Latent class analysis of indicators of intolerance of uncertainty

Intolerance of Uncertainty (IU ) is a transdiagnostic vulnerability factor involved in depression and anxiety symptoms and disorders. IU encompasses Prospective IU (“Unforeseen events upset me greatly”) and Inhibitory IU (“The smallest doubt can stop me from acting”). Research has yet to explore whether subgroups or classes of people exist characterized by different profiles of IU . This study used latent class analysis to identify such subgroups and examined if different classes of IU were distinct in terms of several cognitive vulnerabilities and psychological symptoms. Data were obtained from 519 students completing a 12‐item measure of IU . Four subgroups were identified, characterized by low IU , predominantly Prospective IU , predominantly Inhibitory IU , and high IU , respectively. People in the high IU class reported cognitive vulnerabilities and depression and anxiety more than people in the low IU class. Inhibitory IU was more strongly associated with poor outcomes than was Prospective IU .     

An exploratory analysis of the influence of personality and emotional factors on cerebral blood flow responses during painful stimulation in Fibromyalgia

This study explored the influence of certain personality traits (neuroticism, extraversion, psychoticism, alexithymia), emotional variables (depression, catastrophizing), and insomnia on cerebral blood flow (CBF ) responses to painful stimulation in fibromyalgia, using functional transcranial Doppler sonography. CBF velocities were recorded bilaterally in the anterior cerebral arteries (ACA ) and middle cerebral arteries (MCA ) of 24 fibromyalgia patients during exposure to two painful pressure conditions: (1) fixed pressure (2.4 kg) and (2) an individually calibrated pressure to produce an equal‐moderate subjective pain intensity in all participants (average, 3.5 kg). Psychological factors were assessed by means of questionnaires. Neuroticism, and the externally‐oriented thinking dimension of alexithymia were positively, and extraversion was inversely, associated with specific components of ACA and MCA CBF responses. Regarding catastrophizing and depression, correlations were positive for the fixed pressure condition and negative for the equal subjective intensity condition. The findings suggest that alterations in central nervous pain processing in fibromyalgia vary according to psychological factors. While most of the observed associations reflect a linear increase in nociceptive processing with the magnitude of negative cognitive and emotional states, the inverse associations for catastrophizing and depression during more intense painful stimulation may be ascribed to anti‐nociceptive effects due to activation of the defense reflex.     

抑郁在青少年核心自我评价与自杀意念间的中介作用:基于Bootstrap法和MCMC法的实证研究

考察抑郁在青少年核心自我评价与自杀意念间的中介作用。对502名高中生进行量表测评。通过偏差校正的Bootstrap法和有先验信息的MCMC法求出中介效应值的95%置信区间分别为[-.030,-.011]和[-.024,-.014],提示抑郁的中介效应显著。效应量k2、R2med分别为.124、.104,偏差校正的Bootstrap法抽样5000次后,构建的效应量的95%置信区间分别为[.070,.178]、[.063,.156],两种指标共同验证效应量为中等。研究结果说明抑郁在核心自我评价与自杀意念间起部分中介作用,效应量中等。     

家庭支持与朋友支持对不同自理能力老年人抑郁水平的影响

探讨社会支持中的家庭支持和朋友支持对不同自理能力老年人抑郁水平的影响作用。结果发现:(1)社会支持可有效缓解老年人抑郁症状;(2)对个体而言,家庭支持是较稳定的支持来源,受个体年龄和健康水平的影响较小,而朋友支持变动较大,随年龄增长和健康水平的下降,朋友支持逐渐减少;(3)社会支持对不可完全自理老年人抑郁水平的解释率高于对可完全自理老年人抑郁水平的解释率;(4)对于生活可完全自理的老人,朋友支持比家庭支持有更大的预测作用,而对于生活不能完全自理的老人,家庭支持的作用更大。     

Attention network test: Assessment of cognitive function in chronic fatigue syndrome

Information processing difficulties are common in patients with chronic fatigue syndrome (CFS). It has been shown that the time it takes to process a complex cognitive task, rather than error rate, may be the critical variable underlying CFS patients' cognitive complaints. The Attention Network Task (ANT) developed by Fan and colleagues may be of clinical utility to assess cognitive function in CFS, because it allows for simultaneous assessment of mental response speed, also called information processing speed, and error rate under three conditions challenging the attention system. Comparison of data from two groups of CFS patients (those with and without comorbid major depressive disorder; n = 19 and 22, respectively) to controls (n = 29) consistently showed that error rates did not differ among groups across conditions, but speed of information processing did. Processing time was prolonged in both CFS groups and most significantly affected in response to the most complex task conditions. For simpler tasks, processing time was only prolonged in CFS participants with depression. The data suggest that the ANT may be a task that could be used clinically to assess information processing deficits in individuals with CFS.     

The effect of preterm birth on infant negative affect and maternal postpartum depressive symptoms: A preliminary examination in an underrepresented minority sample

ObjectiveTo examine the effect of preterm birth on maternal postpartum depressive symptoms and infant negative affect in an underrepresented minority sample.MethodParticipants were 102 mothers and their 3- to 10-month-old infants. Mothers completed the Edinburgh Postnatal Depression Scale and the Infant Behavior Questionnaire-Revised.ResultsRelative to normative samples, the current underrepresented minority sample of mostly Hispanics and Blacks displayed high rates of preterm birth (30%) and maternal postpartum depressive symptoms (17%). Preterm birth had a significant direct effect on postpartum depressive symptoms and infant negative affect. Additionally, there was an indirect effect of postpartum depressive symptoms on the relation between preterm birth and infant negative affect. Specifically, lower birth weight and gestational age predicted higher levels of depressive symptoms in the mother, and higher levels of depressive symptoms in the mother, in turn, predicted higher levels of infant negative affect.ConclusionFindings emphasize the importance of screening for postpartum depressive symptoms and infant negative affect among mothers and their preterm infants, especially among families from underrepresented minority backgrounds.     

Helping Peers Seek Professional Treatment for Depression Among Young South Koreans: An Application of the Theory of Planned Behavior

This study examined the applicability of the theory of planned behavior to understand factors that influence whether young South Koreans help peers with depression to seek professional counseling services. The structural equation modeling on the survey data collected from 191 South Korean students suggests that subjective norms and behavioral control could be salient factors for young South Koreans to take initiative and assist their peers in need of counseling services. Este estudio examinó la aplicabilidad de la teoría del comportamiento planificado para comprender factores que influyen sobre la decisión de jóvenes surcoreanos de ayudar a sus compañeros que sufren de depresión a buscar ayuda profesional a través de servicios de consejería. El modelo de ecuación estructural de los datos de la encuesta recogidos de 191 estudiantes surcoreanos sugiere que las normas subjetivas y el control del comportamiento podrían ser factores destacados para los jóvenes surcoreanos a la hora de tomar la iniciativa y ayudar a sus compañeros que necesitan servicios de consejería.     

Early maladaptive schemas and non-suicidal self-injury among young adults: A preliminary investigation

Non-suicidal self-injury (NSSI) represents a critical mental health issue among young adults. Accordingly, it is important to understand potentially modifiable processes involved in its enactment. The current investigation built on previous work to better understand the nature of early maladaptive schemas (EMS) in the context of NSSI. One hundred and thirty young adults completed questionnaires assessing NSSI history, EMS and depressive symptoms. Results indicate that EMS may play a role in NSSI engagement after controlling for depressive symptoms. Specifically, higher scores on social isolation and emotional inhibition and possibly lower scores on entitlement/grandiosity schemas may differentiate those who self-injure from those who do not. Furthermore, higher levels of dependence/incompetence schema may differentiate those who report a higher NSSI frequency and those who report a less frequent NSSI history. Although a nascent area of study, our findings suggest that it may be fruitful to consider conceptualizing NSSI within a schema therapy framework.     

Mirroring patients – or not. A study of general practitioners and psychiatrists and their interactions with patients with depression

For mentalization theorists, implicit mentalization is a key component of all forms of therapy. However, it has been difficult to grasp and to describe precisely how implicit mentalization works. It is said to take place partly by mirroring others in posture, facial expression and vocal tone. Based on studies of imitative behaviour within linguistics and psychology, we argue that interactional mirroring is an important aspect of displaying implicit mentalization. We aimed to explore if, and in that case how, mirroring is displayed by general practitioners (GPs) and psychiatrists in consultations with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were video-recorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements and verbal and acoustic features of speech. GPs mirrored their patients more than psychiatrists in all modalities and were more flexible in their interactional behaviour. Psychiatrists seemed more static, regardless of the emotionality displayed by patients. Implicitly mirroring and attuning to patients could signify enactment of implicit mentalization, according to how it is described by mentalization theorists. We discuss reasons for the differences between GPs and psychiatrists, and their implications.     

Evangelical group membership,depression, and well-being among older Mexican Americans: a comparison with older non-Hispanic Whites

This study assesses denominational differences in well-being among older Mexican Americans and examines differences between this group and older non-Hispanic Whites. Data came from two representative surveys of the US older adult population, focusing on each of these ethnic groups (N?=?996 and N?=?612, respectively). Evangelical Mexican Americans reported fewer symptoms of depression and greater life satisfaction than their Catholic counterparts, but there were no such differences among non-Hispanic Whites. Potential explanatory mechanisms examined included differences in frequency of attendance at religious services, use of positive and negative religious coping, and social support or conflict in the congregation. Among these, only the relationship of attendance and denomination varied by ethnicity, but this factor did not appear to explain differences in well-being. We propose that aspects of conflict between Catholic and Mexican-American identities contribute to making Evangelical affiliation more strongly related to well-being in this group.