Anders Örtenblad (ed.): Debating Equal Pay for All: Economy,Practicability and Ethics Palgrave Macmillan, 2021. eBook (ISBN 978-3-030-53575-9) 85.59 €. 320 pages

Ethical Theory and Moral Practice -     

The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

Somatic symptom disorder (SSD) and illness anxiety disorder (IAD) are two new diagnoses introduced in the DSM-5. There is a need for reliable instruments to facilitate the assessment of these disorders. We therefore developed a structured diagnostic interview, the Health Preoccupation Diagnostic Interview (HPDI), which we hypothesized would reliably differentiate between SSD, IAD, and no diagnosis. Persons with clinically significant health anxiety (n = 52) and healthy controls (n = 52) were interviewed using the HPDI. Diagnoses were then compared with those made by an independent assessor, who listened to audio recordings of the interviews. Ratings generally indicated moderate to almost perfect inter-rater agreement, as illustrated by an overall Cohen’s κ of .85. Disagreements primarily concerned (a) the severity of somatic symptoms, (b) the differential diagnosis of panic disorder, and (c) SSD specifiers. We conclude that the HPDI can be used to reliably diagnose DSM-5 SSD and IAD.     

Standard Errors of Kernel Equating: Accounting for Bandwidth Estimation

In standardized testing, equating is used to ensure comparability of test scores across multiple test administrations. One equipercentile observed-score equating method is kernel equating, where an essential step is to obtain continuous approximations to the discrete score distributions by applying a kernel with a smoothing bandwidth parameter. When estimating the bandwidth, additional variability is introduced which is currently not accounted for when calculating the standard errors of equating. This poses a threat to the accuracy of the standard errors of equating. In this study, the asymptotic variance of the bandwidth parameter estimator is derived and a modified method for calculating the standard error of equating that accounts for the bandwidth estimation variability is introduced for the equivalent groups design. A simulation study is used to verify the derivations and confirm the accuracy of the modified method across several sample sizes and test lengths as compared to the existing method and the Monte Carlo standard error of equating estimates. The results show that the modified standard errors of equating are accurate under the considered conditions. Furthermore, the modified and the existing methods produce similar results which suggest that the bandwidth variability impact on the standard error of equating is minimal.     

The tower experiment and the Copernican revolution

During the Copernican revolution the supporters of the Ptolemaic theory argued that the tower experiment refuted the Copernican hypothesis of the (diurnal) motion of the earth, but was in agreement with the Ptolemaic theory. In his defence of the Copernican theory Galileo argued that the experiment was in agreement both with Copernican and Ptolemaic theory. The reason for these different views of the same experiment was not that the two theories were incommensurable, as Paul Feyerabend argues, but that Galileo introduced a new theory of motion which he used as an auxiliary hypothesis in his discussion of the tower experiment, while those defending the Ptolemaic theory used the old Aristotelian theory of motion. Already before the Copernican revolution the Aristotelian theory of motion was criticized by philosophers in Paris, who suggested the impetus theory of motion. The later versions of this theory had the consequence that the tower experiment no longer refuted the hypothesis of the (diurnal) motion of the earth. Thus the impetus theory removed an old and important objection to the heliocentric theory. Galileo's inertial dynamics had the same function in the discussion of the tower experiment.     

Stroop facilitation in tinnitus patients: an experiment conducted via the world wide web.

Cognitive mechanisms have been proposed to play an important role in tinnitus. In the present study, tinnitus participants were administered an emotional Stroop test via the Internet, incorporating words related to tinnitus concerns. In line with previous research using this Web-based version of the emotional Stroop test, faster color naming was demonstrated for concern-relevant words relative to neutral words. The present results thus provided support for a role for cognitive factors that are important for the understanding of tinnitus. However, future research is warranted in order to clarify the precise mechanisms involved in tinnitusrelated Stroop effects.     

Cognitive behavioral therapy in practice: therapist perceptions of techniques,outcome measures,practitioner qualifications,and relation to research

Cognitive behavioral therapy (CBT) has a strong evidence base for several psychiatric disorders, however, it may be argued that currently there is no overall agreement on what counts as ‘CBT’. One reason is that CBT is commonly perceived as encompassing a broad range of treatments, from purely cognitive to purely behavioral, making it difficult to arrive at a clear definition. The purpose of the present study was to explore practicing therapists’ perceptions of CBT. Three hundred fifty members of two multi-disciplinary interest groups for CBT in Sweden participated. Mean age was 46 years, 68% were females, 63% psychologists and mean number of years of professional experience was 12 years. Participants completed a web-based survey including items covering various aspects of CBT practice. Overall, therapist perceptions of the extent to which different treatment techniques and procedures were consistent with CBT were in line with current evidence-based CBT protocols and practice guidelines, as were therapists’ application of the techniques and procedures in their own practice. A majority of participants (78%) agreed that quality of life or level of functioning were the most important outcome measures for evaluating treatment success. Eighty percent of therapists believed that training in CBT at a basic level was a requirement for practicing CBT. There was a medium size Spearman correlation of r_s=.46 between the perceived importance of research to practice and the extent to which participants kept themselves updated on research. Implications for training, quality assurance, and the effectiveness of CBT in clinical practice are discussed.     

Group acceptance and commitment therapy (ACT) for bipolar disorder and co-existing anxiety – an open pilot study

Previous studies have supported acceptance and commitment therapy (ACT) for reducing impairment related to various chronic conditions. ACT may possibly be beneficial for bipolar disorder (BD) with co-existing anxiety, which is associated with a poorer treatment outcome. Efforts are needed to identify suitable psychological interventions for BD and co-existing anxiety. In this open clinical trial, we included 26 patients with BD type 1 or 2 at an outpatient psychiatric unit specializing in affective disorders. The intervention consisted of a 12-session manualized group treatment that included psychoeducation, mindfulness, engaging in values-based behaviour, cognitive defusion, acceptance and relapse prevention modules. Participants completed four self-report questionnaires covering anxiety symptoms (Beck Anxiety Inventory - BAI), depressive symptoms (Beck Depression Inventory - BDI-II), quality of life (Quality of Life Inventory - QOLI) and psychological flexibility (Acceptance and Action Questionnaire - AAQ-2) before, during and after the treatment. At post-treatment, the participants reported significant improvements in all outcome measures, with large effects (Cohen’s d between 0.73 and 1.98). The mean reduction in anxiety symptoms was 45%. At post-treatment, 96% of the patients were classified as responders on at least one of the outcome measures. A limitation is that the trial is uncontrolled. The results suggest that ACT has the potential to be an effective treatment for BD patients with co-existing anxiety. Further randomized studies are warranted.     

Implicit memory bias for eating- and body appearance-related sentences in eating disorders: an application of Jacoby's white noise task

Jacoby's white noise task and an explicit recognition task were used to investigate whether individuals with eating disorders demonstrate implicit memory bias and explicit memory bias, respectively, for information related to eating and body appearance. Included were 33 women with eating disorders (seven with anorexia nervosa and 26 with bulimia nervosa), 29 with nonclinical eating disorder-related concerns, and 36 healthy controls. Results showed partial support for implicit memory bias but no support for explicit memory bias. These findings suggest that eating disorders may be characterized by relative initial automatic bias for eating disorder-relevant information but not by bias at later stages of information processing. However, previous studies have demonstrated explicit memory bias in eating disorders, which is inconsistent with this interpretation. Future research is required to clarify the precise cognitive biases associated with eating disorders.     

Working memory as a predictor of written arithmetical skills in children: The importance of central executive functions

Background . The study was conducted in an attempt to further our understanding of how working memory contributes to written arithmetical skills in children. Aim . The aim was to pinpoint the contribution of different central executive functions and to examine the contribution of the two subcomponents of children's written arithmetical skills. Sample and method . A total of 141 third‐ and fourth‐graders were administered arithmetical tasks and measures of working memory, fluid IQ and reading. Regression analysis was used to examine the relationship between working memory and written arithmetical skills. Results . Three central executive measures (counting span, trail making and verbal fluency) and one phonological loop measure (Digit Span) were significant and predictors of arithmetical performance when the influence of reading, age and IQ was controlled for in the analysis. Conclusions . The present findings demonstrate that working memory, in general, and the central executive, in particular, contribute to children's arithmetical skills. It was hypothesized that monitoring and coordinating multiple processes, and accessing arithmetical knowledge from long‐term memory, are important central executive functions during arithmetical performance. The contribution of the phonological loop and the central executive (concurrent processing and storage of numerical information) indicates that children aged 9–10 years primarily utilize verbal coding strategies during written arithmetical performance.