Randomised trial of expressive writing for distressed metastatic breast cancer patients

Women with metastatic breast cancer and significant psychological distress (N?=?87) were assigned randomly to engage in four home-based sessions of expressive writing or neutral writing. Women in the expressive writing group wrote about their deepest thoughts and feelings regarding their cancer, whereas women in the neutral writing group wrote about their daily activities in a factual manner. No statistically significant group differences in existential and psychological well-being, fatigue and sleep quality were found at 8-weeks post-writing. However, the expressive writing group reported significantly greater use of mental health services during the study than the neutral writing group (55% vs. 26%, respectively; p?<?0.05). Findings suggest that expressive writing may improve the uptake of mental health services among distressed cancer patients, but is not broadly effective as a psychotherapeutic intervention.     

Examination stress and changes in mood and health related behaviours

Abstract

The present exploratory study evaluated the effect of stress (an examination period) on changes in mood and health related behaviours. 83 medical students completed measures of mood and health related bchaviours at baseline and four weeks later either during their examinations period (the stress condition) or after a comparative control period (the control condition). All subjects also completed ratings of stress mediating variables: social support, perceived control and coping style at baseline. The results showed deterioration in mood in terms of increases in depression and anxiety and changes in health related behaviours in terms of increased numbers of subjects who identified thcmsehes as smokers, and dcmascs in alcohol consumption, exercise and food intake in subjects in the stress condition. The results also suggest that social support moderated the effects of the examination stress and was related to greater decreases in smoking, decrcases in alcohol craving and increases in eating behaviour. In addition, an avoidance coping style (problem avoidance, wishful thinking) was related to greater decreases in eating behaviour. 'Ihe nsults an discussed in the context of the stress/illness link and the role of behavioural change.     

Book Review

Performance-based measures and ratings of executive functions were examined in a sample of adolescents with attention deficit/hyperactivity disorder (ADHD) and comparison controls. Performance-based measures of executive function included inhibition, working memory, set shifting, and planning, and ratings of these same executive functions were completed by parents and teachers. Adolescents with ADHD demonstrated lower executive function performance than controls and displayed elevated ratings on the executive function ratings by parents and teachers. Significant associations were obtained between the performance-based measures and the parent and teacher ratings, but each measure was not uniquely associated with its respective scale on the rating scales. When performance-based measures and ratings were examined as predictors of ADHD status, the parent and teacher ratings entered as significant predictors of ADHD status. Further commonality analyses indicated that performance-based measures accounted for little unique variance in predicting ADHD status and also displayed little overlap with the behavioral ratings. These findings highlight the diagnostic utility of behavioral ratings of executive function in predicting ADHD status; however, behavioral ratings should not be assumed to be a proxy for performance on measures of executive function in clinical practice.     

Processing Speed in Children With Attention Deficit/Hyperactivity Disorder,Inattentive Type

Attention Deficit/Hyperactivity Disorder (ADHD) is among the most common and most often reconceptualized neurobehavioral disorders of childhood. In the most recent DSM-IV, a primarily inattentive subtype of ADHD (AD) has again been identified. This study explores the neuropsychological profile of this group of children. Eighty-two children referred for school-related problems participated. Twenty-five met criteria for AD; 52 met criteria for reading disability (RD); 9 were comorbid for RD and AD. AD children performed poorly on measures of information processing speed. Children with comorbid AD/RD were distinguishable from those with RD on speed of processing measures only. Vulnerability to information processing load may be at the root of many of the behavioral manifestations of AD.     

A Practice-Based Approach to Group Identification in Nonverbal Learning Disorders

Evidence-based practice, the rigorous conduct of clinical analysis and intervention, includes practice-based evidence. Here, practice data were the source of three “clinical portraits” used for exploratory analysis of an array of cognitive and social problems in 30 children whose neurobehavioral profiles fulfilled psychometric criteria for a nonverbal learning disability (NLD). Qualitative analysis of the children's academic and adjustment difficulties revealed patterns of dissociable deficits. These findings argue for at least three groups within the NLD construct. Identifying such subgroups is of practical importance: More precise characterization of neuropsychological competencies leads to improved interventions and better outcomes.     

What the World Needs Now: An Intervention for Promoting Prosocial Behavior

Prosocial behavior benefits individuals and society. Thus, the purpose of this study was to develop a new, integrative intervention for fostering prosocial behavior. The intervention combines activities such as watching an elevating video, enacting prosocial behaviors, and reflecting on how those behaviors relate to one’s values. An experiment with 116 adolescents and young adults indicated that the intervention was efficacious in enhancing prosocial behavior and related constructs (e.g., empathy) and that these effects were maintained 1 month later. These results have important implications for understanding and promoting prosocial habits.     

Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse

This paper argues that emotional inferences about characters in a text are not as specific as previously assumed (DeVega, Diaz, & Leon, 1997; DeVega, Leon, & Diaz 1996; Gernsbacher, Goldsmith, & Robertson, 1992; Gernsbacher, Hollada, & Robertson, 1998; Gernsbacher & Robertson, 1992). The emotional information inferred by readers does not differentiate between emotions that are similar, though not identical. In both Experiments 1 and 2, participants read the stories used by Gernsbacher et al. (1992). Results from Experiment 1 (off-line) show that participants judged several emotions consistent with the same story. In Experiment 2 (on-line), participants took longer to read target sentences containing emotions mismatching the stories, but there was no difference between target sentences containing different matching emotions as determined by Experiment 1. Results from Experiments 1 and 2 suggest that the emotional information readers infer from the stories is too broad to determine a specific emotion. The results are consistent with the idea that a general emotional response is evoked, which is compatible with one or more specific emotions.     

Reduced specificity of autobiographical memory as a moderator of the relationship between daily hassles and depression

Autobiographical memory biases are potential cognitive vulnerability factors for depression, with recent research highlighting the potential importance of accompanying high levels of life stress. Using a prospective design, the current study examined the role of autobiographical memory performance, both reduced specificity and propensity towards categoric memories, as moderators of the relationship between life stress and depression in a non-clinical college sample. Findings suggest that an increased propensity towards categoric recall emerged as a vulnerability factor for future depressive symptoms, with this vulnerability not being dependent upon the presence of high levels of life stress. In contrast, while reduced autobiographical memory specificity did not emerge as a vulnerability factor alone, it did emerge as a moderator of the relationship between chronic daily hassles and depression. These findings highlight the potential importance of both propensity towards categoric recall and reduced specificity of autobiographical memory as vulnerability factors for the experience of future depressive symptoms.     

Angry expressions strengthen the encoding and maintenance of face identity representations in visual working memory

Visual working memory (WM) for face identities is enhanced when faces express negative versus positive emotion. To determine the stage at which emotion exerts its influence on memory for person information, we isolated expression (angry/happy) to the encoding phase (Experiment 1; neutral test faces) or retrieval phase (Experiment 2; neutral study faces). WM was only enhanced by anger when expression was present at encoding, suggesting that retrieval mechanisms are not influenced by emotional expression. To examine whether emotional information is discarded on completion of encoding or sustained in WM, in Experiment 3 an emotional word categorisation task was inserted into the maintenance interval. Emotional congruence between word and face supported memory for angry but not for happy faces, suggesting that negative emotional information is preferentially sustained during WM maintenance. Our findings demonstrate that negative expressions exert sustained and beneficial effects on WM for faces that extend beyond encoding.