Is Perfectionism Categorical or Dimensional? A Taxometric Analysis

Considerable debate exists within the perfectionism literature regarding whether perfectionism is most accurately conceptualized as a dimensional or categorical construct. Specifically, some researchers have viewed perfectionism as a continuous construct, with extreme scores being associated with negative psychological outcomes (e.g., obsessive–compulsive disorder, eating disorders, etc.). In contrast, others have argued that two distinct forms of perfectionism exist (i.e., adaptive vs. maladaptive perfectionism) that are associated with both positive and negative outcomes. The purpose of this study was to examine the latent structure of perfectionism using taxometric procedures to determine whether perfectionism is most accurately conceptualized as taxonic (categorical) or dimensional (continuous). We applied four taxometric procedures (maximum eigen value [Waller & Meehl, 1998], maximum covariance [Meehl & Yonce, 1996], mean above minus below a cut [Meehl & Yonce, 1994], and latent-mode factor analysis [Waller & Meehl, 1998]) to perfectionism data collected from 2 large nonclinical samples. Results provided convergent evidence for a dimensional conceptualization of perfectionism across samples, perfectionism measures, and statistical procedures. We discuss the implications of these findings for the theory, assessment, and investigation of perfectionism are discussed

Taxometric Investigation of PTSD: Data From Two Nationally Representative Samples

Current psychiatric nosology depicts posttraumatic stress disorder (PTSD) as a discrete diagnostic category. However, only one study has examined the latent structure of PTSD, and this study suggested that PTSD may be more accurately conceptualized as an extreme reaction to traumatic life events rather than a discrete clinical syndrome. To build on the existing literature base, the present research examined the latent structure of posttraumatic stress reactions by applying three taxometric procedures (MAXEIG, MAMBAC, and L-Mode) to data collected from large nationally representative samples of women (ns = 2684 and 3033) and adolescents (n = 3775). Results consistently provided evidence for a dimensional PTSD solution across samples and statistical procedures. These findings have important implications for the theory, assessment, and investigation of posttraumatic stress reactions

Latent Structure of Aversion: Taxometric Exploration

Recent research has identified specific disorders that appear to be better characterized by the experience of aversion, rather than anxiety, which evolve from disgust-related affect. Three mathematically distinct taxometric procedures – MAXEIG, MAMBAC, and L-Mode – were applied to data from a large undiagnosed sample (N = 909) to determine whether aversion forms a distinct psychopathological category (i.e., an aversion taxon). Aversion was operationalized with self-report measures of the frequency of disgust experiences (Disgust Propensity), the perceived emotional impact of disgust experiences (Disgust Sensitivity), and contamination ideation and excessive washing (Contamination Fear). The collective results across procedures, consistency tests, and analysis of simulated comparison data produced converging evidence in support of the conclusion that the latent structure of aversion is dimensional. Implications of these findings for the clinical assessment of aversion and its disorders are discussed

Internet-Based Interventions for Traumatic Stress-Related Mental Health Problems: A Review and Suggestion for Future Research

Exposure to potentially traumatic events is a common occurrence. Most individuals exposed to such an event are resilient or recover rapidly, although some individuals develop psychological problems that warrant treatment. However, a small percentage of individuals seek traditional treatment, thereby calling for novel approaches or methodologies of treatment. The present paper provides a comprehensive and critical review of the extant literature on computerized and internet-based interventions (IBIs) for traumatic stress-related conditions (i.e., panic disorder, posttraumatic stress disorder/complicated grief, depression, comorbid anxiety and depression, alcohol abuse, smoking cessation). Generally, computerized or IBIs for depression and anxiety are yielding effect sizes that are comparable to traditional psychosocial treatment. Interventions aimed at alcohol and smoking cessation generally have lower effect sizes than do IBIs for anxiety and depression. Most interventions reviewed in this paper included common components (e.g., were developed through a cognitive behavioral framework and included psychoeducation, cognitive restructuring, goal setting, exposure). Therefore, it is possible that these shared features may in part account for symptom reduction. Little is known regarding mechanisms of change. Future directions for novel web-based approaches to treatment are provided

The Latent Structure of Posttraumatic Stress Disorder Among Adolescents

Debate has arisen over whether posttraumatic stress disorder (PTSD) is most accurately conceptualized as representing a discrete clinical syndrome or an extreme reaction to traumatic life events. Recent taxometric research using predominately adult samples appears to support a dimensional model of PTSD, raising questions about the utility of current psychiatric nosology which depicts PTSD as a distinct entity. The present study sought to use taxometric procedures to examine the latent structure of posttraumatic stress reactions among a national epidemiologic sample of 2,885 adolescents. Results were consistent with previous taxometric studies in supporting a dimensional model of posttraumatic stress reactions. The implications of these findings for public policy, as well as the etiology and assessment of posttraumatic stress reactions, are discussed

Associative and Phonological Priming Effects After Letter Search on the Prime

Responses to target words typically are faster and more accurate after associatively related primes (e.g., "orange-juice") than after unrelated primes (e.g., "gluejuice"). This priming effect has been used as an index of semantic activation, and its elimination often is cited as evidence against semantic access. When participants are asked to perform a letter search on the prime, associative priming typically is eliminated, but repetition and morphological priming remain. It is possible that priming survives letter search when it arises from activity in codes that are represented before semantics. This experiment examined associative and phonological priming to determine whether priming from phonologically related rhymes would remain after letter search (e.g., "moose-juice"; rhyming items were orthographically dissimilar). When participants read the primes, equivalent associative and phonological priming effects were obtained; both effects were eliminated after letter search. The impact of letter search on semantic and phonological access and implications for the structural arrangement oflexical and semantic memory are discussed

Effects of Aerobic Exercise on Anxiety Sensitivity

Anxiety sensitivity is a known precursor to panic attacks and panic disorder, and involves the misinterpretation of anxiety-related sensations. Aerobic exercise has been shown to reduce generalized anxiety, and may also reduce anxiety sensitivity through exposure to feared physiological sensations. Accordingly, 54 participants with elevated anxiety sensitivity scores completed six 20-min treadmill exercise sessions at either a high-intensity aerobic (n=29) or low-intensity (n=25) level. Self-ratings of anxiety sensitivity, fear of physiological sensations associated with anxiety, and generalized anxiety were obtained at pre-treatment, post-treatment, and one-week follow-up. Results indicated that both high- and low-intensity exercise reduced anxiety sensitivity. However, high-intensity exercise caused more rapid reductions in a global measure of anxiety sensitivity and produced more treatment responders than low-intensity exercise. Only high-intensity exercise reduced fear of anxiety-related bodily sensations. The implications of these findings are discussed

Phenomenon of Declining Anxiety Sensitivity Scores: A Controlled Investigation

Background: Repeated administration of anxiety sensitivity measures can often produce declining scores, even in ostensible control groups, which is a significant concern for researchers. The reasons for these changes are as yet unknown, but could be because of regression to the mean in samples selected on extreme scores, exposure to general information about anxiety contained in psychiatric interviews, or mere exposure to anxiety sensitivity information. Methods: This study sought to experimentally evaluate these potential explanations using a comprehensive measure of anxiety sensitivity and its subcomponents, a non-anxiety sensitivity measure (self-esteem), and participants representing the full spectrum of anxiety sensitivity. Results: Results indicated significant decreases in anxiety sensitivity scores (but not self-esteem scores) that could not be accounted for by regression to the mean or exposure to information about anxiety in general. Conclusions: Several potential explanations for these findings are reviewed and implications for research study designs are discussed

A Taxometric Study of the Latent Structure of Disgust Sensitivity: Converging Evidence for Dimensionality

Disgust sensitivity has recently been implicated as a specific vulnerability factor for several anxiety-related disorders. However, it is not clear whether disgust sensitivity is a dimensional or categorical phenomenon. The present study examined the latent structure of disgust by applying three taxometric procedures (maximum eigenvalue, mean above minus below a cut, and latent-mode factor analysis) to data collected from 2 large nonclinical samples on 2 different measures of disgust sensitivity. Disgust sensitivity in the first sample (n=1,153) was operationalized by disgust reactions to food, animals, body products, sex, body envelope violations, death, hygiene, and sympathetic magic, as assessed by the Disgust Sensitivity Scale (J. Haidt, C. McCauley, & P. Rozin, 1994). Disgust Sensitivity Scale indicators of core, animal reminder, and contamination disgust were also examined in the 1st sample. Disgust sensitivity in the 2nd independent sample (n=1,318) was operationalized by disgust reactions to animals, injections and blood draws, mutilation and death, rotting foods, and odors, as assessed by the Disgust Emotion Scale (R. A. Kleinknecht, E. E. Kleinknecht, & R. M. Thorndike, 1997). Results across both samples provide converging evidence that disgust sensitivity is best conceptualized as a dimensional construct, present to a greater or lesser extent in all individuals. These findings are discussed in relation to the conceptualization and assessment of disgust sensitivity as a specific dimensional vulnerability for certain anxiety and related disorders

Anxiety Sensitivity and Retaliatory Aggressive Behavior in Research Volunteers

An important focus of recent aggression research has been to identify personality variables that influence the expression of aggression. One such variable may be anxiety sensitivity (AS). Individuals high in AS fear unpleasant anxiety-related physiological sensations and perhaps physiological arousal in general. Accordingly, people high in AS are motivated to avoid situations that produce these sensations. With respect to aggressive encounters, an intense attack by an opponent involves significant physiological arousal. High anxiety-sensitive individuals may therefore attempt to decrease the intensity of the interaction by responding in a non-aggressive or conciliatory manner. To test this possibility, 112 community volunteers completed a measure of AS and a well-validated laboratory task designed to assess aggressive behavior. As predicted, an inverse relation between AS and extreme aggressive responding was found. Specifically, as AS increases, retaliatory aggression is less likely after intense attack by an opponent