The Children's Revised Impact of Event Scale (CRIES):Validity as a screening instrument for PTSD

The Children's Revised Impact of Event Scale (CRIES) is a brief child-friendly measure designed to screen children at risk for Posttraumatic Stress Disorder (PTSD). It has good face and construct validity, a stable factor structure, correlates well with other indices of distress, and has been used to screen very large samples of at-risk-children following a wide range of traumatic events. However, few studies have examined the scale's validity against a structured diagnostic interview based on the DSM-IV criteria for PTSD. In the present study, the CRIES and the PTSD section of the Anxiety Disorders Interview Schedule-Child and Parent Version (ADIS-CP) were administered to a sample of children and adolescents (n=63) recruited from hospital accident and emergency rooms and the validity of the CRIES as a screening tool evaluated. Cutoff scores were chosen from this sample with a low base-rate of PTSD (11.1%) to maximize sensitivity and minimize the likelihood that children with a diagnosis of PTSD would fail to be identified. Cutoff scores were then cross-validated in a sample of 52 clinically referred children who had a high base-rate of PTSD (67.3%). A cutoff score of 30 on the CRIES-13 and a cutoff score of 17 on the CRIES-8 maximized sensitivity and specificity, minimized the rate of false negatives, and correctly classified 75-83% of the children in the two samples. The CRIES-8 (which lacks any arousal items) worked as efficiently as the CRIES-13 (which includes arousal items) in correctly classifying children with and without PTSD. Results are discussed in light of the current literature and of the need for further development of effective screens for children at-risk of developing PTSD

The Super-Strong Coupling Regime of Cavity Quantum Electrodynamics

We describe a qualitatively new regime of cavity quantum electrodynamics, the super strong coupling regime. This regime is characterized by atom-field coupling strengths of the order of the free spectral range of the cavity, resulting in a significant change in the spatial mode functions of the light field. It can be reached in practice for cold atoms trapped in an optical dipole potential inside the resonator. We present a nonperturbative scheme that allows us to calculate the frequencies and linewidths of the modified field modes, thereby providing a good starting point for a quantization of the theory.Comment: Figures rearranged and introduction rewritte

Coupled dynamics of atoms and radiation pressure driven interferometers

We consider the motion of the end mirror of a cavity in whose standing wave mode pattern atoms are trapped. The atoms and the light field strongly couple to each other because the atoms form a distributed Bragg mirror with a reflectivity that can be fairly high. We analyze how the dipole potential in which the atoms move is modified due to this backaction of the atoms. We show that the position of the atoms can become bistable. These results are of a more general nature and can be applied to any situation where atoms are trapped in an optical lattice inside a cavity and where the backaction of the atoms on the light field cannot be neglected. We analyze the dynamics of the coupled system in the adiabatic limit where the light field adjusts to the position of the atoms and the light field instantaneously and where the atoms move much faster than the mirror. We calculate the side band spectrum of the light transmitted through the cavity and show that these spectra can be used to detect the coupled motion of the atoms and the mirror.Comment: 11 pages; 13 figures; two added references and other minor correction

Number statistics of molecules formed from ultra-cold atoms

We calculate the number statistics of a single-mode molecular field excited by photoassociation or via a Feshbach resonance from an atomic Bose-Einstein condensate (BEC), a normal atomic Fermi gas and a Fermi system with pair correlations (BCS state). We find that the molecule formation from a BEC is a collective process that leads for short times to a coherent molecular state in the quantum optical sense. Atoms in a normal Fermi gas, on the other hand, are converted into molecules independently of each other and result for short times in a molecular state analogous to that of a classical chaotic light source. The BCS situation is intermediate between the two and goes from producing an incoherent to a coherent molecular field with increasing gap parameter.Comment: 5 pages, 4 figure

The posttraumatic stress disorder diagnosis in preschool- and elementary school-age children exposed to motor vehicle accidents

Objective: Increasingly, children are being diagnosed with psychiatric disorders, including preschool-age children. These diagnoses in young children raise questions pertaining to 1) how diagnostic algorithms for individual disorders should be modified for young age groups, 2) how psychopathology is best detected at an early stage, and 3) how to make use of multiple informants. The authors examined these issues in a prospective longitudinal assessment of preschool- and elementary school-age children who were exposed to a traumatic event. Method: Participants were 114 children (age range: 2-10 years) who had experienced a motor vehicle accident. Parents and older children (age range: 7-10 years) completed structured interviews 2-4 weeks (initial assessment) and 6 months (6-month follow-up) after the traumatic event. A recently proposed alternative symptom algorithm for diagnosing posttraumatic stress disorder (PTSD) was utilized and compared with the standard DSM-IV algorithms for diagnosing PTSD and acute stress disorder. Results: At the 2- to 4-week assessment, 11.5% of the children met conditions for a diagnosis of PTSD based on the alternative algorithm criteria per parent report, and 13.9% met criteria for this diagnosis at the 6-month follow-up. These percentages were much higher than those for DSM-IV diagnoses of acute stress disorder and PTSD. Among 7- to 10-year-old subjects, the use of combined parent- and child-reported symptoms to derive a diagnosis resulted in an increased number of children in this age group who were identified with psychiatric illness relative to the use of parent report alone. Agreement between parent and child on symptoms for 1) a diagnosis of PTSD based on the alternative algorithm criteria and 2) diagnoses of DSM-IV acute stress disorder and PTSD in this age group was poor. Among 2- to 6-year-old subjects, the alternative algorithm PTSD diagnosis per parent report was a more sensitive predictor of later onset psychopathology relative to a diagnosis of DSM-IV acute stress disorder or PTSD per parent report. However, among 7- to 10-year-old subjects, a combined symptom report (from both parent and child) was optimal in predicting posttraumatic psychopathology. Conclusions: These findings support the use of the proposed alternative algorithm for assessing PTSD in young children and suggest that the diagnosis of PTSD based on the alternative algorithm criteria is stable from the acute phase onward. When both parent- and child-reported symptoms are utilized for the assessment of PTSD among 7- to 10-year-old children, the alternative algorithm and DSM-IV criteria have broad comparable validity. However, in the absence of child-reported symptoms, the alternative algorithm criteria per parent report appears to be an optimal diagnostic measure of PTSD among children in this age group, relative to the standard DSM-IV algorithm for diagnosing the disorder

The role of the family in child and adolescent posttraumatic stress following attendance at an emergency department

Objective: To evaluate the role of family factors in posttraumatic stress symptomatology (PTSS) in children and adolescents who have attended an emergency department following assaults or motor vehicle accident. Methods: Children and their parents completed self-report questionnaires and semistructured interviews relating to their psychopathology and cognitive styles at 2-4 weeks and 6 months after trauma. Results: Parental depression was correlated with child PTSS at each assessment point. Less consistent findings were observed for family functioning. Parental endorsement of worry was a correlate of child PTSS at each assessment and a mediator between parental depression and child PTSS. Conclusions: A role for family factors, in particular parental depression and parental endorsement of worry, in the development of child PTSS is supported. Weaknesses of the study are discussed, and suggestions for future research are given

Cavity QED determination of atomic number statistics in optical lattices

We study the reflection of two counter-propagating modes of the light field in a ring resonator by ultracold atoms either in the Mott insulator state or in the superfluid state of an optical lattice. We obtain exact numerical results for a simple two-well model and carry out statistical calculations appropriate for the full lattice case. We find that the dynamics of the reflected light strongly depends on both the lattice spacing and the state of the matter-wave field. Depending on the lattice spacing, the light field is sensitive to various density-density correlation functions of the atoms. The light field and the atoms become strongly entangled if the latter are in a superfluid state, in which case the photon statistics typically exhibit complicated multimodal structures.Comment: 10 pages revtex, 13 figure

Maladaptive Cognitive Appraisals Mediate the Evolution of Posttraumatic Stress Reactions:A 6-Month Follow-Up of Child and Adolescent Assault and Motor Vehicle Accident Survivors

A prospective longitudinal follow-up study (n = 59) of child and adolescent survivors of physical assaults and motor vehicle accidents assessed whether cognitive processes predicted posttraumatic stress symptomatology (PTSS) at 6 months posttrauma in this age group. In particular, the study assessed whether maladaptive posttraumatic appraisals mediated the relationship between initial and later posttraumatic stress. Self-report measures of PTSS, maladaptive appraisals, and other cognitive processes, as well as structured interviews assessing for acute stress disorder and posttraumatic stress disorder (PTSD), were completed at 2-4 weeks and 6 months posttrauma. PTSS and PTSD at 6 months were associated with maladaptive appraisals and other cognitive processes but not demographic or objective trauma severity variables. Only maladaptive appraisals were found to associate with PTSS/PTSD after partialing out initial symptoms/diagnosis and to mediate between initial and later PTSS. It was argued that, on this basis, maladaptive appraisals are involved in the development and maintenance of PTSS over time, whereas other cognitive processes (e.g., subjective threat, memory processes) may have an effect only in the acute phase. The implications of this study for the treatment of PTSS in youths are discussed

Accurate and efficient spin integration for particle accelerators

Accurate spin tracking is a valuable tool for understanding spin dynamics in particle accelerators and can help improve the performance of an accelerator. In this paper, we present a detailed discussion of the integrators in the spin tracking code gpuSpinTrack. We have implemented orbital integrators based on drift-kick, bend-kick, and matrix-kick splits. On top of the orbital integrators, we have implemented various integrators for the spin motion. These integrators use quaternions and Romberg quadratures to accelerate both the computation and the convergence of spin rotations. We evaluate their performance and accuracy in quantitative detail for individual elements as well as for the entire RHIC lattice. We exploit the inherently data-parallel nature of spin tracking to accelerate our algorithms on graphics processing units.Comment: 43 pages, 17 figure