Well-being in major depression and social phobia with and without comorbidity

Background/Objective: Lower levels in well-being have been observed in individuals with Major Depression (MDD) and Social Phobia (SP), but well-planned direct comparisons with control individuals, not suffering from a mental disorder, are lacking. Furthermore, MDD is highly comorbid with anxiety disorders, and SP with depressive disorders. This study is among the first to examine differences in well-being in individuals with a clinical diagnosis of MDD or SP compared to individuals with no such diagnosis and to test differences in well-being within the combined diagnostic categories respective with and without anxiety-depressive comorbidity. Method: Participants were 119 individuals with a diagnosis of MDD, 47 SP and 118 controls. Results: Results revealed that overall well-being as well as emotional, psychological, and social well-being were lower in the MDD and SP group compared to the control group. Individuals with comorbidity reported lower well-being than individuals without comorbidity. Conclusions: These findings have clinical implications as presence of comorbidity may require a different therapeutic approach than with no comorbidity.     

Functional links of obsessive,dysmorphic, hypochondriac,and eating-disorders related mental intrusions

Background/Objective

Unwanted mental intrusions (UMIs) are the normal variants of obsessions in Obsessive-Compulsive Disorder (OCD), preoccupations about defects in Body Dysmorphic Disorder (BDD), images about illness in Hypochondriasis (HYP), and thoughts about eating in Eating Disorders (EDs). The aim was to examine the similarities and differences in the functional links of four UMI contents, adopting a within-subject perspective. Method: 438 university students and community participants (M_age = 29.84, SD = 11.41; 70.54% women) completed the Questionnaire of Unpleasant Intrusive Thoughts (QUIT) to assess the functional links (emotions, appraisals, and neutralizing/control strategies) of the most upsetting UMIs with OCD, BDD, HYP and EDs-contents. Results: HYP-related intrusions caused the highest emotional impact, OCD-related intrusions were the most interfering, and EDs-related intrusions interfered the least. The four UMI were equally ego-dystonic. Women appraised OCD-related intrusions more dysfunctionally, but men appraised the four intrusive contents similarly. All UMI instigated the urge to “do something”, to keep them under control and/or neutralizing them. Conclusions: Similarities among the functional links of intrusions related to OCD, BDD, HYP and EDs contents support their transdiagnostic nature and they might contribute to understanding common factors in these disorders.     

Psychometric properties of the Connor-Davidson Resilience Scale in women with breast cancer

Background/Objective:The aim was to analyse the psychometric properties of the 10-item version of the Connor-Davidson Resilience Scale (CD-RISC 10©) in breast cancer patients. Method: A sample of 169 Spanish women who had undergone surgery for breast cancer completed the CD-RISC 10©, along with questionnaires assessing life satisfaction, emotional intelligence, self-esteem, and positive and negative affect. Results: Confirmatory Factor Analysis supported a single-factor structure with adequate fit indices. Reliability was analysed by calculating McDonald’s omega coefficient, which yielded a value of .83. Validity evidence based on relationships with other variables was provided by positive and significant correlations between scores on the CD-RISC 10© and scores on emotional intelligence (clarity and repair), life satisfaction, self-esteem and positive affect, and by a negative and significant correlation with negative affect. The majority of these correlations were above |.50|. Conclusions: The CD-RISC 10© has satisfactory psychometric properties and is a suitable tool for measuring resilience in patients with cancer. The instrument is quick and easy to apply and may be used in both clinical and research contexts.     

No more psychiatric labels: Why formal psychiatric diagnostic systems should be abolished

This article argues that psychiatric diagnoses are not valid or useful. The use of psychiatric diagnosis increases stigma, does not aid treatment decisions, is associated with worsening long-term prognosis for mental health problems, and imposes Western beliefs about mental distress on other cultures. This article reviews the evidence base focusing in particular on empirical findings in relation to the topics of: aetiology, validity, reliability, treatment and outcome, prognosis, colonialism, and cultural and public policy impact. This evidence points toward diagnostic based frameworks for understanding and intervening in mental health difficulties being unable to either improve our scientific knowledge or improve outcomes in clinical practice and suggests that we need to move away from reliance on diagnostic based approaches for organising research and service delivery. Alternative evidence-based models for organising effective mental health care are available. Therefore formal psychiatric diagnostic systems such as the mental health section of the International Classification of Diseases Tenth Edition (ICD-10) and Diagnostic Statistical Manual Fifth Edition (DSM 5) should be abolished.     

Effectiveness of the ‘Hold me Tight’ Relationship Enhancement Program in a Self‐referred and a Clinician‐referred Sample: An Emotionally Focused Couples Therapy‐Based Approach

While evidence‐based couple therapies are available, only a minority of troubled couples seek help and they often do this too late. To reach more couples earlier, the couple relationship education (CRE) group program “Hold me Tight” (HmT) based on Emotionally Focused Couples Therapy (EFCT) was developed. This study is the first to examine the effectiveness of HmT. Using a three‐wave (waiting period, treatment, and follow‐up) within‐subject design, HmT was delivered to 79 self‐referred couples and 50 clinician‐referred couples. We applied a comprehensive outcome measure battery. Our main findings were that (1) self‐referred couples significantly improved during HmT on all measures, that is relationship satisfaction, security of partner‐bond, forgiveness, daily coordination, maintenance behavior, and psychological complaints, with a moderate‐to‐large mean effect size (d = .63), which was maintained (d = .57) during the 3.5 month follow‐up; (2) in clinician‐referred couples, who were vulnerable in terms of insecure attachment status and psychopathology, the improvement during HmT was moderate (d = .42), but this was reduced during the 3.5‐month follow‐up to a small effect (d = .22); (3) emotional functioning (typical HmT target) as well as behavioral functioning (typical Behavioral Couples Therapy‐based CRE target) improved during HmT; and (4) individual psychological complaints, although not specifically targeted, were reduced during HmT. These findings suggest that HmT is a promising intervention for enhancement of relationship functioning. Clinical implications are discussed.     

Desarrollo cognitivo y comunicación intencional preverbal: un estudio longitudinal multivariado

Resumen

A partir de la revisión de las investigaciones sobre las relaciones entre la aparición de la intención comunicativa y el desarrollo sensoriomotor, se planteó la conveniencia de realizar un estudio empírico que permitiera profundizar en el estudio de estas relaciones desde una perspectiva de análisis multivariado. Para ello se realizó un estudio longitudinal de 16 sujetos con tres momentos de medida (en torno a los ocho, diez y doce meses de edad). Los sujetos fueron evaluados mediante la aplicación de las escalas Uzgiris y Hunt (1975) y grabados en dos situaciones de interacción diádica, una libre con su madre y otra semiestructurada de carácter elicitador. La conducta comunicativa de los niños fue registrada mediante un sistema de codificación diseñado con tal fin (Sarriá, 1991). Los datos fueron analizados mediante análisis de correlaciones y análisis de correspondencias múltiples. Los resultados obtenidos no apoyan la hipótesis de la homología local sobre la interdependencia de determinadas capacidades cognitivas y el desarrollo comunicativo planteada por Bates, Benigni, Bretherton, Camaioni y Volterra (1979), sino más bien sugieren una hipótesis d diferenciación entre los dominios de adaptación al mundo físico y el social-comunicativo en el periodo de aparición de la intención comunicativa.     

Observaciones sobre la Teoría Psicológica y su Enseñanza

RESUMEN

Este artículo aborda principalmente la situación actual de los estudios de psicología en nuestro país, que el autor considera muy preocupante. Comienza refiriéndose a los cambios producidos en la teoría psicológica en los últimos años, para pasar luego a analizar la situación de la enseñanza de la psicología y proponer algunas modificaciones, destacando como problema fundamental el tipo de docencia que se imparte. Respecto al plan de estudios, el autor considera que debe incluir materias de tipo optativo y de diferente número de horas, presentando sucintamente algunas de las características que podría tener desde el primer año de carrera hasta los estudios de tercer ciclo. Con estas sugerencias el autor propone cómo podría organizarse una enseñanza digna de la psicología.     

El estudio experimental del castigo: una revisión

Resumen

El presente trabajo trata desde un punto de vista histórico, algunos de los aspectos del castigo. Señala como, actualmente, a la luz de numerosos experimentos, se aceptan como válidas las dos caras de la ley simétrica del efecto (ley positiva del efecto y ley negativa del efecto). Simetría que Thorndike, su formulador, desechó en los inicios de la década de los años treinta. También se ofrece evidencia de la capital importancia de la contingencia dentro del procedimiento de castigo (superioridad del castigo frente a R.E.C.). Finalmente se da cuenta de una serie de parámetros que ejercen una gran influencia en los efectos del castigo.