Economic Impact of the Statewide Implementation of an Evidence-Based Treatment: Multisystemic Therapy in New Mexico

Several states have made considerable investments into large-scale implementation of evidence-based treatments (EBTs), yet little is known about key success indicators for these implementation efforts such as cost and sustainability. To that end, the present study examined the economic impact of statewide implementation of multisystemic therapy (MST; Henggeler, Schoenwald, Borduin, Rowland, & Cuningham, 2009), a family- and community-based behavioral EBT for serious juvenile offenders in New Mexico. Participants were 1,869 youth who received MST across 23 teams during the study period. We conducted a cost-benefit analysis using metrics from state data sources that compared the cost of MST to its benefits (i.e., avoided expenses from pre- to posttreatment) in two domains: (a) behavioral health services (i.e., Medicaid claims) and (b) juvenile crime (i.e., taxpayer expenses, tangible and intangible expenses to crime victims). MST costs were based on Medicaid claims, which were reimbursed at an enhanced billing rate that was intended to cover expenses for both clinical and implementation (e.g., training, quality assurance) activities. Results suggest that implementation of MST in New Mexico over the 7-year study period may have produced net benefits, through 2 years posttreatment, of more than $4,643 per youth in avoided behavioral health claims and $15,019 per youth through reductions in juvenile crime. Stated differently, every dollar that New Mexico spent on MST appeared to have returned $3.34 for a total benefit of $64.2 million over the course of the study. We discuss implications of these findings for policymakers, administrators, and researchers who are interested in increasing the sustainability of complex EBTs in community settings.     

The Efficacy and Acceptability of Third-Wave Behavioral and Cognitive eHealth Treatments: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

eHealth is an innovative method of delivering therapeutic content with the potential to improve access to third-wave behaviural and cognitive therapies. This systematic review and meta-analysis aimed to determine the efficacy and acceptability of third-wave eHealth treatments in improving mental health outcomes. A comprehensive search of electronic bibliographic databases including PubMed, PsycINFO, Web of Science, and CENTRAL was conducted to identify randomized controlled trials of third-wave treatments in which eHealth was the main component. Twenty-one studies were included in the review. Meta-analyses revealed that third-wave eHealth significantly outperformed inactive control conditions in improving anxiety, depression, and quality-of-life outcomes and active control conditions in alleviating anxiety and depression with small to medium effect sizes. No statistically significant differences were found relative to comparison interventions. Findings from a narrative synthesis of participant evaluation outcomes and meta-analysis of participant attrition rates provided preliminary support for the acceptability of third-wave eHealth.Third-wave eHealth treatments are efficacious in improving mental health outcomes including anxiety, depression, and quality of life, but not more so than comparison interventions. Preliminary evidence from indices of participant evaluation and attrition rates supports the acceptability of these treatments.     

How important is a prime's gestalt for subliminal priming?

Masked stimuli (primes) can affect the preparation of a motor response to subsequently presented target stimuli. Under some conditions, reactions to the main stimulus can be facilitated (straight priming) or inhibited (inverse priming) when preceded by a compatible prime (calling for the same response). In the majority of studies in which inverse priming was demonstrated arrows pointing left or right were used as prime and targets. There is, however, evidence that arrows are special overlearned stimuli which are processed in a favorable way. Here we report three experiments designated to test whether the "arrowness" of primes/targets is a sufficient condition for inverse priming. The results clearly show that although inverse priming appeared when non-arrow shapes were used, the magnitude of the priming effect was larger with arrows. The possible reasons for this effect are discussed.     

DEFLATIONISM,CONSERVATIVENESS AND MAXIMALITY

We discuss two desirable properties of deflationary truth theories: conservativeness and maximality. Joining them together, we obtain a notion of a maximal conservative truth theory – a theory which is conservative over its base, but can’t be enlarged any further without losing its conservative character. There are indeed such theories; we show however that none of them is axiomatizable, and moreover, that there will be in fact continuum many theories of this sort. It turns out in effect that the deflationist still needs some additional principles, which would permit him to construct his preferred theory of truth.     

Practice evoking the flexor carpi radialis h-reflex: a guideline for proficiency

The purpose of this research was to identify the number of sessions required for a new investigator to become proficient at evoking an H-reflex in the flexor carpi radialis (FCR), in comparison to an experienced investigator. 31 students from Brock University in the greater Niagara region (16 women M age = 32.2, SD = 8.9 yr.; 15 men M age = 27.8, SD = 7.8 yr.) with no known neurological disorders volunteered and completed two test sessions performed by either an experienced or a novice investigator. In randomized order, both investigators stimulated each subject's median nerve 10 times, once every 15 sec. Each session included the measurement of the subject's flexor carpi radialis maximal M-wave amplitude and H-reflex amplitude and latency with surface electromyographic electrodes. The intraclass correlation coefficients (ICC) indicated an adequate correlation between investigators for both M-wave maximal amplitude and H-reflex at 5% of the M-wave maximal amplitude (.84 and .70, respectively). However, there was a low correlation (.38) between the latency values obtained by the two investigators. The peak-to-peak amplitudes of the H-reflex and M-wave do not appear to be influenced by experience of the tester. The latency of the response, however, appears to have an associated learning curve, improving in consistency with increasing practice of tester.     

High-restrained eaters only overeat when they are also impulsive

Recent work shows that the inability to inhibit basic motor responses (like pressing a button) is related to overeating, weight gain and overweight. In the present study it was tested whether this inability to inhibit motor responses - or impulsivity - can differentiate between successful and unsuccessful restrained eaters. A typical preload and food exposure paradigm was used and it was hypothesized that only the high-restrained eaters that are simultaneously inefficient inhibitors of prepotent motor responses would overeat when confronted with tempting foods. In line with the hypothesis, the data show that overeating follows from an interaction between restraint and impulsivity; high-restrained eaters only overate when they were also impulsive. It is concluded that being restrained per se is not a determinant of overeating. Being a restrained eater only bears the risk of overeating in case of coexisting impulsivity.     

More than the Big Five: Egoism and the HEXACO model of personality

Egoism is a personality trait that is associated with self‐enriching and self‐centred behaviours. Research has suggested that egoism lies beyond the Big Five personality factors. Recently, the HEXACO model of personality has been proposed as an alternative to the Big Five model. In three studies, the relation between the HEXACO Personality Inventory and egoism, conceptualized using three different questionnaires (DPQ Egoism, SPI Egotism and the Egoism Scale), is investigated. In all three studies, the HEXACO Honesty–Humility factor scale was the most important predictor of egoism. Additionally, in two studies in which FFM measures were used, the HEXACO Personality Inventory explained more variance in egoism than did the FFPI (Study 2) and the NEO‐PI‐R (Study 3). Copyright © 2009 John Wiley & Sons, Ltd.     

多动症的遗传学研究概述

多动症多始于儿童期,并能持续至成年期。传统的家庭、双生子和养子女研究表明,多动症是受遗传影响的。双生子研究现在被用来定义多动症表型,分析性别差异,测试基因对持续性和共病的影响,以及研究遗传与环境的互动。多动症的分子遗传学研究集中在功能候选基因的关联分析上。多动症与DRD4和DRD5的关系比较一致。最新的研究也显示COMT的影响。关联分析（linkage analysis）显示这些单个基因的影响都不大。这个领域还有待于大规模的“全基因关联”分析。至今为止的证据显示,研究基因-表型关联以及基因与环境互动对多动症的影响将日趋重要     

Love for the Neighbour as Lived Theology

The aim of this article is to identify the theological potential for interreligious relations as embodied in the everyday life of ordinary Christians in South India. The empirical study that underlies the discussion is based on interviews with lay churchgoers and pastors from Pentecostal and mainline Protestant churches in Bangalore. The beliefs they articulate, as well as the practices they carry out in their daily lives, are defined as their lived theology. This is analyzed through the terminological framework of theology in four voices. Interviewees express beliefs that emphasize the superiority of Christianity over other religions and the importance of evangelism. Nevertheless, in everyday life they prioritize respect for religious others and maintenance of relationships with them over sharing an exclusivist message about Christ. Their lived theology emphasizes relatedness across religious boundaries and the priority of showing love for the neighbour in practice.