Childhood maltreatment and social functioning in adults with sub-clinical psychosis

Studies now acknowledge a robust association between childhood maltreatment and psychosis development in adulthood. Research shows that maltreatment not only influences the child��s psychological wellbeing but also inhibits domains of social development. These social impairments have been found to predate the onset of psychosis and may crucially represent an intervening factor which triggers the decline towards psychosis. To examine social functioning as a potential mediating pathway between early maltreatment and sub-clinical psychosis. The study utilised data from the Adult Psychiatric Morbidity Survey (N=7403). Psychotic-like experiences were assessed using the Psychosis Screening Questionnaire (PSQ) along with measures designed to capture childhood maltreatment and social impairment. Results revealed that maltreatment was associated with both social functioning deficits as well as psychotic symptomology. Furthermore, social functioning was found to mediate the relationship between maltreatment and psychosis. The results align with literature linking maltreatment to both social functioning deficits and psychosis. Crucially, the study bridges these research areas by presenting functional decline as possible risk indicator and intervening factor between maltreatment and psychosis. Intervention strategies should therefore seek to capitalise on treatments which boost social aptitude as a means of averting further decline towards psychopathology

Measurement of the psychosis continuum: Modelling the frequency and distress of subclinical psychotic experiences

Objective: Dimensional models of psychosis symptom frequency at clinical levels are representative of symptom dimensionality that is inclusive of distress. However, factor models of psychotic-like experiences, or subclinical symptomatology, in the general population have only ever been estimated using information on the frequency of occurrence. To ascertain whether dimensional representations of psychosis at subclinical levels are reflective of clinical manifestations of psychosis, factor models must utilise data that permits the measurement of both frequency and distress of psychosis experiences. Method: Psychotic-like experiences were assessed in a nonclinical sample (N = 462) using the 20 positive items from the CAPE42, which is a self-report questionnaire of psychotic experiences. For each item of the CAPE the frequency and distress ratings were recoded to form composite scores. Seven factor analytic models were specified and tested using confirmatory factor analysis. Results: The five-factor model of Wigman et al. (hallucinations, paranoia, grandiosity, delusions and paranormal beliefs factors) represented the best fitting model for both frequency and composite data. Conclusions: The findings constitute further evidence for a continuum of psychosis within the general population. Future analyses, aimed at delineating the dimensionality of psychosis, must advance towards the inclusion of distress as a central and necessary adjunct to measurement

Coping styles in adults with cystic fibrosis: implications for emotional and social quality of life

As life expectancy increases, interest has grown surrounding the factors that may influence quality of life (QOL) for people with cystic fibrosis (CF). The aim of the current study was to examine which specific coping styles were positively or negatively associated with social and emotional QOL in a CF sample. One hundred and twenty-two respondents aged 18 and over were recruited through an online support group. Respondents completed the ‘CF Questionnaire-Revised (CFQ-R)’ and the ‘Brief COPE’. The CFQ-R is a disease-specific instrument designed to measure the impact of CF on nine QOL domains and the Brief COPE is a 28 item questionnaire which assesses 14 coping scales. A multivariate regression model revealed that higher substance abuse and disengagement was associated with lower emotional QOL whereas greater use of religion, instrumental coping and acceptance was positively associated with emotional QOL. Active coping was linked to better social QOL and a negative association was reported between distraction coping with both emotional and social domains. Given the burden of CF, ascertaining which factors enhance or diminish emotion and social well-being is now an integral component of QOL research. The current findings may therefore have value in informing clinical interventions which aim to cater for the psychological needs of individuals with CF

The mental health of doctors during the COVID-19 pandemic

�� 2020 The Authors. Published by Royal College of Psychiatrists /Cambridge University Press. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher���s website: https://doi.org/10.1192/bjb.2020.44Doctors experience high levels of work stress even under normal circumstances, but many would be reluctant to disclose mental health difficulties or seek help for them, with stigma an often-cited reason. The coronavirus disease 2019 (COVID-19) crisis places additional pressure on doctors and on the healthcare system in general and research shows that such pressure brings a greater risk of psychological distress for doctors. For this reason, we argue that the authorities and healthcare executives must show strong leadership and support for doctors and their families during the COVID-19 outbreak and call for efforts to reduce mental health stigma in clinical workplaces. This can be facilitated by deliberately adding ���healthcare staff mental health support process��� as an ongoing agenda item to high-level management planning meetings.Published versio

Patterns of occupational stress in police contact and dispatch personnel: Implications for physical and psychological health

This is an accepted manuscript of an article published by Springer Nature in International Archives of Occupational and Environmental Health on 12/10/2020, available online at: https://doi.org/10.1007/s00420-020-01562-1 The accepted version of the publication may differ from the final published version.Purpose Occupational stress in police call handlers is researched less frequently than in operational or front-line police, despite the role’s unique challenges. Occupational stress is potentially manageable, thus improved understanding of its contributors and consequences is important for effective intervention. We aimed to compare levels and sources of organisational stress in police contact and dispatch personnel with UK benchmarks. Secondly, to test whether different typologies of stress were associated with physical health, mental health and substance use. Finally, to examine whether non-organisational factors (socio-demographic factors and family interference with work (FIW)) predicted organisational stress typologies. Methods A sample (n = 720) of police and civilian staff in a UK police call and dispatch centre were surveyed. Results The strongest sources of stress were competing and high demands, low control, insufficient managerial support and ambiguity surrounding workplace change – all of which indicated need for ‘urgent action’ according to UK benchmarks. Substance use and particularly mental health difficulties were higher than published norms. A latent profile analysis grouped respondents into a low stress group and two high stress profiles: As stress increased across profiles, this corresponded with worse physical and mental health and higher substance use. FIW predicted membership of both high stress profiles. Conclusion Despite non-operational roles, police contact and despatch personnel can experience high occupational stress which is associated with physical and mental health difficulties and substance use. Organisational-level interventions which address lack of control, conflicting role demands as well as enhance management support and communication around change might be most effective in this group

An analysis of the impact of suicide prevention messages and memorials on motorway bridges

© 2021 The Authors. Published by Wiley. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.1111/sltb.12736Recently there has been activity at public locations where people have died by suicide, including the erection of suicide prevention messages and memorials (decorations). This research looks at the impact of these decorations and associated media coverage of the decorations on suicidal behaviour at bridges. Incidents (n=160) of suicidal behaviour on 26 bridges across motorways in England were analysed. Overall, there was no significant difference in the proportion of incidents pre-decoration versus post-decoration (p-value=0.55). The incident rates were not significantly different pre- and post-decoration (p=0.46). Only one bridge had statistically significantly more incidents post-decoration and media reporting (p=0.03). However, following correction for multiple testing there was no significant difference in pre and post-incident rates at any of the bridges. In total, 58% of bridges had a greater frequency of incidents when decorations were absent, however this proportion was not statistically significant (p=0.41). Further research is required to establish how suicide prevention messages are perceived. There does not appear to be any benefit, but it often generates media coverage which has been shown to increase risk. Therefore, a precautionary approach is recommended on the use of suicide prevention messages as an intervention at bridges

Classical and Quantum Strings in compactified pp-waves and Godel type Universes

We consider Neveu-Schwarz pp-waves with spacetime supersymmetry. Upon compactification of a spacelike direction, these backgrounds develop Closed Null Curves (CNCs) and Closed Timelike Curves (CTCs), and are U-dual to supersymmetric Godel type universes. We study classical and quantum strings in this background, with emphasis on the strings winding around the compact direction. We consider two types of strings: long strings stabilized by NS flux and rotating strings which are stabilized against collapse by angular momentum. Some of the latter strings wrap around CNCs and CTCs, and are thus a potential source of pathology. We analyze the partition function, and in particular discuss the effects of these string states. Although our results are not conclusive, the partition function seems to be dramatically altered due to the presence of CNCs and CTCs. We discuss some interpretations of our results, including a possible sign of unitary violation.Comment: 42 pages, LaTeX, 2 figure

Parental psychopathology, adult attachment and risk of 12-month suicidal behaviours

Background: The mechanisms by which parental psychopathology and vulnerability to suicide is transmitted to offspring is not well understood. parental psychopathology and behaviour may impact upon the normal emotional and psychological adjustment of their offspring in various ways. Research shows attachment insecurities may also be a key factor in the facilitation of suicidal behaviours. Objective: To examine adult attachment insecurities as a potential mediating pathway between parental psychopathology and 12- month suicidality. Method: The study utilized data from the National co-morbidity Survey- Replication (NCS-R, N=5692). Parental psychopathology was assessed using items from the Familial History of Psychiatric Disorders section of the NSC-R in conjunction with items designed to capture dimensions of attachment and suicidal behaviours. Results: Resultant analyses demonstrated specificity effects in that, parental psychopathology was associated with specific suicidal components through specific dimensions of attachment. Discussion: The results align with literature linking parental psychopathology to both attachment insecurities and risk of suicide. Crucially, this study bridges these research areas by presenting attachment insecurity as possible risk indicator and intervening factor between parental mental health and behaviour and specific indicators of suicide

Interpersonal polyvictimization and mental health in males

A consistent conclusion within the extant literature is that victimization and in particular polyvictimization leads to adverse mental health outcomes. A large body of literature exists as it pertains to the association between victimisation and mental health in studies utilising samples of childhood victims, female only victims, and samples of male and female victims; less research exists as it relates to males victims of interpersonal violence. The aim of the current study was therefore to identify profiles of interpersonal victimizations in an exclusively male sample and to assess their differential impact on a number of adverse mental health outcomes. Using data from 14,477 adult males from Wave 2 of the NESARC, we identified interpersonal victimization profiles via Latent Class Analysis. Multinomial Logistic Regression was subsequently utilized to establish risk across mental health disorders. A 4-class solution was optimal. Victimisation profiles showed elevated odds ratios for the presence of mental health disorders; suggesting that multiple life-course victimisation typologies exists, and that victimization is strongly associated with psychopathology. Several additional notable findings are discussed