Active Coping and Perceived Social Support Mediate the Relationship Between Physical Health and Resilience in Liver Transplant Candidates

Without a transplant, end-stage liver disease is associated with significant morbidity and mortality. Transplant candidates endure physical and psychological stress while awaiting surgery, yet little is known about the relationship between physical health and psychological resilience during the wait-list period. This study examined predictors of psychological resilience and mediators of the relationship between physical health and psychological resilience in liver transplant candidates. Wait-listed candidates (N?=?120) from a single Northeast transplant center completed assessments of physical functioning, coping, perceived social support, and resilience. Findings revealed that physical functioning, active coping, and perceived social support were positively associated with resilience; maladaptive coping was negatively associated with resilience. Perceived social support and active coping partially mediated the relationship between physical functioning and resilience. Transplant center care providers should promote active coping skills and reinforce the importance of effective social support networks. These interventions could increase psychological resilience among liver transplant candidates.     

Early Eye Movement Desensitisation and Reprocessing (EMDR) intervention in a disaster mental health care context

‘Early psychological intervention’ is defined as commencing treatment within three months of the traumatic event, with the aim to prevent or treat posttraumatic stress disorder, ongoing distress or acute stress disorder. In natural disaster situations, specific issues may limit the amount of time available for treatment and the possibility of interventions. Eye Movement Desensitisation and Reprocessing (EMDR) can be used without regard to these limits. The aim of the study is to evaluate the effects of EMDR, Recent Traumatic Episode Protocol (R-TEP) provided within three months of the traumatic event to a large sample of individuals exposed to the earthquake that hit Emilia Romagna Region (Northern Italy) in 2012. This study is based on a retrospective review of medical records collected during the activities of psychological and psychosocial unit in the immediate aftermath of earthquake. In total, 529 participants completed the Impact of Event Scale Revised (IES-R) (pre e post treatment). In order to provide a comparison similar to a waitlist-like control group, a method of cohort analysis was applied. In addition, possible time dependent effect was tested. ET (early-treated sample, participants treated within one month after the earthquake) and LT (late-treated sample, participants treated after the first month from the earthquake) reported at post-treatment an improvement to a level below the IES-R cutoff (65.8% of the ET sample and 64.02% of the LT sample). Control group analogue and time-outcome correlation suggest that positive changes in symptoms were likely due to the treatment provided and not merely to the time lapse from the traumatic event. The results of this study suggest that EMDR is a viable treatment option in response to a disaster crisis and in reducing psychological distress of acutely traumatized individuals within the context of a natural disaster.     

Perceptions of and satisfaction with retirement: a comparison of six European union countries

The main aim of this study was to assess perceptions of and satisfaction with retirement among 1,686 recently retired people from 6 European Union countries. The authors compared their responses to a set of questions taken from the Retirement Satisfaction Inventory (F. J. Floyd et al., 1992). The first significant result was that Belgian, British, Finnish, French, and Spanish retirees all expressed very similar assessments of life satisfaction, whereas Portuguese retirees expressed a lower level of satisfaction. The 2nd result was that the major determinants of overall satisfaction in the 6 countries were (a) health and resources and (b) anticipated satisfaction. Finally, the data revealed that cultural background only accounted for a limited amount of variance in overall satisfaction with retirement.     

Psychopathic traits predict attitudes toward a juvenile capital murderer

The current study manipulated the presence/:absence of psychopathic traits and the ethnicity (Black/:White) of a juvenile capital murderer to examine their impact on layperson attitudes regarding what types of legal sanction were appropriate. Participants (N=360) reviewed a newspaper article concerning a death row inmate who was appealing his sentence primarily based on the fact that he committed the crime when he was 16 years of age. Compared to those in the control condition, those who read a scenario in which the defendant had been described at trial as exhibiting psychopathic traits (e.g. remorselessness, pathological lying) were significantly more likely to support a death sentence and less likely to believe he should receive any treatment in prison. Moreover, participant ratings of the extent to which they believed the defendant exhibited prototypically psychopathic traits (regardless of whether they were in the psychopathy or control condition) also significantly predicted these criterion measures. Ethnic status was relatively less influential, although participants were somewhat more punitive towards a Black defendant than a White defendant when considering the relevance of possible mitigating factors (e.g. history of sexual abuse).     

Timing of HIV Interventions on Reductions in Sexual Risk Among Adolescents

Examined the effectiveness of an HIV intervention program among 151 adolescents ages 13 to 24 years who were randomly assigned to (a) seven sessions of 1.5 hr each (10.5 hr); (b) three sessions of 3.5 hr each (10.5 hr); or (c) a no-intervention condition. Using cognitive-behavioral intervention strategies, social skills and HIV-related beliefs, perceptions, and norms were targeted in both the three- and seven-session, small-group intervention conditions. Regression analysis indicated that over 3 months, the number of unprotected risk acts and the number of sexual partners were lower in the seven-session condition compared to the other conditions. Factors mediating risk acts changed in a complex manner: For example, perceived vulnerability increased for those with initially lower vulnerability scores among youths in the seven-session condition compared to others. Self-approval of condom use was also higher for those with initially low scores in the seven-session compared to the three-session condition. Self-efficacy for risk avoidance and condom use was significantly higher in the three-session condition for those with initially low scores compared to other groups. On the role-play measure, those with higher baseline scores in the low-pressure situation improved significantly only in the three-session intervention; in the high-pressure situation, the participants reported significantly higher scores in the seven-session intervention, and those with higher scores improved the most. Results suggest the importance of multisession HIV intervention programs to be delivered with fidelity in community settings.     

Cognitive-Behavioral Self-Regulation of the Frequency, Duration, and Intensity of Anger

Within a self-regulation format, cognitive, behavioral, and (combined) cognitive-behavioral techniques were evaluated for effects on the frequency, duration, and intensity of anger. Twenty-seven subjects randomly assigned to three groups each received one of the three treatments after a baseline of self-monitoring and then completed another phase of self-monitoring. Results revealed a significant reduction in the frequency and duration of anger (but not anger intensity) under self-intervention, regardless of treatment type. These effects were preserved for a week following treatment. Thus, self-regulation may prevent incidents of anger and even cut short the persistence of anger, but once anger occurs, it tends to register about the same maximum intensity; this peak intensity is typically reached at the onset of the anger which then wanes at a decreasing rate over time. Further research is called for to determine the long-term durability of the treatment gains obtained and the generalizability of these findings in clinical populations.     

One-year prediction of cognitive decline following cognitive-stimulation from real-world data

Clinical evidence based on real-world data (RWD) is accumulating exponentially providing larger sample sizes available, which demand novel methods to deal with the enhanced heterogeneity of the data. Here, we used RWD to assess the prediction of cognitive decline in a large heterogeneous sample of participants being enrolled with cognitive stimulation, a phenomenon that is of great interest to clinicians but that is riddled with difficulties and limitations. More precisely, from a multitude of neuropsychological Training Materials (TMs), we asked whether was possible to accurately predict an individual's cognitive decline one year after being tested. In particular, we performed longitudinal modelling of the scores obtained from 215 different tests, grouped into 29 cognitive domains, a total of 124,610 instances from 7902 participants (40% male, 46% female, 14% not indicated), each performing an average of 16 tests. Employing a machine learning approach based on ROC analysis and cross-validation techniques to overcome overfitting, we show that different TMs belonging to several cognitive domains can accurately predict cognitive decline, while other domains perform poorly, suggesting that the ability to predict decline one year later is not specific to any particular domain, but is rather widely distributed across domains. Moreover, when addressing the same problem between individuals with a common diagnosed label, we found that some domains had more accurate classification for conditions such as Parkinson's disease and Down syndrome, whereas they are less accurate for Alzheimer's disease or multiple sclerosis. Future research should combine similar approaches to ours with standard neuropsychological measurements to enhance interpretability and the possibility of generalizing across different cohorts.     

Nonlinearity of healing: Healing narratives of Filipino therapists-in-training who self-identify as wounded healers

Due to the stigma therapists-in-training face within the field owing to their woundedness, and the dearth of psychological literature on the healing of wounded healers (WHs), this study examined the healing journeys of nine Filipino therapists-in-training who self-identify as WHs. Narrative Identity framework was utilized to analyse the healing narratives gathered from nine semi-structured interviews with therapists-in-training. Results focussed on the healing narratives and how these shaped the identity and development of these future practitioners. The healing narratives of therapists-in-training were generally composed of four chapters: (a) identifying the wounded-client identity and its wounds, (b) entering the counselling field brings the emergence of the healer-therapist identity, (c) nonlinearity of healing transforms into a fluid WH, and (d) continuing the healing journey. These never-ending and nonlinear journeys shaped how therapists-in-training perceived and constructed or deconstructed their identification, with their dual identities influencing their practice. Additionally, their healing journeys contributed to their development as therapists who continue to heal from their woundedness. This study contributes to the literature regarding therapists-in-training who self-identify as WHs through the emphasised healing process. Moreover, this study may both lessen the stigma surrounding therapists-in-training's woundedness and help colleagues, educators, mentors and supervisors within the counselling field to better help trainees through the creation of open spaces, classes and training programmes that may help in enhancing their well-being and utilising their woundedness to increase, rather than impair, their therapeutic ability.     

Tactile spatial acuity differs between fingers: a study comparing two testing paradigms

Tactile spatial acuity (TSA) is a reliable and reproducible measure of somatosensory system function that has been used to study abroad range of subject populations. Although TSA is most often assessed at the fingertip, published studies employing identical stimuli disagree on whether TSA differs between the fingers of neurologically normal subjects. Using a validated grating orientation discrimination task, we determined TSA bilaterally at the index and ring fingers of 16 healthy young adults. Motivated by earlier work, we utilized two stimulus presentation paradigms, the method of constant stimuli (MCS) and a staircase (SC) method. We found that TSA was significantly higher (the discrimination threshold was lower) at the index than at the ring finger, which was consistent with a prior study. Although mean thresholds at both fingers were higher when measured with the SC than with the MCS paradigm, this difference did not reach statistical significance (p = .14). These findings should facilitate both design and interpretation of future studies investigating TSA.