Depression is not an inevitable outcome of disclosure avoidance: HIV stigma and mental health in a cohort of HIV-infected individuals from Southern India

Previous research has shown that HIV stigma in India can be characterized by a framework dividing manifestations into enacted (discrimination), vicarious (hearing stories of discrimination), felt normative (perceptions of stigma's prevalence), and internalized stigma (personal endorsement of stigma beliefs). We examined whether this framework could explain associations among stigma, efforts to avoid HIV serostatus disclosure, and depression symptoms in a cohort of 198 HIV-infected individuals from Southern India who were followed up for one year as part of a study of antiretroviral adherence. Prior studies had suggested that disclosure avoidance was a primary outcome of stigma and that impaired well-being was a primary outcome of disclosure avoidance. Analyses from our longitudinal research revealed that the pattern of associations among stigma, disclosure avoidance, and depression symptoms remained consistent over time. Enacted and vicarious stigmas were correlated with felt normative stigma beliefs. In turn, felt normative stigma was correlated with disclosure avoidance. And, enacted stigma, internalized stigma, and disclosure avoidance were all associated with depression symptoms. However, even though the overall framework held together, internalized stigma and depression symptoms dropped significantly over time while other components remained unchanged. These findings suggest that, although HIV stigma may limit disclosure, it does not invariably lead to psychological maladjustment. Amidst ongoing perceptions and experiences of stigma, HIV-positive individuals can achieve significant improvements in their acceptance of the disease and in mental well-being.     

Association Between Insomnia and Quality of Life: An Exploratory Study Among Software Engineers

Insomnia is a major public health challenge. Due to its high prevalence and impact on health in recent years it has attracted attention of health care providers. The concept of quality of life (QOL) has gained importance as an outcome measure in sleep disturbed people. This study aims to determine the prevalence of insomnia among software engineers as the job related stress is considered very high. Ninety-one software engineers aged between 21 and 45 from a software developing company in Mysore formed the study population. Insomnia Screening Questionnaire and SF 36 Health Survey Questionnaire were used to elicit information about sleep quality and quality of life respectively. Sleep status among the subjects was as follows: 20.9% severe insomnia, 35.2% mild insomnia and 43.9% normal sleeper. Mean scores for SF 36 and those for physical and mental health were considerably lower among severe insomniacs. Software engineers run at the risk of developing insomnia, those with severe insomnia had poor QOL in comparison with the others. Quality of sleep among software engineers needs special attention since they are prone to develop sleep disturbances.     

On authenticity: the question of truth in construction and autobiography

Freud was occupied with the question of truth and its verification throughout his work. He looked to archaeology for an evidence model to support his ideas on reconstruction. He also referred to literature regarding truth in reconstruction, where he saw shifts between historical fact and invention, and detected such swings in his own case histories. In his late work Freud pondered over the impossibility of truth in reconstruction by juxtaposing truth with ‘probability’. Developments on the role of fantasy and myth in reconstruction and contemporary debates over objectivity have increasingly highlighted the question of ‘truth’ in psychoanalysis. I will argue that ‘authenticity’ is a helpful concept in furthering the discussion over truth in reconstruction. Authenticity denotes that which is genuine, trustworthy and emotionally accurate in a reconstruction, as observed within the immediacy of the analyst/patient interaction. As authenticity signifies genuineness in a contemporary context its origins are verifiable through the analyst’s own observations of the analytic process itself. Therefore, authenticity is about the likelihood and approximation of historical truth rather than its certainty. In that respect it links with Freud’s musings over ‘probability’. Developments on writing ‘truths’ in autobiography mirror those in reconstruction, and lend corroborative support from another source.     

Can I trust you? Negative affective priming influences social judgments in schizophrenia

Successful social interactions rely on the ability to make accurate judgments based on social cues as well as the ability to control the influence of internal or external affective information on those judgments. Prior research suggests that individuals with schizophrenia misinterpret social stimuli and this misinterpretation contributes to impaired social functioning. We tested the hypothesis that for people with schizophrenia, social judgments are abnormally influenced by affective information. Twenty-three patients with schizophrenia and 35 healthy control participants rated the trustworthiness of faces following the presentation of neutral, negative (threat-related), or positive affective primes. Results showed that all participants rated faces following negative affective primes as less trustworthy than faces following neutral or positive primes. Importantly, this effect was significantly more pronounced for participants with schizophrenia, suggesting that schizophrenia may be characterized by an exaggerated influence of negative affective information on social judgment. Furthermore, the extent that the negative affective prime influenced trustworthiness judgments was significantly associated with patients' severity of positive symptoms, particularly feelings of persecution. These findings suggest that for people with schizophrenia, negative affective information contributes to an interpretive bias, consistent with paranoid ideation, when judging the trustworthiness of others. This bias may contribute to social impairments in schizophrenia.     

Attachment and mental and physical health: self-compassion and mattering as mediators

Research shows a strong link between adult attachment and mental and physical health, but little is known about the mechanisms that underlie these relationships. The present study examined self-compassion and mattering, two constructs from positive psychology literature, as potential mediators. Using survey data from a sample of 208 college students, relationships among attachment, self-compassion, mattering, and functional health were explored. Correlational analyses indicated that attachment anxiety and avoidance were strongly related to the mental health component of functional health. Mediation analyses indicated that mattering and self-compassion mediated the relationships between attachment orientation (i.e., levels of avoidance and anxiety) and mental health. These findings suggest that individuals' abilities to be kind toward themselves and their sense of belonging and being important to others are pathways through which attachment orientation relates to mental health.     

Development and Preliminary Evaluation of the Bedtime Routines Questionnaire

In the past, child bedtime routines have been examined through observation or sleep diaries. These methods are often expensive and hinder study comparisons due to lack of consistent operational definitions of routines. This article describes the development and psychometric evaluation of the Bedtime Routines Questionnaire (BRQ), a 31-item paper-and-pencil, parent-report measure of children’s bedtime routines. The BRQ and related measures were completed by 226 caregivers of children ages 2 to 8. The BRQ demonstrated a solid factor structure, adequate internal consistency, and fair validity coefficients. Overall, promising results for the BRQ are reported.     

Emotion Regulation and Attachment: Unpacking Two Constructs and Their Association

This study examined the association between the security of attachment and processes influencing the development of emotion regulation in young children. A sample of 73 4 1/2-year-olds and their mothers were observed in an emotion regulation probe involving mild frustration for children, and mothers and children were later independently interviewed about how the child had felt. Fewer than half the mothers agreed with children’s self-reports in the emotion they attributed to children (a lower rate than the concordance of observer ratings with children’s self-reports), and higher mother-child concordance was associated with secure attachment and mother’s beliefs about the importance of attending to and accepting their own emotions. Mother-child conversations about recent events evoking children’s negative emotion were also analyzed. Children were less likely to avoid conversing about negative feelings when they were in secure attachments and when mothers were more validating of the child’s perspective. Children’s greater understanding of negative emotions was also significantly associated with higher mother-child concordance and less child conversational avoidance. Taken together, these findings underscore the multiple influences of attachment on emotion regulation and the importance of children’s emotion understanding to these processes.     

Adolescent Psychopathy and the Five Factor Model: Domain and Facet Analysis

Given the consideration of callousness as a specifier for Conduct Disorder in the DSM-V, it seems imperative that researchers continue to investigate this personality style in adolescents to determine both its applicability and utility. The present study examined the Youth Psychopathic traits Inventory (YPI; Andershed et al. 2002) and the Interpersonal Adjective Scale Revised-Big 5 (IASR-B5; Trapnell and Wiggins 1990a, b) psychopathy scales in relation to the Five Factor Model (FFM) of personality. Using a sample of adolescent offenders (N = 145), the YPI and IASR-B5 psychopathy scales showed adequate reliability and strong inverse bivariate relations with the FFM domains of Agreeableness (−A) and Conscientiousness (−C). Multivariate analyses, at the facet level, revealed that Tendermindedness (−A) and Assertiveness (+E) explained the association between FFM facets and the YPI, whereas Altruism (−A), Modesty (−A), Straightforwardness (−A), Assertiveness (+E), Warmth (−E), and Deliberation (+C) all uniquely contributed to the IASR-B5 psychopathy scale. Both measures were linked with general and violent recidivism. The authors discuss the implications of these findings in terms of the use of personality to help describe conduct problem youth and the need for future research in this important area.     

Skulking around the dinosaur: Eliciting cues to children's deception via strategic disclosure of evidence

Research has shown that cues to deception are more salient as an effect of strategic use of evidence (SUE) during interviews. This study examined the feasibility of the SUE‐technique for eliciting cues to children's deception. Experiment 1 investigated verbal cues to deception as a function of early vs. late disclosure of evidence. Eighty‐four children (12–14 years) either guilty or innocent of a mock crime were interviewed. As predicted, deceptive statements were significantly more inconsistent with the evidence than truthful statements, and this was more pronounced as a function of late compared to early disclosure of evidence. In Experiment 2, adult observers (N = 168) made veracity assessments of the videotaped statements. Observers in the late disclosure condition achieved an accuracy rate higher than chance (63.1%), whereas accuracy rates in the early disclosure condition were at chance level (56%). Accuracy rates were significantly higher for truthful (70.2%), than deceptive statements (48.8%). Copyright © 2009 John Wiley & Sons, Ltd.     

In‐court versus out‐of‐court testimonies: Children's experiences and adults' assessments

The study examined the effects of different presentation modes on child witnesses' experiences and adults' perception and assessments of the same witnesses. Child witnesses (N = 108) were interviewed about an event that they had either experienced or imagined. Adult mock jurors (N = 240) watched the children's testimonies live, via two‐way closed‐circuit television (CCTV), or via a pre‐recorded video. The results showed that the live observers perceived the children in more positive terms than did the two‐way CCTV observers, who in turn perceived the children in more positive terms than did the video observers. Briefly, it seems as the more proximal the presentation mode, the more positive the observers' perception. Somewhat in contrast to these results, a significantly smaller proportion of the children who testified on video stated that they were nervous, compared to the children who testified live or via two‐way CCTV. Copyright © 2009 John Wiley & Sons, Ltd.