Externalizing psychopathology and behavioral disinhibition: working memory mediates signal discriminability and reinforcement moderates response bias in approach-avoidance learning

Research has suggested that reduced working memory capacity plays a key role in disinhibited patterns of behavior associated with externalizing psychopathology. In this study, participants (N = 365) completed 2 versions of a go/no-go mixed-incentive learning task that differed in the relative frequency of monetary rewards and punishments for correct and incorrect active-approach responses, respectively. Using separate structural equation models for conventional (hit and false alarm rates) and signal detection theory (signal discriminability and response bias) performance indices, distinct roles for working memory capacity and changes in payoff structure were found. Specifically, results showed that (a) working memory capacity mediated the effects of externalizing psychopathology on false alarms and discriminability of go versus no-go signals; (b) these effects were not moderated by the relative frequency of monetary rewards and punishments; (c) the relative frequency of monetary rewards and punishments moderated the effects of externalizing psychopathology on hits and response bias for go versus no-go responses; and (d) these effects were not mediated by working memory capacity. The findings implicate distinct roles for reduced working memory capacity and poorly modulated active approach and passive avoidance in the link between externalizing psychopathology and behavioral disinhibition.     

Unintentional Injury Risk in Children with Externalizing Behavior Disorders at Summer Camp

Children with externalizing behavior disorders such as attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD) have greatly increased risk of unintentional injury, but it is unclear what mechanisms are responsible for that increased risk. This study followed 22 children participating in a summer camp for children with ADHD. Injury incidents were recorded daily and a set of primary symptoms of behavioral disorders were recorded at 15-min intervals over the course of the 6-week summer camp experience (roughly 300 h of observing each child). We predicted symptoms of ODD and CD would be more strongly related to injury incidence than symptoms of ADHD. Results from univariate Poisson regression models confirmed our prediction. Symptoms of ODD and CD—violations and intentional aggression in particular—were related to injury incidence but symptoms of ADHD were not. This finding is consistent with a growing body of evidence that oppositional, noncompliant, and aggressive behavior patterns might be primarily responsible for increased risk for injury among children with externalizing behavior disorders. Thanks to Sylvie Mrug, Peter Winslett, and the other staff members of the STP camp for their cooperation.     

Flextime Commuters and Their Driver Stress, Feelings of Time Urgency, and Commute Satisfaction

The purpose of this study was to investigate the effect of a flextime-working environment on driver stress, feelings of time urgency, and commute satisfaction for commuters in a large-city environment. It was hypothesized that, regardless of gender, commuters with flextime would have less driver stress, fewer feelings of time urgency, and more commute satisfaction. The study was conducted using one hundred and twenty-five full-time employed commuters from Atlanta, Georgia, the city with the largest average commute distance in the world. Results showed that the commuters with flextime reported less driver stress and fewer feelings of time urgency than those without flextime. Significant differences were not found for commute satisfaction. Gender did not appear to be a significant factor in determining driver stress, time urgency, or commute satisfaction.     

Risk profiles and peer violence in the context of school and leisure time

Though violence at school is by no means a new phenomenon, there has been growing social and scientific concern about this issue in recent years. The present study builds on prior analysis of the roles adolescents play in peer harassment, and the relationship between violence occurring at school and during free time. A representative sample of students between the ages of 14 and 18 was selected in the Community of Madrid (N = 1622) through random cluster sampling (school was the unit of analysis). Participants completed the C.E.V.E.O. questionnaire, which presents fifteen situations involving peer violence. The results reveal a relationship between violent situations occurring at school and during free time, and between the roles of aggressor and victim during free time. A profile analysis yielded three different categories: the "minimal violence exposure" type (1126 adolescents), the "psychological violence exposure" type (413 adolescents), and the "high risk of violence" type (83 adolescents). Judging from these results, we posit that interventions must be designed which tailor to each group and their respective risk situations.     

Are Clinical Records Really That Important? The Dearth of Research and Practice Guidelines in MFT Literature

In Marriage and Family Therapy (MFT), case notes can play an important role in providing quality care and in maintaining the integrity of the therapeutic relationship. Case notes are invaluable for clinicians on many different levels: clinically, ethically, and legally. In this article, we will highlight the many uses of case notes within the field and will give examples of what problems may occur when case notes are not adequately, thoroughly, and timely kept. We also provide a review of all research-based information available on this topic over a fifteen-year period. The results of the review are disheartening as this area has received no empirical attention in MFT Literature. We call attention to this dearth of information and give suggestions regarding future research and training.     

Relationship of Illness Severity with Health and Life Satisfaction in Patients with Cardiovascular Disease: The Mediating Role of Self-efficacy Beliefs and Illness Perceptions

Guidelines for cardiovascular rehabilitation from different countries underline the importance of psychological factors in the achievement of improved clinical conditions and quality of life in patients with cardiovascular disease (CVD). Nevertheless, little research has been performed to identify the specific factors that greatly affect or foster patients’ quality of life. The aim of the current study was to investigate the contribution of illness perceptions (IP) and self-efficacy beliefs (SE) on the impact exerted by illness severity on health and life satisfaction in patients with CVD undergoing a rehabilitation program. The study had a cross-sectional design and involved 116 patients (mean age = 65.6 years; SD = 10.0 years; 79.3 % men). Illness severity was measured in terms of left ventricular ejection fraction (LVEF) at the discharge from the cardiology department, whereas psychological factors were assessed one week later. The results showed no relationships among LVEF and the two indicators of health and life satisfaction; moreover, these two variables are differently influenced by IP and cardiac risk factors SE (χ²(1) = 0.96, p = n.s.). Findings provide important suggestions for the implementation of interventions aimed at bettering patients’ quality of life, underlying the importance of working on IP and SE to improve levels of health and life satisfaction in patients with CVD.     

Think-aloud protocols and the selection task: Evidence for relevance effects and rationalisation processes

Two experiments are reported that employed think-aloud methods to test predictions concerning relevance effects and rationalisation processes derivable from Evans' (1996) heuristic-analytic theory of the selection task. Evans' account proposes that card selections are triggered by relevance-determining heuristics, with analytic processing serving merely to rationalise heuristically cued decisions. As such, selected cards should be associated with more references to both their facing and their hidden sides than rejected cards, which are not subjected to analytic rationalisation. Experiment 1 used a standard selection-task paradigm, with negative components permuted through abstract conditional rules. Support was found for all heuristic-analytic predictions. This evidence was shown to be robust in Experiment 2, where “select - don't select” decisions were enforced for all cards. Both experiments also clarify the role played by secondary heuristics in cueing the consideration of hidden card values during rationalisation. We suggest that whilst Evans' heuristic-analytic model and Oaksford and Chater's (e.g., 2003) optimal data selection model can provide compelling accounts of our protocol findings, the mental models theory fares less well as an explanation of our full dataset.     

Personality and Optimal Experience in Adolescence: Implications for Well-Being and Development

Past research has repeatedly identified relations between optimal experience—or flow—and well-being across the lifespan. In the attempt to identify the conditions favoring this experience, some studies took into account personality traits. While most of them operationalized flow in terms of intensity, we presently focused on perceived occurrence versus absence of flow. Specifically, we investigated the relations between flow occurrence, hedonic and eudaimonic well-being, activities associated with flow, and personality in adolescence. A group of 408 Italian teenagers (mean age = 17.31; SD = 1.13) were administered Flow Questionnaire, Satisfaction with Life Scale, Positive and Negative Affect Schedule, Psychological Well-being Scales, and the Big Five Questionnaire. Participants reporting optimal experience in their lives were compared with those not reporting it. Results showed that adolescents experiencing flow reported higher satisfaction with life, hedonic balance, and psychological well-being than their counterparts. Findings from logistic regression analyses further showed that openness to experience was the sole personality factor predicting flow occurrence, and that no personality factors were predictive of type of activities adolescents associated with flow. Findings point to the promotion of optimal experience among adolescents through the support of curiosity and openness to new experiences in engaging opportunities for action. They further call for the development of an integrated model taking into account both individual predispositions and social and cultural factors in well-being promotion.     

Carrying the Burden: Perspectives of African American Pastors on Peer Support for People with Cancer

For African Americans facing advanced cancer, churches are trusted sources of support and ideal settings to improve access to supportive care. The Support Team model enhances community support for practical, emotional, and spiritual caregiving. We report on focus groups with pastors of 23 Black Churches and explore their perspective on the Support Team model for church members with cancer. Pastors describe the needs of church members facing cancer from a holistic perspective and recognize opportunities for synergistic faith–health collaboration. The results of this study indicate potential benefits of the Support Team model in Black Churches to reduce silent suffering among individuals facing cancer.     

A daily diary investigation of Latino ethnic identity, discrimination, and depression

The objectives of the current study were to document the effects of discrimination on Latino mental health and to identify the circumstances by which ethnic identity serves a protective function. Instances of discrimination and depressive symptoms were measured every day for 13 days in a sample of Latino adults (N = 91). Multilevel random coefficient modeling showed a 1-day lagged effect in which increases in depression were observed the day following a discriminatory event. The findings also revealed differential effects of ethnic identity exploration and commitment. Whereas ethnic identity exploration was found to exacerbate the influence of daily discrimination on next-day depression, ethnic identity commitment operated as a stress buffer, influencing the intensity of and recovery from daily discrimination. The findings are discussed within a stress and coping perspective that identifies appropriate cultural resources for decreasing the psychological consequences associated with daily discrimination.