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The positive valence systems (PVS) domain, a key focus of the Research Domains Criteria framework, divides reward-related processes into three constructs: reward responsiveness, reward learning, and reward valuation. Difficulties with several of these reward constructs have been reported in people with mood-psychosis spectrum disorders. This study aims to examine how performance on tasks corresponding to these three constructs covaries, and how performance relates to mood and psychotic symptoms in adults with mood-psychosis spectrum disorders, those at familial risk, and controls.
Methods
Data from two studies (N = 278 and N = 332) were analyzed, which both included people with a psychotic disorder or bipolar disorder (patients), their first-degree relatives (FDRs), and controls. PVS constructs were measured using the Multi-Armed Bandit Task, Effort-Expenditure for Rewards Task, and Monetary Incentive Delay Task. Depression, mania, and psychosis symptoms were measured with self-report and interview instruments. Confirmatory factor analysis was used to examine covariation, and path analysis to test associations with symptoms.
Results
The three reward constructs showed weak (nonsignificant) covariance in all groups. There were a few impairments in reward-related performance in patients or FDRs, none that survived multiple-comparison correction. There were no associations between symptoms and performance on the PVS constructs after multiple comparisons correction.
Conclusions
The findings showed no evidence that performance on any of the three PVS constructs could constitute an endophenotype of mood-psychosis spectrum disorders. We recommend future research examining the contribution of specific cognitive skills to reward-related behavior, and to sources of heterogeneity in reward functioning within the patient group.
In a sample of early post-menarchal female adolescents, this study examined sleep regularity in relation to depression symptoms, circadian rhythms, and chronotype preference. Sixty-six female adolescents, aged 11–14 and within fifteen months post-menarche, completed a one-week sleep and circadian rhythm assessment involving self-reported sleep behaviors, 24-h sleep monitoring using wrist actigraphy, and serial cortisol and 6-sulfatoxymelatonin collections for four days. Sleep regularity was operationalized as the probability of being in the same wake/sleep state at any two timepoints 24 h apart (i.e., sleep regularity index (SRI)). Reduced SRI was associated with higher depressive symptoms (F [1,273] = 18.65, p = < .0001), as were eveningness chronotype (F [1,273] = 21.13, p = < .0001), sleep duration (F [1,273] = 6.25, p = .01), and self-reported life stress (F [1,273] = 22.82, p = < .0001). The interaction between SRI and chronotype was also a predictor of increased depression (F [1,273] = 18.65, p = < .0001), such that eveningness and low sleep regularity predicted higher scores. Sleep regularity was not significantly associated with cortisol awakening response, cortisol slope, or overnight melatonin levels. Sleep regularity appears linked to altered mood in early post-menarchal girls. Further research linking sleep regularity to physiological processes governing sleep is warranted. Interventions targeting sleep regularity stand to improve mental health outcomes, as well as promote healthy developmental trajectories for affect regulation.
The question of whether Irrealis is a meaningful concept in crosslinguistic comparison has been the subject of long-standing controversy. In this article, we argue that the semantic domain of irreality is split into two domains—the possible and the counterfactual—and that an ‘irrealis’ marker in a given language may refer either to only one of these domains or to both. A significant part of the crosslinguistic variation in what is referred to by the term irrealis can be traced back to this distinction. Other factors that obscure the realis/irrealis divide include functional subdivisions of the irrealis domain and paradigmatic competition within the TAM system of a language. We conclude that ‘irrealis’ is a crosslinguistically meaningful notion.
This chapter focuses on verbal morphology, in particular, agreement and so-called TAM, i.e., tense, aspect and mood/modality. It provides conlanging practice, a set of guided questions to develop the verbal morphology of a conlang, and describes the verbal morphology of the Salt language
The verbal system of Proto-Indo-European was primarily based not on distinctions of tense, but rather on distinctions of aspect. The shift from the three aspect system (imperfective, perfective, retrospective) of late Proto-Indo-European to the binary tense system (past vs. non-past) of Germanic explains why the older forms of Germanic lack aspectual forms completely, and also why in historical times the various Germanic languages have developed analytic aspectual patterns of various kinds. In the case of English, these include two perfects to mark past events relevant to the present (I have seen her twice; The warm sea wind was risen and blew over them now), a fully grammaticalised be progressive (She is reading a book) and a second, partly grammaticalised progressive periphrasis formed on a deictic motion verb (Bill went whistling down the street). Also examined in the chapter are changes pertaining to the domain of modality.
Disruptions in circadian rhythms and sleep have long been associated with mood disorders. In fact, sleep disturbances are one of the key features used in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V-TR) diagnosis of major depressive disorder and bipolar disorder. Sleep/wake abnormalities can also precede mood episodes and predict treatment response. Thus, precise measurement of specific sleep/circadian features is important as these measures can be used clinically to direct appropriate treatments. These measures can also be used for research purposes to try to understand specific mechanisms by which circadian rhythm disturbances and sleep/wake perturbations may lead to specific phenotypes. The purpose of this review is to highlight recent advances in methodology which can be used to more precisely measure sleep/circadian biology. This review will examine how these new methodologies can better elucidate the mechanisms linking sleep/circadian disruptions and mood disorders, as well as how new technologies can be used therapeutically to treat sleep/circadian abnormalities.
Verbs are typically the most grammatically complicated and diverse constituents within any clause structure. The information presented in this chapter is not intended to be an exhaustive resource; rather, my goal is to introduce foundational concepts that can support your own research of additional features. The first section introduces tense and aspect, two key types of inflections that occur with verbs, and mood and evidential marking are introduced in the second section. The third section explores negation strategies and auxiliary verbs, while the fourth dives into valency-changing inflections, including the passive voice. By the end of this chapter, you will have made decisions about marking verbs in clause structures and will be able to translate basic clauses into your language.
Chapter 6 treats Balkan convergence involving morphology and morphosyntax more generally, focusing particularly on inflectional morphology. Attention is given to categories and to forms, as well as the special, and often nuanced, functions and semantic range of particular items. Convergence involving nouns and noun phrases is documented, with regard to case, deixis, definiteness, gender, number, and adjectival modification. Particular attention is given to the development of analytic structures. Regarding verbs and verb phrases, convergence is discussed in the categories of tense, aspect, mood, evidential marking, voice, and valency.
Psychological symptoms in perimenopause and early menopause are common. The impact of menopausal hormone therapy (MHT) on menopausal mood symptoms is unclear.
Aims
To assess the impact of 17β-oestradiol ± micronised progesterone or the levonorgestrel-releasing intrauterine device, and/or transdermal testosterone, on depressive and anxiety symptoms in peri- and postmenopausal women.
Method
A real-world retrospective cohort study set in the largest specialist menopause clinic in the UK. The Meno-D questionnaire measured mood-related symptoms.
Results
The study included 920 women: 448 (48.7%) perimenopausal, and 435 (47.3%) postmenopausal. Following initiation/optimisation of MHT, mean Meno-D scores decreased by 44.59% (95% CI −46.83% to −42.34%, P < 0.001) after average 107 days follow-up. Mood symptoms significantly improved (P < 0.01 per symptom). Improvement occurred in peri- and postmenopausal women. All MHT regimens improved mental health including both progestogen types (body-identical progesterone and levonorgestrel-releasing intrauterine device), MHT initiation strategy (oestradiol ± a progestogen versus oestradiol ± a progestogen and testosterone, 45.38 v. 48.53%, respectively, P = 0.47) and MHT optimisation strategy (MHT users treated with a higher oestradiol dose versus testosterone added versus both a higher oestradiol dose and testosterone, 34.70, 43.93 and 43.25%, respectively, P = 0.38).
Conclusions
Use of menopausal hormone therapy was associated with significant improvement in mood in peri- and postmenopausal women. Prospective studies and randomised clinical trials are needed to assess the effects of different regimens in different patient populations over longer time periods.
Interest in women’s brain health has grown rapidly. However, the terms ‘menopause’ and ‘hormone therapy’ have been used as general concepts embracing different types of menopause and treatments. In this editorial, we make a plea for accurate description of each type to generate precision evidence.
For over four decades, isotretinoin has shown unparalleled efficacy in the management of severe recalcitrant acne. However, controversies exist about its psychiatric safety profile. This editorial discusses the alleged causal role of isotretinoin in the development of psychiatric adverse events in light of the best available evidence.
We aimed to study how hormonal status (oral contraceptive [OC] users vs naturally cycling [NC]) affects different dimensions and variability of psychological well-being, and how they relate to sex hormone levels (estradiol, progesterone, and testosterone).
Methods
Twenty-two NC participants and 18 OC users reported daily affective and physical symptoms and collected daily salivary samples across 28 days. Groups were compared using psychological well-being averages (linear mixed models), day-to-day variability (Levene’s test), and network models. Within NC participants, cycle phase effects and time-varying associations between hormones and psychological well-being were assessed using both person-centered mean and change (subtracting mean from daily score) scores.
Results
Lowered variability was found for OC users’ agitation, risk-taking, attractiveness, and energy levels. They showed lower overall ratings of happiness, attractiveness, risk-taking, and energy levels (range R2m = .004: .019) but also reported more relaxation, sexual desire, and better sleep quality (range R2m = .005; .01) compared to the NC group. The impact of sex hormones on psychological well-being varied significantly across cycle phases, with the largest effects for progesterone levels.
Conclusions
Our results confirm that hormonal status is associated with a range of psychological well-being domains beyond mood and sexual desire, including energy levels, feelings of attractiveness, risk taking, and agitation. Lowered variability in OC users versus NC participants fit with ‘emotional blunting’ as a possible mechanism behind OC’s side effects. Our findings that show the menstrual cycle and sex hormones differentially influenced markers of psychological well-being emphasize the need to adequately account for the menstrual cycle.
Psychiatric disorders are complex and multifaceted conditions that profoundly impact various aspects of an individual’s life. Although the neurobiology of these disorders is not fully understood, extensive research suggests intricate interactions between genetic factors, changes in brain structure, disruptions in neurotransmitter pathways, as well as environmental influence.
In the case of psychotic disorders, such as schizophrenia, strong genetic components have been identified as a key feature in the development of psychosis. Moreover, alterations in dopamine function and structural brain changes that result in volume loss seem to be pervasive in people affected by these disorders. Meanwhile, mood disorders, including major depressive disorder and bipolar disorder, are characterized by disruptions in neurotransmitter systems responsible for mood regulation, such as serotonin, norepinephrine, and dopamine. Anxiety and personality disorders also exhibit neurotransmitter dysfunction and neuroanatomical changes, in addition to showing a genetic overlap with mood and psychotic disorders.
Understanding the underlying mechanisms in the pathophysiology of these conditions is of paramount importance and involves integrating findings from various research areas, including at the molecular and cellular levels. This brief overview aims to highlight some of the important developments in our current understanding of psychiatric disorders. Future research should aim to incorporate a comprehensive approach to further unravel the complexity of these disorders and pave the way for targeted therapeutic strategies and effective treatments to improve the lives of individuals afflicted by them.
While there is evidence that long-chain n-3 PUFA supplementation benefits mood, the extent to which a single high dose of n-3 PUFA can induce acute mood effects has not been examined. The present study investigated whether a single dose of a DHA-rich powder affects self-reported mood in middle-aged males during elevated cognitive demand. In a randomised, double-blind, placebo-controlled trial with a balanced crossover design, twenty-nine healthy males (age M = 52.8 years, sd = 5.3) were administered a powder (in a meal) containing 4·74 g n-3 PUFA (DHA 4020 mg; EPA 720 mg) or placebo in random order on two different testing days separated by a washout period of 7 ± 3 d. Participants completed mood assessments before and after completing two cognitive test batteries at baseline and again 3·5–4·0 h following the consumption of the active treatment or placebo. While completion of the cognitive test batteries increased negative mood, differential effects for alertness (P = 0·008) and stress (P = 0·04) followed consumption of the DHA-rich powder compared with placebo. Although alertness declined when completing the cognitive batteries, it was higher following consumption of the DHA-rich powder compared with placebo (P = 0·006). Conversely, stress was lower following consumption of the DHA-rich powder relative to placebo, though this difference only approached significance (P = 0·05). Overall, results from this pilot study demonstrate that a single high dose of n-3 PUFA may deliver acute mood benefits following elevated cognitive demand in healthy middle-aged males.
Research has demonstrated that positive and negative moods may differently affect semantic processing due to the activation of mood-dependent thinking. Interestingly, recent studies have indicated that the interplay between mood and semantic processing may also be modulated by the language of operation (native [L1] vs. second language [L2]). Still, it remains an open question if and how mood interacts with varying depths of semantic processing, particularly in bilinguals. Here, we show that a negative mood may differently modulate shallow and deep semantic processing in bilinguals at a behavioral level. In two experiments, Polish–English bilinguals, induced into positive and negative moods, performed a lexical decision task (marking shallow semantic processing; Experiment 1) and a semantic decision task (marking deep semantic processing; Experiment 2) with sentences in L1 and L2 of varying semantic complexity: literal, novel metaphoric, and anomalous sentences. While no interactive mood–language effect was observed for shallow semantic processing, we found faster semantic judgments when bilinguals were in a negative relative to positive mood in L2, but not L1, for deep semantic processing. These findings suggest that a negative mood may activate more analytical and effort-maximizing thinking in L2, yet only when the linguistic content requires deeper understanding.
Previous studies show that maternal mind-mindedness positively impacts children’s social development. In the current studies, we examine the relation between mind-mindedness during parent–child interaction, oxytocin (OT), and postnatal depression in a sample of mothers (N = 62, ages 23–44) and their infant (ages 3–9 months). In Study 1, infant salivary OT was positively correlated with mothers’ appropriate mind-related comments, and negatively correlated (at trend level) with maternal depression scores. Mothers experiencing symptoms of depression used fewer appropriate mind-related comments than controls. Study 2 was a double-blind, placebo-controlled, experimental study, in which the same women who participated in Study 1 were administered nasal OT. This did not significantly influence levels of mind-mindedness. Study 2 warrants a larger trial to investigate the effect of OT on mind-mindedness further. Study 1 is the first to demonstrate an association between maternal mind-mindedness and variation in children’s OT levels. Since both OT and mind-mindedness have been repeatedly implicated in processes of maternal–infant attachment, this association highlights the centrality of mothers’ caregiving representations in facilitating the parent–child relationship and children’s early development.
We examined the efficacy of cognitive and behavioral interventions for improving symptoms of depression and anxiety in adults with neurological disorders. A pre-registered systematic search of Cochrane Central Register of Controlled Trials, MEDLINE, PsycINFO, Embase, and Neurobite was performed from inception to May 2024. Randomized controlled trials (RCTs) which examined the efficacy of cognitive and behavioral interventions in treating depression and/or anxiety among adults with neurological disorders were included. Estimates were pooled using a random-effects meta-analysis. Subgroup analyses and meta-regression were performed on categorical and continuous moderators, respectively. Main outcomes were pre- and post-intervention depression and anxiety symptom scores, as reported using standardized measures. Fifty-four RCTs involving 5372 participants with 11 neurological disorders (including multiple sclerosis, epilepsy, stroke) were included. The overall effect of interventions yielded significant improvements in both depression (57 arms, Hedges' g = 0.45, 95% confidence interval [CI] 0.35–0.54) and anxiety symptoms (29 arms, g = 0.38, 95% CI 0.29–0.48), compared to controls. Efficacy was greater in studies which employed a minimum baseline symptom severity inclusion criterion for both outcomes, and greater in trials using inactive controls for depression only. There was also evidence of differential efficacy of interventions across the neurological disorder types and the outcome measure used. Risk of bias, intervention delivery mode, intervention tailoring for neurological disorders, sample size, and study year did not moderate effects. Cognitive and behavioral interventions yield small-to-moderate improvements in symptoms of both depression and anxiety in adults with a range of neurological disorders.
Edited by
Allan Young, Institute of Psychiatry, King's College London,Marsal Sanches, Baylor College of Medicine, Texas,Jair C. Soares, McGovern Medical School, The University of Texas,Mario Juruena, King's College London
Bipolar depression is an important and difficult to treat facet of bipolar disorder. However, it poses a number of challenges to the clinician. This chapter offers an overview of the difficulties in diagnosing bipolar depression and the main risks associated with it, whilst emphasising the factors which differentiate it from unipolar depression. Following this, there is an overview of the official guidance and evidence base for treatment options. There is an especial focus on pharmacotherapy, but the chapter also reviews psychotherapy, ECT, as well as emerging treatment options, such as sleep interventions and ketamine.
This chapter provides an overview of the inventory, formation, and use of synthetic and periphrastic tense and mood forms in modern Belarusian, Bosnian/Croatian/Montenegrin/Serbian, Bulgarian, Czech, Macedonian, Polish, Russian, Slovak, Slovene, Lower and Upper Sorbian, and Ukrainian. It addresses both characteristics common to all modern languages and features of individual languages.