Adult Service-Users’ Experiences of Trauma-Focused Cognitive Behavioural Therapy

This study aimed to gain an understanding of the aspects of trauma-focused cognitive behavioural therapy (Trauma-Focused-CBT) for post-traumatic stress disorder (PTSD) that service-users find important in contributing to their improvement. Nine people (5 females and 4 males, mean age 53 years old who had received on average 12 sessions of Trauma-Focused-CBT) who reported a significant reduction in their symptoms following treatment of PTSD took part in semi-structured interviews. Interpretative phenomenological analysis identified five themes: Living with Symptoms before Therapy; Feeling Ready for Therapy; Being Involved; Bringing About Therapeutic Change; and Life After Therapy. This study contributes towards a clearer understanding of the aspects of the Trauma-Focused-CBT process that service-users found important in aiding their improvement. In particular, it highlights the central role that participants attributed to their own involvement in the therapeutic process and how much they valued this. Limitations and future directions are discussed.     

Therapists' Experiences of Conducting Cognitive Behavioural Therapy Online vis-à-vis Face-to-Face

This study has explored therapists' experiences of conducting cognitive behavioural therapy (CBT) online and face-to-face. Eleven therapists partook in semi-structured interviews, which were thematically analysed using an abductive approach. The results indicate that the therapists viewed face-to-face therapy as a stronger experience than Internet-based CBT (ICBT), and the latter as being more manualised, but providing more work-time control. Several participants also thought that working alliance may be achieved faster and more easily in face-to-face therapy, and might worsen with fewer modalities of communication. Clinical implications in need of investigation are whether working with ICBT might buffer therapist exhaustion, and whether this therapy form can be improved by becoming less manual dependant in order to be easier to individualise.     

Pride and physical activity: Behavioural regulations as a motivational mechanism?

Objectives: The purpose of this study was to examine the association between fitness-related pride and moderate-to-vigorous physical activity (MVPA). A secondary aim was to examine behavioural regulations consistent with organismic integration theory (OIT) as potential mechanisms of the pride-MVPA relationship.

Design: This study used a cross-sectional design.

Methods: Young adults (N = 465; M_age = 20.55; SD_age = 1.75 years) completed self-report instruments of fitness-related pride, motivation and MVPA.

Results: Both authentic and hubristic fitness-related pride demonstrated a moderate positive relationship with MVPA, as well as positive associations to more autonomous regulations. Behavioural regulations mediated the relationship between both facets of pride and MVPA with specific indirect effects noted for identified regulation and intrinsic motivation.

Conclusion: Overall, these findings demonstrate the association between experiencing fitness-related pride and increased engagement in MVPA. The tenability of OIT was also demonstrated for offering insight into explaining the association between pride and physical activity engagement.     

Behavioural adaptation or constraint? The effect of curve proximity on driving behaviour

Horizontal curves are typically associated with increased crash risk when compared with straight roads, but recent analyses have suggested that having more frequent sharp curves decreases the relative crash risk posed by each curve. Here, 90 drivers completed a simulated rural drive with either high proximity (160 m straight tangent between curves) or low proximity (1200 m tangent) curves. Curve proximity had a significant effect on approach speeds, with drivers in the high proximity curve drive showing significantly lower mean and maximum approach speeds before entering the curve. However, they also showed an unexpected tendency to higher speeds while negotiating the curve itself. The current study provides direct empirical evidence that driving behaviour on approach to a given curve is significantly affected by the proximity of other curves, and therefore highlights the need to factor in the characteristics of the road on approach to the curve, as well as the features of the curve itself when assessing risk.     

Adult Missing Persons: Can an Investigative Framework be Generated Using Behavioural Themes?

There is a limited amount of research in the area of missing persons, especially adults. The aim of this research is to expand on the understanding of missing people, by examining adults' behaviours while missing and determining if distinct behavioural themes exist. Based on previous literature it was hypothesised that three behavioural themes will be present; dysfunctional, escape, and unintentional. Thirty‐six behaviours were coded from 362 missing person police reports and analysed using smallest space analysis (SSA). This produced a spatial representation of the behaviours, showing three distinct behavioural themes. Seventy percent of the adult missing person reports were classified under one dominant theme, 41% were ‘unintentional’, 18% were ‘dysfunctional’, and 11% were ‘escape’. The relationship between a missing person's dominant behavioural theme and their assigned risk level and demographic characteristics were also analysed. A significant association was found between the age, occupational status, whether they had any mental health issues, and the risk level assigned to the missing person; and their dominant behavioural theme. The findings are the first step in the development of a standardised checklist for a missing person investigation. This has implications on how practitioners prioritise missing adults, and interventions to prevent individuals from going missing. Copyright © 2016 John Wiley & Sons, Ltd.     

Behavioural problems in deaf children: Theory of mind delay or communication failure?

Some authors have tried to explain the relatively frequent behavioural problems in deaf children by an impaired theory of mind development: a poor appraisal of other people's beliefs and desires. Recent studies suggest that this explanation is too simplistic. When deaf children were asked to explain other people's emotional reactions, Rieffe and Meerum Terwogt (2000 Rieffe, C and Meerum Terwogt, M. 2000. Deaf children's understanding of emotions: desires take precedence. Journal of Child Psychology, Psychiatry and allied Disciplines, 41: 601–608. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) found that they were no worse at giving mental state references than hearing controls. However, the content of these references differed between the two groups: deaf children made more desire attributions and fewer belief attributions than the hearing children. It is important to note that desires are strongly linked with the outcome of a situation, whereas beliefs are often necessary to understand the process that preceded this outcome.

A follow-up study showed, as expected, that when both groups were offered stories about disappointing situations, deaf children reacted primarily with outcome-dependent emotions and explained these emotions accordingly. Their neglect of the preceding process implied also a neglect for the causal factors, unlike their hearing peers, who frequently referred to process-relevant elements. Nearly all deaf children in these studies had hearing parents. It is known that the conversations between hearing parents and their deaf children are impaired due to a language gap: parents often fail to explain their decisions and they only communicate the eventual outcome. Their deaf children seem to react in a similar way: they limit their focus and communication to their own wishes.

If this type of communication pattern becomes common practice, one can easily see why deaf children are frequently labelled as stubborn and obstinate. In time, as we showed in another study, our deaf participants even failed to reproduce the reasons for an undesirable decision that was explicitly explained to them. Inadequate communication, delayed emotional competence and low self-esteem (by losing their grasp on the situation) form a dangerous triad that could easily have long-term effects.     

GOOD or BAD responder? Behavioural and neuroanatomical markers of clinical response to donepezil in dementia

We explored the neuropsychological and neuromorphometrical differences between probable Alzheimer's disease patients showing a good or a bad response to nine months treatment with donepezil. Before treatment, the neuropsychological profile of the two patient groups was perfectly matched. By the ninth month after treatment, the BAD-responders showed a decline of the MMSE score together with a progressive impairment of executive functions. A voxel-based morphometry investigation (VBM), at the time of the second neuropsychological assessment, showed that the BAD-responders had larger grey and white matter atrophies involving the substantia innominata of Meynert bilaterally, the ventral part of caudate nuclei and the left uncinate fasciculus, brain areas belonging to the cholinergic pathways. A more widespread degeneration of the central cholinergic pathways may explain the lack of donepezil efficacy in those patients not responding to a treatment that operates on the grounds that some degree of endogeneous release of acetylcholine is still available.     

Teachers’ Experience, Attitudes, Feelings and Behavioural Intentions towards Children with Special Educational Needs

This project examined teachers’ attitudes to children with special educational needs. Understanding the implicit and explicit attitudes of teachers is an important precursor to improving teaching practices for children with special needs. Participants (N=77) were pre-service teachers and experienced teachers during in-service training courses. Results showed that behavioural intentions related to explicit rather than implicit attitudes, and that feelings of guilt and anxiety were associated with intentions for negative actions. Profiles of attitudes were substantially similar in terms of personal and teaching experiences. However, attitudes were less positive about children with low social skills and more positive about children with low cognitive skills. Findings have direct application to training teachers of children with special educational needs.     

The Interference of Introversion–Extraversion and Depressive Symptomatology with Reasoning Performance: A Behavioural Study

The objective of this study was to investigate the link between the Eysenck Personality Questionnaire (EPQ) scores and depressive symptomatology with reasoning performance induced by a task including valid and invalid Aristotelian syllogisms. The EPQ and the Zung Depressive Scale (ZDS) were completed by 48 healthy subjects (27 male, 21 female) aged 33.5 ± 9.0 years. Additionally, the subjects engaged into two reasoning tasks (valid vs. invalid syllogisms). Analysis showed that the judgment of invalid syllogisms is a more difficult task than of valid judgments (65.1% vs. 74.6% of correct judgments respectively, p < 0.01). In both conditions, the subjects’ degree of confidence is significantly higher when they make a correct judgment than when they make an incorrect judgment (83.8 ± 11.2 vs. 75.3 ± 17.3, p < 0.01). Subjects with extraversion as measured by EPQ and high sexual desire as rated by the relative ZDS subscale are more prone to make incorrect judgments in the valid syllogisms, while, at the same time, they are more confident in their responses. The effects of extraversion/introversion and sexual desire on the outcome measures of the valid condition are not commutative but additive. These findings indicate that extraversion/introversion and sexual desire variations may have a detrimental effect in the reasoning performance.     

E‐Mailed Standardized Cognitive Behavioural Treatment of Work‐Related Stress: A Randomized Controlled Trial

The aim of this study was to assess the effects of a 7‐week standardized cognitive behavioural treatment of work‐related stress conducted via e‐mail. A total of 342 people applied for treatment in reaction to a newspaper article. Initial screening reduced the sample to a heterogeneous (sub)clinical group of 239 participants. Participants were assigned randomly to a waiting list condition (n = 62), or to immediate treatment (n = 177). A follow‐up was conducted 3 years after inception of the treatment. The outcome measures used were the Depression Anxiety Stress Scales (DASS‐42) and the Emotional Exhaustion scale of the Maslach Burnout Inventory – General Survey (MBI‐GS). Fifty participants (21%) dropped out. Both groups showed statistically significant improvements. Intention‐to‐treat analysis of covariance (ANCOVAs) revealed that participants in the treatment condition improved significantly more than those in the waiting control condition (0.001<p?0.025). In the treatment group, the effects were large to moderate (0.9 (stress)?d?0.5 (anxiety)). The between‐group effects ranged from d = 0.6 (stress) to d = 0.1 (anxiety). At follow‐up, the effects were more pronounced, but this result requires replication in view of high attrition at follow‐up. The results warrant further research on Internet‐driven standardized cognitive behavioural therapy for work‐related stress. Such research should include the direct comparison of this treatment with face‐to‐face treatment, and should address the optimal level of therapist contact in Internet‐driven treatment.     

Behavioural Problems in Children with Headache and Maternal Stress: Is Children's Attachment Security a Protective Factor?

Headache is a potentially disabling condition involving enduring pain that negatively influences the quality of family life. Behavioural problems are more common in children with headache and are potentially associated with higher levels of parental stress. The aim of this study was to evaluate the extent to which children's behavioural problems were associated with maternal stress and how the child's perception of security in the maternal attachment relationship moderates this association. Seventy‐one school‐aged children with headache (headache group (HG), age M = 9.8 years old, SD = 1.3) and 71 children from a low‐risk normative population (control group (CG), age M = 9.2 years old, SD = 1) and their mothers were involved in the study. Mothers' reports of children's behavioural problems were associated with higher maternal stress in the caring task both in the HG and in the CG. Results also showed that the HG was more at risk for behavioural problems, whereas no difference between groups was detected for parenting stress and for attachment insecurity. In children with headache, perception of attachment security decreased the strength of the association between maternal stress and externalizing behavioural problems. Secure attachment may provide children with headache and their parents with support in managing the negative emotions that arise in the context of significant health issues. Implications for practice are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Personality in Action: Assessing Personality to Identify an ‘Ideal’ Conscientious Response Type with Two Different Behavioural Tasks

Performance on achievement tests is characterized by an interplay of different individual attributes such as personality traits, motivation or cognitive styles. However, the prediction of individuals' performance from classical self-report personality measures obtained during large and comprehensive aptitude assessments is biased by, for example, subjective response tendencies. This study goes beyond by using behavioural data based on two different types of tasks, requiring different conscientious-related response behaviours. Moreover, a typological approach is proposed, which includes different behavioural indicators to obtain information on complex personality characteristics. © 2020 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology     

The ‘Fractionable Autism Triad’: A Review of Evidence from Behavioural,Genetic, Cognitive and Neural Research

Autism is diagnosed on the basis of a triad of impairments in social interaction, communication, and flexible imaginative functions (with restricted and repetitive behaviors and interests; RRBIs). There has been a strong presumption that these different features of the syndrome are strongly intertwined and proceed from a common cause at the genetic, cognitive and neural levels. In this review we examine evidence for an alternative approach, considering the triad as largely ‘fractionable’. We present evidence from our own twin studies, and review relevant literature on autism and autistic-like traits in other groups. We suggest that largely independent genes may operate on social skills/impairments, communication abilities, and RRBIs, requiring a change in molecular-genetic research approaches. At the cognitive level, we suggest that satisfactory accounts exist for each of the triad domains, but no single unitary account can explain both social and nonsocial features of autism. We discuss the implications of the fractionable-triad approach for both diagnosis and future research directions.     

Family Poverty and Trajectories of Children’s Emotional and Behavioural Problems: The Moderating Roles of Self-Regulation and Verbal Cognitive Ability

Socio-economic disadvantage is strongly associated with children’s emotional (internalising) and behavioural (externalising) problems. Self-regulation and verbal cognitive ability have been related to children’s emotional and behavioural resilience to socio-economic disadvantage. Despite being inter-related, self-regulation and verbal cognitive ability have not been examined jointly as promoting resilience in young children. This study investigated the roles of self-regulation and verbal cognitive ability in children’s emotional and behavioural resilience to family socio-economic disadvantage from early to middle childhood (ages 3, 5, and 7 years; N?=?16,916; 49 % girls). Using multivariate response growth curve modelling, we found that the relationship between socio-economic disadvantage and internalising problems was stronger for children with lower verbal cognitive ability. Also, poor children with high and low levels of self-regulation showed a widening gap in both emotional and behavioural problems over time. Poor and non-poor children alike benefited from self-regulation, but poor children appeared to be more vulnerable to low self-regulation. Self-regulation and verbal cognitive ability seem to be important protective factors for young children growing up in poor families.     

Your mistake is my mistake . . . or is it? Behavioural adjustments following own and observed actions in cooperative and competitive contexts

A social speeded choice-reaction-time task was used to study adaptive behaviours following own and observed actions (errors and correct responses) in cooperative and competitive contexts. After making an erroneous response, the appropriate remedial action to avoid future errors in speeded reaction tasks is to slow down. Consistent with previous results, people indeed slow down following their own errors. Importantly, people who slow down most following own errors also slow down following observed errors in a cooperative situation. In a competitive context, a different pattern was found. People accelerated after errors from their opponent. The current findings demonstrate that the social context determines the way people respond to the errors of others, indicating that the neural systems that control remedial actions are highly flexible. These systems may underlie social adaptive behaviour, enabling people to respond flexibly to other people's actions in a wide variety of social contexts.     

Effect of a Vocationally‐Focused Brief Cognitive Behavioural Intervention on Employment‐Related Outcomes for Individuals with Mood and Anxiety Disorders

Internet-delivered cognitive behavioural therapy (CBT) can be an effective method for treating major depression, but it often works best when therapist support is provided in the form of e-mail support or telephone calls. The authors investigated whether there were any intraclass correlations within therapists when delivering CBT for major depression via the Internet. They included data from two trials involving 10 therapists treating a total of 103 patients. The results of a nested one-way model in which participants were treated as raters for different therapists indicated that measures pertaining to symptom reductions (Beck Depression Inventory, Montgomery-Åsberg Depression Rating Scale–Self Report, and Beck Anxiety Inventory) did not support a clustering of data within therapists. However, the outcome on a secondary measure of life satisfaction (Quality of Life Inventory) yielded a significant intraclass correlation coefficient for therapists (r = .24, p = .001). The authors propose that text-based treatments are less sensitive to therapist effects when it comes to the primary symptom measures, but that treatment effects not directly targeted by the specific treatment program may be more dependent on the way the support is given and by whom (therapist effect). Limitations of the study are discussed.