Predicting Treatment Outcomes From Internet-Based Cognitive Behavior Therapy for Obsessive–Compulsive Disorder

Internet-based cognitive-behavioral therapy (ICBT) with therapist support shows promise as a treatment for obsessive-compulsive disorder (OCD). Yet, not all patients respond to ICBT. It is therefore important to identify predictors of ICBT outcomes to determine who is likely to benefit. Relative to the large literature on predictors of outcomes for in-person CBT for OCD, very few studies have investigated ICBT predictors. Therefore, we analyzed predictors of outcome in an open trial (n = 30) of ICBT for OCD using the OCD-NET platform, which consists of 10 online modules delivered with therapist support. The Yale-Brown Obsessive-Compulsive Scale (YBOCS) was administered by independent raters as the primary outcome measure at baseline and posttreatment. In this sample, greater baseline OCD severity and OCD-related avoidance behaviors were associated with higher end-state OCD symptoms (i.e., poorer outcome). Patients with a past history of face-to-face CBT for OCD also had worse outcomes. Although these results require replication, these factors may identify individuals at risk for poor ICBT outcomes.     

Seeing the mind of robots: Harm augments mind perception but benevolent intentions reduce dehumanisation of artificial entities in visual vignettes

According to moral typecasting theory, good- and evil-doers (agents) interact with the recipients of their actions (patients) in a moral dyad. When this dyad is completed, mind attribution towards intentionally harmed liminal minds is enhanced. However, from a dehumanisation view, malevolent actions may instead result in a denial of humanness. To contrast both accounts, a visual vignette experiment (N = 253) depicted either malevolent or benevolent intentions towards robotic or human avatars. Additionally, we examined the role of harm-salience by showing patients as either harmed, or still unharmed. The results revealed significantly increased mind attribution towards visibly harmed patients, mediated by perceived pain and expressed empathy. Benevolent and malevolent intentions were evaluated respectively as morally right or wrong, but their impact on the patient was diminished for the robotic avatar. Contrary to dehumanisation predictions, our manipulation of intentions failed to affect mind perception. Nonetheless, benevolent intentions reduced dehumanisation of the patients. Moreover, when pain and empathy were statistically controlled, the effect of intentions on mind perception was mediated by dehumanisation. These findings suggest that perceived intentions might only be indirectly tied to mind perception, and that their role may be better understood when additionally accounting for empathy and dehumanisation.     

An Analysis of Speech Disfluencies of Turkish Speakers Based on Age Variable

The focus of this research is to verify the influence of the age variable on fluent Turkish native speakers’ production of the various types of speech disfluencies. To accomplish this, four groups of native speakers of Turkish between ages 4–8, 18–23, 33–50 years respectively and those over 50-year-olds were constructed. A total of 84 participants took part in this study. Prepared and unprepared speech samples of at least 300 words were collected from each participant via face-to-face interviews that were tape recorded and transcribed; for practical reasons, only the unprepared speech samples were collected from children. As a result, for the prepared speech situation, there was no statistically significant difference in terms of age in the production rates of filled gaps, false starts, slips of the tongue and repetitions; however, participants in the over 50-year-old group produced more hesitations and prolongations than participants in the 18–23 and 33–50-year-old groups. For the unprepared speech situation, age variable was not effective on the production rates of filled gaps. However, 4–8 and over 50-year-old participants produced more hesitations and prolongations than the 18–23 and 33–50-year-old groups. 4–8-year-old children produced more slips of the tongue than the 18–23 and 33–50-year-old groups, and more false starts and repetitions than the participants in the other three age groups (18–23, 33–50, over 50). Further analyses revealed more extensive insights related to the types of disfluencies, the position of disfluencies, and the linguistic units involved in disfluency production in Turkish speech.     

Linguistic Reflections on Psychotherapy: Change in Usage of The First Person Pronoun in Information Structure Positions

Aim of present study was to understand changes in speech of clients with regard to certain linguistic features from 5th to 15th session of psychotherapy. First person pronoun use in information structure positions were analyzed in speech of clients. Participants of this study were 11 psychotherapists (clinical psychology master and doctorate students) and 16 clients (applicants to AYNA Psychotherapy Unit). In present study word count results of clinets’ speeches were analyzed by ANOVA method. According to results, use of first person pronoun changed significantly in preverbal position from 5th to 15th sessions of psychotherapy. Findings of this study suggest that, psychotherapy leads to certain linguistic changes, and these changes discussed to be means of understand change of clients during psychotherapy     

Inhibition difficulties in preterm children: Developmental delay or persistent deficit?

Among executive functions (EFs), research has highlighted specific inhibition difficulties in preterm children. The present paper reviews and classifies the studies that assessed response inhibition and interference control abilities in preterm children and adolescents aged 3 to 16 years. Most behavioral studies agree on a developmental delay at early school age in inhibition abilities and a catch-up before adolescence, with lesser response inhibition difficulties at pre-adolescence. However, persisting interference control difficulties have been reported into early adulthood. These results are discussed, along with functional magnetic resonance imaging (fMRI) findings. Finally, this paper outlines methodological issues that need to be overcome in order to define the developmental trajectory of inhibition abilities in the preterm population.     

On the origin of worries about modern health hazards: Experimental evidence for a conjoint influence of media reports and personality traits

Objective: Worries about health threatening effects of potential health hazards of modern life (e.g. electric devices and pollution) represent a growing phenomenon in Western countries. Yet, little is known about the causes of this growing special case of affective risk perceptions termed Modern Health Worries (MHW). The purpose of this study is to examine a possible role of biased media reports in the formation of MHW.

Design: In two experiments, we investigated whether typical television reports affect MHW. In Study 1, 130 participants were randomly assigned to a film on idiopathic environmental intolerance (IEI) or a control film about cystic fibrosis. In Study 2, 82 participants were randomly assigned to either a film on the dangers of electromagnetic fields or a control condition.

Main outcome measures: Increases in MHW after sensational media reports.

Results: In Study 1, only participants high on the personality trait of absorption revealed increased MHW after watching the IEI film. In Study 2, specifically worries about radiation were found to be elevated after watching the film on the dangers of electromagnetic fields compared to the control film.

Conclusion: The results of both studies reveal a significant and specific influence of sensational short mass media reports on MHW. The influence of potential moderators such as absorption remains to be clarified.     

The effect of layout and pacing on learning from diagrams with unnecessary text

Although the presentation of extraneous (i.e., irrelevant or unnecessary) information hinders learning, it is unclear whether and how layout and pacing influence this effect. In two experiments, participants learned how the heart functions using four different layouts: a diagram presented without unnecessary text (diagram only), with unnecessary text separated from the diagram (separated) or integrated into the diagram (integrated), or with separated unnecessary text and the instruction to integrate (integration instruction). In Experiment 1, study time was self‐paced for half of the participants and system paced for the other half. There were no effects of layout and of pacing on learning, although system pacing was more effortful than self‐pacing. In Experiment 2, which was system paced and employed eye tracking, the integrated condition showed worse learning outcomes than the separated condition. Moreover, in the integrated condition, participants made more integration attempts between the unnecessary text and the diagram than in the separated condition.     

Autobiographical remembering regulates emotions: a functional perspective

Emotional deviation has been considered an essential factor in emotion regulation, in that, attempts to compensate for the deviation is reflected on cognitive processes. In the present study, we focused on autobiographical remembering and tested the functional role of memory on emotion regulation. We specifically examined the congruence effect in individuals’ subsequent memory reports after recalling emotional events. Individuals were randomly assigned to three groups to report either sadness or anger evoking events or emotionally unspecified events that they experienced in the last five years. Results supported mood-incongruence, but only for the emotional memory groups. Despite highly negative memories reported in the initial recall, individuals in anger- and sad-memory groups revealed an up-regulation trend in subsequent recall. Furthermore, sadness and anger induction affected phenomenological features of the subsequently reported memory. Overall, our findings supported for the emotion regulation function of remembering that serves counter-regulation of the negative emotion. We discuss potential mechanisms in the light of explanations by a functional approach to autobiographical memory.     

Parents’ Judgments about the Desirability of Toys for Their Children: Associations with Gender Role Attitudes,Gender-typing of Toys,and Demographics

Parental toy selection and responses to toy play are important factors in children’s gender socialization. Reinforcing play with same-gender-typed toys guides children’s activities and limits their action repertoires in accordance with gender stereotypes. A survey of 324 Austrian parents of three- to six-year-old children was conducted to investigate parents’ judgments about the desirability of different types of toys for their children and how these judgements relate to parents’ gender-typing of toys, gender role attitudes, and demographics (age, education, gender). Results show that parents rated same-gender-typed and gender-neutral toys as more desirable for their children than cross-gender-typed toys. The traditionalism of parents’ gender role attitudes was not associated with their desirability judgments of same-gender-typed toys, but was negatively related to their desirability judgments of cross-gender-typed toys. This indicates that egalitarian parents permit a greater range of interests and behaviors in their children than traditional parents do. Younger parents, parents with lower educational levels, and fathers reported more traditional gender role attitudes than did older parents, parents with higher educational levels, and mothers. However, no differences based on age, educational level or gender were found in parents’ judgments of toy desirability. The present study demonstrates that parents’ judgments about the desirability of toys for their children do not accurately reflect their gender role attitudes. This finding highlights the importance of simultaneously investigating different aspects of parents’ gender-related attitudes in order to gain a better understanding of parental transmission of gender stereotypes.