Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications for DSM–5

In order to investigate the state-trait anxiety distinction in emotionally disturbed and normal children, the responses of 120 emotionally disturbed children and 126 normal children to the State-Trait Anxiety Inventory for Children (Spielberger, 1973) were factor analyzed separately. For the emotionally disturbed group two A-State and two A-Trait factors were found with the A-State factors accounting for significantly more of the variance than did A-Trait factors. For the normal group four A-State and two A-Trait factors were found, but there was not a significant difference between the amount of variance accounted for by A-State and A-Trait factors. Results were discussed as supporting the state-trait distinction and as having several implications for future research on anxiety.     

Prevention of chronic PTSD with early cognitive behavioral therapy. A meta-analysis using mixed-effects modeling

Post-traumatic stress disorder (PTSD) is of great interest to public health, due to the high burden it places on both the individual and society. We meta-analyzed randomized-controlled trials to examine the effectiveness of early trauma-focused cognitive-behavioral treatment (TFCBT) for preventing chronic PTSD. Systematic bibliographic research was undertaken to find relevant literature from on-line databases (Pubmed, PsycINFO, Psyndex, Medline). Using a mixed-effect approach, we calculated effect sizes (ES) for the PTSD diagnoses (main outcome) as well as PTSD and depressive symptoms (secondary outcomes), respectively. Calculations of ES from pre-intervention to first follow-up assessment were based on 10 studies. A moderate effect (ES = 0.54) was found for the main outcome, whereas ES for secondary outcomes were predominantly small (ES = 0.27–0.45). The ES for the main outcome decreased to small (ES = 0.34) from first follow-up to long-term follow-up assessment. The mean dropout rate was 16.7% pre- to post-treatment. There was evidence for the impact of moderators on different outcomes (e.g., the number of sessions on PTSD symptoms). Future studies should include survivors of other trauma types (e.g., burn injuries) rather than predominantly survivors of accidents and physical assault, and should compare early TFCBT with other interventions that previously demonstrated effectiveness.     

Spatial Conceptual Influences on the Coordination of Bimanual Actions: When a Dual Task Becomes a Single Task

When the left and right hands produce 2 different rhythms simultaneously, coordination of the hands is difficult unless the rhythms can be integrated into a unified temporal pattern. In the present study, the authors investigated whether a similar account can be applied to the spatial domain. Participants (N = 8) produced a movement trajectory of semicircular form in single-limb and bimanual conditions. In the bimanual tasks, 1 limb moved above the other in the frontal plane. Bimanual unified tasks were constructed so that the spatial paths to be produced by the 2 limbs could be easily conceptualized as parts of a unified circle pattern. Bimanual distinct tasks availed a less obvious spatial pattern that would unify the 2 tasks. Performance of the spatial patterns was more accurate in the unified task, despite similar demands placed on the coordination dynamics between the limbs in the 2 cases (e.g., the phase relations). The authors conclude that a dual task becomes a single task, and interlimb interference is reduced, when the spatial patterns produced by the 2 hands form a geometric arrangement that can be conceptualized as a unified representation.     

Bimanual Training Reduces Spatial Interference

The authors investigated whether training can reduce bimanual directional interference by using a star-line drawing paradigm, Participants (N = 30) were required to perform rhythmical arm movements with identical temporal but differing directional demands. Moreover, the effectiveness of part-task training in which each movement was practiced in isolation was compared with that of whole-task training in which only combined movements were performed. Findings revealed that bimanual training substantially reduced spatial interference, but unimanual training did not. The authors therefore concluded that the spatial coupling of the limbs is not implemented in a rigid way; instead, the underlying neural correlate can undergo plastic changes induced by training. Moreover, the practical implication that emerged from the present study is that athletic, musical, or ergonomic skills that require a high degree of interlimb coordination are best served by whole-task practice.     

Relative Phase Alterations during Bimanual Skill Acquisition

The purposes of the research reported here were (a) to examine changes in relative phase during the acquisition of a new coordination pattern and (b) to determine the effect of learning this pattern on the ability to perform other coordination patterns. Ten subjects practiced an upper limb coordination task that required a 90° phase offset and different amplitudes for each arm. A gross approximation of the mean relative phase for the intended coordination pattern occurred quickly, but the attainment of stability occurred much more gradually. These results were accompanied by changes in pattern stability across practice and on various transfer tests. Learning of the new coordination pattern also affected the stability of the anti-phase mode, but this effect was only temporary.     

Perception—Action Coupling during Bimanual Coordination: The Role of Visual Perception in the Coalition of Constraints That Govern Bimanual Action

Constraints pertaining to interlimb coordination have been studied extensively in the past decades. In this debate, F. Mechsner (2004) has taken a provocative position by putting primary emphasis on perceptual principles that mediate coordinative stability. Whereas the present authors agree that the role of perceptual principles is of critical importance during coordination, they take issue with Mechsner's extreme position and with the evidence forwarded to support a purely perceptual-cognitive approach to bimanual coordination. More specifically, the authors emphasize that current knowledge about brain function argues against a dualism between perception and action, criticize the presented evidence that posture manipulations during coordination provide decisive evidence against motoric and muscular constraints, and report on potential pitfalls associated with the use of visual transformation procedures to support complex coordination patterns.     

A Direct Method of Assessing Underlying Cognitive Risk for Adolescent Depression

An enduring tendency towards negative thinking is thought to increase vulnerability for future depression. However, it has not been possible to assess this tendency in non-depressed mood states. We examined if response latency to endorse dysfunctional attitudes is associated with depressive outcomes in a longitudinal study. A sample of young people at familial risk of depression (N?=?252, aged 10–19, 56.3 % female) completed a computer-administered dysfunctional attitude scale. The main outcome measure was the difference in reaction time to agree versus disagree with dysfunctional attitudes. Cross-sectional differences between current and previous depression and no psychiatric disorder groups as well as longitudinal associations with depressive symptoms were examined. Young people with current and previous depression were quicker to agree with dysfunctional attitudes than those without disorder. In young people free from depressive disorder, faster agreements with dysfunctional attitudes were specifically associated with increased depressive symptoms over time. Self-reported dysfunctional attitudes did not differentiate the formerly depressed and no disorder groups and showed a longitudinal association with depressive symptoms for older adolescents only. Reaction time to endorse dysfunctional attitudes may indicate changes in affective processing that represent an early risk for future depression that is not indexed by self-report measures of negative thought.     

Imagery and Motor Processes — When Are They Connected? The Mental Rotation of Body Parts in Development

Motor influences on the mental transformation of body parts have been observed in both children and adults. Previous findings indicated that these influences were more pronounced in children than in adults, suggesting a stronger link between motor processes and imagery in children. The present series of two experiments casts doubt on the general validity of such an interpretation. Kindergartners' (aged 5–6 years), first graders' (aged 7 years), and adults' performance in the mental rotation of pictures of body parts was monitored for influences of internal representations of motor constraints (motor effect). In both experiments, evidence for mental rotation was obtained for each group. Unexpectedly, kindergarten boys made significantly more errors than kindergarten girls. A motor effect was only found in the second experiment, where it was least pronounced in the youngest age group. Our results suggest that mental transformations of body parts do not necessarily involve motor processes and that embodiment may become stronger with development rather than weaker with certain tasks.     

Patients’ intention to speak up for health care providers’ hand hygiene in inpatient diabetic foot wound treatment: a cross-sectional survey in diabetes outpatient centres in Lower Saxony,Germany*

Hand hygiene in wound care by health care providers (HCPs) is a key principle in treating hospitalized patients with diabetic foot infections. This study aimed to estimate the extent to which patients with type-2-diabetes (T2D) intend to speak up for HCPs’ hand hygiene during inpatient foot treatment, test whether this motivation increases given the hospital would invite patients to speak up, and identify associations with socio-demographics, knowledge of hand hygiene requirements, and diabetes-related factors. A questionnaire-survey was conducted in eight diabetes outpatient centres in Lower Saxony/Germany. Intentions to speak up (without and with institutional encouragement) and knowledge about hand hygiene during foot-care were assessed. Analyses of variance were conducted, partly as repeated measures-models with intention-items as within-subject factor. N = 473 patients participated (response = 77.4%). N = 177 (41%) strongly intended to speak up. Institutional encouragement was associated with an increased rate of strong (54% vs. 41%; p < .001) and higher mean intention (M = 3.9 vs. 3.4 with vs. without encouragement [5-point-scales]; F(1, 434)?=?41.5, p < .001). In patients without diabetic foot syndrome, this effect was limited to those with at least medium school education (F(2, 292)?=?4.4, p = .013) and knowledge on HCPs’ hand hygiene (F(2, 294)?=?3.1, p = .047). In conclusion, a majority of T2D-patients in diabetes outpatient centres intend to speak for HCPs’ hand hygiene in inpatient foot treatment, and are receptive to institutional encouragement. However, this presupposes at least medium education and knowledge about hand hygiene, emphasizing that patient empowerment begins with knowledge.     

The Oxford Happiness Questionnaire: Transformation from an Ordinal to an Interval Measure Using Rasch Analysis

The scientific study of happiness requires accurate measurement of the construct that satisfies assumptions of parametric statistics and thus allows both researchers and clinicians to make reliable and valid comparisons with the relevant data sources. The 29-item Oxford Happiness Questionnaire (OHQ) is a widely-used scale for assessment of personal happiness. While its psychometric properties are acknowledged to be acceptable, it presents scores on an ordinal scale and may thus not discriminate precisely between individual happiness levels. The current study aimed to improve precision and item functioning of the OHQ by applying Rasch analysis to a sample of 281 participants. To correct disordered thresholds items were rescored in a uniform fashion. Four items displayed poor relationships with the latent trait of happiness and were removed. Best fit to the unidimensional Rasch model was achieved after locally dependent items were combined into subtests and adjusted for personal differences. Using the ordinal-to-interval conversion tables published here, ordinal OHQ scores can now be transformed to interval level data and thus subjected to parametric statistical analysis without violating fundamental assumptions. The precision of the instrument can be improved significantly by these minor modifications without the need to modify the original response format.