The Relationship Between a Hierarchical Transdiagnostic Model of Vulnerability Factors and Posttraumatic Stress Disorder Symptom Clusters

The latent structure of Post-Traumatic Stress Disorder (PTSD) symptomology is the subject of ongoing deliberation. The cognitive vulnerabilities of Negative Affect, Anxiety Sensitivity and Intolerance of Uncertainty have been shown to explain symptoms clusters in multiple anxiety and mood disorders, and may be able to offer further insight to explain PTSD symptomology. Using structural equation modelling, this study examines whether a hierarchical model consisting of the general cognitive factor of Negative Affect and the transdiagnostic risk factors of Anxiety Sensitivity and Intolerance of Uncertainty can explain variability among PTSD symptom clusters as defined by the DSM-5 and/or Dysphoria models of PTSD. Anxiety Sensitivity and Intolerance of Uncertainty were tested as mid-level factors between Negative Affect and the PTSD symptom constructs. The hierarchical model fit the data well in both the DSM-5 and Dysphoria models. Negative Affect consistently showed significant direct effects on each symptoms cluster in both models. Anxiety Sensitivity served as a significant mediator of Negative Affect for several symptom clusters in both models. Intolerance of Uncertainty was non-significant either as a direct effect or as a mediator of Negative Affect in all analyses. This study demonstrates how the hierarchical model of Negative Affect, Anxiety Sensitivity and Intolerance of Uncertainty may fit upon multiple PTSD symptom constructs and offers new directions for conceptualizing this disorder.

     

Utilization of Hospital-Based Chaplain Services Among Newly Diagnosed Male Veterans Affairs Colorectal Cancer Patients

The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 % response rate). Multivariable logistic regression examined factors associated with chaplain utilization. Of 918 male respondents, 36 % reported utilizing chaplains. Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1.017; 95 % CI = 0.999–1.035), younger age (age OR = 0.979; 95 % CI = 0.964–0.996), and later cancer stage (early stage OR = 0.743; 95 % CI = 0.559–0.985). Chaplain services are most utilized by younger, sicker patients.     

Approaches to religiosity related to anxiety among college students

To date, the literature on religiosity and anxiety has yielded mixed results. Available results suggest that constellations of religious attitudes, commitment and denominational subcultures have diverse relationships with types of anxiety. A sample of college students from a predominantly conservative Christian area responded to the Prayer Functions Scale, the Religious Commitment Inventory, the Scriptural Literalism Scale, the Fowler Religious Attitudes Scale, the Anxiety Control Questionnaire and the State-Trait Anxiety Inventory. A principal components analysis suggests that a constellation of religious variables—which involves religious commitment; aspects of one's prayer life, and relating to others in the religious reference group—has a significant negative relationship with trait anxiety. Although further confirmatory studies are necessary, at this point available data suggest that a committed, related approach to religiosity may be associated with lower levels of general anxiety.     

How do world-class cricket batsmen anticipate a bowler's intention?

Four experiments are reported that examine the ability of cricket batsmen of different skill levels to pick up advance information to anticipate the type and length of balls bowled by swing and spin bowlers. The information available upon which to make the predictive judgements was manipulated through a combination of temporal occlusion of the display and selective occlusion or presentation of putative anticipatory cues. In addition to a capability to pick up advance information from the same cues used by intermediate and low-skilled players, highly skilled players demonstrated the additional, unique capability to pick up advance information from some specific early cues (especially bowling hand and arm cues) to which the less skilled players were not attuned. The acquisition of expert perceptual-motor skill appears to involve not only refinement of information extraction but also progression to the use of earlier, kinematically relevant sources of information.     

Do emotions have distinct vocal profiles? A study of idiographic patterns of expression

Research on vocal expressions of emotion indicates that persons can identify emotions from voice with relatively high accuracy rates. In addition, fairly consistent vocal profiles for specific emotions have been identified. However, important methodological issues remain to be addressed. In this paper, we address the issue of whether there are individual differences in the manner in which particular emotions may be expressed vocally and whether trained speakers’ portrayals of emotion are in some sense superior to untrained speakers’ portrayals. Consistent support was found for differences across speakers in the manner in which they expressed the same emotions. No accompanying relationship was found between differences in expression and accuracy of identification of those expressions. Little evidence for the superiority of trained speakers was found. Implications of these findings for future studies of vocal expressions of emotion, as well as our understanding of emotions in general, are discussed.     

Some watchers of the skies

Alien Zone: Cultural Theory and Contemporary Science Fiction Cinema, edited by Annette Kuhn, London: Verso, 1990, 231 pages, pb £11.95     

Investigation of Perceptual-Motor Behavior Across the Expert Athlete to Disabled Patient Skill Continuum can Advance Theory and Practical Application

A framework is presented of how theoretical predictions can be tested across the expert athlete to disabled patient skill continuum. Common-coding theory is used as the exemplar to discuss sensory and motor system contributions to perceptual-motor behavior. Behavioral and neural studies investigating expert athletes and patients recovering from cerebral stroke are reviewed. They provide evidence of bi-directional contributions of visual and motor systems to perceptual-motor behavior. Majority of this research is focused on perceptual-motor performance or learning, with less on transfer. The field is ripe for research designed to test theoretical predictions across the expert athlete to disabled patient skill continuum. Our view has implications for theory and practice in sports science, physical education, and rehabilitation.     

Psychometric Properties of the Beck Depression Inventory–II in Low-Income,African American Suicide Attempters

The construct of perfectionistic cognitions is defined as a state-like construct resulting from a perfectionistic self-schema and activated by specific situational demands. Only a few studies have investigated whether and how perfectionistic cognitions change across different situations and whether they reflect stable between-person differences or also within-person variations over time. We conducted 2 studies to investigate the variability and stability of 3 dimensions of perfectionistic cognitions while situational demands changed (Study 1) and on a daily level during a highly demanding period of time (Study 2). The results of both studies revealed that stable between-person differences accounted for the largest proportion of variance in the dimensions of perfectionistic cognitions and that these differences were validly associated with between-person differences in affect. The frequency of perfectionistic cognitions increased during students' first semester at university, and these average within-person changes were different for the 3 dimensions of perfectionistic cognitions (Study 1). In addition, there were between-person differences in the within-person changes that were validly associated with concurrent changes in closely related constructs (unpleasant mood and tense arousal). Within-person variations in perfectionistic cognitions were also validly associated with variations in unpleasant mood and tense arousal from day to day (Study 2).     

Family Matters: The Role of Mental Health Stigma and Social Support on Depressive Symptoms and Subsequent Help Seeking Among African American Boys

African American adolescent boys underutilize mental health service due to stigma associated with depression. Gaining an increased understanding of how depressed, African American adolescent boys perceive their mental health needs and engage in help-seeking behaviors might play an essential role in efforts to improve their symptoms and access to care. Using a mixed-methods design, this study examined the influence of mental health stigma and social support on depressive symptoms among African American adolescent boys. Findings indicated the protective effects of social support in decreasing depressive symptoms, especially when participants experienced mental health stigma. Results also revealed the pivotal role of family social support over both professional and peer support for participants who struggled with depressive symptoms. The primacy of family support among the sample, combined with the frequent distrust of professionals and peer networks, would indicate that working with families may improve initial identification of depression among African American adolescent boys and decrease their barriers to care.