Trauma Exposure in Anxious Primary Care Patients

The present study examined rates of trauma exposure, clinical characteristics associated with trauma exposure, and the effect of trauma exposure on treatment outcome in a large sample of primary care patients without posttraumatic stress disorder (PTSD). Individuals without PTSD (N?=?1,263) treated as part of the CALM program (Roy-Byrne et al., Journal of the American Medical Association 303(19)1921–1928, 2010) were assessed for presence of trauma exposure. Those with and without trauma exposure were compared on baseline demographic and diagnostic information, symptom severity, and responder status six months after beginning treatment. Trauma-exposed individuals (N?=?662, 53 %) were more likely to meet diagnostic criteria for Obsessive Compulsive Disorder and had higher levels of somatic symptoms at baseline. Individuals with and without trauma exposure did not differ significantly on severity of anxiety, depression, or mental health functioning at baseline. Trauma exposure did not significantly impact treatment response. Findings suggest that adverse effects of trauma exposure in those without PTSD may include OCD and somatic anxiety symptoms. Treatment did not appear to be adversely impacted by trauma exposure. Thus, although trauma exposure is prevalent in primary care samples, results suggest that treatment of the presenting anxiety disorder is effective irrespective of trauma history.     

Structure and organization of research efforts following the bombing of the murrah building

Abstract

In the days and weeks following the Oklahoma City bombing on April 19,1995, Oklahoma state authorities, university faculty and staff, and leading experts from across the nation formed a coalition to address issues of clinical service delivery, educational intervention, and research. This article focuses on the centralized approach applied to the administration of research endeavors. This centralization was designed to minimize revictimization of both survivors and affected families, enhance the quality of data collected, and facilitate cooperation between participating investigators. The resultant set of projects includes a variety of research methodologies and study populations and will serve to significantly enhance understanding of the mental health sequelae of such disasters.     

Confirmatory and Exploratory Factor Analyses of Parental Authority Questionnaire in Urban India

The present study examined the factor structure of a widely used measure of parenting style in three samples from Northwestern India. College Students (n = 195) completed Parental Authority Questionnaire (PAQ; Buri in J Pers Assess 57:110–119, 1991), and mothers of children attending high-school (n = 275), and middle-school (n = 145) completed its parent-report version Parental Authority Questionnaire-Revised (PAQ-R; Reitman et al. in J Psychopathol Behav Assess 24:119–127, 2002). Preliminary findings revealed that across three samples Cronbach’s alpha values ranged from poor to acceptable, with permissive parenting subscale of the PAQ/PAQ-R having the lowest value, whereas the authoritarian parenting had the highest value. Confirmatory factor analysis revealed that none of the models achieved satisfactory fit (i.e., CFI > .90). Exploratory factor analysis revealed that a two factor structure (with first component consisting of authoritative and permissive items, and the second component consisting of authoritarian items) rendered Cronbach’s alpha in the acceptable range. Only PAQ/PAQ-R authoritarian scale was correlated with youth adjustment problems across all three samples, while findings concerning authoritative and permissive scales were mixed. The findings suggest that only PAQ/PAQ-R authoritarian scale is reliable and valid in urban, middle-class, educated families in India, and encourage researchers to develop culturally relevant measures of parenting for this population.     

Tailoring Cognitive Behavioral Treatment for Binge Eating in Adolescent Girls

Whereas effective treatments exist for adults with recurrent binge eating, developmental factors specific to adolescents point to the need for a modified treatment approach for youth. We adapted an existing cognitive behavioral therapy treatment manual for adults with bulimia nervosa and binge eating disorder (Fairburn, 2008) for use with adolescents. This paper presents a number of clinical case vignettes, drawn directly from interactions with teen participants, that illustrate some of the developmental factors common to adolescents—as well as the importance of our adaptations to address for these factors.     

Stroop Interference,Practice, and Aging

We report two experiments that investigate practice effects on Stroop color-word interference in older and younger adults. Both experiments employed a computerized, single-item version of the Stroop task with a voice response, and both involved practice over hundreds of trials. Both experiments showed generally similar practice patterns, including a practice-related reduction in the size of the color-word interference effect. However, the older group continued to show a larger interference effect throughout practice. These findings indicate that older adults show the same trend in practice-related improvement on the Stroop task as younger adults.     

Body size dissatisfaction and avoidance behavior: How gender,age, ethnicity,and relative clothing size predict what some won’t try

Sixty-eight percent of U.S. adults are overweight/obese, and this epidemic has physical, psychosocial, and behavioral consequences. An internet sample of adults (N = 2997) perceiving themselves as larger than ideal in clothing size reported their body mass index (BMI), relative clothing size (RS; discrepancy between current and ideal size), and avoidance behaviors. Exploratory factor analysis of 10 avoidance items produced social avoidance and body display avoidance factors. A relative importance analysis revealed RS as a better predictor than BMI for avoidance. A hierarchical multivariate analysis of covariance found RS to predict both avoidance constructs. The relationship between RS and both avoidance constructs was stronger for women than men, and for younger as compared to older participants. Caucasians reported more body display avoidance than African Americans. This suggests that personal dissatisfaction with body size may deter involvement in varied life events and that women are especially avoidant of activities that entail displaying their bodies.     

The influence of parafoveal typographical errors on eye movements in reading

Three experiments are reported, examining the effects of a typographical error in parafoveal vision on aspects of foveal inspection time and saccade targeting. All the experiments involved reading for comprehension. A contingent presentation procedure ensured that typographical errors were restored to their correct form before they were viewed in foveal vision: They were never available for foveal processing. In Experiment 1, the error was formed by replacing the first letter of the target word with a second occurrence of its second letter, producing an illegal nonword. This manipulation had no significant effect on foveal inspection time, but lowered the probability that a short word (“de” or “du”) prior to the target would be skipped. In Experiment 2 the familiarity of the target's initial letters was maintained constant across conditions. This manipulation removed the target 1 skipping effect, suggesting that the outcome of Experiment 1 was due to orthographic rather than lexical illegality, but revealed shorter foveal inspection times as a function of the presence of the error. Experiment 3 manipulated lexical and sublexical properties of the parafoveal typing error. Properties of the parafoveal error again influenced prior foveal inspection times. The pattern of results suggested that the determining properties were sublexical rather than lexical. The results as a whole are incompatible with a view of information processing in reading in which foveal processing remains immune from concurrent parafoveal influences.     

Eliciting salient beliefs in research on the theory of planned behaviour: The effect of question wording

The authors of the theory of reasoned action (TRA) and its extension, the theory of planned behaviour (TPB) recommend that researchers who use these theories to investigate the determinants of a given behaviour should first conduct an elicitation study to identify the modal salient beliefs in the target population. In spite of the importance accorded to salient beliefs by the TRA/TPB, the elicitation stage has received little research attention. This paper reports a detailed analysis of beliefs about “being more physically active in the next 12 months.” A general population sample of 213 adults completed a questionnaire while attending a research centre for a series of tests. The findings showed that the beliefs that were elicited by questions designed to prompt affective outcomes (like or enjoy, dislike or hate) differed systematically from those that were elicited by the traditional questions designed to prompt instrumental out-comes (advantages and disadvantages). Whether this resulted in different final sets of modal salient beliefs was found to depend on the particular decision rule that was employed. An alternative decision rule is proposed, based on maximizing the degree of overlap between the modal set and the full set of salient beliefs generated by the sample. The index of overlap can be used to gauge the adequacy of using a modal set of a given size to represent the salient beliefs of the whole sample. In the current dataset, the optimal modal set for “advantages and disadvantages” was associated with only 26 percent overlap with the salient beliefs of the whole sample, which was judged to be insufficient. In such cases, a better strategy may be to ask participants to generate and rate their own beliefs.     

Psychological Well-Being in a Sample of Male and Female Office Workers

This questionnaire study used a model of mental health proposed by Warr (1987, 1993) to examine how 8 aspects of the work situation (principal environmental influences, PEIs) were associated with psychological well-being, measured on several dimensions. It is hypothesized that the importance of different PEIs for well-being will be influenced by gender, particularly the relationship between control and work-related mental health. The results of multiple regression analysis indicated similarities and differences in the association of PEIs with well-being in males and females. In the male sample, control at work was significantly associated with all dimensions of work-related mental health; but in the female sample, it was not associated with any dimension of mental health. The influence of gender is discussed.