Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy

Despite the major advances in the development of treatments for bulimia nervosa, drop-outs and a lack of engagement in treatment, continue to be problems. Recent studies suggest that the transtheoretical model of change may be applicable to bulimia nervosa. The aim of this study was to examine the roles of readiness to change and therapeutic alliance in determining engagement and outcome in the first phase of treatment. One hundred and twenty five consecutive female patients meeting DSM-IV criteria for bulimia nervosa took part in a randomised controlled treatment trial. The first phase of the sequential treatment compared four sessions of either cognitive behavioural therapy (CBT) or motivational enhancement therapy (MET) in engaging patients in treatment and reducing symptoms. Patients in the action stage showed greater improvement in symptoms of binge eating than did patients in the contemplation stage. Higher pretreatment scores on action were also related to the development of a better therapeutic alliance (as perceived by patients) after four weeks. However, pretreatment stage of change did not predict who dropped out of treatment. There were no differences between MET and CBT in terms of reducing bulimic symptoms or in terms of developing a therapeutic alliance or increasing readiness to change. The results suggest that the transtheoretical model of change may have some validity in the treatment of bulimia nervosa although current measures of readiness to change may require modification. Overall, readiness to change is more strongly related to improvement and the development of a therapeutic alliance than the specific type of treatment.     

Psychopathological correlates of self-reported behavioural inhibition in normal children.

The present study examined the relationship between self-reported behavioural inhibition and psychopathological symptoms in a sample of 152 children aged 12-14 years. Children were provided with a definition of behavioural inhibition and then asked to classify themselves as low, middle or high on behavioural inhibition. Furthermore, children completed questionnaires of worry, depression and anxiety symptoms. Results showed that children who endorsed the high behavioural inhibition category had elevated levels of anxiety, worry and depression compared to children who endorsed the low or middle behavioural inhibition categories. Moreover, children high on behavioural inhibition more frequently reported anxiety disorders symptoms in the subclinical range. These findings fit well with those of previous studies on behavioural inhibition.     

Age differences in personality across the adult life span: parallels in five cultures

Both cross-sectional and longitudinal studies in the United States have shown consistent changes between college age and middle adulthood. There appear to be declines in 3 of the 5 major factors of personality--Neuroticism, Extraversion, and Openness--and increases in Agreeableness and Conscientiousness. To examine cross-cultural generalizability of these findings, translations of the Revised NEO Personality Inventory were administered to samples in Germany, Italy, Portugal, Croatia, and South Korea (N = 7,363). Similar patterns of age differences were seen in each country, for both men and women. Common trends were also seen for the more specific traits that define the major factors. Because these nations differ substantially in culture and recent history, results suggest the hypothesis that these are universal maturational changes in adult personality.     

What do category-specific semantic deficits tell us about the representation of lexical concepts?

A reassessment of category-specific semantic deficits in light of their contribution to a theory of the representation of lexical concepts is proposed. Two theories are examined: one, held by the majority of researchers in the field, claims that concepts are represented by sets of features; another, in contrast, claims that concepts are atomic representations. An analysis of category-specific semantic deficits in terms of inferential relations (of the meaning-postulates type) between atomic concepts is elaborated. It is argued that this theory can better account for the pattern of performance exhibited by patients with semantic deficits.     

Further evidence for feature correlations in semantic memory.

The role of feature correlations in semantic memory is a central issue in conceptual representation. In two versions of the feature verification task, participants were faster to verify that a feature (< is juicy >) is part of a concept (grapefruit) if it is strongly rather than weakly intercorrelated with the other features of that concept. Contrasting interactions between feature correlations and SOA were found when the concept versus the feature was presented first. An attractor network model of word meaning that naturally learns and uses feature correlations predicted those interactions. This research provides further evidence that semantic memory includes implicitly learned statistical knowledge of feature relationships, in contrast to theories such as spreading activation networks, in which feature correlations play no role.     

Espbase: A microsoft access tool for selecting symbol and icon sets for usability

The ESPbase provides a tool for storing symbols and icons along with information about their characteristics. Information about a wide range of symbol characteristics is included on the database to facilitate the selection of symbol sets for research and design. The database includes information about the graphical characteristics and functions of symbols. It also includes ratings of symbol concreteness, complexity, familiarity, and meaningfulness. Symbols and icons can be accessed on the basis of each of these characteristics or any combination of characteristics. This makes it easier to select symbols on the basis of usability and design requirements. It also means that symbols can be easily selected for research while controlling their characteristics on a number of dimensions.     

Milestones in the development of infant numeracy

This article deals with the development of numeracy among young children of the four to seven year age group. The research investigation described had two aims: to see how early numeracy develops in children of different ages; and to see whether there are fixed points which might serve as milestones in the development of infant numeracy. The results of this investigation involving 96 children indicate a strong development of numeracy skills during this period. With reference to the literature, it is also shown that certain items of a test previously developed for this purpose may be taken as core items that do indeed represent milestones in the development of infant numeracy.     

When Good Intentions Are Not Enough: Modeling Postdecisional Cognitive Correlates of Condom Use1

Measures of intention usually leave substantial proportions of the variance in behavior unexplained. It has been suggested that improved behavioral prediction could be achieved by identifying postdecisional cognitive processes capable of distinguishing between intenders who do act and those do not act. Condom-related self-report measures of postdecisional cognitive processes were developed and tested in a cross-sectional questionnaire study involving 447 heterosexual students. A discriminant function composed of postdecisional measures was found to significantly distinguish between intenders who reported use and non-use and to correctly classify 80% of intenders. The results indicate that measures of the relative importance of competing intentions, prior planning of specific preparatory actions, and action-specific self-efficacy may enhance the prediction of condom use among intenders.     

The assessment of obsessionality using the Padua inventory: its validity in a British non-clinical sample

The Padua Inventory (PI) is a measure of obsessive–compulsive phenomena, which permits measurement of both number and severity of symptoms. Data is available from Italy, the US, the Netherlands and Australia on non-clinical samples. The present study provides a psychometric evaluation of the PI on a British non-clinical sample (N=1855). Comparisons are made with other data and further suggestions for the use of the PI are made. Results from the present study indicate that the PI has similar, though not identical, factor structure to previous studies, adequate internal reliability and construct validity. Four factors emerged, containing clusters of items broadly relating to ‘impaired control over mental activities/doubting', ‘contamination', ‘checking' and ‘worries about losing control over motor behaviour' and these included most of the items loading on the same factors in earlier studies together with additional items.The relationships of age and gender with the PI scores are investigated. Differences were found from the Sanavio (1988) [Sanavio, E. (1988). Obsessions and compulsions: the Padua Inventory. Behaviour Research and Therapy, 26, 169–177.] Italian sample. These differences are in keeping with other available data from British samples and other data on the epidemiology of Obsessive Compulsive Disorder. The five factor structure found in the one study using clinical and non-clinical subjects is discussed in relation to the present analyses.