Examining the initial usability,acceptability and feasibility of a digital mental health intervention for college students in India

Generalised anxiety disorder (GAD) is prevalent among college students in India; however, barriers like stigma, treatment accessibility and cost prevent engagement in treatment. Web- and mobile-based, or digital, mental health interventions have been proposed as a potential solution to increasing treatment access. With the ultimate goal of developing an engaging digital mental health intervention for university students in India, the current study sought to understand students' reactions to a culturally and digitally adapted evidence-based cognitive behavioural therapy (CBT) for GAD intervention. Specifically, through theatre testing and focus groups with a non-clinical sample of 15 college students in India, the present study examined initial usability, acceptability and feasibility of the “Mana Maali Digital Anxiety Program.” Secondary objectives comprised identifying students' perceived barriers to using the program and eliciting recommendations. Results indicated high usability, with the average usability rating ranking in the top 10% of general usability scores. Participants offered actionable changes to improve usability and perceived acceptability among peers struggling with mental health issues. Findings highlight the benefits of offering digital resources that circumvent barriers associated with accessing traditional services. Results build on existing evidence that digital interventions can be a viable means of delivering mental healthcare to large, defined populations.     

Emotion among women with psychopathy during picture perception

Emotional reactions in women with psychopathy were examined in a mixed-picture paradigm using psychophysiological measures. Startle probes were presented at 2.0 or 4.5 s following onset of a 6-s picture presentation. At 2.0 s, nonpsychopaths exhibited the typical pattern of eyeblink reflex magnitude: unpleasant > neutral > pleasant. Psychopaths with high general levels of anxiety also exhibited this pattern. Psychopaths with lower anxiety exhibited attenuated reflex magnitudes during unpleasant pictures. Similarly, when focusing on psychopathy components, only individuals expressing high antisocial behavior and high emotional detachment exhibited smaller reflex magnitudes during unpleasant pictures. At 4.5 s, all groups exhibited normal, potentiated reflex magnitudes during unpleasant pictures. Group differences were not observed for other measures.     

Turning a deaf ear to fear: impaired recognition of vocal affect in psychopathic individuals

The processing of emotional expressions is fundamental for normal socialization and interaction. Reduced responsiveness to the expressions of sadness and fear has been implicated in the development of psychopathy (R. J. R. Blair, 1995). The current study investigates the ability of adult psychopathic individuals to process vocal affect. Psychopathic and nonpsychopathic adults, defined by the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991), were presented with neutral words spoken with intonations conveying happiness, disgust, anger, sadness, and fear and were asked to identify the emotion of the speaker on the basis of prosody. The results indicated that psychopathic inmates were particularly impaired in the recognition of fearful vocal affect. These results are interpreted with reference to the low-fear and violence inhibition mechanism models of psychopathy.     

Four heads are better than one: combining face composites yields improvements in face likeness

Four participants constructed face composites, of familiar and unfamiliar targets, using Pro-Fit, with reference images present or from memory. The "mean" of all 4 composites, created by morphing (4-morph) was rated as a better likeness than individual composites on average and was as good as the best individual likeness. When participants attempted to identify targets from line-ups, 4-morphs again performed as well as the best individual composite. In a second experiment, participants familiar with target women attempted to identify composites, and the trend showed better recognition from multiple composites, whether combined or shown together. In a line-up task with unfamiliar participants, 4-morphs produced most correct choices and fewest false positives from target-absent or target-present arrays. These results have practical implications for the way evidence from different witnesses is used in police investigations.     

Out of sorts? Some remedies for theories of object concepts: a reply to Rhemtulla and Xu (2007)

Responds to comments made by Rhemtulla and Xu on the current authors' original paper Concepts of individual objects (e.g., a favorite chair or pet) include knowledge that allows people to identify these objects, sometimes after long stretches of time. In an earlier article, the authors set out experimental findings and mathematical modeling to support the view that judgments of identity depend on people's beliefs about the causal connections that unite an object's earlier and later stages. This article examines M. Rhemtulla and F. Xu's (2007) critique of the causal theory. The authors argue that M. Rhemtulla and F. Xu's alternative sortal proposal is not a necessary part of identity judgments, is internally inconsistent, leads to conflicts with current theories of categories, and encounters problems explaining empirical dissociations. Previous evidence also suggests that causal factors dominate spatio-temporal continuity and perceptual similarity in direct tests. The authors conclude that the causal theory provides the only existing account consistent with current evidence. (PsycINFO Database Record (c) 2007 APA, all rights reserved).     

Child and parent predictors of perceptions of parent--child relationship quality

OBJECTIVE/METHOD: Predictors of perceptions of parent-child relationship quality were examined for 175 children with ADHD, 119 comparison children, and parents of these children, drawn from the follow-up phase of the Multimodal Treatment Study of Children with ADHD. RESULTS/CONCLUSION: Children with ADHD perceived their mothers and fathers as more power assertive than comparison children. Children higher on depressive symptomatology also perceived their mothers and fathers as less warm and more power assertive. Mothers perceived themselves as more power assertive and fathers perceived themselves as less warm if they were higher on depressive symptomatology themselves or had children with ADHD or higher levels of depressive symptomatology. Several interactions indicated that the association between child factors and parental perceptions of warmth and power assertion often depended on parental depressive symptomatology. The findings resolve a previous contradiction in the literature regarding the relationship between child depressive symptoms and parental perceptions of parent-child relationship quality.     

Unexpected reduction in migraine and psychogenic headaches following rTMS treatment for major depression: a report of two cases

Our objective is to report a coincident reduction in headache pain in patients treated with repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder (MDD). Two patients with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of MDD, non-responsive to prior antidepressant treatment who were enrolled in a sham-controlled, double-blind study of rTMS for MDD. After the study, it was revealed that both were in the active-treatment arm. Both patients suffered from near daily headaches and kept logs of headache frequency and severity before, during, and after the study. Headache pain was significantly reduced under double-blind conditions with rTMS treatment, but returned to baseline following cessation of rTMS treatment. Ultimately, when receiving rTMS post-study as a maintenance intervention for MDD (approximately 2 rTMS sessions/week), the positive effects on headache amelioration were sustained. Headache pain is frequently comorbid with mood disorders and has been reported as the most common side effect with rTMS. In these subjects, rTMS was, in fact, associated with relief of depressive symptoms and preexisting headache pain. This indicates that rTMS may be beneficial for both disorders in some patients.