Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy

Emotion regulation group therapy (ERGT) is a novel treatment specifically targeting deliberate non-suicidal self-harm (DSH) in individuals with borderline personality disorder (BPD). Identifying robust predictors of positive response to ERGT could aid clinicians in treatment selection; however, to date, only one such study has been conducted. Thus, we aimed to replicate previously identified predictors of treatment response to ERGT by investigating demographic, clinical, and diagnostic predictors in 95 women with BPD or subclinical BPD who had participated in an open-trial evaluation of ERGT. Outcomes evaluated were frequency of DSH and emotion dysregulation. Assessments were conducted at pretreatment, post-treatment, and 6-month follow-up. Multilevel mixed linear models and multilevel negative binomial generalized estimated equations were used to identify significant interactions between the predictors and outcomes.

We found that greater pretreatment DSH frequency was associated with greater improvements in DSH during treatment (b = 0.998, SE = 0.00, p = 0.03) and follow-up (b = 0.997, SE = 0.00, p < 0.01) and that greater BPD severity was associated with greater improvements in DSH during treatment (b = 0.84, SE = 0.06, p = 0.02) and in emotion dysregulation at follow-up (b = ?3.05, SE = 1.47, p = 0.04). Co-occurring disorders were associated with poorer treatment response during follow-up. Results were generally consistent with a previous study of the predictors of response to ERGT. The findings provide further support for the utility of this treatment across a range of BPD patients, including patients with severe DSH and BPD.     

Difficult temperament predicts self‐esteem in adolescence

A six‐year longitudinal study investigated the impact of maternal hostile child‐rearing attitudes, role dissatisfaction, and maternal perceptions of adolescent temperamental difficultness on self‐esteem in late adolescence, after controlling for the initial self‐esteem measured in early adolescence. Adolescents (n = 313), derived from the Cardiovascular Risk in Young Finns study, rated their self‐esteem at the study entry at age 12, and six years later at age 18. Maternal reports of child‐rearing attitudes, of role satisfaction, and of the temperament of the adolescent were obtained at the study entry and three years later. Mother's perceptions of adolescent's temperament as difficult at ages 12 and 15 predicted adolescent's self‐reported self‐esteem in late adolescence, whereas earlier self‐esteem did not predict later perceptions of temperament or parenting. We found no evidence that maternal perceptions of parenting indirectly, or after controlling for the initial level, predicted adolescent's self‐reported self‐esteem. Copyright © 2002 John Wiley & Sons, Ltd.     

Enhancing the learning of sport skills through external-focus feedback

The authors examined how the effectiveness of feedback for the learning of complex motor skills is affected by the focus of attention it induces. The feedback referred specifically either to body movements (internal focus) or to movement effects (external focus). In Experiment 1, groups of novices and advanced volleyball players (N = 48) practiced "tennis" serves under internal-focus or external-focus feedback conditions in a 2 (expertise) x 2 (feedback type) design. Type of feedback did not differentially affect movement quality, but external-focus feedback resulted in greater accuracy of the serves than internal-focus feedback during both practice and retention, independent of the level of expertise. In Experiment 2, the effects of relative feedback frequency as a function of attentional focus were examined. A 2 (feedback frequency: 100% vs. 33%) x 2 (feedback type) design was used. Experienced soccer players (N = 52) were required to shoot lofted passes at a target. External-focus feedback resulted in greater accuracy than internal-focus feedback did. In addition, reduced feedback frequency was beneficial under internal-focus feedback conditions, whereas 100% and 33% feedback were equally effective under external-focus conditions. The results demonstrate the effectiveness of effect-related, as opposed to movement-related, feedback and also suggest that there is a need to revise current views regarding the role of feedback for motor learning.     

Viewpoint dependency in the recognition of dynamic scenes

In 3 experiments, the question of viewpoint dependency in mental representations of dynamic scenes was addressed. Participants viewed film clips of soccer episodes from 1 or 2 viewpoints; they were then required to discriminate between video stills of the original episode and distractors. Recognition performance was measured in terms of accuracy and speed. The degree of viewpoint deviation between the initial presentation and the test stimuli was varied, as was both the point of time presented by the video stills and participants' soccer expertise. Findings suggest that viewers develop a viewpoint-dependent mental representation similar to the spatial characteristics of the original episode presentation, even if the presentation was spatially inhomogeneous.     

Hypnotic susceptibility in patients with conversion disorder

Conversion disorder has been associated with hypnotic susceptibility for over a century and is currently still believed to be a form of autohypnosis. There is, however, little empirical evidence for the relation between hypnotic susceptibility and conversion symptoms. The authors compared 50 patients with conversion disorder with 50 matched control patients with an affective disorder on measures of hypnotic susceptibility, cognitive dissociation, and somatoform dissociation. Conversion patients were significantly more responsive to hypnotic suggestions than control patients. In addition, conversion patients showed a significant correlation between hypnotic susceptibility and the number of conversion complaints. These results provide the first evidence of a relationship between hypnotic susceptibility and the presence and number of conversion symptoms.     

Relations among heavy training stress,mood state,and performance for male junior rowers

This study investigated the influence of rapidly increased training volume on performance and recovery-stress state perceived by 10 male junior rowers. The training during the 6-day period amounted to 21.5 +/- 2.2 hr., which was equivalent to an average increase in training load by approximately 100% compared to their average training volume during the previous 4 wk. The time to row 2,000 m on a rowing ergometer and resting cortisol level were significantly increased after the 6-day training period. Scores on subscales of the Recovery Stress Questionnaire for Athletes significantly increased for somatic component of stress (Fatigue) and decreased factor indicating recovery (Social Relaxation) after the heavy training period. A correlation of .63 was found between increased training volume and scores on the Conflicts/Pressure subscale at the end of the heavy training period. Correlations were also found between changes in training volume with changes on subscales of Sleep Quality (r=-.64) and Burnout/Personal Accomplishment (r=-.66). Changes in resting cortisol levels as a result of heavy training stress were related to the changes in the following stress subscales: Social Stress (r=.76), Fatigue (r=.64), Disturbed Breaks (r=.65), and Fitness/Injury (r=.67). Changes in performance, perceived recovery-stress state and resting plasma cortisol level reflect increased stress due to high training. These results suggest that the Recovery Stress Questionnaire for Athletes could be used to evaluate the effects of rapidly increased training volume for male junior rowers.