Evaluation of a cognitive behavioral group intervention program for spouses of stroke patients

This study investigated the effectiveness of a cognitive behavioral group program for spouses of stroke patients. The program consists of 15 bi-monthly 112h sessions. The goal of the intervention is to reduce the prevalence of mental disorders and burnout among care-giving spouses of stroke patients. The sample (stroke patients and their spouses) consisted of one intervention group (n=38 couples) and two different control conditions, those receiving informational support (n=35 couples) and those receiving standard care (n=51 couples). We used the following instruments to measure spouses' mental health and quality of life: Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), WHO Quality of Life Questionnaire. Measurements were taken before the intervention (Time 1), directly following the intervention (Time 2) and 6 months after Time 2 (Time 3). Several regression analyses allowed for examination of the short-term and long-term effects of the intervention. The spouses' participation in the intervention program was associated with significant short-term changes in care-giving spouses' quality of life and with long-term changes in their quality of life and depression. The presented multi-component intervention appears to have an immediate effect on care-giving spouses' quality of life. In contrast, the intervention-related changes in more resistant mental-health-related variables did not appear until after a latent stage in the later post-intervention phase.     

The direct effect of thin ideal focused adult television on young girls' ideal body figure

The present study tested the direct effect of watching thin-ideal focused television aimed at (young) adults on body dissatisfaction in preadolescent girls (9-12 years old). A within-subject design was used in which the girls (N=60) were tested three times. They watched three movie clips in random order that were either focused explicitly (thin-ideal program) or indirectly (soap opera) on the thin ideal or were neutral in content. Afterwards, they filled out questionnaires concerning their body dissatisfaction. Only older preadolescent girls (11-12 years old) showed greater body dissatisfaction after watching the thin-ideal focused television clip than after watching the neutral television clip. After watching thin-ideal focused television, they desired a thinner body figure than after watching neutral television. The findings imply that watching (adult) thin-ideal television directly affects the ideal body figure in older preadolescent girls.     

Entlassene Problemf?lle in der ambulanten Nachsorge von langzeitinhaftierten und langzeituntergebrachten Patienten

The reintegration of patients into society after long-term inmate or long-term forensic hospital treatment is as difficult as it is important. At present only a few specialized forensic outpatient departments can be found in Germany. In the following article essential pillars for successful outpatient care by taking all participants in the reintegration process into account will be presented.     

Increased body satisfaction after exposure to thin ideal children's television in young girls showing thin ideal internalisation

This study tested the direct effect of watching thin ideal children's television on body satisfaction in preadolescent girls (6-8 years old). A within-subject design was used in which girls (N?=?51) were tested three times. They watched television clips in random order containing either (1) thin ideal animated characters or (2) animated characters with no thin ideal features or (3) 'real' human actors with no thin ideal features. After watching, their state body satisfaction was measured. Girls with higher levels of thin ideal internalisation showed higher body satisfaction after exposure to the thin ideal characters than after exposure to animated or real characters featuring no thin ideal features. No differences on body satisfaction between the exposure conditions were found in girls with lower levels of thin ideal internalisation. The results might suggest that young girls who internalised the thin ideal are inspired by thin ideal characters in children's media.     

Kulturdynamisches Modell der bikulturellen Identit?t

In intercultural psychotherapeutic treatment, the psychological integration of different cultures within an individual has to be involved as an additional developmental dimension. Individual change during the process of migration considered as desirable adaptation has often been conceptualized in terms of a bicultural identity, which includes aspects of the culture of origin as well as aspects of the host culture. The theoretical foundation of the concept of bicultural identity, however, has remained insufficient. The culture-dynamic model presented here differentiates personal and social identity according to the identity concept proposed by Mead (Geist, Identit?t und Gesellschaft, 1988, Suhrkamp, Frankfurt a.?M.). Personal identity is essentially formed by an individual??s culture of origin, while influences of the host culture primarily affect the social identity. For healthy coping with the challenges associated with migration and adequate support of this process in intercultural psychotherapy, it can be assumed that a stabilization of personal identity is required to allow for a dynamization of social identity. Implications for identity constitution in second generation immigrants, in different stages of lifespan development and in the process of learning the language of the host culture are discussed.     

Letter visibility and word recognition: The optimal viewing position in printed words

It has repeatedly been shown that the time and accuracy of recognizing a word depend strongly on where in the word the eye is fixating. Word-recognition performance is maximal when the eye fixates a region near the word’s center, and decreases to both sides of this “optimal viewing position.” The reason for this phenomenon is assumed to be the strong drop-off of visual acuity: the visibility of letters decreases with increasing eccentricity from fixation location. Consequently, fewer letters can be identified when the beginning or ending of a word is fixated than when its center is fixated. The present study is a test of this visual acuity hypothesis. If the phenomenon is caused by letter visibility, then it should be sensitive to variations of visual conditions in which the letters are presented. By increasing the interletter distances of the word(e.g.,a_t_t_e_m_ p_ t), letter visibility was decreased. As expected from our hypothesis, the viewing-position effect became more exaggerated. An additional experiment showed that destroying word-shape information (e.g., aTtEmPt) decreased overall word-recognition performance but had no influence on the viewingposition effect. Varying the viewing position in words might thus be used as a paradigm, allowing one to separate out the contribution of letter information and supraletter information to word recognition.     

Cyclic variations in sustained human performance

Biological rhythms play a prominent role in the modulation of human physiology and behavior. [Smith, K., Valentino, D., & Arruda, J. (2003). Rhythmic oscillations in the performance of a sustained attention task. Journal of Clinical and Experimental Neuropsychology, 25, 561-570] suggested that sustained human performance may systematically fluctuate in a cyclic manner with periods of 1.5 min and 5.2 min. The current series of investigations sought to manipulate those periodicities by altering task difficulty, administering caffeine, and testing on a more ecologically valid task. Strong evidence of a 1.5 min periodicity was found across studies. Most participants did not demonstrate the 5.2 min periodicity. Moreover, the 1.5 min periodicity was resistant to task manipulations and appeared in similar levels across conditions in all three experiments. These rhythms may be indicative of an endogenous system that modulates sustained attention in humans. Evidence supporting this idea and implications of the research are discussed.     

The Influence of Body Mass Index on the Perceived Quality of Life during Pregnancy

Obesity contributes to various pregnancy complications and therefore, may compromise maternal quality of life. The study aim was to investigate the relationship between body mass index (BMI) and health-related quality of life (HRQoL) during pregnancy. Study involved every 6th woman who gave birth in the Clinic for Obstetrics and Gynecology Clinical Center of Serbia during the year 2010. Initial and end pregnancy BMIs were calculated for every woman. The parturients (604) completed the SF36 questionnaire (physical-PHC; mental-MHC; total quality of life-TQL), Beck’s Depression Inventory, Fatigue Severity Scale, Pregnancy Symptom Scale, Multidimensional Personal Support Scale, and Acceptance of Illness Scale. Before pregnancy most women had normal or decreased weight, while at the end of pregnancy the majority were overweight or obese (p?=?0.000). Initial and end pregnancy weights (p?<?0.05) and BMIs (p?<?0.05) were positively correlated with depression. Depression was significantly lower in overweight compared to mildly or morbidly obese women during pregnancy (p?<?0.05). Pregnancy weight change correlated negatively with PHC (p?=?0.029), and positively with fatigue (p?=?0.030), and symptoms (p?=?0.011). Of all BMI categories, morbidly obese women had the worst feeling of social support (p?<?0.05). Pregnancy symptoms were significantly less problematic in women with normal weight compared to overweight and obese women during pregnancy (p?<?0.05). Assessing the impact of all investigated parameters together, we established significant models for PHC (p?=?0.036), depression (p?=?0.030), and fatigue (p?=?0.038). Pregnant women should be advised to keep their gestational weight gain within the normal recommended range to have a good pregnancy outcome and HRQoL.     

Persönlichkeitsstörung und Intelligenzminderung

There have previously been only few objective investigations on the combined occurrence of intellectual disability and personality disorder. Despite this difficulty, from the current clinical viewpoint there is no doubt that at least people with mild intellectual disability can also develop personality disorders. In slight degrees of intellectual disability it is possible to psychopathologically describe the typical symptoms objectively. For the disorder symptomatic of combined personality disorder in people with an intellectual disability, there are no confirmed facts, publications or diagnostic rules. The diagnostic assignment of behavioral abnormalites as combined personality disorder with dependent and infantile components in people with intellectual diasabilities still does not seem to be justified. In people with medium to severe mental disorders only the comprehensive term “behavioral abnormalities” should be applied.