Diurnal mood variation in major depressive disorder

Depression disturbs mood, but a clear picture of diurnal mood rhythms in depression has yet to emerge. This study examined variations in positive affect (PA) and negative affect (NA), two dimensions of mood that generate diurnal patterns among healthy individuals. Repeated measurements of NA and PA in daily life were obtained over 6 days from 47 depressed outpatients and 39 healthy individuals using the Experience Sampling Method. Relative to healthy individuals, depressed individuals exhibited increasing PA levels during the day with a later acrophase. In contrast, depressed persons' NA exhibited a more pronounced diurnal rhythm and was more variable from moment to moment than healthy individuals'. Ambulatory mood measurements in depression suggest distinct diurnal disturbances of positive and negative affect.     

Sexual harassment,male dominated organizations and the role of counselling psychology: The case of medical school

This paper presents evidence of sexual harassment in medical school based on a survey of students (n = 186) and lecturers (n = 100); but while 85.5% of students believe that medical educators should combat this behaviour, only 67.7% of the lecturers do so. it is argued here, that ambivalence towards sexual harassment is a psychological symptom of a male dominated culture, with long term implications for victims, perpetrators and witnesses. It is an issue which needs to be addressed both interpersonally and at an organizational level.     

Reaction times and dyslexia

Five groups of children, including two groups of dyslexics (aged 15 and 11 years), were tested on simple reaction, selective choice reaction, and lexical decision tasks. In simple reactions to a pure tone, the dyslexic children responded as quickly as their chronological age controls and significantly faster than their reading age controls. In selective choice reactions to pure tones, the dyslexic children were significantly impaired compared with their chronological age controls and no faster than their reading age controls. This speed impairment obtained even though a selective choice reaction task has only one positive response. In “by-item” analyses of lexical decisions to spoken words, the dyslexic children were significantly impaired compared even with their reading age controls. The pattern of results suggests that at least two factors contribute to slowness of dyslexic children: a general deficit reflected in slower stimulus classification speed and a linguistic deficit reflected in slower lexical access speed.     

Time perception and time perspective differences between adolescents and adults

The present experiment aimed to investigate the differences in time perception and time perspective between subjects representing two developmental stages, namely adolescence and middle adulthood. Twenty Chinese adolescents aged 15–25 and twenty Chinese adults aged 35–55 participated in the study. A time discrimination task and a time reproduction task were implemented to measure the accuracy of their time perception. The Zimbardo Time Perspective Inventory (Short-Form) was adopted to assess their time orientation. It was found that adolescents performed better than adults in both the time discrimination task and the time reproduction task. Adolescents were able to differentiate different time intervals with greater accuracy and reproduce the target duration more precisely. For the time reproduction task, it was also found that adults tended to overestimate the duration of the target stimuli while adolescents were more likely to underestimate it. As regards time perspective, adults were more future-oriented than adolescents, whereas adolescents were more present-oriented than adults. No significant relationship was found between time perspective and time perception.     

Development of a Substance Abuse Consultation and Referral Service in an Academic Medical Center: Challenges, Achievements and Dissemination

Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model.     

Mood reactivity to daily negative events in early adolescence: relationship to risk for psychopathology

Emotional responses to negative daily experiences in young adolescents may provide important clues to the development of psychopathology, but research is lacking. This study assessed momentary mood reactivity to daily events as a function of risk profile in a school sample, ages 11-14. High-risk (HR, n=25) and low-risk (LR, n=106) subgroups completed frequent self-reports of mood and events for 5 days. HR adolescents reported more negative events involving family and peers. Multilevel modeling results showed that negative events, especially if stressful, were associated with increased negative and decreased positive affects, with heightened responses in HR adolescents. HR adolescents with greater stress over the last 3 months showed additional increases in depressed mood following negative events. Altered reactivity to and dysfunctional appraisals of daily events may link adolescent risk profiles to later mental health problems.     

Book Reviews

There is long-standing evidence for verbal working memory impairments in both children and adults with dyslexia. By contrast, spatial memory appears largely to be unimpaired. In an attempt to distinguish between phonological and central executive accounts of the impairments in working memory, a set of phonological and spatial working memory tasks was designed to investigate the key issues in working memory, task type, task demands (static, dynamic, and updating), and task complexity. Significant differences emerged between the dyslexic and nondyslexic participants on the verbal working memory tasks employed in Experiment 1, thereby providing further evidence for continuing dyslexic impairments of working memory into adulthood. The nature of the deficits suggested a problem with the phonological loop, with there being little evidence to implicate an impairment of the central executive. Due to the difficulties associated with separating verbal working memory and phonological processing, however, performance was investigated in Experiment 2 using visuospatial measures of working memory. The results of the visuospatial tasks indicated no between-group differences in static spatial memory, which requires the short-term storage of simultaneously presented information. In almost all conditions there were no between-group differences in dynamic spatial memory that demands the recall of both location and order of stimuli presented sequentially. However, a significant impairment occurred on the dynamic task under high memory updating load, on which dyslexic adults showed nonphonological working memory deficits. In the absence of an explanation involving verbal recoding, this finding is interpreted in terms of a central executive or automaticity impairment in dyslexia.     

Performance of Dyslexic Children on Cerebellar and Cognitive Tests

In a previous study (A. J. Fawcett, R. I. Nicolson, & P. Dean, 1996), the authors had found strong behavioral evidence for cerebellar deficit in a panel of children with dyslexia. In the present study, the generality of those results was assessed. A battery of clinical tests for cerebellar dysfunction was administered, together with selected cognitive tests, to a further 59 dyslexic and 67 control children. The dyslexic children showed highly significant impairments on the cerebellar tests, with deficits on postural stability and muscle tone comparable in magnitude with their reading and spelling deficits. Furthermore, over 95% of the dyslexic children showed clear evidence of deficit on muscle tone or stability. The findings provide further evidence of the generality of cerebellar impairment in dyslexia. The implications of the cerebellar tests for screening in dyslexia are discussed.     

Eye movements during scene inspection: A test of the saliency map hypothesis

Both attentional difficulties and rapid processing deficits have recently been linked with dyslexia. We report two studies comparing the performance of dyslexic and control teenagers on attentional tasks. The two studies were based on two different conceptions of attention. Study 1 employed a design that allowed three key components of attention--focusing, switching, and sustaining--to be investigated separately. One hypothesis under investigation was that rapid processing problems--in particular impaired ability to switch attention rapidly--might be associated with dyslexia. However, although dyslexic participants were significantly less accurate than their controls in a condition where they had to switch attention between two target types, the nature of the deficit suggested that the problem was not in switching attention per se. Thus, in Study 2, we explored an alternative interpretation of the Study 1 results in terms of the classic capacity-limited models of "central" attention. We contrasted two hypotheses: (1) that dyslexic teenagers have reduced cognitive resources versus (2) that they suffer from a general impairment in the ability to automatise basic skills. To investigate the automaticity of the shape recognition component of the task a similar attention paradigm to that used in Study 1 was employed, but using degraded, as well as intact, stimuli. It was found that stimulus degradation led to relatively less impairment for dyslexic than for matched control groups. The results support the hypothesis that dyslexic people suffer from a general impairment in the ability to automatise skills--in this case the skill of automatic shape recognition.