Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis

Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6–18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42–0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08–0.73] p < 0.01). CBM and ‘other’ interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed.

     

Same face,same place,different memory: manner of presentation modulates the associative deficit in older adults

One of the more severe and consequential memory impairments experienced by older adults is the loss of the ability to form and remember associations. Although the associative deficit is often assumed to be unitary, memory episodes may contain different types of associations (e.g., item–item, item–context). Research in younger adults suggests that these different association types may involve different neural mechanisms. This raises the possibility that different association types are not equally affected by aging. In order to investigate this, the current study directly compared memory across item–item and item–context associations in younger and older adults by manipulating the manner of presentation of the associations. Results indicate that the associative deficit in aging is not uniform and that aging has a greater impact on item–context compared to item–item associations. The results have implications for theories of associative memory, age-related cognitive decline, and the functional organization of the medial temporal lobe in aging.     

Sharenting: Pride,affect and the day‐to‐day politics of digital mothering

The coming together of parenting and routine posting on social networking sites has become a visible and recognisable theme, and the term “sharenting” has found a place in everyday talk to describe some forms of parental digital sharing practices. However, while social media has undoubtedly provided a space for parents to share experiences and receive support around parenting, sharenting remains a contestable issue. Thus, one reading of sharenting would be as a display of good parenting as mothers “show off” their children as a marker of success. However, the term also can be used pejoratively to describe parental oversharing of child‐focused images and content. In this paper, we explore the practice of sharenting in terms of pride, affect and the politics of digital mothering in a neoliberal context to conclude that sharenting can be best understood as a complex affective and intersectional accomplishment that produces motherhood and family as communicative activities within digital social practices.     

The relationship between beliefs about emotions and quality of life in irritable bowel syndrome

Suppression of undesirable emotions, as well as beliefs about the unacceptability of experiencing and expressing emotions, have both been shown to be related to poorer health-related outcomes in several clinical groups. Potential models through which these variables relate have yet to be tested in those with irritable bowel syndrome (IBS) and are therefore examined in the current article. Online questionnaires were administered to people with IBS (n = 84) to test a mediation model in which beliefs about the unacceptability of emotions are associated with greater emotional suppression, which in turn relates to increased affective distress and consequently poorer quality of life. An alternate model to test the direction of effect along with two further models using support-seeking as mediators of the same predictor and outcome were also tested. Emotional suppression and affective distress (in that particular order) mediate the relationship between beliefs about emotions and quality of life IBS. The models using support-seeking as mediators of the relationship between beliefs about emotions and the two outcomes were not supported. These findings suggest a role for emotional processing in medically unexplained symptoms and imply the need to address such beliefs about emotions in psychological therapies.     

The impact of L1 structural frequency and cognate status on the timing of L2 production

The present study investigates the impact of first language (L1) structural frequency and L1 lexical accessibility, manipulated via cognate status, on second language (L2) speech production. L1 German–L2 English speakers and L1 English speakers completed a production task containing pre- and post-modified possessive noun phrase (NP) constructions (e.g. The actress’s sofa vs. The sofa of the actress) in which the head nouns were English-German cognates (e.g. sofa) or noncognates. While English prefers pre-modified NPs, German has a strong frequency bias for post-modified NPs. L2 English speakers exhibited higher production accuracy than L1 English speakers on post-modified NP sentences. However, facilitative L1 effects in production latencies were restricted to post-modified NP sentences containing cognates and only developed cumulatively after repeated exposure to post-modified NP sentences. We discuss how cognate status and L1 structural frequency differentially influence the accuracy and timing of choosing between different structural alternatives during L2 production.     

Workload,Risks, and Goal Framing as Antecedents of Shortcut Behaviors

Purpose

Shortcut behaviors are methods of completing a task that require less time than typical or standard procedures. These behaviors carry the benefit of increasing efficiency, yet can also carry risks (e.g., of an accident). The purpose of this research is to understand the reasons individuals engage in shortcut behaviors, even when doing so is known to be risky.

Design/Methodology/Approach

We present two laboratory studies (N = 121 and N = 144) in which participants performed an air traffic control simulation. Participants could improve efficiency by taking shortcuts; that is, by sending aircraft off the prescribed flight paths. This design allowed for direct and unobtrusive observation of shortcut behaviors.

Findings

Individuals who were told that efficiency was an obligation tended to believe that shortcut behaviors had utility for managing high workloads, even when the risks associated with shortcuts were high. Downstream, utility perceptions were positively related to actual shortcut behavior.

Implications

Although communicating risks may be used to help individuals balance the “pros” and “cons” of shortcut behaviors, goal framing is also important. Subtle cues indicating that efficiency is an obligation can lead to elevated perceptions of the utility of shortcut behaviors, even when knowing that engaging in shortcut behaviors is very risky.

Originality/Value

Past research has provided limited insights into the reasons individuals sometimes engage in shortcut behaviors even when doing so is known to be risky. The current research speaks to this issue by identifying workload and obligation framing as antecedents of the decision to take shortcuts.

     

Reconciling Compensatory and Noncompensatory Strategies of Cue Weighting: A Causal Model Approach

When forming a judgment about any unknown item, people must draw inferences from information that is already known. This paper examines causal relationships between cues as a relevant factor influencing how people determine the amount of weight to place on each piece of available evidence. We propose that people draw from their beliefs about specific causal relationships between cues when determining how much weight to place on those cues, and that understanding this process can help reconcile differences between predictions of compensatory and lexicographic heuristic strategies. As causal relationships change, different cues become more or less important. Across three experiments, we find support for the use of causal models in determining cue weights, but leave open the possibility that they work in concert with other strategies as well. We conclude by discussing relative strengths and weaknesses of the causal model approach relative to existing models, and suggest areas for future research. Copyright © 2016 John Wiley & Sons, Ltd.     

Close Encounters With the Midwest: Forming Identity in a Bicultural Context

This study uses semi-structured interviews to examine how 16 people of Latvian heritage negotiated their cultural identities in high school (retrospectively) and at midlife (concurrently). Participants' high school and midlife cultural identity patterns were coded as marginalized, separated, assimilated, alternating integrated, or blended integrated. Although eleven participants were found to have had marginalized, separated, or alternating integrated patterns in high school, all 16 had either assimilated or blended integrated patterns at midlife. Further, there is evidence that the contexts in which identity negotiation occurred—specifically, the rigidity of the participants' Latvian and American contexts in high school and their relative openness at midlife—influenced these changes in pattern. The findings also underscore the importance of taking into account within-group differences when studying how people negotiate their cultural identities.     

Koffka's effect is mediated by figure thickness at the joining region

Three-quarters of a century ago Gestalt psychologist Kurt Koffka described a remarkable effect: when a contiguous gray ring is placed on a background half one shade of gray, half another, the ring appears homogeneous. However, if the ring is divided, the two halves of the ring appear different shades of gray, the half of the ring on the darker background appearing lighter than the half of the ring on the lighter background. The Gestalt principle of continuity is used to explain this effect. But what microscopic principles might be mediating this effect? Recently we found sufficiently thin rings (annuli) appear heterogeneous even when geometrically continuous. Here, using crescent-shaped figures instead of the circular annuli used for the traditional Koffka effect, we show that this effect of thickness of the ring is mediated by the thickness at the boundary of the region where the halves of the figure are joined.