Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder

Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change—including moderate and low decreasing—as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (≥ 10% reduction in binge eating at week 1, ≥ 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.     

On the dark side of work: a longitudinal analysis using self-determination theory

As the nature of work has changed in recent decades, employees are increasingly exposed to psychological demands in the workplace, which have associated consequences for employees, organizations, and society. Using self-determination theory, this study examined the dark side of work, in which frustration of basic psychological needs is associated with higher levels of work-related stress. In this model, work-related stress is associated with higher levels of somatic symptom burden, which in turn is associated with higher levels of emotional exhaustion, turnover intention, and absenteeism. Results of a longitudinal analysis using data from four time points over 15 months supported these predictions. Taken together, this study advances the literature towards an understanding of the (potential) detrimental impact that need-thwarting work contexts can have on employee wellness and work-related outcomes.     

Muslims Love Jesus,Too? Corrective Information Alters Prejudices Against Islam

The present study examined whether prejudices towards Islam can be altered through corrective information. A total of 1715 German participants were first asked to appraise their opinions towards Judaism, Christianity and Islam (the ratings pertained to progressiveness, tolerance, peacefulness). Subsequently, questions regarding knowledge about religious topics were posed to participants. Questions were selected to elicit common prejudices pertaining to Islam. The correct answers were then displayed along with detailed explanations. Finally, participants were asked to rate their current opinion towards the three religions once again. Opinions towards Islam were largely negative at baseline but improved significantly after presentation of the correct answers. The present study suggests that prejudices against Islam are partially fueled by knowledge gaps.     

The implications of need-satisfying work climates on state mindfulness in a longitudinal analysis of work outcomes

Literature on mindfulness in the workplace is scarce, and the antecedents of state mindfulness are not understood. This study sought to investigate antecedents and outcomes of state mindfulness in a self-determination theory model in the work domain. Specifically, the present study contributes to an understanding of mindfulness by examining the implications of managerial need support and subsequent need satisfaction on state mindfulness, as well as outcomes of state mindfulness among employees. Results from a longitudinal analysis using data from four time points over 15 months supported the prediction that a need-supportive work climate related positively to state mindfulness through satisfaction of basic psychological needs. Furthermore, higher levels of state mindfulness had positive implications on subjective well-being as well as work-related outcomes. Specifically, the results showed a positive relation to subjective well-being and goal attainment, while a negative relation to burnout. Lastly, need satisfaction had an indirect relation to these outcomes through state mindfulness. These findings contribute to creating a link between the literature showing the importance of need-supportive work climates for well-being and other work-related outcomes, and the emerging literature on the positive benefits of mindfulness in organizational settings.     

The PANAS structure revisited: on the validity of a bifactor model in community and forensic samples

The Positive and Negative Affect Schedule (PANAS) is a widely used inventory for the assessment of affect in psychology and other applied sciences. Despite its popularity, the structure of the PANAS is still under debate. On the one hand, there is evidence of the traditional 2-factor model with Positive Affect (PA) and Negative Affect (NA) as uncorrelated factors. On the other hand, a more complex structure of the PANAS has been discussed. To shed further light on the core dimensions of the PANAS, 2 studies investigated the structure of the PANAS in 2 German samples (N = 354 and N = 364, respectively) by means of confirmatory factor analysis. The factor analysis results of Study 1 for a traitlike time frame instruction suggested a suboptimal model fit for the uncorrelated 2-factor model and the 3-factor model with PA, Afraid, and Upset as factors, whereas a superior model fit occurred for a bifactor model with traitlike PA, NA, and a general 3rd factor named Affective Polarity. In Study 2, the bifactor model was replicated for a statelike PANAS time frame instruction and evidence of criterion validity was provided for PA, NA, and Affective Polarity factors in 2 sex offender subgroups and in a community sample. With Affective Polarity, we introduce an affect dimension that captures additional variance beyond PA and NA. Because of the adjectives with relevant loadings on Affective Polarity, this general factor represents an individual's orientation toward approach and withdrawal, respectively.     

Clarifying boundaries of binge eating disorder and psychiatric comorbidity: a latent structure analysis

Binge eating disorder (BED) presents with substantial psychiatric comorbidity. This latent structure analysis sought to delineate boundaries of BED given its comorbidity with affective and anxiety disorders. A population-based sample of 151 women with BED, 102 women with affective or anxiety disorders, and 259 women without psychiatric disorders was assessed with clinical interviews and self-report-questionnaires. Taxometric analyses were conducted using DSM-IV criteria of BED and of affective and anxiety disorders. The results showed a taxonic structure of BED and of affective and anxiety disorders. Both taxa co-occurred at an above-chance level, but also presented independently with twice-as-large probabilities. Within the BED taxon, diagnostic co-occurrence indicated greater general psychopathology, lower social adaptation, and greater premorbid exposure to parental mood and substance disorder, but not greater eating disorder psychopathology. Eating disorder psychopathology discriminated individuals in the BED taxon from individuals in the affective and anxiety disorders taxon. Diagnostic criteria of BED were more indicative of the BED taxon than were criteria of affective and anxiety disorders. The results show that at the latent level, BED was co-occurring with, yet distinct from, affective and anxiety disorders and was not characterized by an underlying affective or anxiety disorder.     

Implementation intentions and shielding goal striving from unwanted thoughts and feelings

Forming an implementation intention or "if-then plan" promotes the attainment of different types of goals (Gollwitzer, 1999; Gollwitzer & Sheeran, 2006). So far, research on implementation intentions has focused on the initiation of goal striving, whereas the issue of shielding of ongoing goal striving has been largely neglected. In two field experiments concerned with dieting (Study 1) and athletic goals (Study 2), goal shielding was supported by implementation intentions geared at controlling potentially interfering inner states (i.e., cravings for junk food in Study 1, and disruptive thoughts, feelings, and physiological states in Study 2). In both experiments, forming if-then plans enhanced the rate of goal attainment. Thus, implementation intention formation can be used to promote the realization of desired outcomes not only by facilitating getting started with goal striving but also by preventing goal striving from straying off course.     

Dehumanization and Guilt as Distinct but Related Predictors of Support for Reparation Policies

In two studies, we predicted that support for reparation policies would be influenced positively by feelings of group-based guilt and negatively by dehumanization of the outgroup. We also hypothesized that a valence manipulation of the ingroup's behavior would cause differences in such support which would be mediated by guilt. In the first study, we manipulated the valence of past ingroup behavior and assessed guilt, dehumanization, and reparation support. As expected, guilt predicted positively and dehumanization negatively participants' support. In addition, guilt partially mediated the manipulation effects on policy support. Consistent with previous research, guilt and dehumanization were unrelated. In Study 2, we assessed individual differences in dehumanization before the manipulation and examined their associations with guilt and reparation support. Initial analyses replicated Study 1. In addition, guilt partially mediated the influence of dehumanization on reparation support. Results suggest that the presence of guilt motivates support for reparation policies, while the absence of guilt explains in part why individual differences in dehumanization inhibit such support.     

Patientensicht zur Qualität in der Psychotherapie

Concerning the discussion about the quality of psychotherapy, the different perspectives in the definition of quality are rarely considered. Especially the patients’ perspective is barely respected although quality assurance of psychotherapy should be for their benefit. Patients were interviewed (n=8) to answer the question which criteria of quality are relevant in their view. Using the grounded theory a variety of quality criteria was found. The interviewees emphasized the relationship between therapist and patient, the empathy of the therapist, the scheduling of appointments and the progress in therapy. The results suggest that when judging the quality of psychotherapy clients do not only focus on the outcome of psychotherapy, as presumed by some experts, but also on the dimensions structure and process. Professionals have to consider this fact when designing and applying methods of quality assurance.