Are Individuals Always Aware of Their Trauma-Related Intrusive Thoughts? A Study of Meta-Awareness

Individuals are not always aware of their mental content. We tested whether lack of awareness occurs in those who have experienced trauma, with and without posttraumatic stress disorder (PTSD). We also examined the role of proposed cognitive mechanisms (working memory and inhibition) in explaining unnoticed intrusions. Individuals with PTSD (n = 44), and varying levels of symptoms (high posttraumatic stress [PTS]: n = 24; low PTS: n = 37) reported on intrusive thoughts throughout a reading task. Intermittently, participants responded to probes about whether their thoughts were trauma related. Participants were “caught” engaging in unreported trauma-related thoughts (unnoticed intrusions) for between 24 and 27% of the probes in the PTSD and high PTS groups, compared with 15% of occasions in the low PTS group. For trauma-related intrusions only, participants lacked meta-awareness for almost 40% of probes in the PTSD group, which was significantly less than that observed in the other groups (～60%). Contrary to predictions, working memory and response inhibition did not predict unnoticed intrusions. The results suggest that individuals who have experienced significant trauma can lack awareness about the frequency of their trauma-related thoughts. Further research is warranted to identify the mechanisms underpinning the occurrence of unnoticed intrusions.     

Virtual Reality One-Session Treatment of Child-Specific Phobia of Dogs: A Controlled,Multiple Baseline Case Series

Specific phobia (SP) typically onsets in childhood and frequently predicts other mental health disorders later in life. Fortunately, childhood SP can be effectively treated with cognitive behavior therapy (CBT), including the exposure-based one-session treatment (OST) approach. Despite empirical support for CBT and OST, clinicians, for various reasons, frequently fail to implement exposure-based therapy in routine clinical practice, including perceived difficulties in implementing exposure. Virtual reality (VR) exposure therapy may overcome some of these challenges and provides an alternative modality of therapy. This preliminary study examined the efficacy of VR OST for 8 children with a SP of dogs (aged 8–12 years) (M = age 10.25; SD = 2.11) using a multiple-baseline controlled case series. Following a stable baseline period of either 2, 3, or 4 weeks, it was expected that specific phobia severity would significantly decline after VR OST and remain improved over the 3-week maintenance phase. Assessments were conducted posttreatment and at 1-month follow up (study end-point). It was found that phobia symptoms remained relatively stable across the baselines, with significant reductions from pretreatment to posttreatment and to follow-up on clinician severity ratings (pre- to post- g = 1.12; pre- to follow-up g = 2.40), target symptom ratings (g = 1.14; 1.29), and behavioral avoidance (g = -1.27; -1.96). The treatment was also associated with clinically significant outcomes, whereby at one-month follow up, 75% of children were considered “recovered” and 88% completed the BAT (interacted with their feared stimuli). This study provides support for the effectiveness of VR OST.     

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.     

Examining the Potential Mental Health Costs of Defending Victims of Bullying: a Longitudinal Analysis

Research on Child and Adolescent Psychopathology - It has been speculated that defending victims of bullying is stressful for youth, and may contribute to poor mental health among those who...     

Correction to: Suicidal Mental Imagery in Psychiatrically Hospitalized Adolescents

Research on Child and Adolescent Psychopathology - A correction to this paper has been published: https://doi.org/10.1007/s10802-021-00827-8     

“This one’s on me!”: Differential well-being effects of self-centered and recipient-centered motives for spending money on others

Motivation and Emotion - Past research reliably shows that spending money on others (termed prosocial spending) makes people happier than spending money on oneself. The present research tested...     

Expectations in Romantic Relations and Psychological Well-Being of Adolescents in Pakistan: Moderating Role of Parental Support

The objective of the current study was to investigate the role of perceived parental support as a moderator in the association between adolescents’ expectations in romantic relations and their psychological well-being. The sample consisted of 647 adolescents (boys = 285, girls = 362). Their age ranged from 16 to 18 years (M = 17.19 years, SD = .77) and they were regular students in different colleges of Islamabad and Rawalpindi. They completed the Perceived Parental Support Scale, the Well-being Questionnaire-W-BQ12 and the Romantic Relations Scale for Adolescents. The results showed that there were significant gender differences on expectations in romantic relations and psychological well-being with girls scoring higher than boys on expectations in romantic relations while boys scoring higher than girls on psychological well-being. The results also indicated that there was a significant negative association between expectations in romantic relations and psychological well-being. Findings of the moderation analysis showed that perceived parental support moderated the association. Simple slope analysis indicated that there was a significant negative slope for low and medium levels of perceived parental support while the slope was non-significant for high levels of perceived parental support. These results indicated that perceived parental support counters the negative effect of expectations in romantic relations on psychological well-being during adolescence. It is suggested that perceived parental support is important in planning interventions to improve the well-being of adolescents.