From Crime Scene Actions in Stranger Rape to Prediction of Rapist Type: Single‐Victim or Serial Rapist?

The differences in crime scene actions in cases of stranger rape committed by convicted offenders were examined between 31 single‐victim rapists and 35 serial rapists. Data were collected from police files, court verdicts, psychiatric evaluations, and criminal records. Findings indicate that the serial rapists were more criminally sophisticated than the single‐victim rapists, during their first and second rapes. The single‐victim rapists were significantly more likely to engage in the interpersonal involvement behavior of kissing the victim, and to engage in pre‐assault alcohol use, than the serial rapists. There was, however, no significant difference in physically violent or sexual behaviors. To investigate the possibility of predicting rapist type, logistic regression analyses were performed. Results indicate that three behaviors in conjunction, kissed victim, controlled victim, and offender drank alcohol before the offense, predicted whether an unknown offender is a single‐victim or serial rapist with a classification accuracy of 80.4%. The findings have implications for the classification of stranger rapists in offender profiling. Copyright © 2012 John Wiley & Sons, Ltd.     

Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials

Anxiety and depressive disorders are often comorbid. Transdiagnostic and tailored treatments seem to be promising approaches in dealing with comorbidity. Although several primary studies have examined the effects of Internet-delivered cognitive behavior therapy (iCBT) for anxiety and depression, no meta-analysis including different types of iCBT that address comorbidity has been conducted so far. We conducted systematic searches in databases up to 1 July 2016. Only randomized trials comparing transdiagnostic/tailored iCBT for adult anxiety and/or depression with control groups were included. Nineteen randomized trials with a total of 2952 participants that met inclusion criteria were analyzed. The quality of the studies was high, however the blinding criteria were not fulfilled. The uncontrolled effect size (Hedges’ g) of transdiagnostic/tailored iCBT on anxiety and depression outcomes was large and medium for quality of life. The controlled effect size for iCBT on anxiety and depression outcomes was medium to large (anxiety: g = .82, 95% CI: .58–1.05, depression: g = .79, 95% CI: .59–1.00) and medium on quality of life (g = .56, 95% CI: .37–.73). Heterogeneity was small (quality of life) to moderate (anxiety, depression). There was a large effect on generic outcome measures and a moderate effect on comorbidities. When compared to disorder-specific treatments there were no differences on anxiety and quality of life outcomes, however there were differences in depression outcomes. Transdiagnostic and tailored iCBT are effective interventions for anxiety disorders and depression. Future studies should investigate mechanisms of change and develop outcome measures for these interventions.     

The role of treatment expectancy in youth receiving exposure-based CBT for obsessive compulsive disorder

The purpose of this investigation was to examine correlates of parent, child, and therapist treatment expectations and their role in the exposure-based treatment of childhood obsessive compulsive disorder (OCD). Treatment expectations were assessed among 49 youth with primary OCD, their parents, and therapists as part of the baseline evaluation and post-treatment clinical outcomes were determined by blind evaluators. Baseline depressive symptoms, child/parent-rated functional impairment, externalizing behavior problems, number of comorbid psychiatric disorders, and a lower perception of control were associated with lower pre-treatment expectations. Parent expectation was associated with parental OCD symptoms, child depressive symptoms and child-reported impairment. Therapist expectations inversely correlated with child depressive symptoms, externalizing problems, and child-rated impairment. Pre-treatment OCD severity and prior treatment history were not linked to expectancy. Finally, higher treatment expectations were linked to better treatment response, lower attrition, better homework compliance, and reduced impairment.     

Is aversive learning a marker of risk for anxiety disorders in children?

Aversive conditioning and extinction were evaluated in children with anxiety disorders (n=23), at-risk for anxiety disorders (n=15), and controls (n=11). Participants underwent 16 trials of discriminative conditioning of two geometric figures, with (CS+) or without (CS-) an aversive tone (US), followed by 8 extinction trials (4 CS+, 4 CS-), and 8 extinction re-test trials averaging 2 weeks later. Skin conductance responses and verbal ratings of valence and arousal to the CS+/CS- stimuli were measured. Anxiety disordered children showed larger anticipatory and unconditional skin conductance responses across conditioning, and larger orienting and anticipatory skin conductance responses across extinction and extinction re-test, all to the CS+ and CS-, relative to controls. At-risk children showed larger unconditional responses during conditioning, larger orienting responses during the first block of extinction, and larger anticipatory responses during extinction re-test, all to the CS+ and CS-, relative to controls. Also, anxiety disordered children rated the CS+ as more unpleasant than the other groups. Elevated skin conductance responses to signals of threat (CS+) and signals of safety (CS-; CS+ during extinction) are discussed as features of manifestation of and risk for anxiety in children, compared to the specificity of valence judgments to the manifestation of anxiety.     

Stability of Typical Patterns of Subjective Well-Being in Middle-Aged Swedish Women

Typical patterns of general subjective well-being (SWB) were searched for in a representative longitudinal sample of Swedish women (N = 272) at age 43 and 49. Cluster analysis at each age separately resulted in a six-cluster solution at both ages. The two solutions were similar, indicating structural stability across 6 years. Five of the six clusters also showed significant individual stability. Among these clusters, a generalized positive typical pattern and two generalized negative typical patterns were found, one characterized by very high negative affect and one characterized by very low global life satisfaction. A cluster characterized by above average positive and negative affect was also found as well as one characterized by low positive affect. A strong relationship was found between membership in an extreme cluster and the values in certain SWB-related variables, supporting the validity of the typical patterns found. Further, it was shown that cluster membership contributed to the prediction of some validation variables above the prediction achieved by using only SWB components entered as continuous variables, suggesting the presence of interactions and nonlinearities in the SWB area.     

Long-term outcome of Internet-delivered cognitive-behavioural therapy for social phobia: A 30-month follow-up

Internet-delivered guided cognitive behaviour therapy for social anxiety disorder has been found to generate promising short-term results, up to one year posttreatment. No study has however documented longer follow-up periods. In this 30-month follow-up we contacted 57 participants from the original study of which 77.2% (44/57) responded to the Internet-administered outcome measures and 66.7% (38/57) completed a telephone interview. Results showed large pretreatment to follow-up within-group effect sizes for the primary outcome measures (Cohen's d 1.10-1.71), and a majority (68.4%; 26/38) reported improvements in the interview. The findings suggest that the long-term effects seen in previous live treatment CBT trials can occur in Internet-delivered treatment as well.     

Predictors and outcomes of persistent or age‐limited registered criminal behavior: a 30‐year longitudinal study of a Swedish urban population

This study uses data from the longitudinal research program Individual Development and Adaptation, where an entire school‐grade cohort of children in a middle‐size Swedish city (n～1.300) has been followed from ages 10 to 43 and 48 for women and men, respectively. Our findings indicate that the patterns of offending across the life‐course differ between genders, where males seem to initiate their offending earlier than females. Further, there are very few women on a persistent offending‐trajectory. Focusing on precursors to as well as consequences of offending as indexed in official registers, our results indicate that individuals in the persistent offender group have the most pronounced adjustment problems in school‐ as well as in middle age. Individual characteristics and behaviors (e.g., aggression, hyperactivity, antisocial behavior) vary systematically between individuals with different developmental offending patterns. The combination of an unstable upbringing and own antisocial behavior seems to be especially predictive for criminality. For persistent offenders, the prevalence of alcohol and psychiatric problems at adult age is high for males and extremely high for females (nine out of ten and six out of ten for each of the two problem types for females). Further, the importance for adjustment of the two‐dimensional variation in the number of crimes committed during adolescence and adult age seems to have been surprisingly well captured by the “crude” division into the four offender groups that were used. Aggr. Behav. 35:164–178, 2009. © 2009 Wiley‐Liss, Inc.     

Structural equation models of sexual harassment: longitudinal explorations and cross-sectional generalizations

Sexual harassment and its corresponding outcomes develop and change over time, yet research on this issue has been limited primarily to cross-sectional data. In this article, longitudinal models of harassment were proposed and empirically evaluated via structural equations modeling using data from 217 women who responded to a computerized questionnaire in 1994 and again in 1996. Results indicate that sexual harassment influences both proximal and distal work-related variables (e.g., job satisfaction, work withdrawal, job withdrawal) and psychological outcomes (e.g., life satisfaction, psychological well-being, distress). In addition, a replication of the L. F. Fitzgerald, F. Drasgow, C.L. Hulin, M.J. Gelfand, and V.J. Magley (1997) model of harassment was supported. This research was an initial attempt to develop integrated models of the dynamic effects of sexual harassment over time.