Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome - A randomized controlled trial

The aim of this study was to investigate if cognitive behavior therapy (CBT) based on exposure and mindfulness exercises delivered via the Internet would be effective in treating participants with irritable bowel syndrome (IBS). Participants were recruited through self-referral. Eighty-six participants were included in the study and randomized to treatment or control condition (an online discussion forum). One participant was excluded after randomization. The main outcome measure was IBS-symptom severity and secondary measures included IBS-related quality of life, GI-specific anxiety, depression and general functioning. Participants were assessed at pre-treatment, post-treatment and 3 month follow-up (treatment condition only). Four participants (5% of total sample) in the treatment condition did not participate in post-treatment assessment. Participants in the treatment condition reported a 42% decrease and participants in the control group reported a 12% increase in primary IBS-symptoms. Compared to the control condition, participants in the treatment group improved on all secondary outcome measures with a large between group effect size on quality of life (Cohen’s d = 1.21). We conclude that CBT-based on exposure and mindfulness delivered via the Internet can be effective in treating IBS-patients, alleviating the total burden of symptoms and increasing quality of life.     

For whom is parting with possessions more painful? Cultural differences in the endowment effect

The endowment effect--the tendency for owners (potential sellers) to value objects more than potential buyers do--is among the most widely studied judgment and decision-making phenomena. However, the current research is the first to explore whether the effect varies across cultures. Given previously demonstrated cultural differences in self-construals and self-enhancement, we predicted a smaller endowment effect for East Asians compared with Westerners. Two studies involving buyers and sellers of a coffee mug (Study 1a) and a box of chocolates (Study 1b) supported this prediction. Study 2 conceptually replicated this cultural difference by experimentally manipulating independent and interdependent self-construals. Finally, Study 3 provided evidence for an underlying self-enhancement mechanism: Cultural differences emerged when self-object associations were made salient, but disappeared when self-object associations were minimized. Thus, the endowment effect may be influenced by the degree to which independence and self-enhancement (vs. interdependence and self-criticism) are culturally valued or normative.     

Assessing Mediational Models: Testing and Interval Estimation for Indirect Effects

Theoretical models specifying indirect or mediated effects are common in the social sciences. An indirect effect exists when an independent variable's influence on the dependent variable is mediated through an intervening variable. Classic approaches to assessing such mediational hypotheses (Baron &; Kenny, 1986 Baron, R. M. and Kenny, D. A. 1986. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations.. Journal of Personality and Social Psychology, 51: 1173–1182. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Sobel, 1982 Sobel, M. E. 1982. “Asymptotic confidence intervals for indirect effects in structural equation models.”. In Sociological methodology 1982 Edited by: Leinhardt, S. 290–312. San Francisco: Jossey-Bass. [Crossref] , [Google Scholar]) have in recent years been supplemented by computationally intensive methods such as bootstrapping, the distribution of the product methods, and hierarchical Bayesian Markov chain Monte Carlo (MCMC) methods. These different approaches for assessing mediation are illustrated using data from Dunn, Biesanz, Human, and Finn (2007). However, little is known about how these methods perform relative to each other, particularly in more challenging situations, such as with data that are incomplete and/or nonnormal. This article presents an extensive Monte Carlo simulation evaluating a host of approaches for assessing mediation. We examine Type I error rates, power, and coverage. We study normal and nonnormal data as well as complete and incomplete data. In addition, we adapt a method, recently proposed in statistical literature, that does not rely on confidence intervals (CIs) to test the null hypothesis of no indirect effect. The results suggest that the new inferential method—the partial posterior p value—slightly outperforms existing ones in terms of maintaining Type I error rates while maximizing power, especially with incomplete data. Among confidence interval approaches, the bias-corrected accelerated (BC _a ) bootstrapping approach often has inflated Type I error rates and inconsistent coverage and is not recommended; In contrast, the bootstrapped percentile confidence interval and the hierarchical Bayesian MCMC method perform best overall, maintaining Type I error rates, exhibiting reasonable power, and producing stable and accurate coverage rates.     

The social organization of sadism and masochism

Sadism and masochism, traditionally studied as an individual psychopathology, may be more fully understood as a sociological phenomenon. Sadomasochists have developed a subculture characterized by a set of norms, shared ideologies, and a common argot. Contacts among sadomasochists are made through magazine advertisements, participation in clubs and organizations, through exposure to this behavior in other deviant subcultures, and fortuitously.

Sadomasochistic organizations, while differing widely among themselves, serve similar functions for their members: (1) they facilitate sexual and social contacts; (2) they provide members with information about techniques, events, other organizations, films, and so forth; (3) they develop and communicate justifications and apologias enabling people to accept their feelings and behavior as normal; and (4) they enable people to segregate their sadomasochistic needs and behavior from other areas of their lives.     

When you name the pizza you look at the coin and the bread: Eye movements reveal semantic activation during word production

Two eyetracking experiments tested for activation of category coordinate and perceptually related concepts when speakers prepare the name of an object. Speakers saw four visual objects in a 2 3 2 array and identified and named a target picture on the basis of either category (e.g., “What is the name of the musical instrument?”) or visual-form (e.g., “What is the name of the circular object?”) instructions. There were more fixations on visualform competitors and category coordinate competitors than on unrelated objects during name preparation, but the increased overt attention did not affect naming latencies. The data demonstrate that eye movements are a sensitive measure of the overlap between the conceptual (including visual-form) information that is accessed in preparation for word production and the conceptual knowledge associated with visual objects. Furthermore, these results suggest that semantic activation of competitor concepts does not necessarily affect lexical selection, contrary to the predictions of lexical-selection-by-competition accounts (e.g., Levelt, Roelofs, &; Meyer, 1999).     

Ist psychodynamische Kurztherapie eine wirksame Behandlungsform bei psychischen Störungen?

To test the efficacy of short-term psychodynamic psychotherapy (STPP) in specific psychiatric disorders, a meta-analysis of more recent studies was performed. Its importance is grounded on the inconsistent results of previous meta-analyses regarding short-term psychodynamic psychotherapy (STPP) and the controversial discussion regarding the efficacy of psychodynamic therapy in general. In a computer-based search, studies of STPP published between 1970 and 2004 were identified. Studies of interpersonal therapy were excluded and rigorous inclusion criteria were applied. Seventeen studies fulfilled these criteria. Effect sizes were calculated for target problems, general psychiatric symptoms, and social functioning. In order to examine the stability of outcome, effect sizes were assessed separately for end of therapy and for follow-up assessment. The effect sizes of STPP were compared to those of waiting list control patients, treatments as usual, and of other forms of psychotherapy. STPP yielded significant and large pre-post effect sizes, which were not only stable, but tended to increase at follow-up. The effect sizes of STPP significantly exceeded those of waiting list and treatments as usual, but no differences were found between STPP and other forms of psychotherapy. STPP proved to be an effective treatment in different psychiatric disorders. However, further research of STPP in specific psychiatric disorders is needed, including a study of the active ingredients of STPP. Effectiveness studies should be included.     

The relationship between unstandardized and standardized alpha, true reliability, and the underlying measurement model

Popular computer programs print 2 versions of Cronbach's alpha: unstandardized alpha, α(Σ), based on the covariance matrix, and standardized alpha, α(R), based on the correlation matrix. Sources that accurately describe the theoretical distinction between the 2 coefficients are lacking, which can lead to the misconception that the differences between α(R) and α(Σ) are unimportant and to the temptation to report the larger coefficient. We explore the relationship between α(R) and α(Σ) and the reliability of the standardized and unstandardized composite under 3 popular measurement models; we clarify the theoretical meaning of each coefficient and conclude that researchers should choose an appropriate reliability coefficient based on theoretical considerations. We also illustrate that α(R) and α(Σ) estimate the reliability of different composite scores, and in most cases cannot be substituted for one another.     

The Analytic Principle and Attitude: Mobilizing Psychoanalytic Knowledge to Maximize Social Work Students' Practice Competence

Although psychoanalytic approaches have been marginalized in the foundations of contemporary clinical social work practice, there are core themes in various psychoanalytic theories that can be made accessible to maximize students’ practice competence. We elucidate the psychoanalytic principle of unconsciousness as well as the analytic attitude of inquisitive listening and its components. Using vignettes, we demonstrate how we teach this attitude in bachelor's in social work (BSW) and master's in social work (MSW) classrooms. This approach can help students begin to think and listen psychoanalytically. It offers them a way to better understand the person beyond the symptoms.