Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.     

Common Sense and the Natural Light in George Berkeley’s Philosophy

Philosophia - It is argued that George Berkeley’s term ‘common sense’ does not indicate shared conviction, but the shared capacity of reasonable judgement, and is therefore to be...     

Nonsuicidal Self-injury,Suicide Planning,and Suicide Attempts Among High-risk Adolescents Prior to Psychiatric Hospitalization

Research on Child and Adolescent Psychopathology - The purpose of this study was to understand the trajectories of nonsuicidal self-injury (NSSI) and suicide plans (SP) in the 90 days...     

Injustice impairs self-regulation and affects food choice

Overweight and obesity are risk factors for a range of chronic diseases, many of them caused by excessive consumption of unhealthy foods and insufficient consumption of healthy foods. The present study aims to experimentally test the effect of being exposed to injustice on the intention to consume healthy and unhealthy foods, through self-regulation. We predicted that injustice decreases self-regulation which in turn increases the intention to consume unhealthy foods and decreases the intention to consume healthy foods. Undergraduate students (N = 175; 89% women; M_age = 24.28, SD = 7.36) were randomly exposed to a scenario describing an unjust or a just academic situation. In a subsequent allegedly unrelated task, participants were asked to indicate their intention to consume each of 26 food items (half depicting unhealthy foods and half healthy foods, random order) during the subsequent week. As expected, injustice decreased self-regulation which in turn increased the intention to consume unhealthy foods and decreased the intention to consume healthy foods. These results highlight the central importance of justice perceptions in the study of consumption and contribute to frame it in the study of the consequences of economic inequalities for nutrition.     

Associating Ethos with Objects: Reasoning from Character of Public Figures to Actions in the World

Argumentation - Ethotic arguments, such as arguments from expert opinion and ad hominem arguments, play an important role in communication practice. In this paper, we argue that there is another...     

Family and food variables that influence life satisfaction of mother-father-adolescent triads in a South American country

This study explored the influence of each family member’s life satisfaction on the other family members’ life satisfaction in mother-father-adolescent triads. We also explored the influence of each family member’s satisfaction with food-related life and family life on their own life satisfaction (LS) as well as on the other family members’ LS in mother-father-adolescent triads. The influence of family eating habits, food-related parenting practices used by each parent and sociodemographic characteristics on each family member’s LS were also explored. A survey was applied to a sample of 300 two-parent families with one child between 10 and 17 years of age in Temuco, Chile. The questionnaire included the Satisfaction with Life Scale, Satisfaction with Food-related Life scale, Satisfaction with Family Life scale, Adapted Healthy Eating Index, Family Food Behavior Survey and Family Eating Habits Questionnaire. Frequency and sources of family meals as well as sociodemographic characteristics were also consulted. Three multivariate ordinal logit models were proposed, with the dependent variable LS in the three subsamples: mothers, fathers and adolescents. The three logit models were significant, but differed in the explanatory variables. Mothers’ LS was influenced by their children’s LS and vice versa. Mothers’ LS was positively influenced by both their own satisfaction with family life and the fathers’ satisfaction with family life and vice versa. Children’s LS was also positively influenced by their own satisfaction with food-related and family life. Both parents’ LS was influenced by eating habits, food-related parenting practices and sociodemographic characteristics, but in different ways. Therefore, different interventions should be implemented to improve each family member’s life satisfaction.

     

Examining the psychometric properties of the burnout clinical subtype questionnaire (BCSQ-12) in secondary school teachers

Current Psychology - Based on Farber’s burnout proposal, the first aim of this study was to examine the psychometric properties of the short version of the Burnout Clinical Subtype...     

Decisional forgiveness across spanish and american samples: Translation,validation, and measurement invariance of the decision to forgive scale

Current Psychology - More than twenty different models of how forgiveness occurs have been proposed within forgiveness literature. One idea highlighted in many of these models was that forgiveness...     

A Prospective Study of Maternal Exposure to Smoking during Pregnancy and Behavioral Development in the Child

Prenatal smoke exposure (PSE) is a risk factor for adverse outcomes in the offspring, including those affecting psychological development. However, it is uncertain whether these associations are the direct result of PSE or other confounding factors. The aim of this study was to examine the possible relationship between PSE and behavioral development in children at 7.5 years of age, considering several prenatal, neonatal and postnatal covariates. A cohort of 266 mother-child pairs was followed from the first trimester of pregnancy until the children reached 7.5 years of age. PSE was assessed using a questionnaire from prenatal clinical records and corroborated by plasma cotinine determinations in the first and second trimesters and in the cord. Mother-child pairs were classified into one of four groups: unexposed, exposed to passive smoking, first trimester active smoking only and active smoking throughout pregnancy. Child behavior was assessed using the Child Behavior Checklist for ages 6–18 and the Childhood Autism Spectrum Test. In multiple linear regression models, smoking during pregnancy was associated with higher scores in affective problems (β?=?0.298; p?=?0.004). No significant associations were found between smoking during pregnancy and externalizing problems. Findings indicate that PSE is negatively associated with behavioral development in childhood.