Perceived Stigma of Postpartum Depression Symptoms in Low-Risk First-Time Parents: Gender Differences in a Dual-Pathway Model

Although postpartum depression (PPD) symptoms are fairly common among new mothers and fathers, new parents still perceive a stigma associated with having the “baby blues.” Research has extensively examined the role of perceived stigma on help-seeking for clinical PPD, but little is known about the process of perceived stigma in new parents. We examined the role of perceived stigma in postpartum depressive symptoms using the dual-pathway model (Mickelson and Williams 2008). Specifically, we tested whether internalized stigma would influence PPD symptoms through parenting efficacy, whereas experienced stigma would influence PPD symptoms through indirect support-seeking. We also examined whether the internalized pathway was stronger for fathers while mothers would utilize both pathways. Using longitudinal data from a community sample of first-time parents in the United States, we found parenting efficacy was a mediator between internalized stigma and PPD symptoms for mothers and experienced stigma and PPD symptoms for fathers; indirect support-seeking was only a cross-sectional mediator for mothers between internalized stigma and PPD symptoms. Understanding how new mothers and fathers perceive the stigma attached to PPD symptoms and the process by which it impacts symptom reporting can help to improve interventions aimed at new parents.     

Interrelations of Imagery Use,Imagery Ability,and Performance in Young Athletes

The present study aimed to provide a better understanding of the relationship between imagery use, imagery ability, the interrelation between these two constructs, and athletic performance for young athletes. Participants were 80 gymnasts between 7 and 16 years of age. We assessed 5 different functions of imagery use and imagery ability regarding cognitive and motivational imagery. Cognitive specific imagery use, motivational general-mastery imagery use, and goal imagery ability significantly predicted performance at competition, independent of the athletes’ age. Consequently, it is useful to support young athletes’ imagery use and imagery ability systematically in order to improve their learning processes and sports performance.     

Prospective Evaluation of Predictive DNA Testing for Huntington’s Disease in a Large German Center

We present a prospective study of counselees seeking predictive testing for Huntington’s disease at the Huntington Center North Rhine-Westphalia (Bochum, Germany) between 2010 and 2012. The aim was to observe the decision-making process of at-risk individuals and explore their experiences following the decision as well as the impacts of positive and negative mutation results. Data were collected using two standardized questionnaires as well as via a semi-standardized telephone interview one year after the initial counseling session. Seventy-two  individuals participated in at least one of the three phases of the survey, including 31 individuals in the telephone interview. Sociodemographic data were in accordance with previous reports. The process of predictive testing was generally perceived in a positive manner, with almost all interviewees reporting a balanced emotional state one year after initial counseling, regardless of the decision for or against the test. The most important reasons named in favor of or against testing were assembled as well as different aspects regarding the satisfaction with the reached decision. In line with and expanding previous observations on gender-related differences in decision-making, our results suggest that gender-related aspects should be more strongly taken into account in genetic counseling during the predictive testing and counseling processes.     

Changing caring behaviours in rehabilitation after a hip fracture – A tool for empowerment?

Different rehabilitation programs after surgery have been presented to improve the outcome for patients with a hip fracture. Empowerment has been suggested as useful, but requires a change in the caring behaviours of health professionals. The aim with this study was to evaluate if training and supervision of the nursing staff could alter caring behaviours. A case-control study of nursing staff treating hip fracture patients was performed at a hospital with two sites. Training and supervision was given to the nursing staff at the intervention site. The intervention focused on creating positive care interaction by using eight guidelines. The evaluation was performed with recordings of a constructed caring situation before training, and observations of care situations at the ward before and after intervention. The results showed no differences at baseline between the two sites in the caring behaviours. After intervention, significant effects of caring behaviours were seen in seven out of eight guidelines, the effect sizes ranged from medium to large. The findings indicate that the nursing staff can change caring behaviours and facilitate the empowerment of patients with a hip fracture.     

Children’s Developing Understanding of the Conventionality of Rules

Much research has investigated how children relate to norms taught to them by adult authorities. Very few studies have investigated norms that arise out of children’s own peer interactions. In two studies, we investigated how 5- and 7-year-old children teach, enforce, and understand rules that they either created themselves or were taught by an adult. Children (N = 240) were asked to either invent game rules on their own or were taught these exact same rules by an adult (yoked design). Children of both ages enforced and transmitted the rules in a normative way, regardless of whether they had invented them or were taught the rules by an adult, suggesting that they viewed even their own self-made rules as normatively binding. However, creating the rules led 5-year-old children to understand them as much more changeable as compared with adult-taught rules. Seven-year-olds, in contrast, regarded both kinds of rules as equally changeable, indeed allowing fewer changes to their self-created rules than 5-year-olds. While the process of creating rules seemed to enlighten preschoolers’ understanding of the conventionality of the rules, school-aged children regarded both self-created rules and adult-taught rules in a similar manner, suggesting a deeper understanding of rule normativity as arising from social agreement and commitment.     

Evidence of vocal and manual event files in auditory negative priming

Negative priming with auditory as well as with visual stimuli has been shown to involve the retrieval of prime response information as evidenced by an increase of prime response errors to the probes of ignored repetition trials compared to control trials. We investigated whether prime response retrieval processes were also present for response modalities other than manual responding. In an auditory four alternative forced choice task participants either vocally or manually identified a target sound while ignoring a distractor sound. Negative priming was of equal size in both response modalities. What is more, for both response modalities, there was evidence of increased prime response errors in ignored repetition trials compared to control trials. The findings suggest that retrieval of event files of the prime episode including prime response information is a general mechanism underlying the negative priming phenomenon irrespective of stimulus or response modality.     

Spatial and identity negative priming in audition: Evidence of feature binding in auditory spatial memory

Two experiments are reported with identical auditory stimulation in three-dimensional space but with different instructions. Participants localized a cued sound (Experiment 1) or identified a sound at a cued location (Experiment 2). A distractor sound at another location had to be ignored. The prime distractor and the probe target sound were manipulated with respect to sound identity (repeated vs. changed) and location (repeated vs. changed). The localization task revealed a symmetric pattern of partial repetition costs: Participants were impaired on trials with identity-location mismatches between the prime distractor and probe target-that is, when either the sound was repeated but not the location or vice versa. The identification task revealed an asymmetric pattern of partial repetition costs: Responding was slowed down when the prime distractor sound was repeated as the probe target, but at another location; identity changes at the same location were not impaired. Additionally, there was evidence of retrieval of incompatible prime responses in the identification task. It is concluded that feature binding of auditory prime distractor information takes place regardless of whether the task is to identify or locate a sound. Instructions determine the kind of identity-location mismatch that is detected. Identity information predominates over location information in auditory memory.     

Emotional working memory capacity in posttraumatic stress disorder (PTSD)

Participants with a lifetime history of posttraumatic stress disorder (PTSD) and trauma-exposed controls with no PTSD history completed an emotional working memory capacity (eWMC) task. The task required them to remember lists of neutral words over short intervals while simultaneously processing sentences describing dysfunctional trauma-related thoughts (relative to neutral control sentences). The task was designed to operationalise an everyday cognitive challenge for those with mental health problems such as PTSD; namely, the ability to carry out simple, routine tasks with emotionally benign material, while at the same time tackling emotional laden intrusive thoughts and feelings. eWMC performance, indexed as the ability to remember the word lists in the context of trauma sentences, relative to neutral sentences, was poorer overall in the PTSD group compared with controls, suggestive of a particular difficulty employing working memory in emotion-related contexts in those with a history of PTSD. The possible implications for developing affective working memory training as an adjunctive treatment for PTSD are explored.     

Different approaches to understanding patients in general practice in Denmark: a qualitative study

General practitioners (GPs) treat more than 90% of common mental disorders. Their approaches to psychological interventions have been little studied and their process of understanding patients remains unexplored. This qualitative interview and observation study aimed to explore Danish GPs’ approaches to emotional problems and mental disorders in ‘talking therapy’ and in routine consultations. Different typical approaches were identified and could be described using the concept of mentalisation. Some participants used a basic reflective approach but no well-described method. Others were satisfied with the biomedical professional identity and did not engage in patients' emotional problems. The individual participant's approach in talking therapy was mirrored in routine consultations. Training a mentalising or reflective stance might promote more uniform therapeutic approaches to patients' emotional problems.