Relationship of borderline personality disorder and bipolar disorder.
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Bipolar Disorder↗
Biomedical subjects
Michael H Stone
Publications and source records attributed to Michael H Stone.
Flexibility enhancement with vibration: Acute and long-term.
INTRODUCTION: The most popular method of stretching is static stretching. Vibration may provide a means of enhancing range of motion beyond that of static stretching alone. PURPOSE: This study sought to observe the effects of vibration on static stretching to determine whether vibration-aided static stretching could enhance range of motion acquisition more than static stretching alone in the forward split position. METHODS: Ten highly trained male volunteer gymnasts were randomly assigned to experimental (N = 5) and control (N = 5) groups. The test was a forward split with the rear knee flexed to prevent pelvic misalignment. Height of the anterior iliac spine of the pelvis was measured at the lowest split position. Athletes stretched forward and rearward legs to the point of discomfort for 10 s followed by 5 s of rest, repeated four times on each leg and split position (4 min total). The experimental group stretched with the device turned on; the control group stretched with the device turned off. A pretest was followed by an acute phase posttest, then a second posttest measurement was performed following 4 wk of treatment. Difference scores were analyzed. RESULTS: The acute phase showed dramatic increases in forward split flexibility for both legs (P < 0.05), whereas the long-term test showed a statistically significant increase in range of motion on the right rear leg split only (P < 0.05). Effect sizes indicated large effects in all cases. CONCLUSION: This study showed that vibration can be a promising means of increasing range of motion beyond that obtained with static stretching in highly trained male gymnasts.
Biomechanical Phenomena↗
Peak force and rate of force development during isometric and dynamic mid-thigh clean pulls performed at various intensities.
Eight male collegiate weightlifters (age: 21.2 +/- 0.9 years; height: 177.6 +/- 2.3 cm; and body mass: 85.1 +/- 3.3 kg) participated in this study to compare isometric to dynamic force-time dependent variables. Subjects performed the isometric and dynamic mid-thigh clean pulls at 30-120% of their one repetition maximum (1RM) power clean (118.4 +/- 5.5 kg) on a 61 x 121.9-cm AMTI forceplate. Variables such as peak force (PF) and peak rate of force development (PRFD) were calculated and were compared between isometric and dynamic conditions. The relationships between force-time dependent variables and vertical jump performances also were examined. The data indicate that the isometric PF had no significant correlations with the dynamic PF against light loads. On the one hand, there was a general trend toward stronger relationships between the isometric and dynamic PF as the external load increased for dynamic muscle actions. On the other hand, the isometric and dynamic PRFD had no significant correlations regardless of the external load used for dynamic testing. In addition, the isometric PF and dynamic PRFD were shown to be strongly correlated with vertical jump performances, whereas the isometric PRFD and dynamic PF had no significant correlations with vertical jump performances. In conclusion, it appears that the isometric and dynamic measures of force-time curve characteristics represent relatively specific qualities, especially when dynamic testing involves small external loads. Additionally, the results suggest that athletes who possess greater isometric maximum strength and dynamic explosive strength tend to be able to jump higher.
Adult↗
Is testosterone influencing explosive performance?
The primary objective of this study was to analyze the relationship between testosterone levels and vertical jumping performance in elite men and women athletes. The secondary objective was to verify whether testosterone levels and vertical jumping performance were different in men and women athletes and if those measurements were different between different athletic groups. Seventy (22 women and 48 men) elite athletes in track and field (sprinters), handball, volleyball, and soccer competing at national and international levels participated in the study. After 10 hours of fasting and 1 day of rest, blood samples were drawn from the antecubital vein for determining testosterone levels. Vertical jumping tests consisted of countermovement jumps conducted on a resistive platform connected to a digital timer. Resting testosterone levels in women were 9.5% of those of the men (respectively 0.62 +/- 0.06 ng.ml(-1) and 6.49 +/- 0.37 ng.ml(-1); p < 0.001). Countermovement jump performance was significantly different between women and men athletes, with women's jumping ability 86.3% of that of men (p < 0.001). A significant positive relationship was identified between testosterone levels and vertical jump performance when all data where considered (r = 0.61, p < 0.001, n = 70).
Adult↗
Any effect of gymnastics training on upper-body and lower-body aerobic and power components in national and international male gymnasts?
Aerobic and anaerobic performance of the upper body (UB) and lower body (LB) were assessed by arm cranking and treadmill tests respectively in a comparison of national (N) and international (I) male gymnasts. Force velocity and Wingate tests were performed using cycle ergometers for both arms and legs. In spite of a significant difference in training volume (4- 12 vs. 27-34 h.wk(-1) for N and I, respectively), there was no significant difference between N and I in aerobic and anaerobic performance. Upper body and LB maximal oxygen uptake (VO(2)max) values were 34.44 +/- 4.62 and 48.64 +/- 4.63 ml.kg(-1).min(-1) vs. 33.39 +/- 4.77 and 49.49 +/- 5.47 ml.kg(-1).min(-1), respectively, for N and I. Both N and I had a high lactic threshold (LT), at 76 and 82% of VO(2)max, respectively. Values for UB and LB force velocity (9.75 +/- 1.12 and 15.07 +/- 4.25 vs. 10.63 +/- 0.95 and 15.87 +/- 1.25 W.kg(-1)) and Wingate power output (10.43 +/- 0.74 and 10.98 +/- 3.06 vs. 9.58 +/- 0.60 and 13.46 +/- 1.34 W.kg(-1)) were also consistent for N and I. These findings confirm the consistency of VO(2)max values presented for gymnasts in the last 4 decades, together with an increase in peak power values. Consistent values for aerobic and anaerobic performance suggest that the significant difference in training volume is related to other aspects of perfomance that distinguish N from I gymnasts. Modern gymnastics training at N and I levels is characterized by a focus on relative strength and peak power. In the present study, the high LT is a reflection of the importance of strength training, which is consistent with research for sports such as wrestling.
Adolescent↗
Aerobic and anaerobic correlates of multiple sprint cycling performance.
The aims of this study were to examine (a) the relationship between maximal oxygen uptake (VO(2)max) and several performance indices of multiple sprint cycling; (b) the relationship between maximal accumulated oxygen deficit (MAOD) and those same performance indices; and (c) the influence of recovery duration on the magnitude of those relationships. Twenty-five physically active men completed a VO(2)max test, a MAOD test, and 2 maximal intermittent (20 x 5 seconds) sprint cycling tests with contrasting recovery periods (10 seconds or 30 seconds). Mean +/- SD for age, height, and body mass were 20.6 +/- 1.5 years, 177.2 +/- 5.4 cm, and 78.2 +/- 8.2 kg, respectively. All tests were conducted on a friction-braked cycle ergometer with subsequent data normalized for body mass. Moderate (0.3 < or = r < 0.5) positive correlations were observed between power output data and MAOD (range, 0.31-0.46; 95% confidence limits, -0.10 to 0.72). Moderate to large positive correlations also were observed between power output data and VO(2)max, the magnitude of which increased as values were averaged across all sprints (range, 0.45-0.67; 95% confidence limits 0.07-0.84). Correlations between fatigue and VO(2)max were greater in the intermittent protocol with 30-second recovery periods (r = -0.34; 95% confidence limits, 0.06 to -0.65). The results of this study reflect the complex energetics associated with multiple sprint work. Though the findings add support to the idea that multiple sprint sports demand a combination of speed and endurance, further longitudinal research is required to confirm the relative importance of these parameters.
Adult↗
[Personality disorders, psychopathy and serial killers].
OBJECTIVE: To illustrate the basic characteristics of several specific personality disorders, focusing mainly in antisocial personality disorder. The differences between antisocial personality disorder and psychopathy are highlighted. Serial killers and its psychopathic aspects are also discussed. METHOD: A bibliographic review was completed in order to outline convergences and divergences among different authors about this controversial issue, especially those concerning the possibility of treatment. RESULTS: While anti-social personality disorder is a medical diagnosis, the term "psychopathy" (which belongs to the sphere of forensic psychiatry) may be understood as a "legal diagnosis". It is not still possible to identify an effective treatment for serial killers. CONCLUSION: Personality disorders, especially of the antisocial type, still represent a formidable challenge to forensic psychiatry today. Questions as yet unanswered include the best and most humane place for patients with this condition and the nature of a standardised treatment recommendation.
Antisocial Personality Disorder↗
Management of borderline personality disorder: a review of psychotherapeutic approaches.
There are currently three major psychotherapeutic approaches to the management of borderline personality disorder (BPD): the psychodynamic, the cognitive-behavioral, and the supportive. There are special varieties within each: e.g., transference-focused psychotherapy (psychodynamic) or dialectic behavioral therapy (cognitive-behavioral). Though differing in basic conceptions and in methodology, all approaches aim at the amelioration of both the symptom-aspects that dominate the clinical picture at the outset, and the personality difficulties that remain apparent after the symptoms have been alleviated. The term "management" implies a focus on the more serious aspects of the borderline picture. These can be pictured hierarchically as to their level of seriousness, and there is universal agreement about the nature of this hierarchy. Therapists must pay attention first to suicidal and self-mutilative behaviors. Next, one deals with any threats to interrupt therapy prematurely. Third in order of seriousness: non-suicidal symptoms such as (mild to moderate) depression, substance abuse, panic and other anxiety manifestations, or dissociation. Psychopharmacological treatment will often be used adjunctively to help control any target symptoms, which usually fall into such categories as cognitive-perceptual, affect dysregulation, or impulsive/ behavioral dyscontrol. Therapists must then be alert to any signs of withholding, dishonesty, or antisocial tendencies, since these have an adverse effect on prognosis. When all these disruptive influences are (to the extent possible) dealt with, therapists will next take up milder symptoms such as social anxiety or lability of mood. Throughout this initial process, the personality-disorder attributes of BPD will become more apparent, and will usually emerge with greater clarity, once the serious symptoms have been dealt with. The management issues will gradually be supplanted with the overlapping and enduring personality issues: inappropriate anger, abrasiveness, manipulativeness, demandingness, jealousy, "all-or-none" thinking and the extreme attitudes (idealization/devaluation) that accompany such thinking, masochistic traits, etc. Under ideal circumstances, the borderline patient will have "graduated" toward a higher level of function, where (acute) management issues have been adequately dealt with or have receded into the background. Psychotherapy, individual and group, becomes the dominant intervention, with such goals as psychic integration, skills training, and the fostering of long-range ambitions relating to friendships, partner choice, and work.
Journal Article↗
Anthropometric and physical abilities profiles: US National Skeleton Team.
The aim of this study was to characterize sprint ability, anthropometry, and lower extremity power in the US National Team Skeleton athletes. Fourteen athletes (male n = 7; mean +/- SD: height 1.794 +/- 0.063 m, body mass 81.2 +/- 3.7 kg, age 26.9 +/- 4.1 years; female n = 7; 1.642 +/- 0.055 m, 60.1 +/- 5.9 kg, 27.3 +/- 6.9 years) volunteered to participate. Sprinting ability was measured over multiple intervals using custom infrared timing gates in both an upright and a crouched sprint. The crouched sprint was performed while pushing a wheeled-simulated skeleton sled on rails on an outdoor skeleton and bobsleigh start track. Crouched skeleton sprint starts were able to achieve about 70% to 85% of the upright sprint times. The mean somatotype ratings for females were: 3.5-3.5-2.1, and males: 3.6-4.9-1.9. Lower extremity strength and power were measured via vertical jumps on a portable force platform using squat and countermovement jumps, and jumps with added mass. Jump height, power, rate offorce development and peak force were determined from force-time data. Lower extremity strength and power were strongly correlated with both upright and crouched sprint times. The results indicated that these athletes are strong sprinters with varying body structures, mostly mesomorphic, and that stronger and more powerful athletes tend to be better starters.
Adult↗
Infanticide in female forensic patients: the view from the evolutionary standpoint.
Evolutionary theory predicts that very young mothers would be more likely to kill an infant than older women, given that the younger mother has a much greater ability to "replace" the dead child through subsequent pregnancies and thus to produce offspring for the next generation. Evolutionary theory also predicts that a woman would be more likely to kill a child if the child was obviously defective, the pregnancy was the result of incest or rape, or if the mother's means of supporting the child were severely compromised. The authors hypothesized that mentally ill mothers would behave in a way that differed significantly from evolutionary expectations, i.e., that they would be more likely to kill children who were older than those killed by mothers in the general population and that the mothers themselves would be likely to be older than mothers in the general population when the murders occurred. To test this hypothesis, the authors compared infanticides (both filicides and neonaticides) committed by mentally ill mothers with those committed by mothers in the general population. They examined two samples: 1) all cases of maternal infanticide from the Mid-Hudson Forensic Psychiatric Hospital from 1978 (when the hospital began admitting female patients) through the year 2000 and 2) a general population sample from a 10-year Canadian study reported by Daly and Wilson in 1998. The authors focused on the following variables: ages of the mothers, ages of the child-victims, whether the pregnancy was the result of rape or incest, whether the child had significant behavioral or physical problems, and whether there were problems supporting the child (e.g., having no partner, poverty, mother's lack of education). The results of the analyses supported the authors' hypothesis about ages of mothers and children. The mentally ill mothers in the Mid-Hudson sample were generally older when they killed their children and the children who were killed were generally older than in the Daly and Wilson general population sample (where the majority of the cases involved neonaticide and the mothers were generally younger than 25 years of age). The three factors, poverty, low education level (or low intellectual capacity), and lack of a spouse were common in both samples. Findings concerning cultural factors, motives, and methods used will be presented in separate publications.
Adolescent↗
Influence of different relative intensities on power output during the hang power clean: identification of the optimal load.
The influence of different relative intensities on power output was investigated in the present study in order to identify the optimal load that maximizes power output during the hang power clean. Fifteen men (age: 22.1 +/- 2.0 years, height: 180.1 +/- 6.3 cm, and body mass: 89.4 +/- 14.7 kg) performed the hang power cleans on a forceplate at 30-90% of one repetition maximum (1RM). Peak power was maximized at 70% 1RM, which was, however, not significantly different from peak power at 50, 60, 80, and 90% 1RM. Average power also was maximized at 70% 1RM, which was not significantly different from average power at 40, 50, 60, 80, and 90% 1RM. It was concluded that (a) the relative intensity had a significant influence on power output, and (b) power output can be maximized at a submaximal load during the hang power clean.
Adult↗
Force-time curve characteristics of dynamic and isometric muscle actions of elite women olympic weightlifters.
Six elite women weightlifters were tested to evaluate force-time curve characteristics and intercorrelations of isometric and dynamic muscle actions. Subjects performed isometric and dynamic mid-thigh clean pulls at 30% of maximal isometric peak force and 100 kg from a standardized position on a 61.0 x 121.9 cm AMTI forceplate. Isometric peak force showed strong correlations to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.93, 0.64, and 0.80 respectively). Isometric rate of force development showed moderate to strong relationships to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.79, 0.69, and 0.80 respectively). The results of this study suggest that the ability to perform maximal snatch and clean and jerks shows some structural and functional foundation with the ability to generate high forces rapidly in elite women weightlifters.
Adult↗
The influence of recovery duration on multiple sprint cycling performance.
The purpose of this study was to examine the influence of recovery duration on various measures of multiple sprint cycling performance. Twenty-five physically active men completed 2 maximal multiple sprint (20 x 5 seconds) cycling tests with contrasting recovery periods (10 or 30 seconds). The mean +/- SD values for age, height, and body mass were 20.6 +/- 1.5 years, 177.2 +/- 5.4 cm, and 78.2 +/- 8.2 kg, respectively. All tests were conducted on a friction-braked cycle ergometer. Longer (30 seconds) recovery periods resulted in significantly (p < 0.05) higher measures of maximum (approximately 4%) and mean (approximately 26%) power output, the former appearing to result from a potentiation effect during the first few sprints. Thirty-second recovery periods also corresponded with significantly lower measures of fatigue (absolute difference: 16.1%; 95% likely range: 14.1-18.2%), heart rate, respiratory exchange ratio, and oxygen uptake. Blood lactate and ratings of perceived exertion (6-20 scale) increased progressively throughout both protocols and were significantly lower with 30-second recovery periods. The results of this study illustrate the considerable influence of recovery duration on various measures of multiple sprint work. Although the precise mechanisms of this response require further investigation, coaches and sport scientists should consider these findings when attempting to develop or evaluate the performance capabilities of athletes involved in multiple sprint sports.
Adult↗
Plaudits and pitfalls in studying elite athletes.
The study of elite athletes, because of their rarity, renders statistical power difficult to achieve, control groups difficult or impossible to find, and generalizability difficult to demonstrate. Alternative methods of analysis may be better suited to such study.
Humans↗
Relationship of maximum strength to weightlifting performance.
PURPOSE: The primary objective was to assess the relationship of maximum strength to weightlifting ability using established scaling methods. The secondary objective was to compare men and women weightlifters on strength and weightlifting ability. METHODS: Two correlational observations were carried out using Pearson's r. In the first observation (N = 65) the relationship of dynamic maximum strength (one-repetition maximum (1RM) squat) was compared with weightlifting ability; in the second observation (N = 16), isometric maximum strength (midthigh pull) was studied. Scaling methods for equating maximum strength and weightlifting results were used (load x (Ht), load x kg, load x lbm(-1), allometric, and Sinclair formula) to assess the association between measures of maximum strength and weightlifting performance. RESULTS: Using scaled values; correlations between maximum strength and weightlifting results were generally strong in both observations (e.g., using allometric scaling for the 1RM squat vs the 1RM snatch: r = 0.84, N = 65). Men were stronger than women (e.g., 1RM squat, N = 65: men = 188.1 +/- 48.6 kg; women = 126.7 +/- 28.3 kg); differences generally held when scaling was applied (e.g., 1RM squat scaled with the Sinclair formula: men = 224.7 +/- 36.5 kg; women = 144.2 +/- 25.4 kg). CONCLUSIONS: When collectively considering scaling methods, maximum strength is strongly related to weightlifting performance independent of body mass and height differences. Furthermore, men are stronger than women even when body mass and height are obviated by scaling methods.
Adolescent↗
Comparison of the Wingate and Bosco anaerobic tests.
The purpose of this study was to compare the Wingate cycling and Bosco repeated jumps anaerobic tests. Eleven men (21.36 +/- 1.6 years; 179.1 +/- 9.3 cm; 78.7 +/- 11.0 kg) and 9 women (21.89 +/- 3.66 years; 171.8 +/- 10.0 cm; 75.9 +/- 21.4 kg), all university athletes, volunteered to participate. Subjects performed each test in random order. The tests consisted of a 30-second Wingate test and a 60-second Bosco test. The Wingate test was conducted using a Monark cycle ergometer and the Bosco test was conducted on a force platform. Following the performance of each test, peak lactate concentrations were determined. Average and peak power values were statistically greater in men and on the Bosco test. Peak lactate values were statistically greater in men but did not differ based on test. Correlations between peak lactate concentrations between tests and lactate values with peak or average power were not statistically significant. The relationship between peak power between tests was statistically significant among men, but not women. The results of the study indicated that the Bosco and Wingate tests, which both measure anaerobic characteristics, appear to measure different aspects of anaerobic power and capacity. The Bosco test also may be inappropriate for athletes who are not well trained in jumping.
Adult↗
The importance of isometric maximum strength and peak rate-of-force development in sprint cycling.
This study was designed to investigate the relationship of whole-body maximum strength to variables potentially associated with track sprint-cycling success. These variables included body composition, power measures, coach's rank, and sprint-cycling times. The study was carried out in 2 parts. The first part (n = 30) served as a pilot for the second part (n = 20). Subjects for both parts ranged from international-caliber sprint cyclists to local-level cyclists. Maximum strength was measured using an isometric midthigh pull (IPF). Explosive strength was measured as the peak rate-of-force development (IPRFD) from the isometric force-time curve. Peak power was estimated from countermovement (CMJPP) and static vertical jumps (SJPP) and measured by modified Wingate tests. Athletes were ranked by the U.S. national cycling coach (part 1). Sprint times (from a standing start) were measured using timing gates placed at 25, 82.5, 165, 247.5, and 330 m of an outdoor velodrome (part 2). Maximum strength (both absolute and body-mass corrected) and explosive strength were shown to be strongly correlated with jump and Wingate power. Additionally, maximum strength was strongly correlated with both coach's rank (parts 1 and 2) and sprint cycling times (part 2). The results suggest that larger, stronger sprint cyclists have an advantage in producing power and are generally faster sprint cyclists.
Adult↗
The reliability and validity of fatigue measures during short-duration maximal-intensity intermittent cycling.
The purpose of the present study was to assess the reliability and validity of fatigue measures, as derived from 4 separate formulae, during tests of repeat sprint ability. On separate days over a 3-week period, 2 groups of 7 recreationally active men completed 6 trials of 1 of 2 maximal (20 x 5 seconds) intermittent cycling tests with contrasting recovery periods (10 or 30 seconds). All trials were conducted on a friction-braked cycle ergometer, and fatigue scores were derived from measures of mean power output for each sprint. Apart from formula 1, which calculated fatigue from the percentage difference in mean power output between the first and last sprint, all remaining formulae produced fatigue scores that showed a reasonably good level of test-retest reliability in both intermittent test protocols (intraclass correlation range: 0.78-0.86; 95% likely range of true values: 0.54-0.97). Although between-protocol differences in the magnitude of the fatigue scores suggested good construct validity, within-protocol differences highlighted limitations with each formula. Overall, the results support the use of the percentage decrement score as the most valid and reliable measure of fatigue during brief maximal intermittent work.
Adult↗