Epidemiologie psychischer Störungen

The discipline of epidemiology not only contributes to knowledge regarding the distribution and prevalence of mental disorders but also to a better understanding of their causes and consequences. This article focuses on the prevalence and disease burden. Epidemiological studies show that mental disorders are more common than previously thought and that they are associated with a particularly high societal burden. Costs of illness are higher in mental disorders compared to many widespread somatic conditions because of their high prevalence, chronic course, young age of first onset and the profile of disability. The extent of inability to work due to mental disorders is rising steadily although a general decline in absenteeism has been observed across other disease types. This raises the question of whether mental disorders have increased recently. Furthermore, the general need for treatment is discussed as well as the corresponding mental health care options. Finally, it has been found that, despite the quantitatively relatively well-developed health care system in Germany, there are still signs of a significant undertreatment in the field of psychotherapy.     

The effects of conversation on attention and peripheral detection: Is talking with a passenger and talking on the cell phone different?

In this study conversation with a remote person (hands-free phone), an in-vehicle person (passenger), and a no conversation (baseline) condition were compared on measures of attention and peripheral detection. We held conversation pace constant so that any difference found in attention or peripheral detection could be attributed to the distinctive feature of the type of conversation (remote, in-vehicle). The difficulty level of the verbal task was included as a second independent variable. Forty-eight undergraduate students participated in all conditions of a within-subjects design. The results revealed that conversation resulted in slower reactions and fewer correct responses on both attention and Peripheral Detection tasks compared to no conversation, while conversation type (remote/in-person) did not make a significant difference. Difficulty of the verbal task affected performance on the Peripheral Detection task but not on the attention task. These findings imply that conversation has a negative effect on attention and peripheral detection which are important components of driving. This effect may be greater with difficult conversations.     

Activation of Locations in Working Memory in Cats

Cats saw an object appear and disappear at two successive locations; the movement of the object from one location to the other was not perceived but was indicated by indirect cues and the two disappearances were separated by a 0-sec or a 20-sec interval. Performance was poorer with the 0-sec than with the 20-sec interval. With the 0-sec interval, the percentages of search attempts made at the object's initial and final hiding locations did not differ whereas with the 20-sec interval, more search attempts were made at the final than at the initial location. These results provide additional support to Goulet, Dore and Rousseau's (1994) interpretation of cats' search behaviour in terms of activation of spatial locations in working memory.     

Social skills and sex-role functioning in borderline personality disorder: relationship to self-mutilating behavior

This study compared the social skills functioning and sex role affiliation of female inpatients diagnosed with borderline personality disorder who engaged in self-mutilating behavior (n = 30) with female patients with borderline personality disorder who did not engage in such behavior (n = 18). Patients with borderline personality disorder who engaged in self-mutilating behavior were found to have relatively poorer skills in communicating non-verbal emotional information to others and in receiving and interpreting such information from others. In terms of sex role orientation, patients who engaged in self-mutilating behavior were significantly more likely than non-mutilators to be typed as undifferentiated using the Bem Sex Role Inventory. These participants were less likely to identify with either masculine or feminine sex roles. Patients who did not self-mutilate were found to be significantly more likely than those who did self-mutilate to identify with the masculine sex role.     

Examination stress as an ecological inducer of cortisol and psychological responses to stress in undergraduate students

The purpose of the present study was to investigate basic methodological issues related to the usage of an examination stress protocol in studies of psychoneuroendocrinology. In the present study, 57 undergraduate students served as participants. All subjects provided salivary samples and completed psychological inventories during a low examination stress period and again during a high examination stress period. Salivary samples were analyzed for cortisol. Three major findings were observed. First, the examination stress protocol proved to be an effective trigger of elevations in both psychological measures of stress and in cortisol levels. Second, sex differences were observed in cortisol levels, such that males showed an elevation in cortisol during the high examination stress session whereas females did not. Finally, no significant correlations were observed between elevations in psychological measures of stress and elevations in cortisol levels. These findings suggest that the examination stress protocol used in the present study effectively elevated both psychological stress and cortisol levels. Furthermore, these findings suggest that there are biological differences in how males and females respond to stress. Finally, no evidence was found to suggest a relationship between psychological and hormonal levels of stress. Together, these findings suggest the need to better define and consider the implications of both the specific measures of stress being used and individual differences in the subject samples in psychoendocrine studies.     

Assertiveness and Personality: Cross-Cultural Differences in Indian and Serbian Male Students

The present study investigates the differences in assertiveness and the ability to discriminate assertiveness from aggressive and defensive/passive behaviour and the relation among them across Indian and Serbian cultures, besides exploring the relationship between personality and assertiveness in both the cultures. Measures of assertiveness, scale of discrimination among assertive, aggressive and passive behaviour and Big-Five personality inventory were administered on Indian (N = 108) and Serbian (N = 116) engineering students. Results indicated significant difference in the assertive behaviour of Indian and Serbian samples apart from significant relationship between personality and assertiveness.     

Financial stress, attitudes toward money, and scores on a Dream Inventory

During stock market losses in 2009 and high unemployment, ratings on the KJP Dream Inventory were correlated with factors of the Money Attitude Scale and items on the Contemporary Financial Stress Inventory for 71 graduate students in Counseling Psychology and Education. Correlations were significant for Retention on the Money Attitude Scale with Dissociative Avoidance (-.31), Dreams of falling (.26), Risk-taking in dreams (.24), and Dreaming of being chased (.28). Also, ratings for the Money Attitude Scale of Distrust correlated with Discontentedness in dreams (.33) and Dreams of being chased (.26), Repetitive trauma (.33), Nightmares (.30), and Recurring nightmares (.35). Concern about retention in graduate school due to finances correlated with recalled frequencies of nightmares (.27) and dreams of flying (.25).     

Effects of spatial frequency content on classification of face gender and expression

The role of different spatial frequency bands on face gender and expression categorization was studied in three experiments. Accuracy and reaction time were measured for unfiltered, low-pass (cut-off frequency of 1 cycle/deg) and high-pass (cutoff frequency of 3 cycles/deg) filtered faces. Filtered and unfiltered faces were equated in root-mean-squared contrast. For low-pass filtered faces reaction times were higher than unfiltered and high-pass filtered faces in both categorization tasks. In the expression task, these results were obtained with expressive faces presented in isolation (Experiment 1) and also with neutral-expressive dynamic sequences where each expressive face was preceded by a briefly presented neutral version of the same face (Experiment 2). For high-pass filtered faces different effects were observed on gender and expression categorization. While both speed and accuracy of gender categorization were reduced comparing to unfiltered faces, the efficiency of expression classification remained similar. Finally, we found no differences between expressive and non expressive faces in the effects of spatial frequency filtering on gender categorization (Experiment 3). These results show a common role of information from the high spatial frequency band in the categorization of face gender and expression.     

Timing is everything: Anticipatory stress dynamics among cortisol and blood pressure reactivity and recovery in healthy adults

Psychological states of anticipation modulate biological stress responsivity. While researchers generally investigate how subjective distress corresponds to the magnitude of stress reactivity, physiological recovery after acute stressors must also be considered when investigating disease vulnerabilities. This study assessed whether anticipatory stress would correspond to stress reactivity and recovery of salivary cortisol and blood pressure levels in response to a well-validated psychosocial stressor. Thirty participants (63% female; mean?±?SEM age 45.4?±?2.12 years) were exposed to the Trier Social Stress Test (TSST) consisting of a public speech and mental arithmetic. Ten salivary cortisol samples and systolic and diastolic blood pressure recordings were collected at time points spanning 50?min before and up to 50?min after stress exposure. These data were transformed into parameters representing stress reactivity (area under the curve) and stress recovery (percent change). The Primary Appraisal Secondary Appraisal scale assessed anticipatory stress before exposure to the TSST. Our results revealed that increased anticipatory stress predicted increased stress reactivity for cortisol (p?=?0.009) but not blood pressure. For stress recovery, increased anticipatory stress predicted greater decrements of cortisol concentration (p?=?0.015) and blood pressure (p?=?0.039), even when controlling for total systemic "output" by incorporating baseline activity. This efficient shutdown of stress responses would have otherwise been ignored by solely investigating reactive increases. These findings underscore the importance of measuring multiple dynamic parameters such as recovery when investigating physiological stress response patterns as a function of psychosocial factors.     

Processing prefixes and suffixes in handwriting production

Previous research showed that handwriting production is mediated by linguistically oriented processing units such as syllables and graphemes. The goal of this study was to investigate whether French adults also activate another kind of unit that is more related to semantics than phonology, namely morphemes. Experiment 1 revealed that letter duration and inter-letter intervals were longer for suffixed words than for pseudo-suffixed words. These results suggest that the handwriting production system chunks the letter components of the root and suffix into morpheme-sized units. Experiment 2 compared the production of prefixed and pseudo-prefixed words. The results did not yield significant differences. This asymmetry between suffix and prefix processing has also been observed in other linguistic tasks. In suffixed words, the suffix would be processed on-line during the production of the root, in an analytic fashion. Prefixed words, in contrast, seem to be processed without decomposition, as pseudo-affixed words.