Personality assessment in DSM-5: empirical support for rating severity, style, and traits

Despite a general consensus that dimensional models are superior to the categorical representations of personality disorders in DSM-IV, proposals for how to depict personality pathology dimensions vary substantially. One important question involves how to separate clinical severity from the style of expression through which personality pathology manifests. This study empirically distinguished stylistic elements of personality pathology symptoms from the overall severity of personality disorder in a large, longitudinally assessed clinical sample (N = 605). Data suggest that generalized severity is the most important single predictor of current and prospective dysfunction, but that stylistic elements also indicate specific areas of difficulty. Normative personality traits tend to relate to the general propensity for personality pathology, but not stylistic elements of personality disorders. Overall, findings support a three-stage diagnostic strategy involving a global rating of personality disorder severity, ratings of parsimonious and discriminant valid stylistic elements of personality disorder, and ratings of normative personality traits.     

Body dissatisfaction, maternal appraisal, and depressive symptoms in Hong Kong adolescents

Body dissatisfaction, its risk factors and association with depressed mood have been well investigated in the West. However, more studies are needed to examine further the relation between body dissatisfaction and depressive symptoms and the factors influencing body dissatisfaction in non-Western cultures. The present study examined in a sample of Hong Kong Chinese adolescents the relation between body dissatisfaction and depressive symptoms, and the relation of maternal appraisal of their adolescent's figure to the adolescent's body dissatisfaction and depressive symptoms. We obtained information from 379 boys and 254 girls about their body dissatisfaction and depressive symptoms. Their mothers provided information about their appraisal of their adolescent's body shape and size compared to ideal. Body dissatisfaction was related to depressive symptoms in girls (B = 2.58, p <.01), but not in boys (B = -0.08, p >.10). Negative maternal appraisal did not have direct effects on adolescents' depressive symptoms (B = 0.14, p =.75), but the association between negative maternal appraisal and body dissatisfaction was significantly stronger in adolescents whose ideal was smaller than they perceived themselves to be (B = 0.32, p <.01) than those whose ideal was larger than their own perception (B = 0.14, p < .01). Our findings suggest that maternal appraisal had indirect effects on mood, acting through adolescents' body dissatisfaction, and that body dissatisfaction may be a sex-specific risk factor for depression. This study points to the need for testing and adapting programs to reduce body dissatisfaction particularly in girls at risk for depression, and to raise mothers' awareness of the link between their negative appraisals and their adolescents' body dissatisfaction and depressive symptoms.     

Factor structure of the Center for Epidemiological Studies Depression Scale in Hong Kong adolescents

We present data from the Center for Epidemiological Studies-Depression Scale (CES-D; Radloff, 1977) for 2 samples of Hong Kong community adolescents (combined N = 1,385). The 4 positive affect items related poorly to the remainder of the scale. Using 16 items, the data were consistent with 2 models with highly correlated factors: (a) a 2-factor model, 1 of which merged somatic and affective items, and (b) a 3-factor model separating somatic, depressed, and interpersonal items. Correlations with related constructs provide preliminary support of validity. Hong Kong adolescents are influenced both by traditional concepts of mind-body holism and Western psychological models separating psychological and somatic symptoms.     

Predicting students' perceptions of academic misconduct on the Hogan Personality Inventory Reliability Scale

Interest and research on academic misconduct has become more salient in part due to recent publicized academic and organizational scandals. The current study investigated a possible interaction between perception of the university's academic culture and personality, conceptualized as Reliability, on students' perceptions of academic misconduct. A convenience sample of 217 university business students (91 men, 126 women), whose average age was 22.3 yr. (SD = 4.4) was tested. Reliability was measured with an occupational scale included in the Hogan Personality Inventory. Two hierarchical regression analyses were conducted using Cheating Intentions and Likelihood of Reporting Cheating as criteria. Age, Reliability, Integrity Culture, and the interaction between scores on Reliability and Integrity Culture were entered as predictors. Only Age and Reliability scores were significant predictors of Cheating Intentions, while all variables were significant predictors for Likelihood of Reporting Cheating. Suggestions for practice and research are provided.     

当今医学缺少的是什么--论医学中的人文

医学首先是一项社会事业,而后才是一门学科。医学的内在道德原则要求医学具备人文精神和人文内容。人文和科学技术是医学的两个必要的基本的组成部分。医学人文的缺少和流失使当今医学成了“半吊子”医学。为了纠正这种偏差,医学教育应该是人文精神和人文内容的教育优于技术的教育,而医学决策者和研究者在其中的责任最大。     

Efficiency of visual information processing in children at-risk for dyslexia: habituation of single-trial ERPs

To investigate underlying learning mechanisms in relation to the development of dyslexia, event-related potentials to visual standards were recorded in five-year-old pre-reading children at-risk for familial dyslexia (n=24) and their controls (n=14). At the end of second grade the children aged 8 years were regrouped into three groups according to literacy level and risk factor. Single-trial analyses revealed N1 habituation in the normal-reading controls, but not in the normal-reading at-risks, and a N1 amplitude increase in the group of poor-reading at-risks and poor-reading controls. No P3 habituation was found in either group. The normal-reading at-risk group exhibited the longest N1 and P3 latencies, possibly compensating for their reduced neuronal activity during initial information extraction. In contrast, the poor-reading group only showed prolonged P3, and their increase in (initial small) N1 amplitude together with normal N1 latencies, suggests inefficient processing in an early time window, which might explain automatisation difficulties in dyslexic readers.     

The dental anxiety scale and effects of dental fear on salivary cortisol

Only a few studies have investigated use of the Dental Anxiety Scale in dental fear-induced neuroendocrine changes. The present study examined 19 female patients, each at two timepoints across an educational and a treatment session within periodontitis therapy. Subjective measures included a visual analogue scale, the STAI State scale, and the Dental Anxiety Scale. Salivary cortisol was measured in parallel across all four timepoints. Although patients were significantly more aroused and anxious prior to the treatment session, salivary cortisol remained unchanged. However, patients with high Dental Anxiety were significantly more aroused and anxious and showed significantly higher salivary cortisol during the educational session than those with low scores on Dental Anxiety. In conclusion, the Dental Anxiety Scale differentiated mean neuroendocrine change between patients scoring low and high for Dental Anxiety and its use as an accurate tool to identify patients with high dental anxiety should be further studied predictively.     

An instrument for producing deep muscle relaxation by means of analog information feedback

An instrument that assists subjects in attaining deep muscle relaxation by means of analog information feedback is described. Subjects hear a tone with a pitch proportional to the electromyographic activity in a given muscle group. Results showed that subjects receiving this type of analog feedback reached deeper levels of muscle relaxation than those receiving either no feedback or irrelevant feedback. The basic method employed-electronic detection, immediate information feedback, and systematic shaping of responses-would seem potentially applicable to a variety of physiological events, and might be useful both in behavior therapy and in certain psychosomatic disorders.