Psychological Distress and Revictimization Risk in Youth Victims of Sexual Abuse

Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization—risk taking, social problems, maladaptive cognitions, and posttraumatic stress—that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused group, and their non-offending caregivers. Results revealed that when combined into a distress score, depression and anxiety were associated with delinquent behaviors, interpersonal difficulties, maladaptive cognitions, and posttraumatic stress symptoms for child and adolescent group participants at presentation to treatment. Children exhibited improvement on measures of interpersonal difficulties, maladaptive cognitions, and self-reported posttraumatic stress disorder (PTSD) symptoms. Adolescents exhibited less change over time, with significant improvement on self-reported social problems and PTSD only. Higher psychological distress was associated with less improvement in regard to negative expectations of abuse impact for child group participants. The findings suggest that distress indicates the presence of specific revictimization risk indicators, helping to identify targetable symptoms for intervention. Therefore, screening for psychological distress after discovery of sexual abuse may help detect youth at higher risk for revictimization and guide treatment

Psychological Distress and Revictimization Risk in Youth Victims of Sexual Abuse

Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization—risk taking, social problems, maladaptive cognitions, and posttraumatic stress—that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused group, and their non-offending caregivers. Results revealed that when combined into a distress score, depression and anxiety were associated with delinquent behaviors, interpersonal difficulties, maladaptive cognitions, and posttraumatic stress symptoms for child and adolescent group participants at presentation to treatment. Children exhibited improvement on measures of interpersonal difficulties, maladaptive cognitions, and self-reported posttraumatic stress disorder (PTSD) symptoms. Adolescents exhibited less change over time, with significant improvement on self-reported social problems and PTSD only. Higher psychological distress was associated with less improvement in regard to negative expectations of abuse impact for child group participants. The findings suggest that distress indicates the presence of specific revictimization risk indicators, helping to identify targetable symptoms for intervention. Therefore, screening for psychological distress after discovery of sexual abuse may help detect youth at higher risk for revictimization and guide treatment

Emotional Dysregulation as a target in the treatment of co-existing substance use and borderline personality disorders: A pilot study

Background: Borderline Personality Disorder (BPD) and Substance Use Disorders (SUD) are frequently co-morbid and their co-occurrence exacerbates the symptomatology and associated harms for both disorders. However, few intervention studies have examined the delivery of an integrated intervention for BPD and SUD within alcohol and other drug (AOD) treatment settings. This single arm pilot study examined the clinical utility and outcomes of a 12-session emotion regulation intervention for clients with co-occurring SUD and BPD symptoms delivered in an outpatient AOD treatment setting. Method: Forty-five adult treatment-seekers (64.4% women, mean age 35.8 years [SD=10.4]) attending an outpatient AOD service, who exhibited three or more symptoms of BPD, engaged in a 12-session emotion regulation intervention. Clinical measures assessing alcohol and drug use, BPD symptoms, emotion dysregulation and acceptance, non-avoidance of thoughts and emotions, and psychological flexibility were collected at baseline, session six and session 12. Treatment engagement, satisfaction and rapport were also measured. Results: Fifty-one percent of participants completed the 12-session intervention. The results demonstrated that the number of drug using occasions in the past 28 days significantly reduced from baseline compared to session 12. Furthermore, a significant reduction was identified in BPD symptom severity, emotion dysregulation, and non-acceptance, experiential avoidance and psychological inflexibility from baseline to session 12. Conclusions: For those individuals who completed the 12-session emotion regulation intervention, there were significant reductions across a number of clinical outcomes. However, retention in treatment for this vulnerable client group remains a significant challenge in the AOD setting

Reproductive ecology of the Antarctic brachiopod Liothyrella uva

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Reproductive patterns in the Antarctic brachiopod Liothyrella uva

The reproductive cycle of the Antarctic articulate brachiopod Liothyrella uva (Broderip, 1833) is described from monthly samples collected between September 1985 and July 1987 from a population at Signy Island, Antarctica. Spermatogenesis and oogenesis are described for the first time in this species. Surface dried-tissue masses for a standard individual (41 mm shell length) were calculated for the digestive diverticula, gut, lophophore and gonad from monthly dissections of 15 brachiopods. Seasonal patterns, with summer peaks, were observed in the digestive diverticula and gut. The lophophore and gonad masses did not exhibit seasonal trends. Females showed a sharp decrease in proportion of large oocytes between October and November in 1986, suggesting spawning during this period. There was no similar decrease during the same period in 1985. Mean percent spermatozoa measurements revealed a large increase in November 1985 and a rapid decline in December 1985. This suggested a large spawning event for males in 1985 which was not repeated the following year. These data indicate large inter-annual differences in reproductive activity as well as differences between males and females. They also suggest the possibility of sperm storage by females. Brood characteristics were also highly variable. The smallest brooding female was 31.5 mm in length. Some females brooded more than one developmental stage simultaneously, and variation in brood size (numbers of embryos or larvae held in the lophophore) and brood composition between individuals was high. All samples collected throughout the 2 yr period contained some females with broods. The data suggest that the reproductive strategy of L. uva is highly plastic, and that there may be three reproductive periodicities on seasonal, annual and inter-annual time scales

Multi-year observations on the gametogenic ecology of the Antarctic seastar Odontaster validus

This study reports the first multi-year observations on the reproductive patterns for an Antarctic predator/scavenger, Odontaster validus (Koehler 1912). Seastars were collected monthly from a shallow site (15–20 m depth) near the British Antarctic Survey (BAS) Rothera Research Station (Adelaide Island, 67°34' S 68°08' W) from July 1997 to January 2001. Reproductive condition, oocyte size frequencies and spermatogenesis were examined in at least ten seastars each month using histological and image analysis techniques. Gonad indices (GI) and pyloric caeca indices (PI) were also examined in the same samples. Female and male GIs varied seasonally, in parallel with a reduction in the proportion of large oocytes and mature sperm in the gonad in August to mid-October following winter spawning. Despite there being remarkable consistency in the timing of spawning from year to year, differences in the reproductive condition of individuals were apparent. Patterns in the digestive tissues also varied with season, peaking in December and reaching a minimum in February in two of the three study years. This weaker annual pattern may partly reflect the varied diet of this predator/scavenger species, which is not directly dependant on the timing and magnitude of the annual phytoplankton bloom. Pooled oocyte size distributions and residual analysis suggested that oogenesis progressed over 18–24 months, with the largest of the two size classes (maximum diameter = 183 µm) being spawned annually. This pattern of oocyte growth and spawning was previously reported in the early 1960s for an O. validus population from McMurdo Sound, which lies south of Rothera by 10° latitude. The extremely catholic diet of this predator/scavenger suggests the reproductive patterns of the seastar will be less susceptible to changes in food supply compared to polar suspension feeders or deposit feeders. Electronic supplementary material The online version of this article (doi:10.1007/s00227-007-0776-z) contains supplementary material, which is available to authorized user

Very slow development in two Antarctic bivalve molluscs, the infaunal clam Laternula elliptica and the scallop Adamussium colbecki

Embryos of the large infaunal clam Laternula elliptica and the scallop Adamussium colbecki, from Antarctica, were cultured over an 18-month period. Their development rates were extremely slow, taking 240 and 177 h, respectively, to reach the trochophore stage. This is x4 to x18 slower than related clams and scallops from temperate latitudes. The relationship between temperature and development rate for bivalve molluscs shows the expected slowing with reduced temperature (Q(10) in the range 2-4) for temperate and tropical species. However, the slowing at polar latitudes is much stronger than at warmer waters, and all of the limited data for Antarctic species are well above the Arrhenius plot for the overall bivalve data, and the Q(10) value for Antarctic to cool temperate species is 11.8, well outside the expected range for biological systems. Either the relationships describing the effects of temperature on the kinetics of biological systems do not apply to Antarctic bivalve molluscs, or some other factor that cannot be compensated for becomes important at low temperature. In the laboratory, L. elliptica embryos stayed viable in very sticky egg capsules for up to 18 months without hatching. However, even the disturbance of removing eggs using a pipette ruptured some egg capsules allowing embryo release. Gametogenesis in Antarctic marine invertebrates is almost universally slowed compared to temperate species, with nearly all cases documented requiring more than 1 year to complete oogenesis. The only exception so far appears to be A. colbecki, which has a 1-year gametogenic cycle. The data here indicate that it has been unable to adapt embryonic development in a similar way, and we are not aware of any exceptions to the markedly slowed development at low temperature rule

Reproductive biology of the Antarctic “sea pen” Malacobelemnon daytoni (Octocorallia, Pennatulacea, Kophobelemnidae)

The reproductive biology of the sea pen Malacobelemnon daytoni was studied at Potter Cove, South Shetland Islands, where it is one of the dominant species in shallow waters. Specimens collected at 15–22 m depth were examined by histological analysis. M. daytoni is gonochoristic and exhibited a sex ratio of 1:1. Oocyte sizes (>300 µm) and the absence of embryos or newly developed larvae in the colonies suggest that this species can have lecithotrophic larvae and experience external fertilization. This life strategy is in line with other members of the group and supports the hypothesis that this could be a phylogenetically fixed trait for pennatulids. It was observed that oocytes were generated by gastrodermic tissue and released to the longitudinal canal. Thereafter, they migrate along the canal until they reach maturity and are released by autozooids at the top of the colonies. This striking feature has not yet been reported for other pennatulaceans. Mature oocytes were observed from colonies of 15 mm in length, suggesting that sexual maturity can be reached rapidly. This is contrary to what is hypothesized for the vast majority of Antarctic benthic invertebrates, namely that rates of activities associated with development, reproduction and growth are almost universally very slow. This strategy may also explain the ecological success of M. daytoni in areas with high ice impact as in the shallow waters of Potter Cove