Cognitive flexibility and response inhibition in patients with Obsessive-Compulsive Disorder and Generalized Anxiety Disorder

Background/ObjectiveThe main aim of this study was to analyze differences in inhibition and cognitive flexibility, taking into account some variables that may influence results (non verbal reasoning, depression, anxiety, intolerance of uncertainty, comorbidity, medication consumption).MethodThe participants were 95 adults aged 17-61 years old (M = 33.48, SD = 11.13), primary (most severe) Generalized Anxiety Disorder or Obsessive-Compulsive Disorder and a healthy control group. Neuropsychological neasures were completed using computerized Wisconsin Card Sorting Test, Stroop Color Word Test and Go/NoGo Task.ResultsClinical groups presented worse results in cognitive flexibility to the control group. The obsessive-compulsive group showed worse scores in flexibility than the generalized anxiety group, once non-verbal reasoning and tolerance to uncertainty were controlled. Comorbidity and medication use did not affect results in the obsessive compulsive group but did however influence the generalized anxiety group.ConclusionsCognitive flexibility could be included treatment in the treatment of obsessive-compulsive disorder and generalized anxiety disorder.     

Acculturative Stress,Parental and Professor Attachment,and College Adjustment in Asian International Students

This study examined parental and professor attachment as buffers against acculturative stress and as predictors of college adjustment of 210 Asian international students (AISs). Moderated hierarchical regression analyses revealed that acculturative stress negatively and secure parental and professor attachment positively predicted academic integration. Secure professor attachment positively predicted grade point average. Mother attachment may buffer against acculturative stress on academic integration; father attachment may exacerbate it. Counselors may use these findings to enhance AISs' attachment functioning for their college adjustment. Este estudio examinó el apego parental y el apego al profesor como protectores contra el estrés aculturativo y como indicadores de adaptación al entorno académico en 210 estudiantes internacionales asiáticos (AIS, por sus siglas en inglés). Los análisis de regresión jerárquica moderada revelaron que el estrés aculturativo fue un indicador negativo de integración académica, mientras que el apego parental y el apego al profesor fueron indicadores positivos. El apego seguro al profesor fue un indicador positivo de la media de las calificaciones académicas. El apego materno puede proteger contra el estrés aculturativo en la integración académica; el apego paterno puede agravarlo. Los consejeros pueden usar estos descubrimientos para enfatizar el funcionamiento del apego en los AIS para su adaptación al entorno académico.     

Coparenting Profiles in the Context of Mexican‐Origin Teen Pregnancy: Links to Mother–Daughter Relationship Quality and Adjustment

The current study explored the multifaceted nature of the mother–adolescent coparental relationship with data from 167 Mexican‐origin adolescent mothers and their own mothers at 10 months post childbirth. Profiles of mother–adolescent coparenting were created with latent profile analysis using adolescents’ reports of three dimensions of coparenting (communication, involvement, and conflict). Four profiles were identified: (a) Harmonious Coparents (equal involvement, high communication, low conflict); (b) Harmonious‐Adolescent Primary (adolescent is more involved than mother, high communication, low conflict); (c) Conflictual Coparents (equal involvement, high communication, high conflict); and (d) Conflictual‐Adolescent Primary (adolescent is more involved than mother, moderate communication, high conflict). Families characterized by high mother–daughter conflict and psychological control prior to childbirth were more likely to belong in the Conflictual Coparents profile. In addition, adolescents’ and mothers’ depressive symptoms and parenting efficacy after childbirth were linked to profile membership, such that the Harmonious‐Adolescent Primary profile reported the most positive adjustment patterns, whereas profiles with high coparental conflict (i.e., Conflictual Coparenting and Conflictual‐Adolescent Primary profiles) showed the least positive adjustment patterns. Discussion considers the applied implications of identifying precursors to healthy and problematic mother–daughter coparenting for families of adolescent mothers in the early years of parenting.     

A THERAPEUTIC PLAYGROUP FOR DEPRESSED MOTHERS AND THEIR INFANTS: FEASIBILITY STUDY AND PILOT RANDOMIZED TRIAL OF COMMUNITY HUGS

Symptoms of depression negatively impact on mother?infant relationships and child outcomes. We evaluated a novel, 10‐session mother?infant therapeutic playgroup—Community HUGS (CHUGS)—which combines cognitive and experiential components through psychoeducation, play, music, and movement. Participants were mothers experiencing a range of postnatal mental health difficulties, including depression, with infants ≤12 months of age. However, the aim was not to treat maternal depression but to ameliorate associated problems in the mother?infant interaction. In the feasibility study, all participants received CHUGS. In the pilot randomized controlled trial (RCT), participants were randomized between intervention and a wait‐list. Outcomes were the Parenting Stress Index (PSI; R.R. Abidin, 1995), Parenting Sense of Competency Scale (Self‐Efficacy subscale; J. Gibaud‐Wallston & L.P. Wandersman, 1978), and the Depression, Anxiety, Stress Scales (P.F. Lovibond & S.H. Lovibond, 1995). In the feasibility study (n = 74), PSI scores dropped on all subscales, all ps < .01. Depression, p < .001, anxiety, p = .01, stress, p = .01, and self‐efficacy, p < .001, all showed improvements, as did observer‐rated mother?infant interactions, p < .001. In the RCT, depression, p < .001, anxiety, p = .005, and stress, p < .001, symptoms were significantly reduced for intervention participants (n = 16), as compared to wait‐list participants (n = 15). The CHUGS program had high participant satisfaction and produced improvements in self‐efficacy, depression, anxiety, stress, and mother?infant interactions that supported the program's acceptability and the utility of further rollout.     

Recoupling in Mid‐Life and Beyond: From Love at Last to Not So Fast

Divorce rates have dropped in the United States, except for couples over 50 where they are rising steeply, along with rates of late‐life recoupling. Both stepcouples and their young adult and adult children in new older stepfamilies are often surprised to find themselves facing many of the same challenges that younger stepfamilies do. Some challenges are even intensified by the decades‐long relationships and additional layers of extended family that come with recoupling after mid‐life. Stepfamilies formed in later life must also negotiate decisions about estate planning and elder care among stakeholders who often have sharply divergent agendas before there is time to establish trusting relationships. This article describes the “normal” challenges facing stepcouples who come together over age 50. It provides evidence‐informed guidance for therapists in meeting these challenges on three levels of clinical work: Psychoeducational, Interpersonal, and Intrapsychic/Intergenerational. As in younger stepfamilies, “family therapy” must usually begin in subsystems—often the adult stepcouple and parent–adult child. The article then describes a particularly fraught subgroup of recouplers: over‐50 fathers and their new partners, where the dad's young adult or adult daughter is very unhappy with his new relationship. In these latter stepfamilies, father–daughter repair must precede stepfamily bonding. Stepfamilies that are preceded by a partner's death and those that begin with affairs are also discussed. Finally, some “easy wrong turns” for therapists are described.     

TEMPERAMENTAL ADAPTABILITY,PERSISTENCE, AND REGULARITY: PARENTAL RATINGS OF NORWEGIAN INFANTS AGED 6 TO 12 MONTHS,WITH SOME IMPLICATIONS FOR PREVENTIVE PRACTICE

There is a need for standardized measures of infant temperament to strengthen current practices in prevention and early intervention. The present study provides Norwegian data on the Cameron‐Rice Infant Temperament Questionnaire (CRITQ; J.R. Cameron & D.C. Rice, 1986a), which comprises 46 items and is used within a U.S. health maintenance organization. The CRITQ was filled out by mothers and fathers at 6 and again at 12 months as part of a longitudinal study of mental health during the first years of life (the “Little in Norway” study, N = 1,041 families enrolled; V. Moe & L. Smith, 2010). Results showed that internal consistencies were comparable with U.S. data. The temperament dimensions of persistence, adaptability, and regularity had acceptable or close‐to‐acceptable reliabilities in the U.S. study as well as in this study, and also were unifactorial in confirmatory factor analysis. These dimensions are the focus in this article. Findings concerning parents’ differential ratings of their infants on the three dimensions are reported, as is the stability of parents’ ratings of temperament from 6 to 12 months. In addition, results on the relation between temperament and parenting stress are presented. The study suggests that temperamental adaptability, persistence, and regularity may be relevant when assessing infant behavior, and may be applied in systematic prevention trials for families with infants. The inclusion of concepts related to individual differences in response tendencies and regulatory efforts may broaden the understanding of parent—infant transactions, and thus enrich prevention and sensitizing interventions with the aim of assisting infants’ development.     

Long-term outcomes of Acceptance and Commitment Therapy in drug-dependent female inmates: A randomized controlled trial

The general aim of this randomized controlled trial was to test the long-term efficacy of acceptance and commitment therapy (ACT) compared to a cognitive behavioural therapy (CBT) condition in the treatment of drug abuse. Participants were 37 polydrug incarcerated females assessed with Mini International Neuropsychiatric Interview, Addiction Severity Index-6, Anxiety Sensitivity Index (ASI) and Acceptance and Action Questionnaire II at pre, post, and at 6-, 12- and 18-months follow-ups. The mixed lineal model analyses showed reductions in drug abuse, ASI levels and avoidance repertoire in both conditions, without any differences between groups. However, the percentages of mental disorders were reduced only in ACT participants. At the 18-month follow-up, ACT was better than CBT in the maintaining of abstinence rates. This data support the incubation pattern showed in previous ACT studies. To conclude, the ACT intervention seems to be an adequate treatment option for addictive behaviours and co-occurring disorders in incarcerated women.     

Sobre las nociones de significado y representación en psicología y psicolingüística

Resumen

El propósito de este artículo es examinar el papel del significado y la representación en la psicología y la psicolingüística. El problema del significado se examina primero desde una perspectiva ontológica, en la pretensión de explicar en virtud de qué ciertas cosas significan algo distinto de sí mismas. Bajo esta perspectiva, el significado se define como representación y remite al problema de la intencionalidad. El problema del significado se aborda luego desde una perspectiva psicológica, tratando de aclarar cómo se puede materializar la intencionalidad en un sistema físico y qué papel desempeña en la explicación del comportamiento. En la segunda parte del artículo se discute el papel del lenguaje como instrumento de comunicación de estados intencionales y como sistema de mediación en el desarrollo del pensamiento. A este respecto, se plantean preguntas y se avanzan contestaciones sobre la posibilidad de considerar el lenguaje natural, o alguno de sus niveles de representación, como vehículo de representación del pensamiento y como sistema auxiliar de acceso consciente a los productos del pensamiento.     

¿Existe un patrón general expresivo en la detección de la mentira? Reconsideraciones acerca de Becerra,Sánchez y Carrera (1989)

Resumen

Frente a la visión tradicional que sostiene la existencia de claves conductuales discretas a que atender en la detección de la mentira, válidas para juzgar la conducta de cualquier emisor, algunos autores optan por postular la existencia de señales de naturaleza idiosincrásica. Ello se basa en los estudios que muestran una mayor precisión de los observadores al detectar la mentira de un emisor del que previamente se ha visto una muestra de conducta honesta. A dicha idiosincrasia Becerra, Sánchez y Carrera (1989) añaden la posibilidad de que, más que indicadores discretos, lo que permite detectar la mentira es la existencia de un patrón general expresivo en la conducta del emisor, que se percibiría alterado cuando éste miente. Replicamos parcialmente su estudio con nuestros propios datos, concluyendo que: (a) la precisión al juzgar una segunda declaración no es mayor en sujetos que previamente han visto al mismo emisor comportándose verazmente (considerando o no dicha conducta como veraz) que en aquellos que lo han visto actuando de forma engañosa; y (b) de haber un patrón general expresivo en la conducta de sujetos honestos y mentirosos, éste no se detecta por los observadores, sean éstos policías (alumnos de 2° en la Academia de Policía) o estudiantes de psicología.     

La personalidad ¿paradigma o sistema?

Resumen

El tema de la personalidad, en su sentido lato, es retomado en este artículo para proceder a justificar comprensivamente su utilización en Psicología Multivariada, tanto teórica como aplicada.

Tras definir la personalidad como paradigma de configuración y pronóstico (a partir de los repertorios y predisposiciones comportamentales reincidentes), se establecen ocho axiomas básicos que sustentan cualquier investigación con metodologías multifactoriales. Asimismo se perfila el marco disciplinar que conecta la Teoría Multidimensional de la Personalidad con otras áreas y logros experimentales en Psicología General.

Finalmente se apuntan los ejes re-interpretativos de la personalidad a la luz de las aportaciones de la Teoría General de Sistemas, entendiéndola como supra-sistema dinámico de transformación e integración del individuo en su medio. Así los rasgos, más que constructos hipotéticos, son considerados focos moduladores de influencia, direccionabilidad y ajuste.