Patient preference as a predictor of outcomes in a pilot trial of person-centred counselling versus low-intensity cognitive behavioural therapy for persistent sub-threshold and mild depression

The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centred counselling (PCC) compared with low-intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analysed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < .05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyses preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g. guided self-help vs. face-to-face).     

Teaching Church History in Global Perspective in New Zealand

This essay is part of a collection of short essays solicited from authors around the globe who teach religion courses at the college level (not for professional religious training). They are published together with an introduction in Teaching Theology and Religion 18:3 (July 2015). The authors were asked to provide a brief overview of the curriculum, student learning goals, and pedagogical techniques employed in their courses.     

Testing an integrated model of the work–family interface in Chinese employees: A longitudinal study

The purpose of this study was to examine an integrated model of the work–family interface (WFI) linking work–family demands (workload and family conflict), resources (supervisory support and family support) and role satisfaction in a Chinese context. The four‐factor structure of WFI comprises direction of influence (work to family vs family to work) and types of effect (work–family conflict vs work–family enrichment). A longitudinal design was used to collect data from 409 Chinese employees at three time points, separating measures of antecedents (T1), WFI (T2) and outcomes (T3) in time. The results based on structural equation modelling (SEM) reveal that: (1) the direction and types of effect were two underlying dimensions of the WFI, supporting the four‐factor structure; (2) demands were more strongly related to conflict, while resources were more strongly related to enrichment; (3) work–family conflict and enrichment were related to role satisfaction, regardless of the direction of influence.     

Dissociation of event-related potentials indexing arousal and semantic cohesion during emotional word encoding

Event-related potential (ERP) studies have shown that emotional stimuli elicit greater amplitude late positive-polarity potentials (LPPs) than neutral stimuli. This effect has been attributed to arousal, but emotional stimuli are also more semantically coherent than uncategorized neutral stimuli. ERPs were recorded during encoding of positive, negative, uncategorized neutral, and categorized neutral words. Differences in LPP amplitude elicited by emotional versus uncategorized neutral stimuli were evident from 450 to 1000 ms. From 450 to 700 ms, LPP effects at midline and right hemisphere frontal electrodes indexed arousal, whereas LPP effects at left hemisphere centro-parietal electrodes indexed semantic cohesion. This dissociation helps specify the processes underlying emotional stimulus encoding, and suggests the need to control for semantic cohesion in emotional information processing studies.     

Does Availability of Mental Health Resources Prevent Recurrent Suicidal Behavior? An Ecological Analysis

This study examines whether availability of mental health resources in the county of residence is associated with subsequent suicidal behavior after a previous suicide attempt. Among 10,922 individuals who attempted suicide in Colorado between 1998 and 2002, residence in a county that offered a minimum safety-net of mental health services significantly reduced the risk of suicidal behavior for at least 1 year after the index attempt. Safety-net services included mental health treatment, crisis treatment, and case management. These results suggest one strategy for prevention of suicidal behavior that could inform state-level health policy development and resource allocation.     

Personality and Defensive Reactions: Fear,Trait Anxiety,and Threat Magnification

ABSTRACT The revised Reinforcement Sensitivity Theory (rRST) of personality ( Gray & McNaughton, 2000 ) maintains that trait individual differences in the operation of defensive systems relate to facets of human personality, most notably anxiety and fear. We investigated this theory in 2 separate studies (total N=270) using a threat scenario research strategy ( Blanchard, Hynd, Minke, Minemoto, & Blanchard, 2001 ). Consistent with rRST, results showed that individuals with high fear questionnaire scores tended to select defensive responses entailing orientation away from threat (e.g., run away) and that fear‐prone individuals also tended to perceive threats as magnified. The extent of this threat magnification mediated the positive association observed between fear and orientation away from threat. Overall, results suggest that interindividual variance in defensive reactions is associated with a variety of existing personality constructs but that further research is required to determine the precise relationship between personality and defensive reactions.     

Spontaneously occurring images and early memories in people with body dysmorphic disorder

A semi‐structured interview assessing the presence and characteristics of spontaneous appearance‐related images was designed and administered. A total of 18 patients with body dysmorphic disorder (BDD) and 18 normal controls took part. The BDD patients were found to have spontaneously occurring appearance‐related images that were significantly more negative, recurrent, and viewed from an observer perspective than control participants. These images were more vivid and detailed and typically involved visual and organic (internal body) sensations. The study also found that BDD images were linked to early stressful memories, and that images were more likely than verbal thoughts to be linked to these memories. Implications for theory and clinical practice are discussed.     

Influence of recollection and plausibility on age-related deficits in associative memory

Age-related declines in associative memory are proposed to result from deficits in older adults’ ability to recollect the past. The present experiment investigated the ability of older adults to compensate for deficits in recollecting the past by using plausibility. Participants studied a list of word pairs that shared category or rhyme relations. To measure the processes used during the recognition memory test, participants provided self-reported explanations for their memory judgements. Older adults relied primarily on plausibility, and the younger adults relied on both plausibility and recollection. Older adults experienced both positive and negative consequences as a result of using a knowledge-based strategy to compensate for their decreased ability to recollect the past. Specifically, they were just as capable as younger adults at recognising previously studied items and correctly rejecting distractors that were inconsistent with the rule provided at study. However, they falsely recognised distractors that were consistent with that rule more often than younger adults.