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A 58-year-old man presented with a 3-month history of painless blurred vision in the right eye. There was no antecedent history of trauma, flashes and floaters. Best-corrected visual acuity was 20/200 in the right eye and 20/30 in the left eye. Right eye intraocular pressure (IOP) was 9 mm Hg

Rumination means to perseveratively think about one's negative feelings and problems. It is a response to affective distress that is often referred to as maladaptive emotion regulation. According to the response styles theory and control theory, rumination may further prolong and exacerbate affective distress. This means that rumination can be viewed as both an antecedent and an outcome of negative affect (NA), and vice versa. However, at the level of short-term dynamics, state rumination and NA have previously mainly been examined as two separate outcomes. To model the reciprocal within-person effects and hence, to match theoretical assumptions, we combined the two interrelated time series in one model using dynamic structural equation modeling (DSEM). Both effects (NA on subsequent rumination and rumination on subsequent NA) were modeled simultaneously while acknowledging the autoregressive nature of both states (inert properties). We used data from two experience sampling studies (NStudy 1 = 200 Belgian university students; NStudy 2 = 70 German university students). Participants were paged on smartphones several times a day (Study 1: 10; Study 2: 6) for several days (Study 1: 7; Study 2: 9-12). In both studies, we found evidence for reciprocal effects of NA and rumination, and both processes showed autoregressive relationships. Aside from central findings, higher levels of rumination were also associated with higher rumination inertia, pointing toward more habitual rumination also being associated with prolonged rumination. Together, using DSEM, we found reciprocal associations between rumination and NA, while providing new insights into the dynamics between the two processes. (PsycInfo Database Record (c) 2022 APA, all rights reserved). ispartof: EMOTION vol:22 issue:8 pages:1773-1786 ispartof: location:United States status: published

Background: Caregiver frustration with inconsolable crying is a commonly cited antecedent factor of Abusive head trauma (AHT) in infants. Objective: To assess the effectiveness of an educational intervention to improve patients’ knowledge of normal crying patterns in infants and the implications of AHT among women of Hispanic population. Methods: The Period of PURPLE Crying program was piloted as part of Centering Prenatal Care at an outpatient clinic site in the Harris County Health Department system, which cares for a primarily underserved and Spanish speaking population. Educational material and direct counseling were delivered by the clinician. Demographic data was collected and a pre- and post-test survey was administrated to assess participant’s knowledge and behavior. Results: Between April 2017 and April 2018, 63 Hispanic women were included in this study. Prior to implementation of the educational tool, most of the survey questions were answered incorrectly. After the intervention, knowledge regarding normal infant crying patterns was significantly improved in all questions. However, knowledge gaps persisted especially in relation to the adequacy of parents’ ability to soothe a crying infant and normalcy of excessive crying. Conclusions: The educational curriculum was an effective tool for improving knowledge about normal infant crying patterns in Hispanic mothers.

Despite organizational behavior management placing a great deal of emphasis on interventions that alter consequences for performance, antecedent interventions play an important role in the practice...

Previous research has investigated generalized intraverbal-tacting by teaching children with autism to respond using autoclitic frames. The present study compared the effectiveness and efficiency of a Frame and a No Frame procedure across counterbalanced stimulus sets with 4 children with autism. In the Frame condition, children were taught to respond using autoclitic frames (e.g., "Shape square," "Number two," "Color green," "It's mummy," "S/he is drinking") corresponding to the verbal antecedent ("What shape?", "What number?", "What color?", "Who is it?", "What is s/he doing?"). In the No Frame condition, intraverbal-tacting was established without the autoclitic frame. Irrespective of stimuli employed, 2 children acquired intraverbal-tacting only in the Frame condition. The other 2 children acquired intraverbal-tacting in both conditions, with the Frame procedure requiring fewer teaching trials for 1 child and producing greater generalization for the other. Implications for clinical practice and the role of additive intraverbal stimulus control of autoclitic frames are discussed.

BACKGROUND AND AIMS: Although poor decision-making (DM) has been correlated with problematic cannabis use (CU), cross-sectional designs make it difficult to determine whether poor DM represents an antecedent and/or consequence of CU. The current study measured bidirectional associations between CU and DM among adolescents over 2 years and compared these findings to those observed with episodic memory, which is consistently reported as a consequence of CU. We also measured the role of DM as a risk factor for cannabis use disorder (CUD) onset. DESIGN: Two-year longitudinal study with five bi-annual assessments. PARTICIPANTS: Participants were 401 adolescents aged 14–17 years at baseline. SETTING: Miami, Florida, USA. MEASUREMENTS: CU frequency and CUDs were assessed at each time-point through the Drug Use History Questionnaire and Structured Clinical Interview for DSM-IV respectively. Neurocognition was assessed at odd time-points throughout the Iowa Gambling Task, Game of Dice Task and Cups Task [decision-making (DM)] and the Wechsler Memory Scale IV and California Verbal Learning Test II (episodic memory). We used latent growth curve modeling to examine bidirectional influences between CU and neurocognition over time. We applied discrete time survival analyses to determine whether baseline DM predicted CUD onset. FINDINGS: Greater lifetime CU frequency was associated with poorer episodic memory at baseline (bs = −14.84, −16.44, Ps = 0.038, 0.021). Greater CU escalation predicted lesser gains in immediate episodic memory (b = −0.05, P = 0.020). Baseline DM did not predict CU escalation (b = 0.07, P = 0.421), nor did escalation in CU predict changes in DM (b = 0.02, P = 0.352). Baseline DM also did not predict CUD onset (adjusted OR = 1.01, 95% confidence interval = 0.98–1.06). CONCLUSIONS: This study replicates findings that poorer episodic memory in adolescents appears to be a consequence of cannabis use, even among adolescents at earlier stages of use. Poor decision-making does not appear to be either a consequence of or a risk factor for escalating cannabis use or onset of cannabis use disorder among adolescents.

Invasive osteoarticular infections (IOI) due to Scedosporium spp. are rare in the immune competent patient, but have been associated with direct inoculation from antecedent trauma. Here we describe a case of IOI due to Scedosporium dehoogii in a previously healthy man. The clinical presentation and the diagnosis and treatment is discussed. To our knowledge, this is the first reported case of IOI caused by S. dehoogii.

Online Social Networks (OSNs) have redefined interpersonal relationships and added a new dimension to communication patterns. According to latest reports, there has been a steep rise in the number of active social media users around the globe. The present paper is a review of research evidence on the antecedent factors leading to such usage and its consequences thereof. Unique features of the virtual environment trigger certain personality traits which are reported to be major predictors of social networking behaviour. Studies on the impact of social media on consumers have unearthed both positive and negative consequences. Research findings, for example, reveal that social media consumption has a therapeutic effect in terms of fulfilment of certain needs and an increase in self-esteem;whereas activation of a narcissistic state and lowered self-control have an adverse effect on psychological well-being and behaviour. The paper summarizes the workplace implications of web-based social networking and also briefly discusses the recent and emerging trends in digital behaviours with particular reference to the Covid-19 pandemic. © 2021. All Rights Reserved.

BACKGROUND: Pain is a primary reason for medical cannabis use among young adults, however little is known about the patterns of pain in this group. This study identified pain profiles among young adult cannabis users and examined related antecedents and distal outcomes. METHODS: Past 30-day cannabis users aged 18–26, both medical cannabis patients and non-patients, were enrolled in Los Angeles in 2014–2015. A latent class analysis was used to identify pain classes based on history of chronic pain conditions and recent non-minor pain. The study assessed the predictors of membership in pain classes and examined the association of classes with recent mental health characteristics, cannabis use motives and practices. RESULTS: Three classes were identified: Low pain (56.3%), Multiple pain (27.3%), and Nonspecific pain (16.4%). In adjusted models, lifetime insomnia was associated with membership in Multiple pain and Nonspecific pain classes versus the Low pain class. Medical cannabis patients and Hispanics/Latinos were more likely to belong to the Multiple pain class than the other classes. Regarding recent outcomes, the Multiple pain and Nonspecific pain classes were more likely than the Low pain class to use cannabis to relieve physical pain. Additionally, the Multiple pain class had a higher probability of psychological distress, self-reported medical cannabis use, consuming edibles, and using cannabis to sleep compared to one or both other classes. CONCLUSION: Findings suggest that young adult cannabis users can be separated into distinct groups with different pain profiles. The Multiple pain profile was associated with medically-oriented cannabis use motives and practices.

Stressful life events are a common antecedent of suicidal thoughts. However, not all stressful events lead to increased suicidal thinking, even among those who frequently have suicidal thoughts. In this study, we examined whether the ways that individuals regulate their emotions moderates the association between stressful events and suicidal thinking. Building on prior research we hypothesized that cognitive reappraisal is associated with a weaker relationship between stress and same-day suicidal thoughts, and that expressive suppression is associated with a stronger relationship between stress and suicidal thoughts. We used a daily diary method to collect self-reports of stressful events and suicidal thoughts over a 28-day period. At baseline, we assessed participants’ tendency to use cognitive reappraisal and expressive suppression. Consistent with our first hypothesis, we found that at higher levels of reappraisal, there was a weaker relationship between stress and suicidal thoughts. Contrary to our second hypothesis, we found that at higher levels of expressive suppression there was also a weaker relationship between stress and suicidal thoughts. In contrast to laboratory-based findings suggesting that expressive suppression has negative psychological effects, these preliminary daily diary results suggest that expressive suppression could be an effective short-term emotion regulation strategy among individuals considering suicide.

According to a recent influential proposal, several phenotypic features of autism spectrum disorder (ASD) may be accounted for by differences in predictive skills between individuals with ASD and neurotypical individuals. In this systematic review, we describe results from 47 studies that have empirically tested this hypothesis. We assess the results based on two observable aspects of prediction: learning a pairing between an antecedent and a consequence and responding to an antecedent in a predictive manner. Taken together, these studies suggest distinct differences in both predictive learning and predictive response. Studies documenting differences in learning predictive pairings indicate challenges in detecting such relationships especially when predictive features of an antecedent have low salience or consistency, and studies showing differences in habituation and perceptual adaptation suggest low-level predictive processing differences in ASD. These challenges may account for the observed differences in the influence of predictive priors, in spontaneous predictive movement or gaze, and in social prediction. An important goal for future research will be to better define and constrain the broad domain-general hypothesis by testing multiple types of prediction within the same individuals. Additional promising avenues include studying prediction within naturalistic contexts and assessing the effect of prediction-based intervention on supporting functional outcomes for individuals with ASD. LAY SUMMARY: Researchers have suggested that many features of autism spectrum disorder (ASD) may be explained by differences in the prediction skills of people with ASD. We review results from 47 studies. These studies suggest that ASD may be associated with differences in the learning of predictive pairings (e.g., learning cause and effect) and in low-level predictive processing in the brain (e.g., processing repeated sounds). These findings lay the groundwork for research that can improve our understanding of ASD and inform interventions. Autism Res 2021, 14: 604-630. © 2021 International Society for Autism Research and Wiley Periodicals LLC.

There is increasing evidence that climate change, like other natural disasters has the potential for significant human health impacts, including mental health. Fear as a psychological construct concerning climate change is not well understood. An online cross-sectional survey was conducted, targeting a demographically representative sample of Americans (n = 546) in terms of ethnicity, age, and gender. Survey questions included demographic information and global questions regarding self-rated anxiety and fear of climate change. Ordinal logistic models were created to determine which demographic factors were most predictive of climate change fear in the US population. Over half of the study sample (50.9%) indicated being moderately or very afraid of climate change. In the end, only three factors remained significant (p < 0.001) in the model; self-reported level of anxiety, political affiliation, and identifying and Hispanic/Latino. Climate change fear is still not understood, especially in terms of its impact on the mental health of the population in general, though prolonged fear can be an antecedent to other mental health disorders. This study had demonstrated that fear of climate change impacts over half of the U.S population. Level of fear differs significantly by demographic. This study has provided evidence that climate change fear impacts a significant proportion of the US population, prompting a need to investigate the potential acute and long-term impacts of this fear on the human psyche. The harms and benefits of the fear response to climate change should be explored as well as potential responses to fear due to climate change.

Low positive affect has been identified as an antecedent of binge-eating episodes among individuals with binge-eating disorder (BED), yet positive affect has received far less attention in eating disorders research than its counterpart, negative affect. In this article, we argue that the low levels of positive affect which occur with anhedonia (i.e., loss of interest or pleasure in activities) may contribute to the onset and maintenance of BED. We introduce a theoretical model in which anhedonia increases the risk for BED through its interrelationships with dysregulated eating and weight gain, and we describe potential direct (e.g., reward-related processes) as well as indirect (e.g., influences on depressive symptoms and physical activity) pathways by which anhedonia may lead to adverse eating- and weight-related outcomes. We also propose a momentary maintenance model in which low positive affect and positive affect dysregulation occurring with anhedonia maintain binge eating directly and indirectly through maladaptive health behaviors, such as decreased physical activity, less healthy eating, and fewer social interactions, which in turn maintain anhedonia. We draw upon outside literature to present evidence that aligns with the proposed risk and maintenance models and conclude by outlining avenues for future research-including methodological/measurement, theoretical, and clinical research directions.

We examine if psychological intimate partner violence (pIPV) is predicted by parental psychological control (PPC) via insecure attachment. Our results analyzing longitudinal data from the Child Development Project show that PPC perceived at age 16 predicts insecure attachment at age 18, which then predicts pIPV at age 24. Moreover, the paths with attachment anxiety are consistently significant while ones with attachment avoidance are not. Further, all the paths are significant regardless of the gender of the adolescents and parents, which indicates that PPC is detrimental regardless of the gender of the adolescents or parents. Lastly, PPC perceived at age 16 does not directly predict pIPV at age 24, which suggests that social learning theory of aggression ( Bandura, 1978 ) may not explain the association from PPC to pIPV. Our results suggest that research and practice would benefit by considering PPC as an antecedent of pIPV via insecure attachment from adolescence to emerging adulthood.

Background Lesch‐Nyhan disease (LND; OMIM 300322), caused by virtually absent hypoxanthine‐guanine phosphoribosyltransferase activity, in its classic form is characterised by hyperuricemia, variable cognitive impairment, severe motor disorder and a characteristic behavioural disorder (Lesch‐Nyhan Behavior, LNB), typically described as self‐injurious behavior (SIB) and “self‐mutilation.” This work focuses on the latter aspect with the aim of exploring and broadening it. Methods The participant observation method was used to follow three children diagnosed with LND individually, in different contexts of daily life, always with their usual restraints and in the presence of a caregiver. Results 60 observational sessions, for over 90 total hours, led to the description of 292 LNBs, interfering with different aspects of life. Harmful behaviors could be classified into different categories, based on the life aspect affected and type of harm provoked. Antecedent conditions, consequent reactions, and emotions of the child and different management of the caregiver were recorded for each LNB. We confirmed that patients normally feel pain. Most common emotional reactions are regret and shock. As a consequence of a LNB, increased anxiety was always recorded, never satisfaction. Caregiver strategies most commonly used to stop the LNB and preventing recurrences are reported and discussed. Conclusions We are proposing a wider LNB description, beyond the classical Self‐injurious behavior (SIB), stating that it is widespread and pervasive, involving every facet of the patients' life. Caregivers and operators should be aware that they might face different LNBs, and have to recognize them to find the better way to manage patients.

Dopamine neurons are proposed to signal the reward prediction error in model-free reinforcement learning algorithms. This term represents the unpredicted or ‘excess’ value of the rewarding event, value that is then added to the intrinsic value of any antecedent cues, contexts or events. To support this proposal, proponents cite evidence that artificially-induced dopamine transients cause lasting changes in behavior. Yet these studies do not generally assess learning under conditions where an endogenous prediction error would occur. Here, to address this, we conducted three experiments where we optogenetically activated dopamine neurons while rats were learning associative relationships, both with and without reward. In each experiment, the antecedent cues failed to acquire value and instead entered into associations with the later events, whether valueless cues or valued rewards. These results show that in learning situations appropriate for the appearance of a prediction error, dopamine transients support associative, rather than model-free, learning., Dopamine neurons are proposed to signal the reward prediction error in model-free reinforcement learning algorithms. Here, the authors show that when given during an associative learning task, optogenetic activation of dopamine neurons causes associative, rather than value, learning.

[Abstract] Several variables associated with motivation toward science learning in preservice elementary teachers, such as relevance to personal goals and self-efficacy, are important factors in preservice preparation. The main objective is to analyze the relationships of these motivational variables with the emotions of boredom and enjoyment, and with engagement in science learning. Data were obtained with a self-report questionnaire completed by 871 preservice elementary teachers and analyzed using the structural equation model (SEM) methodology. The first step determined the adequacy of the measurement model and, in the second step, SEM showed that the variables associated with motivation for science learning significantly predicted the variance of boredom and enjoyment as 27% and 52%, respectively. The variables associated with motivation for science learning and emotions explained 67% of the variance in science learning engagement. Relevance to personal goals and self-efficacy in science learning predicted the emotional variables. Emotional variables mediated the impact of motivational variables in science-learning engagement. The fundamental role of emotions in motivation and science-learning engagement in preservice elementary teachers is observed. Funding for open access charge: Universidade de Vigo/CISUG

Since the outbreak of coronavirus disease 2019 (COVID-19), adolescents in 70 countries have suffered the COVID-19 pandemic and flood disasters simultaneously. Although antecedent cyberbullying variables have attracted significant research attention, the effects of psychological distress and the potential mechanisms of cyberbullying among adolescents under multiple disasters remains unclear. Based on social-ecological system theory, this study examines the moderating effects of parent–child relationships and the negotiable fate on the relationship between psychological distress and cyberbullying. A total of 1204 middle school students (52.4% boys) who suffered from floods and the COVID-19 pandemic from Zhengzhou City, China, are the participants. The results reveal that psychological distress was positively related to adolescent cyberbullying during a disaster. Parent–child relationships and negotiable fate significantly moderate the relationship between psychological distress and cyberbullying. Specifically, high parent–child relationships and a high negotiable fate could protect adolescents from the negative effects of psychological distress of cyberbullying. For adolescents with low or high parent–child relationships and low negotiable fate, the links between psychological distress and cyberbullying are stronger. These findings underline the significance of considering the interaction of psychological distress, parent–child relationships, and negotiable fate when examining adolescents’ cyberbullying during disasters.

The development of immersive Virtual Reality (VR) has provided users around the globe with a highly realistic virtual world experience. Since its first use, extensive research has been conducted with the attempt to understand how human behaviour in virtual environments compares to the real world. Studies have shown that people exhibit similar behaviours and reactions in a number of scenarios including virtual shopping, thus making it a promising tool for researchers to study in-store shopper behaviour. This paper outlines ideas on how store atmospherics can affect the user experience, stress levels and behaviour in a virtual store environment, developed using the Unreal Game Engine. The presence/absence of avatars can be investigated as an important aspect of store atmospherics and a potential antecedent of perceived presence in a simulated retail environment. These insights will be useful for retailers in that they can guide development and improvement of virtual simulated shopping experiences, using elements of telepresence and social presence, to enhance the consumer shopping experience and their own retail strategy.

Child temperament plays a key role in the development of psychopathology, notably through transactions with the family environment. In particular, temperamental negative emotionality is a documented antecedent of child aggressive behavior, with parenting stress sometimes proposed to play a mediating role in this association. However, research has mostly addressed bivariate associations and seldom considered the full chain linking child negative emotionality to aggression through parenting stress. In addition, most relevant studies have focused on mothers; therefore, possible combined contributions of maternal and paternal stress, such as interactive effects, are under-investigated. Addressing these gaps, this longitudinal multi-informant study aimed to examine the mediating role of maternal parenting stress, paternal parenting stress, and their interaction in the association between infant negative emotionality and child aggression. Among 186 mostly White middle-class families (98 boys), infant negative emotionality was reported by mothers and fathers at 15 months, both parents reported on their own parenting stress at 3 years, and child aggression was assessed by teachers in the first grade of elementary school. The results revealed a moderated mediated pathway, such that there was a significant indirect effect of child negative emotionality on aggression through paternal stress, however only when maternal stress was also high. These findings suggest that the risk of negative emotionality translating to aggressive behavior is magnified when both parents experience high levels of stress in their parenting role. The results also underscore that both parents play significant yet different roles in the process linking early negative emotionality to subsequent aggression.

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Only a few cases in the literature have ever reported the reactivation of the varicella zoster virus (VZV) in children especially in the case of immunocompetent patients. It is an uncommon situation that may lead to several neurological complications. We report varicella zoster virus (VZV) meningitis in a 14-year-old healthy boy with no antecedent of rash. On his cerebrospinal fluid (CSF) examination, VZV DNA was detected. The rapid HIV test was negative. The treatment using acyclovir (20 mg/kg/8h) was effective, and the child’s clinical condition rapidly improved.

A substantial increase in research on the structure, covariates, and etiology of hypersexuality has emerged during the last decade. It is the goal of this review to summarize and integrate this research and to indicate some practical implications for clinical and forensic practice, especially as applied to those who have sexually offended. Studies from the last half-decade converge on the conclusion that hypersexuality has both problematic and high sexual drive components. Both aspects have consistently been found to be distributed dimensionally and not categorically. Each subdimension covaries differentially with specific types of impulsivity. In addition to sexual abuse, psychological or emotional abuse has emerged to be a potent developmental antecedent of hypersexuality. Current research has focused on the problematic dimension of hypersexuality and has neglected to specify the criteria for high sexual drive. Lacking are large-scale representative and clinical samples that provide determination of optimal cutoffs for treatment and dispositional decisions for both dimensions of hypersexuality. Research on the etiology of both aspects of hypersexuality is in its infancy, and more differentiated assessments of developmental abuse histories are required.

Lemierre's syndrome is characterized by septic thrombophlebitis of the internal jugular vein. It typically presents in healthy adolescents or young adults, usually preceded by an oropharyngeal infection, with the most common offending pathogen being Fusobacterium necrophorum. We present a case of Lemierre's syndrome in an elderly woman without antecedent oropharyngeal infection, caused by Streptococcus pyogenes. She was successfully treated with combined surgical and medical management. Keywords: Lemierre's syndrome, Streptococcus pyogenes, Septic thrombophlebitis, Internal jugular vein

Purpose This paper aims to enhance current understanding of motivations for self-gifting by suggesting that an individual’s attachment state from childhood upbringing impacts self-gifting behavior. Design/methodology/approach A survey was administered to 301 consumers living in the USA. Results were analyzed using partial least squares structural equation modeling. Findings Findings reveal that insecure anxious and insecure avoidant individuals are inclined to self-gift for reward and as compensation for personal disappointment. Practical implications Retailers can leverage the results to customize promotional messages that reference self-gifting in relation to an individual’s attachment style. For example, messaging geared towards attachment avoidance might emphasize acceptance of one’s imperfect self and situation. Messaging with sensitivity to attachment anxiety might emphasize positive self-reflection and self-worth. Per the authors’ findings, a promotional message geared towards attachment style may better motivate self-gifting. Originality/value This research is the first known empirical research to specify a psychological antecedent of self-gifting behavior, which is an emerging area in the literature and retail environment. The findings explain nuances of self-gifting behavior by theoretically connecting insecure attachment style as a driver of self-gifting purchases for reward and personal disappointment.

The lone-actor terrorist population can be extremely heterogenous and difficult to detect. Intelligence is key to countering this threat. This study devises a typology of person-environment interactions which could serve as a framework for intelligence-gathering and risk assessment. We use cluster analysis and a previously-developed Risk Analysis Framework (RAF) to identify relations between three components: propensity, situation and network. The analysis reveals four person-exposure patterns (PEPs): solitary, susceptible, situational and selection. The solitary PEP lacks common indicators of a propensity to pursue terrorist action. What indicators are present may not manifest until late in the offending process. The susceptible PEP suggests a style of interaction whereby cognitive susceptibility, manifesting as mental illness, is a key factor in the emergence of the propensity/motivation to commit a terrorist attack. This configuration typifies cases where radicalisation may occur in a short time span. The situational PEP demonstrates how situational stressors may act as warnings of acceleration towards violent action; the challenge being to capture evidence of these stressors and their effects. Lastly, the selection PEP demonstrates higher frequencies of leakage and antecedent violent behaviours. These offenders may be known to the community or other agencies, suggesting specific opportunities for detection and disruption.

This study aims to investigate the multiple mediation of loneliness and anxiety in the relationship between adolescents’ duration of daily smartphone usage and their nomophobia levels, based on soc...

The incidents of drug-abuse behavior has escalated especially among youths in Malaysia. The objectives of the study were to ascertain the effects of social support on drug abuse through life satisfaction. Delinquency was treated as the mediating factor on the relationship between life satisfaction and drug-abuse behavior. A survey was conducted among youth addicts getting treatment at rehabilitation centers. A total of 275 questionnaires were analyzed using Structural Equation Modelling. Findings revealed that social support had a significant influence on life satisfaction. Delinquency had a full mediating effect on the relationship between life satisfaction and drug abuse. An increase in life satisfaction would reduce delinquency and drug-abuse behavior among youth by enhancing social support assistance. Therefore, rehabilitation programs should be focused on matching the drug dependences' needs for social support to increase the chances of remaining sober and achieving success in ending the cycle of relapse.

Objective: The authors examined the efficacy of valproate to reduce relapse to heavy drinking among veterans with alcohol use disorder (AUD) and neuropsychiatric comorbidities and whether antecedent traumatic brain injury (TBI) or posttraumatic stress disorder (PTSD) affected treatment response. Methods: Participants were male veterans 18–60 years old with an AUD and no other substance use besides nicotine or cannabis. Sixty-two patients were randomly assigned to receive either valproate or naltrexone. Participants were evaluated at baseline and followed weekly for 24 weeks. All participants received standardized psychosocial interventions as well as treatment for coexistent psychiatric conditions. Results: During the follow-up period, nine study subjects in the naltrexone group and 14 in the valproate group relapsed to heavy drinking, but the difference did not reach statistical significance. Participants with a history of moderate to severe TBI were more likely to relapse to heavy drinking compared with those with no TBI (hazard ratio=4.834, 95% CI=1.103–21.194, p=0.033). PTSD status did not significantly affect outcome. Conclusions: Intensive outpatient programs are efficacious alternatives to treat AUD in veterans, although the role of pharmacological treatment is not completely elucidated. Glutamatergic agents appear to be less effective than opiate antagonists to prevent relapse to heavy drinking and to increase cumulative abstinence. Future studies should examine novel pharmacological and nonpharmacological options. Fil: Jorge, Ricardo E.. Baylor College of Medicine; Fil: Li, Ruosha. Baylor College of Medicine; Fil: Liu, Xiangyu. Baylor College of Medicine; Fil: McGavin, Jill K.. Baylor College of Medicine; Fil: Shorter, Daryl I.. Baylor College of Medicine; Fil: Acion, Laura. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Calculo. - Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Calculo; Argentina Fil: Arndt, Stephan. University of Iowa; Estados Unidos

Perfectionistic automatic thoughts have been linked with depressive symptoms in numerous cross-sectional studies, but this link has not been assessed in longitudinal research. An investigation with two timepoints was conducted to test whether perfectionistic automatic thoughts, as assessed by the Perfectionism Cognitions Inventory (PCI), are contributors to subsequent depression or vice versa. The possible role of a third factor (major life events stress) was also evaluated. A sample of 118 university students completed the PCI, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Life Experiences Survey on two occasions with a 5-month interval. A cross-lagged analysis using structural equation modeling showed that above and beyond within-time associations and across-time stability effects, perfectionism automatic thoughts contributed to subsequent depressive symptoms and not vice versa. Negative life events stress was correlated significantly with both depressive symptoms and perfectionism automatic thoughts but did not have an influence on Time 2 depressive symptoms or on perfectionistic automatic thoughts. Our discussion focuses on perfectionistic automatic thoughts as a contributor to depressive vulnerability according to the perfectionism cognition theory.

We examined whether disrupted maternal communication, which is associated with disorganized attachment in typically developing children, is also associated with disorganized attachment in children with ASD. The attachments of 45 boys with ASD and maternal disruption were assessed in the Strange Situation Procedure. Analyses revealed a link between low cognitive functioning and resistant/ambivalent and disorganized attachment, and children's functioning was therefore controlled. Contrary to expectations, mothers of children with disorganized attachments did not show more disrupted communication than mothers of children with organized attachments. However, the 4-way attachment breakdown showed that the mothers of disorganized and ambivalent/resistant children had higher disruption scores than mothers of secure and avoidant children. The findings suggest that the expected associations between maternal disruption and attachment disorganization apply to children with ASD as well, but raise questions whether disrupted behavior is a unique antecedent of disorganized attachment or also of resistant/ambivalent attachment.

Antecedent interventions are often used preventatively to address engagement, but few studies have evaluated their effectiveness with students at risk for disability. This study evaluated the effectiveness of two commonly recommended antecedent interventions that have limited empirical support for use with students at risk: social stories and visual supports. Both interventions were evaluated separately in the context of two single-case alternating treatments designs across five elementary students at risk for emotional and behavioral disorders. Social stories were not effective for improving students’ levels of engagement during targeted activities; visual supports resulted in increases in students’ engagement relative to baseline conditions. Future use of visual supports for students at risk should include evaluations of the feasibility of implementation by teaching staff.

Sphingobacterium species rarely cause human infection. We herein report two cases of cellulitis complicated with bacteremia due to this genus. The patients, both in their 70s and receiving corticosteroid therapy for their underlying diseases, had antecedent skin injuries in their affected limbs. The patients' symptoms improved promptly and completely with the administration of cefazolin, which did not inhibit the growth of isolated organisms at a concentration of 4 μg/mL.

The perception of being ostracized in a foreign country is a great obstacle that may lead to international students’ strain. The present study aimed to understand ostracism from the perspective of adult attachment. We proposed a moderated mediation model in which attachment anxiety was hypothesized as an antecedent of ostracism and as a moderator of the ostracism – strain links. Participants were 119 international students enrolled at a large public university in U.S. Results largely supported the model, which showed that the attachment anxiety exaggerate the harmful effects of perceived ostracism on depression and physical symptoms. Theoretical and practical implications were discussed.

Individuals with autism spectrum disorder (ASD) may engage in repetitive social-communication behaviors that can limit their skill acquisition, access to reinforcement, and access to less restrictive settings. Basic and applied research indicates that variability, or the extent to which responses are topographically different from one another, is influenced by antecedent and consequence interventions. Our purpose in this study is to systematically review the literature on interventions to increase variable social-communication behaviors in individuals with ASD. We identified 32 studies through a database search and screened them using the What Works Clearinghouse (WWC) Single-Case Design Standards. Eighteen studies containing 55 cases met WWC Design Standards. We coded the descriptive characteristics and strength of evidence based on visual analysis from each of these 18 studies and calculated effect sizes using Tau-U. Our results indicate that most cases (65%) provide strong evidence of a functional relation between the interventions and varied social-communication behaviors, and the median Tau-U was .82. We discuss the implications of our results for practice and for future research on interventions designed to increase variability with this population.

Access to early intensive behavioral intervention for children with autism spectrum disorder is commonly recommended. Intervention programs may include high rates of instructional trials, which may evoke escape-maintained problem behavior. Recent research on “pairing” or “rapport-building” interventions have sought to reduce the likelihood that problem behavior occurs during instruction using antecedent manipulations. The current study evaluated a structured intervention that included differential reinforcement and demand fading to increase participants’ response allocation to instructional settings without the use of physical guidance. Nine minimally verbal girls under the age of 6 years with autism spectrum disorder enrolled in the study. The protocol was effective for seven of the nine participants. One participant did not complete the protocol due to competing behavior and an additional participant did not require the intervention. Our findings suggest that the structured intervention was effective in increasing appropriate behavioral repertoires that are necessary for children with autism spectrum disorder to effectively benefit from early educational programs.

Children with autism spectrum disorder (ASD) display social-communication deficits and present with rigid and repetitive patterns of behavior and/or interests (RRBIs). Compared to interventions for social-communication skills, less attention has been given to RRBIs, especially with regard to interventions for young children. We surveyed 128 behavior analysts who implemented interventions for young children with ASD on their use of 16 practices and one assessment for the treatment of RRBIs. The majority of our sample perceived the practices to be effective in producing sustainable behavior change. Behavior analysts generally responded in the same way to items about reinforcement-based practices, punishment-based practices, and a group of commonly packaged antecedent and consequence-based package components. Implications and future directions are discussed.

Given ongoing concerns about worldwide obesity, a rapidly growing body of research has sought to identify factors that drive consumption of energy-dense foods and snacks with little nutritional value. The present research contributes to this literature by exploring the role of consumption closure—a state characterized by perceiving a given eating occasion as finished or complete—on people's desire to eat more. More specifically, four studies demonstrate that when a small (vs. large) quantity of unhealthy leftovers remains after a meal/snack—that is, when additional food consumption can feasibly provide consumption closure—the desire to continue eating is higher (vs. lower). Furthermore, and importantly, the present research uniquely demonstrates a “justifying by healthifying” effect wherein this desire to eat more is, in turn, justified by downplaying the unhealthiness of the food (i.e., perceiving it as less unhealthy or fattening). The findings thus provide evidence of an important antecedent to food-related behavior (consumption closure) and a unique downstream consequence (biased health perceptions).

During social interactions, each individual’s actions are simultaneously a consequence of and an antecedent to their interaction partner’s behavior. Capturing online the brain processes underlying such mutual dependency requires simultaneous measurements of all interactants’ brains during real-world exchange (‘hyperscanning’). This demands a precise characterization of the type of interaction under investigation, however, and analytical techniques capable of capturing interpersonal dependencies. We adapted an interactive task capable of dissociating between two dimensions of interdependent social exchange: goal structure (cooperation vs competition) and interaction structure [concurrent (CN) vs turn-based]. Performing dual-functional magnetic resonance imaging hyperscanning on pairs of individuals interacting on this task, and modeling brain responses in both interactants as systematic reactions to their partner’s behavior, we investigated interpersonal brain-behavior dependencies (iBBDs) during each dimension. This revealed patterns of iBBDs that differentiated among exchanges; in players supporting the actions of another, greater brain responses to the co-player’s actions were expressed in regions implicated in social cognition, such as the medial prefrontal cortex, precuneus and temporal cortices. Stronger iBBD during CN competitive exchanges was observed in brain systems involved in movement planning and updating, however, such as the supplementary motor area. This demonstrates the potential for hyperscanning to elucidate neural processes underlying different forms of social exchange.

Parental academic conditional positive regard (PACPR) is a socializing strategy in which parents provide more affection, esteem, and attention than usual when their child studies hard and achieves in school. It is favored and recommended as a positive parenting strategy, whereas empirical findings increasingly document serious psychological costs of this well-intended strategy. PACPR can be conceptualized as an important antecedent of test anxiety. However, no study has tested this assumption yet, and research on antecedents of test anxiety is generally scarce. Based on assumptions from self-determination and control-value theory, we conducted one study with secondary students (trait test anxiety, N = 653, M = 13 years) and one study with university students (state test anxiety and test performance, N = 166, M = 20 years), to examine distal (i.e., perceived PACPR) and proximal antecedents (i.e., contingent self-esteem as value cognition; ability self-concept as control cognition) of students’ test anxiety. In line with our hypotheses, path analyses revealed a positive relation between perceived PACPR and test anxiety, and that contingent self-esteem mediated this relation. Ability self-concept showed inverse relations with test anxiety, which, in turn, predicted poorer test performance in Study 2. Unexpectedly, we found no interactive effect of contingent self-esteem and ability self-concept. Our results extend prior research on psychological costs of PACPR to the field of achievement emotions, and suggest that the detrimental effects of perceived PACPR on test anxiety can be generalized onto students with high and low ability self-concept, respectively. Possible reasons of our findings, and practical implications, are discussed.

We increase our probability of survival and wellbeing by minimizing our exposure to rare, extremely negative events. In this article, we examine the computations used to predict and avoid such events and to update our models of the world and action policies after their occurrence. We also consider how these computations might go wrong in anxiety disorders and Post Traumatic Stress Disorder (PTSD). We review evidence that anxiety is linked to increased simulations of the future occurrence of high cost negative events and to elevated estimates of the probability of occurrence of such events. We also review psychological theories of PTSD in the light of newer, computational models of updating through replay and simulation. We consider whether pathological levels of re-experiencing symptomatology might reflect problems reconciling the traumatic outcome with overly optimistic priors or difficulties terminating off-line simulation focused on negative events and over-generalization to states sharing features with those antecedent to the trauma.

ReWIND is a role-playing game (RPG) designed to enhance the emotion control of patients with generalized anxiety disorder (GAD) over the feeling of excessive worry and fear by integrating cognitive behavioral therapy (CBT) in a serious game. The goal of the game is to allow players to virtually encounter different anxiety-causing situations and provide constructive measures to deal with negative feelings following the ABC-model of CBT (antecedent, belief, consequence) along with disputation and new effect. The storyline's foundation focuses on four emotion regulation strategies common in GAD: catastrophizing, rumination, denial, and lack of refocus on planning. Each strategy consists of three scenarios that simulate real-life occurrences where GAD patients might find them hard to overcome. CBT elements are integrated with the diegetic components implemented in the game to provide psychoeducation in a fun way, which can be used to complement counseling.

Cross-sectional studies on perfectionism and general affect tend to interpret their findings suggesting affect is an outcome of perfectionism. However, personality theories posit that individual differences in general affect may also influence perfectionism. Expecting to find bidirectional relations, this 3-wave study sought to examine the longitudinal interplay between perfectionism and general affect in a sample of 489 adolescents (54% female) aged 12–19 years. Cross-lagged panel analyses showed a positive unidirectional effect from positive affect to perfectionistic standards as well as a positive bidirectional effect between perfectionistic concerns and negative affect. As expected, general affect was both an antecedent and an outcome of perfectionism. Implications of the findings for the development and outcomes of perfectionism are discussed.

As environmental protection has gradually become the focus of enterprises’ development, employee green behavior becomes an important and key antecedent to study this issue, but there have been less studies conducted with knowledge management. As a result, drawing on the theory of planned behavior and the organizational support theory, this study investigates how environmental knowledge practices (environmental knowledge sharing and environmental knowledge application) affect employee green behavior by using a questionnaire survey administered to 266 employees in China to reveal their complex relationship mechanism. The results show that environmental knowledge application and environmental knowledge sharing have a positive effect on employee green behavior, environmental behavioral intention mediates the relationship between environmental knowledge application and employee green behavior, and between environmental knowledge sharing and employee green behavior, green perceived organizational support positively moderates the relationship between environmental behavioral intention and employee green behavior. The findings shed new light on the development of employee green behavior literature and provide practical reference for strategies related to environmental protection for managers.

Diabetes mellitus is the seventh leading cause of death in the United States, requiring a series of complex behavior changes that must be sustained for a lifetime (e.g., counting carbohydrates, self-monitoring blood glucose, adjusting insulin). Although complex, all of these tasks involve behavior, making them amenable targets for behavior analysts. In this article, the authors describe interventions that have focused on antecedent, consequent, multicomponent, and alternate procedures for the management of diabetes, highlighting ways in which technology has been used to overcome common barriers to the use of these intensive, evidence-based interventions. Additional variables relevant to poorly managed diabetes (e.g., delay discounting) are also discussed. Future research and practice should focus on harnessing continued advances in information technology while also considering underexplored behavioral technologies for the effective treatment of diabetes, with a focus on identifying sustainable, long-term solutions for maintaining proper diabetes management. Practical implementation of these interventions will depend on having qualified behavior analysts working in integrated primary care settings where the interventions are most likely to be used, which will require interdisciplinary training and collaboration.

Childhood experiences impact long-term physical and behavioral health outcomes including potential risk for schizophrenia and psychosis. Negative experiences, such as child abuse and neglect, have been specifically associated with risk for schizophrenia and psychosis. This review provides a brief overview of child abuse and neglect, including its position within the larger field of trauma and adversity and its long term consequences. The link to schizophrenia is then explored. Principles of treatment and outcomes for schizophrenia with antecedent child abuse and neglect are then reviewed. Finally, next steps and points of prevention are highlighted.

A functional analysis is a set of procedures in which a behavior analyst uses single-case designs to systematically manipulate antecedent and consequent stimuli hypothesized to influence problem behavior and measures the effects of those manipulations using reliable, direct observation methods. The information gleaned from a functional analysis can often be used to prescribe effective treatments for violent and aggressive behavior. In this chapter, we describe the essential components of a standard functional analysis of violent and aggressive behavior and how those components can be altered to address unique or idiosyncratic functions of problem behavior. We also discuss recent advances and alterations to a standard functional analysis, provide practical suggestions for practitioners who may wish to incorporate functional analyses into their clinical work, and recommend directions for future research on functional analysis.

Many individuals, especially those with intellectual and developmental disabilities, display problem behavior in the form of aggression, self-injurious behavior, and disruption, among others. Treatments based on the function or reason the problem behavior occurs produce better outcomes than those selected arbitrarily. The current chapter presents seminal and current literature on common function-based treatments for problem behavior, including but not limited to extinction, differential reinforcement, and antecedent interventions. This chapter also includes research and recommendations for approaches to make function-based treatments more feasible for interventionists in the long term. Finally, future research directions in the area of function-based treatments are presented.