Gender differences in the sensitivity to posttraumatic stress disorder: An epidemiological study of urban young adults

The authors examine the relationship between 2 separate but interrelated findings in the epidemiology of posttraumatic stress disorder (PTSD): women's greater PTSD risk following traumatic events and the sensitizing effects of a prior trauma on the PTSD response to a subsequent trauma. Data come from a representative sample of 1,698 young adults from a large U.S. city. Analysis was conducted on the subset exposed to traumatic events. Women's risk for PTSD following assaultive violence was higher than men's. When assaultive violence preceded a later nonassaultive trauma in women, there was an increased risk (relative risk = 4.9) for PTSD, which was not observed in men. The relative risk estimate in women was significantly higher than in men. These findings suggest that assaultive violence elicits women's PTSD response directly and by sensitizing them to the effects of subsequent traumatic events of lesser magnitude.     

Handwriting movement analyses for monitoring drug-induced motor side effects in schizophrenia patients treated with risperidone

Epidemiologic studies indicate that nearly 60% of schizophrenia (SZ) patients treated with conventional antipsychotic drugs develop extrapyramidal side effects (EPS) such as parkinsonism and tardive dyskinesia. Although the prevalence of EPS has decreased due to the newer antipsychotics, EPS continue to limit the effectiveness of these medicines. Ongoing monitoring of EPS is likely to improve treatment outcome or compliance and reduce the frequency of re-hospitalization. A quantitative analysis of handwriting kinematics was used to evaluate effects of antipsychotic medication type and dose in schizophrenia patients. Twenty-seven schizophrenia patients treated with risperidone, six schizophrenia patients who received no antipsychotic medication and 47 healthy comparison participants were enrolled. Participants performed a 20-min handwriting task consisting of loops of various sizes and a sentence. Data were captured and analyzed using MovAlyzeR software. Results indicated that risperidone-treated participants exhibited significantly more dysfluent handwriting movements than either healthy or untreated SZ participants. Risperidone-treated participants exhibited lower movement velocities during production of simple loops compared to unmedicated patients. Handwriting dysfluency during sentence writing increased with dose. A 3-factor model consisting of kinematic variables derived from sentence writing accounted for 83% (r = .91) of the variability in medication dose. In contrast, we found no association between observer-based EPS severity ratings and medication dose. These findings support the importance of handwriting-based measures to monitor EPS in medicated schizophrenia patients.     

Power use and differential competence as determinants of subordinates' evaluative and behavioural responses in simulated organizations

Insights from leader–member exchange theory and social justice theory were combined to derive predictions about the effects of relative competence and power use by a more powerful other on evaluative and behavioural responses of subordinates. These predictions were tested in two experiments, using a simulated organizational structure. The main results of the first experiment (N=73) indicate that frequency of power use is an important determinant of subordinates' evaluations of the status quo, supporting predictions from leader–member exchange theory. However, in line with a procedural justice explanation, perceived legitimacy of the superior's behaviour and participants' cooperative intentions were determined jointly by power use and relative competence. A second experiment (N=152) more closely investigated behavioural responses. The findings obtained in Experiment 1 were replicated, and as predicted, interaction effects of the superior's power use and competence were found for subordinates' collaborative behaviour and employee turnover. Both these effects were mediated by participants' sense of commitment to their superior. Theoretical and practical implications of the findings are discussed. Copyright © 1999 John Wiley & Sons, Ltd.     

Can massive but passive exposure to faces contribute to face recognition abilities?

Recent studies have suggested that individuation of other-race faces is more crucial for enhancing recognition performance than exposure that involves categorization of these faces to an identity-irrelevant criterion. These findings were primarily based on laboratory training protocols that dissociated exposure and individuation by using categorization tasks. However, the absence of enhanced recognition following categorization may not simulate key aspects of real-life massive exposure without individuation to other-race faces. Real-life exposure spans years of seeing a multitude of faces, under variant conditions, including expression, view, lighting and gaze, albeit with no subcategory individuation. However, in most real-life settings, massive exposure operates in concert with individuation. An exception to that are neonatology nurses, a unique population that is exposed to--but do not individuate--massive numbers of newborn faces. Our findings show that recognition of newborn faces by nurses does not differ from adults who are rarely exposed to newborn faces. A control study showed that the absence of enhanced recognition cannot be attributed to the relatively short exposure to each newborn face in the neonatology unit or to newborns' apparent homogeneous appearance. It is therefore the quality--not the quantity--of exposure that determines recognition abilities.     

Security of attachment and quality of mother-toddler social interaction in a high-risk sample

The quality of children's social interactions and their attachment security with a primary caregiver are two widely studied indices of socioemotional functioning in early childhood. Although both Bowlby and Ainsworth suggested that the parent-child interactions underlying the development of attachment security could be distinguished from other aspects of parent-child interaction (e.g., play), relatively little empirical research has examined this proposition. The aim of the current study was to explore this issue by examining concurrent relations between toddler's attachment security in the Strange Situation Procedure and quality of mother-child social interaction in a high-risk sample of toddlers characterized by prenatal cocaine exposure and low levels of maternal education. Analyses of variance suggested limited relations between attachment security and quality of social interaction. Further research examining the interrelations among various components of the parent-child relationship is needed.     

Correlates of African American Men’s Sexual Schemas

Sexual schemas are cognitive representations of oneself as a sexual being and aid in the processing of sexually relevant information. We examined the relationship between sociosexuality (attitudes about casual sex), masculine ideology (attitudes toward traditional men and male roles), and cultural centrality (strength of identity with racial group) as significant psychosocial and sociocultural predictors in shaping young, heterosexual African American men??s sexual schemas. A community sample (n?=?133) of men in a southeastern city of the United States completed quantitative self-report measures examining their attitudes and behavior related to casual sex, beliefs about masculinity, racial and cultural identity, and self-views of various sexual aspects of themselves. Results indicated that masculine ideology and cultural centrality were both positively related to men??s sexual schemas. Cultural centrality explained 12?% of the variance in level of sexual schema, and had the strongest correlation of the predictor variables with sexual schema (r?=?.36). The need for more attention to the bidirectional relationships between masculinity, racial/cultural identity, and sexual schemas in prevention, intervention, and public health efforts for African American men is discussed.     

Obstacles to research in residential juvenile justice facilities: recommendations for researchers

Federal, state, and local initiatives to improve the treatment and outcomes for young people in the juvenile justice system prompt the need for additional research. Despite the call for empirical data, researchers encounter numerous obstacles when initiating and conducting studies in detention and post-adjudication facilities. These obstacles are often only briefly mentioned in publications, but they can interfere with researchers' desires and abilities to conduct studies in these settings. This paper reviews legal, ethical, and methodological challenges to successfully conducting research in detention and residential post-adjudication placements, including selecting and accessing appropriate facilities, obtaining institutional review board approval, seeking parental permission and youth assent, reporting child abuse and neglect, responding to participants' threats to harm self or others, working effectively with facilities, juvenile justice system-related attrition, and the dissemination of research findings. Recommendations are presented to help investigators anticipate obstacles when designing and executing research protocols to prevent interference and to encourage ethical responses and successful study completion.