A case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence

Background/Objective: Intimate partner relationship problems and intimate partner abuse and neglect — referred to in this paper as “relational problems and maltreatment” — have substantial and well-documented impact on both physical and mental health. However, classification guidelines, such as those found in the International Classification of Diseases (ICD-10), are vague and unlikely to support consistent application. Revised guidelines proposed for ICD-11 are much more operationalized. We used standardized clinical vignette conditions with an international panel of clinicians to test if ICD-11 changes resulted in improved classification accuracy. Method: English-speaking mental health professionals (N = 738) from 65 nations applied ICD-10 or ICD-11 (proposed) guidelines with experimentally manipulated case presentations of presence or absence of (a) individual mental health diagnoses and (b) relational problems or maltreatment. Results: ICD-11, compared with ICD-10, guidelines resulted in significantly better classification accuracy, although only in the presence of co-morbid mental health problems. Clinician factors (e. g., gender, language, world region) largely did not impact classification performance. Conclusions: Despite being considerably more explicated, raters’ performance with ICD-11 guidelines reveals training issues that should be addressed prior to the release of ICD-11 in 2018 (e. g., overriding the guidelines with pre-existing archetypes for relationship problems and physical and psychological abuse).     

Sedation threshold and Archimedes spiral after-effect: A follow-up of their use with civilian psychiatric patients

In the study reported here an attempt was made to confirm, on a more heterogeneous group of civilian patients, some previous work on sedation threshold and spiral after-effect in young military patients. Sedation threshold and spiral after-effect data were collected in thirty-eight neurotic and nine psychotic patients. The main findings of the study were as follows: (1) The practicability and reliability of the sedation threshold technique used is not restricted to the experimental setting in which it was originally devised. The method can on the contrary be applied under a variety of clinical conditions. (2) No significant differences were found in the uniformly high sedation threshold and spiral aftereffect scores of patients suffering from neurotic depression, obsessional neurosis, and chronic anxiety. Further, civilian dysthymics as a whole did not differ significantly on either test from military dysthymics. The previous work on neurotics was thus confirmed. (3) Previous findings (with military psychotics) of a significant negative correlation between sedation threshold and spiral after-effect were confirmed in the present group of schizophrenic patients.

The advantages of a psychophysiological approach to personality were reaffirmed and the possible usefulness of the sedation threshold and spiral after-effect as tools for differential diagnosis was discussed.     

Ordinal position learning and remote anticipation

Rats were runway trained on each of two 3-trial series of reward outcomes. The series are labeled XNY and ZNN, for which X represents a trial that was rewarded with Noyes pellets and N represents a trial that ended with no reward. Units of distinctively flavored breakfast cereals served as reward on trials labeled Y and Z. One group (Floor) had each series occur with a correlated runway floor, either smooth and black or rough and white. For a second group (Memory), the floor cue was uncorrelated with series. Animals in both groups learned to approach the goal rapidly on the 1st trials of the 2 series and slowly on the 2nd trials, but only Group Floor learned to differentiate the 3rd trials of the series. These results recommend a view of serial learning that emphasizes the role played by information about the ordinal position of series items.     

Developmental changes in children's abilities to share and allocate attention in a dual task

Characterizing developmental changes in children's dual-task performance has been problematic because differences in divided attention abilities are easily confounded with differences in overall capacity. Two experiments showed that after individual differences in children's capacity for single-task performance were controlled for, age differences between second- (M = 8.1 years) and fifth-grade (M = 11.1 years) children did not exist in dual-task performance when tasks were of equal priority. However, when tasks had different priorities, only fifth-grade children could differentially allocate attention in the dual task. Results are discussed within the coordination hypothesis framework (see A. F. Kramer & J. L. Larish, 1996), which suggests that changes in dual-task performance with aging are due to changes in the ability to coordinate and control the allocation of attention. It is argued that linking the investigations of children's attention with research on attention and aging provides both methodological and theoretical benefits.     

Factor structure of the Eyberg Child Behavior Inventory: a parent rating scale of Oppositional Defiant Behavior Toward Adults, Inattentive Behavior, and Conduct Problem Behavior

Used the Eyberg Child Behavior Inventory (ECBI) to measure disruptive behavior problems in children and adolescents. A controversy exists, however, on the dimensional structure of the ECBI. To evaluate this issue, an exploratory factor analysis was first performed on a sample of 1,263 children and adolescents. This analysis identified 3 meaningful factors (i.e., Oppositional Defiant Behavior Toward Adults, Inattentive Behavior and Conduct Problem Behavior) and a fourth, poorly defined factor. A confirmatory factor analysis (CFA) evaluated the fit of the 3 meaningful factors in a second sample of 1,264 children and adolescents. The 3-factor model with 2 correlated errors provided a excellent fit. This 3-factor model also provided a significantly better fit than 2- and 1-factor models. Multiple group CFA indicated that the factor pattern, item-factor loadings, factor correlations, and correlated errors were equivalent across the samples. The CFA on sex yielded similar results. Initial normative information is presented for boys (n = 1,322) and girls (n = 1,205) within 4 age ranges (i.e., 2-5, 6-9, 10-13, 14-17) for the 3 factors. The use of these 3 factors, especially Oppositional Defiant Behavior and Conduct Problem Behavior, should make the ECBI more useful as a screening and outcome measure.     

The category access measure of relational processing

Increases in category access (CA) and items recalled per category (IPC) are associated with increases in relational and item-specific processing, respectively. However, it has also been shown that CA increases as recall level increases and that CA scores following relational processing are actually below CA scores for randomly recalled items. These results prompted M. D. Murphy (1979) to suggest that, after adjusting for recall-level differences, relational processing decreases CA scores. Results of Experiment 1, along with a reanalysis of previously published data, showed that relational processing produces lower CA scores than purely item-specific processing (or random recall), but an increase in relational processing produces an increase in CA scores even when the CA and IPC scores are adjusted for recall-level differences. These results suggest a curvilinear relationship between relational processing and CA scores.     

Problem of item overlap between the psychopathy screening device and attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder rating scales

Content validity requires a clear definition of the construct of interest and the delineation of the construct from similar constructs. Content validity also requires that the items be representative of the construct as well as specific to the construct. An examination of the items on the Psychopathy Screening Device (PSD), a parent- and teacher-rating scale of childhood psychopathy, indicates significant overlap with the symptoms and associated features of attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). The failure of the PSD to have unique items results in poor discriminant validity with ADHD, ODD, and CD rating scales. More careful attention to content validation guidelines is required to develop a more useful measure of childhood psychopathy.     

An item gains and losses analysis of false memories suggests critical items receive more item-specific processing than list items

In a repeated testing paradigm, list items receiving item-specific processing are more likely to be recovered across successive tests (item gains), whereas items receiving relational processing are likely to be forgotten progressively less on successive tests. Moreover, analysis of cumulative-recall curves has shown that item-specific processing produces a slower, but steadier rate of recall than relational processing. The authors relied on these findings to determine the type of processing that both list items and critical lures receive in the Deese-Roediger-McDermott false memory procedure. The first 2 experiments revealed that critical lures produced more item gains, but only the list items resulted in a decrease in item losses across successive tests. The critical lures also produced slower but steadier cumulative recall. In Experiments 3 and 4, the critical items were physically presented during study, which resulted in the lures producing progressively fewer losses across successive tests. The authors concluded that critical items receive more item-specific processing than list items but that unless they are presented in the list, they do not become part of participants' organized retrieval scheme.