Evaluating the “possums” health professional training in parent–infant sleep

Infant sleep problems are among the most common issues reported by parents in the postnatal period. Yet, infant sleep and infant sleep interventions remain controversial. This study evaluated health professional training in a novel approach to parent–infant sleep: the Possums Sleep Intervention. Health professionals (n = 144) completed a short survey before and after the training, which focused on the sleep component. The Possums Sleep Intervention training included the following topics: sleep science, cued care, sleep hygiene, relaxation for parents and babies, problem solving, and acceptance and commitment therapy (ACT). Health professionals reported: improvements in knowledge on infant sleep regulation, the mother–infant relationship and ACT; improvements in health professionals’ own sleep quality; improvements in psychological flexibility; and a reduction in professional burnout and secondary traumatic stress. Moreover, the health professional training was received positively. Overall, this study is supportive of the Possums Sleep Intervention health professional training.     

Experimental manipulation of maternal proximity during short sequences of sleep and infant calming response

This study aimed to understand how different mother-infant sleeping arrangements impact infants’ self-regulation, particularly their calming response. Thus this study investigated the effect of three prevalent mother-infant sleeping arrangements, co-sleeping (CS), sleeping beyond arm’s length from their mother (BAL), and solitary sleeping (SS), on infants’ physiological calming through self-regulation during a nap session in 24 infants (50% female, M = 1.85 months SD = 0.93 months), who were identified as either regular co-sleepers with their mothers, infants who slept in the BAL sleeping arrangement from their mother, and infants who are solitary sleepers (SS). The effect of all three sleeping conditions amongst all the three types of infants with different habitual sleeping arrangements was assessed. All infants spent 10 min (2 × 5 min sessions) in each sleeping condition (CS, BAL, SS) during which electrocardiographic recordings were collected to obtain interbeat intervals (IBI) and rMSSD, a measure of heart rate variability (HRV) an index of physiological calming, maintained by the parasympathetic pathway involved in self-regulation. Infants who regularly co-slept with their mothers had the highest IBI, indicating greater physiological calming and self-regulation across all sleeping arrangement conditions (CS, BAL, SS), followed by infants who regularly slept in the BAL sleeping arrangement from their mothers. IBI was lowest amongst regular solitary sleepers, potentially indicating physiological stress due to mother-infant separation. However, HRV indices during the sleeping arrangements (especially across regular solitary sleepers) were inconclusive as to whether the lack of change in HRV across all sleeping conditions was due to physiological stress responses or greater physiological regulation. This study is the first to investigate the effect of manipulated and habitual mother-infant sleeping arrangements on infant physiological calming.     

自我控制对睡眠质量的影响:反刍思维与就寝拖延的中介作用

本研究主要考察了自我控制对睡眠质量的影响作用,以及反刍思维和就寝拖延的中介作用。采用相关量表对1104名大学生进行问卷调查。研究结果表明:(1)自我控制可以负向预测睡眠质量问题、反刍思维和就寝拖延。(2)自我控制还通过反刍思维和就寝拖延的单独中介及序列中介,间接影响睡眠质量。     

Atypicalities in sleep and semantic consolidation in autism

Sleep is known to support the neocortical consolidation of declarative memory, including the acquisition of new language. Autism spectrum disorder (ASD) is often characterized by both sleep and language learning difficulties, but few studies have explored a potential connection between the two. Here, 54 children with and without ASD (matched on age, nonverbal ability and vocabulary) were taught nine rare animal names (e.g., pipa). Memory was assessed via definitions, naming and speeded semantic decision tasks immediately after learning (pre‐sleep), the next day (post‐sleep, with a night of polysomnography between pre‐ and post‐sleep tests) and roughly 1 month later (follow‐up). Both groups showed comparable performance at pre‐test and similar levels of overnight change on all tasks; but at follow‐up children with ASD showed significantly greater forgetting of the unique features of the new animals (e.g., pipa is a flat frog). Children with ASD had significantly lower central non‐rapid eye movement (NREM) sigma power. Associations between spindle properties and overnight changes in speeded semantic decisions differed by group. For the TD group, spindle duration predicted overnight changes in responses to novel animals but not familiar animals, reinforcing a role for sleep in the stabilization of new semantic knowledge. For the ASD group, sigma power and spindle duration were associated with improvements in responses to novel and particularly familiar animals, perhaps reflecting more general sleep‐associated improvements in task performance. Plausibly, microstructural sleep atypicalities in children with ASD and differences in how information is prioritized for consolidation may lead to cumulative consolidation difficulties, compromising the quality of newly formed semantic representations in long‐term memory.     

Assessment of shared decision-making in community mental health care: Validation of the CollaboRATE

Background/ObjectiveCollaboRATE is a 3-item self-report measure of the patient experience of shared decision-making (SDM) process. The objective of this study is to assess the psychometric properties of CollaboRATE in community mental health care.MethodA cross-sectional study was conducted at a Community Mental Health Center of the Canary Islands Health Service. Two hundred and fifty consecutive psychiatric outpatients were invited to participate. Of those, 191 accepted (76.40% of response rate) and completed the CollaboRATE, the Control Preferences Scale (CPS), and a form with sociodemographic and clinical variables.ResultsExploratory factor analysis ratified the unidimensionality of the measure. High internal consistency was found (α Cronbach = .95, Guttman's λ = .93, and ω = .95). Strong positive correlations (p < .0001) were found between the CollaboRATE and the CPS. Only 39.80% of respondents gave the best possible score on CollaboRATE.ConclusionsThis study provides evidence for the reliability and validity of the Spanish version of the CollaboRATE as a measure of SDM. The measure is quick to complete and feasible for use in outpatient mental health care. At present, a significative number of psychiatric outpatients are not involved in SDM. The use of this measure in psychiatric routine care can be a key tool in assessing and implementing SDM.     

Gender-Typed Behavioral Examples of Histrionic Personality Disorder

Findings that clinicians diagnose Histrionic Personality Disorder more frequently in women may be due to the feminine gender weighting of the criteria or because the diagnostic label elicits a feminine stereotype. Using a method derived from the act-frequency approach, undergraduates generated behavioral examples of the DSM-IIIR and DSM-IV Histrionic criteria without regard to sex or according to sex role instructions that elicited masculine or feminine sex roles. A national sample of psychologists and psychiatrists rated the representativeness of the symptoms for the Histrionic criteria or for Histrionic Personality Disorder. Feminine behaviors were rated more representative of Histrionic Personality Disorder and somewhat more representative of the Histrionic criteria than masculine behaviors suggesting that the feminine sex role is more strongly associated with the label than the criteria. Masculine behaviors were also rated less representative than sex-unspecified examples. Results provide a possible explanation for the higher rates of diagnosis of Histrionic Personality Disorder in women.     

心理障碍与完美主义关系的研究进展

国外对心理障碍与完美主义的关系研究集中在进食障碍、焦虑障碍、强迫障碍、社交恐惧和抑郁等领域。研究表明,完美主义是导致心理障碍的原因之一,但并非所有的完美主义或者完美主义的所有维度都会导致心理障碍。     

国内外严重精神障碍康复服务模式的比较研究

以文献回顾和对比归纳的方法,对国内外典型的严重精神障碍康复服务模式进行探讨和比较分析,揭示了国内严重精神障碍康复服务模式存在的问题与不足：精神卫生服务资源匮乏、专业型人才短缺、资源整合协调效率低、对复元理念理解不透彻等。提出加强精神卫生服务体系建设,打造高质高量的精神卫生康复服务人才队伍、设立负责协调各方资源的专职部门,优化精神障碍社区康复服务体系布局和建设本土化复元导向的康复服务模式的建议,以期为我国严重精神障碍康复服务模式的发展提供参考。