Robustness of parameter and standard error estimates against ignoring a contextual effect of a subject-level covariate in cluster-randomized trials

In experimental research, it is not uncommon to assign clusters to conditions. When analysing the data of such cluster-randomized trials, a multilevel analysis should be applied in order to take into account the dependency of first-level units (i.e., subjects) within a second-level unit (i.e., a cluster). Moreover, the multilevel analysis can handle covariates on both levels. If a first-level covariate is involved, usually the within-cluster effect of this covariate will be estimated, implicitly assuming the contextual effect to be equal. However, this assumption may be violated. The focus of the present simulation study is the effects of ignoring the inequality of the within-cluster and contextual covariate effects on parameter and standard error estimates of the treatment effect, which is the parameter of main interest in experimental research. We found that ignoring the inequality of the within-cluster and contextual effects does not affect the estimation of the treatment effect or its standard errors. However, estimates of the variance components, as well as standard errors of the constant, were found to be biased.     

Type D personality and the development of PTSD symptoms: a prospective study

Psychological trauma and prolonged stress may cause mental disorders such as posttraumatic stress disorder (PTSD). Pretrauma personality is an important determinant of posttraumatic adjustment. Specifically, trait neuroticism has been identified as a risk factor for PTSD. Additionally, the combination of high negative affectivity or neuroticism with marked social inhibition or introversion, also called Type D personality (Denollet, 2000), may compose a risk factor for PTSD. There is no research available that examined pretrauma Type D personality in relation to PTSD. The present study examined the predictive validity of the Type D personality construct in a sample of Dutch soldiers. Data were collected prior to and 6 months after military deployment to Afghanistan. Separate multiple regression analyses were performed to examine the predictive validity of Type D personality. First, Type D personality was defined as the interaction between negative affect and social inhibition (Na × Si). In a second analysis, Type D was defined following cutoff criteria recommended by Denollet (2000). Results showed that negative affectivity was a significant predictor of PTSD symptoms. Social inhibition and the interaction Na × Si did not add to the amount of explained variance in postdeployment PTSD scores over the effects of childhood abuse, negative affectivity, and prior psychological symptoms. A second analysis showed that Type D personality (dichotomous) did not add to the amount of explained variance in postdeployment PTSD scores over the effects of childhood abuse, and prior psychological symptoms. Therefore, Type D personality appears to be of limited value to explain development of combat-related PTSD symptoms.     

Impaired emotion recognition in music in Parkinson’s disease

Music has the potential to evoke strong emotions and plays a significant role in the lives of many people. Music might therefore be an ideal medium to assess emotion recognition. We investigated emotion recognition in music in 20 patients with idiopathic Parkinson’s disease (PD) and 20 matched healthy volunteers. The role of cognitive dysfunction and other disease characteristics in emotion recognition was also evaluated.     

Supervision in der psychotherapeutischen Ausbildung in Deutschland

One of the functions of supervision in psychotherapy training is quality assurance. In order to fulfill this function the quality of supervision itself needs to be high and needs to be controlled. Thus in a large survey of psychotherapy training in Germany questions related to the quality of supervision were included in the survey. Answers to those questions from different samples (trainees, alumni, trainers, training institutes, expert organizations) were compiled. Quantitative and qualitative methods were used. Satisfaction and usefulness ratings with individual and group supervision were high to very high. Supervision amount, group size and frequency were rated as adequate. Criticism pertained to the lack of systematic evaluation, insufficient qualification of the supervisors and lacking integration of supervision into the whole training. As supervision is a very important part of psychotherapy training measures for quality assurance and improvement are necessary.     

Der Exzess einer Tugend

Querulous behavior and querulous paranoia are seldom in forensic settings, but produce major problems because of the chronicity and severity of the disorders. Aspects of psychopathology and differential diagnosis are discussed, especially characteristics of volition, of cognition and of behavior control. Regarding criminal responsibility the capacity of understanding the wrongfulness of behavior will usually not be severely impaired. In cases of strong deformation of personality structure with transition into paranoid disorder the capacity for behavior control may be significantly diminished. Irresponsibility will only occur in the rare cases of psychotic disorders. Because of a poor prognosis detention in forensic hospitals may be necessary when threats and manifest aggressive behavior occur.     

Zusammenhang zwischen Art der strafbaren Handlung und Suizid in Haftanstalten der USA

Does the nature of the criminal charge or conviction influence whether a jail or prison inmate will take his life? In the United States several nationwide surveys provide relevant information for answering this question. Studies of jail suicides in 1979, 1985 and 1986 respectively indicated that most inmates who committed suicide were charged with nonviolent offenses including drug related or minor offenses. In more recent national surveys the rate of suicide among jail inmates charged with violent offenses was triple that for those charged with nonviolent offenses. Offenses with the highest rates of suicide were kidnapping, rape and homicide. In prisons, where the rate of suicide is much lower than in jails, the rate of suicide for violent prisoners was twice that for nonviolent prisoners. Violent offenses with the highest rates of suicide in prisons included kidnapping, homicide, sexual assault and assault. Discussion addresses the discrepant results between the early surveys of jail suicides and the more recent surveys of suicides in jails and prisons. Further explored are possible explanations for the earlier predominance of nonviolent offenses among suicide victims, the recently elevated rates among violent offenses, and the elevated rates among specific criminal offenses. Commentary is also given to the practical implications of these findings.     

Infants in group care: their interactions with professional caregivers and parents across the second year of life

Seventy children were observed during structured play with their primary professional caregivers and three peers in the child care center and with their primary caregiving parents at home at 15 and 23 months of age. The same structured play tasks were used in the two settings and the quality of the children's interactions with caregivers and parents was rated using the same 7-point scales. As expected, the quality of caregiver–child interactions significantly increased between 15 and 23 months. At 15 months, the quality of caregiver–child interactions was significantly lower than the quality of parent–child interactions, particularly with regard to caregiver supportive presence and respect for the child's autonomy. At 23 months, however, the quality of caregiver–child interactions was no longer lower and in some respects even higher than the quality of parent–child interactions. At both ages, the children expressed more negativity towards their parents than towards their professional caregivers.     

Intra-individual reaction time variability in schizophrenia, depression and borderline personality disorder

Intra-individual reaction time variability (IIV) in neuropsychological task performance reflects short term fluctuations in performance. Increased IIV has been reported in patients with schizophrenia and could be related to a deficient neural timing mechanism, but the role of IIV in adult patients with other psychiatric disorders has not been established. Therefore, we compared IIV measures obtained in a Go/Nogo task from patients with schizophrenia, major depression and borderline personality disorder. IIV was increased for patients with schizophrenia. When correcting for differences in mean reaction time, depressive and borderline patients also showed increased IIV. Importantly, all groups showed a strong association between IIV and accuracy of task performance. This suggests that increased IIV might be a sensitive marker for the efficiency of top-down attentional control in all diagnostic groups. Aside from these similarities, the complete results including measures of IIV, mean reaction time and accuracy show differential patterns for patients with schizophrenia compared to those with borderline personality disorder or depression. These results are discussed with respect to common versus disorder-specific neural mechanisms underlying increased IIV.     

Tactile—visual temporal ventriloquism: No effect of spatial disparity

Participants made visual temporal order judgments (TOJs) about which of two lights appeared first while taskirrelevant vibrotactile stimuli delivered to the index finger were presented before the first and after the second light. Temporally misaligned tactile stimuli captured the onsets of the lights, thereby improving sensitivity on the visual TOJ task, indicative of tactile-visual (TV) temporal ventriloquism (Experiment 1). The size of this effect was comparable to auditory-visual (AV) temporal ventriloquism (Experiment 2). Spatial discordance between the TV stimuli, as in the AV case, did not harm the effect (Experiments 3 and 4). TV stimuli thus behaved like AV stimuli, demonstrating that spatial co-occurrence is not a necessary constraint for intersensory pairing to occur.     

The link between speech perception and production is phonological and abstract: evidence from the shadowing task

This study reports a shadowing experiment, in which one has to repeat a speech stimulus as fast as possible. We tested claims about a direct link between perception and production based on speech gestures, and obtained two types of counterevidence. First, shadowing is not slowed down by a gestural mismatch between stimulus and response. Second, phonetic detail is more likely to be imitated in a shadowing task if it is phonologically relevant. This is consistent with the idea that speech perception and speech production are only loosely coupled, on an abstract phonological level.