Investigating trajectories of change in psychological distress amongst patients with depression and generalised anxiety disorder treated with internet cognitive behavioural therapy

Internet based cognitive behavioural therapy (CBT) is efficacious for the treatment of anxiety and depression. The current study aimed to examine the effectiveness of internet based CBT prescribed by primary care clinicians for the treatment of depression and generalised anxiety disorder. Psychological distress data from 302 patients who completed an online CBT course for depression and 361 patients who completed an online CBT course for generalised anxiety disorder were subjected to growth mixture analysis. For both disorders psychological distress decreased across each lesson in a quadratic trend. Two classes of individuals were identified with different trajectories of change: a large group of individuals who responded well to the courses and a smaller group of individuals with a lower response. Both groups were similar with respect to socio-demographic characteristics however the Low Responders tended to have higher levels of symptom severity and psychological distress at baseline in comparison to the responders. For the majority of patients (75-80%) the internet CBT courses for depression and generalised anxiety disorder were effective. Further research is required to identify and effectively treat the smaller proportion of patients who did not improve during internet CBT.     

Defining and Exploring Modesty in Jewish American Women

Whether culture-based modesty may be a barrier to women’s health care has been a longstanding question. Numerous studies have noted that, in certain cultures, modesty is considered a barrier to mammography screening and breast feeding. Though modesty has been noted as an inherent aspect of the lived experience of many cultures, no extant measures or clear definitions were found. Jewish women, some having strict rules regarding modesty, were sampled to understand their definition of modesty. These perspectives were objectively analyzed using Q methodology. We found that although some perspectives on modesty may be accounted for by culture, there are others that are not.     

The representation of abstract words: why emotion matters

Although much is known about the representation and processing of concrete concepts, knowledge of what abstract semantics might be is severely limited. In this article we first address the adequacy of the 2 dominant accounts (dual coding theory and the context availability model) put forward in order to explain representation and processing differences between concrete and abstract words. We find that neither proposal can account for experimental findings and that this is, at least partly, because abstract words are considered to be unrelated to experiential information in both of these accounts. We then address a particular type of experiential information, emotional content, and demonstrate that it plays a crucial role in the processing and representation of abstract concepts: Statistically, abstract words are more emotionally valenced than are concrete words, and this accounts for a residual latency advantage for abstract words, when variables such as imageability (a construct derived from dual coding theory) and rated context availability are held constant. We conclude with a discussion of our novel hypothesis for embodied abstract semantics.     

Flexible feature-based inhibition in visual search mediates magnified impairments of selection: evidence from carry-over effects under dynamic preview-search conditions

Evidence for inhibitory processes in visual search comes from studies using preview conditions, where responses to new targets are delayed if they carry a featural attribute belonging to the old distractor items that are currently being ignored-the negative carry-over effect (Braithwaite, Humphreys, & Hodsoll, 2003). We examined whether inhibition was applied in the same manner across different types of displays or whether the inhibitory weighting applied to different features varied with their utility for the search task. To test this, we present the first empirical investigation of negative carry-over effects under the ecologically valid conditions of dynamic visual search. Experiment 1 investigated preview search using dynamic moving and static displays. Detection was very poor when new targets carried the color of the old distractors, and this negative carry-over effect was significantly exaggerated with moving, compared with static, displays. Experiments 2a and 2b demonstrated that this effect could not be attributed to an increased role of preattentive grouping between new and old items for dynamic displays. Collectively, the findings suggest that feature-based inhibition contributes strongly to preview search through dynamic displays, and this leads to an amplified attentional blindness to new targets. The data specifically indicate that inhibitory processes in search differentially weight color and location in moving and static displays, and that feature-based inhibition may underlie many instances of sustained inattentional blindness in everyday life.     

A Game a Day Keeps Cognitive Decline Away? A Systematic Review and Meta-Analysis of Commercially-Available Brain Training Programs in Healthy and Cognitively Impaired Older Adults

Neuropsychology Review - The rising prevalence rates of age-related cognitive impairment are a worldwide public concern, bringing about a surge in the number of “brain training”...     

Pluralistic folk psychology and varieties of self-knowledge: an exploration

Turning the techniques we use to understand other people onto ourselves can provide an insight into the types of self-knowledge that may be possible for us. Adopting Pluralistic Folk Psychology, according to which we understand others not primarily by thinking about invisible beliefs and desires that cause behavior, but instead by modeling others as people - with rich characters, relationships, past histories, cultural embeddedness, personality traits, and so forth. A preliminary investigation shows that we understand ourselves at least in terms of our phenomenal states, informational states, perceptual states, traits, desires, and beliefs. I then appeal to empirical research to examine the accuracy of our sense of self-understanding in these ways, and argue that these are often non-veridical. Moreover, in our folk practices, we do not take our statements of self-understanding as infallible, but we allow others to help us see ourselves. While there is room for some improvement in our acurarcy, I conclude that our sense of self is largely a joint construct of self and others, and that looping effects play a significant role in what one’s self turns out to be. The self is a fluid thing that we are constantly creating through our actions and self-constituting thoughts, but it is a creation we do not make alone. Others help to create us, as we help to create them.     

Risk factors for depression in early adolescence

The purpose of this study was to identify salient risk factors for depression in early adolescence from a group of common predictors. The following nine predictors were examined: (1) perceived quality of peer relationships, (2) perceived parental nurturance, (3) perceived parental rejection, (4) self-esteem, (5) body image, (6) pubertal status, (7) SES, (8) conduct problems, and (9) hyperactivity/inattention. The sample of 2,014 12 and 13 year olds was also divided by gender to examine potential sex differences in risk factors for depression. Finally, several mediational models were investigated. Self-esteem emerged as the strongest predictor of depression in both genders; parental behavior also emerged as an important risk factor. Therefore, these two variables are discussed as targets for those developing intervention and prevention programs.