Group-based problem-solving therapy in self-poisoning females: A pilot study

Aims: The treatment of suicidal behaviour remains limited in efficacy. This pilot study assessed the effectiveness of a time-limited, group-based problem-solving therapy intervention compared with a treatment as usual control group, in females who self-poison. Method: A total of 18 clients were equally randomised to treatment or control groups. All clients were assessed using standardised questionnaires for depression, hopelessness, suicidal ideation and social problem-solving skills, at pre-treatment, post-treatment and two months follow-up. Results: The treatment group experienced significant reductions in levels of depression, hopelessness, suicidal ideation and improvements in self-assessed social problem-solving skills. Improvements in mental health and aspects of self-assessed problem-solving skills for the treatment group continued to be evident at two months follow-up. The control group did not change significantly over time on mental health measures or social problem solving abilities. Conclusion: Although limited by small sample size, the results suggest that group-based problem-solving therapy is effective in the management of deliberate self-poisoning. This paper is a unique contribution in that it examines the implementation of problem solving therapy with a homogenous population and in a group format. Methodological concerns and directions for future research are discussed.     

The COVID-19–Social Identity–Digital Media Nexus in India: Polarization and Blame

Drawing on social identity theory and research on digital media and polarization, this study uses a quasi-experimental design with a random sample (n = 3304) to provide causal evidence on perceptions of who is to blame for the initial spread of COVID-19 in India. According blame to three different social and political entities—Tablighi Jamaat (a Muslim group), the Modi government, and migrant workers (a heterogeneous group)—are the dependent variables in three OLS regression models testing the effect of the no-blame treatment, controlling for Facebook use, social identity (religion), vote in the 2019 national election, and other demographics. Results show respondents in the treatment group were more likely to allay blame, affective polarization (dislike for outgroup members) was social identity based, not partisan based, and Facebook/Instagram use was not significant. Congress and United Progressive Alliance voters in 2019 were less likely to blame the Modi government for the initial spread. Unlike extant research in western contexts, affective and political polarization appear to be distinct concepts in India where social identity complexity is important. This study of the first wave informs perceptions of blame in future waves, which are discussed in conclusion along with questions for future research.     

Brief report: The development of superstitious beliefs in the effectiveness of treatment of anger: Evidence for the importance of experimental program evaluation in applied settings

Many youth placed in out of home care have serious anger and aggression problems. These youth create much administrative and staff frustration. This frustration can cause program administrators to look to new treatment modalities whether inside or outside of their specific milieu for the therapeutic solutions to these problems. This randomized control group study provides an example of the importance of experimental program evaluation when an applied setting begins a drift towards the use of new treatment modalities. The results showed that both treatment and control groups improved over time but that there was no differences between groups in the daily number of angry incidents, the number of youth negatively terminated from the program, or self-report of state-trait anger expression. The results also suggest that without this research the noneffective intervention would have continued to be funded and given causative status for the observed improvements in referred youth behavior into the foreseeable future. Moreover, the development of these types of superstitious beliefs may lead child care organizations to spend scarce dollars on expensive treatments that do not increase the efficacy of the treatment as usual. Thus, this study shows that there are potential economic and treatment efficacy reasons for the use of experimental program evaluation when new treatments are implemented.     

Borderline personality disorder and laboratory-induced cold pressor pain: Evidence of stress-induced analgesia

Behavioral neuroscience findings regarding stress-induced analgesia may be an appropriate model for the paradoxical effects of self-mutilative pain of patients with borderline personality disorder (BPD). We hypothesized that BPD patients would show an exaggerated antinociceptive effect from an uncontrollable cold pressor stress, compared to persons with other personality disorders or to a nonpsychiatric control group. This hypothesis was supported. Limitations of the study and directions for future research are discussed.     

The Internalisation of Group Identities in Childhood

This paper provides an account of key findings from a decade-long programme of research on children’s internalisation of social group identities. Our starting point is to note a pervasive failure of previous work to differentiate between categorisation of the self in group terms and subjective identification with a social group. Thus, previous research had sought to cast light on identification with groups but, owing to methodological weaknesses, typically examined only categorisation of the self in group terms. Following a review of relevant literature, we report the findings of our own research which has adapted methods drawn from cognitive social psychology. We conclude that even by the age of 5 years children are capable of subjectively identifying with collectivities. Directions for future research are discussed.     

Pathways Triple P‐Positive Parenting Program: Effects on Parent‐Child Relationships and Child Behavior Problems

This study examined the effects of Pathways Triple P (PTP), an early intervention program designed to promote positive parent‐child relationships. Sixty parents met the inclusion criteria of borderline to clinically significant relationship disturbance and child emotional and behavioral problems. They were randomly allocated into PTP or a wait‐list (WL) control group. PTP was delivered in a group format for 9 weeks and consisted of parent skills training and cognitive behavior therapy targeting negative attributions for child behavior. Significant intervention effects were found for improving parent‐child relationships and reducing behavior problems with gains maintained at 3‐month follow‐up. Limitations of the study and implications for future research are discussed.     

Community Violence and Youth: Affect, Behavior, Substance Use, and Academics

Community violence is recognized as a major public health problem (WHO, World Report on Violence and Health, 2002) that Americans increasingly understand has adverse implications beyond inner-cities. However, the majority of research on chronic community violence exposure focuses on ethnic minority, impoverished, and/or crime-ridden communities while treatment and prevention focuses on the perpetrators of the violence, not on the youth who are its direct or indirect victims. School-based treatment and preventive interventions are needed for children at elevated risk for exposure to community violence. In preparation, a longitudinal, community epidemiological study, The Multiple Opportunities to Reach Excellence (MORE) Project, is being fielded to address some of the methodological weaknesses presented in previous studies. This study was designed to better understand the impact of children’s chronic exposure to community violence on their emotional, behavioral, substance use, and academic functioning with an overarching goal to identify malleable risk and protective factors which can be targeted in preventive and intervention programs. This paper describes the MORE Project, its conceptual underpinnings, goals, and methodology, as well as implications for treatment and preventive interventions and future research.     

Does family therapy produce change? an overview of outcome studies

Summary Families were randomly assigned to one of two forms of conjoint marital therapy: an insight-oriented treatment (n=10) or a problem-solving intervention (n=10.). The results on self-report measures of family functioning indicate that the problem-solving intervention produced more favorable changes after three months. However on long-term follow-up after a year, this more positive effect did not apparently persist, since the insight treatment group reported better results. Experienced therapists did better than inexperienced therapists in the insight treatment condition, but level of experience did not make a difference in the problem-solving intervention. A group of eight families who dropped out of the insight treatment group provided data on correlates of premature termination. Several of the practical obstacles to implementing an experimental design in a clinic setting are illustrated by the research.As we develop more sophisticated methodology, we hope that is the near future family therapy researchers will be better able to state which type of approach is more effective for whom and under what circumstances. A review of current studies of family therapy outcome research indicates that family therapy seems to be as effective as individual psychological treatment.     

Alexithymia and relaxation: Considerations in optimising the emotional effectiveness of journaling about stressful experiences

The emotional benefits of pairing a brief relaxation with journaling about a stressful event were considered through an experimental design, with alexithymia included as a potential moderator. Participants (n=217) were randomly assigned to a full treatment group (n=54), relaxation-only group (n=57), journaling-only group (n=51), or control group (n=55). The results indicated an interaction, with high-alexithymic participants in the full treatment group reporting increased levels of emotional distress several days after writing. The hypothesis that preceding journaling with a relaxation would be beneficial for non-alexithymic participants was not supported. These findings contribute to the ongoing examination of how best to optimise the effectiveness of journaling. They also lend support to the importance of including alexithymia as a moderator variable in future journaling research.     

Effects of anger management and goal setting group interventions on state-trait anger and self-efficacy beliefs among high risk adolescents

In this study we evaluated the effects of two psychoeducational groups (anger management and goal setting) on state and trait anger, anger expression, and on self-efficacy beliefs of high risk adolescents enrolled in an alternative high school. Participants (n = 57) were pre- and post-tested using the State Trait Anger Expression Inventory (STAXI) with subscales for (a) state anger, (b) trait anger, and (c) anger expression, and on a measure of self-efficacy related to (a) anger management, (b) goal setting, and (c) group behavior and interpersonal communication. We hypothesized that each treatment would favorably impact the self-efficacy items related to it, that participants in both treatment groups would show gains in self-efficacy for general group behavior and communication skills, and that the anger management treatment would decrease state anger and anger expression. Results of a series of Repeated Measures ANOVAS revealed no group effects or group by time interaction effects. Analysis of Cohen's d effect sizes for the treatment groups in comparison with the control condition indicated only small treatment effects for the goal setting group on the STAXI, and small, negative treatment effects for the anger management group on the STAXI and on state anger. Thus, results failed to support the hypotheses with the current data set. Limitations of this study and implications for future research and group practice within schools are discussed. The authors thank Ellen Hawley McWhirter, Greg Sandstrom, and the administration, faculty, and students of the participating “alternative high school” for their help and support.     

Inpatient Brief Group Therapy for Anorexia Nervosa: Patient Experience

There is increasing interest in group therapy for the treatment of eating disorders. However, there is a lack of research evaluating group therapy that reflects on patient feedback in order to inform practice and improve treatment. This exploratory qualitative study attempted to evaluate patient feedback about the group therapy offered on a specialist inpatient eating disorders program. This qualitative analysis of patients’ feedback highlights areas for improvement that can be targeted to increase the effectiveness of the psychotherapy groups in the future. The research has implications for making inpatient hospitalization more effectively tailored to patients’ needs. This study also helps to improve qualitative research protocols.     

The Influence of Competitive and Cooperative Group Game Play on State Hostility

Most research on violent video game play suggests a positive relationship with aggression‐related outcomes. Expanding this research, the current study examines the impact group size, game motivation, in‐game behavior, and verbal aggression have on postgame play hostility. Consistent with previous research, group size and verbal aggression both displayed a significant positive relationship with hostility. From these results, avenues for future research on anti‐ and prosocial outcomes from group gaming are offered.     

Effects of anger management and goal setting group interventions on state-trait anger and self-efficacy beliefs among high risk adolescents

In this study we evaluated the effects of two psychoeducational groups (anger management and goal setting) on state and trait anger, anger expression, and on self-efficacy beliefs of high risk adolescents enrolled in an alternative high school. Participants (n = 57) were pre- and post-tested using the State Trait Anger Expression Inventory (STAXI) with subscales for (a) state anger, (b) trait anger, and (c) anger expression, and on a measure of self-efficacy related to (a) anger management, (b) goal setting, and (c) group behavior and interpersonal communication. We hypothesized that each treatment would favorably impact the self-efficacy items related to it, that participants in both treatment groups would show gains in self-efficacy for general group behavior and communication skills, and that the anger management treatment would decrease state anger and anger expression. Results of a series of Repeated Measures ANOVAS revealed no group effects or group by time interaction effects. Analysis of Cohen's d effect sizes for the treatment groups in comparison with the control condition indicated only small treatment effects for the goal setting group on the STAXI, and small, negative treatment effects for the anger management group on the STAXI and on state anger. Thus, results failed to support the hypotheses with the current data set. Limitations of this study and implications for future research and group practice within schools are discussed. The authors thank Ellen Hawley McWhirter, Greg Sandstrom, and the administration, faculty, and students of the participating “alternative high school” for their help and support.     

The Köhler Group Motivation Gain: How to Motivate the ‘Weak Links’ in a Group

A recurring question of successful group work is how to maintain high task motivation of the individual members. This paper reviews research on one well documented group motivation gain phenomenon, where group members are more highly motivated than comparable individual performers – the Köhler motivation gain effect. The basic effect is attributed to two psychological mechanisms, one involving upward social comparisons and a second involving the indispensability of group members’ efforts. In addition to summarizing research on the discovery and causes of the basic effect, this review identifies probable moderators of each contributing causal mechanism. Moreover, promising topics for future research as well as implications for the application of the Köhler effect in real group work are discussed.     

Cognitive Distortions of Child Molesters on Probation or Parole in Japan

The present study examined cognitive distortions of child molesters on probation or parole in Japan utilizing an 18‐item questionnaire administered in a treatment program conducted by the probation officers. This study analyzed the responses of child molesters (n = 51), non‐child‐molesting sexual offenders (n = 65), and non‐offenders (n = 64). Factor analysis of the responses showed three types of cognitive distortions: Rationalization of Offending Behavior, Minimization of Responsibility for Offending, and Minimization of Victim Harm. Welch's analysis of variance followed by Games‐Howell post hoc tests revealed that the child molesters scored significantly higher than the non‐offender group on the Rationalization of Offending Behavior subscale and the Minimization of Responsibility for Offending subscale, and significantly higher than the non‐child‐molesting sexual offender group on the Minimization of Responsibility for Offending subscale. The authors discuss the meanings of these three types of cognitive distortions and future research issues.     

The Acceptability of Computer-Aided Cognitive Behavioural Therapy: A Pragmatic Study

The clinical and cost-effectiveness of a computer-aided cognitive behavioural therapy (CCBT) programme, Beating the Blues, is indicated by a number of studies, but relatively little is known about its acceptability for patients with depression, anxiety, or both. This study investigated the acceptability of Beating the Blues offered on eight scheduled clinic visits with brief face-to-face support. Pre and posttreatment measures explored the relationship among programme acceptability, treatment continuation, and outcomes for people accessing the programme in routine care. Two hundred and nineteen patients with depression, anxiety, or both were offered Beating the Blues in 11 primary and secondary care practices. One hundred and ninety-one (87%) completed the pretreatment measures and 84 (38%) completed a treatment feedback questionnaire. Analysis of treatment acceptability for CCBT indicated a positive patient experience with the programme. Pretreatment expectancies predicted CCBT treatment completion but not outcomes. No differences were found between men and women on pretreatment measures. Posttreatment, women reported more favourable responses to the therapy, finding the programme more helpful and more satisfactory, than did men. No relationship between treatment acceptability and age was found. Study limitations, including research methods and attrition rates, and implications for future research are discussed. It is concluded that the Beating the Blues CCBT programme is an acceptable treatment for common mental health problems in routine care.     

Mobilizing cause supporters through group‐based interaction

Collective action expresses group‐based identities, formed by supporters seeking to further particular social causes. While the development of groups linked to action necessitates interaction among supporters, little research has examined how these groups form. Utilizing responses of supporters who participated in 1 of 29 action‐planning sessions, this research presents an initial attempt to identify the ingredients important to this process. It shows that to the extent that the actions agreed on in the course of group interactions were seen as capable of making a difference (action efficacy), and worthy of public expression (action voice), supporters’ group‐based identification was enhanced. This in turn increased their willingness to engage in collective action. Practical implications and avenues for future research to understand the mobilization process are discussed.     

Preliminary Evidence for the Effectiveness of Dialectical Behavior Therapy for Adolescents

This meta‐analysis evaluated the effectiveness of dialectical behavior therapy for adolescents in reducing symptoms of depression, anxiety, self‐injury, and suicide risk. Twelve between‐group studies (N = 834) were chosen that met the inclusion criteria. Results revealed small‐to‐medium Hedges's g effect sizes for all 4 symptoms compared with control and alternative treatment groups. However, the small number of effect sizes available for each analysis limited the generalizability of the findings. Implications and suggestions for future research are discussed.     

The efficacy of relaxation training with children

This paper reviews studies that have examined the efficacy of relaxation training techniques in the treatment of childhood disorders. Methodological problems encountered in doing research in this area resemble those found in working with an adult population: imprecise definitions of subject populations and use of a variety of dependent variables from one study to another. Findings suggest that relaxation training is at least as effective as other treatment approaches for a variety of learning, behavioral, and physiological disorders when it is continued over an extended period of time and is augmented by other supportive measures. Needs for future research include better follow-up studies and further investigations with a behaviorally disruptive population.The author would like to express his appreciation to Tricia O'Malley, Shirley Vickery, and Jim Evans for their useful suggestions in an earlier version of this paper, and particularly to Kathy Paget and two anonymous reviewers for their valuable editorial assistance and comments in preparing the final draft.     

The role of core self-evaluations in the relationship between religious involvement and subjective well-being: a moderated mediation model

This study examined whether core self-evaluations (CSE), a personality-based construct, mediates the association between religious involvement and subjective well-being (i.e., physical and psychological). Furthermore, investigates whether the indirect relation of religious involvement to well-being through CSE is conditional on age group (elderly vs. adults). Two different samples were examined: an elderly (N?=?300) and an adult community sample (N?=?294). To determine whether the strength of these effects depend on (moderated by) age group, we used multiple regression analyses and bootstrapping framework to probe conditional indirect (i.e., moderated mediation) effects. The results showed that CSE mediates the relationship between religious involvement (i.e., religious attendance and intrinsic religiosity) and both aspects of subjective well-being. However, the moderated mediation models revealed that this mechanism exists only for elderly. Implications of these results for improving the quality of life in elderly are discussed and directions for future research are provided.