Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief

Background: Research about termination for fetal abnormality (TFA) suggests that it is a traumatic event with potential negative psychological consequences. However, evidence also indicates that following traumatic events individuals may experience growth. Although TFA’s negative psychological outcomes are well documented, little is known of the potential for growth following this event. Therefore, the study’s objectives were to measure posttraumatic growth (PTG) post-TFA, examine the relationship between PTG, perinatal grief and coping, and determine the predictors of PTG.

Design: An online, retrospective survey was conducted with 161 women.

Methods: Eligible participants were women over 18 who had undergone TFA. Participants were recruited from a support organisation. They completed the Brief COPE, Short Perinatal Grief Scale and Posttraumatic Growth Inventory. Data were analysed using regression analyses.

Results: Moderate levels of PTG were observed for “relating to others,” “personal strengths” and “appreciation of life.” “Positive reframing” was a significant predictor of PTG. Despite using mainly “adaptive” coping strategies, women’s grief levels were high.

Conclusions: “Adaptive” coping strategies such as, “positive reframing” are relevant to TFA. They may act as protective factors against distress and as foundations for growth, implicating that interventions such as Cognitive Behavioural Therapy, which aim to reframe women’s experience, may be beneficial.     

Dysexecutive syndrome in Parkinson’s disease: the GREFEX study

The objectives of this study were to characterize the frequencies and profiles of behavioral and cognitive dysexecutive syndromes in PD (based on validated battery and diagnostic criteria) and to develop a shortened diagnostic battery. Eighty-eight non-demented patients with a diagnosis of PD were examined with an executive validated battery. Using a validated framework, the patients’ test results were interpreted with respect to normative data from 780 controls. A dysexecutive syndrome was observed in 80.6% of the patients [95% confidence interval: 71.1–90.1]. The dysexecutive profile was characterized by prominent impairments in deduction, flexibility, inhibition and initiation in the cognitive domain, and by global hypoactivity with apathy and hyperactivity in the behavioral domain. This finding implies that patients with PD should be assessed with cognitive tests and a validated inventory for behavioral dysexecutive syndromes. A shortened battery (based on three cognitive tests and three behavioral domains) provided high diagnostic accuracy.     

Naming and categorization in young children: II. Listener behavior training

Following pretraining with everyday objects, 1- to 4-year-old children received listener training with three pairs of arbitrary stimuli of differing shapes. For each pair, 9 children were trained to select one stimulus in response to the spoken word /zog/ and the other to the spoken word /vek/. Next, in the look-at-sample category match-to-sample test, none categorized the six stimuli correctly when asked to look at the sample before selecting from five comparisons. Seven of these children failed a subsequent test of corresponding speaker behavior (tact test); following tact training, 5 of them passed either a repeat of the look-at-sample category test (2 subjects) or an alternative category test (3 subjects) in which they were required to tact the sample before selecting comparisons. The remaining 2 failed both category tests. Of the 2 who passed the tact test, 1 passed the tact-sample category test; the other failed to complete category testing. Two children were next given a second stimulus set. One passed the look-at-sample category test and the tact test; the other failed both tests but passed the tact-sample category test after tact training. The results show that 1- to 4-year-old children may learn listener behavior without corresponding speaker behavior. The results also show that common listener behavior is not sufficient to establish arbitrary stimulus classes, and they are consistent with the proposition that naming may be necessary for categorization of such stimuli.     

The Hospital Management of Fatal Self‐Poisoning in Industrialized Countries: An Opportunity for Suicide Prevention?

Suicide by self-poisoning is a prevalent cause of death worldwide. A substantial proportion of individuals who poison themselves come into contact with medical services before they die. Our focus in the current study was the medical management of drug self-poisoning in industrialized countries and its possible contribution to suicide prevention. We reviewed the literature to determine the proportion of self-poisoning suicides who reach hospital alive, the sociodemographic and clinical characteristics of in-hospital overdose deaths, the in-hospital management this group of patients receives, and whether there are specific aspects of pre-hospital care and in-hospital management that have the potential to improve survival. Between 11% and 28% of individuals who died following deliberate ingestion of drugs reached hospital alive. The substances which were most frequently implicated in death were paracetamol (acetaminophen) and paracetamol compounds, tricyclic antidepressants, and benzodiazepines. Most patients received fairly intensive treatment, yet death may have been preventable in a small proportion of cases. Only one intervention (the administration of acetylcysteine) was shown to reduce mortality and this was in a highly selected group of patients (those who had ingested paracetamol and developed fulminant hepatic failure). It is possible that other interventions such as better airway management, the prompt administration of activated charcoal, and improved pre-hospital care may improve outcomes but their potential contribution to suicide prevention needs to be investigated in future studies.     

Prosodic cues for morphological complexity: The case of Dutch plural nouns

It has recently been shown that listeners use systematic differences in vowel length and intonation to resolve ambiguities between onset-matched simple words (Davis, Marslen-Wilson, & Gaskell, 2002; Salverda, Dahan, & McQueen, 2003). The present study shows that listeners also use prosodic information in the speech signal to optimize morphological processing. The precise acoustic realization of the stem provides crucial information to the listener about the morphological context in which the stem appears and attenuates the competition between stored inflectional variants. We argue that listeners are able to make use of prosodic information, even though the speech signal is highly variable within and between speakers, by virtue of the relative invariance of the duration of the onset. This provides listeners with a baseline against which the durational cues in a vowel and a coda can be evaluated. Furthermore, our experiments provide evidence for item-specific prosodic effects.     

Possible barnum effect in the five factor model: do respondents accept random neo personality inventory-revised scores as their actual trait profile?

This study investigated a possible Barnum effect in personality traits, i.e., that persons accept a false trait profile as correct. Having answered the Norwegian translation of the NEO Personality Inventory-Revised, a group of 75 students, 56 (five women military aviation cadets and 19 (10 women) graduate students, received a random T-score profile and were asked to rate their agreement on a 7-point scale. For all personality traits, i.e., facets and domains measured by the NEO Personality Inventory-Revised, positive correlations ranging from .08 to .64 were found between the agreement ratings and the similarity between the random false scores and the actual scores. The respondents identified and rejected random T scores that deviated far from their actual scores, which works against the Barnum effect. Correct identification correlated negatively with Neuroticism r = -.41) and positively (r = .53) with Conscientiousness.     

The subjects as a simple random effect fallacy: subject variability and morphological family effects in the mental lexicon

This is a methodological study addressing the appropriateness of standard by-subject and by-item averaging procedures for the analysis of repeated-measures designs. By means of a reanalysis of published data (Schreuder & Baayen, 1997), using random regression models, we present a proof of existence of systematic variability between participants that is ignored in the standard psycholinguistic analytical procedures. By applying linear mixed effects modeling (Pinheiro & Bates, 2000), we call attention to the potential lack of power of the by-subject and by-item analyses, which in this case study fail to reveal the coexistence of a facilitatory family size effect and an inhibitory family frequency effect in visual and auditory lexical processing.     

The recognition of reduced word forms

This article addresses the recognition of reduced word forms, which are frequent in casual speech. We describe two experiments on Dutch showing that listeners only recognize highly reduced forms well when these forms are presented in their full context and that the probability that a listener recognizes a word form in limited context is strongly correlated with the degree of reduction of the form. Moreover, we show that the effect of degree of reduction can only partly be interpreted as the effect of the intelligibility of the acoustic signal, which is negatively correlated with degree of reduction. We discuss the consequences of our findings for models of spoken word recognition and especially for the role that storage plays in these models.     

Linking elements in Dutch noun-noun compounds: constituent families as analogical predictors for response latencies

This study addresses the choice of linking elements in novel Dutch noun-noun compounds. Previous off-line experiments (Krott, Baayen, & Schreuder, 2001) revealed that this choice can be predicted analogically on the basis of the distribution of linking elements in the left and right constituent families, i.e., the set of existing compounds that share the left (or right) constituent with the target compound. The present study replicates the observed graded analogical effects under time pressure, using an on-line decision task. Furthermore, the analogical support of the left constituent family predicts response latencies. We present an implemented interactive activation network model that accounts for the experimental data.