You Can't Take Your Baby Home Yet: A Longitudinal Study of Psychological Symptoms in Mothers of Infants Hospitalized in the NICU.

Evidence suggests that mothers of infants hospitalized in the Neonatal Intensive Care Unit (NICU) experience elevated rates of psychological symptoms. However, previous studies of this population have been mainly cross-sectional and have focused on very preterm infants. Although moderate- to late-preterm infants generally thrive, the possible psychological toll on their mothers has not yet been sufficiently examined. In the current study, we used a longitudinal design to investigate whether mothers of moderate- to late-preterm infants experience elevated rates of psychological symptoms during the infant's hospitalization in the NICU and 6 months later. Results indicated that these mothers did show elevated depression, anxiety, and PTSD symptoms, and that symptom levels were similar in mothers of moderate- versus late-preterm infants. Mothers of moderate- to late-preterm infants hospitalized in the NICU appeared to experience these symptoms steadily over a 6-month period after giving birth. These findings suggest a need for greater support for these mothers while in the NICU.

The heterogeneity of long-term grief reactions.

BACKGROUND: Individuals experience the loss of a spouse in varied ways. There is growing recognition of major depressive disorder and complicated grief as distinct post-bereavement disorders. However, most studies focusing on these different courses of functioning have not examined pre-loss functioning. METHODS: We used data from a prospective population based study to examine depression and grief among conjugally bereaved older adults. We compared latent trajectories of grief and depression symptoms based on data from pre-loss and 6, 18, and 48 months post-loss, and examined a number of pre- and post-loss predictor variables. RESULTS: The chronic grief and chronic depression trajectories did not differ in grief symptoms at any post-loss time point. However, a number of pre- and post-loss variables uniquely differentiated these two distinct trajectories. LIMITATIONS: Measures used in the current study were based on self-report and compared only two trajectories. Additionally, the sample was restricted to older adults (M age=72) and thus our findings may not generalize to younger populations. CONCLUSIONS: These two distinct trajectories--chronic grief and chronic depression--may appear similar when examining grief symptoms alone, though it is apparent that they have different long-term courses of functioning. It is important to understand pre-loss functioning as well as variables associated with each group in order to appropriately target treatment.

Those were the days: memory bias for the frequency of positive events, depression, and self-enhancement.

Past research has associated depression with memory biases pertaining to the frequency, duration, and specificity of past events. Associations have been proposed between both negative and positive memory biases and depression symptoms. However, research has not examined the occurrence of actual events over time in the study of memory bias. To address these limitations and investigate whether a negative or positive memory bias is associated with symptoms of depression, we collected weekly data on specific types of life events over a 4-year period from a sample of college students, and asked students to recall event frequency at the end of that period. Exaggerated recall of frequency for positive events but not other types of events was associated with depression symptoms, using both continuous and categorical measures. Moderator analyses indicated that these effects were evidenced primarily for memories involving the self and among individuals low in trait self-enhancement. The current study indicates that positive memory-frequency bias is an important type of memory bias associated with symptoms of depression. Results support the idea that the link between memory bias for positive event frequency and depressed mood arises out of a current-self vs past-self comparison.

Erotic feelings toward the therapist: a relational perspective.

This article focuses on the relational treatment of a male patient presenting with sexual and erotic feelings toward the therapist. The use of relational psychotherapy allowed us to collaborate in viewing our therapeutic relationship as a microcosm of other relationships throughout the patient's life. In this way, the patient came to understand his fears of being close to women, his discomfort with his sexuality, and how these feelings impacted his ongoing romantic and sexual experiences. Use of the therapist's reactions to the patient, including conscious and unconscious feelings and behaviors, aided in the conceptualization of this case. Working under a relational model was especially helpful when ruptures occurred, allowing the patient and therapist to address these moments and move toward repair. The patient was successful in making use of his sexual feelings to understand his feelings and behaviors across contexts.