Reducing speech disfluencies during public speaking using brief habit reversal

Recent research has evaluated the effects of brief habit reversal, consisting of either awareness training (AT) and competing response training (Mancuso & Miltenberger, 2016), or AT alone (Spieler & Miltenberger, 2017) in reducing speech disfluencies during public speaking. Although both formats of brief habit reversal reduced rates of speech disfluencies, results suggested that teaching a competing response (CR) may produce better outcomes. We aimed to replicate and extend those studies by evaluating the effects of AT and instructing the use of a CR (a silent pause) on rates of speech disfluencies and CRs during public speaking. Following training, all 4 participants demonstrated a reduction of speech disfluencies, and 1 participant demonstrated moderate levels of CRs when giving a speech in front of both a single experimenter and small audience. For 1 participant, generalized effects were demonstrated when presenting in front of a class.     

Treatment of vocal tics in children with Tourette syndrome: investigating the efficacy of habit reversal

Habit reversal was used to treat vocal tics in 5 children with Tourette syndrome. Vocal tics were reduced in 4 of the 5 children, the untreated motor tics did not increase, and treatment was acceptable to the children's parents.     

Relax and try this instead: abbreviated habit reversal for maladaptive self-biting.

We evaluated the effectiveness of an abbreviated habit reversal procedure to reduce mal-adaptive oral self-biting in an adolescent boy in residential care. Treatment involved a combination of relaxation and two competing responses. Results of a withdrawal design and two posttreatment medical evaluations indicated that the intervention eliminated the biting and the tissue damage it caused.     

Evaluating the duration of the competing response in habit reversal: a parametric analysis.

The effectiveness of habit reversal was compared across three different competing response (CR) durations. Results showed that 1‐min and 3‐min CR durations were associated with short‐term and long‐term increases in nail length for people who bit their nails. A 5‐s CR duration produced immediate increases in nail length that were not maintained. Social validity data were consistent with these findings.     

A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania

This randomized trial compared a combined Acceptance and Commitment Therapy/Habit Reversal Training (ACT/HRT) to a waitlist control in the treatment of adults with trichotillomania (TTM). Twenty-five participants (12 treatment and 13 waitlist) completed the trial. Results demonstrated a significant reduction in hair pulling severity, impairment ratings, and hairs pulled, along with significant reductions in experiential avoidance and both anxiety and depressive symptoms in the ACT/HRT group compared to the waitlist control. Reductions generally were maintained at a 3-month follow-up. Decreases in experiential avoidance and greater treatment compliance were significantly correlated with reductions in TTM severity, implying that targeting experiential avoidance may be useful in the treatment of TTM. Other implications and suggestions for future research are noted.     

Exposure with response prevention versus habit reversal in Tourettes's syndrome: a controlled study

The intentional nature of tics provides the opportunity to apply behavioural interventions aimed at tic reduction through interruption of stimulus-response sequences. The aim of this study has been to evaluate the effect of exposure and response prevention (ER) versus habit reversal (HR) in 43 Tourette's syndrome (TS) patients. The three outcome measures were: the Yale Global Tic Severity Scale (YGTSS), 15-min tic frequency registrations monitored at the institute and 15-min home tic frequency registrations. Both treatment conditions resulted in statistically significant improvements on all outcome measures (p < 0.001). No significant differences were found between the treatment conditions on any of the outcome measures, although there was a tendency in favour of ER on the YGTSS (p = 0.05). These results suggest that, at least in the short term, TS tic symptoms can be treated effectively with both types of treatment.     

Challenging assumptions about habit: A response to Hagger (2019)

Widely cited literature assumes habits to be: (1) specific and rigid behavioral responses; (2) in response to location- and timing-stable, external contexts, (3) goal-independent, and (4) enacted without conscious awareness. Hagger (2019) recently reviewed this literature as it applies to the physical activity domain. The purpose of this article is to challenge these assumptions in favor of a habit conceptualization that is more applicable to physical activity: (1) behavioral instigation and/or execution can be habitual, allowing for variable responses to cues; (2) stable contexts can be internal or functional (cued by a preceding action) but may vary in timing and physical location; (3) a shift from external to internal goal dependence may characterize habit development; and (4) types of automaticity other than purely nonconscious enactment may characterize habitual action. I present theory and research that supports these alternative characterizations and discuss their ramifications for physical activity adoption and maintenance via habit.     

Coping with COVID: Use,factor structure,and health behavior implications of specific emotion regulation strategies during the coronavirus pandemic

This series of studies examined U.S. individuals' use of specific emotion regulation/coping strategies during the early months of the COVID-19 pandemic, investigated the factor structure among strategies during this universally experienced stressor, and the extent to which these factors predicted engagement in COVID-related health-promoting behaviors. In Study 1, participants (N = 520) rated their use of 17 strategies for coping with pandemic-related stress during the past 24 h. Differences emerged in strategy use across demographic groups (age, race, income). Results of exploratory factor analysis suggest a factor structure grouping strategies in terms of goals beyond emotion regulation per se, rather than phases of the emotion process or a binary adaptive versus maladaptive distinction. In Study 2 (N = 264), participants reported daily on their coping strategy use and weekly on their engagement in COVID-specific health behaviors for 22 days. Results of confirmatory factor analysis replicate the factor structure found in Study 1. Some significant associations of coping strategy use with health-promoting behaviors were observed, but these were sporadic and largely involved baseline measures rather than predicting change over time. Theoretical and practical implications are discussed.     

Increasing handwashing in young children: A brief review

Personal hygiene is critical for preventing the spread of infection. One important component of personal hygiene is handwashing. This review summarizes research on behavioral strategies to address handwashing in children, offers areas for additional research, and suggests a treatment package to teach handwashing to young children.     

A neural autopilot theory of habit: Evidence from consumer purchases and social media use

This article applies a two-process “neural autopilot” model to field data. The autopilot model hypothesizes that habitual choice occurs when the reward from a behavior has low numerical “doubt” (i.e., reward prediction errors are small). The model toggles between repeating a previous choice (habit) when doubt is low and making a goal-directed choice when doubt is high. The model has ingredients established in animal learning and cognitive neuroscience and is simple enough to make nonobvious predictions. In two empirical applications, we fit the model to field data on purchases of canned tuna and posting on the Chinese social media site Weibo. This style of modeling is called “structural” because there is a theoretical model of how different variables influence choices by agents (the “structure”), which tightly restricts how hidden variables lead to observed choices. There is empirical support for the model, more strongly for tuna purchases than for Weibo posting, relative to a baseline “reduced-form” model in which current choices are correlated with past choices without a mechanistic (structural) explanation. An interesting set of predictions can also be derived about how consumers react to different kinds of changes in prices and qualities of goods (this is called “counterfactual analysis”).     

Sensitivity to reward and risky driving,risky decision making,and risky health behaviour: A literature review

Young driver road safety has persisted as a global problem for decades, despite copious and diverse intervention. Recently the influence in reward sensitivity, which refers to the individual’s personal sensitivity to rewards, has received attention in health-related research, including more generally through decision making in risky circumstances, and in risky driving behaviour specifically. As such, a literature review and synthesis of the literature regarding reward sensitivity in relation to risky driving, risky decision making, and risky health behaviour, with a focus on literature in which adolescents and young adults feature, is timely. Thirty-one papers were identified, and the literature revealed that young drivers with greater reward sensitivity engage in more risky driving behaviours including speeding, crashes and traffic violations; and that individuals with greater reward sensitivity engage in more risky decision making and other risky health-related behaviours (such as drinking and drug use). Adolescents and young adults exhibit heightened sensitivity to rewards in the presence of peers, which has considerable implications for young driver road safety as research consistently demonstrates that carrying peer passengers places all vehicle occupants at greater risk of being involved in a road crash. Consideration of the influence of reward sensitivity in young driver road safety, and other adolescent/young adult health-related safety, appears to be a promising avenue of intervention, with gain-framed messages more likely to be accepted by young drivers with greater reward sensitivity. Future research in jurisdictions other than Australia and Europe will increase our understanding of the influence of reward sensitivity, and exploration of the differential impacts of reward-responsiveness and fun-seeking specifically are warranted.     

Well-being during the coronavirus pandemic: The effect of big five personality and COVID-19 beliefs and behaviors

This study examined the relationship between personality traits, COVID-specific beliefs and behaviors, and well-being during the COVID-19 pandemic. In July 2020, at the onset of a second major lockdown, Australian adults (n = 1453) completed measures of Big Five personality, COVID beliefs and behaviors (i.e., belief in a rapid recovery, perceived risk, compliance, change in exercise, and change in interpersonal conflict), subjective well-being and COVID-specific well-being. Personality correlates of COVID-specific well-being differed from those with general life satisfaction. The benefits of conscientiousness were elevated whereas the benefits of extraversion and agreeableness were reduced. Neuroticism was related to greater perceived risk from the pandemic, elevated interpersonal conflict during the pandemic, and more pessimistic views about the rate at which society would recover from the pandemic. In contrast, conscientiousness was notably related to greater compliance with directions from public health authorities. While regression models showed that general well-being was largely explained by personality, COVID factors provided incremental prediction, and this was greatest when predicting COVID-specific well-being and lowest for global evaluations of life satisfaction. The observed prediction by beliefs and behaviors on well-being beyond personality, provides potential opportunities for targeted interventions to support the management of future novel stressors.     

Regulation strategies during COVID-19 quarantine: The mediating effect of worry on the links between coping strategies and anxiety

IntroductionThe COVID-19 outbreak forced Italian citizens into a generalized quarantine from March to May 2020. The quarantine is a successful measure to reduce the virus's spread through physical and social distancing, but it can also have negative psychological consequences on the population. People experience high levels of worry and anxiety and have to cope with the consequences of the health emergency. The aim of this study was to preliminarily assess the causal relations among coping, worry and state anxiety at the time of COVID-19 first wave, and the mediation role of worry between coping and state anxiety.MethodsDuring March 2020, 1273 Italian citizens completed an ad hoc online survey composed of sociodemographic and preoccupation-related questions, and standardized self-report questionnaire (Brief COPE, Penn State Worry Questionnaire and State-Trait Anxiety Inventory-State form). Three separate mediation models were performed.ResultsThe relationship between coping strategies (i.e.: problem-focused coping, emotion-focused coping and dysfunctional coping) and state anxiety resulted to be mediated by worry. Dysfunctional and problem-focused coping had a negative effect on anxiety scores and this effect was amplified by high levels of worry. Emotion-focused coping reduced state anxiety scores through its effect on reducing the levels of worry, which in turn was related to a reduction in anxiety.ConclusionThe present study offers first evidence for the mediation role of worry in the relation between coping and anxiety during quarantine caused by COVID-19 pandemic. It supports the clinical importance of investigating people's coping strategies along with the levels of (cognitive) worry and their long-term effects on the psychological well-being during the outbreak, in order to deliver adequate personalized interventions. Psychological support should enhance emotion-focused coping strategies that have a protective effect on both worry and anxiety.     

Clients' experiences of online therapy in the early stages of a COVID-19 world: A scoping review

The emergence of the COVID-19 pandemic in 2019 forced an abrupt shift in the modality through which psychotherapy was delivered and online therapy became the only viable option for clients. Research regarding experiences of online therapy during the early stages of the COVID-19 pandemic is minimal, however, and has largely focussed on therapists' experiences of delivering online treatment, as opposed to clients' experiences of receiving it. A scoping review was undertaken to establish what is known from the existing literature about clients' experiences of online therapy during the initial stages of the COVID-19 pandemic and identify gaps in the current knowledge. Searches were conducted across four academic databases: Scopus, EBSCO CINAHL Complete, EBSCO MEDLINE and OVID PsycInfo; the literature was excluded based on established PICOS criteria. Data were summarised through data charting and synthesised by way of inductive content analysis. A total of five articles were identified. All articles focussed on online therapy using video or audio conferencing, and four of the five studies examined clients with eating disorders. Inductive content analysis identified seven categories, as follows: preference for face-to-face therapy; appreciation of accessibility and convenience; online format hindered connection; positive experience of online therapy; individual client differences impacted experience; strong therapeutic alliance indicative of positive experience; and gratitude for continuation of treatment. Future research could explore clients' experiences of online therapy in a “post-pandemic” world and include a broader range of client populations and online therapy approaches in the COVID-19 context.     

援鄂护士抗疫叙事日记的个案研究

基于现象学取向的心理学研究,将生命故事呈现作为主要研究对象,聚焦个体叙事的微观心理,为维护公共卫生事件中的一线医护个体的身心健康与预防应激障碍提供参考框架。使用叙事心理学“部分—内容”分析方法,在新冠疫情期间援鄂抗疫护士的日记中,选择高心理弹性叙事的典型个案进行研究,发现应对身心压力的心理弹性的动态过程:一线环境的5种压力源引发个体产生5种身心负性反应,由外部环境、个体内部及二者互动的3个维度、13个类别、29个弹性因子共同提供保护。援鄂护士心理弹性具有三维度结构,以及回避、问题中心、情绪中心、文化4种组合的应对策略。     

Examining civic engagement in ethnic minority youth populations: A literature review and concept analysis

Racial reckoning is defined as the subjugation of Black, Indigenous, and people of Color (BIPOC) to racial hierarchies and subordinate groups that influence multiple well-being outcomes throughout the developmental lifespan and across generations. With the two pandemics of racial reckoning and COVID-19 amidst a growing controversial political landscape, topics around civic engagement have been brought to the forefront of community conversation. Discussions surrounding civic engagement must go beyond addressing issues of public concern and examine the vehicle in which civic engagement may be delivered. This is becoming increasingly important as civic engagement is one of the main avenues of social change through individual and collective action, particularly regarding racial reckoning and healthcare disparities highlighted by COVID-19. The paper focuses on civic engagement among ethnic minority youth and young adults. An integrated model of civic engagement was created based off what was learned through this review. This proposed model of civic engagement is meant to be the first step to addressing the gap in civic engagement literature for ethnic minority youth. Weaknesses and future considerations regarding the model will also be discussed, as well as any implications for ethnic minority youth and young adults.