Mechanisms of Change in Brief Couple Therapy for Depression

The goal of the present study was to investigate potential mechanisms of previously documented treatment effects for a brief, 5-session, problem-focused couple therapy for depression in a sample of 35 depressed women and their nondepressed husbands. The primary treatment effects were reducing women’s depressive symptoms and their husbands’ psychological distress and depression-specific burden. Secondarily, treatment resulted in increased relationship satisfaction for both partners. Given these significant treatment changes observed in 5 sessions, we sought to examine the mechanisms of change by testing the following three factors as potential mediators: (a) negative behaviors and attitudes toward depression, (b) support provision, and (c) empathic communication towards the depressed female partners. Women’s depression and husbands’ depression-specific burden were alleviated by positive changes in their illness-related attitudes and behaviors. Improvements in women’s marital satisfaction were also mediated by positive change in their illness-related attitudes and behaviors, along with perceptions of increased positivity and support from their husbands. Findings highlight the importance of targeting specific treatment agents in a brief couple therapy for depression such as psychoeducation about depression and support-building to increase partners’ understanding and acceptance of the illness, and teaching communication skills to reduce negative behaviors and criticism that are replaced by more empathic communication towards the depressed individual.     

A Two-Phase Approach to Developing SNAP: an iPhone Application to Support Appointment Scheduling and Management for Women with a <Emphasis Type="Italic">BRCA</Emphasis> Mutation

Professional organizations provide surveillance guidelines for BRCA1 and BRCA2 (BRCA) carriers with intact breasts and/or ovaries to facilitate early cancer detection. However, literature indicates adherence to surveillance guidelines is inconsistent at best. Using the Messaging Model for Health Communication Campaigns framework, we undertook a two-phase formative research approach to develop an intervention to promote adherence to surveillance guidelines. Discussion groups identified preferred intervention format and function in phase I. Findings indicated carriers desired a phone application (app) to assist with surveillance management and appointment tracking. Thus, an iPhone app for carriers to track appointments based on published surveillance guidelines was developed. In phase II, we obtained feedback from BRCA carriers via a survey during a prototype demonstration at a regional conference. Participants in phase II wanted reminder capabilities and the ability to add and modify information fields. This feedback informed intervention modifications, resulting in the Scheduling Necessary Advised Procedures (SNAP) iPhone app currently being pilot tested by BRCA carriers throughout the USA.     

Visualized prosocial behavior and emotion in late life

Correlational research suggests that among older adults prosociality relates to positive emotions; yet causality remains unclear. We conducted an experiment to investigate whether visualizing a prosocial action would experience enhanced positive and lower negative emotion, and whether this would be particularly true for those with certain altruistic personality traits. Participants aged sixty and above were primed with a prosocial (helping a needy stranger), social (going out with friends), or neutral (walking down the street) induction. Results indicated that positive affect was highest among those who visualized a prosocial interaction, and that this effect was strongest among those higher in social responsibility. In contrast, less altruistically oriented participants reported higher negative affect in the prosocial condition. Thus, while prosociality promoted positive affect particularly among the socially responsible, it led to increased negative affect among those lower in altruistic orientation. Results suggest that individual differences influence older adults’ responses to exposure to prosocial involvement.     

Collaboration facilitates abstract category learning

We examined the effects of collaboration (dyads vs. individuals) and category structure (coherent vs. incoherent) on learning and transfer. Working in dyads or individually, participants classified examples from either an abstract coherent category, the features of which are not fixed but relate in a meaningful way, or an incoherent category, the features of which do not relate meaningfully. All participants were then tested individually. We hypothesized that dyads would benefit more from classifying the coherent category structure because past work has shown that collaboration is more beneficial for tasks that build on shared prior knowledge and provide opportunities for explanation and abstraction. Results showed that dyads improved more than individuals during the classification task regardless of category coherence, but learning in a dyad improved inference-test performance only for participants who learned coherent categories. Although participants in the coherent categories performed better on a transfer test, there was no effect of collaboration.     

Forgive them for I have sinned: The relationship between guilt and forgiveness of others' transgressions

We propose that guilt leads to forgiveness of others' transgressions. In Study 1, people prone to experience guilt (but not shame) were also prone to forgive others for past misdeeds. In Study 2, we manipulated harm‐ and inequity‐based guilt; both increased forgiveness of others' transgressions. Further, the effect of guilt on forgiveness was mediated by identification with the transgressor. In Study 3, we replicated the guilt–forgiveness relationship and examined three other plausible mediators: capability for similar wrongdoing, empathic understanding, and general identification; only identification with the transgressor satisfied the criteria for mediation. In Study 4, we induced guilt by asking participants to harm a friend or stranger. Guilt induced by harming a friend led to greater forgiveness of third‐party transgressors, and again, identification with the transgressor mediated the effect. We discuss the implications of these results for understanding how the prosocial effects of guilt extend beyond the boundaries of a single interpersonal relationship.