Alexithymia as a potential source of symptom over‐reporting: An exploratory study in forensic patients and non‐forensic participants

The traditional interpretation of symptom over‐reporting is that it indicates malingering. We explored a different perspective, namely that over‐reporting of eccentric symptoms is related to deficits in articulating internal experiences (i.e., alexithymia). Given that alexithymia has been linked to sleep problems and that fatigue may fuel inattentive responding to symptom lists, we administered measures of alexithymia (TAS ‐20) and symptom over‐reporting (SIMS ), but also sleep quality (SLEEP ‐50) to forensic psychiatric outpatients (n = 40) and non‐forensic participants (n = 40). Forensic patients scored significantly higher on all three indices than non‐forensic participants. In the total sample as well as in subsamples, over‐reporting correlated positively and significantly with alexithymia, with r s being in the 0.50–0.65 range. Sleep problems were also related to over‐reporting, but in the full sample and in the forensic subsample, alexithymia predicted variance in over‐reporting over and above sleep problems. Although our study is cross‐sectional in nature, its results indicate that alexithymia as a potential source of over‐reporting merits systematic research.     

The role of temperament traits as predictors of depressive symptoms and resilience in adolescents

From the initial sample of 956 adolescents from the Basque Country (Spain), 790 (M_age = 14.56, 49.4% girls) completed at least two waves including Wave 1 (retention rate: 82.6%), analyzing temperament traits as longitudinal predictors of depression and resilience. Positive affectivity (PA) predicted decreased depression and increased resilience, while negative affectivity (NA) had the opposite effect, and effortful control (EC) predicted reduced depression. Results indicated that PA protects adolescents who are low in EC against depression. In contrast, high EC levels worsened the damaging effect of NA on depression. Resilience and depression were bidirectionally associated and mediated the effects of temperament traits. Findings highlight the need to consider the effect of the complex interplays between temperament traits on resilience and depression improvement.     

公安民警的创伤后应激症状对执行功能的影响—基于Stroop范式的探究

公安民警常常身临应激和危险情境中,是创伤事件的易感人群,但其创伤后应激症状对执行功能的影响研究尚且缺乏。已有研究发现,具有创伤后应激症状的个体的执行功能存在缺陷,表现在对冲突信息的抑制能力受损以及对创伤相关信息的注意偏向和情绪唤起。本研究以公安民警为实验组被试,据其创伤后应激症状分为高低两组,在校大学生为对照组被试,采用Stroop范式探究创伤后应激症状对公安民警“冷”、“热”执行功能的影响。结果表明,具有创伤后应激症状的公安民警在“冷”、“热”执行功能上不存在缺陷,但仍在一定程度上受到创伤后应激症状的影响。启示对具有创伤后应激症状的公安民警进行干预时,应关注其症状的严重程度,在“热”执行功能上寻求更有效的干预方式。     

书法训练对军校大学生的情绪调节

本研究旨在探讨书法训练对军校大学生不良情绪的调节效应.被试为90名男性军校大学生,将其分为毛笔组、钢笔组和对照组三个实验组,毛笔组和钢笔组被试在一个月内按每日30分钟分别进行毛笔书写和钢笔书写训练,对照组完全休息,分别在实验前、中和后作SCL-90症状评量表的评定.结果表明毛笔组组内前后三次SCL-90总分和各因子分均呈明显下降趋势,总分和强迫症、人际关系、偏执、精神状态等四项因子三次间存在显著性差异,而钢笔组和对照组前后三次SCL-90总分和各因子分均无明显变化.书法训练对军校大学生在紧张环境下的不良情绪有较好的调节效果.     

Anxiety symptom interpretation and performance expectations in high-anxious,low-anxious,defensive high-anxious and repressor individuals

To date, no research has investigated score predictions and anxiety interpretation in high-anxious, low-anxious, defensive high-anxious and repressor individuals. This study examined Eysenck’s (1997) predictions for cognitive biases on future performance expectations in all four groups. This study was conducted in an ecologically-valid sporting environment. Competitive shooters completed the Marlowe–Crowne Social Desirability Scale and the Sport Anxiety Scale prior to a major competition. Percentile splits identified the four defensiveness/anxiety groups. The modified Competitive Sport Anxiety Inventory-2 was used to assess the intensity and direction of anxiety prior to competition. Participants predicted their expected shooting score. The hypothesis that repressors would interpret their anxiety as more facilitative to performance compared to low-anxious individuals was partially supported. Repressors were more optimistic in their performance prediction in contrast to defensive high-anxious performers who, in turn, were more pessimistic compared to the other two groupings. High-anxious performers, contrary to predictions, demonstrated optimism in their future performance. The findings of this study corroborate the theoretical predictions and the evidence from previous studies with sport performers. Future research should continue to investigate the influence of cognitive biases on performance predictions in sporting environments using Weinberger et al.’s classifications.     

Cognitive deficits of executive functions and decision‐making in obsessive‐compulsive disorder

The nature of cognitive deficits in obsessive‐compulsive disorder (OCD) is characterized by contradictory findings in terms of specific neuropsychological deficits. Selective impairments have been suggested to involve visuospatial memory, set shifting, decision‐making and response inhibition. The aim of this study was to investigate cognitive deficits in decision‐making and executive functioning in OCD. It was hypothesized that the OCD patients would be less accurate in their responses compared to the healthy controls in rational decision‐making on a version of the Cambridge gambling task (CGT) and on the color‐word interference test and on a version of the Tower of Hanoi test (tower test) of executive functioning. Thirteen participants with OCD were compared to a group of healthy controls (n = 13) matched for age, gender, education and verbal IQ. Results revealed significant differences between the OCD group and the healthy control group on quality of decision‐making on the CGT and for achievement score on the tower test. On these two tasks the OCD group performed worse than the healthy control group. The symptom‐dimension analysis revealed performance differences where safety checking patients were impaired on the tower test compared to contamination patients. Results are discussed in the framework of cognition and emotion processing and findings implicate that OCD models should address, specifically, the interaction between cognition and emotion. Here the emotional disruption hypothesis is forwarded to account for the dysfunctional behaviors in OCD. Further implications regarding methodological and inhibitory factors affecting cognitive information processing are highlighted.     

Dream and loss—on triangulation and its implication on the capacity for self-reflection in psychoanalytic work

This paper takes as its starting point Freud's idea that the loss of the object and its inner restoration is an on-going process, which has a crucial influence on the facing of reality. The author's aim is to illustrate that it is by working through the loss of the object that an inner triangulation may be experienced. The idea of triangulation is based on Ronald Brittens definition of it as the image of a mental space in which subjective experiencing can be combined with observing. Via a clinical material, where the distinction between self and object may be endured only with difficulties, the author discusses how phantasizing may serve as an evasion of a notion of an inner catastrophe and how a collapsed triangular space can be restored. In this discussion, the differentiating aspect by negation is touched upon. In connection to another clinical case, the author discusses how the analysand creates what the author calls an illusion about the mutual inter-changeability of the objects. This is used to protect the analysand from experiencing feelings of Oedipal competition, and through that, mourn the illusion of an exclusive place in the Oedipal triad. The conclusion is that the capacity to create meaning comprises the idea of the possibility of together with the subjective experience, internalizing the perspective of ?the other”. Further, that the working through of the Oedipal situation stabilizes the capacity for an observing thinking, since it places the person in a triangular position where he/she is able both to identify with the parties in the Oedipal arena and to observe hislher own contribution to the Oedipal interplay.     

The influence of external stimulation on airflow detection by children with asthma

Abstract

The relevance and significance of the concept of a ‘competition of cues’ for the understanding of symptom perception in childhood asthma was investigated during detection of externally applied resistive loads on breathing. The concept predicts that subjects would respond less frequently and less accurately during external stimulation. The sample consisted of 36 children with and 36 without asthma, aged 7-18 years. Detection of airflow was measured in a neutral and in an external stimulation condition. The children breathed through a facemask and responded to changes in airflow by pressing a button. The stimulus presented and withdrawn was analogous to a decrease in lung function (Forced Expiratory Volume in one second) of 39%. Accuracy of detection of airflow was defined as correct minus false positive responses to load stimuli.

The results showed that children with and without asthma responded significantly less frequently during external stimulation than in the neutral condition. However, the accuracy of detection among non-asthmatics was not affected by external stimulation. Children with asthma responded significantly more accurately during external stimulation. The results are discussed in the light of children's accuracy to perceive actual airways obstruction.     

Autism spectrum conditions among children and adolescents: A new profiling tool

There is considerable debate about the sociocognitive features of autism spectrum conditions (ASC), and a tool for profiling the sociocognitive profiles of children and adolescents with ASC is needed. The aim of this research was to evaluate the psychometric properties of a new questionnaire—The Australian Scale for Autism Spectrum Conditions (ASASC). Three hundred twenty‐two parents of children on the ASC spectrum, including autistic disorder (n = 76), Asperger's disorder (n = 188), and pervasive developmental disorder not otherwise specified (n = 21), and a clinical group of children with subclinical ASC features and no ASC diagnosis (n = 37). Measures include an initial scale measuring eight potential dimensions of ASC, a related screening tool for autism, and two previously validated social skills questionnaires. The questionnaires were administered online. The ASASC was factor‐analysed, internal and test–retest reliabilities (for a randomly selected 84 parents) were calculated, and preliminary tests of convergent and divergent validity were conducted. The resulting measure (44 items) contained five coherent and reliable dimensions: understand and express emotion, fact orientation, sensory sensitivity, social communication, and rigidity. The questionnaire had good test–retest reliability and convergent/divergent validity. The ASASC enables profiles of ASC symptomatology that should be useful in adjusting interventions to individual needs.     

PTSD Symptom Patterns Following Traumatic and Nontraumatic Events

This study extends research examining posttraumatic stress disorder symptoms following different types of potentially traumatic events. Specifically, the study examined and compared the symptom patterns observed in those who suffered a major accident, the unexpected death of a loved one, or sexual assault. Based on recent findings, this project also examines those who reported nontraumatic (but stressful) events, as well as comparing symptom patterns across gender. Findings suggest different types of traumas might be associated with differences in severity and patterns of symptoms for women (but not for men), suggesting symptom patterns manifest differently in men and women. Results also call into question the assumption that traumatic events demonstrate different symptom patterns than other types of events.