Longitudinal analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorder.

This study examined how change in posttraumatic stress disorder (PTSD) symptoms relates to change in quality of life. The sample consisted of 325 male Vietnam veterans with chronic PTSD who participated in a randomized trial of group psychotherapy. Latent growth modeling was used to test for synchronous effects of PTSD symptom change on psychosocial and physical health-related quality of life within the same time period and lagged effects of initial PTSD symptom change on later change in quality of life. PTSD symptoms were associated with reduced quality of life before treatment. There were synchronous effects of symptom change on change in quality of life but no significant lagged effects. Results indicate the importance of measuring quality of life in future investigations of PTSD treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Unstable resonator misalignment in ring and linear toroidal resonators

Optical axis motion in a ring resonator is investigated as a function of resonator mirror misalignment by constructing an equivalent paraxial model and applying the ray matrix formalism. Analytical expressions are derived for the optical axis motion. The paraxial model of the ring is shown to imply a linear resonator as a specific case, and the ring resonator expressions collapse to the familiar Krupke-Sooy results for that case. Using this method, new misalignment expressions are determined for more complex linear resonators. Uncorrectable misalignment conditions caused by toroidal mirror parameter errors are studied analytically and with a geometric optics code, and resulting phase front errors are given for a special case. These results are also examined as a basis for toroidal mirror quality specifications.     

A Comparison of the Moore and Miranda Existence Tests

We compare two computational tests for the existence of a zero of a nonlinear system. One of the tests is based on a theorem by Moore, the other relies on Mirandas theorem. It turns out that the Miranda test is always at least as powerful as the Moore test. We also indicate some conditions under which both tests are equivalent.B. Lang gratefully acknowledges support by VolkswagenStiftung within the project Konstruktive Methoden der Nichtlinearen Dynamik zum Entwurf verfahrenstechnischer Prozesse, Geschäftszeichen I/79 288.     

Risk factors for adolescent substance abuse and dependence: Data from a national sample.

A national household probability sample of 4,023 adolescents aged 12 to 17 years was interviewed by telephone about substance use, victimization experiences, familial substance use, and posttraumatic reactions to identify risk factors for Diagnostic and Statistical Manual of Mental Disorders- (4th ed.; American Psychiatric Association, 1994) defined substance abuse/dependence. Age and ethnicity data were available for 3,907 participants. Major findings were (a) adolescents who had been physically assaulted, who had been sexually assaulted, who had witnessed violence, or who had family members with alcohol or drug use problems had increased risk for current substance abuse/dependence; (b) posttraumatic stress disorder independently increased risk of marijuana and hard drug abuse/dependence; and (c) when effects of other variables were controlled, African Americans, but not Hispanics or Native Americans, were at approximately 1/3 the risk of substance abuse/dependence as Caucasians. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Randomized Trial of Cognitive-Behavioral Therapy for Chronic Posttraumatic Stress Disorder in Adult Female Survivors of Childhood Sexual Abuse.

The authors conducted a randomized clinical trial of individual psychotherapy for women with posttraumatic stress disorder (PTSD) related to childhood sexual abuse (n = 74), comparing cognitive-behavioral therapy (CBT) with a problem-solving therapy (present-centered therapy; PCT) and to a wait-list (WL). The authors hypothesized that CBT would be more effective than PCT and WL in decreasing PTSD and related symptoms. CBT participants were significantly more likely than PCT participants to no longer meet criteria for a PTSD diagnosis at follow-up assessments. CBT and PCT were superior to WL in decreasing PTSD symptoms and secondary measures. CBT had a significantly greater dropout rate than PCT and WL. Both CBT and PCT were associated with sustained symptom reduction in this sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How my product works and how it looks: Effects of functional and aesthetic co‐creation and the role of product expertise

While past research has successfully shown that co‐creation increases both customers' and companies' value, the possible effects of different types of co‐creation have broadly been neglected. This study investigates the influence of the extent of functional and aesthetic co‐creation on customers' quality perceptions of the co‐created product and the mediating role of customers' satisfaction with the co‐creation process. Results from a field study show that the extent of aesthetic co‐creation positively influences customers' quality perceptions of the co‐created product through satisfaction with the co‐creation process, while no direct effects exist for the extent of functional co‐creation. Further, customers' level of product expertise positively moderates the relationship between the extent of functional co‐creation and customers' quality perceptions of the co‐created product through satisfaction with the co‐creation process, while no moderating effect exists for the extent of aesthetic co‐creation. The findings contribute significantly to both co‐creation theory and practice.     

What do psychotherapists really do in practice? An Internet study of over 2,000 practitioners.

Over 2,200 North American psychotherapists completed a Web-based survey concerning their clinical work, including theoretical orientation, client characteristics, and use of specific psychotherapy techniques. Psychotherapeutic integration was common, with the majority of respondents identifying with more than one theoretical orientation or as having an eclectic orientation. The modal patient was a White female adult suffering from a mood or anxiety disorder and interpersonal problems. Individual psychotherapy was the preferred treatment modality. The most frequently endorsed techniques were relationship-oriented such as conveying warmth, acceptance, understanding, and empathy. The least frequently endorsed techniques were biofeedback, neurofeedback, body and energy therapies, and hypnotherapy. Efforts to disseminate empirically based therapies require understanding and accommodating clinicians' tendencies to integrate techniques. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A high-flux accelerator-based neutron source for fusion technology and materials testing

Advances in high-current linear-accelerator technology since the design of the Fusion Materials Irradiation Test (FMIT) Facility have increased the attractiveness of a deuteriumlithium neutron source for fusion materials and technology testing. This paper discusses the conceptual design of such a source that is aimed at meeting the near-term requirements of a high-flux high-energy International Fusion Materials Irradiation Facility (IFMIF). The concept employs multiple accelerator modules providing deuteron beams to two liquid-lithium jet targets oriented at right angles. This beam/target geometry provides much larger test volumes than can be attained with a single beam and target and produces significant regions of low neutron-flux gradient. A preliminary beam-dynamics design has been obtained for a 250-mA reference accelerator module. Neutron-flux levels and irradiation volumes were calculated for a neutron source incorporating two such modules, and interaction of the beam with the lithium jet was studied using a thermal-hydraulic computer simulation. Approximate cost estimates are provided for a range of beam currents and a possible facility staging sequence is suggested.This work was supported by Los Alamos National Laboratory Program Development Funds under the auspices of the U.S. Department of Energy.Supported in part by an appointment to the U.S. DOE Fusion Energy Postdoctoral Research Program administered by Oak Ridge Associated Universities.     

Physical symptom trajectories following trauma exposure: longitudinal findings from the normative aging study

This study modeled physical symptom trajectories from ages 30 to 75 in 1079 older male military veterans who were assessed every 3 to 5 years since the 1960s. Combat exposure and noncombat trauma were used to define four groups: no trauma (N = 249), noncombat trauma only (N = 333), combat only (N = 152), and both combat and noncombat trauma (N = 345). Number of symptoms on the Cornell Medical Index physical symptom scale increased 29% per decade. Men who had experienced either combat or noncombat trauma did not differ from nonexposed men, but those who had experienced both combat and noncombat trauma had 16% more symptoms across all ages. There were no differences in age-related trajectories as a function of trauma history. In cross-sectional analysis, men with combat and noncombat trauma had more posttraumatic stress disorder symptoms, but not more depression symptoms, than men with either no trauma or noncombat trauma only. Discussion focuses on the importance of considering physical as well as psychological outcomes of exposure to traumatic events.     

Predictors and outcomes of posttraumatic stress disorder in World War II veterans exposed to mustard gas.

Current posttraumatic stress disorder (PTSD) associated with participation in secret military tests of mustard gas during World War II was assessed in 363 male military veterans who were randomly sampled from a registry developed by the Department of Veterans Affairs. Current prevalence was 32% for full PTSD and 10% for partial PTSD. Prevalence of PTSD varied as a function of risk and protective factors, including volunteering, physical symptoms during the tests, and prohibited disclosure. Prediction of partial PTSD was weaker than prediction of full PTSD. Veterans with full PTSD reported poorer physical health, a higher likelihood of several chronic illnesses and health-related disability, greater functional impairment, and higher likelihood of health care use than those with no PTSD. Veterans with partial PTSD also had poorer outcomes than did veterans with no PTSD in a subset of these domains. There is discussion of the traumatic elements of experimental mustard gas exposure, vulnerability to PTSD, and the relevance of these findings to understanding the broad range of outcomes associated with PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)