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Problem drinking and depression are common following sexual assault. The current study applied a coping motives model of drinking and examined the association between rape experiences and problem drinking serially mediated by depression symptoms and coping-depression drinking motives among Hispanic college women. A total of 330 college women were classified into a single rape experience (SGL) group ( n  = 44), a multiple rape experiences (MLT) group ( n  = 70), and a no sexual assault experience group ( n  = 221). Participants completed self-report measures online. Serial mediation analyses with multi-categorical predictors found that significantly increased alcohol consumptions in rape survivors compared to individuals with no sexual assault experience were largely explained by the serially connected underlying mechanisms of depression symptoms and coping-depression drinking motives. The prevalence rates of rape experiences in this Hispanic female sample are alarming, suggesting Hispanic college women as a particularly vulnerable group for rape. The current results contribute to a greater understanding of the effects of rape experiences on behavioral and emotional outcomes among young Hispanic women who have been underrepresented in sexual victimization research. The findings emphasize the importance of assessing depression symptoms and coping-depression drinking motives in Hispanic rape survivors to reduce risks for hazardous drinking behavior., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interests with respect to the authorship and/or publication of this article.

The current study examined the effects of specific COVID-19 stressors (i.e., family member's death due to COVID-19, COVID-19 infection, and school/financial stressors) on stress, anxiety, and depression and the potential buffering roles of resilience and perceived social support in the association between COVID-19 stressors and psychological symptoms in a Hispanic university student sample ( n  = 664). Participants were classified in three stressor groups: those reporting a family member's death due to COVID-19 (15.7%), those reporting their own or a family member's COVID-19 infection but no COVID-19 death (35.5%), and those reporting only school and/or financial stressors due to the pandemic (48.8%). Participants completed self-report measures online. Over 50% of participants with a COVID-19 death or infection in the family reported clinical levels of depression symptoms and over 40% endorsed clinically elevated anxiety symptoms. A series of moderation analyses with multi-categorical predictors found that among relatively highly resilient people, the magnitudes of the impact of COVID-19 infection or death on stress, anxiety, and depression were similar to the effect of a financial/school stressor alone, suggesting the buffering role of resilience. Perceived social support did not play a buffering role in the associations. Family member death due to COVID-19 and COVID-19 infection had significant negative psychological impacts on Hispanic young adults. Internal personal resources such as resilience, rather than external personal resources such as perceived social support, appear to be a critical factor that may help protect Hispanic individuals' mental health from the worst stressors of the COVID-19 pandemic., Competing Interests: Conflict of interest No potential conflict of interest was reported by the authors., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)

Some expressive writing (EW) interventions targeting posttraumatic stress symptoms (PTSS) may reduce both PTSS and comorbid depression symptoms. The temporal associations between PTSS and depression symptom levels in response to EW interventions are unknown. This study examined the directionality of PTSS and depression symptom levels from baseline to 1-week, 1-month, and 3-month follow-ups of two online EW interventions in a Hispanic sample with diverse trauma experiences. Participants (n = 70) completed either emotion-focused or fact-focused writing for 3 consecutive days online. A manifest autoregressive model with cross-lagged effects and treatment condition was analyzed. All but one first-order autoregressive path were statistically significant, with later PTSS and depression scores significantly predicted by those scores at preceding time points. The cross-lagged effects findings suggest that earlier PTSS levels influenced later depression levels, but earlier depression did not influence later PTSS, demonstrating a unidirectional temporal association. Severe PTSS may hinder EW treatment gains in depression. Superior outcomes for emotion-focused writing relative to fact-focused writing were also found., (Copyright © 2022 Association for Behavioral and Cognitive Therapies. Published by Elsevier Ltd. All rights reserved.)

It is challenging to restore the clinically acceptable alignment of the distal radius after an acute on chronic fracture or after a secondary fracture occurring after malunion of a primary distal radius fracture. In cases of insignificant primary deformity, restoration to the primary deformity may suffice to obtain a successful clinical result. A borderline acceptable primary radial deformity can be unacceptable after the second injury, resulting in functional disability. If surgery is indicated, the surgeon must contend with both primary and secondary deformities to restore proper distal radius anatomy. We present our technique to correct both primary and secondary distal radius deformities through the new or secondary fracture plane., Competing Interests: Conflicts of Interest and Source of Funding: Irrevocable trusts of which J.L.O. and family members are the beneficiaries own stock in Skeletal Dynamics, and the company reimburses expenses when he speaks or presents on the company’s behalf. D.M.M. discloses speaker’s bureau for Skeletal Dynamics and Axogen. For the remaining authors none were declared., (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.)

Two studies were conducted to explore whether the addition of animal movement would influence the intensity of emotional reactions towards that animal. Both studies compared self-reported emotional reactions with still images and videos for six animal categories (snakes, spiders, rodents, hoofed animals, animals with flippers, and turtles). In Study 1, participants reported fear and disgust to the animal stimuli, which were averaged into a single negative emotion rating. In Study 2, participants reported either fear and disgust or joy and affection to the animal stimuli, which were averaged into either a single negative or positive emotion rating. Upon combining the reported emotions from the two studies, movement was found to increase negative emotion reported to snakes and spiders and decrease negative emotion reported to rodents, hoofed animals, and animals with flippers. Results from Study 2 indicated that movement increased reported positive emotions to all six animal categories. Our findings suggest that animal movement is an important component of emotional reactions to animals.

Two experiments demonstrate that eyewitnesses often falsely recognise an actor performing an action that had actually been performed by someone else, even if the action involves negative emotions and the actor in question had only appeared in emotionally neutral contexts. Participants viewed videos, each involving an actor performing a neutral (e.g. making oatmeal) or negatively valenced (e.g. killing a roach) action, and were asked to remember the events (Experiment 1) or to rate them for valence and arousal (Experiment 2). In both experiments, participants remembered negative actions better than neutral actions. Participants were also especially likely, however, to falsely recognise a different person performing a negative action. Experiment 2 revealed that this effect was modulated by the prior emotional contexts in which an actor had appeared. Participants were still just as likely, however, to falsely recognise an actor who had only appeared in neutral contexts now performing a negative action as they were to falsely recognise this actor performing a different neutral action. These results suggest that even individuals seen only in benign contexts can be falsely remembered as having participated in emotionally charged events (e.g. crimes).

The US Hispanic population is large and rapidly growing, with serious healthcare disparities. Alarmingly, 67% of Hispanic adults with a mental illness go untreated. Attempts to increase treatment rates have had limited success, likely partly due to stigma beliefs. There is an urgent need to develop and utilize a Spanish language stigma assessment tool. The current study is the first to do so, translating the Beliefs Toward Mental Illness (BTMI; Hirai et al., 2018) scale into Spanish (S-BTMI). Our psychometric findings with English-Spanish bilingual Latinx undergraduate students suggest that the S-BTMI can be a reliable measure of mental illness stigma. The BTMI's 4-factor solution was confirmed by the S-BTMI. Language invariance tests for the S-BTMI and BTMI demonstrated metric invariance and partial scalar invariance. The S-BTMI's factors produced strong internal consistency and two-week test-retest reliability. A previous Latinx sample's BTMI scores were similar to the current S-BTMI scores, except for greater endorsement of incurability beliefs for the Spanish version. Average stigma levels were fairly low in the current sample. Use of the BTMI-S can improve our understanding of stigma, and its relationships to language, culture, acculturation, and treatment-seeking in Latinx communities., (Copyright © 2020. Published by Elsevier B.V.)

Objective: Although expressive writing (EW) appears efficacious for treating a range of posttraumatic stress (PTS) symptoms including diagnosed PTSD, little is known about its efficacy when offered online and for ethnic/cultural minority populations such as Hispanic individuals. The current study examined the longitudinal effects of two online EW tasks for treating PTS symptoms in a Hispanic student sample. Design: Seventy-one participants who had experienced a traumatic event were randomly assigned to either an emotion-focused (EM) writing group or a fact-focused (FC) writing group and completed online writing sessions for three consecutive days. Participants completed online assessments at 1-week, 1-month, and 3-month follow-ups. The PTSD Checklist-DSM-5 version was used to assess PTS symptoms. Results: Both groups reported statistically significant reductions in severity of PTS symptoms at 1-week follow-up with the EM group demonstrating statistically significantly greater symptom reductions than the FC group. Differential longitudinal effects over the 3-month follow-up periods were found for some PTS domains, with the EM group showing superior improvements relative to the FC group. Conclusion: EW delivered online can be useful for Hispanic individuals with PTS symptoms following traumatic life events. Further, the current findings align with an inhibitory learning model for explaining EW's mechanism of action.

Latinas/os have been underrepresented in research investigating the role of disgust propensity in phobias. The current study was the first to examine associations between disgust propensity and Blood-Injection-Injury (BII) phobia, when acculturation was controlled for, in Latina/o Americans (n = 376). A structural model was developed with a BII fear latent variable consisting of fears of injection, blood, and sharp objects (causing injuries). The disgust propensity latent variable was formed with three domains of core, animal reminder, and contamination disgust elicitors. In the model, disgust propensity predicted BII fear when controlling for acculturation. A series of measurement and structural invariance tests demonstrated that the model was invariant between males and females. The current findings supported the hypothesis that disgust plays a role in BII fear symptoms similarly in Latinas and Latinos. The findings are expected to improve our understanding of mechanisms and treatment approaches for BII phobia symptoms in this underserved cultural group.

Purpose: Ulnar impaction syndrome is a poorly understood degenerative wrist condition characterized by symptoms of pain thought to be caused by increased loads between the ulnar head and the carpals. Radiographic evaluation often reveals an ulnar-positive wrist. We hypothesize that progressive elongation of the central band of the forearm interosseous ligaments changes the longitudinal radial-ulnar relationships, resulting in an ulnar-positive wrist. The objective of the study was to identify a relationship between the loss of integrity of the forearm interosseous ligaments and increased ulnar variance., Methods: Six cadaveric human forearms were used to measure displacement of the radius relative to the ulna during axial loading of the lunate fossa of the radius. Radial heights were measured in supination and pronation under a 5-lbF (22-N) preload. Gradual axial loads were applied up to 50 lbF (222N); the resultant axial displacement was measured in supination and pronation. All measurements were evaluated with the interosseous ligament intact and repeated with the central band cut., Results: With an applied 5-lbF preload, cutting the central band increased ulnar variance by 3.02 ± 0.80 mm in supination and by 2.15 ± 0.79 mm in pronation. In supination, when the loads were increased from the 5-lbF preload to 50 lbF, the radius displaced 2.1 times further after the central band was cut (3.00 mm) compared with the group with the intact forearm construct (1.41 mm). In pronation, when the loads were increased from the 5-lbF preload to 50 lbF, the radius displaced 1.8 times further when the central band was cut (2.84 mm) than with the intact forearm construct (1.57 mm)., Conclusions: Because of a parallelogram effect, the radius shifted proximally under a 5-lbF preload, creating an ulnar-positive wrist relationship. Dynamic loading of the forearm after ligament excision resulted in significant additional radial displacement relative to the intact forearm., Clinical Relevance: Deficiency in the ligamentous restraints of the central band leads to positive ulnar variance, which could be a factor (among others) that contributes to idiopathic ulnar impaction syndrome., (Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

The psychometric properties of the paper-pencil and online versions of the Beliefs Toward Mental Illness Scale (BTMI) were examined in two studies with Latina/o individuals. In Study 1, 316 Latina/o participants completed the BTMI in a paper-pencil mode. The original three-factor model was found to be a poor fit model for the sample. Subsequent exploratory and confirmatory factor analyses identified a four-factor model as the best fitting model for the sample. The identified factors were Dangerousness, Social Dysfunction, Incurability, and Embarrassment. In Study 2, the identified best fit model was tested with 280 Latina/o participants who completed the BTMI online. The four-factor model had adequate fit. A series of measurement invariance tests on the fit model supported equal factor loadings, but rejected equivalent intercepts across paper-pencil and online administration methods, though partially equivalent intercepts and residuals were found. Consequently, modality-specific norms are recommended, depending on whether paper-pencil or online venues are utilized for administration.

Locked volar plating is the most common surgical procedure to address distal radius fractures. The extended flexor carpi radialis approach continues to be an excellent method for visualizing distal radius fractures and applying a volar plate. A new understanding of the anatomy allows for better visualization and reduction of the many different distal radius fracture patterns surgeons commonly see. Within the extended flexor carpi radialis approach, we describe the radial septum in further detail including the anatomy which comprises the radial septum triangle. Knowledge of this area allows for better visualization, more anatomic reductions, and fewer complications.

Objective: Normal physiological movement creates different weightbearing zones within a human knee: the medial condyle bearing the highest and the trochlea bearing the lowest weight. Adaptation to different physiological loading conditions results in different tissue and cellular properties within a knee. The objective of this study was to use microarray analysis to examine gene expression differences among three anatomical regions of human knee articular cartilage at baseline and following induction of an acute impact injury., Design: Cartilage explants were harvested from 7 cadaveric knees (12 plugs per knee). A drop tower was utilized to introduce injury. Plugs were examined 24 hours after impact for gene expression using microarray. The primary analysis is the comparison of baseline versus impacted samples within each region separately. In addition, pairwise comparisons among the three regions were performed at baseline and after impact. False discovery rate (FDR) was used to evaluate significance of differential gene expression., Results: In the comparison of before and after injury, the trochlear had 130 differentially expressed genes (FDR ≤ 0.05) while the condyles had none. In the comparison among regions, smaller sets of differentially expressed genes (n ≤ 21) were found, with trochlea being more different than the condyles. Most of more frequently expressed genes in trochlea are developmental genes., Conclusions: Within the experimental setup of this study, only the trochlea was displaying an acute genetic response on injury. Our data demonstrated the regional-specific response to injury in human articular cartilage.

Background Articular fractures of the distal radius may include a small fragment from the volar margin of the lunate fossa: volar marginal fragments (VMFs); these fragments are prone to loss of fixation and avascular necrosis, and often result in wrist subluxation. We present our experience managing acute and delayed VMFs. The first is treated using a hook plate extension to a volar locking plate and the latter using a volar opening wedge osteotomy to redistribute loads on the remaining articular surface. Materials and Methods We retrospectively reviewed the records of all patients treated at our facility with a hook plate extension for a VMF and for patients treated with a volar opening wedge osteotomy. Medical charts were examined for complications and functional results. Technique A hook plate extension was used to fix the VMF when plate buttressing was insufficient. For patients who presented a collapsed and reabsorbed VMF, a volar opening wedge osteotomy was used to reorient the articular surface, restoring joint stability. Results The hook plate extension was successful in managing 19 of the 21 acute VMFs. The volar opening wedge osteotomy provided concentric reduction and improved pain and motion in all treated patients. Conclusion We demonstrated that hook plate fixation of the VMF is an effective means of fixing the acute VMF and that a volar opening wedge osteotomy can be used to salvage a distal radius fracture with a collapsed VMF.

When remembering an event, it is important to remember both the features of the event (e.g., a person and an action) and the connections among features (e.g., who performed which action). Emotion often enhances memory for stimulus features, but the relationship between emotion and the binding of features in memory is unclear. Younger and older adults attempted to remember events in which a person performed a negative, positive or neutral action. Memory for the action was enhanced by emotion, but emotion did not enhance the ability of participants to remember which person performed which action. Older adults were more likely than younger adults to make binding errors in which they incorrectly remembered a familiar actor performing a familiar action that had actually been performed by someone else, and this age-related associative deficit was found for both neutral and emotional actions. Emotion not only increased correct recognition of old events for older and younger adults but also increased false recognition of events in which a familiar actor performed a familiar action that had been performed by someone else. Thus, although emotion may enhance memory for the features of an event, it does not increase the accuracy of remembering who performed which action.

We tested the efficacy of the Equine Partnering Naturally(©) approach to equine-assisted therapy for treating anxiety and posttraumatic stress disorder (PTSD) symptoms. Participants were 16 volunteers who had experienced a Criterion A traumatic event, such as a rape or serious accident, and had current PTSD symptoms above 31 on the PTSD Checklist (PCL-S; Weathers, Litz, Herman, Huska, & Keane, ). Participants engaged in tasks with horses for 6 weekly 2-hour sessions. Immediately following the final session, participants reported significantly reduced posttraumatic stress symptoms, d = 1.21, less severe emotional responses to trauma, d = 0.60, less generalized anxiety, d = 1.01, and fewer symptoms of depression, d = 0.54. As well, participants significantly increased mindfulness strategies, d = 1.28, and decreased alcohol use, d = 0.58. There was no significant effect of the treatment on physical health, proactive coping, self-efficacy, social support, or life satisfaction. Thus, we found evidence that the Equine Partnering Naturally(©) approach to equine-assisted therapy may be an effective treatment for anxiety and posttraumatic stress symptoms. Future research should include larger groups, random assignment, and longer term follow-up., (Copyright © 2015 International Society for Traumatic Stress Studies.)

This study investigated relationships among proactive coping, positive emotions, and posttraumatic stress disorder (PTSD) symptom severity for 182 undergraduate women with trauma histories. Participants were administered the Life Events Checklist (LEC), PTSD Checklist, Proactive Coping Inventory, Proactive Attitude Scale, General Perceived Self-Efficacy Scale, and measures of posttrauma gratitude and emotional growth. An Exploratory Factor Analysis (EFA) with proactive coping, proactive attitude, and self-efficacy items indicated a one-factor solution. The proactive coping style factor and posttrauma gratitude were independently negatively associated with current PTSD symptom level, above and beyond the effects of trauma severity, trauma history, and time elapsed since the trauma. The implications of these results for future research and understanding of the development of PTSD and its treatment are discussed.

Three studies examined associations between spider phobic distress and two individual difference characteristics, disgust propensity (sensitivity to disgust elicitation) and fear propensity (sensitivity to fear elicitation). Although the relative contributions of trait anxiety and disgust propensity have been examined, researchers have yet to compare the parallel constructs of disgust and fear propensity. Two studies examined associations cross-sectionally, and a third longitudinal study examined associations of fear and disgust propensity with changes in distress and avoidance over time. In the first cross-sectional study, animal and non-animal fear propensity were independently associated with spider distress and disgust propensity was not. In the other two studies, animal fear propensity and animal disgust propensity were independently related to spider distress and non-animal scores were not. Fear propensity, but not disgust propensity, was predictive of decreased avoidance over time. The results suggest that disgust and fear propensity independently contribute to spider distress vulnerability.

Attempts to modulate negative emotional and cognitive symptoms of Posttraumatic Stress Disorder (PTSD) may be related to psychopathology. Trauma exposed undergraduates, 31 reporting severe PTSD symptoms (PTSD group) and 34 without PTSD symptoms (no-PTSD group), completed measures of PTSD, depression, anxiety, thought control, emotion regulation, and coping. The PTSD group had greater psychopathology and overall modulation strategy use than the no-PTSD group. Thought suppression, emotion suppression, and avoidant coping strategies were positively related to psychopathology, whereas emotion reappraisal and approach coping strategies were either not related or weakly negatively related. Hierarchical multiple regressions with psychopathologic variables as criteria and modulation strategies as predictors indicated significant models in all cases. Generally, thought suppression was the only significant independent predictor of psychopathology.

Peri- and posttraumatic emotional responses have been understudied, and furthermore, have rarely been compared among trauma types. The current study compared college students' retrospective self-reports of peri- and posttraumatic responses of fear, shame, guilt, anger, and sadness among four types of traumatic events: sexual assault, physical assault, transportation accident, and illness/injury. Overall emotional responding was generally high for all trauma types, and for those in the sexual assault group, emotion increased sharply from the peri- to posttraumatic time-point. Generally, fear was higher during the trauma compared to after the trauma, whereas the other emotions tended to remain stable or increase posttrauma. The sexual assault group tended to report higher levels of posttrauma emotion than the other trauma type groups.

We examined the relations between verbal communication disturbances and several hypothesized etiological factors in 47 schizophrenia spectrum individuals. Both alogia and disturbed discourse coherence were associated with poor planning abilities. Alogia and discourse coherence were differentially associated with performance on tasks measuring fluency, working memory, word finding abilities, and concentration/attention.

We examined the cognitive and motor correlates of emotional disturbances in 47 schizophrenia spectrum individuals. Neither affective flattening nor anhedonia was significantly associated with tasks measuring working memory or attention/concentration, or with overall performance on tasks measuring fluency or episodic memory. In contrast, as expected, emotional disturbances were associated with patterns of hemispheric lateralization. Affective flattening and anhedonia were both associated with episodic memory laterality and there were similar trends with motor laterality. Anhedonia was also associated with medication motor side effects.

We examined the cognitive correlates of hallucinations and delusions in 47 schizophrenia spectrum individuals. Hallucinations were significantly negatively correlated with performance on episodic memory tasks, and were not significantly associated with performance on tasks measuring fluency or concentration/attention. Although hallucinations were more strongly associated with performance on verbal than non-verbal memory tasks, the difference was not statistically significant. There was also a trend for hallucinations to be associated with poorer performance on working memory tasks, though this association was eliminated when episodic memory performance was taken into account. Delusions were not significantly associated with any of the cognitive measures.

Recent findings suggest that thought suppression may lead to increased intrusive thoughts for trauma survivors, paradoxically increasing symptoms. Participants with trauma history, 31 with posttraumatic stress disorder (PTSD) and 34 without PTSD, engaged in neutral white bear and trauma suppression tasks. A group difference was found for the trauma task and not for the neutral task. For the trauma task, both groups demonstrated an increase of trauma thoughts during suppression, but the PTSD group continued to report trauma thoughts at a higher level than the no-PTSD group post-suppression. These findings suggest that it is not an individual's general suppression ability, but the content of thoughts suppressed that leads to problems with intrusions for those with PTSD.

We used a naturalistic method to examine the causes of changes in individuals' reactions to, and feelings about, spiders and insects. In this descriptive retrospective study, 50 college students who reported substantial changes in their attitudes toward spiders and/or insects (in the absence of professional treatment) underwent telephone interviews about the change process. We found that individuals frequently describe the role of positive experiences and expectations in positive change and some individuals report sudden changes. Further, descriptions of the important role of disgust in the change process were common. We discuss the implications of our findings for understanding the etiology and treatment of spider and insect distress and make a case for the usefulness of naturalistic methods in expanding scientific knowledge.

Treatment of phobias is sometimes followed by a return of fear. Animal and human research has shown that changes in external and internal contexts between the time of treatment and follow-up tests often enhance return of fear. The present study examined whether shifts in caffeine (C) state would enhance return of fear. Participants who were highly afraid of spiders (n = 43) were treated in 1-session exposure-based therapy and tested for follow-up 1 week later. Participants were randomly assigned to 1 of 4 groups and received either placebo (P) or C at treatment and follow-up sessions: CC, PP, CP, and PC. Results demonstrated state-dependent learning. Participants experiencing incongruent drug states during treatment and follow-up (CP and PC) exhibited greater return of fear than those experiencing congruent drug states (CC and PP).

Onset of maternal varicella up to 5 days before delivery is associated with in utero exposure to varicella and may result in severe infection in the newborn 5 to 10 days after delivery. Since up to 31% of these newborns may die, routine administration of varicella-zoster immunoglobulin to these infants is recommended. Little is known, however, about the risk of death in other infants with postnatal infection. Available epidemiologic data indicate an estimated death/case ratio for children less than 1 year of age 4 times that for 1- to 14-year-olds (8 in 100,000 vs. 2 in 100,000). Since the actual ages for the infant deaths were lacking, it has been impossible to know how many deaths were possibly related to maternal varicella contracted within the 5 days before delivery. Using National Center for Health Statistics data, we analyzed 92 deaths due to varicella in children less than 1 year old reported between 1968 and 1978 (median age, 5.5 months). Only five deaths occurred in newborns (ages 8 hours to 19 days). These data indicate that intrauterine infection accounts for few varicella deaths in infants. Since postnatal infection accounts for the observed increased risk of death in this age group, the need for preventing postnatal varicella in all infants merits further study. However, based on the small number of deaths occurring annually and the low relative risk compared to other high risk groups, routine postexposure administration of varicella-zoster immunoglobulin to all children less than 1 year of age does not seem warranted at this time.