A family study of outpatients with borderline personality disorder and no history of mood disorder

While several studies have examined psychiatric disorders in the relatives of individuals with borderline personality disorder, many of these studies have not employed a family study methodology and suffer from other methodological shortcomings. Thus, the conclusions from family data addressing the validity of borderline personality disorder, its relation to other conditions, and its distinction from mood disorders, continue to be debated. The present investigation employed a family study design with direct interviews with relatives, structured diagnostic interviews with both probands and relatives, and blind assessment of relatives. Rates of psychiatric disorders were examined in 563 relatives of outpatients with mood disorders (n = 119), 54 relatives of outpatients with borderline personality disorder and no history of mood disorder (n = 11), and 229 relatives of never psychiatrically ill controls (n = 45). Results indicate increased rates of mood disorders and personality disorders in the relatives of borderline probands compared with never psychiatrically ill controls. Familial aggregation of psychiatric disorders was generally similar for borderline personality and the mood disorder comparison group. The results suggest there may be common etiological factors between borderline personality disorder and mood disorders.     

Extensive occupational finger use delays age effects in tactileperception—an ERP study

Tactile expertise, resulting from extensive use of hands, has previously been shown to improve tactile perception in blind people and musicians and to be associated with changes in the central processing of tactile information. This study investigated whether expertise, due to precise and deliberate use of the fingers at work, relates to improved tactile perception and whether this expertise interacts with age. A tactile pattern and a frequency discrimination task were conducted while ERPs were measured in experts and nonexperts of two age groups within middle adulthood. Independently of age, accuracy was better in experts than in nonexperts in both tasks. Somatosensory N70 amplitudes were larger with increasing age and for experts than for nonexperts. P100 amplitudes were smaller in experts than in nonexperts in the frequency discrimination task. In the pattern discrimination task, P300 difference wave amplitude was reduced in experts and late middle-aged adults. In the frequency discrimination task, P300 was more equally distributed in late middle-aged adults. We conclude that extensive, dexterous manual work leads to acquisition of tactile expertise and that this expertise might delay, but not counteract, age effects on tactile perception. Comparable neurophysiological changes induced by age and expertise presumably have different underlying mechanisms. Enlarged somatosensory N70 amplitudes might result from reduced inhibition in older adults but from enhanced, specific excitability of the somatosensory cortex in experts. Regarding P300, smaller amplitudes might indicate fewer available resources in older adults and, by contrast, a reduced need to engage as much cognitive effort to the task in experts.     

Language use of depressed and depression-vulnerable college students

Essays written by currently-depressed, formerly-depressed, and never-depressed college students were examined for differences in language that might shed light on the cognitive operations associated with depression and depression-vulnerability. A text analysis program computed the incidence of words in predesignated categories. Consistent with Beck's cognitive model and with Pyczsinski and Greenberg's self-focus model of depression, depressed participants used more negatively valenced words and used the word, "I" more than did never-depressed participants. Formerly-depressed (presumably depression-vulnerable) participants did not differ from never-depressed participants on these indices of depressive processing. However, consistent with prediction, formerly-depressed participants' use of the word "I" increased across the essays and was significantly greater than that of never-depressed writers in the final portion of the essays.     

Marital History and Current Marital Satisfaction in Chronic Depression

Marital functioning is an important consideration in the treatment of depression. Although there are several studies of the marriages of depressed individuals, there is little data on the marital lives of those with chronic depression. In this article, we compare the marital history and marital satisfaction in a sample of carefully diagnosed outpatients with chronic depression compared to those with nonchronic depression. The groups were similar in terms of a history of divorce and for the percentage who had ever been married. However, the chronic group had significantly lower levels of marital satisfaction. Increased attention to marital functioning in this group may be beneficial during treatment.     

The ecological validity of the autonomic-subjective response dissociation in repressive coping

Background and Objectives: Repressive coping has been associated with elevated cardiovascular reactivity and diminished self-reported negative affect (so-called autonomic-subjective response dissociation, ASRD) in response to laboratory stressors. However, there is a lack of knowledge regarding the ecological validity of this response pattern. Design: An ambulatory assessment strategy was applied in order to analyze associations between ASRD and repressive coping throughout a day. Methods: A sample of 114 individuals was recruited. Heart rate was recorded via ECG and subjective reports of negative affect as well as the experience of demand and control (as indicators of stress) and situational characteristics were assessed several times a day via mobile electronic devices. Results: Repressive coping relative to other coping dispositions was accompanied by elevated ASRD during stressful episodes in daily life, thus supporting previous laboratory research. Conclusions: The findings suggest that repressive coping is associated with a discrepancy between subjective reports of negative affect and autonomic responding to stressful encounters in everyday life, which might impact health.     

Parents' representations of their children: an exploratory study using the Osgood Semantic Differential Scales

The results of an exploratory national study carried out in Italy using Osgood's Semantic Differential Scales (Osgood, Suci, & Tannenbaum, 1957) with parents of 100 normal 6- to 11-yr.-old children in mainstream classrooms are reported. The aim was to devise a simple tool to be used to explore parents' perceptions of their children in this age group. Parents were asked to rate "my child" using some of Osgood's Semantic Differential Scales especially adapted for this study. Participants were 97 fathers and 100 mothers. Fathers were 32 to 57 years of age (M = 43.2, SD = 5.4), mothers were 29 to 49 years of age (M = 39.7, SD =4.4). In factor analysis four factors were identified: Activity, Evaluation, Emotions evoked by the child, Personality/Physical contact. Average factor scores were significantly different. There were no significant differences between fathers and mothers on the four factor scores. Children were more positively evaluated the younger they were.     

The Communities That Care (CTC) Family Attachment Scale: Measurement Invariance Across Family Structures

Familial protective factors are an integral part of prevention approaches aimed at problematic behaviour in adolescents. However, there is scarce evidence on the role of familial protective factors in families deviating from the two-parent family configuration. For evaluating targeted (preventive) interventions, a reliable and valid measurement of familial protective factors is crucial. We investigated the factor structure of the Communities That Care (CTC) Family Attachment Scale and tested its measurement invariance in different family structures. Adolescents (n?=?2.459, grades 6–11) from Lower Saxony, Germany filled in the German version of the CTC Youth Survey. Our analyses focused on the CTC Family Attachment Scale measuring the adolescent’s attachment to the mother and the father with six items. We evaluated the postulated unidimensional structure of the scale by confirmatory factor analysis (CFA) and tested the measurement invariance using multigroup factor analyses across different family structures (two-parent family/single-parent family). We used SPSS V.23 and the R packages lavaan and semTools. The two-factor solution for the CTC Family Attachment Scale with one factor representing attachment to the mother and one indicating attachment to the father had an adequate model fit in the total sample (χ²(5)?=?29.938; p?<?.001; CFI?=?.996; TLI?=?.988; RMSEA?=?.050, SRMR?=?.019). This two-factor solution of the CTC Family Attachment Scale showed strong measurement invariance regarding adolescents living in a two-parent family vs. those living with a single parent. The two-factor CTC Family Attachment Scale appears to be a suitable measure to assess family attachment in both two-parent and single-parent families with German adolescents.     

Benefits of expressive writing in lowering rumination and depressive symptoms

Depression-vulnerable college students (with both elevated prior depressive symptoms and low current depressive symptoms) wrote on 3 consecutive days in either an expressive writing or a control condition. As predicted, participants scoring above the median on the suppression scale of the Emotion Regulation Questionnaire (Gross & John, 2003) showed significantly lower depression symptoms at the 6-month assessment when they wrote in the expressive writing versus the control condition. Additional analyses revealed that treatment benefits were mediated by changes in the Brooding but not the Reflection scale of the Ruminative Response Scale (Nolen-Hoeksema & Morrow, 1991). A "booster" writing session predicted to enhance treatment benefits failed to have a significant effect.     

Promoting the Scientist–practitioner Mindset in Clinical Training

While the scientist–practitioner model of training has enjoyed wide-spread appeal, difficulties in implementing the model have continued since its inception. Despite these difficulties, we remain advocates of the model and believe responsibility for inculcating a scientist–practitioner mindset rests with both training programs and trainees themselves. Thus, we offer several suggestions for both trainees and training programs in hopes of perpetuating the scientist–practitioner ideal.