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 …

Positive memories play an important role in the etiology and maintenance of posttraumatic stress disorder (PTSD). Additionally, there are potential clinical benefits of recalling positive memories on affect, cognitions, and behaviors. However, most research/clinical work has focused on the role of traumatic memories in PTSD's symptomatology and treatment. The current study examined positive memory recall difficulties and positive memory phenomenology among 185 trauma-exposed individuals with varying PTSD severity. Participants completed the Life Events Checklist for DSM-5, PTSD Checklist for DSM-5, Autobiographical Memory Test, Memory Experiences Questionnaire – Short Form, Ruminative Thought Style Questionnaire, Difficulties in Emotional Regulation Scale – Brief 16-Item Version, Difficulties in Emotional Regulation Scale – Positive Emotions, the Positive Affect subscale of the Affective Control Scale, and two items from the Pittsburg Sleep Quality Index. Results showed that (1) greater PTSD severity was a marginally significant predictor of fewer recalled positive memories; (2) greater positive emotional dysregulation predicted fewer recalled positive memories controlling for PTSD severity; and (3) increasing PTSD severity predicted more negative valence, less vividness, less coherence, less accessibility, less clear time perspective, fewer sensory details, and greater distancing ratings of the recalled positive memory, controlling for sleep quantity/quality. Such findings add to the PTSD-positive …

Daytime cognitive performance and sleep/wake cycles are strongly interrelated, and cognitive dysfunction has been extensively investigated in relation to insomnia. However, methods and outcomes vary widely by study, making comparison difficult without more systematic evaluation. Review of the literature reveals discrepant findings for the relationship between both subjective and objective measures of cognitive performance and insomnia. The current meta-analysis included 42 studies investigating the relationship between insomnia and cognitive performance. Results confirmed the discrepant nature of previous findings and suggest that type of cognitive performance (e.g., simple attention, procedural memory, verbal functions) is important to consider when discussing the impact of insomnia. Mixed-effect meta-analysis of aggregate effect sizes suggest impairments in working memory, complex attention, and episodic memory are significantly associated with insomnia. Analysis of the grouped subjective cognitive performance effect size revealed no significant impact of insomnia. Average age and gender makeup of the sample, study quality, and type of insomnia measure (i.e., clinical or diagnostic criteria, validated scale, or single unvalidated item) did not consistently moderate findings. These results confirm the equivocal nature of the relationship between insomnia and cognitive performance. Overall, about 44% of the studies included in the analysis failed to use DSM or ICSD criteria …

The goal of the current study was to evaluate the ways in which religious behaviors and perceived social support are associated with the relationship between depressive symptoms and health-related quality of life for this group. We hypothesized (1) that religious behaviors moderate the relationship between depressive symptoms and health-related quality of life, (2) perceived social support mediates the relationship between depressive symptoms and health-related quality of life and (3) that religious behaviors moderate the mediational indirect effect of perceived social support in the depression and health-related quality of life relationship. Findings from a sample of 244 HIV-positive individuals provided evidence to support direct, conditional, and indirect effects on the depressive symptoms and health-related quality of life relationship. A discussion of the findings, implications for future research and clinical practice are provided.

To better understand the impact of type 2 diabetes, the relationship between ethnicity, specifically Mexican/Mexican American ethnicity, and the disease must be further investigated. This study specifically examined the cognitive impact of type 2 diabetes. Data from the 2014 Health and Retirement Study was used to compare the cognitive functioning of non-Hispanic White (n = 10,658) and White Mexican/Mexican American (n = 847) individuals, age 50+ years, with and without type 2 diabetes. Serial 7's and immediate and delayed recall—hypothesized to be more negatively affected by type 2 diabetes and Mexican American status—was compared controlling for age, education, and depression. A multivariate analysis of covariance (MANCOVA) indicated significant main effects for race/ethnicity (F(3,11496) = 11.15, p < .001) and diabetes status (F(3,11496) = 3.15, p < .024), with Mexican Americans and those with diabetes having worse cognitive performance. There were significant effects for all covariates. A step-wise multiple regression indicated that education, age, depression, race/ethnicity and diabetes status accounted for a combined 28.4% of variance in a cognitive performance composite. Implications for assessment and treatment are discussed.

The current study examined associations between perceived family functioning, sibling relational dynamics, and individual's self-reported personal adjustment and internalizing problems among 8- to 11-year old children. Path analyses revealed significant direct effects between conflictual family functioning and children's psychological well-being (p < 0.05). Further, sibling conflict was found to indirectly affect these associations. Finally, significant interactions between family functioning and sibling dynamics were found suggesting that congruent relational dynamics at multiple levels of the family system had a cumulative impact on the child's well-being. Findings from the current study highlight the unique contributions of sibling relationships to the family and the child providing evidence for targeting the sibling relationship in clinical interventions and future family research.