Do online positive psychology interventions work equally well in distressed and non-distressed users?

Past research suggests distress level may differentiate users of online positive psychology interventions (OPPIs). Non-distressed users are moderately happy and use OPPIs as a self-improvement tool to maximize their sense of well-being. Distressed users experience high levels of negative affect and use OPPIs to relieve their suffering and unhappiness. The present study was designed to explore whether distressed and non-distressed individuals experience different outcomes after practising an OPPI. Demographic and psychological well-being information was collected from two large international samples (combined N = 6856) for up to 6 months following completion of a variety of brief positive psychology interventions (e.g. cultivating gratitude, self-compassion, optimism). Using cluster analysis to subgroup OPPI users, Study 1 found a two cluster solution for classifying OPPI users based on distress level, replicating the findings first observed by Parks, Della Porta, Pierce, Zilca, and Lyubomirsky (2012). Study 2 explored differences in well-being outcomes between these two clusters. The distressed cluster reported greater decreases in depressive symptoms and increases in life satisfaction over time than the non-distressed cluster. Previous experience with psychotherapy was associated with greater long-term improvements in life satisfaction for the distressed cluster, although attrition rates were higher for the distressed cluster in one sample. Based on these findings, distress level appears to distinguish both who uses OPPIs and who stands to benefit most. Distressed individuals experienced the greatest gains, although they were also more likely to have difficulty with regular participation. The high attrition rate and limited scope of outcome measures of well-being were discussed as limitations. Future research was encouraged to clarify the different mechanisms in effect for distressed and non-distressed OPPI users and to develop interventions more resistant to attrition

Impact of botanical oils on polyunsaturated fatty acid metabolism and leukotriene generation in mild asthmatics

Background: Dietary supplementation with botanical oils that contain n-6 and n-3 eighteen carbon chain (18C)-PUFA such as γ linolenic acid (GLA, 18:3n-6), stearidonic acid (SDA, 18:4n-3) and α linolenic acid (ALA, 18:3n-3) have been shown to impact PUFA metabolism, alter inflammatory processes including arachidonic acid (AA) metabolism and improve inflammatory disorders. Methods: The diet of mild asthmatics patients was supplemented for three weeks with varying doses of two botanical seed oils (borage oil [Borago officinalis, BO] and echium seed oil [Echium plantagineum; EO]) that contain SDA, ALA and GLA. A three week wash out period followed. The impact of these dietary manipulations was evaluated for several biochemical endpoints, including in vivo PUFA metabolism and ex vivo leukotriene generation from stimulated leukocytes. Results: Supplementation with several EO/BO combinations increased circulating 20–22 carbon (20–22C) PUFAs, including eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA), and dihommo-gammalinolenic acid (DGLA), which have been shown to inhibit AA metabolism and inflammation without impacting circulating AA levels. BO/EO combinations also inhibited ex vivo leukotriene generation with some combinations attenuating cysteinyl leukotriene generation in stimulated basophils by >50% and in stimulated neutrophils by >35%. Conclusions: This study shows that dietary supplementation with BO/EO alters 20–22C PUFA levels and attenuates leukotriene production in a manner consistent with a reduction in inflammation

LTC4 synthase polymorphism modifies efficacy of botanical seed oil combination in asthma

Botanical seed oils reduce the generation of leukotrienes in patients with asthma. Our objective was to determine the efficacy of a botanical seed oil combination against airflow obstruction in asthma, and to determine the pharmacogenomic effect of the leukotriene C4 synthase (LTC4S) polymorphism A-444C. We conducted a randomized, double-blind, placebo-controlled, cross-over clinical trial in mild to moderate asthmatics to determine the change in FEV1 after 6 weeks of therapy with borage and echium seed oils versus corn oil placebo. We also examined the effect of the variant LTC4S -444C allele on the change in lung function. We did not identify a difference in FEV1 in the study cohort as a whole (n = 28), nor in the group of A homozygotes. In the C allele carriers (n = 9), FEV1 improved by 3% after treatment with borage and echium seed oils and declined by 4% after placebo corn oil (p = 0.02). All 9 C allele carriers demonstrated an improvement in their FEV1 on active treatment compared to placebo as compared to only 7 out of 19 A allele homozygotes (p = 0.007). We observed transient differences in ex vivo leukotriene generation from circulating basophils and granulocytes. We did not observe significant differences in urinary LTE4 levels. We conclude that compared to corn oil, a combination of borage and echium seed oils improves airflow obstruction in mild to moderate asthmatics who carry the variant allele in the LTC4S gene (A-444C). Botanical oil supplementation may have therapeutic potential in asthma if used in a personalized manner. Trial registration: This trial was registered at http://www.clinicaltrials.gov as NCT00806442

A Comparison of Teachers Perceptions, Misconceptions, and Teaching of Students with Dyslexia

Teachers commonly work with students with dyslexia. They may not have been aware that the reason a student struggled with many academic tasks, was due to challenges with mental processing associated with the dyslexia. Dyslexia tends to be difficult to recognize. However, the commonly associated behaviors such as acting out, withdrawing, or simply trying and failing are readily noticeable. Because of the hidden nature of dyslexia, many teachers may attribute students’ lack of academic success to other easily explainable issues, such as attention deficit disorder or issues with family function. Students’ academic and potentially life-long success, could be influenced by the lack of teacher awareness or ability to recognize the executive functioning issues of students with dyslexia. Thus, there is a need for teachers at all levels to understand what dyslexia is, hold accurate conceptions of dyslexia, and know how to effectively support the learning of students with dyslexia. Given the critical role teachers play in working with students with dyslexia and the potential teachers have to support or hinder students long term success, there is warrant for examining the perceptions, attitudes, misconceptions, and practice of teachers working with students with dyslexia

Genome-wide analysis of copy number variants in attention deficit hyperactivity disorder: the role of rare variants and duplications at 15q13.3.

To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field.Attention deficit hyperactivity disorder (ADHD) is a common, highly heritable psychiatric disorder. Because of its multifactorial etiology, however, identifying the genes involved has been difficult. The authors followed up on recent findings suggesting that rare copy number variants (CNVs) may be important for ADHD etiology. The authors performed a genome-wide analysis of large, rare CNVs (100 kb in size, which segregated into 912 independent loci. Overall, the rate of rare CNVs >100 kb was 1.15 times higher in ADHD case subjects relative to comparison subjects, with duplications spanning known genes showing a 1.2-fold enrichment. In accordance with a previous study, rare CNVs >500 kb showed the greatest enrichment (1.28-fold). CNVs identified in ADHD case subjects were significantly enriched for loci implicated in autism and in schizophrenia. Duplications spanning the CHRNA7 gene at chromosome 15q13.3 were associated with ADHD in single-locus analysis. This finding was consistently replicated in an additional 2,242 ADHD case subjects and 8,552 comparison subjects from four independent cohorts from the United Kingdom, the United States, and Canada. Presence of the duplication at 15q13.3 appeared to be associated with comorbid conduct disorder. These findings support the enrichment of large, rare CNVs in ADHD and implicate duplications at 15q13.3 as a novel risk factor for ADHD. With a frequency of 0.6% in the populations investigated and a relatively large effect size (odds ratio=2.22, 95% confidence interval=1.5–3.6), this locus could be an important contributor to ADHD etiology.Novartis Shire Eli Lilly Elminda Janssen McNeil Fundacion Areces (Spain) Fundacion Dr. Manuel Camelo A.C., Medice Pharmaceuticals Spanish Child Psychiatry Association Shionogi Pharma Cipher Pharmaceuticals Janssen-Cilag Vifor Alcobra NIH R13MH059126 R01MH62873 R01MH081803 Pfizer Guilford Press Oxford University Press Affymetrix Power Award Wellcome Trust, U.K. Action Medical Research UK Radboud University Nijmegen Medical Center Deutsche Forschungsgemeinschaft KFO 125 SFB 581 GRK 1156 ME 1923/5-1 ME 1923/5-3 GRK 1389 Bundesministerium fur Bildung und Forschung (BMBF 01GV0605 Health Research Board Irelan

Mammographic density adds accuracy to both the Tyrer-Cuzick and Gail breast cancer risk models in a prospective UK screening cohort

This work was supported by the National Institute for Health Research (NIHR) and Genesis Breast Cancer Prevention Appeal (references GA10-033 and GA13-006). This article presents independent research funded by the NIHR under its Programme Grants for Applied Research (grant RP-PG-0707-10031). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors also acknowledge the support of Medical Research Council Health eResearch Centre grant MR/K006665/1

Factors Affecting Agreement between Breast Density Assessment Using Volumetric Methods and Visual Analogue Scales

Mammographic density in digital mammograms can be assessed visuallyor using automated volumetric methods; the aim in both cases is to identifywomen at greater risk of developing breast cancer, and those for whommammography is less sensitive. Ideally all methods should identify the samewomen as having high density, but this is not the case in practice. 6422 womenwere ranked from the highest to lowest density by three methods: QuantraTM,VolparaTM and visual assessment recorded on Visual Analogue Scales. For eachpair of methods the 20 cases with the greatest agreement in rank were compared with the 20 with the least agreement. The presence of microcalcifications, skinfolds, suboptimally positioned inframammary folds, and whether or not the nipplewas in profile were found to affect agreement between methods (

Pseudomonas aeruginosa Psl polysaccharide reduces neutrophil phagocytosis and the oxidative response by limiting complement-mediated opsonization: Psl and the innate immune response towards P. aeruginosa

Pseudomonas aeruginosa causes chronic lung infections in the airways of cystic fibrosis (CF) patients. Psl is an extracellular polysaccharide expressed by non-mucoid P. aeruginosa strains, which are believed to be initial colonizers. We hypothesized that Psl protects P. aeruginosa from host defences within the CF lung prior to their conversion to the mucoid phenotype. We discovered that serum opsonization significantly increased the production of reactive oxygen species (ROS) by neutrophils exposed to a psl-deficient mutant, compared with wild-type (WT) and Psl overexpressing strains (Psl++). Psl-deficient P. aeruginosa were internalized and killed by neutrophils and macrophages more efficiently than WT and Psl++ variants. Deposition of complement components C3, C5 and C7 was significantly higher on psl-deficient strains compared with WT and Psl++ bacteria. In an in vivo pulmonary competition assay, there was a 4.5-fold fitness advantage for WT over psl-deficient P. aeruginosa. Together, these data show that Psl inhibits efficient opsonization, resulting in reduced neutrophil ROS production, and decreased killing by phagocytes. This provides a survival advantage in vivo. Since phagocytes are critical in early recognition and control of infection, therapies aimed at Psl could improve the quality of life for patients colonized with P. aeruginosa