This study examined symptoms of anxiety and depression in 99 children and adolescents following a residential fire. Children and their parents completed self-administered questionnaires regarding the fire and their current functioning. The most commonly experienced symptoms were worry/ oversensitivity, anhedonia, negative mood, and fear of failure and criticism. There were no significant ethnic differences across symptomology. Exposure was directly related to parental report of child internalizing behaviors, whereas loss was unrelated to symptoms. Level of support (general and fire related) and active coping were directly associated with positive child adjustment. The impact of negative life events was related to poorer functioning. Overall, a child's environment and coping strategy appear to be the best predictors of adjustment following a residential fire.

The purpose of the research study was to provide improved relaxation training with the use of an electromyography feedback device based on the design of Green et al. (1969). It was intended that this instrument would allow the training of deep muscle relaxation to the point of neuro-muscular silence, while remaining inexpensive enough to be applied in the clinical setting.

The purpose of the present study is to compare the 1959 revision of the Columbia Mental Maturity Scale (CMMS) with the Wechsler Intelligence Scale for Children (WISC) for use as a psychometric instrument for determining the mental ability of mentally retarded male children.

Alcohol consumption on college campuses is a major public health concern, particularly among emerging adults. Extant literature has identified trauma exposure and posttraumatic stress as robust risk factors for problematic alcohol use. However, the mechanisms underlying this association are less well-studied. Research indicates that bodily arousal is a fundamental feature of trauma exposure and posits that internal stimuli (e.g., heart pounding) at the time of trauma may manifest into conditioned cues that can trigger posttraumatic responding and related symptomatology, including alcohol use. However, past work supporting these assertions have used paradigms purposefully designed to evoke memories of the trauma, making it difficult to conclude whether the subsequent alcohol craving was due more to the explicit memory cue or the associated bodily arousal. The current study examined whether an implicit, trauma-relevant cue of bodily arousal (via hyperventilation) – independent of any explicit memory cue – would elicit increased desire to drink among 80 (Mage = 20.34; 63.8% female) trauma-exposed, emerging adult students. Results found no statistically significant difference in change in alcohol craving between the hyperventilation and control tasks. However, exploratory analyses indicated that trauma type (i.e., interpersonal/non-interpersonal) may moderate this relationship; more specifically, individuals reporting interpersonal trauma as their most …

The most effective and useful way to diagnose and subtype depression has been a long debated topic which even now does not have a definite answer. The biopsychosocial approach to diagnosis may be a solution to this problem by linking various etiologies to symptom presentation. The biopsychosocial model, in regard to depression, takes into account biological risk factors/contributors, psychological or cognitive risk factors/contributors, and social risk factors/contributors to depression when making diagnosis and subtyping determinations. However, the most effective way to use this model in the assessment, diagnosis, and treatment of depression is not yet clear. In this study, the utility of the biopsychosocial model as an effective approach to conceptualizing and treating depression was assessed by testing hypotheses that showed that etiological contributors are related to the presence and differential presentation of depression, and that these etiologically-based subtypes of depression respond differently to different forms of treatment. These hypotheses were tested using data from the National Comorbidity Survey - Replication (NCS-R). Results showed that the biopsychosocial model can effectively predict the presence, severity and chronicity of depression, and may inform specific biopsychosocially-based subtypes. No conclusions could be drawn regarding success in treatment based on the biopsychosocial model. Future directions …

The objective of the present study was to evaluate the relationship between a set of cofactors and severity of cognitive impairment, to determine if there were any factors which significantly predicted more severe neurocognitive deficits in persons with AIDS. Twenty-four male volunteers recruited from community groups and physician referrals participated. Subjects completed several self-report questionnaires eliciting information regarding demographics and risk factor variables, in addition to a comprehensive battery of neuropsychological tests. A severity of cognitive impairment summary score was computed for each subject, reflecting both the number of impaired tests and their distance in the impaired direction from normative data. Neither CD4 count, number of months since diagnosis of AIDS, number of AIDS-related illnesses, number of recent stressors, history of head injury/LOC, history of substance use, current or past psychiatric disorder, history of learning disability nor history of other medical illness were found to be significantly related to severity of cognitive impairment in this sample, after controlling for the effects of age, level of education, estimated premorbid IQ and mood status. However, no reliable conclusions could be drawn from this study because the small sample size resulted in an unacceptably low level of statistical power for the desired regression …

Individuals who have experienced a traumatic event and develop Post-Traumatic Stress Disorder (PTSD) frequently show deficits in both primarily “cool” and “hot” cognitive executive functions (e.g., traditional & emotional Stroop tasks, respectively) that can be impacted by high affective salience. Given the dimensional nature of psychopathology, questions remain about individuals within the general population who have experienced trauma but do not meet full criteria for PTSD and yet may manifest problems in these areas, especially areas of hot and cool executive functioning (EF). Thus, the current project was designed to assess hot and cool EF in a relatively large sample of individuals from the general population who have experienced trauma and currently demonstrate sub-clinical levels of post-traumatic symptoms. The Stroop task, Emotional Stroop task, and a novel modified Implicit Association Test were utilized to assess EF across a spectrum of individuals with varying traumatic histories and level of post-traumatic symptoms. Results suggest that a greater frequency of trauma experiences was moderately associated with worse performance on both hot and cool executive functioning measures. Specifically, females within the sample evidenced a close relationship between traumatic experiences, post-trauma symptoms, and executive functioning. Clinical and theoretical implications are discussed.

Assessment of executive functioning in neurodevelopmental disorders (e.g., autism) is a crucial aspect of neuropsychological evaluations. The executive functions are accomplished by the supervisory attentional system (SAS) and include such processes as inhibition, switching, and planning. Autism spectrum disorder (ASD) tends to present similarly to other neurodevelopmental disorders (e.g., ADHD). For example, ASD and ADHD may share similar etiological underpinnings in the frontostriatal system of the frontal lobe. Research on executive functioning in ASD has been mixed, thus the precise nature of executive functioning deficits in ASD remains equivocal. In recent years, simulation technologies have emerged as an avenue to assess neurocognitive functioning in individuals with neurodevelopmental disorders impacting frontostriatal function. Simulation technology enables neuropsychologists to assess neurocognitive functioning within a testing environment that replicates environments in which the subject is likely to be in everyday life, as well as present controlled, real-world distractions, which may be better able to tap “hot” executive functions. A Virtual Classroom Continuous Performance Test (CPT) has been used successfully to assess attention in individuals with neurodevelopmental disorders impacting frontostriatal function. The current study aimed to investigate executive functioning in individuals with high functioning ASD using a new construct driven Stroop assessment embedded into the …

Older gay men and lesbians may be at greater risk for depression than older sexual majority adults due to a lifetime of sexual minority stress. We hypothesize that aggression and being single are positively associated with depression. Resilience is negatively associated with depression. Aggression, being single and resilience account for a significant proportion of variance in depression. Resilience moderates the relationship between aggression and depression. Significant differences between older gay men and older lesbians' aggression, resilience and depression scores exist. For our older gay men and lesbian combined group, a moderation analysis indicated that in addition to aggression and resilience, being single significantly predicted depression accounting for approximately 57% of the variance in depression. Furthermore, resilience significantly moderated the relationship between aggression and depression in our model of older gay men and lesbians. For our older gay men-only group a moderation analysis (indicated that and resilience significantly predicted depression accounting for approximately 57% of the variance in depression. Furthermore, resilience significantly moderated the relationship between aggression and depression in our model, in our sample of older gay men. Four our lesbian-only group a moderation analysis indicated that being single and resilience significantly predicted depression accounting for approximately 54% of the …

Bipolar disorder is a serious illness affecting approximately 2-4% of the population and is one of the world’s leading causes of disability. In individuals with bipolar disorder, medical comorbidity associated with cardiovascular, respiratory and endocrine disorders is related to increased rates of mortality. Recent updates to multi-system inflammatory related conceptualizations of bipolar disorder focus on the unique power that medical illness and biological processes may play as factors associated with course and outcome in bipolar disorder. The current study examined medical comorbidity and its associations with various demographic and psychological variables in individuals with bipolar disorder, schizophrenia, and major depressive disorder with psychotic features followed for 10 years from their first hospital admission. When compared to an age, gender and race-matched control sample from the population, those with bipolar disorder had significantly higher medical comorbidity across a range of medical diagnoses both at 6 months and 10 years after first hospital admission. Ten years following initial hospitalization, individuals in all three diagnostic groups reported increased rates of diabetes (OR: 2.0 – 3.7), stroke (OR: 4.6 – 7.0) and asthma (OR: 1.9 - 3.1), and individuals with bipolar disorder reported increased rates of cancer (OR = 2.1). A number of psychological …

I analyzed the 2004 and 2006 Health and Retirement Study data to test structural equation models of the quality of life (QOL) construct. The participants (N = 1352) were non-institutionalized individuals aged 42 and older (M = 65.70, SD = 10.88), with an average education of 12.73 years (SD = 2.96) and of varied ethnicities. The results indicated that physical functioning, affective experience, life satisfaction and social support could serve as indicators for a second order QOL factor. Furthermore, the developed QOL model explained 96% of the variance of the CASP-19 (Control, Autonomy, Self-realization and Pleasure), a QOL measure that reflects fulfillment of psychological needs. The results also indicated that Depression and Life Satisfaction are related through reciprocal causation and that Physical Functioning is more likely to cause a change in Depression than the reverse. The results suggest that QOL is a complex, multidimensional concept that should be studied at different levels of analysis.

Ward environment as assessed by the Ward Atmosphere Scale was the focus of this exploratory study. The Ward Atmosphere scores of 110 patients hospitalized on two units for acute psychiatric care in a state hospital were analyzed for determining differences along the dimensions of population factors, sex and program change. Significant differences in attitude were obtained on certain of the ten scales for each of the three comparisons. The premise of ward atmosphere being a global entity as implied in the literature was not upheld in this population. Sex differences were noted and introduction of an individualized patient management program evoked significant changes in opinions concerning ward atmosphere. A number of interpretations for these results were offered and implication for future research was suggested.

Sexual and gender minorities are subjected to discrimination and stigmatization which increase vulnerability to psychological co-morbidities (Mays & Cochran, 2001). The mechanisms through which discrimination contributes to distress in lesbian, gay, bisexual and transgender (lgbt) communities can be partially elucidated through the minority stress model. The minority stress model argues that minorities are subjected to negative societal attitudes and discrimination that results in excessive psychosocial stress related to their minority position, which is distinct from daily stress. Meyer’s minority stress model is supported by social stress theoriesand data linking discrimination to stress in lgb samples. Researchers suggest that self-esteem buffers the negative effects of adverse experiences but tests of the moderating effect of self-esteem on the discrimination-distress relationship in ethnic and gender minorities yielded mixed results. Szymanski found that self-esteem moderates the relationship between discrimination and psychological distress in a male sexual minority sample, but this has never been tested in a gender-balanced sexual minority sample. We hypothesized that higher levels of self-esteem are associated with lower overall perceived stress in lgbt adults, and that self-esteem acts differentially in lgbt populations to moderate perceived discrimination. We found that discrimination, self-esteem and the interaction effect between discrimination and self-esteem accounted for …

Eighty-eight (N = 88) non-brain-injured adults were tested with one of two versions of the Booklet Category Test (BCT). Forty-four (N = 44) individuals were tested with the standard version of the BCT, and forty-four (N = 44) were tested with a revised BCT in which between-subtest cueing was removed, called the Noncued Category Test (NCT). The results of this study indicate that removal of cueing instructions changes the Category test significantly. Subjects administered the NCT scored significantly more errors than those who were administered the standard Category test. While BCT scores correlated significantly with nonverbal intelligence scores, NCT scores did not. However, the difference in these correlations was not significant, indicating that the intelligence aspect measured in the two versions is not different. Neither the BCT nor the NCT correlated significantly with the Wisconsin Card Sort, Word Fluency, Stroop, or Trail Making Test. It is recommended that the NCT be administered to circumscribed clinical populations in order to best utilize present findings.

If mania and depression are part of the same pathological processes, one would predict that episodes of one prospectively increase the odds of episodes of the other. The aim of the present study was to test this hypothesis. For comparison purposes, their relationship was contrasted to the relationship between mania and periods of psychosis. Exploratory analyses also tested the degree to which episodes of each occur with greater frequency over time (i.e., kindling). Participants for the present study came from the Suffolk County Mental Health Project (N = 628), a study of first-admission patients with psychosis. Of these participants, 144 met diagnostic criteria for bipolar I disorder and were analyzed for the current study. Results indicated that mania in a given month predicted depression the following month, even after controlling for other symptoms. The reverse, however, was not the case. Mania and psychosis, in contrast, were found to be robust predictors of one another from month to month. Effects were not due to treatment or demographic differences. These findings provide evidence that mania and depression are weakly related. In contrast, mania and psychosis are more closely linked. Findings are consistent with suggestions that psychiatric nosology regroup mania more closely with …

The problem of this research may be stated as a study of the relationship between successful weight reduction on the part of people involved in a group program, and the two variables of ego strength and social participation.

Mutations of three genes encoding amyloid precursor protein (APP), presenilin-1 (PSEN1), and presenilin-2 (PSEN2) have been shown to reliably result in familial early-onset Alzheimer's disease (FAD); a rare, but catastrophic, subtype of Alzheimer's disease (AD) marked by symptom emergence before age 65 as well as accelerated cognitive deterioration. The current study represents the first known meta-analysis on the association of APP, PSEN1 or PSEN2 on neurocognitive variables. A total of 278 FAD mutation-carriers (FAD-MC) and 284 cognitively healthy non-mutation-carriers (NC) across 10 independent investigations meeting inclusion criteria were chosen for the current meta-analysis (random effects design). Findings revealed an overarching trend of poorer performance by FAD-MC individuals compared to NC individuals across the majority of cognitive domains identified. Significant differences in effect sizes suggested FAD-MC individuals exhibited worse performance on measures of attention, explicit memory, fluency, primary memory, verbal, and visuospatial functioning. Findings indicative of differential sensitivity to cognitive domain impairments across FAD-MC and NC groups inform neuropsychological descriptions of individuals in preclinical phases of FAD.

Family functioning has long been a focus of research in psychopathology. Decades of research has shown that family factors are associated with symptom severity, relapse, functional outcomes, and conversion to psychosis among at-risk individuals. Previous studies suggest family functioning varies across cultures, which raises the possibility that associations between family factors and psychopathology may also differ by culture. Furthermore, family functioning assessment generally involves instruments that have not been systematically validated for use with individuals from diverse cultural backgrounds. The current study used data from the Adolescent Brain Cognitive Development study (N = 11,138) to: (1) evaluate three family functioning scales (i.e., Family Environment Scale, Child's Report of Parental Behavior Inventory, Parental Monitoring Survey) and the Prodromal Questionnaire – Brief Child version for measurement invariance across racial/ethnic groups; (2) investigate the relations between family factors and psychosis; and (3) compare relations derived from Step 2 between racial/ethnic groups. Full scalar invariance was tenable for the CRPBI and the PQ-BC, providing statistical support for mean comparisons across groups. The FES and the PMQ lacked scalar invariance, which suggests mean comparisons across groups may not be appropriate. The CRPBI and the PMQ are significantly associated with the PQ-BC, and all three family …

Findings on the relationship between engagement in lifestyle and cognitive functioning are not consistent; some authors report that engagement in lifestyle predicts an individual's cognitive functioning; while other report that an individual's cognitive functioning predicts the type and level of engagement an individual participates in. The current study will use longitudinal data (N = 235) to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Despite inconsistent findings it is proposed that cognitive functioning may be better understood when examining how stimulation of activity, need for cognition, and openness to experience affect engagement in an active lifestyle. As such the current study will investigate if stimulation of activity, need for cognition, and openness to experience moderate the relationship between engaged lifestyles and cognitive functioning. The results, limitations and implications are discussed.

Clinical depression is characterized by alterations in thoughts, judgment, cognition and social behavior. This study focuses on non-optimal views of self and significant others that are proposed to underlie many of these alterations. Perceptions of self and significant others were elicited using the Role Construct Repertory Grid (Kelly, 1955a). Participants included depressed outpatients with high levels of trait anxiety (n = 27), depressed outpatients with lower levels of trait anxiety (n = 29) and a control group of never-depressed volunteers (n = 28). Consistent with prediction, significant group differences were found for negative self perception, discrepancies between actual self and self goals, alienation from significant others, and inconsistencies in self image. Results provided partial support for the self discrepancy theory of emotionality (Higgins, 1987). Among depressed patients, higher levels of anxiety were associated with increased self negativity and greater discrepancies between actual self and self goals. Increased levels of depression were associated with more alienation from significant others and more consistency in self image. Depressed patients' judgments of self and others were altered from optimal ratios, as predicted by the theory of interpersonal judgment (LeFebvre, LeFebvre & Adams-Webber, 1986). Findings have theoretical and clinical importance for the understanding and treatment …

Psychopathic criminals commit more crimes, are more prone to recidivism, and more likely to engage in violent crimes and other aggressive behavior than nonpsychopathic criminals. Less is known about forensic patients, both with and without psychopathy, and their aggression. In the current study, patients in a maximum security hospital were examined with respect to their psychopathy and its predictive value on institutional management and dangerousness. In this regard, the Psychopathy Checklist (PCL) and the Psychopathy Checklist - Revised (PCL-R) have proven to be valid and reliable measures of psychopathy. The present study was an attempt to establish predictive validity for a new version: the Psychopathy Checklist Screening Version (PCLSV). As such, this study examined the PCL-SV's relationship to (a) diagnoses of Antisocial Personality Disorder according to DSM-III-R criteria and (b) the Personality Assessment Inventory (PAI) Aggression, Drug Problems, and Antisocial Features scales. The influence of major Axis I disorders on the assessment of psychopathy with the PCLSV was also examined. Participants were 150 male forensic psychiatric patients at Vernon State Hospital who were committed for various reasons: incompetence to stand trial, initial evaluation and treatment after having been found not guilty by reason of insanity, and manifest dangerousness. Chart reviews …

Elevated social anxiety is a well-documented risk factor for developing problematic alcohol use behaviors. Adolescents with high social anxiety often report drinking for coping-related reasons, and drinking to cope has been linked to both acute and chronic alcohol use problems. Research further suggests that parenting is a primary socialization domain in terms of adolescent alcohol use onset and trajectory; however, no work has yet examined the role of parenting factors in the relation between social anxiety and coping motives for drinking. The current study investigated the role of two parenting dimensions, rejection/warmth and psychological control, on the link between social anxiety and problematic drinking motives. Drawing from an ongoing assessment of an inpatient program, the sample consisted of 94 girls and boys (ages 11-17 years). Regression analyses evaluated main effects of social anxiety, rejection, psychological control, the interactive effects of the parenting dimensions, and the three-way interaction of both parenting dimensions with social anxiety on coping motives for alcohol use. As expected, social anxiety was positively and statistically significantly related to coping motives when examined via raw scores, proportional values, and in the final model. Further, zero-order correlations indicated a positive, statistically significant relation between proportional coping motives and both …

Individuals diagnosed with schizotypal personality disorder (SPD) exhibit patterns of cognitive deficits in (1) attention (Lees-Roitman, Cornblatt, Bergman, Obuchowski, Mitropoulou, Keefe, Silverman, & Siever, 1997), (2) memory (Bergman, Harvey, Lees-Roitman, Mohs, Margerm, Silverman, & Siever, 1998), (3) executive functioning (Cadenhead, Perry, Shafer, & Braff, 1999), and recently (4) neuromotor functioning (Neumann & Walker, 1999), similar to individuals with a diagnosis of schizophrenia. Furthermore, recent research suggests a link between neuromotor and cognitive functioning in schizophrenia spectrum disorders (SSDs) (Neumann & Walker, 2003). The current study is an extension of research on non-drug-induced neuromotor disturbances in individuals with SPD and examines how such disturbances covary with neurocognitive measures. Approximately thirty-three adults (18-65) were rated for SPD symptoms. Motor assessments included a computerized motor task and finger tapping test. Cognitive assessments included measures of attention, verbal and visual memory, and executive functioning. Consistent with previous research, the SPD group displayed significant right hand (left hemisphere) motor disturbances (i.e., increased force and force variability) compared to healthy controls after excluding all cases reporting a history of head injury. In addition, results indicate significant associations between motor, cognitive, and symptom variables. Consistent with previous research, neuromotor functioning and the relationships between motor and cognitive …

This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.