Behavioral Activation Treatment for Depression in Older Adults Delivered via Videoconferencing: A Pilot Study

Depression affects up to 25% of older adults. Underdetection and subsequent undertreatment of depression in older adults has been attributed in part to difficulties in older adults being able to access treatment. This uncontrolled pilot study, N = 3, explored the acceptability and efficacy of a brief behavioral activation treatment delivered via videoconferencing to 3 participants, aged 64 to 73 years, diagnosed with major depressive disorder. The results indicate that a 5-session behavioral activation treatment delivered via videoconferencing produced clinically significant and reliable decreases in depression. The results also showed clinically significant and reliable decreases in negative affect and clinically significant and reliable increases in positive affect. Treatment gains were maintained at 1-month follow-up. Videoconferencing can be a valuable and effective tool in increasing accessibility to psychological treatment for older adults.     

Adultspan Publication Patterns: Author and Article Characteristics From 1999 to 2009

Publication patterns of articles in Adultspan from 1999 to 2009 were reviewed. Author characteristics and article content were analyzed to determine trends over time. Research articles were analyzed specifically for type of research design, classification, sampling method, types of participants, sample size, types of statistics used, and statistical sophistication.     

University Support for Student Volunteering in England: Historical Development and Contemporary Value

This article draws on a major study of student volunteering based on case studies of six Higher Education Institutions (HEIs) selected to represent the diversity of the higher education sector in England. The study finds that students contribute significantly to university life and to the wider community through both formal and informal volunteering. However in this paper we consider the challenges and problems with the organisation of student volunteering. Our research finds that students who were supported by their university to volunteer reported better experiences of volunteering and identified greater impacts on their personal development, soft skills, employability and community awareness. In this paper we challenge the tendency of some policy makers and practitioners to view student volunteering as an automatic ‘win, win, win’—for students, for universities and for communities. Rather we explore how without adequate support, management and opportunities for reflection and placing volunteering in wider social context, student volunteering can fail to benefit any of these groups. The paper outlines the development of institutional support for volunteering by students before assessing the value such support has for student volunteers today.     

The role of working memory capacity in multiple-cue probability learning

Multiple-cue probability learning (MCPL) involves learning to predict a criterion when outcome feedback is provided for multiple cues. A great deal of research suggests that working memory capacity (WMC) is involved in a wide range of tasks that draw on higher level cognitive processes. In three experiments, we examined the role of WMC in MCPL by introducing measures of working memory capacity, as well as other task manipulations. While individual differences in WMC positively predicted performance in some kinds of multiple-cue tasks, performance on other tasks was entirely unrelated to these differences. Performance on tasks that contained negative cues was correlated with working memory capacity, as well as measures of explicit knowledge obtained in the learning process. When the relevant cues predicted positively, however, WMC became irrelevant. The results are discussed in terms of controlled and automatic processes in learning and judgement.     

Visuo-spatial representations of the alphabet in synaesthetes and non-synaesthetes

Visuo-spatial representations of the alphabet (so-called 'alphabet forms') may be as common as other types of sequence-space synaesthesia, but little is known about them or the way they relate to implicit spatial associations in the general population. In the first study, we describe the characteristics of a large sample of alphabet forms visualized by synaesthetes. They most often run from left to right and have salient features (e.g., bends, breaks) at particular points in the sequence that correspond to chunks in the 'Alphabet Song' and at the alphabet mid-point. The Alphabet Song chunking suggests that the visuo-spatial characteristics are derived, at least in part, from those of the verbal sequence learned earlier in life. However, these synaesthetes are no faster at locating points in the sequence (e.g., what comes before/after letter X?) than controls. They tend to be more spatially consistent (measured by eye tracking) and letters can act as attentional cues to left/right space in synaesthetes with alphabet forms (measured by saccades), but not in non-synaesthetes. This attentional cueing suggests dissociation between numbers (which reliably act as attentional cues in synaesthetes and non-synaesthetes) and letters (which act as attentional cues in synaesthetes only).     

Overestimation of the effectiveness of cardiopulmonary resuscitation as a function of CPR certification level

67 college students holding three different levels of certification in CPR estimated the survival rates of people given this procedure. Students not certified in CPR estimated the survival rate to be 51.2%, those previously certified estimated 43.8%, and those currently certified estimated 27.0%. Although knowledge of CPR was associated with greater accuracy, all three groups significantly overestimated the actual survival rate of 10%.     

The Efficacy, Safety, and Practicality of Treatments for Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD)

Studies examining interventions for adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD) were reviewed to evaluate their efficacy. These efficacy findings were supplemented with a preliminary system for judging safety and practicality. Results suggest that the stimulant drug methylphenidate (MPH) is safe and well-established empirically, but has some problems with inconvenience and noncompliance. Preliminary research supports the efficacy, safety, and practicality of some psychotherapeutic interventions, including behavioral classroom interventions, note-taking training, and family therapy. Treatment with tricyclic antidepressants was judged to have minimal empirical support and debatable safety. Very little is known about long-term effectiveness of treatments, long-term compliance, or multimodal treatments for adolescents such as stimulants plus behavior therapy.     

Postural sway and joint kinematics during quiet standing are affected by lumbar extensor fatigue

The purpose of this study was to investigate changes in postural sway and strategy elicited by lumbar extensor muscle fatigue. Specifically, changes in center of mass (COM), center of pressure (COP), and joint kinematics during quiet standing were determined, as well as selected cross correlations between these variables that are indicative of movement strategy. Twelve healthy male participants stood quietly both before and after exercises that fatigued the lumbar extensors. Whole-body movement and ground reaction force data were recorded and used to calculate mean body posture and variability of COM, COP, and joint kinematics during quiet standing. Three main findings emerged. First, participants adopted a slight forward lean post-fatigue as evidenced by an anterior shift of the COM and COP. Second, post-fatigue increases in joint angle variability were observed at multiple joints including joints distal to the fatigued musculature. Despite these increases, anterior-posterior (AP) ankle angle correlated well with AP COM position, suggesting the body still behaved similar to an inverted pendulum. Third, global measures of sway based on COM and COP were not necessarily indicative of changes in individual joint kinematics. Thus, in trying to advance our understanding of how localized fatigue affects movement patterns and the postural control system, it appears that joint kinematics and/or multivariate measures of postural sway are necessary.     

Newborn Screening for Cystic Fibrosis: Parents’ Preferences Regarding Counseling At the Time of Infants’ Sweat Test

Newborn screening (NBS) protocols for cystic fibrosis (CF) are the first regional population-based programs to incorporate DNA analysis into their procedures. Research about these programs can inform policy and practice regarding how best to counsel families with abnormal NBS results. The grounded theory method guided interviews with 33 families whose infants had abnormal CF NBS results. A dimensional analysis of these interviews provided a theoretical framework describing parents’ preferences regarding counseling during their infant's sweat test appointment. This framework describes the contexts and characteristics of the two main dimensions of parents’ preferences: factual information and emotional support. Factual information included learning about the probability of a CF diagnosis, CF disease facts, sweat test procedure, and CF genetics. Social support consisted of offering parents a choice about the timing and amount of CF information, showing empathy for their distress, instilling hope, personalizing counseling, and providing hospitality. This framework also explains the consequences of counseling that matched versus mismatched parental preferences in these domains. Counseling that matched parents preferences reduced parents’ distress while mismatched counseling tended to increase parents’ worry about their infant.     

External correlates of the MMPI-2 content component scales in mental health inpatients

External correlates of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Content Component Scales were identified using an inpatient sample of 544 adults. The Brief Psychiatric Rating Scale (BPRS) and Symptom Checklist 90-Revised (SCL-90-R) produced correlates of the Content Component Scales, demonstrating external validity with clinician-rated and self-report scales. Relationships between MMPI-2 Content Component Scales and patient hospital chart variables were also examined. Results demonstrated cross-criterion validity in that most MMPI-2 Content Component Scales correlated with appropriate BPRS dimensions, SCL-90-R items, and other patient variables. Discriminant validity of the Content Component Scales was also demonstrated. In addition, the finding that similar patterns of correlates are produced when the component scales are correlated with a self-report measure, as well as clinician ratings and medical chart variables, provides converging lines of evidence supporting the construct validity of the Content Component Scales.