RESUMEN
Social phobia (SP) is a common mental disorder in youth often accompanied by absence from school, which may require daycare or inpatient intervention (DC/IN). Objective: The present explorative study investigates changes in anxiety-specific implicit assumptions and interpretation bias following DC/IN. Methods: The study included 16 youths with SP (M age = 15.8 [SD = 1.24], females: 62.5 %) participating in DC/IN. We assessed the main outcomes using the Implicit Association Test and Affective Misattribution Procedure. Results: A large effect was shown for reducing implicit assumptions of feeling anxious (p = .142; η2p = .171) and for reducing the implicit interpretation bias (p = .137; η2p = .162). No change was indicated by effect size in implicit assumptions of feeling socially rejected (p = .649; η2p = .016). Social phobia symptoms initially correlated with changes in implicit assumptions of feeling anxious (r = .45). Conclusion: Effect sizes indicate that implicit anxiety-specific assumptions and interpretation bias descriptively improved following DC/IN. Thus, DC/IN may lead to meaningful improvements of anxiety-specific cognition in some individuals with high SP symptoms, emphasizing the relevance of cognitive behavioral approaches in the treatment of SP. Several limitations are discussed.
Asunto(s)
Fobia Social , Femenino , Adolescente , Humanos , Fobia Social/diagnóstico , Fobia Social/terapia , Fobia Social/psicología , Absentismo , Pacientes Internos , Ansiedad/terapia , Cognición , Instituciones AcadémicasRESUMEN
OBJECTIVE: Impaired reward processing has been found in individuals with anxiety, but also major depressive disorder (MDD). Here, we studied neural correlates of reward anticipation and processing in a sample of youth with severe social phobia and comorbid depression (SP/MDD) and investigated the specific contribution of SP and MDD symptoms. METHODS: 15 affected, unmedicated and 25 typically developing (TD) youth completed a monetary gambling task, which included a positive, negative and ambiguous reward condition. Event-related potentials representing cue processing (cue P300), reward anticipation (stimulus preceding negativity, SPN), reward sensitivity (feedback related negativity, FRN) and reward processing (reward P300) were analysed. RESULTS: Reduced amplitudes of the right hemispheric (r)SPN and reward P300 were observed in SP/MDD compared to TD. Within the SP/MDD group SP symptoms correlated with larger rSPN, and FRN amplitudes. MDD symptoms correlated with smaller rSPN and smaller FRN positive-negative difference wave. CONCLUSIONS: Reward anticipation and feedback processing are reduced in SP/MDD. Higher SP symptoms are associated with stronger neural activation during reward anticipation and reward sensitivity. Depressive symptoms are associated with decreased reward anticipation and sensitivity. Findings are in line with the theory of heightened vigilance in anxiety and blunted reward processing due to anhedonia in MDD. SIGNIFICANCE: The study results can inform behavioural interventions for SP and MDD.
Asunto(s)
Trastorno Depresivo Mayor , Fobia Social , Humanos , Adolescente , Electroencefalografía , Depresión , Potenciales Evocados/fisiología , RecompensaRESUMEN
Capacity for Care (C4C) is a shelter management strategy that is capable of improving the welfare of cats in a shelter's care. Managing shelter intake using intake waitlists and scheduled intake appointments is a key feature of C4C. The purpose of this study was to describe the population of owned cats whose owners contacted the Guelph Humane Society (GHS) to explore the option of relinquishing, and to report outcomes for this population. Data were collected retrospectively from shelter records created by the GHS from July 2017 to June 2018. This study further examined associations between cat outcome and rehoming options under consideration by owners at the initial point of contact with the shelter, cat source, and reason for relinquishment. A greater proportion of cats with veterinary issues reported as the primary reason for potential surrender were kept by their owners compared with being relinquished (p<0.01), rehomed (p<0.01), and having an unknown outcome (p<0.01). A greater proportion of cats whose owners had medical issues were surrendered, compared with being retained in their homes.The large number of cats whose outcomes were unknown suggests a need for future research in order to further understand the outcomes that are occurring for cats whose admission to a shelter are deferred.