The PHQ-9 as a brief assessment of lifetime major depression

The Patient Health Questionnaire-9 (PHQ-9; R. L. Spitzer, K. Kroenke, J. B. W. Williams, & The Patient Health Questionnaire Primary Care Study Group, 1999), modified to ask about the worst period of depression lifetime, was validated against lifetime mood disorder diagnoses established by the Structured Clinical Interview for DSM-IV (SCID; M. B. First, R. L. Spitzer, M. Gibbon, & J. B. W. Williams, 2001) in 526 participants. PHQ-9 dichotomous scores corresponded highly with major depressive episode (MDE) Criterion A, MDE, and major depressive disorder (MDD), odds ratios >or= 9.5, and area under the receiver operating characteristic curve (AUC) >or= 0.84. The continuous scale score was higher in participants who did (M=17.14, SD=7.36) than in those who did not (M=6.05, SD=6.29) meet MDE Criterion A, t(524)=18.09, p<.001; was correlated with number of MDE Criterion A symptoms, r(525)=.67, p<.001; and detected MDE Criterion A (AUC=0.88). The PHQ-9 as a lifetime measure may be used to complement or replace more costly interview assessments.     

Non-pharmacologic Interventions for CFS: A Randomized Trial

Non-pharmacological behavioral treatments for CFS have been suggested as promising. These trials have tested protocols composed of behavioral, cognitive and cognitive–behavioral interventions but there have been few efforts to differentially evaluate their outcomes. The primary purpose of the current study was to evaluate the effectiveness of nurse delivered non-pharmacologic interventions. In the present study, 114 participants diagnosed with CFS were randomly assigned to four 6-month interventions. The interventions were: cognitive–behavior therapy, cognitive therapy, anaerobic activity, and a relaxation control group. The study found that these interventions led to increases in several areas of functioning, with more consistent changes occurring among those participants in the cognitive condition. For the 25 variables in this study, significant change occurred for 28%, 20%, 16%, and 12% of the variables for the cognitive, cognitive behavior therapy, anaerobic activity, and relaxation conditions, respectively. However, the majority of participants continued to be diagnosed with CFS following the treatment trial. Implications of these findings are discussed.     

Reconsolidation and memory infidelity in Lymnaea

Lymnaea stagnalis were operantly conditioned to not perform aerial respiratory behaviour in a specific context (i.e. context-1). The memory for this learned response was reactivated 3 days later in context-1. During the 1 h reconsolidation period following memory reactivation, randomly picked snails were either maintained in context-1 or exposed to a new context (i.e. context-2). One hour later in the post-reconsolidation period, snails in context-1 were placed for 1 h in context-2 and vice-versa. In neither the hypoxic reconsolidation nor the post reconsolidation periods did snails receive a reinforcing stimulus when they opened their pneumostome. All snails were blindly tested for memory 24 h later period in context-2. Only those snails that had been exposed to context-2 during the reconsolidation period exhibited 'memory' for context-2. That is, memory infidelity was observed. Snails exposed to context-2 in only the post-reconsolidation period did not show memory for context-2. The immediate cooling of snails after their exposure to the new context in the reconsolidation period blocked the formation the implanted memory. Snails trained in context-1 and exposed to context-2 in the consolidation period only, also did not have memory for context-2. However, the memory for context-1 could still be recalled following successful implantation of the 'new' memory. All data presented here are consistent with the notion that during the reconsolidation process memory can be updated.     

Phonological typicality and sentence processing

In studies of language, it is widely accepted that the form of a word is independent of its meaning and syntactic category. Thus, the relationship between phonological form and grammatical class would not be expected to affect reading time. However, Farmer et al. have now shown that the phonological typicality of a noun or verb influences how rapidly it is read. This finding has implications for both sentence processing and the interpretation of fixation patterns in reading.     

Obsessive-compulsive disorder with comorbid major depression: what is the role of cognitive factors?

Individuals with obsessive-compulsive disorder (OCD) commonly experience comorbid mood disturbances such as major depressive disorder (MDD). Previous studies that have compared OCD patients with and without MDD have revealed differences in demographic characteristics, clinical severity, and symptom presentation between these two patient groups. Previous studies have not, however, examined whether there are differences with respect to cognitive processes. The present study therefore aimed to address this gap in the literature. Eighty patients with OCD and no unipolar mood disorders were compared with 34 OCD patients with comorbid major depression on measures of OCD symptoms, cognitions, and insight, as well as on measures of depression and functional impairment. Whereas depressed OCD patients evidenced higher scores than non-depressed OCD patients on semi-idiographic measures of OCD symptoms and cognitions, this was not the case for nomothetic measures. Functional impairment and the tendency to misinterpret innocuous intrusive thoughts as significant emerged as unique predictors of depression within the entire sample of OCD patients. Results are discussed in terms of (a) the importance of semi-idiographic assessment of OCD, (b) possible explanations for the relationship between OCD symptoms, depression, and cognitive processes, and (c) the psychological treatment of comorbid OCD and MDD.     

Mothers' attachment status as determined by the Adult Attachment Interview predicts their 6-year-olds' reunion responses: a study conducted in Japan

Following a 1986 study reporting a predominance of ambivalent attachment among insecure Sapporo infants, the generalizability of attachment theory and methodologies to Japanese samples has been questioned. In this 2nd study of Sapporo mother-child dyads (N=43), the authors examined attachment distributions for both (a) child, based on M. Main and J. Cassidy's (1988) 6th-year reunion, and (b) adult, via the Adult Attachment Interview (AAI). In contrast to the previous Sapporo study, children's 3-way or "organized" distribution did not differ from the global distribution. However, when the disorganized-controlling (D) and cannot classify (CC) categories were applied to the analyses, a high proportion of D/CC children was found. Comparable analyses for Japanese mothers, including the unresolved/disorganized (U) and CC categories, were found to deviate slightly from the global norm. However, turning from global distributions to mothers' AAI classification as related to their child's reunion classification, all matches were surprisingly close to those established worldwide. When, as is customary, mothers' U and CC classifications were combined (U/CC) and compared with the child's D and CC classifications (also customarily combined as D/CC), mothers' U/CC status strongly predicted child D/CC status (r=.60, d=1.50). Additionally, mothers' AAI subclassifications predicted child subclassifications.     

Unique pathways to resilience across cultures

An international mixed methods study of resilience of 14 sites in eleven countries identified seven tensions that youth resolve in culturally specific ways. Resolution of these tensions is foundational to experiences of resilience. This paper reports on the qualitative findings from interviews with 89 youth. Results support a culturally embedded understanding of positive youth development that better accounts for young people's resilience in western and non-western countries. Specifically, the seven tensions identified include: access to material resources, relationships, identity, cohesion, power and control, social justice, and cultural adherence. Findings show that no one pattern in the resolution of these tensions predicts resilience better than another. A case study of a Palestinian boy demonstrates the intersection of the seven tensions and the uniqueness of their resolution. The implications of this work for interventions is discussed.     

Retelling urban legends

We explored factors influencing the retelling of urban legends. As predicted by prior work, people retold truthful and scary stories. But people also retold well-known stories. This contrasts with the expectation that people would not pass on a story that everyone already knew. Also as predicted by prior work, repeating a story increased its credibility. But repeating also increased a story's importance, scariness, and likelihood of retelling. In general, contextualizing a story and increasing the number of details did not affect the likelihood of retelling a story. The exception was that details increased the likelihood of retelling a newly heard story. However, if people read a story with context or details, more contextual elements and details were included in their retellings. At the same time, people confabulated details to an equal degree no matter what type of embellishments they had read.