Continuum between Relational and Therapeutic Models of Self-help in Mental Health: A Qualitative Approach

Self-help groups are generally described as “group[s] composed of individuals who meet on a regular basis to help one another cope with a life problem” (APA, 2019). Yet, it is challenging to find a univocal definition of self-help groups. Scholars usually use different labels to highlight various features of self-help groups, suggesting the need for further inquiry regarding commonalities and differences. The level of professional involvement is one of the most disputed factors influencing whether a group is considered to belong to the “self-help family.” The present qualitative study aimed to understand how professional support in Tuscany, Italy can influence the organizational choices of these groups (place for meetings, admission criteria, timing, etc.), as well as the personal beliefs of members. The study included 17 self-help groups. During 13 focus groups meetings, 92 participants were interviewed; then, we individually interviewed 19 facilitators and six additional key informants from mental health settings. We used a grounded theory approach, and we discussed the emerging models with participants at a public event. Results show the emergence of two theoretical models to define self-help groups, not to be interpreted as mutually exclusive. The “relational model” refers to self-help groups whose main feature is to guarantee the acquisition of specific skills (social comparison skills, active listening, and empathy), while the “therapeutic model” seems to represent a kind of assimilation of other types of interventions.     

Processing focus structure and implicit prosody during reading: differential ERP effects

Several recent studies have shown that focus structural representations influence syntactic processing during reading, while other studies have shown that implicit prosody plays an important role in the understanding of written language. Up until now, the relationship between these two processes has been mostly disregarded. The present study disentangles the roles of focus structure and accent placement in reading by reporting event-related brain potential (ERP) data on the processing of contrastive ellipses. The results reveal a positive-going waveform (350-1300 ms) that correlates with focus structural processing and a negativity (450-650 ms) interpreted as the correlate of implicit prosodic processing. The results suggest that the assignment of focus as well as accent placement are obligatory processes during reading.     

Parental Stress and Children’s Social and Behavioral Outcomes: The Role of Abuse Potential over Time

Parental stress is a well-established risk factor for adverse child outcomes, including the development of aggression, externalizing behavior problems, and anxiety, as well as compromised emotional coping, impaired social cognition, and diminished treatment response. Abuse potential represents a mechanism by which parental stress may impact child social competence and behavior; evidence links parental stress to abuse potential, and abuse potential to a range of negative child social competence and behavioral outcomes. The current study assessed relationships between parental stress, abuse potential, and child social and behavioral outcomes over time. Parents of children ages 2–6 years (N?=?610, 44% girls) reported on perceived parental stress and attitudes towards abuse and neglect, as well as child social competence and behavior problems, before and after a caregiver-directed, community-based intervention. Changes in parental stress, abuse potential, and child social and behavioral outcomes were examined using panel analyses, while controlling for intervention effects and demographic variables. Parental stress predicted child social competence, anxiety/withdrawal, and anger/aggression over time; while the links between stress and anxiety/withdrawal, and stress and social competence, were mediated by child abuse potential, the link between stress and anger/aggression was not mediated by child abuse potential. Findings suggest that abuse potential represents a mechanism by which parental stress and child social and behavioral outcomes are linked. Further, screening for child social competence deficits may identify children at risk for abuse, as well as parents in need of services to reduce stress.     

Moderators of the relationship between exercise and mood changes: gender,exertion level,and workout duration

Although the role of exercise in improving mood is well established, less is known about moderators of this effect, particularly outside of the laboratory. The current study examined the effect of gender, type of exercise, level of exertion, and duration of workout on the exercise–mood relationship in a naturalistic setting. One hundred and thirty five participants (64 females) either engaged in weight training (n = 52) or cardiovascular (n = 83) exercise. Pre- and post-exercise assessments of mood were collected and changes in two types of mood, negative mood and exhaustion, were examined. Overall, participants reported improved mood after exercise in both domains. Workout duration and level of exertion significantly moderated the relationship of exercise to mood improvement (i.e., an increase in either corresponded to greater improved mood, ps<0.05). Overall, women showed more improved mood than men in the domain of exhaustion (p = 0.001).     

Reliability and Validity of the Dyadic Observed Communication Scale (DOCS)

We evaluated the reliability and validity of the Dyadic Observed Communication Scale (DOCS) coding scheme, which was developed to capture a range of communication components between parents and adolescents. Adolescents and their caregivers were recruited from mental health facilities for participation in a large, multi-site family-based HIV prevention intervention study. Seventy-one dyads were randomly selected from the larger study sample and coded using the DOCS at baseline. Preliminary validity and reliability of the DOCS was examined using various methods, such as comparing results to self-report measures and examining interrater reliability. Results suggest that the DOCS is a reliable and valid measure of observed communication among parent-adolescent dyads that captures both verbal and nonverbal communication behaviors that are typical intervention targets. The DOCS is a viable coding scheme for use by researchers and clinicians examining parent-adolescent communication. Coders can be trained to reliably capture individual and dyadic components of communication for parents and adolescents and this complex information can be obtained relatively quickly.     

What Matters to Stakeholders? Measuring Values at a University Museum

ABSTRACT

Perceptions of museum performance may be linked to individual values. This study asked members of different groups that hold a stake in a university museum (e.g., Alaska Native, Art Community, Business Community, Donors/Museum Members, Military Leaders, Science Community, K–12 Teachers, University Leaders) what they valued about their museum's performance. Results indicate that key differences exist with respect to performance indicators among some groups; however, stakeholders as a whole highly value indicators related to the human face of the museum and the collections. Museums can use these results to develop and pursue appropriate goals for specific audiences and to develop performance reports that matter to stakeholders.     

Photographic Assessment of Change in Trichotillomania: Psychometric Properties and Variables Influencing Interpretation

Although photographic assessment has been found to be reliable in assessing hair loss in Trichotillomania, the validity of this method is unclear, particularly for gauging progress in treatment. The current study evaluated the psychometric properties of photographic assessment of change in Trichotillomania. Photographs showing hair loss of adults with Trichotillomania were taken before and after participating in a clinical trial for the condition. Undergraduate college students (N?=?211) rated treatment response according to the photos, and additional archival data on hair pulling severity and psychosocial health were retrieved from the clinical trial. Photographic assessment of change was found to possess fair reliability (ICC?=?0.53), acceptable criterion validity (r?=?0.51), good concurrent validity (r?=?0.30–0.36), and excellent incremental validity (ΔR ²?=?8.67, p?<?0.01). In addition, photographic measures were significantly correlated with change in quality of life (r?=?0.42), and thus could be considered an index of the social validity of Trichotillomania treatment. Gender of the photo rater and pulling topography affected the criterion validity of photographic assessment (partial η ²?=?0.05–0.11). Recommendations for improving photographic assessment and future directions for hair pulling research are discussed.