Preferences for Online Mental Health Services Among Australian and Indian Samples: A Cross-Cultural Comparison

Online mental health services provide a point-of-access to mental healthcare that may otherwise be unavailable or limited, particularly in developing countries. Nevertheless, there is a lack of research into individual differences between those who prefer online mental health services and those who prefer traditional in-person services, and whether these differences vary as a function of culture. This study investigated differences in preferences for online or in-person mental health services on e-health literacy, age, education level, and comfort using the internet in a general community sample recruited from Australia and India. A total of 487 participants (31.6% male; mean age?=?33.55, SD?=?12.20, range 18–78), 297 Australians and 190 Indians, completed an online or paper-and-pencil survey. A significant negative relationship between age and e-health literacy was found with younger ages associated with higher e-health literacy. Furthermore, e-health literacy scores were significantly higher for the Australian sample. Age, e-health literacy, country-of-residence, education level, and comfort in using the internet did not predict mental health service preference. The results suggest that preference for in-person or online mental healthcare is independent of demographic and cultural factors and indicate that online mental health services may be acceptable to Indian health service consumers.     

Marriage Counsellors’ Reflections on the Counselling Process in Family Courts in India

Family courts in India were established to facilitate speedy redressal of family disputes, particularly matrimonial issues. Marriage counsellors facilitated dispute resolution based on alternative dispute resolution practices. Counselling was mandated for all couples approaching family courts due to marital discord. At present, there is a lack of literature on the process of counselling followed by marriage counsellors in the family courts. The present study used an exploratory research design to understand marriage counsellors’ perspectives on the process of counselling in family courts. Fifty-six marriage counsellors completed open-ended questionnaires on counselling assessment, goals, interventions and the influence of the presence of children on the couple counselling process. Thematic text analysis of the responses revealed a range of areas that counsellors explored, individual and relational goals that they focused on, as well as the interventions used by marriage counsellors in their work with couples. Findings suggested that there was a lack of uniformity in the counselling approaches used by marriage counsellors. Additionally, marriage counsellors reported not being equipped to address some intrapersonal and interpersonal concerns that emerged in the counselling process, despite identifying them. Based on the findings, the paper recommends the need for a unifying framework for training and practice for marriage counsellors working with couples in family courts to conceptualise couples’ concerns as well as guide their goals and interventions. The paper underscores the need for acknowledging sociocultural influences, reflective practice and client feedback in the process of counselling.     

Does Rumination Mediate the Association of Private Prayer,Stress, and Their Interaction with Depression among Christians? A Cross-Sectional Study

Mechanisms underlying significant associations between different types of prayer and depression are unknown. Based on the conceptualization of prayer as stress buffering coping style and the Response Style Theory, we proposed that rumination mediates the association of prayer types and stress with depression. This cross-sectional study (N?=?227 Christians, M_age 41.74, SD 14.82, age range 18–82 years, 76% female) used path modeling to test whether rumination mediated the associations between prayer types and prayer types by stress interactions with depression. Rumination fully mediated the associations of the colloquial and ritual prayer by stress interactions with depressive symptoms, while meditative and petitionary prayer was directly associated with depressive symptoms. Further, petitionary prayer and the ritual prayer by stress interaction were associated with more and not with less rumination and depressive symptoms, respectively. Summarized, first empirical evidence supports an integration of prayer, stress, and rumination into one model of depression. However, the exact nature of their interplay depends on the prayer type. If replicated, our findings allow the integration of prayer into cognitive-behavioral treatment of depression in religious and spiritual clients.     

Emotion Regulation and the Specific Associations with Health Anxiety

This study investigated two primary research aims surrounding health anxiety: (a) to examine what differences exist in emotion regulation strategies of health anxious and non-health anxious populations and (b) to investigate what emotion regulation strategies predict health anxiety, before and after controlling for trait cognitive and somatic anxiety. A total of 95 participants of the general population completed a series of online questionnaires. A single factor between groups MANOVA revealed that a health anxious group scored significantly higher in several emotion regulation strategies: distraction, external attribution, emotion expression and acting out; anxiety-related variables: trait cognitive and somatic anxiety; and beliefs about the negative consequences of becoming ill. Hierarchical regressions showed that several emotion regulation strategies were significantly associated with higher levels of health anxiety, before: distraction, external attribution, capitalising, positive reappraisal and emotional expression; and after: external attribution and capitalising, the control of trait anxiety. Overall, the results demonstrated that (a) emotional intelligence and behavioural attempts to understand emotional experiences may be associated with specific health anxiety symptomology, while a lack of effective cognitive strategies and worry may be responsible for the associated trait anxiety dimensions.     

Confidence in masked orientation judgments is informed by both evidence and visibility

How do human observers determine their degree of belief that they are correct in a decision about a visual stimulus—that is, their confidence? According to prominent theories of confidence, the quality of stimulation should be positively related to confidence in correct decisions, and negatively to confidence in incorrect decisions. However, in a backward-masked orientation task with a varying stimulus onset asynchrony (SOA), we observed that confidence in incorrect decisions also increased with stimulus quality. Model fitting to our decision and confidence data revealed that the best explanation for the present data was the new weighted evidence-and-visibility model, according to which confidence is determined by evidence about the orientation as well as by the general visibility of the stimulus. Signal detection models, postdecisional accumulation models, two-channel models, and decision-time-based models were all unable to explain the pattern of confidence as a function of SOA and decision correctness. We suggest that the metacognitive system combines several cues related to the correctness of a decision about a visual stimulus in order to calculate decision confidence.     

Spatiotemporal competition and task-relevance shape the spatial distribution of emotional interference during rapid visual processing: Evidence from gaze-contingent eye-tracking

People’s ability to perceive rapidly presented targets can be disrupted both by voluntary encoding of a preceding target and by spontaneous attention to salient distractors. Distinctions between these sources of interference can be found when people search for a target in multiple rapid streams instead of a single stream: voluntary encoding of a preceding target often elicits subsequent perceptual lapses across the visual field, whereas spontaneous attention to emotionally salient distractors appears to elicit a spatially localized lapse, giving rise to a theoretical account suggesting that emotional distractors and subsequent targets compete spatiotemporally during rapid serial visual processing. We used gaze-contingent eye-tracking to probe the roles of spatiotemporal competition and memory encoding on the spatial distribution of interference caused by emotional distractors, while also ruling out the role of eye-gaze in driving differences in spatial distribution. Spontaneous target perception impairments caused by emotional distractors were localized to the distractor location regardless of where participants fixated. But when emotional distractors were task-relevant, perceptual lapses occurred across both streams while remaining strongest at the distractor location. These results suggest that spatiotemporal competition and memory encoding reflect a dual-route impact of emotional stimuli on target perception during rapid visual processing.     

Discrimination threshold for haptic volume perception of fingers and phalanges

Humans exhibit a remarkable ability to discriminate variations in object volume based on natural haptic perception. The discrimination thresholds for the haptic volume perception of the whole hand are well known, but the discrimination thresholds for haptic volume perception of fingers and phalanges are still unknown. In the present study, two psychophysical experiments were performed to investigate haptic volume perception in various fingers and phalanges. The configurations of both experiments were completely dependent on haptic volume perception from the fingers and phalanges. The participants were asked to blindly discriminate the volume variation of regular solid objects in a random order by using the distal phalanx, medial phalanx, and proximal phalanx of their index finger, middle finger, ring finger, and little finger. The discrimination threshold of haptic volume perception gradually decreases from the little finger to the index finger as well as from the proximal phalanx to the distal phalanx. Overall, both the shape of the target and the part of the finger in contact with the target significantly influence the precision of haptic perception of volume. This substantial data set provides detailed and compelling perspectives on the haptic system, including for discrimination of the spatial size of objects and for performing more general perceptual processes.     

Predictive visual search: Role of environmental regularities in the learning of context cues

Repeatedly searching through invariant spatial arrangements in visual search displays leads to the buildup of memory about these displays (contextual-cueing effect). In the present study, we investigate (1) whether contextual cueing is influenced by global statistical properties of the task and, if so, (2) whether these properties increase the overall strength (asymptotic level) or the temporal development (speed) of learning. Experiment 1a served as baseline against which we tested the effects of increased or decreased proportions of repeated relative to nonrepeated displays (Experiments 1b and 1c, respectively), thus manipulating the global statistical properties of search environments. Importantly, probability variations were achieved by manipulating the number of nonrepeated (baseline) displays so as to equate the total number of repeated displays across experiments. In Experiment 1d, repeated and nonrepeated displays were presented in longer streaks of trials, thus establishing a stable environment of sequences of repeated displays. Our results showed that the buildup of contextual cueing was expedited in the statistically rich Experiments 1b and 1d, relative to the baseline Experiment 1a. Further, contextual cueing was entirely absent when repeated displays occurred in the minority of trials (Experiment 1c). Together, these findings suggest that contextual cueing is modulated by observers’ assumptions about the reliability of search environments.     

Learning efficient visual search for stimuli containing diagnostic spatial configurations and color-shape conjunctions

Visual search is often slow and difficult for complex stimuli such as feature conjunctions. Search efficiency, however, can improve with training. Search for stimuli that can be identified by the spatial configuration of two elements (e.g., the relative position of two colored shapes) improves dramatically within a few hundred trials of practice. Several recent imaging studies have identified neural correlates of this learning, but it remains unclear what stimulus properties participants learn to use to search efficiently. Influential models, such as reverse hierarchy theory, propose two major possibilities: learning to use information contained in low-level image statistics (e.g., single features at particular retinotopic locations) or in high-level characteristics (e.g., feature conjunctions) of the task-relevant stimuli. In a series of experiments, we tested these two hypotheses, which make different predictions about the effect of various stimulus manipulations after training. We find relatively small effects of manipulating low-level properties of the stimuli (e.g., changing their retinotopic location) and some conjunctive properties (e.g., color-position), whereas the effects of manipulating other conjunctive properties (e.g., color-shape) are larger. Overall, the findings suggest conjunction learning involving such stimuli might be an emergent phenomenon that reflects multiple different learning processes, each of which capitalizes on different types of information contained in the stimuli. We also show that both targets and distractors are learned, and that reversing learned target and distractor identities impairs performance. This suggests that participants do not merely learn to discriminate target and distractor stimuli, they also learn stimulus identity mappings that contribute to performance improvements.