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An atypical EEG pattern of frontal brain activation, which has been found in children and adults with emotional disorders, also is hypothesized to be present in disruptive behavior disorders. One hundred nineteen children (4 $\frac{1}{2}$ and 8 years of age) were examined with regard to the following questions: (1) Do children who are diagnosed with oppositional defiant disorder (ODD) exhibit an atypical pattern of frontal brain activation? (2) Can this pattern be demonstrated in preschool children (4 $\frac{1}{2}$ years of age) as well as in school children (8 years)? (3) Are there gender differences in these patterns similar to those that have been demonstrated in adults? Spontaneous EEG activity was subjected to power spectral analysis. In oppositional preschool and elementary school girls, the well-known pattern of lower left frontal than right frontal activation emerged that has been found previously in emotionally disordered children. Healthy girls showed no frontal brain asymmetry at 4 $\frac{1}{2}$ years of age, and left frontal activation at 8 years. In contrast, healthy boys demonstrated a greater right than left frontal activation, whereas ODD boys did not display any frontal brain asymmetry. Thus, the pattern of frontal brain activation seems to be gender-specific. The atypical activation pattern in oppositional children is hypothesized to be a biological substrate of negative affective style. 相似文献
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Mareike Ernst Elmar Brähler Philipp S. Wild Jörg Faber Hiltrud Merzenich Manfred E. Beutel 《International Journal of Clinical and Health Psychology》2021,21(1):100201
Background/ObjectiveLong-term childhood cancer survivors (CCS) are at risk for adverse late effects. However, not all of them are well understood. The present study addressed loneliness, a previously under-researched mental health risk in cancer survivor populations. We assessed the prevalence of loneliness and its impact on psychological symptoms over time. Method: A registry-based sample of N = 633 adult long-term CCS underwent medical and psychological assessments and took part in a follow-up survey 2.5 years later. Psychological symptoms (somatic, anxiety, depression symptoms, and suicidal ideation) were measured using the Patient Health Questionnaire. We calculated linear regression models of symptoms at follow-up to investigate the impact of loneliness over time (controlling for symptoms at baseline and relevant confounders). Results: Loneliness was reported by 17.70% of CCS. In multivariate linear regression analyses, loneliness was still predictive of more severe anxiety symptoms and suicidal ideation over two years later. Loneliness did not predict somatic and depression symptoms at follow-up (which increased with age). Conclusions: Loneliness affected a significant number of CCS and was a risk factor for persistent anxiety symptoms and suicidal ideation. The extent to which young cancer patients’ re-integration into society is successful could thus have important implications for well-being in adulthood. 相似文献
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Manfred E. Beutel Ulrich Bahrke Georg Fiedler Martin Hautzinger Lisa Kallenbach Johannes Kaufhold Wolfram Keller Alexa Negele Bernhard Rüger Marianne Leuzinger-Bohleber Mareike Ernst 《Psychotherapeut》2016,61(6):468-475
The study on long-term therapy of chronic depression (LAC depression study) is one of the first prospective studies to compare psychoanalytic with cognitive behavioral long-term treatment and also investigates the impact of patient assignment by randomization and preference. This comprehensive multicenter study combines a naturalistic and a randomized controlled approach. The long-term follow-up is based on a broad spectrum of quantitative and qualitative research methods and is expected to contribute to the further development of psychotherapeutic treatment methods in this hard to treat patient group as well as to research on the effectiveness of long-term treatment. The background, design and current state of the assessment are presented. A total of 402 patients with chronic depression were included in the trial and the 1 and 2?year follow-up results are currently being analyzed. 相似文献
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Theorizing has focused on individuals' self-representations as a psychological resource for coping with life stress and developmental challenges in adulthood. Many of the prominent theories have conceptualized self-representations with regard to specific social contexts (e.g., role-specific self-representations) and have examined specific structural organizations of the self-concept with regard to psychological adjustment. This article describes research on the associations between self-concept structures and psychological well-being in adulthood. Specific emphasis is given to the feature of self-concept differentiation (SCD). Most research suggests that a high level of SCD tends to indicate self-fragmentation and tends to be associated with poorer adjustment and psychological well-being. Findings from a daily diary study with adults of all ages are reported showing that different levels of SCD were in a consistent and meaningful way related to the daily endorsement of positive and negative self-attributes. Daily self-representations, in turn, were significantly related to individuals' level of daily negative affect and to intra-individual variation in negative affect. These findings suggest that SCD may exert its effect on adjustment and psychological well-being through specific ways of processing self-related information. 相似文献
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Binge drinking is common in adolescents. Externalizing behavior disorders, novelty seeking, lack of parental monitoring, delinquency and deviant peer affiliations are regarded as major risk factors. In the framework of a prospective longitudinal study, the specific explanatory power of these risk factors for variation in hazardous drinking behavior (here: maximum amount of alcohol drunk on one single occasion) of 15-year-olds is determined. A stepwise linear regression analysis revealed statistically significant independent contributions to the maximum amount of alcohol drunk on one single occasion for all risk factors. This implies that each of the risk factors investigated plays a unique role for adolescent binge drinking and provides clues for the conception of preventive strategies. Possible preventive measures derived from these findings are discussed. 相似文献