Functional Neural Correlates of Anosognosia in Mild Cognitive Impairment and Alzheimer’s Disease: a Systematic Review

Neuropsychology Review - Functional neuroimaging techniques (i.e. single photon emission computed tomography, positron emission tomography, and functional magnetic resonance imaging) have been used...     

How does discourse among like-minded individuals affect their thinking about a complex issue?

Is there reason to be concerned about what has been seen as an increasing trend for discourse on complex issues to be confined to an “echo chamber” of like-minded individuals? To investigate how thinking regarding an issue changes in form following concentrated discourse with like-minded peers, we undertook a qualitative examination of changes in the reasoning that 34 older adults used to justify their positions prior to and following such discourse. They showed a divergence of patterns. A minority abandoned mention of previously expressed ideas at odds with their own positions or otherwise narrowed the reasoning used to justify their positions. Consistent with findings from previous studies, only a minority showed increased certainty and/or extremity (polarisation) on quantitative scales. Countering this minority were a larger proportion whose thinking appeared to benefit from such engagement in several respects that we describe. A follow-up study compares results for a sample of young adults.     

Who gives and receives more? Older couples' personality and spousal support

This study examined the effects of the Big Five personality traits on support/strain exchange within older couples. Data of 1,775 older couples aged between 50 and 85 years in 2014 from the Health and Retirement Study were assessed, and actor–partner interdependent models were used. For the actor effects, all the five factors predicted their report on the spousal support/strain from the spouse; some differences between husbands and wives, as well as support and strain, were detected. For the partner effects, conscientiousness, agreeableness, and neuroticism predicted the support/strain provision reported by the partner. The findings of this study illustrate that certain personality factors work as predictors of spousal support/strain in older couples. The possible mechanism with regard to older adults' personality and marital relationship was discussed.     

Using Multiple Contexts and Retrieval Cues in Exposure-Based Therapy to Prevent Relapse in Anxiety Disorders

The benefits of exposure-based interventions for anxiety disorders are substantial but not stable for everyone, given that these interventions are often followed by relapse of symptoms. A body of research provides a background on how to add certain strategies in exposure-based therapy to prevent relapse in anxiety disorders. This review summarizes some of these strategies and provides clear-cut clinical implications. Studies that provide support for two types of strategies to prevent relapse have been reviewed—the use of multiple contexts and the use of retrieval cues. The use of multiple contexts reduces context and stimulus specificity of extinction learning during exposure, while the use of retrieval cues enhances memory (re)consolidation and retrieval after exposure. The described strategies to enhance the accessibility and therefore the retrievability of exposure-based learning to prevent relapse in anxiety disorders can be summarized as advice to conduct exposure under variable conditions. This way, the generalizability of what is learned during exposure to the patients’ daily life after treatment improves. Therefore, adding these strategies in the course of exposure-based treatment of anxiety disorders seems beneficial. However, future replications and translational studies are needed to verify ecological validity.     

Rules? Role Model? Relationship? The Impact of Parents on Their Children’s Problematic Mobile Phone Involvement

Parents can influence their children’s problematic mobile phone involvement (PMPI) by engaging in parental mediation activities, such as restrictions or co-use, by being a role model, and by their general and domain-unspecific parenting style that facilitates more or less attachment security of the child. This study tested the associations between these different routes of influence—parental mediation of the mobile phone, parental PMPI, and secure child-parent attachment—with children’s PMPI. Data was acquired from a quota-sample survey with 500 children, between 8 and 14 years of age, and one of their parents. Results point to the importance of open and empathic parent-child-communication, as well as a positive relationship quality, and demonstrate the detrimental effects of parents’ own PMPI on children’s PMPI.     

Psychiatry and religion: consensus reached!

ABSTRACT

In December 2015 the Executive Committee of the World Psychiatric Association accepted a position statement on spirituality and religion in psychiatry. In this contribution the author will (briefly) sketch the background of the development of this position statement, and the criteria it needs to fulfil. The aim of the final result will be explained, and some desiderata with regard to its future will be expressed. The full text of the Position Statement as it has been published in World Psychiatry (February 2016) is added as appendix (permission granted by the editor).     

Dissociative Experiences and Trauma Exposure Among Newly Arrived and Settled Young War Refugees

War-traumatized refugee adolescents are a vulnerable and understudied group. This study of two different groups of war-traumatized youth (N = 77) resettled in Sweden (newly arrived refugee adolescents, n = 42, 13–19 years, and settled students with childhood war experiences, n = 35, 11–18 years) evaluated their war experiences, refugee journey, general trauma exposure, posttraumatic stress symptoms, and dissociative experiences. Both groups had experienced many traumas and a substantial proportion reported levels consistent with posttraumatic stress (71% in the newly arrived group and 34% among the settled students) and dissociation (36% and 23%, respectively). The study also provides information about the type of adverse events experienced by war-refugee adolescents, including their own subjective appraisals of the worst events. The results show that the extent of trauma exposure and posttraumatic and dissociative symptomatology among refugee adolescents are considerable even after a period of resettlement, a finding that has educational, clinical, and social implications.