Anchoring the Panic Disorder Severity Scale

The Panic Disorder Severity Scale (PDSS) is a clinician-administered measure of panic disorder symptom severity widely used in clinical research. This investigation sought to provide clinically meaningful anchor points for the PDSS both in terms of clinical severity as measured by the Clinical Global Impression-Severity Scale (CGI-S) and to extend its clinical meaningfulness by examining its association with quality of life. A total of 63 individuals with a primary diagnosis of panic disorder were assessed on completion of a 6- or 8-week psychotherapy or pharmacotherapy trial for the treatment of panic disorder. As expected, the PDSS was correlated with both the CGI-S and quality of life. These results provide further support for the validity and clinical utility of the PDSS and provide simple anchors to help guide the potential use of the PDSS scale to measure treatment progress in clinical practice.     

Measuring coping flexibility

Abstract

The present study examined coping flexibility and correlates of this style of approaching stressful situations. Two methods for assessing coping flexibility, the Flex (Schwartz and Daltroy, 1991) and a modification of the Ways of Coping Checklist (Folkman and Lazarus. 1980) were administered to 28 men and 32 women, who were also asked questions about their age, gender, style of impression management (self-monitoring and social desirability), and basic personality variables from the Multidimensional Personality Questionnaire (Tellegen. 1982). Subjects responded to four common scenarios described by a 2 (social/nonsocial) × 2 (minor/major) matrix. Gender differences were not found for the Flex, but men exhibited more flexibility than did women when determined by the WOC range score. Older subjects exhibited smaller ranges on both the Flex and the WOC, suggesting that they were less flexible in coping than were younger subjects. Correlations with the Self-Monitoring scale approached significance for the Flex and were significant for the WOC. Greater flexibility was associated with greater well-being and achievement and negatively correlated with stress reactions and alienation.     

Intention to Participate in Predictive Genetic Testing for Hereditary Cancer: The Role of Attitude toward Uncertainty

This study aimed to identify factors predictive of intentions to participate in genetic testing for hereditary cancer. Measures of the psychosocial influences on intention were based on the theories of reasoned action (TRA) and planned behaviour (TPB) and a new measure of Attitude toward Uncertainty. The participants (the breast cancer sample, n = 124; the colon cancer sample, n = 168) were recruited via a general practitioner's patient database and asked to complete postal questionnaires. The overall response rate was 57.4% (54.7% in the colon cancer sample, 61.4% in the breast cancer sample). In the colon cancer sample, 72% of respondents stated that they would choose to participate in genetic testing for colon cancer susceptibility. In the breast cancer sample, 77% of respondents stated that they would choose to participate in genetic testing for breast cancer susceptibility. The TRA components (attitudes and subjective norms) and Attitude toward Uncertainty emerged as the strongest predictors of intention. The Attitude toward Uncertainty appears to moderate intention in that participants with more negative attitudes toward uncertainty are more likely to undergo the test than those seeking more certainty.     

Going Gaga: Investigating,Creating, and Manipulating the Song Stuck in My Head

Summary: Having a song stuck in your head is a commonly experienced intrusive thought. We explored the intrusive song phenomenon through a survey, an experimental diary study, and three laboratory experiments. Contrary to the belief that only obnoxious songs get stuck, we found that songs people know and like frequently became intrusive. We also found that intrusive songs followed environmental cues. In addition, if a song continued to play in someone's head immediately after listening to it, the song was likely to return as an intrusive song within the next 24 hours. Similar to mind wandering, the return of intrusive songs depended on cognitive resources: people reported that intrusive songs returned during low cognitive load activities, and we found that overloading the cognitive systems with challenging activities increased intrusive song frequency. Throughout our studies, we easily created and manipulated intrusive song experiences. Songs provide a valuable method to investigate intrusive thoughts. Copyright © 2012 John Wiley & Sons, Ltd.     

Survivors’ Advice to Service Providers: How to Best Serve Survivors of Sexual Assault

Recognizing the relatively low rate at which sexual assault survivors seek services, researchers in the last decade have turned their attention to better understanding survivors’ experiences with victim services. Surprisingly, limited research has directly asked sexual assault survivors for recommendations on how to improve victim services, including both criminal justice and community-based services. The current study builds on the existing literature to gather input from women survivors that can translate into ways to improve victim services. As part of a larger longitudinal study, the current investigation asked 224 ethnically diverse adult (aged 18–62) women survivors of recent sexual assault to provide recommendations for how victim services can best serve survivors of sexual assault at multiple time points. Nearly all women in the study (91%) offered specific recommendations on how to improve victim services. Recommendations included ensuring availability of a female provider, improving communication with survivors as well as within and between service providers, helping survivors obtain resources, believing and not blaming survivors, demonstrating greater understanding of trauma-related responses and approaching survivors with greater compassion, and implementing better training on effectively working with survivors. Implications for victim service provision are discussed.     

Morality and behavioural regulation in groups: A social identity approach

In recent years social psychologists have displayed a growing interest in examining morality—what people consider right and wrong. The majority of work in this area has addressed this either in terms of individual-level processes (relating to moral decision making or interpersonal impression formation) or as a way to explain intergroup relations (perceived fairness of status differences, responses to group-level moral transgressions). We complement this work by examining how moral standards and moral judgements play a role in the regulation of individual behaviour within groups and social systems. In doing this we take into account processes of social identification and self-categorisation, as these help us to understand how adherence to moral standards may be functional as a way to improve group-level conceptions of self. We review a recent research programme in which we have investigated the importance of morality for group-based identities and intra-group behavioural regulation. This reveals convergent evidence of the centrality of moral judgements for people’s conceptions of the groups they belong to, and demonstrates the importance of group-specific moral norms in identifying behaviours that contribute to their identity as group members.     

Object Relations in Borderlines,Depressives, and Normals: An Examination of Human Responses on the Rorschach

Recently, researchers and clinicians have become increasingly interested in diagnostic distinctions between borderline and mood disorders. Object relations theory provides a useful framework for the comparison of these two overlapping diagnostic categories. In our study, a measure of object relations as represented on the Rorschach, developed by Blatt, Brenneis, Schimeck, and Glick (1976), was applied to data produced by borderline and depressive inpatients and by normal comparison subjects. Portions of the Blatt measure that tap the subject's experience of human action and interaction distinguish among the three diagnostic groups. Specifically, borderlines tend to understand human action as more highly motivated and human interaction as more malevolent in nature than do either depressives or normals. The data indicate that borderlines experience the object-relational world in a way that is fundamentally different from the way normals and depressives perceive it. implications are discussed for theories of borderline object relations.     

Positive emotion broadens attention focus through decreased position-specific spatial encoding in early visual cortex: Evidence from ERPs

Recent evidence has suggested that not only stimulus-specific attributes or top-down expectations can modulate attention selection processes, but also the actual mood state of the participant. In this study, we tested the prediction that the induction of positive mood can dynamically influence attention allocation and, in turn, modulate early stimulus sensory processing in primary visual cortex (V1). High-density visual event-related potentials (ERPs) were recorded while participants performed a demanding task at fixation and were presented with peripheral irrelevant visual textures, whose position was systematically varied in the upper visual field (close, medium, or far relative to fixation). Either a neutral or a positive mood was reliably induced and maintained throughout the experimental session. The ERP results showed that the earliest retinotopic component following stimulus onset (C1) strongly varied in topography as a function of the position of the peripheral distractor, in agreement with a near–far spatial gradient. However, this effect was altered for participants in a positive relative to a neutral mood. On the contrary, positive mood did not modulate attention allocation for the central (task-relevant) stimuli, as reflected by the P300 component. We ran a control behavioral experiment confirming that positive emotion selectively impaired attention allocation to the peripheral distractors. These results suggest a mood-dependent tuning of position-specific encoding in V1 rapidly following stimulus onset. We discuss these results against the dominant broaden-and-build theory.     

Mothers’ Experiences of Parent-Reported and Video-Recorded Observational Assessments

Rigorous evaluation of early childhood interventions requires accurate and efficient measurement. Researchers commonly use parent-reported surveys or direct observations; both of which have inherent strengths and limitations. Existing attempts to understand the correspondence between these methods have been primarily quantitative in design. Little is known about parents’ unique, subjective experiences of parent-reported surveys and direct parent-child observations. In this paper, we describe the experiences of ten mothers of children aged 24 months, recruited from a randomised controlled trial of a nurse home visiting program for mothers at risk of experiencing social adversity. After completing both a survey and video-recorded parent-child observation, mothers participated in in-depth semi-structured interviews which were analysed thematically. Mothers voiced concerns about how researchers may view their parenting skills, and their child’s behaviour and development. Contrary to previous quantitative evidence, mothers reported parent and child behavioural change, which they attributed to the researcher’s presence. Mothers described how the structured requirements of the observation contributed to forced and unnatural interactions. The survey was viewed as a welcome opportunity to reflect on parenting skills, the parent-child relationship and the child’s development. Mothers identified practical strategies for minimising parent-child discomfort during video-recorded observations, such as the researcher averting their gaze or stepping out of the room. We highlight opportunities for enhanced data validity in research and clinical settings, strengthened participant engagement, and minimisation of participant discomfort. Given the exploratory nature of this study, we do not claim that results are necessarily generalisable to other parent or general populations. Further research is warranted to build the evidence regarding parent participation in early childhood research.