Expectancies, mood, and performance of depressed and nondepressed psychiatric inpatients on chance and skill tasks.

The learned helplessness model of depression predicts that, compared with nondepressed patients, depressed patients will demonstrate psychomotor deficits, provide lower subjective evaluations of their performance, and perceive reinforcement in skill tasks as more response independent. These predictions were tested in 32 depressed (mean age 35 yrs) and 32 nondepressed (mean age 38 yrs) psychiatric inpatients, who had been administered the Quick Test and the Beck Depression Inventory. Ss performed card- and peg-sorting tasks in which measures of performance, ratings of mood and expectancy of success, and subjective evaluations of performance were obtained under chance and skill reinforcement conditions. Although some support was obtained for the prediction that depressives provide lower evaluations of their performance than nondepressives, the other predictions were not supported. Comparisons between depressed and nondepressed schizophrenics indicate that the mood of depressed schizophrenics was especially sensitive to task outcome for both skill and chance conditions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play performance scale as an index of quality of life of children with cancer.

This study explores the reliability and validity of the Play Performance Scale for Children (PPSC; a parental rating scale of child play behavior) as a measure of quality of life among 120 children with cancer who were either hospitalized patients receiving treatment, outpatients receiving treatment, or patients who had completed their treatment. Interrater reliability between parents and physicians was significant in each patient group and overall. Parent ratings on the PPSC were highly correlated with ratings on visual analog scales of quality of life, mood, and physical comfort and the Vineland Adaptive Behavior Scales. Multiple regression analyses revealed that the PPSC ratings of parents and physicians were most influenced by the child's physical symptoms. Neither the PPSC nor the other measures were able to discriminate outpatients receiving therapy from patients who had completed therapy, despite significant differences between inpatients and outpatients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Constraints on the effects of mood on memory.

In Study 1, pleasant and unpleasant personality trait words and abstract nouns were encoded in neutral mood and recalled in either induced depressed or induced happy mood, using 32 female and 32 male undergraduates assigned in equal numbers to 1 of the 4 conditions. Females recalled more pleasant than unpleasant words when in a happy mood and more unpleasant than pleasant words when in a depressed mood. Males failed to show this effect. Both sexes responded equally well to the induction procedures. There were no sex differences in pleasantness ratings of the words to be recalled. A prediction that differential effects of mood on recall would be greater for trait words than abstract nouns was not confirmed. In Study 2, everyday usage ratings by 36 Ss from Study 1 were obtained for the trait words from Study 1. Females gave higher usage ratings than males and, within the females, usage predicted the extent to which a word was preferentially recalled in a congruent mood state. Findings are discussed in relation to the associative network model of mood and memory, sex differences in depression, and cognitive vulnerability to depression. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression.

This study examined the nature of cognitive reactivity to mood changes in formerly depressed patients. Patients who recovered either through cognitive–behavior therapy (CBT; N?=?25) or through pharmacotherapy (PT; N?=?29) completed self-reported ratings of dysfunctional attitudes before and after a a negative mood induction procedure. In response to similar levels of induced sad mood, PT patients showed a significant increase in dysfunctional cognitions compared with patients in the CBT group. To evaluate the effects of such cognitive reactivity on the subsequent course of depression, follow-up analyses reassessed 30 patients several years after initial testing. Results indicated that patients' reactions to the mood induction procedure were predictive of depressive relapse. These findings argue for differential effects of treatment on cognitive reactivity to mood induction and for the link between such reactivity and risk for later depressive relapse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling session impact as viewed by novice counselors and their clients.

The Session Evaluation Questionnaire (SEQ) was used to measure the perspectives of 17 graduate-student counselors and their 72 17–39 yr old clients on 942 individual counseling sessions along 2 evaluative dimensions—depth and smoothness—and 2 dimensions of postsession mood—positivity and arousal. A components-of-variance analysis showed that, from both perspectives, SEQ ratings varied greatly from session to session; ratings were only modestly predictable from differences among counselors or among counselor–client dyads. However, averages across 6–20 sessions permitted adequately reliable differentiation among dyads, for example, for comparisons with outcome measures. Correlations between corresponding counselor and client dimensions ranged from moderate to negligible, whether calulated across sessions, across clients, or across counselors, Novice counselors' judgments of session depth and value may have had little relation to their clients' evaluations. On the other hand, counselors' comfort in sessions and postsession positive mood were moderately predictive of client reactions. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social class bias in clinical judgment.

Reexamined the findings of S. D. Lee (1968 doctoral dissertation) on the tendency of psychiatric residents to ascribe more severe psychopathology to lower-class patients. 15 clinical psychologists and 32 undergraduates were asked to rate a series of paragraphs which described stimulus persons who were either (a) lower or middle class, as indicated by their occupations; (b) normal, neurotic, or psychotic, as indicated by behavioral statements; and (c) neutral or depressed in emotional state. Results show a significant effect of social class on judgments of likelihood of need for professional help for an emotional problem, but in the opposite direction from Lee's findings. Middle-class persons in the present study were generally rated more likely to need help. The social class effect was expecially marked when the ratings were done by laymen, when the stimulus person was normal in behavior, or when he was neutral in mood. (17 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Positive expectations predict health after heart transplantation.

We explored the relations between positive expectations and adjustment, adherence, and health in cardiac transplant patients. Thirty-one patients and their nurse completed questionnaires before transplantation and at 3 times after surgery. As predicted, patients' self-reported positive expectations were generally associated with good mood, adjustment to the illness, and quality of life, even in patients who experienced health setbacks. High preoperative expectations predicted later adherence to a complex medical regimen. Positive expectations measured before the transplant predicted a substantial amount of the variance in the nurse's ratings of physical health 6 months after surgery, covarying for adherence behavior and preoperative health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cheating in medical school: a survey of second-year students at 31 schools

This study examined mechanisms by which fluoxetine may reduce energy consumption and body weight. Women with binge-eating disorder (BED; n = 38) and age- and weight-matched women without BED (n = 32) monitored their dietary intake and concurrently recorded mood variables on a hand-held computer for 6 d of baseline and for 6 d after being randomly assigned to receive placebo or fluoxetine (60 mg). Fluoxetine reduced eating more than did the placebo on days 4-6 of treatment. The frequency of episodes was not affected, suggesting that fluoxetine affects satiety, not hunger. Fluoxetine did not preferentially reduce carbohydrate intake, did not affect snack consumption as compared with meal consumption, and did not affect negative-mood eating more than positive-mood eating, nor did fluoxetine affect subjects' mood ratings. Benefits of fluoxetine were of approximately equal magnitude for women with and without BED. However, women who reported higher energy consumption at baseline were more responsive to fluoxetine than were women who reported lower energy consumption at baseline, and binge-eating status was associated with greater energy consumption at all time points, including baseline. Fluoxetine affects dietary intake within 4 d of its consumption, and if future research shows that this remains true on repeated applications, this drug may be useful for short periods when difficulty with overeating is anticipated, such as during vacations.     

Activity valence as a function of mood change.

Investigated variation of activity evaluations as a function of affective change. 32 depressed and 36 nondepressed college students were exposed to 1 of 3 mood induction conditions, including depressive, elated, or neutral statements. Additionally, each S rated several activities for degree of pleasantness before and after mood manipulations. Affect-induction procedures were successful in changing or intensifying characteristic mood. For both groups, the induction of negative affect significantly decreased the enjoyableness attributed to activities, the induction of positive affect significantly elevated activity evaluations, and a neutral induction did not significantly change activity ratings. Contrary to predictions, depressed and nondepressed Ss did not differ in their initial evaluations of activities, indicating that they may approach activities with similar expectations of reinforcement. Implication for P. M. Lewinsohn's (1974, 1975) model of depression are discussed. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Continuing medical education in marital and family therapy: a survey of South Australian psychiatrists

OBJECTIVE: South Australian psychiatrists were surveyed to determine their impressions of the usefulness of marital and family therapy (MFT) in the management of serious psychiatric conditions and to ascertain their previous experience with Continuing Medical Education (CME) about family therapy. It was expected that psychiatrists' preferences regarding CME would be related to their clinical experience of the usefulness of MFT. METHOD: One hundred and twenty psychiatrists returned a questionnaire about their training, clinical and research interests, with ratings of the usefulness of MFT and CME preferences. This represented 65% of those eligible for the CME programme. RESULTS: Thirteen percent of the respondents found MFT to be extremely useful and a further 47% found it moderately useful in their current practice. There was evidence of a possible training effect: respondents who had previous CME rated MFT as more useful, especially for mood disorders. Furthermore, the treatment of mood disorders seemed to have a particular relevance in family psychiatry, making a statistically unique contribution to ratings of MFT usefulness in the respondents' total practice. Sixty-nine percent of the respondents requested further CME in family therapy. This represented 45% of all South Australian psychiatrists. Respondents who rated MFT as more useful in practice were significantly more likely to be interested in CME. CONCLUSIONS: There seems to be sufficient interest and clinical experience among psychiatrists for MFT to be included in CME courses. It is recommended that further training focus on major mental disorders, especially mood disorders and schizophrenia.     

Validating an indirect measure of clarity of feelings: Evidence from laboratory and naturalistic settings.

This study analyzed the reliability and validity of an indirect measure of clarity of feelings that is based on response latencies (RTs) of mood ratings. Fifty-two participants completed a laboratory session and an experience-sampling week with 6 measurement occasions per day. Shorter RT of mood ratings measured in the laboratory (but not self-reported dispositional clarity) predicted higher overall mood regulation success during the experience-sampling week. As a new indirect ambulatory measure of clarity, RTs of mood ratings were measured on handheld devices during the experience-sampling week. The new ambulatory RT measure of clarity demonstrated good psychometric properties. Within-occasions reliability (internal consistency) was satisfactory, and between-occasions reliability (consistency of aggregated scores) was high. Ambulatory RT of mood ratings demonstrated moderate to high convergence with RT of mood ratings measured in the laboratory session. Both RT measures were unrelated to self-reported dispositional clarity of feelings. However, momentary RT converged with a self-report measure of momentary clarity on the within-persons level: Participants were faster to rate those mood items that they were more certain about. Evidence for the predictive validity of the new ambulatory RT measure was provided by the finding that on the within-persons level, shorter RT (but not self-reported momentary clarity) predicted higher mood regulation success and better mood at subsequent measurement occasions. The results suggest that RT of mood ratings can be used as a reliable and valid indicator of an individual's clarity of feelings in laboratory and experience-sampling studies. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychiatric symptom correlates of the Minnesota Multiphasic Personality Inventory (MMPI) Masculinity-Femininity scale.

The Minnesota Multiphasic Personality Inventory (MMPI) was administered to 72 female and 51 male outpatients, and subjects were rated on the Brief Psychiatric Rating Scale. Raw scores on Masculinity–Femininity (Mf) correlated positively with ratings of emotional distress, even with gender effects removed. Male and female patients who scored high (feminine direction) on Mf were rated higher on anxiety, depressed mood, guilt feelings, and tension than were low scorers. Mf was the only MMPI scale to correlate significantly with guilt feelings, and its relationships with anxiety, depressed mood, and tension were largely independent of other MMPI clinical scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Can minimally trained observers provide valid global ratings?

From a cost-benefit perspective, the validity of minimally trained (MT) coders' ratings was examined individually and relative to ratings by coders who had undergone "gold standard" (GS) training in the rating of maternal overreactive discipline. The ratings of MT and GS coders were strongly associated (r = .72). MT ratings were also correlated with maternal self-reported overreactive discipline (r = .39), laxness (r = .46), depressive symptoms (r = .32), and observed child misbehavior (r = .40). These correlations were of similar magnitude to correlations based on GS ratings. MT ratings were more strongly associated with GS ratings than with child misbehavior. Thus, their ratings demonstrated convergent, concurrent, and discriminant validity. Implications and limitations of these findings are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Catching moods and hitting runs: Mood linkage and subjective performance in professional sport teams.

Are the moods and subjective performances of professional sports players associated with the ongoing collective moods of their teammates? Players from 2 professional cricket teams used pocket computers to provide ratings of their moods and performances 3 times a day for 4 days during a competitive match between the teams. Pooled time-series analysis showed significant associations between the average of teammates' happy moods and the players' own moods and subjective performances; the associations were independent of hassles and favorable standing in the match. Mood linkage was greater when players were happier and engaged in collective activity. An intraperson analysis of data from these teams and 2 other teams showed that mood linkage was also greater for players who were older, more committed to the team, and more susceptible to emotional contagion. The results support and extend previous findings concerning mood linkage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Simulation of oxidative phosphorylation in hepatocytes

Prospective relations between individual differences in both lateralised neuro-psychophysiological functions and mood ratings with immune status (CD4 and CD8 counts) were examined in asymptomatic HIV-positive men (n = 27) over thirty months. They participated in a controlled study of zidovudine versus placebo (results published elsewhere). Measures included EEG spectra, neuropsychological tests and mood ratings. A model of reciprocal lateralised influences on the immune system was tested whereby patients with left superior to right hemispheric functions were predicted to show a less deleterious outcome than those with the opposite asymmetry pattern. Prospective relations with immune status were found in the EEG with lateralised theta, alpha and beta activity; among cognitive measures with word fluency, semantic processing, and lateralised motor and recognition memory (word/face) processes; with mood ratings including depression, confusion and the total mood score. The nature of the effects supported the laterality predictions. These unique data, showing that neuro-psychophysiological factors in HIV+ but otherwise healthy subjects predict immune competence and compromise present 2-3 years later, warrant replication in a larger cohort.     

Predictors of relationship functioning for patients with bipolar disorder and their partners.

Previous investigations have examined family functioning, including marital functioning, as an important predictor of the course of bipolar disorder, but limited research exists identifying the factors that influence relationship functioning in patients with bipolar disorder. In the current study, 56 patients with bipolar disorder and their partners were assessed for Axis II pathology, general family functioning, and relationship distress. Patient mood symptoms and Axis II pathology variables were examined as predictors of general relationship functioning (Family Assessment Device, McMaster Clinical Rating Scale, and Dyadic Adjustment Scale) in regression models. Analyses indicated that patients' depressive symptomatology was associated with patient ratings of general family functioning and couple functioning, while patients' manic symptoms were associated with partners' ratings of the romantic relationship. Partners' total Axis II pathology, but not patients' Axis II pathology, was associated with patient and partner perception of the couple's relationship. These findings highlight the importance of mood and personality pathology to relationship functioning, and represent one of the first investigations to verify the impact of personality pathology on patients' and partners' perceptions of relationship functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experiences of demand and control during daily life are predictors of carotid atherosclerotic progression among healthy men.

Objectives: The authors previously reported that individuals who rate their daily life as more demanding or less controllable by momentary electronic diary (ED) reports showed greater intima-medial thickness (IMT) by carotid ultrasonography. They now present prospective findings on this relation. Design: Three hundred thirty-five healthy individuals (ages 50-70 at study onset) completed ongoing ratings of activity and mood over a 6-day period, using ED assessments. Main Outcome Measures: Mean bilateral carotid artery IMT was measured at baseline and 36 months later. Results and Conclusion: Mean ratings of high demand and low control were significantly associated with IMT progression among men but not among women. These associations were not explained by traditional risk factors or by measures of occupational stress. Effects were partially accounted for by elevated ambulatory heart rates among those with low ratings of control. These data support the utility of ED-based measures for examining psychosocial risks in the prediction of cardiovascular disease progression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interrelationships among warmth, genuineness, empathy, and temporal speech patterns in interpersonal interaction.

Paired 32 male and 32 female undergraduates, who were strangers to each other, into same-sex dyads. After a 45-min session of natural conversation in each dyad, Ss completed a questionnaire rating their conversational partners on empathy, warmth, and genuineness. Comparison of ratings by partners with ratings by independent Os did not correlate significantly. However, Os' ratings support the hypothesis that "switching pauses" (1 of the parameters of temporal congruence) would correlate significantly with ratings of warmth. Results show that the notion of switching-pause convergence as a reliable, objective measure of warmth in peer conversations is a valid one. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Involvement of trihydroxyconjugated bile salts in cholesterol assimilation by bifidobacteria

BACKGROUND: We assessed diurnal variation in the direction of mood switches in a sample of outpatients with rapid-cycling bipolar disorder who were on stable medication regimens. We predicted that patients would be more likely to switch from depression into mania or hypomania during the daytime hours and from mania/hypomania into depression overnight. METHOD: Fifteen patients with rapid-cycling bipolar disorder completed self-rated mood scales twice a day: once shortly after awakening and once at bedtime. Using 3 months of data for each patient, we performed categorical analyses (McNemar chi-square) to study the direction of mood switches between each day's morning and evening rating and between each evening rating and the subsequent morning rating. RESULTS: As predicted, switches that occurred between the morning and evening ratings were more likely to be from depression into mania/ hypomania or euthymia (64.3%) than in the opposite direction (35.6%; p < .0001). Similarly, switches that occurred between the evening rating and the next morning's ratings were more likely to be from mania/hypomania or euthymia into depression (64.8%) than in the opposite direction (35.2%; p < .0001). CONCLUSION: Extended wakefulness, exposure to light, increased activity, and/or endogenous rhythms could contribute to the elevation of mood during the course of the day. Sleep, darkness, reduced activity, and/or endogenous rhythms could contribute to the tendency to switch into depression overnight. Clinicians should attend to the time of day that clinical assessments are performed in patients with rapid-cycling bipolar disorder. Potential therapeutic implications include the use of light or activity during depression and use of induced sleep or exposure to darkness during mania/hypomania.