Use of empirically supported interventions for psychopathology: Can the participatory approach move us beyond the research-to-practice gap?

Dissemination, or distribution, of empirically supported interventions (ESIs) for psychopathology remains a significant challenge. This paper reviews the principles of community-partnership research (CPR) and explores why CPR might improve distribution of psychological ESIs. Benefits of CPR include building trust, pooling resources and knowledge, and better serving a community by directly involving its members in the design and implementation of research. In addition, after establishing a community's trust using CPR, researchers are likely to be better positioned to partner with communities in the further distribution of ESIs via community networks. This paper reviews the case of dissonance-based eating disorder prevention interventions to provide an example of how CPR can facilitate the adoption and distribution of an ESI by a community, in this case, sororities. CPR also presents a number of challenges, however, because it is time consuming and does not always align with funding mechanisms and research designs used in randomized controlled trials. Further, CPR does not necessarily solve the challenge of training providers, though it may help with problem solving. Ultimately, we suggest that the benefits of CPR far outweigh the challenges, and hope that more researchers will adopt these practices so that more individuals can benefit from empirically supported psychological interventions.     

Providing Information to Parents of Children with Mental Health Problems: A Discrete Choice Conjoint Analysis of Professional Preferences

We used discrete choice conjoint analysis to model the ways 645 children’s mental health (CMH) professionals preferred to provide information to parents seeking CMH services. Participants completed 20 choice tasks presenting experimentally varied combinations of the study’s 14 4-level CMH information transfer attributes. Latent class analysis revealed three segments. Open Access professionals (32.2%) preferred that intake workers automatically provide all parents with CMH information. They preferred information prepared by professional organizations and located at accessible settings such as public schools. They responded favorably to the internet as a source of information for parents. Controlled Access professionals (22.2%) preferred information that was approved and recommended by a child’s therapist, prepared by an experienced clinician, and located at hospitals and CMH clinics. Process Sensitive professionals (45.6%) showed a stronger preference for active learning materials with parenting groups and therapist “coaching” calls supporting the knowledge transfer process. Simulations suggested that realizing the benefits of CMH information requires the development of knowledge transfer strategies that align the preferences of professionals with those of the families they serve.     

Attitudes Toward Women and Motherhood: Their Role in Australian Women’s Childbearing Behaviour

Financial and employment concerns are frequently identified as salient factors in women’s childbearing behaviour in low fertility, developed countries. The contribution of attitudinal variables is not well understood. The aim of this study was to investigate the relationship between attitudes toward women and motherhood and women’s childbearing desires and outcomes. A broadly representative sample of 569 women aged 30–34 years living in Victoria, one Australian state, was recruited from the Australian Electoral Roll. Participants completed a self administered anonymous questionnaire which included a new measure of attitudes toward women and motherhood. Women with more traditional attitudes had larger desired and actual family sizes. The findings indicate that attitudes toward women and motherhood are related to women’s childbearing behaviour.     

SEXUAL ASSAULT VICTIMS' ACKNOWLEDGMENT STATUS AND REVICTIMIZATION RISK

How a victim of rape characterizes her assault has potential implications for her postassault experiences and revictimization risk. Prior research has identified several potential benefits to not conceptualizing one's experience as a form of victimization. The current study sought to identify whether there are costs to not acknowledging rape as well, specifically whether unacknowledged victims are at elevated risk of revictimization. The revictimization risk behaviors of 334 acknowledged and unacknowledged female college rape victims were compared. Unacknowledged victims reported more hazardous alcohol use and were more likely to report that they continued a relationship with the assailant after the assault. A subsample of 105 victims completed a 6-month follow-up survey regarding sexual victimization during the follow-up period. Unacknowledged victims were nearly twice as likely to report having experienced an attempted rape during the 6-month follow-up period. Implications of the results for future work evaluating rape acknowledgment, rape recovery, and revictimization are discussed.     

The effect of mirrored environments on self-presentational efficacy and social anxiety in women in a step aerobics class

ObjectiveThe present study examined the influence of mirrors on self-presentational efficacy (SPE) and state social anxiety (SSA) in a group exercise class in female undergraduate students.MethodFifty-one female university students completed measures of SPE and SSA prior to and following a step aerobics class. Twenty-nine participants completed the class in front of a mirror, while 22 participants completed the class without a mirror.ResultsA repeated measures MANOVA indicated no differences in SPE or SSA based on the presence or absence of mirrors. Regardless of the presence or absence of a mirror, SPE increased and SSA decreased following exercise.ConclusionsThe results suggest that, for this population, completing an exercise session may be more important than the presence or absence of mirrors in influencing self-presentational concerns.     

Reevaluating split-fovea processing in word recognition: Hemispheric dominance, retinal location, and the word-nonword effect

Many studies have claimed that hemispheric projections are split precisely at the foveal midline and so hemispheric asymmetry affects word recognition right up to the point of fixation. To investigate this claim, four-letter words and nonwords were presented to the left or right of fixation, either close to fixation in foveal vision or farther from fixation in extrafoveal vision. Presentation accuracy was controlled using an eyetracker linked to a fixation-contingent display. Words presented foveally produced identical performance on each side of fixation, but words presented extrafoveally showed a clear left-hemisphere (LH) advantage. Nonwords produced no evidence of hemispheric asymmetry in any location. Foveal stimuli also produced an identical word-nonword effect on each side of fixation, whereas extrafoveal stimuli produced a word-nonword effect only for LH (not right-hemisphere) displays. These findings indicate that functional unilateral projections to contralateral hemispheres exist in extrafoveal locations but provide no evidence of a functional division in hemispheric processing at fixation.     

Neurophysical substrates of arousal and attention

The study of arousal and attention could be of prominent importance for elucidating both fundamental and practical aspects of the mind–brain puzzle. Defined as “general activation of mind” (Kahnemann in Attention and effort. Prentice-Hall, New Jersey, 1973), or “general operation of consciousness” (Thacher and John in Functional neuroscience: foundations of cognitive processing. Erlbaum, Hillsdale, 1977), arousal can be considered as a starting point of fundamental research on consciousness. Similar role could be assigned to attention, which can be defined by substituting the attributes “general” with “focused”. Concerning the practical applications, the empirically established correlation between neuronal oscillations and arousal/attention levels is widely used in research and clinics, including neurofeedback, brain–computer communication, etc. However, the neurophysical mechanism underlying this correlation is still not clear enough. In this paper, after reviewing some present classical and quantum approaches, a transition probability concept of arousal based on field–dipole quantum interactions and information entropy is elaborated. The obtained analytical expressions and numerical values correspond to classical empirical results for arousal and attention, including the characteristic frequency dependence and intervals. Simultaneously, the fundamental (substrate) role of EEG spectrum has been enlightened, whereby the attention appears to be a bridge between arousal and the content of consciousness. Finally, some clinical implications, including the brain-rate parameter as an indicator of arousal and attention levels, are provided.     

Parental Experiences of Having a Child with Obsessive-Compulsive Disorder: Associations with Clinical Characteristics and Caregiver Adjustment

We examined parental experience of having a child with obsessive-compulsive disorder (OCD) in 62 parent–child dyads. Youth with a primary diagnosis of OCD and their parent(s) were administered the CY-BOCS jointly by a trained clinician. Parents completed several measures about their child’s OCD-related impairment and accommodation, emotional and behavioral functioning, parental distress, caregiver stress, and parental experiences of having a child with OCD. Results indicated that parents of children with OCD are considerably distressed about their child’s condition. As expected, negative parental experiences (e.g., anxiety about child’s condition, uncertainty about their future) were directly related to OCD symptom severity and impairment, as well as child internalizing and externalizing problems, family accommodation of symptoms, and caregiver strain. The presence of emotional resources was negatively related to most outcomes, although some of these relationships did not achieve statistical significance. The presence of internalizing symptoms mediated the relationship between parental experiences and parental distress. Given these findings, addressing parental experiences as part of a family based cognitive-behavioral treatment program for pediatric OCD may help reduce parental distress and improve patient prognosis.