Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder.

[Correction Notice: An erratum for this article was reported in Vol 16(3) of Neuropsychology (see record 2007-17085-001). On Page 102, in the byline and in the author note, and on page 109 in the Rapport et al. (2001) reference, Sara Friedman's middle initial incorrectly reads "L." Her correct middle initial is "R."] Emotional competence and deficits that may disrupt interpersonal interactions were evaluated in 28 adults with attention-deficit hyperactivity disorder (ADHD) and 28 demographically equivalent controls. Participants completed tasks assessing affect recognition and experienced emotional intensity. Adults with ADHD performed worse in affect recognition than did adults without the disorder; however, the impairment was unrelated to gross perceptual processes, fundamental abilities in facial recognition, or attentional aspects of affect perception. Moreover, intensity of experienced emotion moderated affect recognition: Among controls, experienced emotion facilitated affect recognition. Among adults with ADHD, who reported significantly greater intensity, experienced emotion was inversely related to affect recognition. Results are consistent with theories of ADHD as a deficit in behavioral inhibition; yet, results may merely reflect a constellation of deficits associated with the disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting recurrence of major depressive disorder in young adults: A prospective study.

Sixty-five young adults with remitted major depressive disorder (MDD) were followed for 18 months. Recurrence of MDD was reported by 41.5% of the initial sample and 49.1% of those who completed the study (n/&=/&53). Survival analyses were used to identify predictors of recurrence so that individuals at greatest risk could be targeted for intervention. Potential predictors included measures of comorbid psychopathology (Axis II pathology, and current and lifetime nonmood Axis I diagnoses), depression-specific clinical features (number of episodes, past treatment, and suicidality), and self-reported cognitive and interpersonal constructs (hope, dysfunctional attitudes, and interpersonal problems). Only personality pathology (specifically, the total dimensional and Cluster B dimensional scores on the International Personality Disorder Examination; World Health Organization, 1996) significantly predicted hazard of recurrence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intraindividual relations between the intensity and disclosure of daily emotional events: The moderating role of depressive symptoms.

Individuals with high levels of depressive symptoms tend to engage in lower levels of emotional disclosure than individuals who are lower in depressive symptoms. However, little is known about how depressive symptoms relate to the intraindividual relation between daily disclosure and the intensity of the daily events. The authors addressed these relations using a daily diary methodology. College students (N = 239) completed a measure of depression symptoms. They then completed measures of the intensity of the day’s most unpleasant event and their disclosure of that event each day for 7 days. Results indicated that depression moderated the intensity–disclosure relation such that depression symptoms were associated with diminished emotional disclosure for high-intensity events but not for low-intensity events. Individuals with relatively higher levels of depressive symptoms also experienced unpleasant daily events at a higher intensity level than did individuals with relatively fewer symptoms. Sex differences emerged such that men were less likely than women to disclose high-intensity negative events. These findings extend the use of the diary methodology to the study of emotional disclosure and also suggest possible interventions for counseling psychology practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Initial investigation of behavioral activation therapy for co-morbid major depressive disorder and obesity.

More than one-third of treatment-seeking obese patients are clinically depressed. No evidence-based treatments exist for individuals with comorbid depression and obesity. Behavioral activation (BA), an effective treatment for depression, might also facilitate weight loss. The objective of this study is to evaluate the feasibility and efficacy of BA plus nutrition counseling for weight loss among individuals with comorbid major depressive disorder (MDD) and obesity. The BA intervention targeted both weight reduction and depression in 14 obese patients (79% female; 86% Caucasian) who met criteria for MDD. At baseline, mean Beck Depression Inventory (BDI-II) score was 26.71, and mean Hamilton Depression Rating Scale (HDRS) score was 16.00. Significant reductions at 12-weeks in both BDI-II and HDRS were observed with 10 participants reaching full remission at post treatment. Reductions in body weight, daily caloric intake, and physical activity were observed. BA with nutrition counseling appears to have potential as a weight loss treatment in the context of depression. Results support the need for a randomized controlled trial to evaluate the efficacy of BA for both weight loss and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sadness and amusement reactivity differentially predict concurrent and prospective functioning in major depressive disorder.

Depressed individuals often fail to react to emotionally significant stimuli. The significance of this pattern of emotional dysregulation in depression is poorly understood. In the present study, depressed and nondepressed participants viewed standardized neutral, sad, fear, and amusing films; and experiential, behavioral, and physiological responses to each film were assessed. Compared with nondepressed controls, depressed participants reported sadness and amusement in a flattened, context-insensitive manner. Those depressed participants who reported the least reactivity to the sad film exhibited the greatest concurrent impairment. Prospectively, the depressed participant who exhibited the least behavioral and heart rate reactivity to the amusing film were the least likely to recover from depression. Loss of the context-appropriate modulation of emotion in depression may reflect a core feature of emotion dysregulation in this disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of weight intensity on discrimination thresholds of normals and schizophrenics.

20 male chronic schizophrenics, 12 chronic disturbed schizophrenics, and 20 normal controls were tested for upper difference limens from both a 40-gm (light) and 400-gm (heavy) standard weight. Weight discrimination thresholds were found to be significantly elevated as a function of severity of pathology in the schizophrenic groups and also at the lighter weight intensity. Both groups of schizophrenics showed significantly greater improvement than normals with the heavy weights. The less disturbed chronic schizophrenics were not significantly different from normals at the heavy intensity. The results support the hypothesis of a schizophrenic deficit in proprioceptive acuity and suggest that this deficit is the result of insufficient proprioceptive feedback. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of daily events on mood states in major depressive disorder.

Major depressive disorder (MDD) is characterized by high negative affect (NA) and low positive affect (PA), but little is known about emotional reactivity in daily life. The authors used experience sampling methodology to investigate changes in NA and PA following minor daily events in MDD compared with healthy participants. Contrary to expectation, MDD participants did not report more frequent negative events, although they did report fewer positive events. Multilevel regression showed that both NA and PA responses to negative events were blunted in the MDD group, whereas responses to positive events were enhanced. NA responses to negative events persisted longer in MDD participants. Depressed participants with a positive family history or longer current episodes showed relatively greater NA responses to negative events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diurnal mood variation in major depressive disorder.

Depression disturbs mood, but a clear picture of diurnal mood rhythms in depression has yet to emerge. This study examined variations in positive affect (PA) and negative affect (NA), two dimensions of mood that generate diurnal patterns among healthy individuals. Repeated measurements of NA and PA in daily life were obtained over 6 days from 47 depressed outpatients and 39 healthy individuals using the Experience Sampling Method. Relative to healthy individuals, depressed individuals exhibited increasing PA levels during the day with a later acrophase. In contrast, depressed persons' NA exhibited a more pronounced diurnal rhythm and was more variable from moment to moment than healthy individuals'. Ambulatory mood measurements in depression suggest distinct diurnal disturbances of positive and negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder": Correction to Rapport et al. (2002).

Reports an error in "Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder" by Lisa J. Rapport, Sara L. Friedman, Angela Tzelepis and Amy Van Voorhis (Neuropsychology, 2002[Jan], Vol 16[1], 102-110). On Page 102, in the byline and in the author note, and on page 109 in the Rapport et al. (2001) reference, Sara Friedman's middle initial incorrectly reads "L." Her correct middle initial is "R." (The following abstract of the original article appeared in record 2002-00339-011.) Emotional competence and deficits that may disrupt interpersonal interactions were evaluated in 28 adults with attention-deficit hyperactivity disorder (ADHD) and 28 demographically equivalent controls. Participants completed tasks assessing affect recognition and experienced emotional intensity. Adults with ADHD performed worse in affect recognition than did adults without the disorder; however, the impairment was unrelated to gross perceptual processes, fundamental abilities in facial recognition, or attentional aspects of affect perception. Moreover, intensity of experienced emotion moderated affect recognition: Among controls, experienced emotion facilitated affect recognition. Among adults with ADHD, who reported significantly greater intensity, experienced emotion was inversely related to affect recognition. Results are consistent with theories of ADHD as a deficit in behavioral inhibition; yet, results may merely reflect a constellation of deficits associated with the disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Specifying emotional information: Regulation of emotional intensity via executive processes.

The degree of specificity at which emotional information is activated might determine evoked emotional intensity. However, the nature of this effect remains unclear. Four studies tested (a) whether people hold the na?ve theory that activating specific details of emotional information arouses acute feelings; (b) whether an emotionally distressed population (social phobics) also holds that theory; and (c) whether voluntarily focusing on specific aspects of a distressing situation reduces its emotional impact. Results indicate that control as well as emotionally distressed people hold a na?ve theory that specifying emotion increases its intensity. However, Studies 3 and 4 showed that voluntarily elaborating specific aspects of a distressing situation reduces distress. Results are discussed in terms of voluntary versus automatic processing of emotional information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memories of social interactions: Age differences in emotional intensity.

The current study examined age differences in the intensity of emotions experienced during social interactions. Because emotions are felt most intensely in situations central to motivational goals, age differences in emotional intensity may exist in social situations that meet the goals for one age group more than the other. Guided by theories of emotional intensity and socioemotional selectivity, it was hypothesized that social partner type would elicit different affective responses by age. Younger (n = 71) and older (n = 71) adults recalled experiences of positive and negative emotions with new friends, established friends, and family members from the prior week. Compared with younger adults, older adults reported lower intensity positive emotions with new friends, similarly intense positive emotions with established friends, and higher intensity positive emotions with family members. Older adults reported lower intensity negative emotions for all social partners than did younger adults, but this difference was most pronounced for interactions with new friends. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional correlates of the different dimensions of schizotypal personality disorder.

Two studies explored which different dimensions of schizotypal personality disorder (SPD) were associated with negative affect, attention to emotions, clarity of emotions, and emotional intensity/instability. Study 1 included 247 college students, and questionnaires were used to measure SPD. Study 2 included 225 community residents, oversampling for individuals with elevated levels of SPD, and semistructured diagnostic interviews were used to measure SPD. In both studies (a) higher levels of negative affect were associated with higher levels of both cognitive-perceptual and interpersonal symptoms, (b) cognitive-perceptual disturbances were associated with greater attention to emotion, whereas interpersonal disturbances were associated with less attention to emotion, and (c) lower levels of emotional clarity were associated with higher levels of suspiciousness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stimulus intensity dynamism.

The literature on the relationship between conditioned stimulus intensity and conditioned response magnitude—generally known by its Hullian name of "stimulus intensity dynamism" (Hull, 1949)—is reviewed. In contrast to the agreement found in the Russian literature as to the reality of this phenomenon, the results of Western research have often been negative or inconclusive. Possible reasons for these failures to obtain positive results are discussed, including the use of data obtained under conditions of extinction, choice of the GSR as the conditioned response, use of a restricted range of stimulus intensities, and failure to ensure that S discriminates the conditioned stimulus from other background stimuli. Also discussed is Perkins' (1953) hypothesis that stimulus intensity dynamism is due to generalization of inhibition from an unreinforced zero-intensity stimulus. (2 p. ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The symptomatic expression of major depressive disorder in adolescents and young adults.

Data from the Oregon Adolescent Depression Project were used to examine the symptomatic expression of major depressive disorder (MDD) as a function of age and gender. The objective was to investigate the phenomenological nature of MDD among a cohort of adolescents as they progressed into early adulthood. The analyses were based on 564 participants who had experienced MDD in their lifetime. No systematic differences in the relative rate of occurrence of specific symptoms across episodes and only minor symptom differences between male and female participants were found. Age did not significantly influence the symptom picture. Stability of specific symptoms and episode severity across episodes was low. The results are discussed within the context of a stressor-symptom matching model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disentangling emotion processes in borderline personality disorder: Physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli.

This study investigated M. Linehan’s (1993) theory that individuals meeting criteria for borderline personality disorder (BPD) have high biological vulnerability to emotion dysregulation, including high baseline emotional intensity and high reactivity to emotionally evocative stimuli. Twenty individuals with BPD, 20 age-matched individuals with generalized social anxiety disorder (SAD), and 20 age-matched normal controls (NCs) participated in 2 separate emotion induction conditions, a standardized condition, and a personally relevant condition. Respiratory sinus arrhythmia (RSA), skin conductance response (SCR), and self-report measures were collected throughout the experiment. BPD participants displayed heightened biological vulnerability compared with NCs as indicated by reduced basal RSA. BPD participants also exhibited high baseline emotional intensity, characterized by heightened SCR and heightened self-reported negative emotions at baseline. However, the BPD group did not display heightened reactivity, as their physiological and self-reported changes from baseline to the emotion inductions tasks were not greater than the other 2 groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recurrence of major depressive disorder in hospitalized children and adolescents

Global studies of within-group genetic variation have revealed a tendency for some traits, but not all, to show higher heterozygosity in sub-Saharan African populations. Although excess African diversity has been interpreted as reflecting a greater "age" of sub-Saharan African populations, more recent research has shown that this excess is more likely a consequence of a larger African long-term effective population size. The observation that certain traits, particularly classic genetic markers and RFLPs, do not show this pattern has been interpreted as ascertainment bias. Here, I examine another possible factor: that excess African heterozygosity is in part a function of mutation rate. Simple equilibrium and nonequilibrium models of absolute excess heterozygosity are examined. The results indicate that there is little excess African heterozygosity for traits with low mutation rates and greater excess heterozygosity for traits with moderate to high aggregate mutation rates. Observed data are consistent with these models. Also, depending on population size and time depth, traits with high levels of mutation might show less excess heterozygosity than those with moderate to high mutation rates. Another measure of diversity, mean sequence divergence, shows an increase in excess diversity for traits with high mutation rates.     

Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents.

Diathesis-stress predictions regarding the onset of adolescent major depression and nonmood disorders were tested. Adolescents ((N?=?1,507) were assessed for dysfunctional attitudes and negative attributional style, as well as current depressive symptoms, current depressive and nondepressive diagnoses, and past and family histories of psychopathology. Approximately 1 year later, participants were reassessed on all measures. Analyses supported A. T. Beck's (1976) theory of depression (at the level of a trend) but not the hopelessness theory of depression. Findings were suggestive of a threshold view of vulnerability to depression; for those who experienced negative life events, depressive onset was related to dysfunctional attitudes but only when dysfunctional attitudes exceeded a certain level (low = intermediate     

Negative mood, depressive symptoms, and major depression after smoking cessation treatment in smokers with a history of major depressive disorder.

Negative mood, depressive symptoms, and major depressive episodes (MDEs) were examined in 179 smokers with a history of major depression in a trial comparing standard smoking cessation treatment to treatment incorporating cognitive-behavioral therapy for depression (CBT-D). Early lapses were associated with relatively large increases in negative mood on quit date. Mood improved in the 2 weeks after quit date among those returning to regular smoking but not among those smoking moderately. Continuous abstinence was associated with short- and long-term reductions in depressive symptoms. MDE incidence during follow-up was 15.3% and was not associated with abstinence. Unexpected was that CBT-D was associated with greater negative mood and depressive symptoms and increased MDE risk. Results suggest complex bidirectional associations between affect and smoking outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment of major depressive disorder in older adult outpatients with brief psychotherapies.

Examined (a) whether older adults in a current major depressive episode would improve systematically when treated with short-term psychotherapies and (b) if they would respond differentially to treatment approaches emphasizing the importance of either cognitive, behavioral, or relational/insight factors in the therapy process. 30 elderly outpatients (aged 59–80 yrs) were assigned to 1 of the 3 individual treatment conditions for 16 sessions over a 12-wk period. Evaluation (Hamilton Rating Scale for Depression, Beck Depression Inventory, and Self-Rating Depression Scale) occurred before and after therapy and at 4 times during a 1-yr follow-up. Comparable improvement in depressive symptoms was seen from pre- to posttest for Ss in all 3 treatment conditions. However, improvement during the 1-yr follow-up was maintained more effectively by Ss treated with behavioral or cognitive therapy than with relational/insight therapy. Results indicate that brief psychotherapies can be effective in the treatment of elderly depressives and that structured therapies may be more beneficial than nonstructured relationally oriented therapy during a treatment-free follow-up period. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)