Challenges using motivational interviewing as an adjunct to exposure therapy for obsessive-compulsive disorder

Exposure and response prevention (EX/RP) is an efficacious treatment for obsessive-compulsive disorder (OCD). However, patients often do not adhere fully to EX/RP procedures. Motivational interviewing (MI) has been shown to improve treatment adherence in other disorders. This pilot study used a randomized controlled design to examine whether MI can be successfully added to EX/RP and whether this intervention (EX/RP + MI) could improve patient adherence to between-session EX/RP procedures relative to EX/RP alone. Thirty adults with OCD were randomized to 18 sessions of EX/RP or EX/RP + MI. Therapists rated patient adherence at each exposure session. Independent evaluators assessed change in OCD and depressive symptoms, and patients completed self-report measures of readiness for change and quality of life. The two treatment conditions differed in degree of congruence with MI but not in conduct of EX/RP procedures. Both groups experienced clinically significant improvement in OCD symptoms, without significant group differences in patient adherence. There are several possible reasons why EX/RP + MI had no effect on patient adherence compared to standard EX/RP, each of which has important implications for the design of future MI studies in OCD. We recommend that MI be further evaluated in OCD by exploring alternative modes of delivery and by focusing on patients less ready for change than the current sample.     

Are True Scores and Construct Scores the Same? A critical examination of their substitutability and the implications for research results

Relations between constructs are estimated based on correlations between measures of constructs corrected for measurement error. This process assumes that the true scores on the measure are linearly related to construct scores, an assumption that may not hold. We examined the extent to which differences in distribution shape reduce the correlation between true scores on a measure and scores on the underlying construct they are intended to measure. We found, via a series of Monte Carlo simulations, that when the actual construct distribution is normal, nonnormal distributions of true scores caused this correlation to drop by an average of only .02 across 15 conditions. When both construct and true score distributions assumed different combinations of nonnormal distributions, the average correlation was reduced by .05 across 375 conditions. We conclude that theory‐based scales intended to measure constructs usually correlate highly with the constructs they are constructed to measure. We show that, as a result, in most cases true score correlations only modestly underestimate correlations between different constructs. However, in cases in which the two constructs are redundant, this underestimation can lead to the false conclusion that the constructs are ‘correlated but distinct constructs,’ resulting in construct proliferation.     

Musical Probabilities,Abductive Reasoning,and Brain Mechanisms: Extended Perspective of A Priori Listening to Music Within the Creative Cognition Approach

A theory of listening to music is proposed. It suggests that, for listeners, the process of prediction is the starting point to experiencing music. This implies that perception of music starts through both a predisposed and an experience-based extrapolation into the future (this is labeled a priori listening). Indications for this proposal are discussed and defined using perspectives from the cognitive sciences, neuroscience, philosophy, and experimental psychology. Of most importance in this theory is that listening to music constantly interacts with the creative processes.     

A Test of the Adams-Creamer Decay Hypothesis for the Timing of Motor Responses

The Adams-Creamer hypothesis states that S uses the decay of proprioceptive feedback from an early portion of a movement to cue a timed response at some later time. This hypothesis was tested by creating passive left-arm movement in one group and withholding it from another, and having Ss make a right-hand response when exactly 2.0 sec. had elapsed since the end of the movement Ss with left-arm feedback had less absolute and algebraic error, and greater within-S consistency than did the no-movement control Ss and, when KR was withdrawn, Ss with left-arm movement regressed less than did Ss without the left-arm movement, which provided 2 lines of support for the decay hypothesis.     

The Force/Force-Variability Relationship Under Controlled Temporal Conditions

Previously, an inverted U relationship between force and force variability was demonstrated in both static and dynamic responses. Recent research suggests that the inverted U function may be due to a lack of control of the temporal aspects of the response. To investigate this hypothesis, we examined the relationship between force and force variability in rapid movements under controlled temporal conditions. Subjects (N = 4) made rapid reversal responses with a horizontal lever (using elbow flexion and extension) such that the time to reversal (160 ms) and the distance to reversal (45°) were held constant in each of six load conditions (either 0, .260, .520, .780,1.040, or 1.560 kg added to the lever). When time to reversal and time to peak acceleration were held constant, a curvilinear relationship between force and force variability resulted, suggesting that the inverted U function is related to control of the temporal aspects of the response.     

Still cautious: Personality characteristics of extremely low birth weight adults in their early 30s

Extremely low birth weight survivors (ELBW; <1000 g) display a personality style characterized by cautiousness, shyness, and risk aversion in their 20s. We examined whether non-impaired ELBW survivors were still more cautious than their normal birth weight (NBW) peers at ages 30–35 and assessed the stability of this personality characteristic across approximately a decade in the oldest known cohort of ELBW survivors. Of the 154 participants tested at ages 22–26, 111 (i.e., 72%) of them returned approximately 10 years later [i.e., 69% (49/71) ELBW and 75% (62/83) NBW], and once again they completed the Eysenck Personality Questionnaire-Revised (EPQ-R). We created the same theoretically and empirically derived composite measure of cautiousness at each visit by summing the EPQ-R psychoticism scale (reverse scored) and the EPQ-R lie scale. We found that ELBW adults reported higher cautiousness than their NBW counterparts at ages 30–35. We also found that levels of cautiousness remained stable over approximately 10 years in both groups. Our findings suggest that individuals born at ELBW were more cautious than NBW peers and that this personality characteristic remained stable into their early 30s. The present study appears to be the first empirical demonstration of personality stability among adult ELBW survivors.     

Repeated measurement of salivary cortisol within and across days among shy young adults

Temperamental shyness emerges early in childhood and remains relatively stable throughout development and has been associated with high and low levels of the stress hormone cortisol. Studies examining the relation between shyness and cortisol have been limited because they have traditionally collected only one measure of cortisol on a single day in the laboratory, restricting the reliability and diurnal profile of the measure in the participant’s everyday environment. We collected 15 saliva samples across three separate days (i.e., upon waking, +60 min post-waking, +8 h post-waking, +10 h post-waking, and bedtime) in a sample of healthy young adults selected for high and low shyness in order to characterize a portion of the diurnal cortisol rhythm. Overall, shy individuals demonstrated relatively lower cortisol across the day and across multiple mornings than non-shy adults. Higher self-reported social anxiety across multiple measures was also related to lower total cortisol levels across all participants. The present study replicates and extends our previous findings of low salivary cortisol measured in the laboratory in shy adults to repeated measurement in their everyday environments.     

Impulsive sensation seeking and gambling practice among a sample of online poker players: Comparison between non pathological,problem and pathological gamblers

The aims of this study are to assess impulsive sensation seeking among online poker players and to study the links between impulsive sensation seeking and gambling practice.     

Methods for second order meta-analysis and illustrative applications

This paper presents methods for second order meta-analysis along with several illustrative applications. A second order meta-analysis is a meta-analysis of a number of statistically independent and methodologically comparable first order meta-analyses examining ostensibly the same relationship in different contexts. First order meta-analysis greatly reduces sampling error variance but does not eliminate it. The residual sampling error is called second order sampling error. The purpose of a second order meta-analysis is to estimate the proportion of the variance in mean meta-analytic effect sizes across multiple first order meta-analyses attributable to second order sampling error and to use this information to improve accuracy of estimation for each first order meta-analytic estimate. We present equations and methods based on the random effects model for second order meta-analysis for three situations and three empirical applications of second order meta-analysis to illustrate the potential value of these methods to the pursuit of cumulative knowledge.