Am I blue? Depressed mood and the consequences of self-focus for the interpretation and recall of ambiguous words

In two experiments, dysphoric and nondysphoric students first concentrated on either self-focused or other-focused phrases and then performed an ostensibly unrelated task involving the interpretation of homographs with both personal and impersonal meanings. In Experiment 1, they constructed sentences for the homographs; dysphoric students' sentences were more emotionally negative (although not more personal) in the self-focused condition than in the other-focused condition. In Experiment 2, they freely associated to the homographs, and the percentage of personal meanings reflected by the associations revealed an effect of self versus other focus that depended on mood group. Following free associations, they attempted to recall the homographs. Dysphoric students (but not nondysphoric students) recalled a greater percentage of personally interpreted homographs if they had focused on self than if they had focused on other matters. In general, these results suggest that ruminative or self-focused thinking by people in depressed moods transfers to novel ambiguous situations, encouraging more negative interpretations and better recall of personal interpretations.     

Congenital heart disease: A primer for the pediatric neuropsychologist

Congenital heart disease (CHD) affects millions of people worldwide, including over one million children in the United States. Approximately 25% of children born with CHD require intensive surgical intervention within the first year of life. Despite improved rates of survival into adulthood – rates that exceed 90% in the modern era – children and adolescents with CHD remain at risk for neurological injury and a range of neurobehavioral and psychosocial challenges that pose a threat to quality of life across the lifespan. Consequently, as experts in both clinical psychology and brain development, neuropsychologists are becoming increasingly involved in cardiac follow-up and monitoring to promote optimal developmental outcomes. The primary objective of this paper is to provide an evidence-based, clinically-oriented primer on CHD for pediatric neuropsychologists working with this growing population of survivors. Following an introduction to current standard-of-care guidelines for managing children and adolescents with CHD, we present an overview of brain development within the context of CHD, review neuropsychological outcomes, examine factors influencing variability in outcomes, and discuss implications and strategies for clinical assessment.     

DERIVED IDENTITY AND DEPRESSIVE SYMPTOMATOLOGY IN WOMEN DIFFERING IN MARITAL AND EMPLOYMENT STATUS

Derived identity, defined as a sense of self that is overly influenced by and dependent upon relationships with significant others, and depressive symptomatology, measured by the CES-D scale, were assessed in a sample of 564 adult women classified into one of six marital-employment status groups: married professional, single professional, married nonprofessional, single nonprofessional, married nonemployed, and single nonemployed. Married women were found to report more derived identity than single women and when age effects were controlled, married women also had higher CES-D scores than single women. Employment status results in aggregate indicated that for women of equal education: (1) employment outside the home, whether it be professional or non-professional, is related to a more autonomous sense of self than nonemployment and (2) employment outside the home is not associated with lower CES-D scores than nonemployment. Derived identity and depression were also found to be significantly correlated within the total sample and within each marital-employment status group.