Does d-Cycloserine Augmentation of CBT Improve Therapeutic Homework Compliance for Pediatric Obsessive–Compulsive Disorder?

Clinical studies in adults and children with obsessive–compulsive disorder (OCD) have shown that d-cycloserine (DCS) can improve treatment response by enhancing fear extinction learning during exposure-based psychotherapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS augmented cognitive-behavioral therapy (CBT) and homework compliance in a double-blind, placebo controlled trial with 30 youth with OCD. All children received 10 CBT sessions, the last seven of which included exposure and response prevention paired with DCS or placebo dosed 1 h before the session started. Results suggested that DCS augmented CBT did not predict improved homework compliance over the course of treatment, relative to the placebo augmented CBT group. However, when groups were collapsed, homework compliance was directly associated with treatment outcome. These findings suggest that while DCS may not increase homework compliance over time, more generally, homework compliance is an integral part of pediatric OCD treatment outcome.     

Patterns of Responding on a Balloon Analogue Task Reveal Individual Differences in Overall Risk-Taking: Choice Between Guaranteed and Uncertain Cash

ABSTRACT. We explored the utility of analyzing within- and between-balloon response patterns on a balloon analogue task (BAT) in relation to overall risk scores, and to a choice between a small guaranteed cash reward and an uncertain reward of the same expected value. Young adults (n = 61) played a BAT, and then were offered a choice between $5 in cash and betting to win $0 to $15. Between groups, pumping was differentially influenced by explosions and by the number of successive unexploded balloons, with risk takers responding increasingly on successive balloons after an explosion. Within-balloons, risk takers showed a characteristic pattern of constant high rate, while non-risk takers showed a characteristic variable lower rate. Overall, results show that the higher number of pumps and explosions that characterize risk takers at a molar level, result from particular forms of adaptation to the positive and negative outcomes of choices seen at a molecular level.

Color versions of one or more of the figures in the article can be found online at www.tandfonline.com/vgen.     

Driving it Home: How Workplace Emotional Labor Harms Employee Home Life

To date, the majority of research on emotional labor has focused on outcomes that occur in the workplace. However, research has yet to consider the possibility that the daily effects of emotional labor spill over to life outside of work, even though a large body of literature examining the spillover from work life to home life indicates that work experiences influence employees after they leave the workplace. Accordingly, we examined the influence of day‐to‐day surface acting on 3 types of theoretically derived stress outcomes experienced at home: emotional exhaustion, work‐to‐family conflict, and insomnia. In an experience sampling field study of 78 bus drivers, we found that daily surface acting was connected to increases in each of the outcomes noted above. Moreover, surface acting had an indirect effect on emotional exhaustion and insomnia via state anxiety.     

Developing a screening instrument and at-risk profile for nonsuicidal self-injurious behavior in college women and men

Archival data (N = 1,048 women, 1,136 men) from a mental health survey of college students were used to investigate incidence of nonsuicidal self-injury (NSSI), including cutting. Significant levels (defined as 4-5 lifetime incidents) were found in 9.3% of women and 5.3% of men. The Counseling Center Assessment for Psychological Symptoms (a global symptom inventory) and an assessment of trauma had been field tested with this sample. We randomly partitioned half of these data into a holdout sample and used the remainder to develop an NSSI screening inventory that included (a) 5 women's screening items, including 1 item to assess trauma experienced; (b) 11 men's screening items; and (c) 12 items common to men and women, including depression, dissociation, anger, unwanted thoughts, nightmares or flashbacks, and having witnessed trauma. Logistic regression and receiver-operating characteristic curve analysis suggested the inventory significantly discriminated NSSI men and women in the holdout sample, p < .001. Cutoff scores were identified to correctly classify about 48% of the true positive male and female NSSI cases, with false positive rates of 13.2% and 8.4% for women and men, respectively.     

Stimulus disparity and punisher control of human signal-detection performance

The present experiment examined the effects of varying stimulus disparity and relative punisher frequencies on signal detection by humans. Participants were placed into one of two groups. Group 3 participants were presented with 1:3 and 3:1 punisher frequency ratios, while Group 11 participants were presented with 1:11 and 11:1 punisher frequency ratios. For both groups, stimulus disparity was varied across three levels (low, medium, high) for each punisher ratio. In all conditions, correct responses were intermittently reinforced (1:1 reinforcer frequency ratio). Participants were mostly biased away from the more punished alternative, with more extreme response biases found for Group 11 participants compared to Group 3. For both groups, estimates of discriminability increased systematically across the three disparity levels and were unaffected by the punisher ratios. Likewise, estimates of response bias and sensitivity to the punisher ratios were unaffected by changes in discriminability, supporting the assumption of parameter invariance in the Davison and Tustin (1978) model of signal detection. Overall, the present experiment found no relation between stimulus control and punisher control, and provided further evidence for similar but opposite effects of punishers to reinforcers in signal-detection procedures.     

Reliability of 16 balance tests in individuals with Down syndrome

To assess test-retest reliability scores on 16 balance tests of 21 individuals with Down syndrome whose ages ranged from 5 to 31 yr., participants performed a standing test on firm and soft surfaces with the eyes open and closed, the balance subset of the Bruininks-Oseretsky test, full turn, timed-up-and-go test, forward reach, and sit-to-stand. Each participant completed all 16 tests twice in one day and then again on a subsequent day for a total of 4 sessions. The interclass reliability correlation coefficients (ICC) value for each measure of balance varied considerably by age and sex. Based on having an ICC > .50, only 3 tests were reliable in young males and young females, whereas 5 tests could reliably be used in adult females and 9 tests could reliably be used in adult males. The results of this study raise suspicions as to the reliability of tests commonly used to assess balance and differences in reliability due to age and sex. Results of balance tests should be interpreted with caution in males and females with Down syndrome across the age span.     

A Call to Broaden and Build Mikulincer and Shaver's Work on the Benefits of Priming Attachment Security

Psychologists have tended to view religion from a distance as a global, undifferentiated, stable process that is largely good or largely bad. This article presents a more fine-grained analysis of religion and its implications for well-being, positive and negative. The empirical literature points to five conclusions. First, some forms of religion are more helpful than others. Well-being has been linked positively to a religion that is internalized, intrinsically motivated, and based on a secure relationship with God and negatively to a religion that is imposed, unexamined, and reflective of a tenuous relationship with God and the world. Second, there are advantages and disadvantages to even controversial forms of religion, such as fundamentalism. Third, religion is particularly helpful to socially marginalized groups and to those who embed religion more fully in their lives. Fourth, religious beliefs and practices appear to be especially valuable in stressful situations that push people to the limits of their resources. Finally, the efficacy of religion is tied to the degree to which it is well integrated in the individual's life. These conclusions belie stereotypes or simple summaries about religion. Instead, they suggest that religion is a richer, more complex process than psychologists have imagined, one that has the potential both to help and to harm. Questions about the general efficacy of religion should give way to the more difficult but more appropriate question, How helpful or harmful are particular forms of religious expression for particular people dealing with particular situations in particular social contexts according to particular criteria of helpfulness or harmfulness?     

Crime,drug abuse,mental illness,and homelessness

In this project, 345 homeless persons were interviewed during the period from May, 1985 to May, 1986 in Richmond, Virginia. Data reveal that current afflictions (e.g., hallucinations) are related to major life events in the past (i.e., psychiatric hospitalizations). Further, certain experiences prior to adulthood (e.g., drug use) predict these major life events (e.g., crime). Thus, the data support a general “drift down” hypothesis as a useful explanation of homeless for future theory development. Some policy implications are given.