Specific Patterns of Emotion Recognition from Faces in Children with ASD: Results of a Cross-Modal Matching Paradigm.

Children with ASD show emotion recognition difficulties, as part of their social communication deficits. We examined facial emotion recognition (FER) in intellectually disabled children with ASD and in younger typically developing (TD) controls, matched on mental age. Our emotion-matching paradigm employed three different modalities: facial, vocal and verbal. Results confirmed overall FER deficits in ASD. Compared to the TD group, children with ASD had the poorest performance in recognizing surprise and anger in comparison to happiness and sadness, and struggled with face-face matching, compared to voice-face and word-face combinations. Performance in the voice-face cross-modal recognition task was related to adaptive communication. These findings highlight the specific face processing deficit, and the relative merit of cross-modal integration in children with ASD.

Immediate therapist self-disclosure bolsters the effect of brief integrative psychotherapy on psychiatric symptoms and the perceptions of therapists: A randomized clinical trial.

OBJECTIVE: We report a first randomized clinical trial examining the effect of immediate and non-immediate therapist self-disclosure in the context of a brief integrative psychotherapy for mild to moderate distress. METHOD: A total of 86 patients with mild to moderate forms of distress were randomly divided into three 12-session integrative psychotherapy conditions based primarily on [Hill, C. E. (2009). Helping skills: Facilitating, exploration, insight, and action (3rd ed.). Washington, DC: American Psychological Association.] three-stage model. Therapists trained in this treatment modality were instructed to use either immediate self-disclosure (expressing feelings towards the patient/treatment/therapeutic relationship) or non-immediate self-disclosure (expressing personal or factual information regarding the therapist's life outside the treatment). In the comparison condition, the therapists were instructed to refrain from self-disclosure altogether. RESULTS: Immediate therapist self-disclosure reduced psychiatric symptoms among patients with elevated pretreatment symptoms (as assessed by the Brief Symptoms Inventory) and bolstered a favorable perception of the therapist. Therapists in both the immediate and non-immediate self-disclosure group evaluated themselves more favorably than their counterparts in the non-disclosure group. CONCLUSIONS: Therapist self-disclosure, particularly of the immediate type, might enhance the effect of brief integrative treatment on psychiatric symptoms of high symptomatic patients and contribute to favorable perception of therapists.

The clinical picture of late-onset PTSD: a 20-year longitudinal study of Israeli war veterans.

Delayed-onset posttraumatic stress disorder (PTSD) has been under medico-legal debate for years. Previous studies examining the prevalence and clinical characteristics of delayed-onset PTSD have yielded inconclusive findings. This study prospectively examines the prevalence and clinical picture of late-onset PTSD among Israeli war veterans. It also evaluates whether or not late-onset PTSD erupts after a completely non-symptomatic period. 675 Israeli veterans from the 1982 Lebanon War, with and without antecedent combat stress reaction (CSR), have been assessed 1, 2 and 20 years post-war. They were divided into 4 groups, according to the duration of delay in PTSD onset. Participants completed self-report questionnaires tapping psychopathology, combat exposure and socio-demographics. 16.5% of the veterans suffered from late-onset PTSD. A longer delay in PTSD onset was associated with less severe psychopathology. Also, CSR was associated with a shorter delay in PTSD onset. Finally, the vast majority of veterans already suffered from PTSD symptoms prior to late PTSD onset. Our results offer further validation for the existence of delayed-onset PTSD. Delayed-onset PTSD appears to be a unique sub-type of PTSD, with an attenuated clinical picture. In addition, delayed-onset PTSD may be the result of an incubation process, wherein symptoms already exist prior to PTSD onset.

The effect of stress on cognitive structuring: a cognitive motivational model.

In this article, we outline a model of the factors involved in the relationship between stress and cognitive structuring. More specifically, we propose that the desire for certainty, the need for cognitive structure, and perceived efficacy at satisfying one's epistemic needs intervene in the effect exerted by stress on cognitive structuring. We further suggest expanding the model to account for aspects of general information processing and to encompass the effect of various trait-like characteristics on the cognitive response to stress. We also offer an account of the possible effects of extreme stress on the model's components.

The association between cumulative adversity and mental health: considering dose and primary focus of adversity.

PURPOSE: The study addressed the dose-response model in the association of cumulative adversity with mental health. METHOD: Data of 1,725 participants aged 50+ were drawn from the Israeli component of the Survey of Health, Ageing, and Retirement in Europe. Measures included an inventory of potentially traumatic events, distress (lifetime depression, depressive symptoms), and well-being (quality of life, optimism/hope). RESULTS: The maximal effect of cumulative trauma emerged in the contrast between 0-2 and 3+ events, where the higher number of events related to higher distress but also to higher well-being. While self-oriented adversity revealed no, or negative, association with well-being, other-oriented adversity revealed a positive association. CONCLUSIONS: The study suggests an experiential dose of cumulative adversity leading to a co-activation of distress and well-being. The source of this co-activation seems to be other-oriented adversity.

Who is prone to react to coinciding threats of terrorism and war? Exploring vulnerability through global versus differential reactivity.

This study addressed reactions of Israelis to terrorism and the confrontation with Iraq when these threats coincided in 2003. A sample of 471 participants (age range 19-88) rated affective, cognitive, and behavioral reactions to each threat. Stronger reactions related to higher neuroticism, lower education, and being a woman; reactions to the confrontation with Iraq also related to lower extraversion and being a Holocaust survivor. Participants reacting predominantly to terrorism revealed higher conscientiousness and better subjective health. The study suggests that global reactivity to a critical dual-stressor situation is linked with risk factors of vulnerability whereas differential reactivity may indicate adaptability.

The effect of choice between test anxiety treatment options on treatment outcomes.

Evidence regarding the effect of clients' choice of treatment on treatment outcome is inconsistent. This possible effect was examined by presenting participants with two treatments of test anxiety: advanced muscle relaxation and changing of internal dialogue. Clients (N=73) were allocated to three groups: choice (participants chose their preferred treatment), no choice (participants were assigned to their preferred treatment but were led to believe they couldn't choose the treatment they were assigned to), and wait-list control (participants received no treatment until the end of the study). There was a significant linear pattern, with the choice group performing better than the no-choice group with no feeling of control, which in turn performed better than the control group. Limitations and suggestions for future research are discussed.

The contribution of stressful life events throughout the life cycle to combat-induced psychopathology.

This study examines the contribution of prewar life events, war exposure, and postwar life events to combat-induced psychopathology among 425 Israeli War veterans from the Lebanon War. Data was collected at two time points (1983 and 2002). The sample included veterans with and without combat stress reaction (CSR). Battle intensity and subjective experience of risk in war were associated with CSR. Negative childhood life events, CSR, PTSD in 1983 and postwar negative life events were associated with PTSD in 2002. Furthermore, a path analysis revealed that CSR mediated the relation between battle intensity and PTSD in 2002. Our findings suggest that stressful life events throughout the life cycle contribute significantly to veterans' posttraumatic symptomatology, above and beyond combat exposure.

The crossover of perceived health between spouses.

The current study examined the crossover of perceived health between spouses and the mediating roles of self-esteem and undermining in this process. Data were collected from a sample of 2,108 couples from the Russian Longitudinal Monitoring survey. Using structural equation modeling, the authors tested a crossover model that incorporated three mechanisms: bidirectional crossover of perceived health between spouses, common stressors (income), and indirect mediated effects (social undermining). The model showed an acceptable fit to the data and provided support for all three-crossover mechanisms. Furthermore, self-esteem mediated the relationship between economic hardship and perceived health. The authors discuss theoretical aspects of the crossover of perceived health and implications of our findings for the design of preventive interventions to help family members cope more effectively with economic hardship.

Effects of stress on sleep: the moderating role of coping style.

The aim of this prospective quasi-experimental study was to assess the role of coping style as a factor moderating the relationship between stress and sleep. Sleep of 36 students was assessed by means of actigraphy and daily logs during low-stress and high-stress periods. The high-stress period was the week that the students were evaluated for acceptance to graduate programs in clinical psychology. The low-stress period was a regular academic week. The students' ways of coping were assessed during the baseline low-stress period using the COPE inventory. Data analysis revealed that a high emotion-focused coping score was significantly predictive of reduction in sleep time from the low- to the high-stress period. These results suggest that coping style is a key factor in assessing the relationship between stress and sleep.