Psychosocial predictors of chronic Post-Traumatic Stress Disorder in Sri Lankan tsunami survivors

This study aimed to determine whether psychological factors associated with Post-Traumatic Stress Disorder (PTSD) identified in Western samples generalize to low Social-Economical-Status (SES) populations in an underdeveloped Asian country. The study included 113 survivors of the 2004-tsunami on the south coast of Sri Lanka, recruited from 4 preschools and 10 villages for displaced persons. With logistic regressions the relations between interview-based PTSD diagnosis and psychological factors were assessed, controlling for putative confounders. Fifteen months post-trauma the prevalence of PTSD was 52.2%. Multivariate analyses indicated that negative interpretation of tsunami-memories was significantly (P < 0.005) related to PTSD. Of the putative confounders, gender and (non-replaced) lost work equipment were related to current PTSD (P < 0.05). The results indicate that the relation between negative interpretation of trauma memories and PTSD is quite universal, suggesting that interventions focusing on this factor may be important in treatment of tsunami survivors who are suffering from chronic PTSD.     

The Efficacy of Cognitive Intervention in Mild Cognitive Impairment (MCI): a Meta-Analysis of Outcomes on Neuropsychological Measures

Cognitive training in MCI may stimulate pre-existing neural reserves or recruit neural circuitry as “compensatory scaffolding” prompting neuroplastic reorganization to meet task demands (Reuter-Lorenz & Park, 2014). However, existing systematic reviews and meta-analytic studies exploring the benefits of cognitive interventions in MCI have been mixed. An updated examination regarding the efficacy of cognitive intervention in MCI is needed given improvements in adherence to MCI diagnostic criteria in subject selection, better defined interventions and strategies applied, increased use of neuropsychological measures pre- and post-intervention, as well as identification of moderator variables which may influence treatment. As such, this meta-analytic review was conducted to examine the efficacy of cognitive intervention in individuals diagnosed with mild cognitive impairment (MCI) versus MCI controls based on performance of neuropsychological outcome measures in randomized controlled trials (RCT). RCT studies published from January 1995 to June 2017 were obtained through source databases of MEDLINE-R, PubMed, Healthstar, Global Health, PSYCH-INFO, and Health and Psychological Instruments using search parameters for MCI diagnostic category (mild cognitive impairment, MCI, pre-Alzheimer’s disease, early cognitive decline, early onset Alzheimer’s disease, and preclinical Alzheimer’s disease) and the intervention or training conducted (intervention, training, stimulation, rehabilitation, or treatment). Other inclusion and exclusion criteria included subject selection based on established MCI criteria, RCT design in an outpatient setting, MCI controls (active or passive), and outcomes based on objective neuropsychological measures. From the 1199 abstracts identified, 26 articles met inclusion criteria for the meta-analyses completed across eleven (11) countries; 92.31% of which have been published within the past 7 years. A series of meta-analyses were performed to examine the effects of cognitive intervention by cognitive domain, type of training, and intervention content (cognitive domain targeted). We found significant, moderate effects for multicomponent training (Hedges’ g observed?=?0.398; CI [0.164, 0.631]; Z?=?3.337; p?=?0.001; Q?=?55.511; df?=?15; p?=?0.000; I ² ?=?72.978%; τ ² ?=?0.146) as well as multidomain-focused strategies (Hedges’ g?=?0.230; 95% CI [0.108, 0.352]; Z?=?3.692; p??< 0.001; Q?=?12.713; df?=?12; p?=?0.390; I ² ?=?5.612; τ ² ?=?0.003). The effects for other interventions explored by cognitive domain, training type, or intervention content were indeterminate due to concerns for heterogeneity, bias, and small cell sizes. In addition, subgroup and meta-regression analyses were conducted with the moderators of MCI category, mode of intervention, training type, intervention content, program duration (total hours), type of control group (active or passive), post-intervention follow-up assessment period, and control for repeat administration. We found significant overall effects for intervention content with memory focused interventions appearing to be more effective than multidomain approaches. There was no evidence of an influence on outcomes for the other covariates examined. Overall, these findings suggest individuals with MCI who received multicomponent training or interventions targeting multiple domains (including lifestyle changes) were apt to display an improvement on outcome measures of cognition post-intervention. As such, multicomponent and multidomain forms of intervention may prompt recruitment of alternate neural processes as well as support primary networks to meet task demands simultaneously. In addition, interventions with memory and multidomain forms of content appear to be particularly helpful, with memory-based approaches possibly being more effective than multidomain methods. Other factors, such as program duration, appear to have less of an influence on intervention outcomes. Given this, although the creation of new primary network paths appears strained in MCI, interventions with memory-based or multidomain forms of content may facilitate partial activation of compensatory scaffolding and neuroplastic reorganization. The positive benefit of memory-based strategies may also reflect transfer effects indicative of compensatory network activation and the multiple-pathways involved in memory processes. Limitations of this review are similar to other meta-analysis in MCI, including a modest number studies, small sample sizes, multiple forms of interventions and types of training applied (some overlapping), and, while greatly improved in our view, a large diversity of instruments used to measure outcome. This is apt to have contributed to the presence of heterogeneity and publication bias precluding a more definitive determination of the outcomes observed.     

Effects of practice, instructions, and modeling on components of assertive behavior

Unassertive psychiatric patients matched on age, years of education, diagnosis, and self-reported assertiveness were assigned to one of five conditions, with 10 subjects in each group: (1) Test-Retest, (2) Practice-Control, (3) Instructions, (4) Modeling, (5) Modeling plus Instructions. All subjects were videotaped (Pre- and Post-Test) while responding to five interpersonal situations requiring assertive responses. Pre- and Post-Test responses for all subjects were rated independently by judges on seven verbal and non-verbal components of assertiveness. Analyses of variance for difference scores followed by multiple t-test comparisons indicated that the Modeling plus Instructions group was superior or equal to the Instructions alone or Modeling alone groups on five of the seven components. Instructions alone and Modeling alone led to greatest improvement in the remaining two components. No differences were found between the Practice-Control and Test-Retest groups on any of the seven components of assertiveness. No differences (Post-Pretest) were found among the groups on a self-report measure of assertiveness.     

Efficiency and defense motivated ingroup projection: Sources of protoypicality in intergroup relations

Members of higher status groups generalize characteristics of their ingroup to superordinate categories that serve as a frame of reference for comparisons with outgroups (ingroup projection). We propose that the causal process depends on the security of the intergroup context: When intergroup relations are secure, projection derives from a motivation to represent the superordinate category efficiently; when they are insecure, projection is a defense motivated process. Accordingly, we hypothesized that inducing participants to use heuristic vs. systematic information processing (via time pressure, cognitive load, or thoughtfulness instructions) would have differential effects on ingroup projection in secure as compared to insecure intergroup relations. Three experiments manipulated security of the intergroup context and information processing mode in artificial (Studies 1 and 2) or natural (Study 3) groups. We found that time pressure increased ingroup projection in the secure-group condition but decreased it in the insecure-group condition (Study 1), cognitive load increased projection in the secure but not in the insecure condition (Study 2) and thoughtfulness instructions increased projection for high identifiers in the insecure but not in the secure condition (Study 3). Results support the hypothesis that ingroup projection occurs as a cognitive bias in secure intergroup relations but that it is socially motivated by the specific intergroup relation when this relation is insecure.     

Child/Adolescent Abuse and Suicidal Behavior: Are They Sex Related?

The association between childhood and adolescent abuse and suicidal behavior, and the possible contribution of abuse to sex differences in non lethal suicidal behavior, was investigated. Data were extracted from the Israel‐based component of the WHO World Mental Health Survey (Kessler & Utsun, 2008a). Increased risk for ideation, plan, and suicidal attempt were associated with childhood abuse, and increased risk for attempt was associated also with abuse at adolescence. No associations with sex or sex by abuse interactions were observed. The higher frequency of childhood abuse among women could account in part for their higher rates of suicidal attempts as compared to men.     

Maternal Guilt and Shame: The Role of Self-discrepancy and Fear of Negative Evaluation

Guilt and shame are emotions commonly associated with motherhood. Self-discrepancy theory proposes that guilt and shame result from perceived discrepancies between one’s actual and ideal selves. Fear of negative evaluation by others may enhance the effects of self-discrepancy especially for shame, which involves fear of others’ reproach. The purpose of this study was to examine the relationships between self discrepancy, guilt, shame, and fear of negative evaluation in a cross-sectional, self report study of mothers. Mothers of children five and under (N = 181) completed an on-line survey measuring guilt, shame, fear of negative evaluation, and maternal self-discrepancies. Guilt and shame were related to maternal self-discrepancy and fear of negative evaluation. In addition, fear of negative evaluation moderated the relationship between maternal self-discrepancy and shame such that mothers who greatly feared negative evaluation had a very strong relationship between these variables. Maternal self-discrepancy and shame were not related among mothers who had low fear of negative evaluation. The results are discussed in terms of the detrimental effects of internalizing idealized standards of perfect motherhood.     

Distractor interference during smooth pursuit eye movements

When 2 targets for pursuit eye movements move in different directions, the eye velocity follows the vector average (S. G. Lisberger & V. P. Ferrera, 1997). The present study investigates the mechanisms of target selection when observers are instructed to follow a predefined horizontal target and to ignore a moving distractor stimulus. Results show that at 140 ms after distractor onset, horizontal eye velocity is decreased by about 25%. Vertical eye velocity increases or decreases by 1 degrees /s in the direction opposite from the distractor. This deviation varies in size with distractor direction, velocity, and contrast. The effect was present during the initiation and steady-state tracking phase of pursuit but only when the observer had prior information about target motion. Neither vector averaging nor winner-take-all models could predict the response to a moving to-be-ignored distractor during steady-state tracking of a predefined target. The contributions of perceptual mislocalization and spatial attention to the vertical deviation in pursuit are discussed.     

Lexical representations of written nouns and verbs in Italian

This study investigates the differences in the input representations of verbs and nouns in the Italian mental lexicon. One visual lexical decision experiment in which the stem homograph effect (Laudanna, Badecker, and Caramazza, 1989) was evaluated on noun and verb targets is reported. Strong inhibitory effects on verb targets preceded by stem homographs relative to nonhomographic word pairs were found. The effects on verb targets were also much more reliable than the effects on noun targets. The pattern of results provides support for the hypothesis that noun and verbs are differently represented in the orthographic input lexicon.     

Business students' evaluation of their internships

An 8-item evaluation of a business internship was completed by 363 junior and senior undergraduates. Students agreed or strongly agreed that the internship met the following goals and criteria of the for-credit course: adequacy of orientation, clarity of expectations, helpfulness of supervision, adequacy of feedback, application of business education, development of new knowledge and skills beneficial to career exploration, value of the placement and recommendation of employer for other interns. The importance of outcome assessment is discussed within the context of internship programs.     

Field dependency and the sense of object-presence in haptic virtual environments.

Virtual environment (VE) users often report having a sense of being present in the virtual place or a sense that the virtual object is present in their environment. This sense of presence depends on both the technological fidelity (e.g., in graphics, haptics) and the users' cognitive/ personality characteristics. This study examined the correlation between user's cognitive style on the field-dependency dimension and the level of object-presence they reported in a haptic VE. Results indicated that field-independent individuals reported higher presence ratings compared to field-dependent participants. We hypothesize that field-independents' advantage in reorganizing the perceptual field and constructing it according to their previously acquired internal knowledge enables them to cognitively reconstruct the VE experience more efficiently by selectively attending only to the relevant cues and by filling in the gap of missing information with their previous knowledge and creative imagination. This active and creative cognitive process may be behind the enhanced sense of presence. In addition, we raise a possible linkage between field dependency, the sense of presence, and simulator sickness phenomenon.