Overcoming procrastination: one-year follow-up and predictors of change in a randomized controlled trial of Internet-based cognitive behavior therapy

Procrastination is a common self-regulatory failure that can have a negative impact on well-being and performance. However, few clinical trials have been conducted, and no follow-up has ever been performed. The current study therefore aimed to provide evidence for the long-term benefits and investigate predictors of a positive treatment outcome among patients receiving Internet-based cognitive behavior therapy (ICBT). A total of 150 self-recruited participants were randomized to guided or unguided ICBT. Self-report measures of procrastination, depression, anxiety, and quality of life were distributed at pre-treatment assessment, post-treatment assessment, and one-year follow-up. Mixed effects models were used to investigate the long-term gains, and multiple linear regression for predictors of a positive treatment outcome, using the change score on the Irrational Procrastination Scale as the dependent variable. Intention-to-treat was implemented for all statistical analyses. Large within-group effect sizes for guided and unguided ICBT, Cohen’s d = .97–1.64, were found for self-report measures of procrastination, together with d = .56–.66 for depression and anxiety. Gains were maintained, and, in some cases, improved at follow-up. Guided and unguided ICBT did not differ from each other, mean differences ?.31–1.17, 95% CIs [?2.59–3.22], and none of the predictors were associated with a better result, bs ?1.45–1.61, 95% CIs [?3.14–4.26]. In sum, ICBT could be useful and beneficial in relation to managing procrastination, yielding great benefits up to one year after the treatment period has ended, with comparable results between guided and unguided ICBT.     

Creating state of the art,next-generation Virtual Reality exposure therapies for anxiety disorders using consumer hardware platforms: design considerations and future directions

Decades of research and more than 20 randomized controlled trials show that Virtual Reality exposure therapy (VRET) is effective in reducing fear and anxiety. Unfortunately, few providers or patients have had access to the costly and technical equipment previously required. Recent technological advances in the form of consumer Virtual Reality (VR) systems (e.g. Oculus Rift and Samsung Gear), however, now make widespread use of VRET in clinical settings and as self-help applications possible. In this literature review, we detail the current state of VR technology and discuss important therapeutic considerations in designing self-help and clinician-led VRETs, such as platform choice, exposure progression design, inhibitory learning strategies, stimuli tailoring, gamification, virtual social learning and more. We illustrate how these therapeutic components can be incorporated and utilized in VRET applications, taking full advantage of the unique capabilities of virtual environments, and showcase some of these features by describing the development of a consumer-ready, gamified self-help VRET application for low-cost commercially available VR hardware. We also raise and discuss challenges in the planning, development, evaluation, and dissemination of VRET applications, including the need for more high-quality research. We conclude by discussing how new technology (e.g. eye-tracking) can be incorporated into future VRETs and how widespread use of VRET self-help applications will enable collection of naturalistic “Big Data” that promises to inform learning theory and behavioral therapy in general.     

Probability,Approximate Truth,and Truthlikeness: More Ways out of the Preface Paradox

The so-called Preface Paradox seems to show that one can rationally believe two logically incompatible propositions. We address this puzzle, relying on the notions of truthlikeness and approximate truth as studied within the post-Popperian research programme on verisimilitude. In particular, we show that adequately combining probability, approximate truth, and truthlikeness leads to an explanation of how rational belief is possible in the face of the Preface Paradox. We argue that our account is superior to other solutions of the paradox, including a recent one advanced by Hannes Leitgeb (Analysis 74.1).     

Promiscuous or Confident? Attitudinal Ambivalence Toward Condom Purchase1

This research examined attitudes toward condom purchase. Recent evidence is mixed. While some studies show attitudes have become more positive, other studies suggest that negative attitudes still dominate. Our own research examined the possibility that such attitudes may be ambivalent, meaning that the same individuals may simultaneously hold both positive and negative beliefs about condom purchase. The results confirmed this prediction. Study 1 showed that condom purchase evoked a combination of both negative beliefs about lifestyles and positive beliefs concerning the personal confidence of the consumer. These beliefs had competing effects on more global attitudes toward condom purchase. Specific beliefs about condoms were shown to provide the best indication of. whether participants actually used condoms. Study 2 employed standard measures of attitudinal ambivalence. The results conceptually replicated the finding that ambivalence was greater for those who purchased condoms compared to controls.     

Answer Sets and Qualitative Decision Making

Logic programs under answer set semantics have become popular as a knowledge representation formalism in Artificial Intelligence. In this paper we investigate the possibility of using answer sets for qualitative decision making. Our approach is based on an extension of the formalism, called logic programs with ordered disjunction (LPODs). These programs contain a new connective called ordered disjunction. The new connective allows us to represent alternative, ranked options for problem solutions in the heads of rules: A × B intuitively means: if possible A, but if A is not possible then at least B. The semantics of logic programs with ordered disjunction is based on a preference relation on answer sets. We show that LPODs can serve as a basis for qualitative decision making.     

Attitudes towards complementary and alternative medicine among medical and psychology students

The use of complementary and alternative medicine (CAM) is increasing in Europe as well as in the USA, but CAM courses are infrequently integrated into medical curricula. In Europe, but also especially in the USA and in Canada, the attitudes of medical students and health science professionals in various disciplines towards CAM have been the subject of investigation. Most studies report positive attitudes. The main aim of this study was to compare the attitudes towards CAM of medical and psychology students in Germany. An additional set of questions concerned how CAM utilisation and emotional and physical condition affect CAM-related attitudes. Two hundred thirty-three medical students and 55 psychology students were questioned concerning their attitudes towards CAM using the Questionnaire on Attitudes Towards Complementary Medical Treatment (QACAM). Both medical students and psychology students were sceptical about the diagnostic and the therapeutic proficiency of doctors and practitioners of CAM. Students' attitudes towards CAM correlated neither with their experiences as CAM patients nor with their emotional and physical condition. It can be assumed that German medical and psychology students will be reluctant to use or recommend CAM in their professional careers. Further studies should examine more closely the correlation between attitudes towards CAM and the students' worldview as well as their existing knowledge of the effectiveness of CAM.