Long-term follow-up of internet-delivered exposure and mindfulness based treatment for irritable bowel syndrome

We conducted a follow-up of a previously reported study of internet-delivered cognitive behavior therapy (CBT) for IBS, based on exposure and mindfulness exercises (Ljótsson et al. (2010). Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome – a randomized controlled trial. Behaviour Research and Therapy, 48, 531–539). Seventy-five participants from the original sample of 85 (88%) reported follow-up data at 15–18 months (mean 16.4 months) after completing treatment. The follow-up sample included participants from both the original study’s treatment group and waiting list after it had been crossed over to treatment. Intention-to-treat analysis showed that treatment gains were maintained on all outcome measures, including IBS symptoms, quality of life, and anxiety related to gastrointestinal symptoms, with mainly large effect sizes (within-group Cohen’s d = 0.78–1.11). A total of fifty participants (59% of the total original sample; 52% of the original treatment group participants and 65% of the original waiting list participants) reported adequate relief of symptoms. Improvements at follow-up were more pronounced for the participants that had completed the full treatment and maintenance of improvement did not seem to be dependent on further treatment seeking. This study suggests that internet-delivered CBT based on exposure and mindfulness has long-term beneficial effects for IBS-patients.     

Behavioral assessment of physical activity in obese preschool children

We measured changes in physical activity in 2 obese preschool children when a package intervention was evaluated in a reversal design. Physical activity was measured via direct observation and pedometers. Although the intervention produced only modest increases in activity, the results provide preliminary concurrent validation for the dependent measures used, in that the two measures covaried and a similar degree of change was observed with each across baseline and intervention phases.     

A multidimensional measure of work valences

Work valence is derived from expectancy-valence theory and the literature on children's vocational development and is presumed to be a general appraisal of work that emerges during the childhood period. Work valence serves to promote and inhibit the motivation and tasks associated with vocational development. A measure of work valence, composed of perceptions about future work experiences and affects, is developed and tested employing samples of high school and university students. Multi-group confirmatory factor models demonstrated that the Work Valence Scale (WVS) conformed to a hierarchical measurement model and may be employed to yield a general work valence construct or more specific positive and negative work valences. The WVS demonstrated metric invariance across the high school and university years. Criterion validity tests demonstrated that the general work valence was positively associated with work approach motivation and in-depth career exploration and negatively associated with work avoidance. Discriminant validity tests demonstrated that the positive and negative work valences and affectivities were only weakly correlated with general measures of affectivity.     

When the rules are reversed: Action-monitoring consequences of reversing stimulus–response mappings

How does switching tasks affect our ability to monitor and adapt our behavior? Largely independent lines of research have examined how individuals monitor their actions and adjust to errors, on the one hand, and how they are able to switch between two or more tasks, on the other. Few studies, however, have explored how these two aspects of cognitive?Cbehavioral flexibility interact. That is, how individuals monitor their actions when task rules are switched remains unknown. The present study sought to address this question by examining the action-monitoring consequences of response switching??a form of task switching that involves switching the response that is associated with a particular stimulus. We recorded event-related brain potentials (ERPs) while participants performed a modified letter flanker task in which the stimulus?Cresponse (S?CR) mappings were reversed between blocks. Specifically, we examined three ERPs??the N2, the error-related negativity (ERN), and the error positivity (Pe)??that have been closely associated with action monitoring. The findings revealed that S?CR reversal blocks were associated with dynamic alterations of action-monitoring brain activity: the N2 and ERN were enhanced, whereas the Pe was reduced. Moreover, participants were less likely to adapt their posterror behavior in S?CR reversal blocks. Taken together, these data suggest that response switching results in early enhancements of effortful control mechanisms (N2 and ERN) at the expense of reductions in later response evaluation processes (Pe). Thus, when rules change, our attempts at control are accompanied by less attention to our actions.     

The Quality of the Childrearing Environment of Refugee or Asylum‐Seeking Children and the Best Interests of the Child: Reliability and Validity of the BIC‐Q

The Best Interest of the Child Questionnaire (BIC‐Q) has been designed as an instrument for screening the quality of the rearing situation of asylum‐seeking or refugee children. It is intended to aid legal decisions in asylum procedures. The aim of this study was to determine the reliability and the construct validity of the BIC‐Q. Based on a study sample of refugee or asylum‐seeking children in the Netherlands (N = 74), the psychometric quality of the BIC‐Q was investigated using Cohen's kappa for the inter‐ and intrarater reliability and a nonparametric item response model for the construct validity. The interrater and intrarater reliabilities of the BIC‐Q were good (kappa = .65 and .74 respectively). The results of the item response model revealed that the 14 pedagogical environmental conditions formed a strong and valid measurement scale for the quality of the childrearing environment (H = .55; rho = .94). Preliminary results indicate that the BIC‐Q may be applied to support decisions on where the asylum‐seeking or refugee child has the best opportunities for development. Copyright © 2012 John Wiley & Sons, Ltd.     

Somatoform Disorder: Treatment Utilization and Cost by Mental Health Professions

Administrative data from Cigna for 149 somatoform cases were analyzed to determine the cost, number of sessions, dropout rates, and recidivism rates. Comparisons on these outcomes were made between medical doctors, psychologists, master’s nurses, master’s social workers, marriage and family therapists, and professional counselors. Recidivism rates and number of sessions are higher than for other mental health problems. There were no significant difference in total cost by profession, but did indicate a significant difference in cost per session for MDs. Analyses indicate that masters and doctoral level providers produced the same drop out and recidivism rates.     

Values as Predictors of Anticipated Socio‐cultural Adaptation Among Potential Migrants from Russia to Finland

This study examined the role of value patterns of potential migrants from Russia to Finland (N = 229) in predicting expectations of post‐migration socio‐cultural adaptation. Furthermore, the fit between migrants' personal values and the values they expect to encounter in the new home country (i.e. perceived value congruence) was hypothesized to predict anticipated socio‐cultural adaptation (ASCA). The study took into account perceived cultural distance variables as well as socio‐demographic controls traditionally related to adaptation outcomes among migrants. According to the results, familiarity with the host country (i.e., the number of Finnish friends/relatives in Finland), the openness to change value and perceived value congruence significantly predicted potential migrants' ASCA. When using four sub‐scales (interpersonal relations, cognitive understanding, impersonal perils and bureaucracy) of the ASCA‐scale, a more complex picture emerged. The results suggest that future work should include values, particularly perceived value congruence, in the analysis of the cultural fit hypothesis, as well as find better means of supporting immigrant adjustment starting at the pre‐migration stage. Copyright © 2011 John Wiley & Sons, Ltd.