Retrospective coping strategies during sexual identity formation and current biopsychosocial stress

Background: Lesbian, gay men, and bisexual individuals (LGBs) often experience distress related to the recognition, self-acceptance, and disclosure of their sexual orientation. Objectives and Design: Retrospectively reported coping strategies enacted during sexual identity formation among LGBs were assessed in relation to current stress indices measured using environmental (frequency of perceived daily hassles), psychological (perceived distress), and biological (allostatic load [AL] levels representing physiological dysregulations) perspectives. Methods: Forty-six healthy LGBs between the ages of 18 and 45 (M = 23.91, SE = .80) participated. Questionnaires included the Ways of Coping Checklist adapted to disclosure milestones, Daily Hassles Inventory, and Perceived Stress Scale. AL was calculated using 21 biomarkers of neuroendocrine, immune, cardiovascular, and metabolic functioning. Results: Avoidance coping during sexual identity formation was positively associated with frequency of daily hassles (β = .598, p < .001), perceived stress (β = .361, p = .015), and AL (β = .405, p = .006). By contrast, seeking social support was negatively associated with perceived stress (β = –.598, p = .048). Conclusions: Emotion-focused coping strategies during LGB sexual identity development are associated with current indices of biopsychosocial stress.     

Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India

CONTEXT: Although premarital partnerships-whether or not they involve sex-are widely discouraged in India, some youth do form such partnerships. It is important to know more about the nature of and the factors associated with these relationships. METHODS: Data are drawn from a community-based study of 15-24-year-olds in urban slum and rural settings in Pune District, Maharashtra. Multivariate analyses were conducted to identify associations between youths' individual, peer and family factors and their experience of romantic relationships and physical intimacy, including intercourse. RESULTS: Among young men, 17-24% had had a romantic relationship, 20-26% had engaged in some form of physical intimacy and 16-18% had had sex; the proportions among young women were 5-8%, 4-6% and 1-2%, respectively. Exposure to alcohol, drugs or pornographic films and having more frequent interaction with peers were positively associated with romantic and sexual relationships for both young women and young men. Educational attainment was negatively associated with both types of relationships for young women, but only with sexual relationships for young men. Closeness to parents was negatively associated with relationships only for young women. Young women whose father beat their mother were more likely than other young women to form romantic partnerships, and those beaten by their family had an elevated risk of entering romantic and sexual partnerships. Youth who reported strict parental supervision were no less likely than others to enter relationships. CONCLUSIONS: Program interventions should ensure that youth are fully informed and equipped to make safe choices and negotiate wanted outcomes, while positively influencing their peer networks; encourage closer interaction between parents and children; and be tailored to the different circumstances and experiences of young women and men.     

Single‐Case Experimental Designs for the Evaluation of Treatments for Self‐Injurious and Suicidal Behaviors

Single‐case experimental designs (SCEDs) provide a time‐ and cost‐effective alternative to randomized clinical trials and offer significant advantages in terms of internal and external validity. A brief history and primer on SCEDs is provided, specifically for use in suicide intervention research. Various SCED methodologies, such as AB, ABAB, multiple baseline, and changing criterion designs, are described. Advantages and disadvantages of their use specifically for intervention research for suicidal and self‐injurious behaviors are detailed.     

Depressive symptoms, cortisol, and cognition during human aging: the role of negative aging perceptions

Depressive symptoms and memory impairments are associated with heightened stress hormone levels during aging. A factor that is related to memory deficits during aging is internalized negative aging stereotypes; the idea people have about the process of aging. In this study, we assessed the associations between internalized negative aging stereotypes, depressive symptoms, subjective and objective memory assessments, and cortisol concentration among older adults. Forty older adults aged between 58 and 85 years (18 females and 22 males; mean age?±?SD: 71.25?±?8.80 years) were assessed in this study. Measures of internalized negative aging stereotypes, depressive symptoms, and both subjective and objective memory performance were assessed. Salivary samples were obtained for measurement of cortisol concentration. Stepwise linear regressions were executed in our main analyses. Internalized negative aging stereotypes were associated with increased depressive symptoms and subjective memory complaints. No significant differences were observed for objective memory performance, or cortisol concentration. Internalized negative aging stereotypes are associated with increased depressive symptomatology and subjective complaints of memory; however, they do not predict increased cortisol concentration nor objective memory performance during aging. These results indicate that the mechanism underlying the association between internalized negative aging stereotypes and cognitive impairments may not be related to dysregulations of cortisol secretion among older adults.     

When Insurance Companies and Clinicians Pay Attention to Data,Everybody Wins: A Commentary on Koons,O’Rourke,Carter, and Erhardt (2013)

Insurance companies and clinicians may appear to be strange bedfellows, however, both have common objectives. This commentary describes how, using Koons, O’Rourke, Carter, and Erhardt (2013) as a model, CBT clinicians can learn to actively change the system to benefit both the providers and the clients. By doing so, we can increase the availability of evidence-based practices to a larger proportion of the population and not just individuals who can afford to pay out-of-network.     

Efficient <Emphasis Type="Italic">n</Emphasis>-gram analysis in R with <Literal>cmscu</Literal>

We present a new R package, cmscu, which implements a Count-Min-Sketch with conservative updating (Cormode and Muthukrishnan Journal of Algorithms, 55(1), 58–75, 2005), and its application to n-gram analyses (Goyal et al. 2012). By writing the core implementation in C++ and exposing it to R via Rcpp, we are able to provide a memory-efficient, high-throughput, and easy-to-use library. As a proof of concept, we implemented the computationally challenging (Heafield et al. 2013) modified Kneser–Ney n-gram smoothing algorithm using cmscu as the querying engine. We then explore information density measures (Jaeger Cognitive Psychology, 61(1), 23–62, 2010) from n-gram frequencies (for n=2,3) derived from a corpus of over 2.2 million reviews provided by a Yelp, Inc. dataset. We demonstrate that these text data are at a scale beyond the reach of other more common, more general-purpose libraries available through CRAN. Using the cmscu library and the smoothing implementation, we find a positive relationship between review information density and reader review ratings. We end by highlighting the important use of new efficient tools to explore behavioral phenomena in large, relatively noisy data sets.     

The aesthetic appeal of auditory-visual synaesthetic perceptions in people without synaesthesia

The term 'visual music' refers to works of art in which both hearing and vision are directly or indirectly stimulated. Our ability to create, perceive, and appreciate visual music is hypothesised to rely on the same multisensory processes that support auditory visual (AV) integration in other contexts. Whilst these mechanisms have been extensively studied, there has been little research on how these processes affect aesthetic judgments (of liking or preference). Studies of synaesthesia in which sound evokes vision and studies of cross-modal biases in non-synaesthetes have revealed non-arbitrary mappings between visual and auditory properties (eg high-pitch sounds being smaller and brighter). In three experiments, we presented members of the general population with animated AV clips derived from synaesthetic experiences and contrasted them with a number of control conditions. The control conditions consisted of the same clips rotated or with the colour changed, random AV pairings, or animated clips generated by non-synaesthetes. Synaesthetic AV animations were generally preferred over the control conditions. The results suggest that non-arbitrary AV mappings, present in the experiences of synaesthetes, can be readily appreciated by others and may underpin our tendency to engage with certain forms of art.     

Cognitive and affective predictors of treatment outcome in cognitive processing therapy and prolonged exposure for posttraumatic stress disorder

This study examined cognitive and affective predictors of treatment dropout and treatment efficacy in Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) for PTSD. Study participants were women with PTSD from a sexual assault who received at least one session of either treatment (n = 145) as part of a randomized clinical trial. Results revealed that younger age, lower intelligence, and less education were associated with higher treatment dropout, whereas higher depression and guilt at pretreatment were associated with greater improvement in PTSD symptomatology. Results by treatment condition indicated that women with higher anger at pretreatment were more likely to dropout of PE and that older women in PE and younger women in CPT had the best overall outcomes. These findings have implications for efforts to enhance treatment efficacy and retention in CBT treatment protocols.     

Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims

Many studies report that comorbid borderline personality pathology is associated with poorer outcomes in the treatment of Axis I disorders. Given the high rates of comorbidity between borderline personality pathology and posttraumatic stress disorder (PTSD), it is essential to determine whether borderline symptomatology affects PTSD treatment outcome. This study examined the effects of borderline personality characteristics (BPC) on 131 female rape victims receiving cognitive-behavioral treatment for PTSD. Higher BPC scores were associated with greater pretreatment PTSD severity; however, individuals with higher levels of BPC were just as likely to complete treatment and also as likely to show significant treatment response on several outcome measures. There were no significant interactions between type of treatment and BPC on the outcome variables. Findings suggest that women with borderline pathology may be able to benefit significantly from cognitive-behavioral treatment for PTSD.