Social-cognitive deficits differentiate parents with the "broad autism phenotype" from non-broad autism phenotype parents more robustly than other neuropsychological features of autism, suggesting that this domain may be particularly informative for identifying genetic and brain processes associated with the phenotype. The current study examined whether the social-cognitive deficits associated with the broad autism phenotype extend to the general population and relate to reduced social skill. A total of 74 undergraduates completed the Broad Autism Phenotype Questionnaire, three standardized social-cognitive tasks, and a live social interaction with an unfamiliar research assistant. Social broad autism phenotype traits were significantly associated with deficits in social cognition and reduced social skill. In addition, the relationship between social broad autism phenotype traits and social skill was partially mediated by social cognition, suggesting that the reduced interpersonal ability associated with the broad autism phenotype occurs in part because of poorer social-cognitive ability. Together, these findings indicate that the impairments in social cognition and social skill that characterize autism spectrum disorder extend in milder forms to the broad autism phenotype in the general population and suggest a framework for understanding how social broad autism phenotype traits may manifest in diminished social ability.
Dissolution of a romantic relationship can adversely affect functioning among college students and represents one primary reason for seeking campus counseling. This study examined the associations among common coping strategies and distress following relationship dissolution. Avoidance and repetitive negative thinking (RNT) were significantly associated with distress, and gender was found to moderate the relationship between RNT and distress. Findings suggest that college counselors should consider emotional coping strategies following relationship dissolutions.
Abstract. This naturalistic pilot study examined interpersonal decentering, a form of social cognitive maturity and self–other mentalizing scored from the Thematic Apperception Test, as a client personality variable that might predict psychotherapy retention and clients’ perceptions of in-session process. Clients having difficulty with mature decentering might struggle to engage in therapy, need different interventions, and be at risk for therapy dropout. Thematic Apperception Test stories were gathered from new outpatient therapy clients soon after their intake session. Interpersonal decentering scores from the nine stories were used to predict outpatients’ therapy attrition or perceptions of psychotherapy process four to six sessions later. Clients’ perceptions of therapy events commonly associated differentially with psychodynamic and cognitive-behavioral therapies were measured using self-rated items from the Psychotherapy Process Q-set. Lower decentering scores predicted early attrition (before Session 6). Clients with more mature decentering scores reported more frequent psychodynamic relative to cognitive-behavioral therapy process events in these early sessions. Lower decentering maturity may limit clients’ processing of psychodynamic interventions. Interpersonal decentering may be a valuable, easy-to-score assessment tool for predicting attrition risk and making treatment planning recommendations for intervention strategies.
Background: Previous research indicates traumatic exposure and posttraumatic stress disorder (PTSD) occur at a higher rate in people with severe mental illness (SMI) than in the general population, and co-occurring PTSD symptoms can worsen outcomes for patients with SMI.Objective: This study assessed the presence and influence of PTSD symptoms in individuals with SMI in an inpatient psychiatric setting, and rates of PTSD diagnoses in this population.Methods: Retrospective analysis of demographic information and behavioral health outcomes, using a representative sample of adult and geriatric inpatient psychiatric patients (N = 4,126).Results: This study found elevated PTSD symptoms in over 65% of patients, and significant positive correlations between PTSD symptomatology and behavioral and emotional dysfunction. This study also explored differences in patients with PTSD symptoms who did and did not receive a PTSD diagnosis, finding associations for admission severity, race, and gender.Conclusions: Traumatization and PTSD symptoms were prevalent in psychiatric inpatient settings, and had an impact on behavioral health outcomes. Recommendations include the use of PTSD screening in behavioral healthcare admission processes, and the furtherance of trauma-informed care for inpatient psychiatric patients with SMI, due to the volume of traumatization and PTSD symptoms in the population.
Patients tend to perceive ECT as a safe and beneficial treatment option for severe mood disorders, even when considering adverse effects. This study reinforces the value of standardized data collection and outcomes measures to better monitor patient response to treatment, refine the clinical practice of ECT, and provide data to support patient education.
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