Depression symptoms in Canadian psychology graduate students: Do research productivity, funding, and the academic advisory relationship play a role?

Depression is one of the most common psychological disorders affecting university students (Rimmer, Halikas, & Schuckit, 1982; Vazquez & Blanco, 2008); however, undergraduate students have received the majority of the research focus. The limited research available on graduate students suggests they may also be vulnerable to developing depression (Eisenberg, Gollust, Golberstein, & Hefner, 2007). The current investigation provides initial data on depression symptoms in Canadian psychology graduate students. Participants included psychology graduate students from across Canada (N = 292; 87% women) who were currently enrolled in clinical, experimental, counselling, and educational programmes. Each of the participants completed the Center for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977) and measures of: funding, research productivity, hours worked, and their advisory relationship. A substantial proportion of students (33%) reported clinically significant symptoms of depression (CES-D > 16), with a significant minority reporting severe symptoms of depression and impairment. There were no differences in symptom reporting across programme type; however, results of regression analyses indicated that advisory relationship satisfaction and greater current weekly hours worked were significant predictors of depressive symptoms for students enrolled in experimental programmes. In contrast, depression symptoms were unrelated to funding, research productivity, hours worked, and advisory relationship satisfaction for students in all other programmes. Implications and future directions for research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A dimensional analysis of creativity and mental illness: Do anxiety and depression symptoms predict creative cognition, creative accomplishments, and creative self-concepts?

The link, if any, between creativity and mental illness is one of the most controversial topics in modern creativity research. The present research assessed the relationships between anxiety and depression symptom dimensions and several facets of creativity: divergent thinking, creative self-concepts, everyday creative behaviors, and creative accomplishments. Latent variable models estimated effect sizes and their confidence intervals. Overall, measures of anxiety, depression, and social anxiety predicted little variance in creativity. Few models explained more than 3% of the variance, and the effect sizes were small and inconsistent in direction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Establishing the doctor-patient relationship: science, art, or competence?

Establishing and sustaining strong doctor-patient relationships is an important aim in clinical practice, since it is through these relationships that the effectiveness of our work as healers is mediated. In recent years, a research literature emerging from the application of social science to medicine is beginning to highlight certain specific physician behaviors, especially those involved in doctor-patient communication, as actions of considerable importance to both physicians and patients. Successful physicians will further understand that our patients and their families also have high expectations for additional behaviors of physicians, particularly those recognized in the popular culture as professional, respectful of patients' circumstances, and supportive of patients' efforts. To the extent that physicians make an explicit effort to understand and appreciate the "life-world" of patients, and even to modify medical recommendations in order to maximize the meaningfulness and goodness-of-fit of these recommendations, the "art" of medicine also becomes an essential part of routine clinical practice. In the final analysis, new science, art, and behavioral competence are all required for strengthening doctor-patient relationships.     

Change in posttraumatic stress disorder symptoms: Do clinicians and patients agree?

This study assessed the longitudinal association between clinician and patient ratings of posttraumatic stress disorder (PTSD) symptoms over the course of 2 different randomized clinical trials of veterans with chronic PTSD. One trial, the Department of Veterans Affairs Cooperative Study 420 (CSP 420; N = 360) compared trauma-focused and present-centered group therapies, and the 2nd trial compared cognitive processing theory and a waitlist control condition (N = 60). Linear mixed effects modeling revealed significant associations between clinician ratings (Clinician-Administered PTSD Scale; CAPS; D. D. Blake et al., 1990) and patient ratings (Posttraumatic Stress Disorder Checklist; PCL; F. W. Weathers, B. T. Litz, J. A. Herman, J. A. Huska, & T. M. Keane, 1993) in total and symptom clusters of PTSD. Contrary to hypothesis, the amount of change on the CAPS ranged from .75 to .82 standard deviations for every 1 standard deviation change on the PCL. The CAPS and PCL were more closely associated in the trauma-focused vs. present-centered treatment condition in CSP 420, and especially regarding hyperarousal symptoms. When comparing categorization of clinically significant change on the CAPS and PCL, the authors found no differences in the percentages of agreement between clinicians and patients in improvement and exacerbation. The value of multimodal assessment of PTSD treatment outcomes is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpersonal profiles and neurotic symptoms: Are they associated with each other?

The idea that neurotic symptoms are determined by interpersonal characteristics is of central importance for psychoanalytic theory, diagnostics, and treatment. In the present paper, the hypotheses were tested that (1) in general, neurotic symptoms are associated with interpersonal problems and (2) more specific, that a hysterical and an obsessional interpersonal dimension underlie the field of neurotic symptoms and that both dimensions are associated with specific types of neurotic symptoms. In a first study, the hysterical and obsessional interpersonal profiles were mapped by correlating clinicians' ratings on hysteria and obsessional neurosis with the scales of the IIP-64 interpersonal circumplex in a sample of neurotic outpatients. Hysteria was associated with nonassertive, overly accommodating, and self-sacrificing interpersonal behavior and obsessional neurosis was associated with vindictive and cold interpersonal behavior. In a second study, associations of these interpersonal profiles with different SCL-90-R neurotic symptom clusters were investigated in a second sample of neurotic patients and in student sample. The results showed that both interpersonal profiles were significantly associated with a wide range of neurotic symptoms. However, the hypothesized differential associations of the hysterical and obsessional interpersonal profile with distinguished types of neurotic symptoms were not observed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Indications for carotid endarterectomy in patients with symptoms: when, where?

Carotid endarterectomy (CEA) is one of the most commonly used surgical methods in the treatment of cerebral stroke with both therapeutic and also prophylactic implications. CEA has been used in surgical practice for 40 years. At the beginning it was very popular and was widely used. Later, the opposite extreme was reached, and its therapeutic efficacy was denied unjustifiably. However, at the beginning of the ninetieth three large controlled studies were completed (North American Symptomatic Carotid Endarterectomy Trial, European Carotid Surgery Trial and Veterans Administrations Symptomatic Trial) and the results of these trials were the basis for establishing the solid criteria for the surgical procedure in some groups of symptomatic patients with stenosis of the internal carotid artery. Thus, CEA was in again. In accordance with the attitudes of the American Association Ad Hoc Committee (1995), evidenced indications for CEA in patients with symptomatic stenosis of the internal carotid artery (in the group with surgical risk less than 6%) include (a) single or recurrent episodes of TIA in the last 6 months, "crescendo" TIA combined with carotid stenosis > 70% with or without plaque ulceration, with or without antiplatelet therapy, and (b) mild stroke in last 6 months with carotid stenosis > 70% with or without plaque ulceration, with or without antiplatelet therapy. The authors report their experience and results of a six-month pilot study of 301 patients, of whom 248 were operated on for symptomatic carotid stenosis with low combined perioperative morbidity and mortality (0.6%). Also, indications for surgical reconstruction of carotid and coronary arteries in patients with marked signs of atherosclerosis in both arterial systems are discussed.     

Parental depression and interparental conflict: Children and adolescents’ self-blame and coping responses.

The present study examined the role of children and adolescents’ perceptions of self-blame specific to interparental conflict and children and adolescents’ coping behaviors in the context of parental depression as predictors of internalizing and externalizing symptoms in a sample of 108 youth (age 9–15 years old) of parents with a history of depression. Higher levels of current depressive symptoms in parents were associated with higher levels of interparental conflict and higher levels of internalizing symptoms in children and adolescents, and interparental conflict was positively associated with both internalizing and externalizing symptoms in children/adolescents. Consistent across a series of multiple regression models, children and adolescents’ perceptions of self-blame and use of secondary control coping (acceptance, distraction, cognitive restructuring, positive thinking) were significant, independent predictors of both internalizing and externalizing symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal study of coping and gender in a female-dominated occupation: Predicting teachers’ burnout.

This study investigates the role of gender in the benefits of coping (direct action and social support seeking) on the core dimensions of burnout (exhaustion and cynicism) using a longitudinal design. Specifically, the study examined these relationships on teachers, which is typically a female-dominated occupation. Data were gathered during the first term and again during the last term of the academic year. The Time 2 sample was composed of 141 male and 303 female teachers from 100 Spanish primary and secondary schools. Lagged and concurrent longitudinal designs were tested using random coefficient models. Concurrent interactive effects of gender in the relationship among coping strategies and cynicism as well as exhaustion were found. Direct action coping was beneficial only for men. Social support seeking coping was not beneficial for women; moreover, it was found to be detrimental for men. These results were in accord with previous studies confirming the coping-gender match hypothesis. Implications of these results and their significance for practical interventions in the work stress field are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The job satisfaction–job performance relationship: A qualitative and quantitative review.

A qualitative and quantitative review of the relationship between job satisfaction and job performance is provided. The qualitative review is organized around 7 models that characterize past research on the relationship between job satisfaction and job performance. Although some models have received more support than have others, research has not provided conclusive confirmation or discontinuation of any model, partly because of a lack of assimilation and integration in the literature. Research devoted to testing these models waned following 2 meta-analyses of the job satisfaction–job performance relationship. Because of limitations in these prior analyses and the misinterpretation of their findings, a new meta-analysis was conducted on 312 samples with a combined N of 54,417. The mean true correlation between overall job satisfaction and job performance was estimated to be .30. In light of these results and the qualitative review, an agenda for future research on the satisfaction–performance relationship is provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress, physiological and subjective indexes of negative emotionality, and coping reasons for drinking: Is there evidence for a self-medication model of alcohol use?

Alcohol use is often viewed as means of coping with distress, but support for this model has been inconsistent. The author examined stress and negative emotionality and their interaction as predictors of drinking motives in a sample of college drinkers. Both physiological and self-reported reactivity to a mood induction, and self-reported trait negative affect, were assessed. High stress was associated with coping motives, particularly among individuals who exhibited electrodermal reactivity to the mood induction. Respiratory sinus arrhythmia (RSA) reactivity was associated with coping motives. Electrodermal and RSA reactivity and stress were unrelated to enhancement and social motives. Self-reported mood reactivity and trait negative affect were not associated with any of the drinking motives. These findings offer some support for the self-medication model of alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Test of a mediated performance–turnover relationship highlighting the moderating roles of visibility and reward contingency.

Despite the importance of understanding the conditions under which high performing employees are more likely or less likely to voluntarily leave an organization, the nature of the relationship between job performance and voluntary turnover has proven to be elusive. A model of the performance–turnover relationship that highlights important moderators and mediators is proposed and tested. Data consisted of organizational performance and turnover records and survey responses for 130 employees of a medical services organization. Results indicate that visibility and reward contingencies moderate performance relationships with alternatives and job satisfaction, respectively, and that performance may influence turnover through multiple mechanisms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-perceived competence and the relation between life events and depressive symptoms in adolescence: Mediator or moderator?

In a 2-wave longitudinal study, 9th-grade students (N ?=?468) completed self-report measures of stressful life events, depressive symptoms, and 5 domains of self-perceived competence (i.e., academic competence, social acceptance, physical appearance, behavioral conduct, and athletic competence). Teachers and peers also reported about the participants' depressive symptoms. In longitudinal analyses, negative (but not positive) events related to depressive symptoms. Results suggested that self-perceived competence served as a mediator (but not a moderator) of this relation. Negative events predicted changes in self-perceived competence. Self-perceived competence predicted changes in depressive symptoms. Also, the direct effect of negative events on depressive symptoms diminished after controlling for self-perceived competence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A person-oriented perspective on sexual offenders, offending trajectories, and risk of recidivism: A new challenge for policymakers, risk assessors, and actuarial prediction?

Current risk assessment tools are embedded in a variable-oriented perspective and based on the assumption that the risk of reoffending is linear, additive, and relatively stable over time. As a result, actuarial instruments tend to overestimate the risk of violent/sexual recidivism for some sex offenders while underestimating this risk for others. One of the main causes of such predictive inaccuracies is the inability of current actuarial tools to account for the dynamic aspects of offending trajectories over time. Using a person-oriented approach, the current study examined the presence of offending trajectories in sex offenders using measures of offending at multiple time points in adulthood to examine the risk of violent/sexual reoffending. The study was based on a sample of 246 adult males convicted of a sexual offense between 1994 and 1998. Group-based modeling was used to identify offending trajectories, while Cox proportional hazard was used to examine the links between the identified trajectories and recidivism. Findings suggest that a sex crime is more reflective of a transitory phase of the criminal career rather than evidence of a “sexual criminal career” in the making. The findings challenge underlying assumptions of current actuarial tools and calls for a more sophisticated approach to risk assessment that accounts for offending patterns. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Physical therapy: exercises and the modalities: when, what, and Why?

This article reviews the evidence for using modalities and/or exercise treatment in patients with nonspecific low back pain. Poor evidence of efficacy exists for the use of modalities in this patient group. Exercises are beneficial for patients with subacute and chronic nonspecific low back pain. Further studies are needed for type, frequency, duration, and intensity of exercises.     

The unique effect of paternal depressive symptoms on adolescent functioning: Associations with gender and father–adolescent relationship closeness.

Prospective, longitudinal data from a community sample of 451 families were used to assess the unique contribution of paternal depressive symptoms to adolescent functioning. Results indicated that paternal depressive symptoms were significantly related to subsequent depressive symptoms in adolescent offspring; this association remained significant after controlling for previous adolescent depressive symptoms, maternal depressive symptoms, gender, and family demographic variables. Adolescent gender and perception of father–adolescent relationship closeness moderated this association such that paternal depressive symptoms were positively associated with adolescent depressive symptoms for girls whose relations with fathers lacked closeness. These findings add to a growing literature on the interpersonal mechanisms through which depression runs in families, highlighting the need for future investigation of paternal mental health, adolescent gender, and intrafamily relationship quality in relation to adolescent development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognition, emotion, and the alcohol–aggression relationship: Comment on Giancola (2000).

P. R. Giancola's (see record 2000-02949-013) thesis that the alcohol-aggression relationship can be explained by alcohol-induced disruption of executive cognitive functions mediated by the prefrontal cortex is critically examined. At moderate doses, alcohol has been reported to increase aggression in animals as diverse as fish, rats, cats, monkeys, and humans. Although alcohol depresses prefrontal cortex activity and disrupts executive cognitive performance in humans, alcohol's anxiolytic actions, and its disinhibiting effects on subcortical structures implicated in anger and aggression, may be at least as important as the higher cognitive functions cited by Giancola in accounting for the alcohol-aggression relationship. Other drugs that alter prefrontal cortex activity have also been reported to influence aggressive responding in humans and other animals, and implications of this are briefly discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chronic and acute stressors among military personnel: Do coping styles buffer their negative impact on health?

This study examined the moderating impact of positive and negative coping styles on the relationship of acute and chronic job stressors with self-reported health symptoms of 521 military personnel. The number of acute work-related events was associated with a high frequency of self-reported symptoms. Similarly, role ambiguity, overload, and lack of job stimulation were associated with increased symptoms. Only the negative coping styles (i.e., venting of negative emotions and denial/disengagement) were uniquely associated with symptoms. Only 5 of the 13 proposed Stressor?×?Coping interactions were significant, and they all involved the negative coping styles. That is, instead of alleviating the negative outcomes of work stressors, these coping styles were associated with high strain, regardless of the amount of stressor, and, in some cases, these coping styles exacerbated the negative effect of the stressor on the strain outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cluster analysis and disease mapping--why, when, and how? A step by step guide

Growing public awareness of environmental hazards has led to an increased demand for public health authorities to investigate geographical clustering of diseases. Although such cluster analysis is nearly always ineffective in identifying causes of disease, it often has to be used to address public concern about environmental hazards. Interpreting the resulting data is not straightforward, however, and this paper presents a guide for the non-specialist. The pitfalls include the fact that cluster analyses are usually done post hoc, and not as a result of a prior hypothesis. This is particularly true for investigations prompted by reported clusters, which have the inherent danger of overestimating the disease rate through "boundary shrinkage" of the population from which the cases are assumed to have arisen. In disease surveillance the problem of making multiple comparisons can be overcome by testing for clustering and autocorrelation. When rates of disease are illustrated in disease maps undue focus on areas where random fluctuation is greatest can be minimised by smoothing techniques. Despite the fact that cluster analyses rarely prove fruitful in identifying causation, they may-like single case reports-have the potential to generate new knowledge.     

When and why do central employees speak up? An examination of mediating and moderating variables.

We examined the proposition that employees' work-flow centrality (i.e., the extent to which they are critical to the task-related interaction networks of their work groups) enhances their personal influence within their work groups and, therefore, motivates them to engage in voice behaviors. In support of this proposition, in a study of 184 bank employees nested within 42 work groups, we found that employees' work-flow centrality was positively related to voice behaviors, with their personal influence mediating this relationship. Further, work-flow centrality was more strongly related to personal influence when employees had higher task performance, and personal influence was more strongly related to voice behaviors when employees had higher levels of work-group identification. Implications for theory and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive–behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors.

Objective: Women who develop symptoms of posttraumatic stress disorder (PTSD) and depression subsequent to interpersonal trauma are at heightened risk for future intimate partner violence (IPV) victimization. Cognitive–behavioral therapy (CBT) is effective in reducing PTSD and depression symptoms, yet limited research has investigated the effectiveness of CBT in reducing risk for future IPV among interpersonal trauma survivors. Method: This study examined the effect of CBT for PTSD and depressive symptoms on the risk of future IPV victimization in a sample of women survivors of interpersonal violence. The current sample included 150 women diagnosed with PTSD secondary to an array of interpersonal traumatic events; they were participating in a randomized clinical trial of different forms of cognitive processing therapy for the treatment of PTSD. Participants were assessed at 9 time points as part of the larger trial: pretreatment, 6 times during treatment, posttreatment, and 6-month follow-up. Results: As hypothesized, reductions in PTSD and in depressive symptoms during treatment were associated with a decreased likelihood of IPV victimization at a 6-month follow-up even after controlling for recent IPV (i.e., IPV from a current partner within the year prior to beginning the study) and prior interpersonal traumas. Conclusions: These findings highlight the importance of identifying and treating PTSD and depressive symptoms among interpersonal trauma survivors as a method for reducing risk for future IPV. (PsycINFO Database Record (c) 2011 APA, all rights reserved)