Development of the complex trauma screener: A brief measure of ICD-11 PTSD and complex PTSD.

The purpose of this study was to develop the Complex Trauma Screener (CTS), a brief screener (seven items) of the ICD-11 trauma disorders that can be used in "quick-paced" facilities. We examined the factor structure of the CTS in two separate samples: civilian college students (N = 823) and military veterans (N = 130) who reported exposure to at least one traumatic event. Confirmatory factor analyses (CFAs) supported two highly-correlated factors (post-traumatic stress disorder [PTSD] and Disturbances in Self-Organization [DSO]) that loaded on the ICD-11-consistent items. The model fit indices indicated good to excellent model fit in both samples, and the internal consistencies for the scales were borderline to good (α = 0.68-0.86). Supplementary analyses supported the gender invariance of the CFA model in the civilian student sample, as well as convergent (with another trauma inventory) and discriminant validity (with borderline disorder features, depression, and mania) of the CTS in both samples. The CTS is, to our knowledge, the shortest instrument designed to measure the ICD-11 trauma disorders and is ideal for "fast-paced" facilities that have significant assessment time restraints. The CTS is, therefore, is a psychometrically-validated instrument that can help mental health professionals efficiently screen adults for ICD-11 trauma disorders.

Introduction to the Parent-Child Interaction Assessment.

The Parent-Child Interaction Assessment (PCIA) is a procedure developed to yield data about parental attunement as well as other aspects of parent, child, and dyadic functioning. The procedure involves videotaping parents and children ages 4-10 years as they go on an imaginary trip to the zoo together. They begin with a short free-play interaction and then "play out" several scenarios with toy people, animals, and blocks. After cleaning up the toys, the parent and child each are shown the videotape of their interaction. The parent and the child are interviewed about what he or she and the other person are doing, thinking, feeling, and wanting. This article describes the development and theoretical basis of the PCIA. A coding system under development and potential research and clinical applications are discussed. Case examples are provided to illustrate the PCIA.

Endoscopic obliteration for bleeding peptic ulcer.

A group of 133 patients treated for bleeding peptic ulcer in our Department, is reviewed. Within several hours of admission, all patients underwent upper gastrointestinal tract gastroscopy and obliteration of the bleeding ulcer. Bleeding gastric ulcers were found in 41 patients, and duodenal ulcers in 92 patients. Patients were classified according to the Forrest scale: IA - 11 patients, IB - 49 patients, IIA - 35 patients, lIB - 40 patients. In 126 (94.7%) patients the bleeding was stopped, and 7 required urgent surgery: 3 patients with gastric ulcer underwent gastrectomy, and 4 with duodenal ulcer - truncal vagotomy with pyloroplasty and had the bleeding site underpinned. Fifty-five patients underwent elective surgery: gastrectomy and vagotomy (18 patients with gastric ulcer), highly selective vagotomy (25 patients with duodenal ulcer) and truncal vagotomy and pyloroplasty (12 patients with duodenal ulcer). None of the patients was observed to have recurrent bleeding.

Typical and optimal aging in women and men: is there a double standard?

Gender stereotypes of typical and optimal, mentally healthy aging were examined with sixty-year-old and seventy-five-year-old women, men and gender-unspecified older people as target persons. Respondents were young adult individuals (N = 232) and their older adult relatives/acquaintances (N = 233). Perceptions of typical aging varied depending on the age of the respondent, the target gender and the target age. Gender stereotypes were more pronounced than age stereotypes: respondents described same-gender targets more similarly than same-age targets. Older women were rated higher on dimensions related to nurturance while older men were rated higher on intellectual competence and autonomy. Perceptions of optimal aging were not found to be affected by the gender of the respondent or target. Views of optimal aging, however, were influenced by respondent and target age. These findings suggest a double standard of aging for typical but not for optimal aging.