The impact of prenatal serotonin reuptake inhibitor (SRI) antidepressant exposure and maternal mood on mother–infant interactions at 3 months of age

Exposure to maternal depression increases risks for altered mother–infant interactions. Serotonin reuptake inhibitor (SRI) antidepressants are increasingly prescribed to manage antenatal maternal illness. The impact of SRIs on early mother–infant interactions was unknown. Three-month-old infants of 32 depressed mothers treated with SRI medications during pregnancy and 43 non-medicated mothers were studied. Using an established face-to-face mother–infant interaction paradigm, dyad interactions were studied with and without a toy. Videotaped sessions yielded 4 measures: maternal sensitivity, dyadic organization, infant readiness to interact, and maternal interruptive behaviors. Even with prenatal SRI treatment, depressed mothers interrupted their infants more during toy play. In the absence of prenatal SRI treatment, maternal postnatal depression adversely influenced infant behavior. Higher levels of maternal depression symptoms at 3 months predicted poorer infant readiness to interact during the toy session. Conversely, in the SRI-exposed group, higher prenatal depression scores predicted greater infant readiness to interact at 3 months. Increased infant readiness with SRI exposure suggests a “fetal programming effect” whereby prenatal maternal mood disturbances shaped a future response to a postnatal depressed maternal environment.     

Potentials and Limitations of Cognitive Treatments for Obsessive‐Compulsive Disorder

Exposure and response prevention (ERP) is a well‐established treatment for obsessive‐compulsive disorder (OCD). However, it is not completely effective for many patients, and some do not benefit from or tolerate this treatment. Over the past 3 decades there has been growing interest in using cognitive interventions, either as adjuncts or alternatives to exposure‐based treatments such as ERP, to address these shortcomings. Cognitive therapy and cognitive behavior therapy for OCD have both demonstrated greater efficacy than no treatment at all, and appear to have a lower incidence of dropout than ERP. Unfortunately, however, for the average OCD patient, cognitive interventions have not improved treatment efficacy; that is, cognitive interventions, either alone or combined with ERP, are no more effective than ERP alone. Reasons for this disappointing result are considered, and indications for the use of cognitive interventions are discussed. Future research directions are suggested in order to evaluate more fully the merits of, and indications for, cognitive methods for treating OCD.     

Posttraumatic Stress Disorder and Chronic Pain Arising from Motor Vehicle Accidents: Efficacy of Interoceptive Exposure Plus Trauma-Related Exposure Therapy

Preliminary data are presented on the pattern of treatment response of combining interoceptive exposure (IE) with trauma-related exposure therapy (TRE) in five female patients with posttraumatic stress disorder (PTSD) and comorbid chronic musculoskeletal pain originating from motor vehicle accidents. Treatment consisted of four sessions of IE followed by eight sessions of TRE. Four participants reported a reduction in PTSD symptoms after completing treatment, and three no longer met diagnostic criteria for PTSD. Although both interventions were associated with reductions in PTSD symptoms, TRE was associated with greater reductions in PTSD symptoms than IE and was particularly effective at reducing avoidance. IE was associated with larger reductions in anxiety sensitivity than TRE. Pain symptoms lessened slightly during IE and then worsened following TRE. Anxiety decreased after completing treatment, whereas panic and depressive symptoms responded less so. Three individuals completed a 3-month follow-up assessment. There was no change in their PTSD diagnostic status, and all experienced a slight loss of pre–post gains, particularly involving the return of pain. Clinical and research implications are discussed.     

The impact of September 11 on dreaming

This study focuses on a set of dreams related to the September 11, 2001 terrorist attacks and their aftermath, using content analysis and cognitive psychology to explore the interweaving of external public catastrophe and internal psychological processes. The study tests several recent claims in contemporary dream research, including the central image theory of Hartmann [Hartmann, E., & Basile, R. (2003). Dream imagery becomes more intense after 9/11/01. Dreaming, 13(2), 61-66; Hartmann, E., & Brezler, T. (2008). A systematic change in dreams after 9/11/01. Sleep, 31(2), 213-218], the media exposure factor postulated by Propper [Propper, R. E., Stickgold, R., Keeley, R., & Christman, S. D. (2007). Is television traumatic? Dreams, stress, and media exposure in the aftermath of September 11, 2001. Psychological Science, 18(4), 334-340], the continuity hypothesis of Domhoff [Domhoff, W. G. (1996). Finding meaning in dreams: A quantitative approach. New York: Plenum], the cognitive and metacognitive approach of Kahan [Kahan, T. L. (2001). Consciousness in dreaming: A metacognitive approach. In K. Bulkeley (Ed.), Dreams: A reader on the religious, cultural, and psychological dimensions of dreaming (pp. 333-360). New York: Palgrave], and the threat simulation theory of Revonsuo [Revonsuo, A. (2000). The reinterpretation of dreams: An evolutionary hypothesis of the function of dreaming. Behavioral and Brain Sciences, 23(6), 877-901]. Our findings suggest the terrorist attacks had a tangible impact on the content of many people's dreams, but did not fundamentally alter the cognitive processing features of their dreaming. The 9/11 attacks affected what they dreamed about, but not the way they dreamed.     

Is there an Effect of Print Exposure on the Word Frequency Effect and the Neighborhood Size Effect?

Orthographic and phonological processing skills have been shown to vary as a function of reader skill (Stanovich & West, Reading Research Quarterly, 24, 402-433, 1989; Unsworth & Pexman, Quarterly Journal of Experimental Psychology, 56A, 63-81, 2003). One variable known to contribute to differences between readers of higher and lower skill is amount of print exposure: higher skilled readers read more often than lower skilled readers, and their increased print exposure is associated with faster responding to words and nonwords in lexical decision tasks. The present experiments examined the effect of print exposure on the word frequency effect and neighborhood size effect. We conclude that the different outcomes reported in previous studies (Chateau & Jared, Memory and Cognition, 28, 143-153, 2000; Lewellen, Goldinger, Pisoni, & Greene, Journal of Experimental Psychology: General, 122, 316-330, 1993) were due to the type of nonwords used in the lexical decision task (regular nonwords versus pseudohomophones). Our results are explained in terms of differences in the reliance on orthographic and phonological information between readers of higher and lower print exposure.     

结合a分层的兼具项目曝光和广义测验重叠率控制的选题策略

测验安全和题库使用率在计算机化自适应测验中十分重要, 特别是高风险测验。传统的SHGT法兼具同时控制项目曝光率和广义测验重叠率的功能, 但题库使用率较差。a分层法能够提高题库使用率, 但对过度曝光的项目控制不足。本研究将a分层法的思想与SHGT法相结合, 各取所长, 提出了3种新的选题方法：SHGT_a法, SHGT_b法和SHGT_c法。研究结果表明：(1)与SHGT法相比, 新方法均可以在有效地控制项目曝光率和广义测验重叠率同时, 极大地提高题库使用率; (2)随着预设项目曝光率(rmax)和广义测验重叠率( )取值的增大以及共享人数a的减小, 新方法对被试能力估计的精度呈上升趋势。比起SHGT法, 新方法仍能保持很高的题库使用率; (3)当区分度和难度的相关(rab)较大时, SHGT_b和SHGT_c法在能力估计精度方面优于SHGT_a法; (4)在不同的测验考察内容比例下, 3种新方法对被试能力估计的精度均较好; (5)与SHGT法相比, 新方法能够有效地控制项目曝光率过度控制的问题。     

全球化背景下的文化排斥反应

全球化导致文化价值观的跨国界传播, 也可能因为侵蚀地方(local)传统文化使人感到恐慌。文化排斥现象就是人们对全球化过程的反应之一, 它是指人们为了使传统文化免遭污染而可能对外来文化表现出的排斥。文化排斥反应出现的前提是双文化启动效应, 即在两种或多种文化共同出现的情境中文化的类别属性被凸显出来。其中, 厌恶性情绪是双文化情境激发出文化排斥反应的中介机制。文化排斥反应具有的边界属性：内群体象征性文化被污染、人们感知到外来文化的入侵性、或存在性动机被唤起、具有较高认知需求、受类别化思维启动、对外来文化认同较低或对内群文化认同较高时, 人们更倾向于对外来文化表现出排斥性反应。未来研究将借鉴文化排斥研究范式探讨更广泛的群际关系问题。     

Event Centrality as Mediator Between Attributions and Mental Health Outcomes

Consistent with the Reformulated Model of Learned Helplessness, attributions that are more internal, stable, and global have been shown to be associated with greater posttraumatic stress and depression symptoms. Even though the Reformulated Model of Learned Helplessness has been revised to clarify that attributions are most likely to lead to adverse outcomes when the event is considered to be important to the person and the outcomes very negative (Hopelessness Model of Depression), most attribution studies do not account for the importance of the event to the individual. The current study examined whether perceptions of event importance mediated the relationship between attributions and posttraumatic stress and depression symptoms in a sample of 313 college students who reported about their worst life event. Consistent with the Hopelessness Model of Depression, results supported the mediational role of event significance. Findings suggest that maladaptive attributions may contribute to symptoms of posttraumatic stress disorder and depression both directly and through the event’s importance to a person’s sense of identity.