Nina E. Boulard

The impact of anxiety sensitivity, bodily expectations, and cultural beliefs on menstrual symptom reporting: a test of the menstrual reactivity hypothesis.

According to the menstrual reactivity hypothesis, certain women report more severe as well as a greater number of menstrual symptoms due to accurate reports of physical symptoms and expectations (e.g., cultural beliefs, sex roles, bodily sensations). To test this hypothesis and to further examine the role that anxiety sensitivity plays in menstrual symptom reporting, women varying in levels of anxiety sensitivity completed measures of sex role socialization, menstrual attitudes, bodily preoccupations, affect, and fear of illness. To assess psychophysiological reactivity and the applicability of response styles theory to individuals varying in anxiety sensitivity, skin conductance was measured as participants engaged in a rumination or distraction task. In addition, participants completed a modified Stroop task consisting of anxiety, menstrual, and neutral words followed by a surprise recognition task. Retrospectively and prospectively, women high in anxiety sensitivity consistently reported more severe menstrual symptoms. High anxiety sensitivity women also reported preoccupation with bodily sensations and more negative attitudes toward illness, but did not differ from low anxiety sensitivity women on measures of menstrual attitudes or sex role socialization. While engaging in a rumination task, high anxiety sensitivity women exhibited more frequent skin conductance responses and greater skin conductance response magnitude than low anxiety sensitivity women. In addition, after the rumination task, high anxiety sensitivity women recognized more anxiety-related words from the Stroop task. Menstrual cycle phase had less of an impact than anxiety sensitivity level on the current results. Implications of these results for the menstrual reactivity hypothesis and rumination are discussed.

Psychophysiological, somatic, and affective changes across the menstrual cycle in women with panic disorder.

This study explored menstrual symptoms, somatic focus, negative affect, and psychophysiological responding across the menstrual cycle in women with panic disorder and controls. Women with and without panic disorder completed a psychophysiological task and self-report measures of menstrual symptoms, somatic focus, and negative affect on 4 occasions across 2 menstrual cycles (twice during intermenstrual and premenstrual phases). Women in the panic disorder group exhibited greater skin conductance magnitude and more frequent skin conductance responses to anxiety-provoking stimuli during the premenstrual phase than did controls. Compared to controls, women with panic disorder endorsed more severe menstrual symptoms relating to bodily sensations, anxiety sensitivity, state and trait anxiety, fear of body sensations, and illness-related concerns. The applicability of anxiety sensitivity to understanding the relation of menstrual reactivity and panic disorder is discussed.

Menstrual Reactivity: The Role of Gender-Specificity, Anxiety Sensitivity, and Somatic Concerns in Self-Reported Menstrual Distress

To determine the impact of gender roles, anxiety sensitivity, and somatic concerns on self-reported menstrual distress, two studies were conducted. In the first study using 278 primarily Caucasian college females, anxiety-sensitivity level, not current menstrual cycle phase, influenced reports of menstrual symptom severity and depression. Regardless of cycle phase at the time of self-report, women high in anxiety sensitivity reported significantly more depressed mood, trait anxiety, and retrospective menstrual symptoms. In the second study of 158 primarily Caucasian college females varying in anxiety sensitivity levels, adherence to sex role stereotypes, feminist beliefs, and illness attitudes were examined. Participants also completed measures of general premenstrual, most-recent premenstrual, and current menstrual symptoms. Women high in anxiety sensitivity reported the highest levels of sex-specificity, feminist embeddedness, and illness attitudes, with sex-specificity accounting for significant variance in current menstrual symptoms. Results are discussed within the context of the menstrual reactivity hypothesis, which proposes that beliefs surrounding the menstrual cycle and body sensations expectancies contribute to self-reports of greater menstrual distress. Women high in anxiety sensitivity appear to represent one subgroup vulnerable to menstrual reactivity.

Seasonal Reactivity: Attentional Bias and Psychophysiological Arousal in Seasonal and Nonseasonal Depression

Individuals diagnosed with seasonal depression (MDD-SAD), nonseasonal depression (MDD), and controls completed a modified Stroop task and viewed winter and summer content scenes while skin conductance levels were recorded. Participants in the MDD-SAD and MDD groups took longer than controls to color name dark and depressive content words; however, individuals in the MDD group took longer than controls to color name all words. In reaction to winter scenes, individuals in the MDD-SAD group exhibited a greater frequency of significant skin conductance responses and greater amplitude of skin conductance responses than individuals in the MDD and control groups. These results add to a growing literature on seasonal reactivity which suggests that there may be specific features that distinguish seasonal and nonseasonal depression.

Reporting ethical practices in journal articles

Little attention has focused on the reporting of ethical research practices in journal articles. In Study 1, published articles in 2 psychopathology journals were reviewed to ascertain the types of ethical research information that were reported. In Study 2, a survey was sent to authors in Study 1 to determine which ethical practices they engaged in, if they reported this information, and reasons for not including this information in their article. In general, there is great variability regarding the types of ethical research practices reported in journal articles. Commonly cited reasons for not including ethical research practice information in the articles included the need for brevity, belief that it was common practice, and lack of relevance for the project. These results suggest that there is no standard practice for reporting research practices in journal articles and great variability in the implementation of procedures that are generally considered standard.

The Temporal Development of Mood, Cognitive, and Vegetative Symptoms in Recurrent SAD Episodes: A Test of the Dual Vulnerability Hypothesis

Recent literature on seasonal affective disorder (SAD) has begun to focus on diathesis–stress models, including Young and colleagues’ dual vulnerability hypothesis. The dual vulnerability hypothesis posits that individuals must possess both a biological vulnerability to developing vegetative symptoms and a psychological vulnerability to developing mood symptoms in order to develop SAD episodes. However, few studies have directly tested this model until very recently. Research has demonstrated a temporal relation between mood and vegetative symptoms, with vegetative symptoms having an earlier onset than mood symptoms supporting the idea that separate factors related to the two symptom clusters exist. The current study represents a longitudinal assessment of vegetative and mood symptoms, as well as cognitive factors (i.e., rumination, automatic thoughts) that may represent part of the psychological vulnerability shared by SAD sufferers. Furthermore, the present study represents only the second to assess state levels of cognitive factors that may impact recurrent SAD episode severity. Fifty-one individuals participated in the study across two groups, individuals with a history of SAD, and with no history of depression or SADs. Findings supported the dual vulnerability hypothesis, with an early vegetative symptom onset than mood symptom evident for the individuals with a history of SAD. Participants with a history of SAD also reported more ruminative responses and negative automatic thoughts about the seasons. Findings are generally supportive of Young and colleagues’ dual vulnerability hypothesis and directions for future research are suggested.

Cognitive and Psychophysiological Correlates of Subsyndromal Seasonal Affective Disorder

This study longitudinally examined cognitive and psychophysiological factors in females who met criteria for subsyndromal seasonal affective disorder (S-SAD) and nondepressed, low seasonality controls. Participants (N = 46) were tested twice, during one winter month (i.e., December or January) and during one nonwinter month (i.e., September or April). At each assessment, participants completed measures of negative automatic thought frequency, mood, and seasonality as well as three experimental tasks (a psychophysiological task, a schematic faces task, and a modified Stroop task). Women with S-SAD and controls differed at both assessments on frequency of automatic negative thoughts and emotional and psychophysiological reactivity to light-relevant stimuli. These results highlight the need for research examining a possible cognitive vulnerability to symptom development and maintenance across the spectrum of seasonality.

Old Habits Die Hard Treating a Woman With a 20-Year Severe Case of Skin Picking Disorder

This article describes the course of treatment for a 55-year-old woman presenting with a particularly challenging case of skin picking disorder. Treatment consisted of five phases (psychoeducation, habit-reversal training, cognitive training, exposure, and relapse prevention), over an 11-month period, in which each new phase built on to the previous phase. Digital photos of wounds resulting from skin picking were also taken during treatment. Several sources of information (continuous self-monitoring, rating scales, self-report, photos) indicated significant treatment gains, especially following Phases 3 and 4. Several challenges were encountered, most notably designing exposure-based techniques that were tailored to match the client’s needs and content of symptoms. Several treatment implications are discussed, including tailoring manualized treatments, managed care concerns, and suggestions for clinicians and supervisors. Taken together, this study adds to the scant literature on treatment of skin picking in older, typically developing adults.