Post-traumatic stress reactions following the March 11, 2004 terrorist attacks in a Madrid community sample: a cautionary note about the measurement of psychological trauma

Posttraumatic stress reactions related to the Madrid March 11, 2004, terrorist attacks were examined in a sample of Madrid residents (N = 503) 18-25 days after the attacks, using multiple diagnostic criteria and different cut-off scores. Based on the symptoms covered by the Posttraumatic Stress Disorder Checklist-Civilian (PCL-C; Weathers, Litz, Herman, Huska, and Keane, 1993), rates of probable posttraumatic stress disorder (PTSD) ranged from 3.4% to 13.3%. Taking into account additional criteria from the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 200; i.e., the impact of initial reaction and problems in daily functioning as a consequence of the traumatic event), only 1.9% of respondents reported probable PTSD. These results suggest that inferences about the impact of traumatic events on the general population are strongly influenced by the definition of traumatic response. Our findings also revealed that the magnitude of posttraumatic reactions is associated with several risk factors, including living close to the attacked locations, physical proximity to the attacks when they occurred, perception of one's life being at risk, intensity of initial emotional reactions, and being a daily user of the attacked train lines. The use of different cut-off scores did not affect the pattern of risk to develop traumatic stress. The implications of these results for public health policies related to terrorist attacks are discussed.     

Vitamins E and C pretreatment prevents ovariectomy-induced memory deficits in water maze

We investigated whether the pretreatment with vitamins E (alpha-tocopherol) and C (ascorbic acid) would act on ovariectomy-induced memory deficits in Morris water maze tasks. Adult female Wistar rats were divided into three groups: (1) naive (control), (2) sham (submitted to surgery without removal of ovaries) and (3) ovariectomized. Thirty days after surgery, they were trained in the Morris water maze in order to verify ovariectomy effects both on reference and working memory tasks. Results show that ovariectomized rats presented impairment in spatial navigation in the acquisition phase, as well as in the time spent in target quadrant and in the latency to cross over the location of the platform in test session, when compared to naive and sham groups (controls), in the reference memory task. Ovariectomy did not affect performance in the working memory task. Confirming our hypothesis, ovariectomized rats pretreated for 30 days with vitamins E and C had those impairments prevented. We conclude that ovariectomy significantly impairs spatial reference learning/memory and that pretreatment with vitamins E and C prevents such effect. Assuming this experimental memory impairment might mimic, at least in part, the cognitive deficit sometimes present in the human condition of lack of reproductive hormones, our findings lend support to a novel therapeutic strategy, based on vitamins E and C, to cognitive impairments in post-menopausal women.     

Prospective memory: When reminders fail

A frequent assumption in the area of prospective memory is that a reminder to do an activity in the future improves the likelihood of doing the activity. The results of four experiments indicated, however, that the most general version of this assumption is incorrect. Subjects were either reminded of a prospective memory task several times during a retention interval or not reminded of the prospective memory task. The most effective reminders referred both to the prospective memory target events and to the intended activity. Reminders that referred only to the target events did not improve prospective memory (relative to a no-reminder control). Reminders that referred only to the intended activity did improve prospective memory, but not to the level of reminders that referred both to the target events and to the intended activity. Instructions to imagine oneself performing the prospective memory task did not further improve prospective memory. Neither the delay between the prospective memory instructions and the prospective memory cover task nor the delay between a reminder and a prospective memory target event significantly influenced performance. The results, which are discussed in terms of theoretical and practical implications, support a new theory of prospective memory and suggest surprising conditions under which reminders fail to benefit prospective memory.     

High-priority event instructions affect implicit and explicit memory tests

Previous work has shown that instructing subjects to give special priority to one target event in a list enhances recall for that event, but impairs recall for the events immediately preceding it (Tulving, 1969). We examined the benefit of high-priority instructions, and the retrograde amnesia for previous items, in three experiments that included two explicit tests of memory (free recall and cued recall with word-stem cues) and an implicit test (word-stem completion). Experiments 1 and 2 revealed a beneficial effect of high-priority instructions on memory for the target events in both free recall and primed word-stem completion. Retrograde amnesia for previous events was either absent (Experiment 1) or modest (Experiment 2) in free recall; however, no evidence for amnesia occurred on the implicit test. In Experiment 3, we asked if the benefit of high-priority instructions on the implicit test was due to contamination from intentional recollection, by employing the logic of the retrieval-intentionality criterion via a levels-of-processing manipulation. The results showed a beneficial effect of high-priority instructions on free recall, word-stem cued recall, and word-stem completion. Level of processing affected the two explicit tests, but not the implicit test, indicating that it induced incidental retrieval. We conclude that the benefit of high-priority instructions occurred on all three tests used in these experiments. In contrast, the phenomenon of retrograde amnesia occurred in free recall, but not in primed word-stem completion.     

Design controversies and the generation effect: Support for an item-order hypothesis

We performed three experiments to investigate an earlier finding of Nairne, Riegler, and Serra (1991) that item generation disrupts the long-term retention of serial order. Experiment 1 demonstrated a clear advantage of reading over generating on a reconstruction test when reading and generating occurred in pure, but not mixed, lists. Experiment 2 showed that the standard generate advantage is seen in free recall of mixed, but not pure, lists, even when recall is immediately followed by reconstruction of serial order of the same items. Experiment 3 replicated Experiment 1, but with the use of an incidental learning procedure. The results of all three experiments are consistent with the claim that generation has dissociative effects on item and order memory; moreover, these dissociative effects help to explain design controversies-in the -generation effect literature.     

Decision rules for selecting effect sizes in meta-analysis: a review and reanalysis of psychotherapy outcome studies

This study deals with some of the judgmental factors involved in selecting effect sizes from within the studies that enter a meta-analysis. Particular attention is paid to the conceptual redundancy rule that Smith, Glass, and Miller (1980) used in their study of the effectiveness of psychotherapy for deciding which effect sizes should and should not be counted in determining an overall effect size. Data from a random sample of 25 studies from Smith et al.'s (1980) population of psychotherapy outcome studies were first recoded and then reanalyzed meta-analytically. Using the conceptual redundancy rule, three coders independently coded effect sizes and identified more than twice as many of them per study as did Smith et al. Moreover, the treatment effect estimates associated with this larger sample of effects ranged between .30 and .50, about half the size claimed by Smith et al. Analyses of other rules for selecting effect sizes showed that average effect estimates also varied with these rules. Such results indicate that the average effect estimates derived from meta-analyses may depend heavily on judgmental factors that enter into how effect sizes are selected within each of the individual studies considered relevant to a meta-analysis.