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The 26-item version of the Metacognitive Anger Processing Scale (MAP) has shown good psychometric properties in previous studies. However, there is a need for a shorter version of the scale.
Aims:
The aim of the present study is to psychometrically evaluate the 9-item Metacognitive Anger Processing Scale – Short Version (MAP-SV) in comparison with the original, 26-item version.
Method:
The 26-item MAP includes three subscales: rumination, positive beliefs and negative beliefs. Three items from each subscale were selected based on clinical validity to constitute the 9-item MAP-SV. A previous sample used for validation of the 26-item MAP was used for clinimetric testing. The sample included psychiatric patients (n = 88) and male forensic inpatients (n = 54). The MAP-SV was assessed according to scalability, convergent validity with general metacognition, and concurrent validity with anger measures.
Results:
The scalability of the 9-item MAP-SV was comparable to that of the original 26-item MAP in most psychometric tests. The Loevinger’s coefficient of homogeneity for the total score of the MAP-SV items was 0.29 for the combined sample compared with 0.36 in the original MAP, indicating close to acceptable scalability. The alpha coefficient for the MAP-SV total score was 0.79. For the combined sample, Pearson inter-correlations between the subscales of the MAP-SV were highly correlated with the MAP-SV total score (ranging from .66 to .84).
Conclusions:
The 9-item MAP-SV showed good psychometric properties and can be used as a reliable tool for assessing self-reported metacognitive anger processing.
Rumination has been shown to play a part in post-traumatic stress disorder (PTSD), but its relation to the intrusions characteristic of PTSD has mainly been investigated experimentally. This proof-of-concept case study explored the occurrence, personal experiences, and possible relation between rumination and intrusions in two PTSD patients in their daily living using a mixed method approach. A novel wearable self-tracking instrument was employed which provided fine-grained temporal resolution of observation data and could eliminate recall bias. Furthermore, quantitative and qualitative data were collected on participants’ symptoms, rumination and experiences of using the self-tracking instrument. First, without distinguishing between the two phenomena, the participants tracked both for a week. After receiving psychoeducational training for distinguishing between rumination and intrusions, the differentiated phenomena were tracked for a week. Both participants reported being subjectively able to distinguish between rumination and intrusions and made observations with high adherence during the project. Data hinted at a possible temporal relation between the phenomena in line with theories posing rumination as a maladaptive coping strategy as well as an exacerbator of PTSD symptoms. However, relations to mood were inconclusive. Furthermore, by using the self-tracking instrument, participants gained a heightened awareness of the characteristics of rumination and intrusions and contextual cues for occurrence, as well as a greater sense of momentary agency. Results reveal promising prospects in using the wearable self-tracking instrument for further investigation of the relation between rumination and intrusions in the lived lives of PTSD patients, as well as potential for incorporating this method in clinical treatment.
Key learning aims
(1) Self-tracking with the One Button Tracker is a novel symptom registration method, particularly suited for use in psychotherapeutic treatment and research.
(2) Rumination and intrusions appear to the participants as distinct cognitive phenomena and treatment targets in PTSD.
(3) Registering rumination and intrusions in real-time could reveal important temporal relations between them and the contexts in which they occur.
(4) The data obtained with this self-tracking method can potentially be used as a tool in, and for the further development of psychotherapy for PTSD.
Little is known about the excess mortality associated with use of some illicit substances. In particular, this concerns the risks associated with injection drug use and psychiatric disorders.
Aims
This study estimated mortality following substance abuse treatment among primary users of cannabis, cocaine, amphetamine, MDMA, and opioids. The risks associated with injection drug use and psychiatric comorbidity were assessed.
Methods
A register of individuals in treatment for illicit substance disorders was linked with registers on psychiatric treatment and mortality. The study population consisted of 20581 individuals who received treatment in Denmark between 1996 and 2006. There were 1441 deaths recorded over 111445 person-years of follow-up.
Results
Standardized Mortality Ratios (SMRs) for primary users of specific substances were: Cannabis: 4.9, cocaine: 6.4, amphetamine: 6.0, heroin: 9.1, and other opioids 7.7. For MDMA the crude mortality rate was 1.75/1000 person-years, and the SMR was not significantly elevated. Sharing of syringes was associated with increased mortality in both primary users of opioids (hazard ratio (HR): 1.58 [95% CI 1.22–1.99], p < .001) and cocaine/amphetamine (HR: 9.52 (95% CI 3.94–23.02, p < .001). Overall, psychiatric comorbidity was associated with modestly increased mortality (HR: 1.15 [95% CI 1.03–1.29], p = .012) and in particular for primary users of cocaine/amphetamine (HR: 2.74 [95% CI 1.56–4.80], p < .001).
Conclusions
High SMRs were found among individuals who had received treatment for cannabis, cocaine, amphetamine, and opioid use disorders. Injection drug use was clearly associated with excess mortality, while the impact of psychiatric comorbidity was generally modest.
A self-medication hypothesis has been proposed to explain the association between cannabis use and a number of psychiatric and behavioral problems. However, there is little knowledge on reasons for use and reactions while intoxicated, in cannabis users who suffer from depression or problems controlling violent behavior.
Methods:
We assessed 119 cannabis dependent subjects using the Schedules of Clinical Assessment in Neuropsychiatry (SCAN), parts of the Addiction Severity Index (ASI), and questionnaires on reasons for cannabis use and reactions to cannabis use while intoxicated. Participants with lifetime depression, and problems controlling violent behavior, were compared to subjects without such problems. Validity of the groupings was corroborated by use of a psychiatric treatment register, previous use of psychotropic medication, and convictions for violence.
Results:
Subjects with lifetime depression used cannabis for the same reasons as others. While under the influence of cannabis, they more often experienced depression, sadness, anxiety and paranoia, and they were less likely to report happiness or euphoria. Participants reporting problems controlling violent behavior more often used cannabis to decrease aggression, decrease suspiciousness, and for relaxation; while intoxicated they more often reacted with aggression.
Conclusions:
Subjects with prior depression do not use cannabis as a mean of self-medication. They are more likely to experience specific increases of adverse symptoms while under the influence of cannabis, and are less likely to experience specific symptom relief. There is some evidence that cannabis is used as a mean of self-medication for problems controlling aggression.
This study estimated Standardized Mortality Ratios (SMRs) for accidents, suicide, homicide, and natural causes following treatment for cannabis use disorders. Predictors of death within the sample and the time of death in relation to treatment start and ending were determined.
Methods
This was a register-based cohort study of 6445 individuals in treatment for cannabis use disorders in Denmark between 1996 and 2006. The register of individuals in treatment for cannabis use disorders was linked with registers on causes of death and psychiatric treatment. The sample was followed after treatment entry and 142 deaths were recorded during 26584 person-years of follow-up.
Results
The all-cause Standardized Mortality Ratio (SMR) was 4.9. For different causes of death the SMRs were: accidents: 8.2 (95% CI 6.3–10.5), suicide: 5.3 (95% CI 3.3–7.9), homicide: 3.8 (95% CI 1.5–7.9), and natural causes: 2.8 (95% CI 2.0–3.7). Secondary opioid use predicted all-cause mortality as well as death from accidents and homicide, while higher age predicted all-cause mortality and death from natural causes. After exclusion of those with secondary opioid use, excess mortality from homicide was no longer observed, while SMR's associated with other causes of death remained largely unchanged. The SMR was 17 in the first two weeks after treatment start, fell during the following year, and rose again thereafter. No excess mortality was observed following the end of treatment.
Conclusions
Individuals with cannabis use disorders have highly increased mortality from accidents, suicide, homicide, and natural causes.
Electric indoor lighting can disturb sleep and increase depressive symptoms; both common complaints in psychiatric inpatients.
Aims
To improve quality of sleep in patients using an indoor hospital lighting environment simulating nature in intensity, color, and circadian timing.
Methods
Investigator-blinded parallel group randomized controlled effectiveness trial supplied with qualitative interviews in an inpatient psychiatric ward with fully automatic and adjustable lighting. Admitted patients received a room with a naturalistic lighting environment (intervention group) or lighting as usual (control group). The primary outcome was the Pittsburg Sleep Quality Index and secondary outcomes included the Major Depression Inventory and WHO-five Well- Being Index.
Results
In this ongoing trial, we included 28 patients (16 treated and 12 controls). Patients in the intervention group reported higher subjective sleep quality and sleep efficiency, lower use of sleep medication (mean difference, 4.68 mg; 95% CI, 0.54; 53.5), fewer depressive symptoms (mean difference, 5; 95% CI,–2; 13), but lower well-being (difference,–4 percentage points; 95% CI,–20; 16), compared with the control group. At discharge, fewer patients in the intervention group had experienced use of involuntary treatment. Qualitative data indicated no side effects apart from issues in performing indoor leisure activities in dim light.
Conclusions
A naturalistic lighting environment was safe and improved sleep and mood in our small patient sample. The trial integrated well with routine clinical care and our sample reflected the heterogeneity of the target population (Funded by Region Midtjylland and others; Clinicaltrials.gov number, NCT02653040)
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Seasonal affective disorder (SAD) is characterised by recurrent episodes in autumn and winter of depression, hypersomnia, augmented appetite with carbohydrate craving, and weight gain, and can be successfully treated with bright light. Circadian rhythm hypotheses (summarized in) have stimulated research into the pathophysiology of SAD, postulating that:
1.The illness is a consequence of delayed phase position,
2.It is correlated with diminished circadian amplitude, or
3.It results from changes in the nocturnal duration between dusk and dawn e.g. of low core body temperature or melatonin secretion. Light is considered to act directly on the circadian pacemaker (‘Process C’) and not on sleep dependent processes (‘Process S’). Thus successful treatment of SAD must act via mechanisms within known retinohypothalamic pathways. Conversely, emergence of SAD symptoms may reflect inappropriate neurobiological response to decreasing daylength.
This study was designed to evaluate the effects of algal and yeast β-glucans on the porcine gastrointestinal microbiota, specifically the community of Lactobacillus, Bifidobacterium and coliforms. A total of 48 pigs were fed four diets over a 28-day period to determine the effect that each had on these communities. The control diet consisted of wheat and soya bean meal. The remaining three diets contained wheat and soya bean meal supplemented with β-glucan at 250 g/tonne from Laminaria digitata, Laminaria hyperborea or Saccharomyces cerevisiae. Faecal samples were collected from animals before feeding each diet and after the feeding period. The animals were slaughtered the following day and samples were collected from the stomach, ileum, caecum, proximal colon and distal colon. Alterations in Lactobacillus in the gastrointestinal tract (GIT) were analysed using denaturing gradient gel electrophoresis (DGGE) profiles generated by group-specific 16S rRNA gene PCR amplicons. Plate count analysis was also performed to quantify total coliforms. DGGE profiles indicated that all β-glucan diets provoked the emergence of a richer community of Lactobacillus. The richest community of lactobacilli emerged after feeding L. digitata (LD β-glucan). Plate count analysis revealed that the L. hyperborea (LH β-glucan) diet had a statistically significant effect on the coliform counts in the proximal colon in comparison with the control diet. β-glucan from L. digitata and S. cerevisiae also generally reduced coliforms but to a lesser extent. Nevertheless, the β-glucan diets did not significantly reduce levels of Lactobacillus or Bifidobacterium. DGGE analysis of GIT samples indicated that the three β-glucan diets generally promoted the establishment of a more varied range of Lactobacillus species in the caecum, proximal and distal colon. The LH β-glucan had the most profound reducing effect on coliform counts when compared with the control diet and diets supplemented with L. digitata and S. cerevisiae β-glucans.
OH(1720 MHz) and methanol masers are now recognized to be excellent probes of the interactions of supernova remnants with molecular clouds and tracers of massive star formation, respectively. To better understand the nature of star formation activity in the central region of the Galaxy, we have used these two classes of masers combined with the IRAC and MIPS data to study prominent sites of ongoing star formation in the nuclear disk. The nuclear disk is characterized by massive GMCs with elevated gas temperatures, compared to their dust temperatures. We note an association between methanol masers and a class of mid-infrared “green sources”. These highly embedded YSOs show enhanced 4.5μm emission due to excited molecular lines.
The distribution of methanol masers and supernova remnants suggest a low efficiency of star formation (with the exception of Sgr B2), which we believe is due to an enhanced flux of cosmic ray electrons impacting molecular clouds in the nuclear disk. We also highlight the importance of cosmic rays in their ability to heat molecular clouds, and thus increase the gas temperature.
Recent experimental studies of electrical conduction in a specially prepared silver-based material, across which a spark has been passed, are interpreted through electrical conduction via charge density waves (CDWs) moving in a dc electric field along quasi-one-dimensional chains of Ag+-ions inside the branches of the discharge pattern engraved in the material by the spark. Here we present experimental evidence that the resistance along a number N of branches connected in parallel increases in quantized steps of height $h/2e^{2}N$ with increasing voltage applied across the branches
A comprehensive approach is presented to optimise coking coalblends. It includes a first calculation of CRI and CSR for the set ofcoals, confirmed by laboratory carbonisation tests and later completedby carbonisation tests at pilot scale. This approach is expectedto afford a helpful instrument for the coke plant operator.
Cathode-directed sparks engrave in a specially prepared, originally low-conducting nonlinear silver-based material beyond a critical electric power input highly structured discharge patterns which exhibit an anomalous potential distribution consisting of an electrical double layer in series with a region of high electrical conductivity.
The diffusion behavior of elements constituting Hastelloy C-276 (C, Si, Mn, Co, W, Fe, Cr, Mo, and Ni) in alumina films was investigated using secondary ion mass spectroscopy. The films were deposited by ion-beam-assisted deposition and annealed in vacuum over a temperature range of 500–1000 °C. Characterization of film microstructure was performed using transmission electron microscopy and selected area diffraction analyses. The films were predominantly amorphous with alumina nanocrystallites nonuniformly dispersed throughout the volume both before and after annealing. A relatively wide interface region between the Hastelloy substrate and alumina film was formed in the as-deposited sample due to ion beam mixing. No diffusion of any of the substrate elements was observed after annealing, except for Mn, Cr, and Ni. The impurity depth distributions consisted of two components, which differed by several orders of magnitude with respect to diffusion coefficient and solubility. Activation energies and temperature dependencies of the diffusion coefficients were determined, and a diffusion mechanism was discussed.
A single LaMnO3 buffer layer was developed for the growth of superconducting thick YBa2Cu3O7−δ (YBCO) films on polycrystalline Ni-alloy substrates where a biaxially textured MgO layer, produced by ion-beam assisted deposition (IBAD), was used as a template. Using pulsed laser deposition, a 1.65-μm-thick YBCO film with a critical current density of 1.4 × 106 A/cm2 in self field at 75 K was achieved on sputtered LaMnO3-buffered IBAD MgO substrates. This corresponds to a critical current (Ic) of 231 A/cm-width. This result demonstrates the possibility of using both LaMnO3 buffer and IBAD MgO template for producing high current density YBCO-coated conductors.
Nickel-based superalloys have been coated with magnesium oxide (MgO) using ion-beam-assisted deposition (IBAD). This technique produced a well-oriented bi-axially textured MgO template layer with a Ф scan full width half maximum of 6.4°. The layer architecture for these samples was as follows: polished hastelloy C276/amorphous Si3N4/IBAD MgO/ pulsed laser deposited (PLD) Y2O3–ZrO2/PLD CeO2/PLD YBa2Cu3O7?δ. The subsequent heteroepitaxial PLD of 1.5-mm-thick YBCO showed a nominal critical current density of over 1 MA/cm2 (75 K, self-field) along a microbridge and had an in-plane mosaic spread of 4.8° and an out-of-plane spread of 1.3°. These results compare well with our earlier work using IBAD yttria-stabilized zirconia (YSZ) as a template layer and indicate that IBAD MgO is a suitable substitute. Furthermore, these results suggest that IBAD MgO could be adapted to and increase the feasibility of a continuous process to fabricate longer lengths of coated conductors at speeds 100 times faster than that previously realized with IBAD YSZ.
We have used a low temperature magnetic imaging system to determine current pathways in 5 cm long “good” and “bad” regions of a 1-cm-wide YBa2Cu3O7-δ coated conductor. The good and bad regions were identified with 4 point probe measurements taken at 1 cm intervals along the tape length. The current density map from the good region showed the expected edge peaked structure, similar to that seen in previous work on high quality test samples grown on single crystal substrates. The structure was also consistent with theoretical understanding of thin film superconductors where demagnetizing effects are strong. The maps from the bad region showed that the current was primarily confined to the right half of the sample. The left half carried only a small current that reached saturation quickly. Effectively halving the sample width quantitatively explains the critical current measured in that section. Spatially resolved x-ray analysis with 1 mm resolution was used to further characterize the bad section and suggested an abnormally large amount of a-axis YBCO present. This may be the result of non-uniform heating leading to a low deposition temperature in that area.
Each process used to deposit or make the bi-axially textured template, buffer layer(s), and the superconductor in a coated conductor creates interfaces along which defects or interfacial reactions may result. These defects can be additive and propagate through the entire film structure to affect the growth and properties of the superconducting film. Defects within the films and their corresponding transport properties have been correlated with the differences in the thickness of the underlying buffer layer material. This knowledge can be used to control and engineer the structure of the coated conductor to maximize critical current densities.
The microstructural development of YBa2Cu3Oy (Y-123) coated conductors based on the ion-beam-assisted deposition (IBAD) of yttria-stabilized zirconia (YSZ) to produce a biaxially textured template is presented. The architecture of the conductors was Y-123/CeO2/IBAD YSZ/Inconel 625. A continuous and passivating Cr2O3 layer forms between the YSZ layer and the Inconel substrate. CeO2 and Y-123 are closely lattice-matched, and misfit strain is accommodated at the YSZ/CeO2 interface. Localized reactions between the Y-123 film and the CeO2 buffer layer result in the formation of BaCeO3, YCuO2, and CuO. The positive volume change that occurs from the interfacial reaction may act as a kinetic barrier that limits the extent of the reaction. Excess copper and yttrium generated by the interfacial reaction appear to diffuse along grain boundaries and intercalate into Y-123 grains as single layers of the Y-247, Y-248, or Y-224 phases. The interfacial reactions do not preclude the attainment of high critical currents (Ic) and current densities (Jc) in these films nor do they affect to any appreciable extent the nucleation and alignment of the Y-123 film.
In 1998, the European Community, the Region Wallonne, and the Province du Hainaut funded the project known as the Centre for the control of animal health and its management (CESAM). This project was initiated in the Hainaut province of Belgium to answer problems encountered by cattle producers. Its overall goal is the identification of stages in the entire bovine production process where economic efficiency can be increased. A part of this project aims principally at the study of the impact of health-related problems on dairy production. For this part of the project, 32 veterinarians and 51 farmers started collecting data in the field. The methodology for data collection was based mainly on the harmony between the farmer and the veterinarian. Therefore, several procedures were implemented to ensure adequate motivation of both farmers and veterinarians. Farmers note all events of their livestock using a list, which contains disease events, preventive treatments, reasons for culling, and management practices. A veterinarian visits farms monthly to validate collected data and to discuss specific problems. During these farm visits, veterinarians collect body condition scores on adult cows. Veterinarians record also information on health problems they encounter during their normal practice using an international health data recording nomenclature. A national organization provides unique animal identification system. Production data will be recorded and feeding practices, milking procedures and barn comfort indices will be regularly investigated. All data will be collected on pre-printed documents, scanned at CESAM and centralized in a relational computer database. Criteria to evaluate the quality of the proposed methodology are presented.