Do traumatic events influence the clinical expression of compulsive hoarding?

Traumatic experiences have been posited as one potential catalyst for the abrupt onset of obsessive-compulsive symptoms including compulsive hoarding. To determine whether traumatic life events (TLEs) might influence the expression of compulsive hoarding in obsessive-compulsive disorder (OCD), interview responses to the Posttraumatic Stress Disorder module of the Structured Clinical Interview for DSM-IV (SCID) were examined in 180 individuals with OCD. Compared to individuals with OCD who did not meet criteria for hoarding, participants classified as hoarders (24% of the sample) were significantly more likely to have reported at least one TLE in their lifetime. Patients who met criteria for hoarding and who had also experienced TLEs had significantly greater hoarding symptom severity than those hoarders not exposed to trauma. This association was found to be robust. That is, the relationship between TLEs and hoarding symptom severity was not better accounted for by age, age of OCD onset, depressive symptoms, general OCD symptomatology, or mood and anxiety comorbidity. Closer examination revealed that the clutter factor of compulsive hoarding (and not difficulty discarding or acquisitioning) was most strongly associated with having experienced a traumatic event.     

An investigation of traumatic life events and obsessive-compulsive disorder

Obsessive-compulsive disorder (OCD), like most other psychiatric disorders, is suspected of being influenced by an interaction between life events and genes, both with regard to onset and course of illness. To date, no specific genes have been identified as playing a frequent role, and only a relatively few empirical studies have assessed the association between stressful life events (SLEs) and OCD. The present study builds on past research by examining the potential contributions from traumatic life events (TLEs) on the severity and symptom features in 265 individuals with Structured Clinical Interview for DSM-IV (SCID)-diagnosed OCD. Of these participants 54% endorsed having experienced at least one TLE in their life time. The presence of one or more TLEs was associated with increased OCD symptom severity. This relationship remained significant despite controlling for key variables including age, OCD age-of-onset, comorbidity, and depressive symptoms. In addition, obsessions/checking and symmetry/ordering were two of four symptom factors that were specifically associated with the occurrence of TLEs. These results are generally supportive of a pathoplastic relationship between TLEs and OCD symptomatology and thus suggest the need for greater systematic consideration of life stresses in research focused on the nature and treatment of OCD.     

Updating meta-analytic research findings: Bayesian approaches versus the medical model

The authors examine 3 methods of combining new studies into existing meta-analyses: (a) adding the new study or studies to the database and recalculating the meta-analysis (the medical model); (b) using the Bayesian procedure advocated by F. L. Schmidt and J. E. Hunter (1977) and F. L. Schmidt, J. E. Hunter, K. Pearlman, and G. S. Shane (1979) to update the meta-analysis; and (c) using the Bayesian methods advocated by these authors and M. T. Brannick (2001) and M. T. Brannick, S. M. Hall, and Y. Liu (2002) to estimate study-specific parameters. Method b was found to severely overweight new studies relative to the previous studies contained in the meta-analysis, and Method c was found to do the same while also requiring an assumption with a low prior probability of being correct, causing the method to violate Bayesian principles. The authors present an alternative Bayesian procedure that does not suffer from these drawbacks and yields meta-analytic results very similar to those obtained with the medical model. They recommend use of the medical model or this alternative Bayesian procedure.     

Visual tracking and entrainment to an environmental rhythm

This study investigated the role that visual tracking plays in coupling rhythmic limb movements to an environmental rhythm. Two experiments were conducted in which participants swung a hand-held pendulum while tracking an oscillating stimulus or while keeping their eyes fixed on a stationary location directly above an oscillating stimulus. It was expected that the participants' rhythmic movements would become entrained to the oscillating stimulus in both conditions but that visual tracking would strengthen this entrainment. Experiment 1 investigated the role of visual tracking in establishing unintentional entrainment. Experiment 2 investigated the role of visual tracking in intentional entrainment. As predicted, participants exhibited greater unintentional coordination and more stable intentional coordination when they tracked the stimulus. These findings highlight the importance of understanding the role of eye movements in environmental coordination.     

Rocking together: dynamics of intentional and unintentional interpersonal coordination

The current study investigated the interpersonal coordination that occurred between two people when sitting side-by-side in rocking chairs. In two experiments participant pairs rocked in chairs that had the same or different natural periods. By instructing pairs to coordinate their movements inphase or antiphase, Experiment 1 investigated whether the stable patterns of intentional interpersonal coordination were consistent with the dynamics of within person interlimb coordination. By instructing the participants to rock at their own preferred tempo, Experiment 2 investigated whether the rocking chair movements of visually coupled individuals would become unintentionally coordinated. The degree to which the participants fixated on the movements of their co-actor was also manipulated to examine whether visual focus modulates the strength of interpersonal coordination. As expected, the patterns of coordination observed in both experiments demonstrated that the intentional and unintentional interpersonal coordination of rocking chair movements is constrained by the self-organizing dynamics of a coupled oscillator system. The results of the visual focus manipulations indicate that the stability of a visual interpersonal coupling is mediated by attention and the degree to which an individual is able to detect information about a co-actor's movements.     

Contingency learning without awareness: evidence for implicit control

The results of four experiments provide evidence for controlled processing in the absence of awareness. Participants identified the colour of a neutral distracter word. Each of four words (e.g., MOVE) was presented in one of the four colours 75% of the time (Experiments 1 and 4) or 50% of the time (Experiments 2 and 3). Colour identification was faster when the words appeared in the colour they were most often presented in relative to when they appeared in another colour, even for participants who were subjectively unaware of any contingencies between the words and the colours. An analysis of sequence effects showed that participants who were unaware of the relation between distracter words and colours nonetheless controlled the impact of the word on performance depending on the nature of the previous trial. A block analysis of contingency-unaware participants revealed that contingencies were learned rapidly in the first block of trials. Experiment 3 showed that the contingency effect does not depend on the level of awareness, thus ruling out explicit strategy accounts. Finally, Experiment 4 showed that the contingency effect results from behavioural control and not from semantic association or stimulus familiarity. These results thus provide evidence for implicit control.     

An Examination of Individual Differences and Factor Structure on the LS/CMI: Does This Popular Risk Assessment Tool Measure Up?

The Level of Service/Case Management Index (LS/CMI) is the most commonly used case management tool among frontline criminal justice officials. However, the newest revision has been understudied. Literature suggests significant differences on Level of Service Inventory (LSI) and LSI–Revised subcomponents and total scores among various offender populations. Such differences, along with an overall lack of psychometric information, have significant implications for the use of this instrument. The current study examined the records of 200 consecutively supervised probationers for demographic information, criminal history, most recent crimes, mental health issues, substance use and abuse, and their LS/CMI scores for both offender group differences and factor structure.     

The Differential Role of Anxiety Sensitivity and its Components in the Relation between Emotional Nonacceptance and Anxiety and Depressive Symptoms and Disorders among Latinos in Primary Care

The present investigation examined anxiety sensitivity (AS) in the relation between emotional nonacceptance (unwillingness to experience unwanted emotions) and mood and anxiety symptoms among Latinos seeking health services at a primary healthcare facility. Participants included 267 adult Latinos (85.4% female; Mage = 38.8 years, SD = 10.7, and 95.9% used Spanish as their first language). Results indicated that emotional nonacceptance was indirectly related to number of mood and anxiety disorders, anxious arousal, social anxiety, and depressive symptoms through AS. The observed effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and negative affectivity. Using a multiple mediation model revealed that the AS cognitive, physical, and social concerns demonstrated unique incremental explanatory effects (above and beyond the other two AS sub-scales) for depressive, anxious arousal, and social anxiety symptoms, respectively. Thus, specific sub-scales of AS were uniquely related with the expression of particular affective symptom domains. Overall, the present findings suggest that there is merit in focusing further scientific attention on the interplay between nonacceptance and AS in regard to better understanding and intervening to reduce anxiety/depressive vulnerability among Latinos in primary care.     

Stroop interference and development: Influence of expectation on color-naming response times

Introduction/objective

In a sample of 171 participants aged 6 to 18, the present investigation assessed the changes in the size of the Stroop effect with age, and its relationship with the development of expectancies.

Identity matching to sample and exclusion performance in elderly with and without neurocognitive disorders

Neurocognitive disorders (NCDs) affect complex processes of stimulus control, such as relational performance. The aims of this study were (a) to compare the performance of older adults with NCD with that of control older adults in generalized identity matching (GI) tests and in responding by exclusion probes and (b) to verify the effect of identity matching training on subsequent GI and exclusion tests, in older adults with NCD. Participants were 24 older adults (aged 60 to 92 years), eight without NCD (control group I [CG I]), and 16 with NCD: CG II, with accurate performance in the GI tests and the experimental group (EG), with low performance in these tests. After exclusion and GI tests with all participants, the EG underwent identity matching training with 3 pairs of visual stimuli, and exclusion and identity matching posttests. All participants of the CG I and CG II presented accurate performance in the tests. Seven of the 8 older adults of the EG achieved the learning criterion in the training and showed some improvement in the GI posttest; however, positive effects of the training were not observed in the exclusion posttests. Teaching procedures for identity matching in older adult patients with NCD can produce positive results; however, it is necessary to understand the relationship between cognitive decline and other relational performances.