generic outcome measures and a moderate effect on comorbidities. When compared to disorder-specific treatments there were no differences on anxiety and quality of life outcomes, however there were differences in depression outcomes. Transdiagnostic and tailored iCBT are effective interventions for anxiety disorders and depression. Future studies should investigate mechanisms of change and develop outcome measures for these interventions.     

Development and validation of a brief self-report measure of agitation: the Brief Agitation Measure

Emerging evidence indicates that agitation is an ominous precursor to imminent death by suicide, yet measures of it are few, and to our knowledge, no self-report measure of agitation exists. To fill this gap, we have developed the Brief Agitation Measure (BAM), which is designed as a brief measure to assess agitation. In this article, we provide preliminary evidence from 2 studies examining the reliability and validity of the BAM in an undergraduate sample as well as a clinical sample. We close with a discussion of the limitations of the studies and implications of our findings.     

The Effect of Anticipated Service Interruptions on Disaster Preparedness Intentions1

This study examined the effects of anticipated service interruptions on natural disaster preparedness intentions. In a 3 × 2 × 2 factorial experiment, students were exposed to scenarios with varied levels of anticipated basic service interruption (no mention, low, high), and person‐relative‐to event (PrE) factors shown to affect preparedness (low, high), across 2 types of disaster (earthquake, flood). Results indicated no main or interaction effects related to type of natural disasters, significant main effects for levels of PrE and service interruption, and a significant PrE × Service Interruption interaction. Anticipated service interruption affected preparedness, regardless of level of PrE. Bringing service interruption into awareness increases willingness to prepare, suggesting that public‐health efforts should include messages regarding potential interruption of services.     

Tip-of-the-tongue states reveal age differences in the syllable frequency effect

Syllable frequency has been shown to facilitate production in some languages but has yielded inconsistent results in English and has never been examined in older adults. Tip-of-the-tongue (TOT) states represent a unique type of production failure where the phonology of a word is unable to be retrieved, suggesting that the frequency of phonological forms, like syllables, may influence the occurrence of TOT states. In the current study, we investigated the role of first-syllable frequency on TOT incidence and resolution in young (18-26 years of age), young-old (60-74 years of age), and old-old (75-89 years of age) adults. Data from 3 published studies were compiled, where TOTs were elicited by presenting definition-like questions and asking participants to respond with "Know," "Don't Know," or "TOT." Young-old and old-old adults, but not young adults, experienced more TOTs for words beginning with low-frequency first syllables relative to high-frequency first syllables. Furthermore, age differences in TOT incidence occurred only for words with low-frequency first syllables. In contrast, when a prime word with the same first syllable as the target was presented during TOT states, all age groups resolved more TOTs for words beginning with low-frequency syllables. These findings support speech production models that allow for bidirectional activation between conceptual, lexical, and phonological forms of words. Furthermore, the age-specific effects of syllable frequency provide insight into the progression of age-linked changes to phonological processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved).     

Examination of MMPI–2–RF Substantive Scales as Indicators of Acute Suicidal Affective Disturbance Components

A new suicide-specific diagnostic entity, acute suicidal affective disturbance (ASAD), was recently proposed to fill a void in the nomenclature. Although several studies have examined the reliability, validity, and potential clinical utility of ASAD, no studies have examined personality indicators of ASAD. This study sought to examine the association between personality and psychopathology factors, as assessed by the Minnesota Multiphasic Personality Inventory–2–Revised Form (MMPI–2–RF), and constructs that comprise ASAD in a sample of 554 psychiatric outpatients who completed all measures prior to their intake appointments. A smaller subset of patients (N = 58) also completed a measure designed to assess lifetime ASAD symptoms. Results indicated that ASAD symptoms were associated with traits characterized by emotional turmoil and atypical cognitive processes. Further, suicide-related criteria that comprise ASAD were related to low positive emotionality and hopelessness, whereas the overarousal criteria were associated with somatic symptoms and an inability to tolerate frustration and stress. These findings expand on previous research that examines the convergent and discriminant validity of ASAD and could inform clinical treatment by providing insight into personality traits that might be associated with acute suicide risk.     

Are seductive details seductive only when you think they are relevant? An experimental test of the moderating role of perceived relevance

We investigated whether seductive details (i.e., interesting but irrelevant adjuncts) are harmful to learning only when students (mistakenly) think that they are relevant. We therefore conducted a study in which participants (N = 86) learned either without seductive details (control condition) or with seductive details—in the latter case with or without being informed about the seductive details' irrelevance. In line with our hypotheses, only participants who were not informed about the irrelevance of seductive details revealed worse learning outcomes than those in the control condition, thereby revealing a seductive details effect. Extraneous cognitive load, but not perceived time pressure, mediated the negative effects of being uninformed about the irrelevance of seductive details on learning outcomes. Taken together, our results suggest that the perceived relevance of seductive details is a boundary condition of the seductive details effect.