Suchergebnisse

Introduction: There are very few studies of all-women teams performing in highly challenging isolated, confined, and extreme environments. Objective: To evaluate individual stressors, coping methods, and team functioning over an extended highly challenging trek. Methods: Subjects in this study were six British military officers who successfully traversed the Antarctic continent on skis over a 61-day 1700 km trek. The measures administered and their timing were as follows: Pre-expedition - Multidimensional Personality Questionnaire-Brief Form (MPQ-BF); Triarchic Psychopathy Measure (TriPM); Portrait Values Questionnaire (PVQ); Expedition - weekly rating form (WRF) assessing stress, coping, and team decision making; Post-expedition - debriefing interview and PVQ. Results: The group had high scores on personality scales indicating traits of Achievement, Social Closeness, Absorption (imagination), and Boldness, although individual differences were evident. Subjects gave high ratings to PVQ Hedonism (pleasure), Stimulation, and Self-direction values; the Tradition value was rated low. Subjects reported primarily positive experiences on the ice, and used both cognitive and behavioral coping methods to deal with stress. A salient issue was resolving individual goals among team members vs. team goals in the pace and distance covered each day. Other themes related to the importance of honesty in communication for team success, dealing with friction between two dominant individuals, and proving oneself through the physical challenge. Discussion: The implications of these findings for a Mars mission include the importance of enhancing the effectiveness of both pre-flight training and the countermeasures developed for use during flight to deal with interpersonal and work performance stressors. The effective use of ground-based analogs such as expedition teams operating in challenging and extreme environments is discussed.

This case study assessed the psychological strengths and stability of attitudes and values of a 29-year-old male who successfully completed a 260-day solo sailboat circumnavigation of the globe. Personality findings indicated positive psychological functioning; high scores on traits of boldness, agreeableness, and openness; and mid-range on extraversion. An internal locus of control belief orientation was evident from the pre- to post-voyage evaluation periods. Personal values of hedonism, universalism, and stimulation were the highest rated values over the course of the voyage. Positive adaptation was reflected in perceptions of personal growth, endorsement of positive experiences, and flexibility in using a variety of coping strategies depending on the situation. The mid-range level of extraversion and high trait agreeableness may be adaptive characteristics, reflecting comfort in solitude while possessing the ability and interest in communicating with others as a means of stimulation and social support.

Abstract. Background: Suicide is estimated to account for 1.4% of deaths worldwide, making it among the leading causes of premature death. Public health approaches to reduce suicide have the potential to reach individuals across the spectrum of suicide risk. Aims: To review the effectiveness of newer community-based or population-level suicide prevention strategies. Methods: We conducted a systematic review of literature published from January 2010 to November 2020 to evaluate the effectiveness of community- and population-level interventions. The US Center for Disease Control framework was used for grouping studies by strategy. Results: We included 56 publications that described 47 unique studies. Interventions that reduce access to lethal means, implement organizational policies and culture in police workplace settings, and involve community screening for depression may reduce suicide deaths. It is unclear if other interventions such as public awareness and education campaigns, crisis lines, and gatekeeper training prevent suicide. Evidence was inconsistent for community-based, multistrategy interventions. The most promising multistrategy intervention was the European Alliance Against Depression. Limitations: Most eligible studies were observational and many lacked concurrent control groups or adjustment for confounding variables. Conclusions: Community-based interventions that may reduce suicide deaths include reducing access to lethal means, implementing organizational policies in workplace settings, screening for depression, and the multistrategy European Alliance Against Depression Program. Evidence was unclear, inconsistent, or lacking regarding the impact of many other single- or multistrategy interventions on suicide deaths.

Biobehavioral dispositions can serve as valuable referents for biologically oriented research on core processes with relevance to many psychiatric conditions. The present study examined two such dispositional variables-weak response inhibition (or disinhibition; INH-) and threat sensitivity (or fearfulness; THT+)-as predictors of the serious transdiagnostic problem of suicide risk in two samples: male and female outpatients from a U.S. clinic (N=1078), and a population-based male military cohort from Finland (N=3855). INH- and THT+ were operationalized through scores on scale measures of disinhibition and fear/fearlessness, known to be related to DSM-defined clinical conditions and brain biomarkers. Suicide risk was assessed by clinician ratings (clinic sample) and questionnaires (both samples). Across samples and alternative suicide indices, INH- and THT+ each contributed uniquely to prediction of suicide risk-beyond internalizing and externalizing problems in the case of the clinic sample where diagnostic data were available. Further, in both samples, INH- and THT+ interactively predicted suicide risk, with individuals scoring concurrently high on both dispositions exhibiting markedly augmented risk. Findings demonstrate that dispositional constructs of INH- and THT+ are predictive of suicide risk, and hold potential as referents for biological research on suicidal behavior. ; The research was supported by National Institute of Mental Health Grants MH072850 and MH089727, and U.S. Army Grants W911NF-14-1-0027 and W81XWH-10-2-0181.

Biobehavioral dispositions can serve as valuable referents for biologically oriented research on core processes with relevance to many psychiatric conditions. The present study examined two such dispositional variables-weak response inhibition (or disinhibition; INH-) and threat sensitivity (or fearfulness; THT+)-as predictors of the serious transdiagnostic problem of suicide risk in two samples: male and female outpatients from a U.S. clinic (N=1078), and a population-based male military cohort from Finland (N=3855). INH- and THT+ were operationalized through scores on scale measures of disinhibition and fear/fearlessness, known to be related to DSM-defined clinical conditions and brain biomarkers. Suicide risk was assessed by clinician ratings (clinic sample) and questionnaires (both samples). Across samples and alternative suicide indices, INH- and THT+ each contributed uniquely to prediction of suicide risk-beyond internalizing and externalizing problems in the case of the clinic sample where diagnostic data were available. Further, in both samples, INH- and THT+ interactively predicted suicide risk, with individuals scoring concurrently high on both dispositions exhibiting markedly augmented risk. Findings demonstrate that dispositional constructs of INH- and THT+ are predictive of suicide risk, and hold potential as referents for biological research on suicidal behavior. ; The research was supported by National Institute of Mental Health Grants MH072850 and MH089727, and U.S. Army Grants W911NF-14-1-0027 and W81XWH-10-2-0181.