Development of a Health Related Quality of Life Measure for Adolescents and Young Adults Following Invasive Meningococcal Disease

This study describes the key areas that matter to adolescent survivors of Invasive Meningococcal Disease (IMD). Satisfaction with Life After Meningitis is a brief multidimensional measure of health related quality of life that is reliable and correlates with criterion variables in a theoretically meaningful way. To develop a Health Related Quality of Life (HRQoL) measure for adolescent and young adult survivors of (IMD) we used a cross-sectional study and focus groups. The study was conducted in two phases. In Phase 1 a pool of potential items were generated based on the following: a review of existing measures, focus groups with IMD survivors, and an expert group consultation. Phase 2 involved administration of the questionnaire to a sample of adolescent and young adult IMD survivors. Factor analysis suggested a correlated four factor solution: Wellbeing, Positive about Future, Social Support, and Confidence. These factors were significantly correlated in a theoretically predictable way with scores from the Beck Depression Inventory (correlations ranged from ?0.77 to ?0.81) and the eight domains of the SF-36 Health Survey (correlations ranged from 0.32 to 0.79). The reliability of all subscales was high ranging from 0.85 to 0.92. The Satisfaction with Life After Meningitis (SLAM) questionnaire is a HRQoL self-report measure that produces reliable scores and is appropriate for use with young survivors of IMD. There is also evidence of concurrent validity with existing measures of physical and psychological well-being.     

Critical Incidents in the Professional Lives of First Year MFT Students

First year MFT students engaged in a journaling project, selecting one event daily which captured something about being a student, including the process of therapy, consultation, and supervision, that struck them as important in terms of their professional development. On reflection, the students saw therapeutic success and professional confidence as systemic products of a variety of contextual factors: transient and enduring aspects of the self and the client, faculty, peer, and family influences, and treatment setting and program factors. Students and faculty experienced this formative self study as valuable and believe that it should be done at the beginning, middle, and end of an educational program and the results shared with both faculty and students.     

Negative priming for spatial location?

The term negative priming has been used to describe the deleterious consequences for performance when the current target shares properties with an ignored distractor from the previous trial. Location-based negative priming was first reported by Tipper, Brehaut, and Driver (1990) who used a prime-probe procedure wherein the task was to localize targets defined by their identity (shape). Design imbalances in this seminal study, and others, are illustrated and it is indicated how these might have contaminated the reported effects. The findings, from three experiments using an unbiased design, suggest that negative priming in the spatial location procedure may be more closely related to inhibition of return (IOR), or to the automatic attraction of attention by new objects, than to the concepts of distractor inhibition, episodic retrieval, and feature mismatch, which have traditionally been used to explain negative priming for spatial location.     

Lifting the curtain on the Wizard of Oz: biased voice-based impressions of speaker size

The consistent, but often wrong, impressions people form of the size of unseen speakers are not random but rather point to a consistent misattribution bias, one that the advertising, broadcasting, and entertainment industries also routinely exploit. The authors report 3 experiments examining the perceptual basis of this bias. The results indicate that, under controlled experimental conditions, listeners can make relative size distinctions between male speakers using reliable cues carried in voice formant frequencies (resonant frequencies, or timbre) but that this ability can be perturbed by discordant voice fundamental frequency (F-sub-0, or pitch) differences between speakers. The authors introduce 3 accounts for the perceptual pull that voice F-sub-0 can exert on our routine (mis)attributions of speaker size and consider the role that voice F-sub-0 plays in additional voice-based attributions that may or may not be reliable but that have clear size connotations.     

The value-congruence model of memory for emotional experiences: an explanation for cultural differences in emotional self-reports

In 3 studies, the authors found support for the value-congruence model that accounts for cultural variations in memory for emotional experiences. In Study 1, the authors found that in the made-in-the-U.S. scenario condition, European Americans were more accurate than were Asian Americans in their retrospective frequency judgments of emotions. However, in the made-in-Japan scenario condition, European Americans were less accurate than were Asian Americans. In Study 2, the authors demonstrated that value orientation mediates the CulturexType of Event congruence effect. In Study 3 (a daily event sampling study), the authors showed that the congruence effect was explained by the importance of parental approval. In sum, emotional events congruent with personal values remain in memory longer and influence retrospective frequency judgments of emotion more than do incongruent events.     

Practice evoking the flexor carpi radialis h-reflex: a guideline for proficiency

The purpose of this research was to identify the number of sessions required for a new investigator to become proficient at evoking an H-reflex in the flexor carpi radialis (FCR), in comparison to an experienced investigator. 31 students from Brock University in the greater Niagara region (16 women M age = 32.2, SD = 8.9 yr.; 15 men M age = 27.8, SD = 7.8 yr.) with no known neurological disorders volunteered and completed two test sessions performed by either an experienced or a novice investigator. In randomized order, both investigators stimulated each subject's median nerve 10 times, once every 15 sec. Each session included the measurement of the subject's flexor carpi radialis maximal M-wave amplitude and H-reflex amplitude and latency with surface electromyographic electrodes. The intraclass correlation coefficients (ICC) indicated an adequate correlation between investigators for both M-wave maximal amplitude and H-reflex at 5% of the M-wave maximal amplitude (.84 and .70, respectively). However, there was a low correlation (.38) between the latency values obtained by the two investigators. The peak-to-peak amplitudes of the H-reflex and M-wave do not appear to be influenced by experience of the tester. The latency of the response, however, appears to have an associated learning curve, improving in consistency with increasing practice of tester.     

Dating Violence Victimization and Unprotected Sex Acts Among Adolescents in Mental Health Treatment

The objective of this study was to explore the relationship between dating violence victimization and unprotected sex acts among youth in mental health treatment. Sexually-active adolescents (n?=?261; ages 13–18) enrolled in mental health treatment completed an audio-assisted computerized self-interview (ACASI) to assess recent dating violence victimization, unprotected sex acts, depression symptoms, and recent alcohol use. Path analysis revealed that dating violence victimization was related to unprotected sex acts both directly and indirectly via its association with depression and condom use self-efficacy. These findings suggest that in order to reduce HIV-related risk behaviors among dating violence victims, treatment providers should consider depressive symptomatology and associated affect around sexual situations.     

Working With the Suicidal Client Who Also Abuses Substances

Substance use disorders and suicidal thoughts and behaviors commonly co-occur in adolescent and adult psychiatric populations and are often functionally interrelated. Although the evidence base for treatment of this population is sparse, integrated cognitive behavioral treatment (CBT) protocols, or those that rely heavily on CBT techniques, hold promise. In this paper, we provide an overview of the evidence-based literature for interventions that target suicidal behavior and substance use disorders with adults and adolescents. We then discuss the manner in which these behaviors may be functionally interrelated and offer a conceptual framework (S-O-R-C) to guide case conceptualization and treatment planning for clients with co-occurring suicidality and substance use disorders. Next, we provide a case example of a client with suicidal behavior and an alcohol use disorder and demonstrate how to apply an integrated CBT treatment protocol to this case. This case example is followed by a more general discussion about the potential advantages of integrated CBT protocols for suicidality and substance use disorders, guidelines for prioritizing treatment targets and skill selection for each individual client, and other important treatment considerations. We conclude with recommendations for future research in this area.