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

Fluctuations in the formation time of ultracold dimers from fermionic atoms

We investigate the temporal fluctuations characteristic of the formation of molecular dimers from ultracold fermionic atoms via Raman photoassociation. The quantum fluctuations inherent to the initial atomic state result in large fluctuations in the passage time from atoms to molecules. Assuming degeneracy of kinetic energies of atoms in the strong coupling limit we find that a heuristic classical stochastic model yields qualitative agreement with the full quantum treatment in the initial stages of the dynamics. We also show that in contrast to the association of atoms into dimers, the reverse process of dissociation from a condensate of bosonic dimers exhibits little passage time fluctuations. Finally we explore effects due to the non-degeneracy of atomic kinetic energies.Comment: 7 pages, 6 figure

Reconstruction of the phase of matter-wave fields using a momentum resolved cross-correlation technique

We investigate the potential of the so-called XFROG cross-correlation technique originally developed for ultrashort laser pulses for the recovery of the amplitude and phase of the condensate wave function of a Bose-Einstein condensate. Key features of the XFROG method are its high resolution, versatility and stability against noise and some sources of systematic errors. After showing how an analogue of XFROG can be realized for Bose-Einstein condensates, we illustrate its effectiveness in determining the amplitude and phase of the wave function of a vortex state. The impact of a reduction of the number of measurements and of typical sources of noise on the field reconstruction are also analyzed.Comment: 7 pages; 9 figures; article with higher resolution figures available from author

Molecule formation as a diagnostic tool for second order correlations of ultra-cold gases

We calculate the momentum distribution and the second-order correlation function in momentum space, $g^{(2)}({\bf p},{\bf p}',t)$ for molecular dimers that are coherently formed from an ultracold atomic gas by photoassociation or a Feshbach resonance. We investigate using perturbation theory how the quantum statistics of the molecules depend on the initial state of the atoms by considering three different initial states: a Bose-Einstein condensate (BEC), a normal Fermi gas of ultra-cold atoms, and a BCS-type superfluid Fermi gas. The cases of strong and weak coupling to the molecular field are discussed. It is found that BEC and BCS states give rise to an essentially coherent molecular field with a momentum distribution determined by the zero-point motion in the confining potential. On the other hand, a normal Fermi gas and the unpaired atoms in the BCS state give rise to a molecular field with a broad momentum distribution and thermal number statistics. It is shown that the first-order correlations of the molecules can be used to measure second-order correlations of the initial atomic state.Comment: revtex, 15 pages,8 figure

A multiphase model for the cross‐linking of ultra‐high viscous alginate hydrogels

In this study, a model for the cross-linking of ultra-high viscous alginate hydrogels is provided. The model consists of four kinetic equations describing the process, including the local accumulation and the depletion of mobile alginate, cross-linked alginate and cross-linking cations. For an efficient simulation, finite difference schemes with predictor-corrector algorithms were implemente

Child posttraumatic stress symptoms in an acute injury sample: Patterns of associations among child report, parent report, and child heart rate parameters

Parent–child agreement on measures of child posttraumatic stress disorder (PTSD) is moderate at best, and understanding of this discrepancy is limited. To address this, we conducted an item-level investigation of parent–child symptom agreement to examine the potential influence of parental posttraumatic stress symptoms (PTSS) on parents’ reports of their child's PTSS. We also examined heart rate (HR) indices as possible independent indicators of child PTSD, examining patterns of association with parent versus child report. Parent–child dyads (N = 132, child age: 6–13 years, 91.7% White) were recruited after the child's hospital admission following an acute, single-incident traumatic event. At 1-month posttrauma, questionnaires assessing children's PTSS (self- and parental reports) and parental PTSS were administered. For a subset of participants (n = 70), children's HR recordings were obtained during a trauma narrative task and analyzed. Parent and child reports of child PTSS were weakly positively correlated, r =.25. Parental PTSS were found to be stronger positive predictors of parental reports of child PTSS than the children's own symptom reports, β = 0.60 vs. β = 0.14, and were associated with higher parent-reported child PTSS relative to child reports. Finally, children's self-reported PTSS were associated with HR indices, whereas parent reports were not, βs = −.33–.30 vs. βs = −.15–.01. Taken together, children's self-reported PTSS could be a more accurate reflection of their posttrauma physiological distress than parent reports. The potential influence of parental PTSS on their perceptions of their child's symptoms warrants further consideration

Anxiety and Depression in Adults with Autism Spectrum Disorder: A Systematic Review and Meta-analysis

Adults with autism spectrum disorder (ASD) are thought to be at disproportionate risk of developing mental health comorbidities, with anxiety and depression being considered most prominent amongst these. Yet, no systematic review has been carried out to date to examine rates of both anxiety and depression focusing specifically on adults with ASD. This systematic review and meta-analysis examined the rates of anxiety and depression in adults with ASD and the impact of factors such as assessment methods and presence of comorbid intellectual disability (ID) diagnosis on estimated prevalence rates. Electronic database searches for studies published between January 2000 and September 2017 identified a total of 35 studies, including 30 studies measuring anxiety (n = 26 070; mean age = 30.9, s.d. = 6.2 years) and 29 studies measuring depression (n = 26 117; mean age = 31.1, s.d. = 6.8 years). The pooled estimation of current and lifetime prevalence for adults with ASD were 27% and 42% for any anxiety disorder, and 23% and 37% for depressive disorder. Further analyses revealed that the use of questionnaire measures and the presence of ID may significantly influence estimates of prevalence. The current literature suffers from a high degree of heterogeneity in study method and an overreliance on clinical samples. These results highlight the importance of community-based studies and the identification and inclusion of well-characterized samples to reduce heterogeneity and bias in estimates of prevalence for comorbidity in adults with ASD and other populations with complex psychiatric presentations

Cost-effectiveness of psychological interventions for children and young people with post-traumatic stress disorder

Background: PTSD in youth may lead to long‐lasting psychological implications, educational difficulties and increased healthcare costs. Psychological interventions have been shown to be effective in its management. The objective of this study was to assess the cost‐effectiveness of a range of psychological interventions for children and young people with PTSD. / Methods: A decision‐analytic model was constructed to compare costs and quality‐adjusted life years (QALYs) of 10 psychological interventions and no treatment for children and young people with PTSD, from the perspective of the National Health Service and personal social services in England. Effectiveness data were derived from a systematic review and network meta‐analysis. Other model input parameters were based on published sources, supplemented by expert opinion. / Results: Cognitive therapy for PTSD, a form of individual trauma‐focused cognitive behavioural therapy (TF‐CBT), appeared to be the most cost‐effective intervention for children and young people with PTSD (with a probability of .78 amongst the 11 evaluated options at a cost‐effectiveness threshold of £20,000/QALY), followed by narrative exposure (another form of individual TF‐CBT), play therapy, and other forms of individual TF‐CBT. After excluding cognitive therapy from the analysis, narrative exposure appeared to be the most cost‐effective option with a .40 probability of being cost‐effective amongst the remaining 10 options. EMDR, parent training and group TF‐CBT occupied middle cost‐effectiveness rankings. Family therapy and supportive counselling were less cost‐effective than other active interventions. There was limited evidence for some interventions, in particular cognitive therapy for PTSD and parent training. / Conclusions: Individual forms of TF‐CBT and, to a lesser degree, play therapy appear to be cost‐effective in the treatment of children and young people with PTSD. Family therapy and supportive counselling are unlikely to be cost‐effective relative to other interventions. There is a need for well‐conducted studies that examine the long‐term clinical and cost‐effectiveness of a range of psychological treatments for children and young people with PTSD