Shame and guilt in the suicidality related to traumatic events: A systematic literature review.

Background: Shame and guilt are involved in suicidality and in post-traumatic stress disorder. However, few studies have explored the implication of those emotions in the suicidality of patients exposed to traumatic events. Objective: The objective of this literature review was to examine the implication of shame and guilt in the suicidality of individuals who have experienced potentially traumatic events or been diagnosed with post-traumatic stress disorder. These two emotions are part of post-traumatic stress disorder and suicidality. Moreover, when individuals perceive that their coping strategies are inadequate, they may view suicide as a relief from suffering. Method: This review was conducted according to PRISMA method. We used combinations of search words for traumatization, suicide ideation and behavior and shame and guilt to search for empirical studies in common databases in psychology and medicine. Results: Among 137 identified articles, 9 full texts were retained. Results suggest that shame and guilt were involved in all aspects of suicidality in patients who had experienced traumatic events or been diagnosed with post-traumatic stress disorder. The degree of shame and guilt differed with the type of traumatic event, notably affecting individuals who had experienced military combat, physical or sexual abuse, or emotional or physical neglect. Conclusion: Shame and guilt are implicated in suicide's risk. Future research is now needed to determine whether greater attention to these two emotions would enhance our understanding and anticipation of suicidal behavior in those who have experienced a potentially traumatic event or been diagnosed with post-traumatic stress disorder.

Strategy Use Mediates the Relation between Openness to Experience and Episodic Memory in Younger and Older Adults.

Previous research has shown that people with higher levels of Openness to Experience show higher levels of cognitive functioning. However, the mechanisms underlying this personality-cognition relation are not well understood. The goal of the current project was to examine whether strategy use mediates the relation between Openness to experience and retrospective memory, and whether the role of strategy use in the Openness-memory relation was the same in younger and older adults. METHOD: Two studies were conducted. In each of them, younger and older adults were administered a retrospective memory task (29 younger and 27 older in Study 1, 43 adults of all ages in Study 2). They were asked to report the strategies they used during the task, and to complete an Openness to Experience scale. RESULTS: Consistent with previous reports, higher scores of Openness to experience and greater use of efficient memory strategies were associated with higher levels of memory performance. In addition, individual differences in memory strategy use mostly mediated the relation between Openness and memory performance. Results did not support a mediation model moderated by age. That is, the role of memory strategy use in the relation between Openness and memory was the same in younger and older adults. CONCLUSION: Higher levels of Openness are associated with better memory performance, mostly because people with higher levels of Openness use more efficient memory strategies.

Assessment of PTSD and posttraumatic symptomatology in very young children: A systematic review.

CONTEXT: Very young children are said to be a vulnerable group for exposure to trauma, and for a psychopathological response (e.g., PTSD) after a risk-exposure. The specific assessment of young children is necessary to enable them to be enrolled in an appropriate care pathway. OBJECTIVE: The objective was to identify the instruments available in the English language for the assessment of posttraumatic symptoms in very young children (from 0- to 5-year old). DESIGN: This article reports on a systematic review, conducted using the search engines Google Scholar, Science Direct, PsycArticles, and PubMed. RESULTS: Nine instruments are available to specifically assess traumatic symptomatology in very young children (0-7-year old), five instruments are available for the broader assessment of very young children (1-6-year old), six instruments are available for the assessment of traumatic symptoms in very young children and in older children (2-18-year old), one instrument did not correspond to any category. These 21 tools are adapted to different ages, built according to different objectives, and do not rely on the same diagnostic algorithm. CONCLUSION: Future research should compare the instruments quantitatively to identify those most specific and sensitive to the assessment of trauma symptoms in young children.

Positive interventions for stress-related difficulties: A systematic review of randomized and non-randomized trials.

The effectiveness of positive psychology interventions in the treatment of stress-related difficulties have not been well established. To estimate the effectiveness of positive psychology interventions on the reduction of stress-related symptoms, a systematic review using PubMed, Scopus, Wiley, Psychinfo, Cochrane and Sage databases with no limitation of date of publication was conducted. We identified additional studies by searching positive psychology reviews and academic books. Only studies trying positive interventions that included measures of anxiety, stress, or posttraumatic stress disorder symptoms were reviewed. We extracted data using predefined data fields and study quality was assessed with the National Institutes of Health study quality assessment tools. Twenty-nine records were included in this study: 23 controlled trials and six pre-post studies. Every study showed significant improvement in at least one dimension. Several studies reported improvements in well-being as well. This review shows promising results of positive psychology interventions as a treatment for stress-related difficulties. However, important methodological biases and strong heterogeneity among the studies highlight the need for replication and better validation of positive psychology interventions.

Methodology of "14-7" Program: A Longitudinal Follow-Up Study of the Pediatric Population and Their Families Exposed to the Terrorist Attack of Nice on July 14th, 2016.

Introduction: After a traumatic event, children and adolescents may present several clinical consequences, the most common being Post-Traumatic Stress Disorder (PTSD). Most children and adolescents with PTSD have comorbid disorders, such Attention Deficit Hyperactivity Disorder, depression, attachment and anxiety disorders, sleep disturbances and behavior problems. However, epidemiological studies on the development of PTSD and other psychiatric disorders in children and adolescents as a consequence of a terrorist attack and mass murder are lacking. Long-term follow-up of exposed children and adolescents will help identify risk and protective factors of developing psychiatric and psychological conditions after exposure to traumatic events or situations. The main objective of this article is to present the methodology of "14-7" program. The aim of "14-7" program is to characterize the risk and protective psychosocial factors affecting the clinical evolution of a pediatric population sample, exposed to the terrorist attack of July 14th, 2016 in Nice. Method and Analysis: "14-7" program is a multicentre longitudinal cohort study. Major inclusion criteria are children and adolescents exposed to the terrorist attack and aged under 18 years on July 14th, 2016. These children and adolescents will be compared to a non-exposed to the "14-7" terrorist attack group, matched on age and gender. Participants will be assessed at baseline (T1), 2 years (T2) and 5 years (T3) after the initial assessment (T1), and every 5 years until they are 25 years old. Multiple domains are assessed: 1) mental health disorders, 2) intensity of PTSD symptoms, 3) intensity of comorbid symptoms, 4) quality of the parent-child relationship, 5) intelligence quotient, 6) parental symptoms. We will also establish a biological collection of saliva samples, magnetic resonance imaging (MRI) and actigraphy data collection. Main analyses comprise analyses of variance and regression analyses of predictors of clinical evolution over time. Ethics and Dissemination: The National Ethics Committee "NORD OUEST III" approved the "14-7" Program protocol (number 2017-A02212-51). All patients and their caregivers signed informed consent on enrolment in the "14-7" Program. Inclusions started on November 21st, 2017. Three hundred thirty-five individuals have been included (191 children and adolescents, 144 parents). Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT03356028.

The relationships between perceived control and episodic memory in adulthood: a review.

The goal of the current paper is to review the literature on the relationships between perceived control and episodic memory throughout adulthood. More specifically, three major questions are pursued: (1) Are higher levels of perceived control related to better memory performance? (2) Is the relationship between perceived control and memory similar or different as a function of age? (3) Does perceived control moderate memory decline? Although there is a great deal of evidence that perceived control and episodic memory are positively related in adulthood, the current review showed that very few studies have investigated whether age moderated this relationship. Moreover, only a limited number of studies have explored the role of perceived control in memory decline, and the results are inconsistent. We suggest some avenues for future research that could help understand by which mechanisms, and under what circumstances, perceived control and episodic memory are related across the lifespan.

Does Need for Cognition Have the Same Meaning at Different Ages?

Determining whether Need for Cognition (NC) has the same meaning across age may help understand why there are dramatically different age trends for cognitive abilities and for NC in adulthood. Data from 5,004 participants aged between 18 and 99 years were used to examine both internal relations and external relations of NC. Internal relations were investigated with measures of reliability, examination of factor invariance, and test-retest coefficients across three age groups. External relations were investigated by examining relations of NC with cognitive abilities, engagement, personality, self-rated cognition, and affect. Results suggest that NC may be a broad construct that could reflect motivation to seek out intellectual challenge. In addition, examination of both internal and external relations of NC indicated that the meaning of the construct may be the same across the life span. Finally, the current article showed that the strongest predictor of NC was Openness to Experience, at any age.

The relationship between Big-5 personality traits and cognitive ability in older adults - a review.

It is well established that fundamental aspects of cognition such as memory and speed of processing tend to decline with age; however, there is substantial between-individual variability in levels of cognitive performance in older adulthood and in rates of change in cognitive abilities over time. Recent years have seen an increasing number of studies concerned with examining personality characteristics as possible predictors of some of this variability in cognitive aging. The purpose of this article is to review the literature, and identify patterns of findings regarding the relationships between personality (focusing on the Big-5) and cognitive ability across nonclinical populations of older adults. Possible mechanisms underlying associations of personality characteristics with cognition are reviewed, and assessed in the context of the current literature. Some relatively consistent relationships are identified, including positive associations between openness and cognitive ability, and associations of conscientiousness with slower rates of cognitive decline. However, the relationships between several personality traits and cognitive abilities in older adults remain unclear. We suggest some approaches to research design and analysis that may help increase our understanding of how personality differences may contribute to cognitive aging.

Are there meaningful individual differences in temporal inconsistency in self-reported personality?

The current project had three goals. The first was to examine whether it is meaningful to refer to across-time variability in self-reported personality as an individual differences characteristic. The second was to investigate whether negative affect was associated with variability in self-reported personality, while controlling for mean levels, and correcting for measurement errors. The third goal was to examine whether variability in self-reported personality would be larger among young adults than among older adults, and whether the relation of variability with negative affect would be stronger at older ages than at younger ages. Two moderately large samples of participants completed the International Item Pool Personality questionnaire assessing the Big Five personality dimensions either twice or thrice, in addition to several measures of negative affect. Results were consistent with the hypothesis that within-person variability in self-reported personality is a meaningful individual difference characteristic. Some people exhibited greater across-time variability than others after removing measurement error, and people who showed temporal instability in one trait also exhibited temporal instability across the other four traits. However, temporal variability was not related to negative affect, and there was no evidence that either temporal variability or its association with negative affect varied with age.

Predictors of the risk factors for suicide identified by the interpersonal-psychological theory of suicidal behaviour.

The Interpersonal-Psychological Theory of Suicide (IPTS) has been supported by recent research. However, the nature of the models׳ three major constructs--perceived burdensomeness, thwarted belongingness and acquired capability - requires further investigation. In this paper, we test a number of hypotheses about the predictors and correlates of the IPTS constructs. Participants aged 32-38 from an Australian population-based longitudinal cohort study (n=1167) were assessed. IPTS constructs were measured by items from the Interpersonal Needs Questionnaire (INQ) and Acquired Capability for Suicide Scale (ACSS), alongside demographic and additional measures, measured concurrently or approximately 8 years earlier. Cross-sectional analyses evaluating the IPTS supported earlier work. Mental health was significantly related to all three IPTS constructs, but depression and anxiety caseness were associated only with perceived burdensomeness. Various social support measures were differentially associated with the three constructs. Stressful events and lifetime traumas had robust independent associations with acquired capability for suicide only. The IPTS model provides a useful framework for conceptualising suicide risk. The findings highlight the importance of perceived social support in suicide risk, identify the importance of personality and other factors as new avenues of research, and provide some validation for the independence of the constructs.

Heterogeneous ability profiles may be a unique indicator of impending cognitive decline.

OBJECTIVE: Prior research has found that within-person standard deviations across different neuropsychological domains are larger in various clinical groups than in healthy control groups, but little is known about the specificity of these measures to clinical conditions. METHOD: Within-person standard deviations were computed across composite scores representing episodic memory, perceptual speed, inductive reasoning, and spatial visualization and compared in older adults differing in the amount of subsequent cognitive change, and as a function of age in a large sample of adults ranging from 18 to 89 years of age. RESULTS: The standard deviations at an initial occasion were significantly greater in older adults who experienced the most negative longitudinal change, but relations of the standard deviations with age were only evident in adults under 65 years of age, and they were negative rather than positive. CONCLUSIONS: These findings suggest that high values of within-person variability may have specificity in predicting late life cognitive decline.

A test of the Interpersonal Theory of Suicide in a large community-based cohort.

BACKGROUND: Joiner's Interpersonal Theory of Suicide (Van Orden et al., 2010; Joiner, 2005) predicts that suicide ideation is strongest in those experiencing both high perceived burdensomeness and thwarted belongingness, and that the combination of suicide ideation and acquired capability for suicide is critical in the development of suicide plans and attempts. However, few datasets exist which allow the examination of these predictions. The present study aimed to test predictions from the model in a population-based cohort. METHODS: a survey was completed by 6133 participants from the PATH Through Life Project. Scales measuring perceived burdensomeness, thwarted belongingness, hopelessness, capability to self-injure, ideation, plans and attempts were developed using existing items. Regression models were used to predict the outcomes of ideation and of plans/attempts. RESULTS: consistent with the Interpersonal Theory, interactions were found between perceived burdensomeness and thwarted belongingness predicting ideation, and interactions of capability and ideation for plans/attempts. However, some predictions of the theory were not fulfilled. Nevertheless, the Interpersonal Theory explained more variance than epidemiological models using mental disorders as predictors. Age differences were evident, with models of older cohorts accounting for less variance. Gender models suggested thwarted belongingness was a stronger predictor of ideation in males than females. LIMITATIONS: while the fit of the factors assessing the Interpersonal Theory was adequate, the findings will need to be confirmed using previously developed scales of these constructs. CONCLUSIONS: predictive models of suicide need to take into account multiple risk factors, gender differences and changes in associations over the life span.

Engaging in cultural activities compensates for educational differences in cognitive abilities.

The goal of the current project was to examine whether engagement in intellectual/cultural activities explains the long-term effects of education on cognitive abilities throughout adulthood, and whether it compensates for educational differences in cognitive abilities throughout adulthood. Participants between 18 and 96 years of age completed a comprehensive questionnaire about intellectual/cultural activities that they participated in and performed a wide variety of cognitive tests. There were no mediation effects of engagement in intellectual/cultural activities on the relationship between education and cognitive functioning. In contrast, engagement in intellectual/cultural activities was found to moderate the relations between education and the level of fluid ability, working memory, speed of processing, and episodic memory. Findings suggest that the risk of cognitive decline in people with less education can be reduced via engagement in intellectual and cultural activities throughout adulthood.

Influence of social desirability on age differences in self-reports of mood and personality.

ABSTRACT Increased age has been found to be associated with differences in affect and personality that have been interpreted in terms of better emotional regulation and increased maturity. However, these findings have largely been based on self-report data, and the primary goal of the current research was to investigate the hypothesis that age-related differences in affect and in certain desirable personality traits might, at least partially, reflect age differences in social desirability. As expected, increased age was associated with lower levels of negative affect and Neuroticism and higher levels of positive affect, life satisfaction, Agreeableness, and Conscientiousness, and scores on the social desirability scale were positively related to age and to desirable self-report characteristics but negatively related to undesirable self-report characteristics. Importantly, controlling for the variance in the social desirability measure resulted in less positive age trends in both types of self-report measures.

Correlates of level and change in the Mini-Mental State Examination.

The goal of the current project was to determine (a) the cognitive abilities assessed by the Mini Mental State Examination (MMSE; M. F. Folstein, S. E. Folstein, & P. R. McHugh, 1975), (b) whether the same abilities are associated with MMSE performance among people of different ages, and (c) whether the same abilities are involved in changes within the same people over time. The authors therefore examined whether the initial levels of 5 cognitive ability constructs (vocabulary, reasoning, memory, space, and speed) predicted initial levels of MMSE performance and whether the initial levels or the changes in these 5 cognitive abilities predicted change in the MMSE performance. The major findings were that 3 cognitive constructs (vocabulary, reasoning, and memory) contribute to performance in the MMSE but that their respective contributions to the MMSE vary as a function of age and time. In particular, individual differences and change in the MMSE are primarily related to individual differences in reasoning among adults younger than about 70 years, whereas both initial level of MMSE performance and longitudinal change in MMSE performance primarily related to initial level and change in memory ability among adults older than 70 years. The results therefore imply that both the level of performance on the MMSE at a single point in time and the change in MMSE over time may represent somewhat different cognitive abilities at different ages.

Personality-cognition relations across adulthood.

Although an increasing number of studies have investigated relations between dimensions of personality and level of cognitive functioning, the research results have been somewhat inconsistent. Furthermore, relatively little is known about whether the personality-cognition relations vary as a function of age in adulthood. The current project examined these issues with data from a sample of 2,317 adults between 18 and 96 years of age who each completed a personality inventory and performed a broad battery of cognitive tests. The results revealed strong relations of the personality trait of Openness with several distinct cognitive abilities and smaller relations of other personality traits with specific cognitive abilities. Comparisons across different age groups indicated that the personality-cognition relations were both qualitatively and quantitatively similar across the adult years.

The role of activity engagement in the relations between Openness/Intellect and cognition.

The current project investigated why people with high levels of Openness/Intellect tend to have higher levels of cognitive functioning than people with lower levels of Openness/Intellect. We hypothesized that the positive relationship between Openness/Intellect and cognition might be attributable to more open people being more likely to engage in cognitively stimulating activities that are beneficial for cognitive functioning. Three conceptualizations of activity engagement based on: (a) self ratings of duration and intensity of engagement; (b) perceived routineness of one's activities; and (c) disposition to engage in cognitively stimulating activities, were investigated as possible mediators of the Openness/Intellect-cognition relations. Although several of the relevant simple correlations were of moderate size and statistically significant, we found little evidence that activity engagement mediated the relations between Openness/Intellect and cognition.