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Biomedical subjects

Jan H Kamphuis

Publications and source records attributed to Jan H Kamphuis.

8 recordsLinked to original sources

Emotion regulation and its effects on mood improvement in response to an in vivo peer rejection challenge.

This study examined children's spontaneous use of behavioral emotion regulation (ER) strategies and their effects on subsequent mood change in response to an in vivo peer rejection manipulation. Participants (N = 186), ranging between 10 and 13 years of age, played a computer game based on the television show Survivor and were randomized to either peer rejection (being voted out of the game) or nonrejection control. In response to rejection, more than one third of the participants (38%) displayed a marked worsening (i.e., reliable change) in state mood. After receiving feedback, time spent on several behavioral ER strategies during a 5-minute postfeedback period was assessed. At the end of the postfeedback period, children's cognitive activity was also assessed. More time spent on behavioral distraction was positively linked to subsequent increases in positive affect, whereas the reverse pattern was found for disengagement/passive behavior. Moreover, higher endorsement ratings for the strategy of "cognitive analysis" were associated with stronger increases in negative affect.

Adolescent↗

The MMPI-2 Restructured Clinical (RC) Scales and restraints to innovation, or "what have they done to my song?".

Rogers, Sewell, Harrison, and Jordan (2006/this issue) largely replicate in an independent clinical sample the MMPI-2 Restructured Clinical (RC) Scales developed by Tellegen et al. (2003). Nichols (2006/this issue) raises numerous concerns about the development and utility of the RC Scales, which on close appraisal did not change our view that the scales are well conceived and potentially valuable to researchers and clinicians alike. We present two case studies in which the RC Scales helped clarify complex MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) profiles with multiple elevations on the Clinical, Content, Supplementary, and Personality Psychopathology Five (Harkness, McNulty, Ben-Porath, & Graham, 2001) scales. When interpretations refined by the RC Scales were discussed with the clients, each seemed to feel deeply understood. Reservations about instrument innovation can be appreciated as helping to counterbalance change and thereby ensure the MMPI-2's successful ongoing evolution. We discuss specific ways the MMPI-2 community could avoid polarization about the RC Scales.

Adult↗

Preventing relapse/recurrence in recurrent depression with cognitive therapy: a randomized controlled trial.

This article reports on the outcome of a randomized controlled trial of cognitive group therapy (CT) to prevent relapse/recurrence in a group of high-risk patients diagnosed with recurrent depression. Recurrently depressed patients (N = 187) currently in remission following various types of treatment were randomized to treatment as usual, including continuation of pharmacotherapy, or to treatment as usual augmented with brief CT. Relapse/recurrence to major depression was assessed over 2 years. Augmenting treatment as usual with CT resulted in a significant protective effect, which intensified with the number of previous depressive episodes experienced. For patients with 5 or more previous episodes (41% of the sample), CT reduced relapse/recurrence from 72% to 46%. Our findings extend the accumulating evidence that cognitive interventions following remission can be useful in preventing relapse/recurrence in patients with recurrent depression.

Cognitive Behavioral Therapy↗

20 years of research into violence and trauma: past and future developments.

This reflection on major developments in the past, present, and future of the wider field of violence and trauma is a personal (and probably biased) sampling of what the authors hold to be important. The authors reviewed advances for victims and perpetrators of violence separately. For victims, the authors note that empirical research has established the potential traumatic impact of violence as well as various predictors of what makes persons vulnerable to adverse psychological consequences. The authors also note that the definitions of violence and trauma have evolved to include such behavioral patterns as stalking. Finally, encouraging evidence regarding the efficacy of exposure-based treatments for victims of violence is reviewed, as well as discouraging evidence regarding the efficacy of single-session debriefing following trauma. For the perpetrators, the importance of individual assessment in planning interventions is underscored, and advances in explicit and implicit assessment techniques are discussed.

Battered Women↗

Preliminary evidence for an automatic link between sex and power among men who molest children.

Understanding critical motivational processes of sexual offenders may ultimately provide important clues to more effective treatments. Implicit, automatic cognitive processes have received minimal attention; however, a lexical decision experiment revealed automatic links between the concepts of power and sex among participants who self-reported attraction to sexual aggression. The current study replicates this experiment with a group of male child molesters and forensic and analogue controls. Subliminally presented sex words elicited a facilitation effect for power words among child molesters only; that is, sex to power associations were evident, as well as a trend for the reverse. These results provide preliminary evidence for an automatic sex-power association in child molesters and may point to a crucial pathological link in the cognitive schemata of sex offenders. As well, the current study suggests that paradigms from cognitive psychology may contribute to multimodal (risk) assessment of sexual offenders.

Adult↗

Informant personality descriptions of postintimate stalkers using the five factor profile.

Psychological descriptions of stalkers are few, especially nonforensic cases. As direct assessment is often hindered by lack of cooperation, assessment by informants may be a next-best approach. Indirect assessment may be most fruitfully applied among postintimate stalkers using instruments that are specifically validated for this purpose. Accordingly, in this study, we documented the psychological profile of 112 male postintimate stalkers as judged by ex-partners and/or subsequent victims using the Five Factor Personality Inventory (Hendriks, Hofstee, & de Raad, 1999b) and indexes of attachment and psychopathology. As compared to the Dutch norms, postintimate stalkers were described as extremely low on Agreeableness and moderately low on Conscientiousness and Emotional Stability. Most often insecurely attached with underlying negative self-representations, they were characterized as relatively functional people with strong sensitivities to rejection, abandonment, and loss.

Adult↗

Individual differences in post-traumatic stress following post-intimate stalking: stalking severity and psychosocial variables.

OBJECTIVE: Stalking can have a major psychosocial impact on its victims. Accumulating evidence suggests frequent post-traumatic stress (PTS) reactions. The present study aimed to detail the affective and cognitive responses following post-intimate stalking, and to assess the associations between stalking severity, person-related psychosocial variables and symptoms of PTS. DESIGN: Female members (N = 131) of a Dutch nation-wide support group were contacted by mail and completed questionnaires pertaining to their stalking history, Big Five personality traits, coping, social support, as well as PTS reactions and symptoms. METHOD: The Traumatic Constellation Identification Scale was used to elucidate emotional and cognitive responses to post-intimate stalking. To assess the associations between stalking severity indices, person-related psychosocial variables and PTS, a regression analysis was conducted using the Impact of Events Scale as a dependent variable. RESULTS: Affective reactions included affective liability, fear, shame and loss. Associated maladaptive beliefs included decreased trust, increased alienation and isolation, and attributions of self-blame. Indices of stalking severity accounted for 22% of the PTS variance, with stalking violence being the most potent predictor. Another 8% of PTS variance was associated with a passive coping reaction and (lower) openness to experience. CONCLUSION: PTS following stalking was associated with both stressor-related and person-related variables. Risk factors for PTS included severe stalking including violence and passive coping. Prolonged post-intimate stalking may lead to personality adaptation (i.e. becoming more closed, cautious and reserved).

Adaptation, Psychological↗

Single session debriefing after psychological trauma: a meta-analysis.

BACKGROUND: Despite conflicting research findings and uncertain efficacy, single session debriefing is standard clinical practice after traumatic events. We aimed to assess the efficacy of this intervention in prevention of chronic symptoms of post-traumatic stress disorder and other disorders after trauma. METHODS: In a meta-analysis, we selected appropriate studies from databases (Medline Advanced, PsychINFO, and PubMed), the Journal of Traumatic Stress, and reference lists of articles and book chapters. Inclusion criteria were that single session debriefing had been done within 1 month after trauma, symptoms were assessed with widely accepted clinical outcome measures, and data from psychological assessments that had been done before (pretest data) and after (post-test data) interventions and were essential for calculation of effect sizes had been reported. We included seven studies in final analyses, in which there were five critical incident stress debriefing (CISD) interventions, three non-CISD interventions, and six no-intervention controls. FINDINGS: Non-CISD interventions and no intervention improved symptoms of post-traumatic stress disorder, but CISD did not improve symptoms (weighted mean effect sizes 0.65 [95% CI 0.14-1.16], 0.47 [0.28-0.66], and 0.13 [-0.29 to 0.55], respectively). CISD did not improve natural recovery from other trauma-related disorders (0.12 [-0.22 to 0.47]). INTERPRETATION: CISD and non-CISD interventions do not improve natural recovery from psychological trauma.

Adult↗