The effectiveness of enhanced cognitive behavioural therapy for eating disorders: an open trial

The aim of this study was to examine the effectiveness of Enhanced Cognitive Behaviour Therapy (CBT-E) for eating disorders in an open trial for adults with the full range of eating disorders found in the community. The only previously published trial of CBT-E for eating disorders was a randomised controlled trial (RCT) conducted in the U.K. for patients with a BMI ≥ 17.5. The current study represents the first published trial of CBT-E to include patients with a BMI < 17.5. The study involved 125 patients referred to a public outpatient clinic in Perth, Western Australia. Patients attended, on average, 20–40 individual sessions with a clinical psychologist. Of those who entered the trial, 53% completed treatment. Longer waiting time for treatment was significantly associated with drop out. By the end of treatment full remission (cessation of all key eating disorder behaviours, BMI ≥ 18.5 kg/m², not meeting DSM-IV criteria for an eating disorder) or partial remission (meeting at least 2 these criteria) was achieved by two thirds of the patients who completed treatment and 40% of the total sample. The results compared favourably to those reported in the previous RCT of CBT-E, with one exception being the higher drop-out rate in the current study. Overall, the findings indicated that CBT-E results in significant improvements, in both eating and more general psychopathology, in patients with all eating disorders attending an outpatient clinic.     

Studying Ideological Groups Online: Identification and Assessment of Risk Factors for Violence

Recent acts of violence have demonstrated the impact of violent ideological groups worldwide. However, the systematic study of these groups is somewhat limited. The Internet is a valuable tool for investigating ideological group behavior because it is easily accessible and commonly used by these groups. This study attempted to extend previous research by examining online message boards to assess processes particular to ideological group membership. A content analysis was conducted on several group process variables using 29 groups with message boards. A Kruskal‐Wallis test with follow‐up pairwise comparisons was used to find that violent ideological groups differed from nonviolent ideological and nonviolent nonideological groups on 7 group process variables and 3 content variables. Implications are discussed.     

“If only” counterfactual thoughts about exceptional actions

People create counterfactual alternatives that change an exceptional action to be like a usual one (e.g., “if he had placed his usual small bet he would have lost less”), as shown in Experiment 1. Experiments 2 and 3 eliminated and reversed this well-known effect: An exceptional action is instead changed to an exceptional alternative when it leads to a better outcome. Experiments 4 and 5 show that the reversal occurs whether or not the exceptional alternative is a justified action. The results indicate that the tendency to change an exceptional action to be like a usual one is guided by the optimality of the counterfactual outcome more than the exceptionality or justifiability of the action. The implications for theories of the counterfactual imagination are discussed.     

The consistency of disjunctive assertions

In two experiments, we established a new phenomenon in reasoning from disjunctions of the grammatical form either A or else B, where A and B are clauses. When individuals have to assess whether pairs of assertions can be true at the same time, they tend to focus on the truth of each clause of an exclusive disjunction (and ignore the concurrent falsity of the other clause). Hence, they succumb to illusions of consistency and of inconsistency with pairs consisting of a disjunction and a conjunction (Experiment 1), and with simpler problems consisting of pairs of disjunctions, such as eIther there is a pie or else there is a cake and Either there isn't a pie or else there is a cake (Experiment 2), that appear to be consistent with one another, but in fact are not. These results corroborate the theory that reasoning depends on envisaging models of possibilities.     

Sustained Effects of Incredible Years as a Preventive Intervention in Preschool Children with Conduct Problems

The present study evaluated preventive effects of the Incredible Years program for parents of preschool children who were at risk for a chronic pattern of conduct problems, in the Netherlands. In a matched control design, 72 parents of children with conduct problems received the Incredible Years program. These families (intervention group) were compared with 72 families who received care as usual (control group). Two years after termination of the intervention, it appeared that observed and selfrated parenting skills were significantly improved in the intervention group. Likewise, in this group, observed child conduct problems showed sustained intervention effects. The decrease in observed critical parenting mediated the decrease in observed child conduct problems over time. In addition, it appeared that parental influence increased over time.     

Inferences from counterfactual threats and promises

We examine how people understand and reason from counterfactual threats, for example, "if you had hit your sister, I would have grounded you" and counterfactual promises, for example, "if you had tidied your room, I would have given you ice-cream." The first experiment shows that people consider counterfactual threats, but not counterfactual promises, to have the illocutionary force of an inducement. They also make the immediate inference that the action mentioned in the "if" part of the counterfactual threat and promise did not occur. The second experiment shows that people make more negative inferences (modus tollens and denial of the antecedent) than affirmative inferences (modus ponens and affirmation of the consequent) from counterfactual threats and promises, unlike indicative threats and promises. We discuss the implications of the results for theories of the mental representations and cognitive processes that underlie conditional inducements.     

The Role of Beliefs in Mother-Adolescent Conflict: An Application of the Theory of Planned Behavior

This mixed method study applies components of the theory of planned behavior (Ajzen and Fishbein 1980) to mother-adolescent conflict. We examine if three kinds of beliefs—behavioral, control, and normative—predict patterns of family conflict. Forty mother-adolescent dyads completed an open-ended interview, self-report measures of conflict, and an observational measure of family interaction. Hierarchical multiple regressions revealed that mothers’ and adolescents’ beliefs about the costs and benefits of conflict significantly predicted how they interacted and perceived conflict within dyads. Sex differences and differences between mothers and adolescents were identified. This work contributes to our understanding of the role of both general and specific beliefs in family conflict.     

Does enhanced cognitive behaviour therapy for eating disorders improve quality of life?

Quality of life (QOL) is the degree of enjoyment and satisfaction experienced in life, and embraces emotional well-being, physical health, economic and living circumstances, and work satisfaction. QOL recovery with eating disorder treatment has received sparse attention, and until now, no study has investigated QOL recovery with enhanced cognitive behaviour therapy (CBT-E). Patients (n?=?196) admitted to a specialist eating disorders outpatient programme and receiving CBT-E completed measures of QOL, eating disorder psychopathology, depression, anxiety and self-esteem, before and after treatment. QOL at intake was compared with community norms, and QOL below the norm was predicted from sociodemographic and clinical correlates with logistic regression. Baseline QOL below the norm was associated with depression and anxiety Axis I comorbidity, and severity of depressive symptoms. Predictors of post-treatment QOL were baseline QOL and level of depressive symptoms and self-esteem at post-treatment. CBT-E was associated with gains in QOL over the course of treatment, in addition to eating disorder symptom relief. Copyright ? 2012 John Wiley & Sons, Ltd and Eating Disorders Association.     

Personality,Luck Beliefs,and (Non-?) Problem Lottery Gambling

This study offers both the first systematic investigation of the relationship between the five-factor personality model and general (ostensibly non-problem) lottery gambling, and the first application of Thompson and Prendergast’s (2013) bidimensional model of luck beliefs to gambling behavior. Cross-sectional analyses (N = 844) indicate the bidimensional model of luck beliefs significantly accounts for variance in lottery gambling that is discrete from and greater than that of the five-factor personality model. Moreover, the broad pattern of relationships we find between presumably harmless state-sponsored lottery gambling and both personality and luck beliefs tend to parallel those found in studies of problem gambling, suggesting implications for quality of life and public policy in relation to lottery gambling.