Hopelessness, Temperament, Anger and Interpersonal Relationships in Holocaust (Shoah) Survivors�� Grandchildren

The psychiatric literature is divided with regard to the long-term psychological effects associated with Holocaust (Shoah) experiences because the findings of clinical and empirical studies often contradict each other. Despite case reports of emotional sequelae related to intergenerational transmission of trauma, recent empirical research has suggested that offspring of survivors of the Shoah did not differ from other children and found no evidence that traumatic experiences of survivors of the Shoah affected their children??s and grandchildren??s adjustment. To shed light on some of the differences between the empirical and clinical observations, the present study set out to compare the grandchildren of survivors of the Shoah and persons of the same age whose families had not been through the Shoah experience. This study compared the two groups on some psychological dimensions relevant to traumatic sequelae: hopelessness, temperament, personality, attitudes, and interpersonal expectations. Subjects were 124 equally divided among the Shoah survivors?? grandchildren and comparison groups; we administered to all subjects TEMPS-A Rome, Beck Hopelessness Scale, State-Trait Anger Expression Inventory, and 9AP (9 Attachment Profile). We found no differences between two groups in Hopelessness, Dysthimic/Cyclotimic/Anxious, Hyperthimic temperament, and self-perception; instead the Shoah survivors?? grandchildren have a view of the other as rejecting, hostile, submissive, insecure, unreliable, and competitive in the interpersonal relationships. The Shoah survivors?? grandchildren are similar to controls in affective temperament, hopelessness and self-perception, but they are more irritable and angry than controls, and their perception about others is deeply negative. Attribution theory was used to elucidate these findings.     

The <Emphasis Type="Italic">K</Emphasis>-INDSCAL Model for Heterogeneous Three-Way Dissimilarity Data

A weighted Euclidean distance model for analyzing three-way dissimilarity data (stimuli by stimuli by subjects) for heterogeneous subjects is proposed. First, it is shown that INDSCAL may fail to identify a common space representative of the observed data structure in presence of heterogeneity. A new model that removes the rotational invariance of the classical multidimensional scaling problem and specifies K common homogeneous spaces is proposed. The model, called mixture INDSCAL in K classes, or briefly K-INDSCAL, still includes individual saliencies. However, the large number of parameters in K-INDSCAL may produce instability of the estimates and therefore a parsimonious model will also be discussed. The parameters of the model are estimated in a least-squares fitting context and an efficient coordinate descent algorithm is given. The usefulness of K-INDSCAL is demonstrated by both artificial and real data analyses.     

Depression and suicidality in obese patients

In a sample of 50 psychiatric patients, suicidality as measured by a 54-item scale was associated with scores on scales to assess the presence of comorbidities, family history, medical factors, clinical ratings of psychiatric diagnosis, psychosocial/environmental factors, and protective factors (multiple R2 = .66).     

Executive Functioning and Delay Discounting of Four Different Outcomes in University Students

The study investigated a potential relationship between level of executive functioning and rates of delay discounting (i.e., the subjective decrease in the value of an outcome if its delivery is delayed). University students completed an executive-functioning questionnaire and then a delay-discounting task involving four different outcomes (money, cigarettes, dating partner, body image). Results showed that the overall measure of executive functioning was a significant predictor of rates of discounting of three of the four outcomes, and approached significance for the fourth outcome. Further, different subscales of executive functioning were significantly correlated with discounting of different outcomes. These results suggest that executive functioning plays a role in discounting of delayed outcomes and that procedures designed to affect either executive function or delay discounting might result in concomitant changes in the other measure.     

Suicide in bipolar disorder: Risks and management

Bipolar disorders are prevalent, often severe, and disabling illnesses with elevated lethality largely due to suicide. Suicide rates average approximately 1% annually, or perhaps 60 times higher than the international population rate of 0.015% annually. Suicidal acts typically occur early in bipolar disorders and in association with severe depressive or mixed states. The high lethality of suicidal acts in bipolar disorders is suggested by a much lower ratio of attempts:suicide (approximately 3:1) than in the general population (approximately 30:1). Risk factors can help to identify patients at increased suicidal risk, but ongoing clinical assessment is essential to limit risk. Empirical short-term interventions to manage acute suicidal risk include close clinical supervision, rapid hospitalization, and electroconvulsive therapy. Remarkably, however, evidence of the long-term effectiveness of most treatments against suicidal behavior is rare. A notable exception is lithium prophylaxis, which is associated with consistent evidence of major (approximately 80%), sustained relative reductions of risk of suicides and attempts, and lower lethality (increased attempts:suicide ratio). Such benefits are unproved for other treatments commonly used to treat bipolar disorder patients, including anticonvulsants, antipsychotics, antidepressants, and psychosocial interventions. Applying available knowledge systematically, with close and sustained clinical supervision, can enhance management of suicidal risk in bipolar disorders patients.