Comparison between REBT and Visual/Kinaesthetic Dissociation in the Treatment of Panic Disorder: An Empirical Study

The aim of this study was to test the efficacy of two brief treatment methods for panic disorder: Rational Emotive Behaviour Therapy (REBT) and Visual/Kinaesthetic Dissociation (VKD), neither of which have been the object of scientific enquiry. The study is a two-way between-groups pre-test/post-test experimental design with baseline and follow-up measures. An innovative four-session treatment protocol was developed for each treatment method. Eighteen participants in North-East Surrey, England, who responded to media advertisements for cognitive-behavioural treatment for panic disorder and who met Diagnostic and Statistical Manual of Mental Disorders criteria for panic disorder with or without agoraphobia were randomly assigned to either REBT or VKD. Pre-test/post-test changes in panic were measured using the ACQ, PASQ, and HADS scales and a global panic rating measure. At post-test there was a statistically significant improvement on all measures for both groups, which was maintained at one-month follow-up. Taking into consideration limitations such as the small sample size and a short follow-up period, implications of this study and recommendations for future research are discussed.     

心理干预对轻中度脑瘫儿童综合功能和生活质量的影响*

采用对照组和干预组前测、后测设计,对80名脑瘫儿童的综合功能和生活质量进行了测量,分析了心理干预对脑瘫儿童康复疗效的影响。结果表明:(1)四组脑瘫儿童后测综合功能评定效果存在显著差异。(2)生活质量问卷中,在使用特殊器具感觉维度上,四个组别间的追踪水平逐级显著递增;在对疼痛和困扰感觉维度上,四个组别间的后测水平、追踪水平均逐级显著递减;在其它四个维度上,四个组别间的后测水平、追踪水平均逐级显著递增。(3)在使用特殊器具感觉维度上,三个干预组内的追踪水平显著高于前测和后测水平;在对疼痛和困扰感觉维度上,三个干预组内的前测、后测和追踪水平均呈逐级显著递减趋势;在其它四个维度上,三个干预组内的前测、后测和追踪水平均逐级显著递增。干预组比对照组能显著提升脑瘫患儿的综合功能和生活质量。     

构思策略教学改善小学写困生故事文质量的实验研究

采用实验组、控制组前后测实验设计,运用SRSD策略教学模式,对23名小学写困生进行构思策略的训练。实验结果表明,在训练之前,实验组与控制组学生在故事文的长度、6项分质量指标及总体质量上的得分差异均不显著;但在接受策略教学后,实验组学生所写的后测故事文在情节吸引力、条理清晰度和总体质量上的平均得分均显著优于控制组学生,其总体质量的改善效应为0.80。因此,构思策略的教学能显著改善小学写困生的故事文写作质量。     

正念训练对康复期精神分裂症患者抑制控制的影响

探究正念训练对康复期精神分裂症患者正念觉知水平和抑制控制能力的影响。选取54名康复期精神分裂症住院患者随机分为正念组和对照组。对照组予以常规康复治疗,正念组在常规康复治疗基础上进行8周正念训练。结果发现：（1）在正念觉知方面,正念组后测得分显著高于前测,对照组前后测得分无显著差异;正念组后测得分显著高于对照组。（2）在抑制控制方面,正念组后测Stroop任务反应时显著低于前测,对照组前后测反应时无显著差异;正念组后测反应时显著低于对照组。结果表明,正念训练有助于提高康复期精神分裂症患者正念觉知水平和改善其抑制控制能力。     

Intensive OutPatient Therapy for Clergy Burnout: How Much Difference Can a Week Make?

A pre-test and post-test quasi-experimental matched pairs design was used to assess the effectiveness of a week-long multi-therapist intensive outpatient intervention process with clergy suffering from depression and burnout. Participants (n = 23) in the “Clergy in Kairos” program of the Pastoral Institute (Muse in J Pastor Care Couns 61(3):183–195, 2007) constituted the experimental variable. Clergy surveyed from United Methodist and Presbyterian denominations (n = 121) provided a control group from which 23 respondents were selected whose pre-test scores in depression and burnout were statistically equivalent to those in the experimental group. The treatment group consisted of clergy from three denominations who self-selected (or in some cases were referred by denominational officials) into the program. At the outset, clergy in both groups reported equivalent levels of conflict, emotional exhaustion, depersonalization, and depression. At the 6-months follow-up, clergy in the experimental group showed significant improvement of depression, emotional exhaustion, and depersonalization scores. By contrast, there was no change in the burnout and depression scores in the control group at 6-months post-test. Findings suggest the usefulness of a week-long multi-therapist intensive outpatient intervention in reducing burnout and depression.     

Effects of a Cognitive-Behavioral Self-Help Program on Depressed Mood for People with Peripheral Arterial Disease

The aim of the present study was to examine whether a new low-cost psychological self-help intervention program with minimal coaching could be effective in improving depressed mood in people with peripheral arterial disease (PAD). Thirteen persons with PAD and depressive symptoms participated in the self-help program, grounded in cognitive-behavioral therapy. They completed pre-test, post-test and follow-up questionnaires, including the PHQ-9, to measure symptoms of depression. To evaluate changes in depression scores from pre- to post-test to follow-up measurement, non-parametric repeated measures Wilcoxon signed rank tests were performed. The results showed that participants’ depression scores significantly improved from pre-test to post-test and that there was no relapse from post-test to follow-up. The cognitive-behavioral self-help intervention could be an effective tool in people with PAD, to reduce symptoms of depression.     

Using perceptual home-training to improve anticipation skills of soccer goalkeepers

ObjectiveThis study aims to test the effectiveness of a perceptual training concerning the anticipatory skills of soccer goalkeepers, by assessing their performances while engaged in predicting the direction of penalty kicks.DesignForty-two skilled goalkeepers were randomly assigned to three training groups: Experimental, placebo, and control. All the groups were tested at the beginning of the experiment and re-tested after a period of eight weeks.MethodThe pre-test consisted of the presentation of temporally occluded videos of penalties recorded from the goalkeeper's perspective, and participants had to predict the direction of the ball. The experimental group practiced with an interactive home-training, based on video analogous to those of the test, with the addition of both positive and negative feedback. The placebo group viewed television footage of penalty kick shoot-outs. Participants of both groups were free to schedule their own training/placebo sessions. Finally, the control group did not receive any treatment.ResultsThe results demonstrated the effectiveness of the home-training protocol, evidencing significant accuracy improvements between pre-test and post-test only for the experimental group.ConclusionsThe outcomes indicate that skilled athletes can benefit from perceptual training, which was not investigated before among soccer goalkeepers. Indeed, all the previous training studies concerning soccer penalty predictions were run on participants with either recreational or no goalkeeping experience at all. Moreover, the present training protocol is innovative because learners can schedule training sessions on their own. Finally, its usability suggests numerous potential applications.     

The response-shift bias in a counsellor education programme

Student counsellors' pre-test, post-test and retrospective pre-test scores on the Counselor Evaluation Rating Scale (CERS) were used to investigate the presence of a 'response-shift bias', to estimate the overall effectiveness of training and to promote counsellors' continuing self-reflection on their work. Results from three groups of trainees spanning 3 years revealed the presence of a response-shift bias, confirmed the effectiveness of the training programme and demonstrated the students' continuing self-analysis of their own counselling skill.     

Short versus long term gains of a cognitive-behavioral social skills program targeting the giving and receiving of criticism

Seventy-four university undergraduates (40.2% male and 59.8% female) reporting difficulty in giving and receiving criticism were randomly assigned to either a training group consisting of cognitive behavioral criticism skills including behavior rehearsal, modeling, coaching, cognitive restructuring, or to a control group. Dependent measures were given at pre-test, post-test, and one year follow-up. Included were self-report measures consisting of Fear of Negative Evaluation (FNE), Criticism Concerns Scale (CCS), Criticism Self-Esteem Giving and Receiving Scales, and behavioral role-play measures consisting of judges’ global ratings of subject’s verbal and nonverbal criticism behaviors in role-play scenarios with a live actor. Results for the self-report measures, FNE, and Criticism Self-Esteem Receiving showed both training program and control groups improved at post-test, but only the training program group maintained gains at one year follow-up. For the CCS and Criticism Self-Esteem Giving, the training program group improved over time, yet was only significantly different from control group at post-test. Results were discussed in terms of the pro-active nature of giving criticism versus the more reactive nature of receiving criticism.     

Programming for the Generalization of Oral Reading Fluency: Repeated Readings of Entire Text versus Multiple Exemplars

This study compared a multiple exemplar approach involving the training of key words and sentence structures to a typical repeated readings procedure for their effects on students’ generalized oral reading fluency. The two training approaches were also compared in terms of their relative learning rates (i.e., fluency gain per minute of instruction time). Participants were 111 first- and second-grade students from three public schools in a large urban school district. This study utilized an across students pre-test/post-test experimental design and one-way analyses of variance on the gain scores from pre-test to post-test to assess the effectiveness of multiple exemplar instruction, listening passage preview/repeated readings, and a time and attention control condition. Results showed significantly higher gain scores for students in both the multiple exemplar and listening passage preview/repeated readings groups versus controls on the trained and generalization passages. Multiple exemplar instruction also resulted in significantly larger learning rates than listening passage preview/repeated readings. Implications, limitations, and directions for future research are discussed.     

团体宽恕干预在恋爱受挫群体中的运用及其对大学生心理健康教育的启示

为探讨团体宽恕干预在大学生恋爱受挫群体中的应用效果,本研究以31名在恋爱中受到过伤害的女大学生为对象进行6次团体宽恕干预,并设立一般干预组和控制组进行比较。研究结果显示：（1）前测中,三个组在恋爱宽恕问卷的四个维度、抑郁量表、焦虑量表和幸福感量表上均不存在显著差异;（2）后测中,在恋爱宽恕问卷的四个维度上,宽恕干预组均优于控制组,而一般干预组和控制组没有显著差异;在抑郁、焦虑和幸福感三个量表上,宽恕干预组和一般干预组都要优于控制组,但两个干预组之间差异并不显著;（3）前后测比较显示,宽恕干预组在各个指标上均有了显著变化;一般干预组在抑郁、焦虑和幸福感量表的得分上有了显著变化,但在恋爱宽恕的各个维度上（除报复维度）变化不显著;控制组则在各个指标上都没有显著变化。研究表明,面对恋爱受挫群体,宽恕干预的针对性更强,并对大学生的心理健康教育具有一定的启示作用。     

A brief cognitive behavioural therapy psychoeducational group for Chinese people with chronic illnesses: an evaluation study

This pilot study attempted to examine the effectiveness of a brief cognitive behavioural therapy (CBT) psychoeducational group for Chinese people with chronic illness in Hong Kong. It adopted a single group design, and 52 participants joined the group. A questionnaire with three outcome measures, measuring general mental health, quality of life and dysfunctional attitudes and beliefs, was administered to participants at pre-test, post-test and six month follow-up. Repeated measures ANOVAs were employed and revealed positive changes in most of the outcome measures across the three time points. Cohen’s d showed a moderate to large effect size for most outcome measures. From a step care perspective, a culturally attuned brief CBT psychoeducational group may serve as an early intervention and a triage to attract suitable people with chronic illness to engage in the treatment process.     

The effectiveness of cognitive behavioral group intervention on depression and anxiety in patients with type II diabetes

IntroductionDepression and anxiety are important risk factors for diabetes and high blood pressure.ObjectiveThis study investigated the effectiveness of the Cognitive-Behavioral Group Intervention for Diabetes Disease (CBGI-DD) in reducing depression and anxiety in female patients with type 2 diabetes (T2D).MethodThe CBGI-DD program includes 12 weekly 2.5 h sessions, spread weekly over the course of 3 months. The present study was semi-experimental and controlled, with assessments at pre-test and post-test. It included diagnostic criteria for the diagnosis of T2D in the patient's medical records by a diabetes specialist. Participants (62 female volunteers aged 25 to 75 years) were randomly allocated to a control or test group. Both groups responded to the Second edition of the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory (BAI) before (pretest) and immediately after the intervention (posttest). Participants in the test group received CBGI-DD (from April up to the end of September 2018) at Mashhad Diabetes Center. The control group received only medical care during this period.ResultsAn analysis of covariance showed that compared to the control group, the test group had a significant reduction in anxiety and depression from pre-test to post-test (p < 0.05). It was compared post-test scores between the two groups, controlling for pre-test scores.ConclusionThe CBGI-DD program seems to be effective in reducing anxiety and depression in female patients with T2D. However, further research exploring the potential for long-term improvements in depression and anxiety is needed.     

Independence training as a method of enhancing self-help skills acquisition of the mentally retarded

This study examined the effectiveness of independence training which involved using social reinforcement, information feedback, modeling and evaluation of self and others in teaching showering behavior to institutionalized mentally retarded adults. A treatment and a non-treatment group of 36 subjects each were used to assess training and maintenance of the target behavior. Analysis of results showed that treatment and no-treatment groups did not differ on baseline scores. However, residents in the treatment group performed significantly better than no-treatment subjects on post-test and three-month follow-up. Staff were of the opinion at post-test that treatment was perceived to be acceptable and nonpunitive.     

Effects of A Dual-Task Intervention in Postural Control and Cognitive Performance in Adolescents

Abstract

The aim was to assess dual- versus single-task training for motor performance and cognitive performance in adolescents. Two experiments were performed. In the first, 30 adolescents were randomized to three groups to determine the effect of dual-task difficulty on postural control: α-scaling and root mean square (RMS). In the second, 20 adolescents were randomized to two groups to determine the effect of dual-task practice to improve working memory. RMS in the post-test was lower than the pre-test in both dual-task groups, while α-scaling was lower in post-test than pre-test only in the high-difficulty dual-task group. A practice effect was observed on the percentage of correct answers only in the dual-task group (p?=?0.035). Thus, dual-task training could enhance motor and cognitive performance more than single-task training.     

Can phonemic awareness be trained in kindergarten?

The effect of a training program designed to develop phonemic awareness skills in kindergarten was assessed in a study involving three experimental groups and two control groups. The degree of structure imposed upon the program was varied in the experimental groups. One control group was trained in non-verbal auditory discrimination, and the second control group followed the ordinary preschool program during the 6–8 week observational period. A clear improvement in the ability to segment and blend three-phoneme words was observed in the highly structured training cohdition, especially among the children with poor pre-test performance, while no clear changes from pre- to post-test were found in the other groups. It was concluded that phonemic awareness can be developed in prereaders outside the context of formal reading instruction.     

Solution-focused Couples Therapy Groups: An Empirical Study

The professional literature contains numerous theoretical and case study articles regarding the development and use of solution-focused therapy. However, as with many models of systems-oriented therapy in use with couples, very little has been subjected to empirical investigation. This project was designed to make a contribution to the empirical literature regarding the effectiveness of solution-focused therapy in use with couples' groups. This study utilized pre-test comparisons of treatment and comparison groups, and examined pre- to post-test changes in the scores of the treatment group couples. Twenty-three treatment group couples participated in a six-week solution-focused couples therapy (SFCT) group. A separate group of thirteen couples served as a comparison group. The Dyadic Adjustment Scale (DAS) was used to assess changes in the couples' relationships. Scores on the Marital Status Inventory (MSI), as a pre-test measure indicating the couples' likelihood of divorce, indicated no significant differences between groups. The remaining analyses revealed significant improvement in DAS scores. Self-reports from the couples involved indicate improvement in a variety of areas after completing the six-week solution-focused couples group therapy process.     

A FIELD EXPERIMENT TESTING SUPERVISORY ROLE CLARIFICATION

An intervention designed to clarify individual roles was tested experimentally on the business service division of a major university. Following a pre-test which identified role stress as a significant problem in the organization, top managers clarified their respective departmental roles in meeting organizational objectives. This was followed by a post-test (Time 2) survey of workers'stressors and symptoms. Supervisors were then trained in the method of clarifying subordinate roles using a dyadic exchange process. Workers were randomly assigned to either participate in a thorough role clarification discussion with their supervisors or join a wait-list control group. Based on a follow-up (Time 3) questionnaire, the intervention appeared to reduce role ambiguity and supervisor dissatisfaction. There were no effects on other aspects of subjective strain, physical symptoms, or time lost due to illness. Role conflict decreased in both the experimental and control groups. We discuss the implications of these findings for systemic efforts to reduce employee stress.     

A Brief Group Cognitive-Behavioral Program for the Prevention of Depressive Symptoms in Chinese College Students

Depression is a problem among college students in China. Yet the use of preventative group cognitive-behavioral (CB) intervention is rare. One hundred and eighty Chinese college students who were identified as being at risk for depression were randomly assigned to three groups: 1) a brief group cognitive–behavioral (CB) intervention, 2) a supportive group (SG) intervention, and 3) a wait-list control condition. The Zung Self-Rating Depression Scale (SDS), the Zung Self-Rating Anxiety Scale (SAS), and the Chinese College Student Adjustment Scale (CCSAS) were administered at pre-test, post-test, and six-month follow-up. Analysis of variance (ANOVA) conducted among the three groups revealed that the CB group demonstrated significantly less increase in measures of primary symptoms of anxiety and depression than the wait-list controls at post-test and six-month follow-up. The prevention effect of the SG group was significant only at the six-month follow-up. CB participants also showed significantly greater improvements in social adjustment than did SG participants and controls at the post-test and six-month follow-up.     

A pragmatic trial evaluating the effectiveness of web versus live training in functional behavior assessment and interventions among special educators

This study adopted a pragmatic trial with randomization to investigate the relative effectiveness of web versus live training on special educators' competence and perceived skills in functional behavior assessments (FBA) and behavior interventions. Pragmatic trials seek to determine the effectiveness of an intervention in a real-world setting to ensure better application and generalizability in routine practice conditions. The live training group received an in-person workshop delivered in a lecture format via powerpoint slides. The web training group received asynchronous online instruction via a secure website. The same training content was delivered to both groups. Participants were randomly assigned across both instructional modalities and completed two pre- and post-test measures. Results indicated that participants (N = 104) in both groups showed a significant increase in theoretical competence of FBA and behavior interventions post training. Only participants in the live workshop group reported a significant increase in perceived skill scores. When comparing outcomes across groups, the live training group gained significantly more theoretical competence in FBA and behavior interventions than that in the web training group. These results shed light on the practical implications of online platforms for professional development among in-service teachers in behavior management for schools with children having disabilities and challenging behavior.