Event Scale (event + scale)

Distribution by Scientific Domains


Selected Abstracts


Demographic and clinical characteristics of motor vehicle accident victims in the community general health outpatient clinic: a comparison of PTSD and non-PTSD subjects

DEPRESSION AND ANXIETY, Issue 4 2007
Marina Kupchik M.D.
Abstract Motor vehicle accidents (MVAs) are the leading cause of posttraumatic stress disorder (PTSD) in the general population, often with enduring symptomatology. This study details epidemiological and clinical features that characterize PTSD among MVA victims living in a nonhospitalized community setting long after the MVA event, and includes exploration of premorbid and peritraumatic factors. MVA victims (n=60; 23 males, 37 females) identified from the registry of a community general health outpatient clinic during a 7-year period were administered an extensive structured battery of epidemiological, diagnostic and clinical ratings. Results indicated that 30 subjects (50%; 12 males, 18 females) had MVA-related PTSD (MVAR-PTSD). Among those with PTSD, 16 individuals exhibited PTSD in partial remission, and six, in full remission. There were no significant demographic or occupational function differences between PTSD and non-PTSD groups. The most common comorbid conditions with MVAR-PTSD were social phobia (20%), generalized anxiety disorder (7.8%) and obsessive,compulsive disorder (0.5%). Previous MVA's were not predictive of PTSD. Subjects with MVAR-PTSD scored worse on the Clinician-Administered Posttraumatic Stress Disorder Scale, Part 2 (CAPS-2), Impact of Event Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Impulsivity Scale, and Toronto Alexithymia Rating Scale. Study observations indicate a relatively high rate of PTSD following an MVA in a community-based sample. The relatively high rate of partially remitted MVAR-PTSD (N=16) underscores the importance of subsyndromal forms of illness. Alexithymia may be an adaptive method of coping with event stress. The development of PTSD appears not to be associated with the severity of MVA-related physical injury. Depression and Anxiety 24:244,250, 2007. © 2006 Wiley,Liss, Inc. [source]


Horizontal violence: experiences of Registered Nurses in their first year of practice

JOURNAL OF ADVANCED NURSING, Issue 1 2003
Brian G. McKenna BA MHSc RCpN
Background.,Interpersonal conflict among nurses (traditionally called ,horizontal violence' or ,bullying') is a significant issue confronting the nursing profession. However, there is a dearth of research focusing on horizontal violence experienced by new graduate nurses. Aims.,In order to assess the priority for preventive intervention programmes, the aims of this study were to determine the prevalence of horizontal violence experienced by nurses in their first year of practice; to describe the characteristics of the most distressing incidents experienced; to determine the consequences, and measure the psychological impact, of such events; and to determine the adequacy of training received to manage horizontal violence. Method.,An anonymous survey was mailed to nurses in New Zealand who had registered in the year prior to November 2000 (n = 1169) and 551 completed questionnaires were returned (response rate 47%). Information was requested on the type and frequency of interpersonal conflict; a description of the most distressing event experienced; the consequences of the behaviour; and training to manage such events. The Impact of Event Scale was used to measure the level of distress experienced. Results.,Many new graduates experienced horizontal violence across all clinical settings. Absenteeism from work, the high number of respondents who considered leaving nursing, and scores on the Impact of Event Scale all indicated the serious impact of interpersonal conflict. Nearly half of the events described were not reported, only 12% of those who described a distressing incident received formal debriefing, and the majority of respondents had no training to manage the behaviour. Conclusions.,First year of practice is an important confidence-building phase for nurses and yet many new graduates are exposed to horizontal violence, which may negatively impact on this process. The findings underscore a priority for the development of effective prevention programmes. Adequate reporting mechanisms and supportive services should also be readily available for those exposed to the behaviour. [source]


Long-term perspectives on posttraumatic growth in disaster survivors,

JOURNAL OF TRAUMATIC STRESS, Issue 3 2010
Katrine Høyer Holgersen
Findings on posttraumatic growth (PTG) and distress have not been consistent. This study examines the relationship in a very long-term perspective. The Posttraumatic Growth Inventory was completed by 46 survivors from a single disaster 27 years posttrauma. Posttraumatic stress was measured by the Impact of Event Scale (IES) immediately after the event, and after 1, 5, and 27 years. In the final follow-up, general mental health was also assessed. Strong positive associations were found between PTG and concurrent posttraumatic stress. Although weaker associations were found for the past, concurrent problems in general mental health clearly coexisted with PTG decades after a disaster, yet mediated by IES. [source]


A 1.5-year follow-up of an internet-based intervention for complicated grief

JOURNAL OF TRAUMATIC STRESS, Issue 4 2007
Birgit Wagner
Only recently have psychotherapeutic interventions for complicated grief been developed and evaluated in randomized controlled trials. These trials have reported significant reductions in complicated grief and related symptoms in response to treatment relative to control groups. However, little is known about the long-term outcomes of these treatments. The authors present an evaluation of a 1.5-year follow-up of an Internet-based cognitive,behavioral intervention for complicated grief. Treatment group patients (n = 22) were administered various assessments of complicated grief indicators, including the Impact of Event Scale, the anxiety and depression subscales of the Brief Symptom Inventory, and the SF-12. Results indicate that the reduction in symptoms of complicated grief observed at posttreatment was maintained at 1.5-year follow-up. [source]


Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects?: A survey of traumatic stress professionals

JOURNAL OF TRAUMATIC STRESS, Issue 5 2005
Jon D. Elhai
We report findings from a Web-based survey of the International Society for Traumatic Stress Studies' members (n = 227) regarding use of trauma exposure and posttraumatic assessment instruments. Across clinical and research settings, the most widely used tests included the Posttraumatic Stress Diagnostic Scale, Trauma Symptom Inventory, Life Events Checklist, Clinician-Administered Post-traumatic Stress Disorder (PTSD) Scale, PTSD Checklist, Impact of Event Scale,Revised, and Trauma Symptom Checklist for Children. Highest professional degree, time since degree award, and student status yielded no differences in extent of reported trauma assessment test use. [source]


Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS)

JOURNAL OF TRAUMATIC STRESS, Issue 1 2005
Kitty K. Wu
This study examines the psychological impact of severe acute respiratory syndrome (SARS) in 195 adult patients in Hong Kong. The Impact of Event Scale,Revised and Hospital Anxiety and Depression Scale were administered to patients 1 month after their discharge. Of the participants 10% to 18% reported symptoms related to posttraumatic stress disorder, anxiety, and depression. Symptom severity was associated with high perceived life threat and low emotional support. Women and participants who had low education level were more likely to have symptoms of avoidance. Participants who personally knew someone who had SARS were more likely to be affected by depressive symptoms. [source]


Cognitive strategies and the resolution of acute stress disorder,

JOURNAL OF TRAUMATIC STRESS, Issue 1 2001
Richard A. Bryant
Abstract Information processing theories propose that resolution of posttraumatic stress is mediated by activation of traumatic memories and modification of threat-based beliefs. It is argued that this adaptive response is associated with reduced cognitive avoidance. Thought control strategies were assessed in civilian trauma survivors with acute stress disorder (N = 45) prior to and following either cognitive behavior therapy or supportive counseling. Participants completed the Acute Stress Disorder Interview, the Beck Depression Inventory, the State Trait Anxiety Inventory, the Impact of Event Scale, and the Thought Control Questionnaire within 2 weeks of their trauma and 6 months following treatment. Receiving cognitive behavior therapy was associated with reductions in the use of punishment and worry, and increases in the use of reappraisal and social control strategies. Further, reduced posttraumatic stress symptoms were associated with increased use of social control strategies and reappraisal strategies, and decreased use of worry. Findings are discussed in terms of the cognitive strategies that may mediate acute posttraumatic stress. [source]


Intrusive cognitions and their appraisal in anxious cancer patients

PSYCHO-ONCOLOGY, Issue 11 2009
Katriina L. Whitaker
Abstract Objective: Previous research found that anxious cancer patients experience uncontrollable negative intrusive cognitions that have an impact on coping and are associated with significant psychological distress. This is the first study to examine the appraisal of intrusive cognitions in an anxious group of cancer patients. Methods: A sample of 139 anxious cancer patients was assessed for evidence of intrusive phenomena, including memories, images and thoughts. Patients completed the Response to Intrusions Questionnaire and the Impact of Event Scale in relation to intrusive cognitions. Results: Forty-eight percent (67/139) reported frequent, uncontrollable intrusive cognitions. Intrusive thoughts and images were equally as common and images were associated with increased distress and uncontrollability. A significant positive linear relationship was found between the number of intrusions and anxiety severity (P<0.05). Negative appraisal of intrusive cognitions was associated with anxiety (P<0.01) and depression severity (P<0.01), intrusion-specific distress (P<0.01), rumination (P<0.01) and cognitive avoidance (P<0.01), after controlling for intrusion frequency. Conclusion: Negative appraisal of intrusive cognitions plays a significant role in psychological distress and intrusion-specific distress in anxious cancer patients. Finding similarities in the types of intrusive cognitions reported by cancer patients and other anxious populations highlights the potential applicability of psychological therapies developed to reduce the frequency and impact of intrusive cognitions. Copyright © 2009 John Wiley & Sons, Ltd. [source]


Discrimination between worry and anxiety among cancer patients: development of a brief cancer-related worry inventory

PSYCHO-ONCOLOGY, Issue 12 2008
Kei Hirai
Abstract Objectives: A psychometric scale for assessing cancer-related worry among cancer patients, called the Brief Cancer-Related Worry Inventory (BCWI), was developed. Methods: A cross-sectional questionnaire survey for item development was conducted of 112 Japanese patients diagnosed with breast cancer, and test,retest validation analysis was conducted using the data from another prospective study of 20 lung cancer patients. The questionnaire contained 15 newly developed items for cancer-related worry, the Hospital Anxiety and Depression Scale, The Impact of Event Scale Revised, and the Medical Outcomes Study Short Form-8. Results: Exploratory factor analysis of the 15 items yielded a 3-factor structure including (1) future prospects, (2) physical and symptomatic problems and (3) social and interpersonal problems. A second-order confirmatory factor analysis identified a second-order factor called cancer-related worry and confirmed the factor structure with an acceptable fit (chi-square (df=87)=160.16, P=0.001; GFI=0.83; CFI=0.92; RMSEA=0.09). The internal consistency and test,retest reliability were confirmed with the lung cancer sample. Multidimensional scaling found that cancer-related worry is separate from anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms. Conclusion: Our study succeeded in developing and confirming the validity and reliability of a BCWI. The study also confirmed the discriminable aspects of cancer-related worry from anxiety, depression, and PTSD symptoms. Copyright © 2008 John Wiley & Sons, Ltd. [source]


The psychological impact of forced displacement and related risk factors on Eastern Congolese adolescents affected by war

THE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 10 2010
Cindy Mels
Background:, While the current knowledge base on the mental health effects of displacement is mainly limited to refugees residing in industrialised countries, this paper examines the impact of war-induced displacement and related risk factors on the mental health of Eastern Congolese adolescents, and compares currently internally displaced adolescents to returnees and non-displaced peers. Methods:, Data were collected from a community sample of 819 adolescents aged 13 to 21 years, attending one of 10 selected schools across the Ituri district in the Democratic Republic of Congo. Respondents completed culturally adapted self-report measures of posttraumatic stress symptoms (using the Impact of Event Scale , Revised) and internalising and externalising behaviour problems (by means of the Hopkins Symptoms Checklist , 37 for Adolescents). Associated factors studied were age, sex, parental death, exposure to war-related violence and daily stressors. Results:, Internally displaced persons (IDPs) reported highest mean scores for the IES-R and the HSCL-37A internalising scale, followed by returnees, while non-displaced adolescents scored significantly lower. However, ANCOVA tests showed that posttraumatic stress and internalising symptoms were mainly associated with traumatic exposure and daily stressors and not with displacement status. Externalising problem scores were associated with traumatic exposure, daily stressors and displacement. Remarkably, death of father was associated with fewer externalising problems. Sex was differently associated with internalising and externalising problems through traumatic and daily stressors. Conclusions:, As IDPs are highly exposed to violence and daily stressors, they report most psychological distress, when compared to returnees and non-displaced peers. The distinct mental health outcomes for returned youngsters illustrate how enhancing current socio-economic living conditions of war-affected adolescents could stimulate resilient outcomes, despite former trauma or displacement. [source]


Development of the cognitive processing of trauma scale

CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 5 2002
Rhonda M. Williams
We developed a 17-item scale to measure cognitive processing of traumatic experiences in two samples of college students. The Cognitive Processing of Trauma Scale (CPOTS) measures five aspects of cognitive processing: (1) Positive Cognitive Restructuring, (2) Downward comparison, (3) Resolution, (4) Denial and (5) Regrets. Confirmatory Factor Analysis confirmed the factor structure of the scale, and reliability was further established by computing the internal consistency and test,retest reliability of each subscale. Discriminant and convergent validity for the CPOTS were demonstrated by correlating the subscales with two existing measures, the Impact of Event Scale and the Stress Related Growth Scale. The scale is recommended for use in empirical studies incorporating written or spoken disclosure about a trauma as an intervention, and should also be considered for clinical use in populations who have experienced a major stressor or trauma. Copyright © 2002 John Wiley & Sons, Ltd. [source]


Psychopathology and autobiographical memory in stroke and non-stroke hospitalized patients

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 1 2003
Mark John Sampson
Abstract Background Psychopathology and autobiographical memory were investigated in a cohort of stroke and non-stroke hospitalized patients. Both these cohorts have been identified as having high levels of psychopathology (Katon and Sullivan 1990; Burvill et al., 1995). Difficulties recalling specific autobiographical memories (overgeneral memory) have been identified as important psychological variables in depression and predictors of outcome (Williams and Scott 1988; Brittlebank et al., 1993). Intrusive autobiographical memories have also been found to be associated with depression and overgeneral memory in depressed women (Kuyken and Brewin, 1995) and depressed cancer patients (Brewin et al., 1998a). This study looked at levels of psychopathology and autobiographical memories in stroke and non-stroke hospital patients. Method 417 patients were screened, of the 176 eligible 103 agreed to participate (54 stroke and 49 non-stroke). Participants were assessed for overgenerality using the Autobiographical Memory Test and intrusiveness of memories using the Impact of Events Scale. Also assessed were PTSD-like symptoms (PCL-S), mood (HADS, GHQ-28) and cognitive ability (MMSE, verbal fluency, digit span and estimated pre-morbid IQ). Results No significant differences were found between stroke and non-stroke patients on severity of depression, anxiety, severity of PTSD-like symptoms or autobiographical memories. Backward multivariate regression analyses for combined data (stroke and non-stroke) indicated that overgeneral memory recall, intrusive memories of past events and intrusive memories of illness were significant independent predictors of depression (HADS). Avoidance of intrusive memories and reported childhood distress were not predictors of overgeneral memory recall. Significant predictors of overgeneral memory recall were; Gender, antidepressant medication, and estimated IQ. Conclusion Significant levels of psychopathology were identified in this cohort. However, there were no significant differences in the levels of depression, anxiety, PTSD symptoms and autobiographical memory between stroke and non-stroke hospitalized patients. Of particular interest was the finding that PTSD-like symptoms did not appear to be influenced by the nature of the person's illness. In combined data (stroke and non-stroke) autobiographical memories (intrusive images of their illness, intrusive memories of other events and overgeneral memory recall variables) were significant predictors of depression in this cohort. This suggests that psychological intervention of memory processes may be a worthwhile target in psychological intervention for depression in these cohorts. Gender, cognitive impairment, antidepressant medication, and estimated IQ were significant predictors of overgeneral memory recall and further investigation into the validity of these findings are warranted. Suggestions for further research and limitations of the study are also discussed. Copyright © 2002 John Wiley & Sons, Ltd. [source]


Self-attributions of blame in sexually abused adolescents: A mediational model,

JOURNAL OF TRAUMATIC STRESS, Issue 1 2006
Isabelle Daigneault
This study evaluates the mediational role of general attributions in explaining the impact of specific attributions regarding sexual abuse (SA) on six posttraumatic symptoms. One hundred three SA female adolescents (13,17 years old) completed the Trauma Symptoms Checklist for Children (TSCC; Briere, 1989), the blame/guilt subscale of the Children's Impact of Traumatic Events Scale (CITES-R; Wolfe, Gentile, Michienzi, Sas, & Wolfe, 1991), and the Personal Attributions for Negative Events subscale of the Children's Attributions and Perceptions Scale (CAPS; Mannarino, Cohen, & Berman, 1994). Results indicate that general attributions act as a mediator between specific attributions and six posttraumatic symptoms (i.e., anxiety, depression, sexual concerns, posttraumatic stress, dissociation, and anger). [source]


Sociodemographic and clinical factors associated with relapse in schizophrenia

PSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 6 2007
GOBIND CHABUNGBAM md
Abstract The aim of the present study was to examine sociodemographic and clinical factors associated with relapse in schizophrenia. The study group consisted of a convenience sample of 40 schizophrenia patients (20 patients each in relapse and remission). Relapse and remission were defined based on clinical criteria (ICD-10 criteria, course since last episode, and duration of remission) and psychometric criteria (scores on Socio-Occupational Functioning Assessment Scale [SOFAS] and Positive and Negative Syndrome Scale for Schizophrenia [PANSS]). The index group was evaluated after the occurrence of current relapse but within 6 months of its onset. Sociodemographic, current psychopathology (PANSS) and functioning (SOFAS), and other (mainly retrospective) variables were assessed with a specifically designed clinical profile sheet, Schedule for Affective Disorders and Schizophrenia Lifetime version, Presumptive Stressful life Events Scale, and World Health Organization Life Chart Schedule for Assessment of Course and Outcome of Schizophrenia. Patients who had relapsed were more symptomatic and exhibited greater dysfunction in comparison to remitted patients. Relapse in schizophrenia was significantly associated with unemployment, number of psychotic episodes, side-effects of medication, and life events score. The present findings suggest that a severe illness (no. psychotic episodes, unemployment), psychological stress and inappropriate treatment (side-effects of medicines) may be causally related to relapse in schizophrenia. However, the possibility that these variables may be caused by relapse or may be explained by a common underlying variable needs to be assessed prospectively. [source]


Rainfall variability and hydrological and erosive response of an olive tree microcatchment under no-tillage with a spontaneous grass cover in Spain

EARTH SURFACE PROCESSES AND LANDFORMS, Issue 7 2010
E. V. Taguas
Abstract Most studies on runoff and soil loss from olive orchards were performed on plots, despite the fact that measurements that examine a range of erosive processes on different scales are essential to evaluate the suitability of the use and soil management of this type of land. The main environmental limitations of much of the land used for olive orchards in the Mediterranean are the steep slopes and the shallow soil depth , and this was the case in the study area. Soil erosion and runoff over two hydrological years (2005,2006 and 2006,2007) were monitored in an olive orchard microcatchment of 6·1,ha under no-tillage with spontaneous grass in order to evaluate its hydrological and erosive behaviour. Moreover, soil parameters such as organic matter (%OM), bulk density (BD) and hydraulic saturated conductivity (Ks) were also examined in the microcatchment to describe management effects on hydrological balance and on erosive processes. In the study period, the results showed runoff coefficients of 6·0% in the first year and 0·9% in the second. The differences respond to the impact of two or three yearly maximum events which were decisive in the annual balances. On the event scale, although maximum rainfall intensity values had a big influence on peak flows and runoff, its importance on mean sediment concentrations and sediment discharges was difficult to interpret due to the likely control of grass cover on volume runoff and on soil protection. In the case of annual soil erosion, they were measured as 1·0,Mg,ha,1,yr,1 and 0·3,Mg,ha,1,yr,1. Both are lower than the tolerance values evaluated in Andalusia (Spain). These results support the implementation of no-tillage with spontaneous grass cover for sloping land, although the reduced infiltration conditions determined by Ks in the first horizon suggest grass should be allowed to grow not only in spring but also in autumn. In addition, specific measurements to control gullies, which have formed in the terraced area in the catchment, should be included since it is expected that they could be the main sources of sediments. Copyright © 2010 John Wiley & Sons, Ltd. [source]


Sources and sediment yield from a rural catchment in humid temperate environment, northwest Spain

EARTH SURFACE PROCESSES AND LANDFORMS, Issue 3 2010
M. L. Rodríguez-Blanco
Abstract A study was carried out on a rural catchment located in northwest Spain to examine the sediment yield from the catchment by measuring suspended sediments during rainfall events. Within the catchment regular surveys were conducted to obtain data on the suspended sediment sources. Important variations in sediment load were detected at event scale (0·3,21·0,Mg); some of these can be explained in terms of event size, antecedent conditions, rainfall distribution and soil surface erosion. To study the variables controlling suspended sediment yield during the events in the catchment, several event and pre-event variables were calculated for all events. The sediment load is strongly influenced by discharge variables. During the events discharge,suspended sediments were also analysed. When the soil surface was unprotected, the formation of rills and ephemeral gullies on agricultural land at the catchment head was an important source of suspended sediments in the catchment. Copyright © 2010 John Wiley & Sons, Ltd. [source]


Hydrological behaviour and modelling of a volcanic tropical cultivated catchment

HYDROLOGICAL PROCESSES, Issue 22 2008
Jean-Baptiste Charlier
Abstract The hydrological behaviour of the cultivated Féfé catchment (17·8 ha) on the tropical volcanic island of Guadeloupe was studied to identify flow paths, to quantify water fluxes, and finally, to build a lumped model to simulate discharge and piezometer levels. The approach combined two steps, an experimental step and a modelling step, which covered two time scales, the annual and the storm event scale. The hydrological measurements were conducted over 2 years. The Féfé catchment is characterized by heavy rainfall (4229 mm year,1) on permeable Andosols; the results showed that underground flow paths involved two overlapping aquifers, and that the annual water balance in 2003 was shared among outflows of the deep aquifer (42%), evapotranspiration (31%), and streamflow (27%). On the event scale, the surface runoff coefficient ranges between 6·2% and 24·4% depending on antecedent dry or wet moisture conditions. Hortonian overland flow predominated over subsurface and saturation overland flow processes. Recharge of the shallow aquifer is mainly governed by a constant infiltration capacity of the Andosols with depth in the vadose zone. Outflows of this shallow aquifer were the baseflow of the main stream and the recharge of the deep aquifer. Volcanic deposits at Féfé promoted the underground flow path, and cultivated areas seemed to explain the high stormflow values relative to other tropical small catchments under rain forest. A conceptual lumped model integrating runoff, infiltration, evapotranspiration, and fluctuations of the two overlapping aquifers was developed. The model has six parameters and was calibrated and validated on the hydrograph at the outlet and on the two piezometers of the shallow and the deep aquifers. The results show fair to good agreement between measured and simulated variables, and consequently, the model was consistent with the main hydrological processes observed from experimental results in wet conditions. Copyright © 2008 John Wiley & Sons, Ltd. [source]


Hydrochemical behaviour of dissolved nitrogen and carbon in a headwater stream of the Canadian Shield: relevance of antecedent soil moisture conditions

HYDROLOGICAL PROCESSES, Issue 3 2008
Julie M. L. Turgeon
Abstract This paper examines the impact of contrasting antecedent soil moisture conditions on the hydrochemical response, here the changes in dissolved nitrogen (NO3,, NH4+ and dissolved organic nitrogen (DON)) and dissolved organic carbon (DOC) concentrations, of a first-order stream during hydrological events. The study was performed in the Hermine, a 5 ha forested watershed of the Canadian Shield. It focused on a series of eight precipitation events (spring, summer and fall) sampled every 2 or 3 h and showing contrasted antecedent moisture conditions. The partition of the eight events between two groups (dry or wet) of antecedent moisture conditions was conducted using a principal component analysis (PCA). The partition was controlled (first axis explained 86% of the variability) by the antecedent streamflow, the streamflow to precipitation ratio Q/P and by the antecedent groundwater depth. The mean H+, NO3,, NH4+, total dissolved nitrogen and DOC concentrations and electrical conductivity values in the stream were significantly higher following dry antecedent conditions than after wetter conditions had prevailed in the Hermine, although the temporal variability was high (17 to 138%). At the event scale, a significantly higher proportion of the changes in DON, NO3,, and DOC concentrations in the stream was explained by temporal variations in discharge compared with the seasonal and annual scales. Two of the key hydrochemical features of the dry events were the synchronous changes in DOC and flow and the frequent negative relationships between discharge and NO3,. The DON concentrations were much less responsive than DOC to changes in discharge, whereas NH was not in phase with streamflow. During wet events, the synchronicity between streamflow and DON or NO3, was higher than during dry events and discharge and NO3, were generally positively linked. Based on these observations, the hydrological behaviour of the Hermine is conceptually compatible with a two-component model of shallow (DON and DOC rich; variable NO3,) and deep (DON and DOC poor; variable NO3,) subsurface flow. The high NO3, and DOC levels measured at the early stages of dry events reflected the contribution from NO3, -rich groundwaters. The contribution of rapid surface flow on water-repellent soil materials located close to the stream channel is hypothesized to explain the DOC levels. An understanding of the complex interactions between antecedent soil moisture conditions, the presence of soil nutrients available for leaching and the dynamics of soil water flow paths during storms is essential to explain the fluxes of dissolved nitrogen and carbon in streams of forested watersheds. Copyright © 2007 John Wiley & Sons, Ltd. [source]