Depression and cognitive sequelae registered within the first year among young Danish TBI survivors

The aim of the study was to determine the proportion of depression and cognitive sequelae among young (15-30 years) Danish TBI survivors referred to interdisciplinary evaluation through a nationwide government-initiated health initiative. The cross-sectional study is based on data from the “Danish register for young adults with acquired brain injury” on TBI survivors included from October 2013 to December 2016. The main measures were Major depression inventory, Trail making test A and B, Fluency, Word learning with selective reminding, Matrix reasoning, Coding and Glasgow outcome scale - extended (GOS-E). During the study period, 131 young TBI survivors were referred to one of five national outpatient clinics. Ninety-six had complete data and of these 14.6% fulfilled the ICD-10 diagnostic criteria for depression and 34.4% had cognitive sequelae. An association was found between depression and cognitive sequelae (p = 0.004). Patients with both depression and cognitive sequelae (n = 10) had a significantly lower mean score on GOS-E (p = 0.0001). Depression and cognitive sequelae were frequent and associated with a poorer global functional outcome among young TBI survivors referred within a year after trauma. This finding and the notion that only 20% of the expected TBI population was referred to this nationwide health initiative indicate an unacknowledged need for interdisciplinary follow-up.     

Comparing the facets of the big two in global evaluation of self versus other people

The Big Two of agency and communion can be divided into the facets of agency-assertiveness, agency-competence, communion-morality, and communion-warmth. The present research studies how these facets are related to global evaluation of self versus others. In five studies we tested whether self-evaluation is reliably related to agency-assertiveness (H1), and evaluation of others to communion-morality (H2). Participants had to describe themselves (or a specific other person) on the facets and later to rate their self-evaluation (or other-evaluation). Supporting hypotheses, Studies 1, 3, and 4 showed that agency-assertiveness was reliably related to self-evaluation (Study 4: also agency-competence). Studies 2–5 showed that communion-morality was reliably related to evaluation of an acquaintance, but agency-competence (Studies 3 and 5) and communion-warmth (Study 2) were also important. We conclude that supporting H1, agency-assertiveness is particularly important for self-evaluation, whereas partly supporting H2, evaluation of others is associated with communion-morality, but also agency-competence and communion-warmth.     

A Plea for Internormative Ethics

Plurality of life forms and value systems is a given (almost) everywhere on earth. Imposing on them a value system or individual values and virtues from an exterior position is rather counterproductive. Value systems are normative for individual communities but not the same. They are to relate to each other and to interact, negotiating with each other common goals and the validity and limits of values involved in their relationships and shared action. Anything else leads to tensions and violence. Internormative ethics reflect on such interaction of value systems.     

反馈评估的局部背景依赖效应：ERP研究

人脑对反馈的评估依赖于其所处背景。但是只能依赖整体背景(整个组块的结果范围), 还是可以依赖局部背景(单个试次的结果范围)进行评估, 目前并不清楚。本研究通过获益/损失线索操纵所在试次的反馈背景, 探讨反馈评估仅依赖整体背景, 还是可延伸到局部水平。25名被试参与实验。结果发现, 背景试次间变化时, 在获益背景下, ￥0 (负反馈)比+ ￥4 (正反馈)引发更负的FRN (feedback-related negativity); 在损失背景下, - ￥4 (负反馈)比￥0 (正反馈)引发更负的FRN。这一结果说明反馈评估以某线索背景中可能的结果为参考对象, FRN的背景依赖可以延伸到局部水平。结合前人研究, 推测任务类型和反馈真实性会调节背景依赖水平。在含真实反馈的主动性任务中, FRN的背景依赖效应可延伸至局部水平。     

Contextual Adaptation of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Victims of the Armed Conflict in Colombia: A Case Study

The delivery of a contextually adapted version of the Unified Protocol for transdiagnostic treatment of emotional disorders is illustrated through a case study of an internally displaced female victim of armed conflict in Colombia. A detailed account of how her history of continuous traumatic events and her forced displacement resulted in multiple emotional disorders and behaviors which hindered her ability to react to daily stressors illustrates the particular conditions of individuals exposed to extreme violence. Emphasis is placed on how her culture and context required adaptations of evidence-based interventions. The contextually adapted UP (CXA-UP) is described in “slow-motion,” through a session-by-session account of the procedure along with the specific changes in each module. Outcome measures showed four positive diagnoses at pretreatment, but none at posttreatment, 3-month, or 2-year follow-up. Implications for global applications with individuals in similar contexts and for widening access to such interventions are discussed.     

Impact of maternal adverse childhood experiences on child socioemotional function in rural Kenya: Mediating role of maternal mental health

Mothers in low‐ and middle‐income countries (LMIC) suffer heightened vulnerability for adverse childhood experiences (ACEs), which is exacerbated by the multitude of risk factors associated with poverty and may lead to increased risk of psychiatric disorder. The constellation of complex, co‐occurring biological, environmental, social, economic and psychological risk factors are in turn transmitted to her child, conferring vulnerability for adverse development. This study examines the association between maternal intra‐ and extra‐familial ACEs, maternal education and the mental health of her child, mediated by maternal mental health. Mother‐child dyads (n = 121) in Machakos, Kenya were examined cross‐sectionally using self‐report measures of ACEs, maternal mental health and child internalizing and externalizing mental health problems. The four models proposed to examine the relationship between intra‐ and extra‐familial maternal ACEs and child internalizing and externalizing problems demonstrated indirect pathways through maternal mental health. These effects were found to be conditional on levels of maternal education, which served as a protective factor at lower levels of maternal ACEs. These models demonstrate how the impact of ACEs persists across the lifespan resulting in a negative impact on maternal mental health and conferring further risk to subsequent generations. Elucidating the association between ACEs and subsequent intergenerational sequelae, especially in LMIC where risk is heightened, may improve targeted caregiver mental health programs for prevention and intervention.     

Scientific Peer Review: A Case Study From Local And Global Analyses.

The dialog between Staddon (2001, 2004) and Baum (2004) raises general questions about the nature of scientific peer review. Their dialog displays effects on peer review of differences of opinion about the relative merits of local and global analyses. Baum (1995, 1997, 2001, 2002) favors global analyses as a paradigm different, newer, and better than the local, dynamic, real‐time approach that plays a significant role in Staddon (2001). According to the Kuhnian perspective (Kuhn, 1996) Baum advocates, we can better understand his review of Staddon (2001) by considering the implications for it of his commitment to the idea that a global analysis is a superior scientific paradigm. This commentary examines some characteristics of local and global analyses, as well as some of their possible implications for peer review in the context of a reviewer's belief in the Kuhnian idea of incommensurability: According to this idea, a reviewer who either is, or who believes he is, from one paradigm is unlikely, for better or worse, to understand or perhaps even tolerate work from a different paradigm. It is recommended that a process be developed to encourage “truth in peer reviewing” to reduce possible conflicts of interest embedded in the current conception of scientific peer review.