• The Yale-Brown Obsessive Compulsive Scale was designed to remedy the problems of existing rating scales by providing a specific measure of the severity of symptoms of obsessivecompulsive disorder that is not influenced by the type of obsessions or compulsions present. The scale is a clinician-rated, 10-item scale, each item rated from 0 (no symptoms) to 4 (extreme symptoms) (total range, 0 to 40), with separate subtotals for severity of obsessions and compulsions. In a study involving four raters and 40 patients with obsessive-compulsive disorder at various stages of treatment, interrater reliability for the total Yale-Brown Scale score and each of the 10 individual items was excellent, with a high degree of internal consistency among all item scores demonstrated with Cronbach's α coefficient. Based on pretreatment assessment of 42 patients with obsessive-compulsive disorder, each item was frequently endorsed and measured across a range of severity. These findings suggest that the Yale-Brown Scale is a reliable instrument for measuring the severity of illness in patients with obsessive-compulsive disorder with a range of severity and types of obsessive-compulsive symptoms.

https://jamanetwork.com/journals/jamapsychiatry/articlepdf/494743/archpsyc_46_11_007.pdf

The Yale-Brown Obsessive Compulsive Scale: I. Development, Use, and Reliability

The human stress response has been characterized, both physiologically and behaviorally, as "fight-or-flight." Although fight-or-flight may characterize the primary physiological responses to stress for both males and females, we propose that, behaviorally, females' responses are more marked by a pattern of "tend-and-befriend." Tending involves nurturant activities designed to protect the self and offspring that promote safety and reduce distress; befriending is the creation and maintenance of social networks that may aid in this process. The biobehavioral mechanism that underlies the tend-and-befriend pattern appears to draw on the attachment-caregiving system, and neuroendocrine evidence from animal and human studies suggests that oxytocin, in conjunction with female reproductive hormones and endogenous opioid peptide mechanisms, may be at its core. This previously unexplored stress regulatory system has manifold implications for the study of stress.

/pdf/biobehavioral-responses-to-stress-in-females-tend-and-2yimakv5ai.pdf

Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight.

The neurocognitive literature on test performance in schizophrenia is reviewed quantitatively. The authors report 22 mean effect sizes from 204 studies to index schizophrenia versus control differences in global and selective verbal memory, nonverbal memory, bilateral and unilateral motor performance, visual and auditory attention, general intelligence, spatial ability, executive function, language, and interhemispheric tactile-transfer test performance. Moderate to large raw effect sizes (d > .60) were obtained for all 22 neurocognitive test variables, and none of the associated confidence intervals included zero. The results indicate that schizophrenia is characterized by a broadly based cognitive impairment, with varying degrees of deficit in all ability domains measured by standard clinical tests.

Neurocognitive Deficit in Schizophrenia: A Quantitative Review of the Evidence

Human differentiation on the basis of gender is a fundamental phenomenon that affects virtually every aspect of people's daily lives. This article presents the social cognitive theory of gender role development and functioning. It specifies how gender conceptions are constructed from the complex mix of experiences and how they operate in concert with motivational and self-regulatory mechanisms to guide gender-linked conduct throughout the life course. The theory integrates psychological and sociostructural determinants within a unified conceptual structure. In this theoretical perspective, gender conceptions and roles are the product of a broad network of social influences operating interdependently in a variety of societal subsystems. Human evolution provides bodily structures and biological potentialities that permit a range of possibilities rather than dictate a fixed type of gender differentiation. People contribute to their self-development and bring about social changes that define and structure gender relationships through their agentic actions within the interrelated systems of influence.

https://www.uky.edu/~eushe2/Bandura/Bandura1999PR.pdf

Social cognitive theory of gender development and differentiation.

The concept of impulsivity covers a wide range of ”actions that are poorly conceived, prematurely expressed, unduly risky, or inappropriate to the situation and that often result in undesirable outcomes”. As such it plays an important role in normal behaviour, as well as, in a pathological form, in many kinds of mental illness such as mania, personality disorders, substance abuse disorders and attention deficit/hyperactivity disorder. Although evidence from psychological studies of human personality suggests that impulsivity may be made up of several independent factors, this has not made a major impact on biological studies of impulsivity. This may be because there is little unanimity as to which these factors are. The present review summarises evidence for varieties of impulsivity from several different areas of research: human psychology, psychiatry and animal behaviour. Recently, a series of psychopharmacological studies has been carried out by the present author and colleagues using methods proposed to measure selectively different aspects of impulsivity. The results of these studies suggest that several neurochemical mechanisms can influence impulsivity, and that impulsive behaviour has no unique neurobiological basis. Consideration of impulsivity as the result of several different, independent factors which interact to modulate behaviour may provide better insight into the pathology than current hypotheses based on serotonergic underactivity.

Varieties of impulsivity.

Very few rating scales have been constructed explicitly for the measurement of change in psychopathology despite the large number of scales available for the assessment of psychiatric illness. The introduction of new intervention techniques in psychiatry has created a need for instruments to evaluate and compare the efficacy of various treatments. Scales that were initially constructed for diagnostic and classificatory purposes have therefore been used to assess treatment effects although it is sometimes doubtful whether they are sensitive enough for that purpose. In 1971, an interdisciplinary group of 15 psychiatrists, psychologists and clinical pharmacologists was formed under the auspices of the Swedish Medical Research Council to study the problem of evaluating change in psychiatric disorders with treatment. An attempt was made to reach agreement on the standardization of measuring techniques. Inquiries were made to all psychiatric university departments in Scandinavia and to the companies producing psychotropic drugs. These revealed a large number of widely differing and overlapping rating scales in current use. None of the scales examined met the requirements of the group and it was felt that no single scale in use could be elaborated or refined sufficiently to adequately measure change over the range of psychiatric syndromes. It was therefore decided to construct a new scale covering psychopathological variables likely to be changed by treatment. Such a scale should be capable of being used either in full, to cover the range of psychopathology or used as a pool of items from which subscales could be drawn for particular psychiatric syndromes.

A comprehensive psychopathological rating scale.

The functional linkage between platelet MAO activity and psychopathology was explored by analyzing temperamental correlates in 40 male subjects by means of scales from the Eysenck Personality Questionnaire (EPQ), the Zuckerman Sensation Seeking Inventory, and the Karolinska Scales of Personality (KSP). Linear correlations were found with two sensation seeking scales, replicating earlier findings. However, nonlinear correlations predominated. Subjects with intermediate platelet MAO activity had higher scores in conformity scales and lower scores in anxiety and hostility scales than low and high MAO subgroups. Low MAO subjects showed a pattern of higher scores in KSP Impulsiveness, EPQ Neuroticism, and KSP Somatic Anxiety and Irritability and lower scores in KSP Socialization, in line with personality profiles found in alcoholics, psychopaths, and suicide attempters who also tend to have low platelet MAO activity. High MAO subjects scored lower in sensation seeking and conformity scales and higher in KSP Psychasthenia, Muscular Tension and Suspicion scales, consistent with clinical links between high platelet MAO activity and anxiety and paranoia.

Markers for vulnerability to psychopathology: Temperament traits associated with platelet MAO activity

Fifty-eight normal adolescent Swedish boys, aged 16, provided two sets of blood samples for plasma testosterone assays as well as data on a number of personality inventories and rating scales assessing aggression, inpulsiveness, lack of frustration tolerance, extraversion, and anxiety. Physical variables such as pubertal stage, height, weight, chest circumference, and physical strength were measured. There was a significant association (r = 0.44) between plasma testosterone levels and self-reports of physical and verbal aggression, mainly reflecting responsiveness to provocation and threat. Lack of frustration tolerance was also related to testosterone levels. About 40% of the variance in perfectly reliable testosterone measurements could be predicted from equally reliable Physical + Verbal Aggression and Lack of Frustration Tolerance scales. Pubertal stage was correlated with testosterone (r = 0.44), but the above-mentioned relationships could not be accounted for by pubertal stage as a third common variable. Previous hypotheses relating testosterone to strong body build and antisocial behavior, respectively, received only weak or no support.

Testosterone, aggression, physical, and personality dimensions in normal adolescent males.

Empirical analyses conducted within a causal-analytic framework (path analysis) on a sample of normal adolescent human males suggested that circulating levels of testosterone in the blood had a direct causal influence on provoked aggressive behavior (self-reports): A high level of testosterone led to an increased readiness to respond vigorously and assertively to provocations and threats. Testosterone also had an indirect and weaker affect on another aggression dimension: High levels of testosterone made the boys more impatient and irritable, which in turn increased their propensity to engage in aggressive-destructive behavior. Two somewhat parallel dimensions of behavior, intermale and irritable aggression, have been identified in animal research to be under testosterone control.

Circulating testosterone levels and aggression in adolescent males: a causal analysis.

We administered the Karolinska Scales of Personality to 225 healthy subjects in Spain selected from a group of 925 individuals previously phenotyped with regard to their capacity to hydroxylate debrisoquine. A significant relationship was found between the scores in as many as 4 of the 15 subscales (psychic anxiety, psychasthenia, inhibition of aggression and socialization) and the debrisoquine hydroxylation capacity. Poor metabolizers were more anxiety-prone and less successfully socialized than extensive metabolizers of debrisoquine. This and a previous study among subjects in Sweden suggest that there may be a relationship between personality and the activity of the enzyme hydroxylating debrisoquine (cytochrome P4502D6). This polymorphic enzyme may have an endogenous neuroactive substrate or product, such as a biogenic neurotransmitter amine.

Relationship between personality and debrisoquine hydroxylation capacity. Suggestion of an endogenous neuroactive substrate or product of the cytochrome P4502D6.

Daisy Schalling

Papers

A comprehensive psychopathological rating scale.

Markers for vulnerability to psychopathology: Temperament traits associated with platelet MAO activity

Testosterone, aggression, physical, and personality dimensions in normal adolescent males.

Circulating testosterone levels and aggression in adolescent males: a causal analysis.

Relationship between personality and debrisoquine hydroxylation capacity. Suggestion of an endogenous neuroactive substrate or product of the cytochrome P4502D6.