Enhanced Priming for Trauma-Related Words Predicts Posttraumatic Stress Disorder

There is preliminary evidence that enhanced priming for trauma-related cues plays a role in posttraumatic stress disorder (PTSD). A prospective study of 119 motor vehicle accident survivors investigated whether priming for trauma-related stimuli predicts PTSD. Participants completed a modified word-stem completion test comprising accident-related, traffic-related, general threat, and neutral words at 2 weeks post-trauma. Priming for accident-related words predicted PTSD at 6 months follow-up, even when initial symptom levels of PTSD and depression and priming for other words were controlled. The results are in line with the hypothesis that enhanced priming for traumatic material contributes to the development of chronic PTSD

Do Cognitive Models Help in Predicting the Severity of Posttraumatic Stress Disorder, Phobia, and Depression After Motor Vehicle Accidents? A Prospective Longitudinal Study

The study investigated the power of theoretically derived cognitive variables to predict posttraumatic stress disorder (PTSD), travel phobia, and depression following injury in a motor vehicle accident (MVA). MVA survivors (N = 147) were assessed at the emergency department on the day of their accident and 2 weeks, 1 month, 3 months, and 6 months later. Diagnoses were established with the Structured Clinical Interview for DSM–IV. Predictors included initial symptom severities; variables established as predictors of PTSD in E. J. Ozer, S. R. Best, T. L. Lipsey, and D. S. Weiss's (2003) meta-analysis; and variables derived from cognitive models of PTSD, phobia, and depression. Results of nonparametric multiple regression analyses showed that the cognitive variables predicted subsequent PTSD and depression severities over and above what could be predicted from initial symptom levels. They also showed greater predictive power than the established predictors, although the latter showed similar effect sizes as in the meta-analysis. In addition, the predictors derived from cognitive models of PTSD and depression were disorder-specific. The results support the role of cognitive factors in the maintenance of emotional disorders following trauma

What mediates the link between childhood maltreatment and depression? The role of emotion dysregulation, attachment, and attributional style

Background: Childhood maltreatment (CM) has been shown to be related to a severe and/or chronic course of depression. This study investigated which psychological processes mediate this relationship. Method: A large sample of acute or recovered depressed individuals (N = 340) participated in an online survey assessing characteristics of depression, trauma exposure, and potential mediators (emotion regulation difficulties, attributional style, and attachment). Results: The experience of CM was related to more severe depression and more depressive episodes. In multiple mediation models, emotion dysregulation, a depressogenic attributional style, and avoidance in close relationships conjointly mediated the relationship between CM and depression severity as well as number of depressive episodes. However, a significant direct path between CM and depression characteristics remained. Exploratory analyses suggested that posttraumatic stress disorder symptom severity was an important additional mediator in our sample. Conclusions: Our findings provide preliminary evidence for psychological mediators between CM and depression that may be promising targets for interventions tailored for the treatment of depression in this subgroup

Symptom dynamics among nightmare sufferers: An intensive longitudinal study

Nightmares are considerably prevalent in the general population and are known to be closely associated with a variety of mental disorders. However, not much is known about the immediate antecedents and consequences of nightmares. Therefore, we used intensive longitudinal assessments to investigate the night-to-night within-person associations between nightmares on the one hand and fear of sleep, somatic as well as cognitive pre-sleep arousal, and sleep quality on the other hand. Young women with regular nightmares (n = 16) maintained a sleep diary for around 30 days;upon awaking, the participants reported on nightmares and sleep quality during the past night as well as the pre-sleep levels of arousal and fear of sleep (which resulted in 461 observations). Participants also wore an actigraph, which provided objective sleep parameters. Multilevel modeling showed that higher levels of fear of sleep and lower subjective sleep quality were significantly associated with higher levels of nightmare distress. Furthermore, we found individual differences in the strength of these associations, which implies that factors proximate to nightmares may vary across individuals. Pre-sleep arousal, however, did not show expected within-person associations with nightmares or fear of sleep. These findings highlight the crucial role of fear of sleep in the etiology of nightmares and sleep disturbances, while pointing to the importance of pursuing individual, personalised models that explain heterogeneity in the process of triggering nightmares

The dilemma of trauma-focused therapy: effects of imagery rescripting on voluntary memory

Trauma-focused imagery-based interventions are suspected to alter or even distort declarative voluntary memory of a traumatic event, especially if they involve the active modification of imagery, e.g., as used in imagery rescripting (ImRs). However, systematic research is lacking so far. To investigate whether ImRs modifies voluntary memory of a standardized autobiographical aversive event (Trier Social Stress Test) (Session 1), healthy participants (N = 100) were randomly assigned to either an intervention condition receiving one session of ImRs or to a no-intervention control condition (NIC) (Session 2). Voluntary memory was examined using a free recall (Sessions 2 and 3) and a cued recall (Sessions 3 and 4). Although voluntary memory tended to deteriorate over time, contrary to expectations, this effect was not associated with ImRs. Remarkably, the number of correct details in free recall even improved in ImRs but not in NIC. This challenges the view that ImRs alters voluntary memory

Insomnia‐related interpretational bias is associated with pre‐sleep worry

Cognitive models of insomnia highlight the role of biased cognition in sleep‐related information, which is proposed to underlie pre‐sleep worry, which in turn results in both subjective and objective sleep deficits. To test this hypothesis, the current study investigated interpretational bias, which is a tendency to interpret ambiguous stimuli in a threat‐related (here: insomnia‐related) manner. We specifically hypothesized that interpretational bias would be associated with (a) pre‐sleep worry and (b) poor subjective and objective sleep. Interpretational bias was measured using the ambiguous scenario task, in which participants (n = 76, community sample) were presented with two types of scenarios (insomnia and anxiety related) that could be alternatively interpreted in a neutral manner. Participants additionally completed questionnaires to assess global sleep quality and pre‐sleep worry, which were followed by 1‐week sleep assessments (via diaries and actigraphy) to estimate specific, daily subjective and objective sleep parameters. The results showed that insomnia‐related (but not anxiety‐related) interpretational bias was positively associated with pre‐sleep worry as well as overall sleep quality. However, these associations could be explained by general trait anxiety. We also found no connection to specific subjective or objective parameters of daily sleep, such as sleep onset latency. These findings support the cognitive‐hyperarousal mechanism, where biased cognition (together with trait anxiety) underlies pre‐sleep worry. The association with overall sleep quality, but not with specific, daily subjective or objective sleep parameters, may suggest that interpretational bias is specifically relevant for how individuals judge and describe their sleep quality

Fast Neutrino Flavor Conversion in Core-Collapse Supernovae: A Parametric Study in 1D Models

We explore the impact of small-scale flavor conversions of neutrinos, the so-called fast flavor conversions (FFCs), on the dynamical evolution and neutrino emission of core-collapse supernovae (CCSNe). In order to do that, we implement FFCs in the spherically symmetric (1D) CCSN simulations of a 20 solar-mass progenitor model parametrically, assuming that FFCs happen at densities lower than a systematically varied threshold value and lead to an immediate flavor equilibrium consistent with lepton number conservation. We find that besides hardening the electron neutrino and antineutrino spectra, which helps the expansion of the shock by enhanced postshock heating, FFCs can cause significant, nontrivial modifications of the energy transport in the SN environment via increasing the heavy-lepton neutrino luminosities. In our non-exploding models this results in extra cooling of the layers around the neutrinospheres, which triggers a faster contraction of the proto-neutron star and hence, in our 1D models, hampers the CCSN explosion. Although our study is limited by the 1D nature of our simulations, it provides valuable insights into how neutrino flavor conversions in the deepest CCSN regions can impact the neutrino release and the corresponding response of the stellar medium.Comment: 20 pages, 10 figures, slightly extended version, accepted by PR

Is a High Association Between Repetitive Negative Thinking and Negative Affect Predictive of Depressive Symptoms? A Clustering Approach for Experience-Sampling Data

A reciprocal relationship between repetitive negative thinking (RNT) and negative affect (NA) has been found in various types of psychopathology. Recent studies have suggested that the magnitude of this association can vary across time and individuals, which may inform future psychopathology. Here, we explored how these dynamics and interplays are manifested in student and general populations using a statistical clustering algorithm. Across three experience-sampling data sets, our clustering analyses consistently identified two groups of individuals; one group had a higher bidirectional association between RNT and NA (and also higher inertia) than the other group. Furthermore, a prospective analysis revealed that the group with the higher bidirectional association is at risk of developing depressive symptoms during the 3-month follow-up period if they had experienced high levels of NA over the experience-sampling phase. These findings suggest that the dysfunctional affective and cognitive dynamics would be a promising target of preventive intervention

Fast Neutrino Flavor Conversions can Help and Hinder Neutrino-Driven Explosions

We present the first simulations of core-collapse supernovae (CCSNe) in axial symmetry (2D) with feedback from fast neutrino flavor conversion (FFC). Our schematic treatment of FFCs assumes instantaneous flavor equilibration under the constraint of lepton-number conservation. Systematically varying the spatial domain where FFCs are assumed to occur, we find that they facilitate SN explosions in low-mass (9-12 solar masses) progenitors that otherwise explode with longer time delays, whereas FFCs weaken the tendency to explode of higher-mass (around 20 solar masses) progenitors.Comment: 7 pages, 4 figures, submitted to PR