Irrational Beliefs and Attention Bias Towards Symptoms-Related Stimuli in Maintaining Gastrointestinal Symptoms: Results from a Pilot Study

Recent etiopathogenic theories of gastrointestinal conditions state that information processing biases can be a possible major factor involved in the aetiology and maintenance of these conditions. This exploratory study investigated the role of attention biases (AB) towards symptoms-related cues in gastrointestinal patients with respect to symptom maintenance, simultaneously taking into consideration the role of irrational beliefs. We included 32 patients diagnosed with gastrointestinal conditions. Patients completed a battery of psychological tests and an experimental task aimed to measure the preferential attention processing of linguistic stimuli related to gastrointestinal symptoms when they compete for attention resources with neutral stimuli. AB was positively related to irrational beliefs [r(31) = .376, p = .037] and analgesics use [r(32) = .518, p = .002], but not to self-report gastrointestinal symptoms [r(30) = ?.165, p = .382]. Irrational beliefs correlated with pain catastrophizing [r(31) = .373, p = .039], but not to gastrointestinal symptoms, pain intensity, visceral sensitivity or negative emotions; however, pain catastrophizing correlated with all of these. Taken together, our results suggest that core irrational beliefs action as general vulnerability factors that trigger specific implicit and explicit cognitive mechanisms (i.e., AB, pain catastrophizing) involved in the onset and maintenance of symptoms. Future experimental studies should test the robustness of these results in larger samples and aim to further advance our understanding of how cognitive factors interact and potentiate each other in generating and maintaining debilitating suffering.     

A Meta-Analysis on the Efficacy of Technology Mediated CBT for Anxious Children and Adolescents

Several meta-analyses indicate that cognitive-behavioral therapy (CBT) via electronic/technological devices or applications (i.e., eCBT) is an effective alternative to standard therapist-delivered CBT for anxious adults. However, we know little about the efficacy of eCBT interventions for anxious children and adolescents. The present meta-analysis set out to investigate the efficacy of eCBT in comparison to standard CBT or waitlist control for anxious children and adolescents. Eight randomized controlled studies (N = 404 participants) that targeted anxiety at post-intervention and follow-up were included in the analysis. The results indicated that eCBT was as effective as standard CBT (g = .295) and more effective than waitlist (g = 1.410) in reducing anxiety symptoms. Moderation analyses revealed that anxious children and adolescents benefited the most from eCBT in the minimal therapist involvement condition (g = 2.682) in contrast to the significant therapist involvement group (g = .326). Furthermore, older participants seemed to extract greater clinical benefits from eCBT in contrast to younger participants (slope = .514). Current eCBT interventions for anxious children and adolescents appear to be promising, but require further investigation.     

The Barratt Impulsiveness Scale-11 Among a School Sample of Portuguese Male and Female Adolescents

Few personality traits are as socially relevant as impulsivity, but few self-report measures have been specifically developed for adolescents and children. The aim of the present study was to examine the psychometric properties of the Barratt Impulsiveness Scale version 11 (BIS-11) among a mixed-gender sample of 782 Portuguese youth (M = 15.87 years; SD = 1.72), in a school context. Confirmatory factor analysis revealed the expected 6-factor first-order structure, but the 3-factor second-order factorial structure did not present a good fit. Cross-gender measurement invariance was demonstrated only in terms of weak invariance. Nonetheless, the Portuguese adaptation of the BIS-11 demonstrated some generally acceptable psychometric properties of internal consistency, mean inter-item correlation, convergent validity, discriminant validity, and criterion-related validity of statistically significant associations with conduct disorder symptoms, alcohol abuse, drug use, and unprotected sex. The use of the BIS-11 among the male and female youth population is psychometrically justified, and it can be a useful measure to identify impulsive adolescents who are at considerable risk of personal injury and present a potential source of injury to others.     

Wellbeing at Work and the Great Recession: The Effect of Others’ Unemployment

The recent recession has generated a tremendous increase in unemployment rates in Spain. In this paper we use a very rich repeated cross-section dataset on workers’ job conditions, together with regional unemployment rates, to investigate whether peers’ unemployment affects individuals’ job satisfaction. We find that, once perceived job stability is controlled for, peers’ unemployment shows a positive effect on individuals’ wellbeing at work, greater and more precisely estimated for men and private-sector workers. The impact is highly non-linear and the greatest effect is found for unemployment rates exceeding 10 %. Interestingly, the results are robust to controlling for workforce selection.     

An Exercise in Cost-Effectiveness Analysis: Treating Emotional Distress in Melanoma Patients

This study presents a retrospective assessment of a psychological intervention examined for its potential cost-effectiveness if implemented into standard care. It discusses (1) the cost of instituting a psychological intervention for distressed melanoma patients, (2) the effectiveness of that intervention for reducing distress when compared with a standard care group, and (3) the costs of providing the treatment as compared to costs of physician time to answer distress-driven questions as part of standard care. Although the per-minute cost of providing the psychological intervention was marginally greater than standard care, providing the intervention was significantly cheaper in terms of distress reduction. Inclusion of 60% payer reimbursement rates for the intervention further suggested that incorporating a psychological intervention into standard medical care for melanoma patients would potentially generate revenue.     

Proposition 187 reexamined: Attitudes toward immigration among California voters

The purposes of this study were to examine socio-demographic predictors of attitudes toward immigration in a community-based sample (N = 494) from the Los Angeles area; and to explore the relationship between attitudes toward immigration and the providing of educational and health services to the children of undocumented immigrants. Not providing services to the children of undocumented immigrants was a key element of California's Proposition 187. Attitudes toward immigration were measured with the Attitudes Toward Immigration Scale (ATIS). The providing of services was measured through the participants' evaluations of a school scenario and a health care scenario. Results indicated that participants who were middle-aged or older, less educated, identified as Republican, and were third generation or greater were more likely to hold negative attitudes toward immigration. Furthermore, participants holding negative attitudes toward immigration were less likely to provide education and health care services to the children of undocumented immigrants.