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Collaborative Decision Making Improves Interpersonal Psychotherapy Efficiency: A Randomized Clinical Trial With Postpartum Women, Scott Stuart, Rebecca L. Brock, Erin Ramsdell, Stephan Arndt, Michael W. O’Hara

Department of Psychology: Faculty Publications

Background: Randomized controlled trials of Interpersonal Psychotherapy (IPT) and other psychotherapies for depression have required strict adherence to protocol and do not allow for clinical judgment in deciding frequency of sessions. To determine if such protocols were more effective than allowing therapists to use their clinical judgment, we compared “Clinician-Managed” IPT (CM-IPT), in which clinicians and patients with postpartum depression were allotted 12 sessions and determined collaboratively when to use them, to a once weekly 12 session protocol (“Standard IPT”). We hypothesized that CM-IPT would be more efficient, requiring fewer sessions to reach an equivalent acute outcome, and that …

Collaborative Decision Making Improves Interpersonal Psychotherapy Efficiency: A Randomized Clinical Trial With Postpartum Women, Scott Stuart, Rebecca L. Brock, Erin Ramsdell, Stephan Arndt, Michael W. O'Hara

Department of Psychology: Faculty Publications

Background: Randomized controlled trials of Interpersonal Psychotherapy (IPT) and other psychotherapies for depression have required strict adherence to protocol and do not allow for clinical judgment in deciding frequency of sessions. To determine if such protocols were more effective than allowing therapists to use their clinical judgment, we compared “Clinician- Managed” IPT (CM-IPT), in which clinicians and patients with postpartum depression were allotted 12 sessions and determined collaboratively when to use them, to a once weekly 12 session protocol (“Standard IPT”). We hypothesized that CM-IPT would be more efficient, requiring fewer sessions to reach an equivalent acute outcome, and …

Self‑Objectification During The Perinatal Period: The Role Of Body Surveillance In Maternal And Infant Wellbeing, Lauren M. Laifer, Olivia R. Maras, Gemma Sáez, Sarah Gervais, Rebecca L. Brock

Department of Psychology: Faculty Publications

Pregnancy represents a unique time during which women’s bodies undergo significant physical changes (e.g., expanding belly, larger breasts, weight gain) that can elicit increased objectification. Experiences of objectification set the stage for women to view themselves as sexual objects (i.e., self-objectification) and are associated with adverse mental health outcomes. Although women may experience heightened self-objectification and behavioral consequences (such as body surveillance) due to the objectification of pregnant bodies in Western cultures, there are remarkably few studies examining objectification theory among women during the perinatal period. The present study investigated the impact of body surveillance, a consequence of self-objectification, on …

Covid‑Specific Coercive Control Among Emerging Adults Attending College: A Brief Note, Heather Littleton, Katie Edwards, Kayla E. Sall, Stephanie Lim, Victoria Mauer

Department of Psychology: Faculty Publications

The COVID-19 pandemic represents a “perfect storm” with regards to risk for intimate partner violence (IPV). Abusive partners may engage in novel forms of coercive control, such as pressuring their partner to engage in activities associated with COVID-19 infection risk (e.g., attend a large gathering). However, no empirical research has focused on COVIDspecific coercive control. The current study sought to evaluate the prevalence of COVID-specific coercive control in a large sample of U.S. college students, as well as its association with other forms of IPV and depression and anxiety. A total of 2,289 undergraduate students attending eight U.S. universities who …

An Integrated Relational Framework Of Depressed Mood And Anhedonia During Pregnancy, Rebecca L. Brock, Molly Franz, Erin L. Ramsdell

Department of Psychology: Faculty Publications

Objective: The aim of the present study was to test a unified framework that integrates several theories into a cohesive model to explain the interplay between neuroticism and intimate relationship quality as risk factors for prenatal depression.

Background: There is a notable spike in risk for depression during pregnancy, and the processes unfolding in the interparental relationship during this important time in the family life cycle might serve to mitigate or enhance this risk. Yet there is a need for theory-driven research integrating multiple conceptual frameworks to explicate the role of intimate relationship quality in depression.

Method: In a sample …

Image Acquisition And Quality Assurance In The Boston Adolescent Neuroimaging Of Depression And Anxiety Study, Viviana Siless, N. A. Hubbard, Robert Jones, Jonathan Wang, Nicole Lo, Clemens C. C. Bauer, Mathias Goncalves, Isabelle Frosch, Daniel Norton, Genesis Vergara, Kristina Conroy, Flavia Vaz De Souza, Isabelle M. Rosso, Aleena Hay Wickham, Elizabeth Ann Cosby, Megan Pinaire, Dina Hirshfeld-Becker, Diego A. Pizzagalli, Aude Henin, Stefan G. Hofmann, Randy P. Auerbach, Satrajit Ghosh, John Gabrieli, Susan Whitfield-Gabrieli, Anastasia Yendiki

Department of Psychology: Faculty Publications

The Connectomes Related to Human Diseases (CRHD) initiative was developed with the Human Connectome Project (HCP) to provide high-resolution, open-access, multi-modal MRI data to better understand the neural correlates of human disease. Here, we present an introduction to a CRHD project, the Boston Adolescent Neuroimaging of Depression and Anxiety (BANDA) study, which is collecting multimodal neuroimaging, clinical, and neuropsychological data from 225 adolescents (ages 14–17), 150 of whom are expected to have a diagnosis of depression and/or anxiety. Our transdiagnostic recruitment approach samples the full spectrum of depressed/anxious symptoms and their comorbidity, consistent with NIMH Research Domain Criteria (RDoC). We …

Anxiety And Depression During Childhood And Adolescence: Testing Theoretical Models Of Continuity And Discontinuity, Joseph R. Cohen, Arthur R. Andrews, Megan M. Davis, Karen D. Rudolph

Department of Psychology: Faculty Publications

The present study sought to clarify the trajectory (i.e., continuous vs. discontinuous) and expression (i.e., homotypic vs. heterotypic) of anxiety and depressive symptoms across childhood and adolescence. We utilized a state-of-the-science analytic approach to simultaneously test theoretical models that describe the development of internalizing symptoms in youth. In a sample of 636 children (53% female; M age = 7.04; SD age = 0.35) self-report measures of anxiety and depression were completed annually by youth through their freshman year of high school. For both anxiety and depression, a piecewise growth curve model provided the best fit for the data, with symptoms …

The Longitudinal Impact Of Intimate Partner Aggression And Relationship Status On Women’S Physical Health And Depression Symptoms, Laura E. Watkins, Anna E. Jaffe, Lesa Hoffman, Kim L. Gratz, Terri L. Messman-Moore, David Dilillo

Department of Psychology: Faculty Publications

Intimate partner aggression (IPA) has many detrimental effects, particularly among young women. The present study examined the longitudinal effects of IPA victimization and relationship status on physical health and depression symptoms in a sample of 375 community women between the ages of 18 and 25 years. All variables were assessed at 4 occasions over a 12-month period (i.e., 1 assess-ment every 4 months). Multilevel modeling revealed that IPA victimization had both between- and within-person effects on women’s health outcomes, and relationship status had within-person effects when women did not report current IPA. Although IPA was generally related to greater physical …

Drug–Drug Conditioning Between Citalopram And Haloperidol Or Olanzapine In A Conditioned Avoidance Response Model: Implications For Polypharmacy In Schizophrenia, Nathan L. Sparkman, Ming Li

Department of Psychology: Faculty Publications

Patients with schizophrenia often have anxiety and depression, and thus are treated with multiple psychotherapeutic medications. This practice of polypharmacy increases the possibility for drug–drug interactions. However, the pharmacological and behavioral mechanisms underlying drug–drug interactions in schizophrenia remain poorly understood. In the present study, we adopted a preclinical approach and examined a less known behavioral mechanism, drug–drug conditioning (DDC) between haloperidol (a typical antipsychotic) or olanzapine (atypical antipsychotic) and citalopram (a selective serotonin reuptake inhibitor). A rat two-way conditioned avoidance response paradigm was used to measure antipsychotic activity and determine how DDC may alter the antipsychotic efficacy in this model. …

A Review Of The Tripartite Model For Understanding The Link Between Anxiety And Depression In Youth, Emily R. Anderson, Debra A. Hope

Department of Psychology: Faculty Publications

Although research from numerous investigations indicates that there is substantial overlap in anxiety and depressive symptoms and comorbid diagnoses in youth, these constructs can be adequately differentiated. Clark and Watson [Clark, L. A. & Watson, D., (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100: 316-336] proposed a tripartite model to account for the symptom overlap and diagnostic comorbidity between anxiety and depression. This tripartite model posits that anxiety and depression share a common component of negative affect, but can be differentiated by low positive affect associated with depression and high …

Negative Mood Regulation Mediates The Relationship Between Distraction And Engagement In Pleasurable Activities Among College Smokers, Lee M. Cohen, Dennis E. Mcchargue, Holly E. R. Morrell

Department of Psychology: Faculty Publications

Smoking for negative mood alleviation is a strong predictor of early smoking and early dependence among undergraduates. Little is known about whether adaptive cognitive coping processes (e.g., distraction) may help decrease the likelihood of student smoking for negative mood regulation. The present study tested the hypothesis that distraction would predict (a) greater engagement in adaptive pleasant pastimes and (b) lower rates of smoking behavior among undergraduates (n = 162, 41.9% female). We further assessed whether negative mood regulation expectations would explain both relationships. Results indicated that negative mood regulation fully mediated the relationship between distraction and engagement in pleasurable …

Fluoxetine, Smoking, And History Of Major Depression: A Randomized Controlled Trial, Bonnie Spring, Neal Doran, Sherry Pagoto, Dennis E. Mcchargue, Jessica Werth Cook, Katherine Bailey, John Crayton, Donald Hedecker

Department of Psychology: Faculty Publications

The study was a randomized placebo-controlled trial testing whether fluoxetine selectively enhances cessation for smokers with a history of depression. Euthymic smokers with (H+, n = 109) or without (H-, n = 138) a history of major depression received 60 mg fluoxetine or placebo plus group behavioral quit-smoking treatment for 12 weeks. Fluoxetine initially enhanced cessation for H+ smokers (p = .02) but subsequently impaired cessation regardless of depressive history. Six months after quit date, fluoxetine-treated participants were 3.3 times more likely to be smoking (p = .02). Further research is warranted to determine why high-dose fluoxetine produces …

Novelty Reward As A Measure Of Anhedonia, Rick A. Bevins, Joyce Besheer

Department of Psychology: Faculty Publications

A decrease in sensitivity to pleasurable stimuli, anhedonia, is a major symptom of depression in humans. Several animal models have been developed to simulate this symptom (e.g. drug withdrawal, learned helplessness) using reward-sensitive procedures such as intracranial self-stimulation and progressive ratio responding as a measure of reward function. Recently, we introduced the use of another procedure, novel-object place conditioning in rats, to measure reward function in an associative learning situation. Withdrawal from chronic nicotine blocked a place preference conditioned by access to novel objects. This blockade was not due to impairment of object interaction, general activity, novelty detection, environmental familiarization, …

Attachment And Depression Differentially Influence Nicotine Dependence Among Male And Female Undergraduates: A Preliminary Study, Dennis E. Mcchargue, Lee M. Cohen, Jessica W. Cook

Department of Psychology: Faculty Publications

The authors surveyed a convenience sample of 208 undergraduate students who reported that they smoked cigarettes. The primary hypothesis they tested was whether gender predicted nicotine dependence. They further tested whether depression and attachment would mediate or moderate this relationship. Hierarchical regression analyses with social desirability and smoking stage of change entered as covariates indicated that women exhibited greater nicotine dependence than men did (p < .01). Lower attachment scores fully mediated this relationship, whereas elevated depression scores moderated the relationship. These findings suggest that depression and the inability to bond with peers may promote nicotine dependence among young female students.

Serotonin Transporter And Gaba(A) Alpha 6 Receptor Variants Are Associated With Neuroticism, Srijan Sen, Sandra Villafuerte, Randolph Nesse, Scott F. Stoltenberg, Jeffrey Hopcian, Lillian Gleiberman, Alan Weder, Margit Burmeister, University Of Michigan - Ann Arbor

Department of Psychology: Faculty Publications

Background: A tendency to experience negative affect, as measured by the neuroticism component of the Neuroticism, Extraversion, and Openness Personality Inventory (NEO-PI), is a trait marker for major depression. Epidemiologic studies indicate a strong genetic component, but to date few specific genetic variants have been definitively implicated. A serotonin transporter promoter polymorphism (5-HTTLPR) has been extensively studied in neuroticism and several psychiatric disorders, with inconclusive results. A GABA(A) receptor α6 subunit variant (Pro385Ser) has been associated with alcohol-related traits but has not been studied in neuroticism or depression.
Methods: A total of 384 subjects who completed the NEO-PI were genotyped …

Effects Of A Transdiagnostic Group Treatment For Anxiety On Secondary Depression, Peter J. Norton, Sarah A. Hayes, Debra A. Hope

Department of Psychology: Faculty Publications

Researchers have recently explored transdiagnostic anxiety treatments based on models of anxiety emphasizing a single common pathway across diagnostic categories. Results from a previous study (Norton and Hope, in press) indicated that a transdiagnostic approach was effective for both targeted and untargeted anxiety disorders. Consistent with the tripartite model, the transdiagnostic treatment should also influence symptoms of a broader pathology such as negative affectivity. This follow-up to Norton and Hope found significant decreases in depressed mood for clients undergoing transdiagnostic treatment for anxiety when compared to wait-list control participants. Although not statistically established, severity of depressive diagnoses seemed to generally …