The project examines hypermasculine attitudes and depressive symptoms in emerging adult males. Recent research has suggested that although males have historically reported lower rates of depressive symptoms than females (Boticello, 2009), emerging adulthood may be a time when males are at an increased risk of developing depressive symptoms due to fear of failing to fulfill traditional masculine roles (e.g., breadwinner) and failure to achieve intimate romantic partnerships as a result (Oliffe et al., 2010). Some males may attempt to cope with these negative feelings by adopting maladaptive and exaggerated hypermasculine attitudes. Hypermasculine attitudes are associated with a variety of negative outcomes including violence toward women and substance abuse (Mosher & Sirkin, 1984). Substance use is also associated with depressive symptoms as a form of self-medication (Joiner et al., 1992) and masculinity in the college social context (Iwamoto et al., 2011). Hypermasculinity was originally conceptualized as a personality trait, but more recent research has examined it as a reactive coping strategy (Cunningham & Meunier, 2004). Furthermore, there is also evidence that hypermasculine attitudes may be more multidimensional and that different profiles of hypermasculine attitudes may be associated with different behavioral and psychological outcomes (Burke, Burkhart, & Sikorski, 2004). 328 males ages 18-25 who attend college completed the survey. The results do not support the hypothesized profile of hypermasculine attitudes. However, analysis of demographic characteristics did yield one large homogeneous cluster (n =213) for whom hypermasculine attitudes may be serving as a reactive coping strategy for depressive symptoms, and another large heterogeneous cluster (n = 115) for whom hypermasculine attitudes may not be serving as a coping strategy for depressive symptoms. / acase@tulane.edu

Aim To determine the neural correlates of Bipolar Disorder (BD) using functional Magnetic Resonance Imaging (fMRI) in different phases of the illness. Methods Five fMRI studies were conducted in adult female BD patients and healthy matched comparison subjects. The first two studies examined patients with bipolar depression and hypomania using captioned-pictures to characterize mood-state related patterns of activation. The subsequent three studies investigated BD euthymia using emotional words and faces to identify a potential trait-marker. Results During depression, bipolar patients demonstrated additional subcortical activation in the thalamus, amygdala, hypothalamus and medial globus pallidus. In hypomania, patients again had additional subcortical activation involving the caudate and the thalamus. In both studies patients had prefrontal cortex activation, but the pattern differed from that in healthy subjects. These studies suggested a pattern of mood-state related subcortical recruitment for emotional processing in BD. The next set of studies examined euthymic BD patients to partition trait and state-markers. The first study used implicit positive and negative word-associated affect and found diminished responses to positive and negative affective words as compared to healthy subjects in both cortical and subcortical brain regions, in particular the cingulate, thalamus and caudate. The second study used the emotional Stroop task to elicit implicit affective processing and euthymic patients had less cortical and subcortical activation in response to affect, in particular decreased left ventral prefrontal cortex (BA47) activation. The final study used explicit emotional processing of fear and disgust to examine affective responses, and showed that patients were generally less responsive to disgust, but had comparatively greater activations to fear. Conclusions BD patients have a likely deficit in the ventral prefrontal cortex that is evident in euthymia. Prefrontal cognitive appraisal of emotions is constrained in euthymic, depressed and hypomanic phases, reflected in subcortical changes that suggest additional processing. The likely cause for this is a functional prefrontal cortex deficit that results in compensatory changes in emotional processing systems. Treatment probably stabilizes these systems without normalizing them. Our studies demonstrate the benefits of examining BD in its different phases, and future studies should attempt to emulate this in medication-free patients.

Previous event-related potential (ERP) studies have reported evidence of impaired auditory information processing in patients with schizophrenia. Some of these findings, such as the impaired P50 sensory gating, are consistent with a loss of inhibitory function. In auditory ERP studies using pairs of stimuli the size of the second response relative to the first response has been taken to indicate the extent to which responsiveness has recovered after a period of time. This variation of responsiveness has been termed the 'recovery cycle,' and is regarded as a measure of the time course of recovery of excitability of cortical neurons after stimulation. The recovery cycle of the auditory N1 ERP component was measured in 17 patients with schizophrenia and 17 age- and sexmatched healthy volunteers, and 12 patients with bipolar disorder and 12 age- and sex-matched healthy volunteers. Subjects performed a visual distraction task while listening to tone pairs, presented with intra-pair intervals of 1, 3, 5 or 7 s, with inter-pair intervals ranging between 9-13 s. Patients with schizophrenia had significantly reduced N1 amplitudes for S1 stimuli compared to healthy volunteers. For N1 amplitudes elicited by S2 stimuli there was a significant group effect whilst the main effect of intra-pair interval was not significant. A significant quadratic effect across ISI intervals was present in the healthy volunteer group, which was not significant in the schizophrenia group. Patients with bipolar disorder did not differ in N1 amplitudes elicited by S1 stimuli compared to healthy volunteers. There was no evidence of significant group differences in the recovery cycle effect between bipolar patients and matched healthy volunteers. The results provide evidence of inhibitory auditory processing deficits in schizophrenia, and further suggest that deficits in attention found in patients with schizophrenia, as indexed by reductions of auditory N1 amplitude, may be associated with impairments in inhibitory processes. In addition, different recovery cycle effects were found in patients with schizophrenia and those with bipolar disorder. Further study of the recovery cycle paradigm used in this study may lead to the development of an objective diagnostic tool.

<p>Syftet med föreliggande empiriska studie var att undersöka och beskriva i vilken omfattning individer behandlade med hemodialys rapporterar symtom på depression. Författarna ville även redogöra för den utsträckning antidepressiva läkemedel ordinerats samt om det existerade några könsskillnader i depressionssymtom och i ordinerad antidepressiv behandling. Studien baserades på ett bekvämlighetsurval från 11 geografiskt spridda dialysenheter i Sverige. Urvalet bestod av 222 patienter som mötte inklusionskriterierna (behärska svenska språket tillräckligt bra för att förstå frågorna i enkäten, genomgått hemodialys behandling i minst 6 månader samt vara 18 år fyllda) varav 141 patienter fullföljde undersökningen. Dessa 141 deltagare fick fylla i den förkortade versionen av CES-D formuläret, ett självskattnings instrument där den egna mentala hälsan skattas. Resultatet visade att drygt en tredjedel av hemodialyspatienterna hade depressionssymtom och endast 12 patienter av 50 med depressionssymtom var ordinerade antidepressiv behandling. Emellertid visade inte föreliggande studie några signifikanta könsskillnader gällande depressionssymtom eller i ordinerad farmakologisk behandling. Författarna drar slutsatsen att depression är vanligt bland hemodialyspatienter. Därför är det viktigt att utbilda både vårdgivare och närstående för att de ska kunna se tecken på depressionssymtom i ett tidigt skede, eftersom rätt behandling kan öka dessa patienters livskvalitet och samtidigt vara kostnadsbesparande för sjukvården</p> / <p>The aim of the present empirical study was to investigate and describe in which extent individuals treated with hemodialysis reported symptoms of depression. The authors also wanted to describe in which extent antidepressant medicine was prescribed. Also if there existed any differences between males and females in depressive symptoms and if there was any divergence in treatment with anti depressive medicals. The study was based on a convenience sample from 11 geographical spread dialys units in Sweden. The sample consisted of 222 patients whom fulfilled the inclusion criterias (they had to have a good knowledge of the Swedish language so they could understand the questionnaire, at least six months of dialysis treatment experience and be at least 18 years old) of whom 141 carried out the study. These 141 participants filled out the short version of the CES-D form, a self report form where the mental health was estimated. The result showed that one third of the hemodialysis patients had symptoms of depression and only 12 patients of 50 had treatment with antidepressant medicine. However the study did not show any significant differences between male and female regarding depressive state and treatment with anti depressive medicine. The authors conclude that depressive symptoms are common among hemodialysis patients. That is why it is important to educate nurses and relatives so they can learn how to see signs of depressive symptoms as early as possible. Right treatment could then increase hemodialysis patients quality of life and also save money for the hospitals.</p>

Syftet med föreliggande empiriska studie var att undersöka och beskriva i vilken omfattning individer behandlade med hemodialys rapporterar symtom på depression. Författarna ville även redogöra för den utsträckning antidepressiva läkemedel ordinerats samt om det existerade några könsskillnader i depressionssymtom och i ordinerad antidepressiv behandling. Studien baserades på ett bekvämlighetsurval från 11 geografiskt spridda dialysenheter i Sverige. Urvalet bestod av 222 patienter som mötte inklusionskriterierna (behärska svenska språket tillräckligt bra för att förstå frågorna i enkäten, genomgått hemodialys behandling i minst 6 månader samt vara 18 år fyllda) varav 141 patienter fullföljde undersökningen. Dessa 141 deltagare fick fylla i den förkortade versionen av CES-D formuläret, ett självskattnings instrument där den egna mentala hälsan skattas. Resultatet visade att drygt en tredjedel av hemodialyspatienterna hade depressionssymtom och endast 12 patienter av 50 med depressionssymtom var ordinerade antidepressiv behandling. Emellertid visade inte föreliggande studie några signifikanta könsskillnader gällande depressionssymtom eller i ordinerad farmakologisk behandling. Författarna drar slutsatsen att depression är vanligt bland hemodialyspatienter. Därför är det viktigt att utbilda både vårdgivare och närstående för att de ska kunna se tecken på depressionssymtom i ett tidigt skede, eftersom rätt behandling kan öka dessa patienters livskvalitet och samtidigt vara kostnadsbesparande för sjukvården / The aim of the present empirical study was to investigate and describe in which extent individuals treated with hemodialysis reported symptoms of depression. The authors also wanted to describe in which extent antidepressant medicine was prescribed. Also if there existed any differences between males and females in depressive symptoms and if there was any divergence in treatment with anti depressive medicals. The study was based on a convenience sample from 11 geographical spread dialys units in Sweden. The sample consisted of 222 patients whom fulfilled the inclusion criterias (they had to have a good knowledge of the Swedish language so they could understand the questionnaire, at least six months of dialysis treatment experience and be at least 18 years old) of whom 141 carried out the study. These 141 participants filled out the short version of the CES-D form, a self report form where the mental health was estimated. The result showed that one third of the hemodialysis patients had symptoms of depression and only 12 patients of 50 had treatment with antidepressant medicine. However the study did not show any significant differences between male and female regarding depressive state and treatment with anti depressive medicine. The authors conclude that depressive symptoms are common among hemodialysis patients. That is why it is important to educate nurses and relatives so they can learn how to see signs of depressive symptoms as early as possible. Right treatment could then increase hemodialysis patients quality of life and also save money for the hospitals.

No description available.

Two decades of research suggest that a non-specific style of autobiographical memory retrieval–known as overgeneral memory–may be a cognitive style that increases depression vulnerability. Recent theorizing and empirical evidence suggest the mechanisms underlying overgeneral memory include rumination and avoidance. This study provided a preliminary investigation of the effectiveness of an expressive writing intervention, which has been found to reduce rumination and avoidance, in reducing overgeneral memory, with the ultimate goal of preventing future depressive symptoms among non-depressed college students. Two hundred and seven non-depressed college students completed the expressive writing intervention, in addition to a one-month and six month follow-up assessment. Participants were randomized one of three writing conditions: traditional expressive writing, specific expressive writing, or control writing. Participants in the traditional and specific expressive writing conditions were instructed to write about their deepest thoughts and feelings about an emotional event; the specific expressive writing condition contained the additional instruction that participants describe the events in a vivid and detailed manner. Participants in the control condition were instructed to write about a neutral topic (i.e., time management). All groups wrote for 20 minutes on three consecutive days. Study results showed that compared to participants in the control writing condition, participants in the traditional and specific expressive writing conditions demonstrated significantly greater autobiographical memory specificity at the six-month follow-up, but not at the one-month follow-up. Furthermore, the observed increase in autobiographical memory specificity for the expressive writing conditions could not be attributed to change in depressive symptoms over the same time interval. Results revealed that the effect of the traditional expressive writing intervention on increased autobiographical memory specificity was partially mediated by a reduction in avoidance assessed at the one-month follow-up. The hypothesis that rumination would partially mediate the effect of the expressive writing intervention on increased autobiographical memory specificity was not supported. Despite preliminary evidence that an expressive writing intervention compared to a control wiring condition is effective in increasing autobiographical memory specificity over a six-month period for initially non-depressed college students, it remains to be seen if increased autobiographical memory specificity decreases vulnerability to future depressive symptoms. / text

The purpose of the study is to examine the influence of parental contributions to perfectionism on depressive symptoms for Asian American adolescents and whether perceived parental support and/or social support may buffer/moderate the relationship. Perceived support from parents and peers may serve as protective factors from experiencing distress associated with the high pressures experienced by Asian Americans to succeed academically and be perfect in school. Asian American adolescents will fill out self-report measures for dimensions of perfectionism, depressive symptoms, and perceived parental and social support. Multiple regressions will be used to test the hypothesis of this study. Implications for the proposed study suggested the development of an intervention to help cultivate coping skills related to parent-driven stress for Asian American adolescents. / text

In breast cancer patients, symptoms of depression decrease quality of life and may have other serious consequences, such as increasing mortality. Few studies have focused on psychosocial issues and their relation to breast cancer in African-American women. Thus, only limited information has been published on the breast cancer experience of African American women. A grounded theory approach was used to explicate the social psychological and social structural processes of African American women with breast cancer experiencing depressive symptoms. The sample included nine African American women with breast cancer who experienced depressive symptoms. Unstructured interviews were conducted with each participant.Data were analyzed using the constant comparison method. The data indicated that African American women used the basic social process of Transcending the now to manage the basic social problem of having breast cancer and experiencing depressive symptoms. The five phases of the basic social psychological (BSP) process Transcending the Now that emerged during data analysis were Relying on Faith, Being Strong, Seeking Support, Dealing with Life Too, and Enduring Breast Cancer. The findings of this study provide nurses with new knowledge regarding the experience of depressive symptoms in African American women with breast cancer and provide a theory of transcending that can be used in building a research-based practice.

BACKGROUND: Soldiers face extraordinary circumstances while serving in the U.S. Armed Forces. Soldiers are required at times to live away from family and friends for extended periods of time and work in hazardous environments. Once soldiers become veterans, the experiences of military life may continue to affect them long after their duties have been carried out. These conditions put them at greater risk for alcohol misuse and depression. The purpose of this is to determine whether there is an association between alcohol misuse and depression symptomology among males who have a history of service in the U.S. Armed Forces. METHODS: Secondary data from NHANES 2005-2008 were used to analyze 1,381 men who expressed alcohol misuse and depressive symptomology. Chi-square tests were used to attain descriptive frequencies for alcohol misuse and depressive symptomology and demographic factors. Binary logistic regression was used for univariate and multivariate to test for associations between alcohol misuse, depressive symptomology, and demographic variables. RESULTS: Alcohol misuse and depressive symptomology were significantly associated with male veterans with a history of service in the Armed Forces, p= .041. Age (p< .001), race (p< .05) marital status (p<.05), and educational attainment (p< .01) are the best predictors of alcohol misuse among male veterans. Similarly, depressive symptomology had the same predictors as alcohol misuse, except race. CONCLUSIONS: The complex relationship between alcohol misuse and depressive symptomology among male veterans warrants further research. Public health professionals need to clearly establish standard measurement instruments for diagnosing these conditions. Once established, appropriate interventions can be implemented in order to combat these alcohol misuse and depressive symptomology among male veterans. INDEX WORDS: alcohol misuse, depressive symptomology, military, veterans