Anxiety in Children and Adolescents Rated by Patients,Parents, and Teachers: Factor Structure and Psychometric Properties of an ICD-10 and DSM-IV-based Rating Scale in a Large Clinical Sample

This study examined the psychometric properties of the German Self-Report and Parent Report Rating Scale for Anxiety Disorders (SRS-AD and PRS-AD), and a shortened teacher version of the PRS-AD (TRS-AD) in a large clinical sample. Data were collected from 585 children, adolescents and young adults with psychiatric disorders (aged 6–21 years), 821 parents and 378 teachers. Factorial validity, reliability and discriminating validity of the scales were examined and the agreement between different informants was assessed. Analyses were performed in the complete sample including a wide range of different psychiatric disorders as well as in a subsample of children, adolescents and young adults with anxiety disorders. Confirmatory factor analyses mostly supported a model with first-order factors according to the subscales and a second-order overall anxiety factor. Only for the SRS-AD analysed in the sample of participants with anxiety disorders, the results did not clearly favour a first-order solution with correlated factors according to the subscales or the second-order solution adopted for the other questionnaires. Internal consistencies for the total scale and subscales were mostly satisfactory. Significant mean differences between anxious and non-anxious participants were found for the mean total scores of the SRS-AD and PRS-AD, but not for the TRS-AD. The informant agreement was low-to-moderate. We concluded that the SRS-AD, PRS-AD and TRS-AD demonstrate satisfactory psychometric properties for use with clinically-referred children and adolescents.     

Degenerative Lendenwirbelsäulenerkrankungen

psychopraxis. neuropraxis - Die Literatur bestätigt, dass Operationen bei degenerativen Lendenwirbelsäulen(LWS)-Erkrankungen besser sind als ihr Ruf. Getragen wurde diese Entwicklung...     

Churches in Dutch: Causes of Religious Disaffiliation in The Netherlands, 1937–1995

The Netherlands has become one of the most secular countries in the world. A vast majority of the Dutch people does not attend church regularly and more than half its population is not affiliated with any church at all. In this study we set out to test which individual and contextual characteristics affect religious disaffiliation. We deduced several hypotheses from theories on social integration and rationalization. To test these hypotheses we used retrospective data containing information on events that took place in the lives of our respondents since adolescence. These data were analysed using a discrete-time event history model. We found that the higher the level of rationalization in a certain year, the more likely people were to disaffiliate. This effect was particularly strong for young people. Moreover, by introducing rationalization in the model we found a number of spurious relationships that at first glance seemed to be causal. Not surprisingly, respondents were more likely to disaffiliate in cases where their partners were nonreligious. However, as respondents and their partners presumably are effected equally by rationalization, we cannot but conclude that the process of rationalization is mainly responsible for the process of religious disaffiliation that takes place in The Netherlands.     

What gives victims satisfaction when they seek revenge?

The present paper aims to elucidate under what conditions victims of injustice who seek revenge feel satisfied and perceive that everybody got what he or she deserved. Two hypotheses are discussed: The comparative suffering hypothesis states that seeing the offender suffer from fate is sufficient for evoking satisfaction and perceptions of deservingness among victims. The understanding hypothesis states that revenge can only be satisfactory when the offender understands it as a response to his or her prior behavior. These hypotheses were tested in three experimental studies. The comparative suffering hypothesis received only weak support. The understanding hypothesis, on the other hand, received much stronger support: When the offender understood revenge as punishment, revenge led to satisfaction and deservingness among victims. These findings are discussed with regard to the question why people take revenge. Copyright © 2010 John Wiley & Sons, Ltd.     

Levels of Emotional Awareness: a model for conceptualizing and measuring emotion-centered structural change

The need to establish the efficacy of psychoanalytic long-term treatments has promoted efforts to operationalize psychic structure and structural change as key elements of psychoanalytic treatments and their outcomes. Current, promising measures of structural change, however, require extensive interviews and rater training. The purpose of this paper is to present the theory and measurement of Levels of Emotional Awareness (LEA) and to illustrate its use based on clinical case vignettes. The LEA model lays out a developmental trajectory of affective processing, akin to Piaget's theory of sensory-cognitive development, from implicit to explicit processing. Unlike other current assessments of psychic structure (Scales of Psychological Capacities, Reflective Functioning, Operationalized Psychodynamic Diagnostics) requiring intensive rater and interviewer training, it is easily assessed based on a self-report performance test. The LEA model conceptualizes a basic psychological capacity, affect processing. As we will illustrate using two case vignettes, by operationalizing implicit and explicit modes of affect processing, it provides a clinical measure of emotional awareness that is highly pertinent to the ongoing psychoanalytic debate on the nature and mechanisms of structural change.     

Visual detection and identification are not the same: evidence from psychophysics and fMRI

Sometimes object detection as opposed to identification is sufficient to initiate the appropriate action. To explore the neural origin of behavioural differences between the two tasks, we combine psychophysical measurements and fMRI, specifically contrasting shape detection versus identification of a figure. This figure consisted of Gabor elements being oriented differently from those in the background. We equalized performance levels for detection and identification by adjusting orientation differences accordingly for each observer. Hence, stimulus saliency was constant for both tasks allowing a differentiation between the activations specific for detection versus identification processes. Identification yielded higher psychophysical thresholds, slower reaction times and increased hemodynamic activations in the lateral-occipital complex (LOC) and an adjacent area in the collateral sulcus (CoS). Additional analysis using cortex-based alignment revealed four voxel-clusters differentially activated by the tasks, situated in the inferior parietal lobe, the precuneus, the anterior cingulum and the medial frontal gyrus. Our results indicate partly separated cortical mechanisms for object detection and identification.     

Secular IQ increases by epigenesis? The hypothesis of cognitive genotype optimization

The short timescale of massive secular IQ gains ("Flynn Effect") is inconsistent with positive selection of a recent gene mutation, but other genetic mechanisms are possible. Principles of evolutionary psychology, combined with secular trends, suggest an epigenetic explanation: the Cognitive Genome Optimization Hypothesis. Per life-history theory, favorable secular trends may change the phenotypic expression of the genotype which controls the neurophysiology of problem solving. The hypothesis posits two intermediate steps between reliable nutrition (the starting point) and higher IQs (ending point): (1) Earlier cognitive maturation and (2) further calibration of cognitive function by reliable social resources (cultural complexity, mandatory education). Unlike earlier generations, more resources can be deployed to cognitive maturation than to physical survival, and more time is available to calibrate cognitive processing into the upper end of the trait value range for intelligence. The secular trend of earlier puberty timing is critical: data show an association between puberty and higher IQ.     

A misleading review of response bias: comment on McGrath, Mitchell, Kim, and Hough (2010)

In the May 2010 issue of Psychological Bulletin, R. E. McGrath, M. Mitchell, B. H. Kim, and L. Hough published an article entitled "Evidence for Response Bias as a Source of Error Variance in Applied Assessment" (pp. 450-470). They argued that response bias indicators used in a variety of settings typically have insufficient data to support such use in everyday clinical practice. Furthermore, they claimed that despite 100 years of research into the use of response bias indicators, "a sufficient justification for [their] use… in applied settings remains elusive" (p. 450). We disagree with McGrath et al.'s conclusions. In fact, we assert that the relevant and voluminous literature that has addressed the issues of response bias substantiates validity of these indicators. In addition, we believe that response bias measures should be used in clinical and research settings on a regular basis. Finally, the empirical evidence for the use of response bias measures is strongest in clinical neuropsychology. We argue that McGrath et al.'s erroneous perspective on response bias measures is a result of 3 errors in their research methodology: (a) inclusion criteria for relevant studies that are too narrow; (b) errors in interpreting results of the empirical research they did include; (c) evidence of a confirmatory bias in selectively citing the literature, as evidence of moderation appears to have been overlooked. Finally, their acknowledging experts in the field who might have highlighted these errors prior to publication may have prevented critiques during the review process.