Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study

A total of 480 patients were treated in a large, multicenter randomized trial of a brief form of cognitive therapy, manual-assisted cognitive behavior therapy (MACT) versus treatment as usual (TAU) for recurrent deliberate self-harm. Each patient was randomized after a self-harm episode assessed at an accident and emergency center and followed up over 1 year. The main hypothesis tested was that those allocated to MACT would have a lower proportion of self-harm episodes in the succeeding year. A total of 60% of those allocated to MACT had face-to-face treatment and 430 (90%) of all patients had self-harm data recorded after 1 year. Although the results showed no significant difference between those repeating self-harm in the MACT group (39%) compared with the TAU group (46%) (P = 0.20), the treatment was cost effective (10% cheaper than TAU) and the frequency of self-harm episodes was fewer (50%) in the MACT group. A total of nine of 10 patients had some personality disturbance (42% of these with disorder), and for those where information on parasuicide events was collected, the proportion having a repeat episode ranged from 33% to 63% for different personality disorders. Those with BPD were most likely to repeat episodes quickly (mean 89 days for 25% to repeat) with dissocial personality disorder (equivalent mean 384 days) the slowest to repeat. Total costs were significantly greater in those with personality disorder and were reduced in those allocated to MACT; this saving was reversed in those with borderline disorder. On average, MACT appeared to increase the cost of those patients with BPD (BPD) and reduce the cost of those with other personality disorders. It is concluded that MACT has value in preventing self-harm cost effectively but this appears to be confined mainly to those who do not have BPD.     

Individual characteristics and career exploration in adolescence

The effects of gender, age and school grade on several career exploration dimensions measured by the Career Exploration Survey were investigated. Subjects were high school students facing an imminent career decision. Regression analyses indicated that sex and grade-level were the most significant and prevailing individual characteristics related to the adolescents' career exploration behaviours, reactions and beliefs. Implications for career exploration interventions are discussed.     

Neuropsychological Evaluation of Everyday Memory

The evaluation of everyday memory (EM) was reviewed and reconceptualized. EM has established new objectives of study and the development of new methods to reach these objectives . At the basic level, this approach has already produced important discoveries and the development of new principles about memory and functioning. At the clinical level, this new area of investigation has resulted in evaluating deficits of EM, which is defined as what daily life functions remain impaired after a deficit pathology has occurred. A type of evaluation has evolved that is oriented toward treatment and extremely useful in designing rehabilitation programs for individuals with alterations in memory.     

Cynical Hostility: A Risk Factor in HIV-1 Infection?1

The aims of this study of HIV-1 positive and HIV-1 negative gay males without disease were (a) to determine whether cynical hostility in these groups (measured by the Cook-Medley Ho scale) is associated with psychosocial deficits that potentially could influence the course of HIV infection; and (b) to examine the construct validity of the sum of three Ho subsets in this sample. Correlational analyses on the full samples, and multivariate analyses of high- and low-hostility groups (formed using Ho scale cutoffs from previous research), examined person variables (traits, coping style), environmental variables (social support, stressors), and affect. In all domains other than stressors (traits, coping styles, social support, and affect), cynical hostility was associated with psychosocial deficits, with results generally stronger for the full Ho scale than for the subset sum. Results support previous research on psychosocial deficits of the cynically hostile, extend findings to HIV-infected gay males, and enlarge our understanding of the trait and coping style correlates of cynical hostility. Implications of these findings for HIV infection are discussed.     

Dissociative effects in different prime domains

These experiments were performed to examine the effects of different types of primes across variations in prime set size, prime strength, and prior study in verification and lexical decision tasks. The primes consisted of taxonomic category names, associates, or rhymes that defined either small or large sets of related concepts, and they were either strongly or weakly related to their targets. Targets either were or were not studied prior to the priming task. The results indicated that, for taxonomic primes, shorter decision latencies were obtained when set size was smaller and when the target was studied before the priming task. In contrast, for rhymes, neither set size nor prior study had reliable effects. For all three types of primes, decision latencies were faster for stronger than for weaker prime-to-target relationships. These findings are contrasted with the results of manipulating these variables in episodic tasks such as cued recall, and they are interpreted in the context of a components-of-processing approach.     

Young adults' partner preferences and parents' in-law preferences across generations,genders, and nations

To examine cultural, gender, and parent–child differences in partner preferences, in eight countries undergraduates (n = 2,071) and their parents (n = 1,851) ranked the desirability of qualities in someone the student might marry. Despite sizable cultural differences—especially between Southeast Asian and Western countries—participants generally ranked kind/understanding (reflecting interpersonal communion) highest, and intelligent and healthy (reflecting mental/physical agency) among the top four. Students valued exciting, attractive partners more and healthy, religious partners less than parents did; comparisons with rankings by youth in 1984 (i.e., from the parents' generation) suggested cohort effects cannot explain most parent–child disagreements. As evolutionary psychology predicts, participants prioritized wives' attractiveness and homemaker skills and husbands' education and breadwinner skills; but as sociocultural theory predicts, variations across countries/decades in gendered spousal/in-law preferences mirrored socioeconomic gender differences. Collectively, the results suggest individuals consider their social roles/circumstances when envisioning their ideal spouse/in-law, which has implications for how humans’ partner-appraisal capabilities evolved.     

School characteristics among children of alcoholic parents

Studies show that children of alcoholics constitute a population at-risk commonly for poor performance, skipping school days, and school drop out. The focus of the present study was to examine a variety of direct outcome variables measuring academic performance among a sample of 226 children, 108 of them from parents who misused alcohol in Cadiz. Parents were outpatients of a Health Service and received treatment for the drinking problem; 118 students were children of nonalcoholic parents attending the same schools as the children of alcoholic parents. Both groups were compared on age, sex, school grade, and social environment. The study identified five variables on which performance by children of alcoholic parents was poorer: intelligence, repeating a grade, low academic performance, skipping school days, and dropping out of school.     

The time course of neural changes underlying auditory perceptual learning

Improvement in perception takes place within the training session and from one session to the next. The present study aims at determining the time course of perceptual learning as revealed by changes in auditory event-related potentials (ERPs) reflecting preattentive processes. Subjects were trained to discriminate two complex auditory patterns in a single session. ERPs were recorded just before and after training, while subjects read a book and ignored stimulation. ERPs showed a negative wave called mismatch negativity (MMN)—which indexes automatic detection of a change in a homogeneous auditory sequence—just after subjects learned to consciously discriminate the two patterns. ERPs were recorded again 12, 24, 36, and 48 h later, just before testing performance on the discrimination task. Additional behavioral and neurophysiological changes were found several hours after the training session: an enhanced P2 at 24 h followed by shorter reaction times, and an enhanced MMN at 36 h. These results indicate that gains in performance on the discrimination of two complex auditory patterns are accompanied by different learning-dependent neurophysiological events evolving within different time frames, supporting the hypothesis that fast and slow neural changes underlie the acquisition of improved perception.     

Stress and coping in Japanese children and adolescents

Japanese children and adolescents (n=580) provided self-reports of stressor intensity, coping efforts, and adjustment. A new measure of Japanese adolescent coping was created, and psychometric analyses confirmed a reliable four-factor structure. Mean group difference analyses showed that girls reported higher levels of self-image and peer relations stress, and reported using isolation and problem-solving coping more and externalising coping less than males. Younger adolescents (5th/8th grades) reported higher stress in the domains of school, peer relations, and family relations, whereas older adolescents (10th grade) reported higher self-image problems. Statistical moderation was used to examine how youth negotiated the stress process. Females were found to be more responsive to appearance, family, and peer difficulties. Affiliation coping by females operated as a buffer between appearance anxiety and dissatisfaction with appearance. Externalizing coping was not associated with peer relations satisfaction for males, but it was negatively associated for females.