The Hong Kong version of the Oxford Cognitive Screen (HK-OCS): validation study for Cantonese-speaking chronic stroke survivors

This study reports the validation of the Hong Kong version of Oxford Cognitive Screen (HK-OCS). Seventy Cantonese-speaking healthy individuals participated to establish normative data and 46 chronic stroke survivors were assessed using the HK-OCS, Albert’s Test of Visual Neglect, short test of gestural production, and Hong Kong version of the following assessments: Western Aphasia Battery, MMSE, MoCA, Modified Barthel Index, and Lawton Instrumental Activities of Daily Living scale. The validity of the HK-OCS was appraised by the difference between the two participant groups. Neurologically unimpaired individuals performed significantly better than stroke survivors on the HK-OCS. Positive and significant correlations found between cognitive subtests in the HK-OCS and related assessments indicated good concurrent validity. Excellent intra-rater and inter-rater reliabilities, fair test–retest reliability, and acceptable internal consistency suggested that the HK-OCS had good reliability. Specific HK-OCS subtests including semantics, episodic memory, number writing, and orientation were the best predictors of functional outcomes.     

Knowing Your Ability

In this article, we present an attempt to reconcile intellectualism and the anti‐intellectualist ability account of knowledge‐how by reducing “S knows how to F” to, roughly speaking, “S knows that she has the ability to F demonstrated by a concrete way w.” More precisely, “S has a certain ability” is further formalized as the proposition that S can guarantee a certain goal by a concrete way w of some method under some precondition. Having the knowledge of our own ability, we can plan our future actions accordingly, which would not be possible by merely having the ability without knowing it, and this pinpoints the crucial difference between knowledge‐how and ability. Our semi‐formal account avoids most of the objections to both intellectualism and the anti‐intellectualist ability account, and provides a multistage learning process of knowledge‐how, which reveals various subtleties.     

Does Parental Relational Aggression Interact with Parental Psychological Control in the Prediction of Youth Relational Aggression?

In a sample of 117 youth and their parents, the associations between parental relational aggression, psychological control, youth gender, and youth relational aggression were examined. Boys with parents high on relational aggression and psychological control reported more relational aggression than boys with parents high on relational aggression and low on psychological control. Girls with parents low on relational aggression and high on psychological control reported more relational aggression than girls with parents low on relational aggression and psychological control. Results indicate youth may learn to use relational aggression from their parents, and have implications for intervention with relationally aggressive youth.     

Examining and reexamining the structure of Chinese-English bilingual memory

The asymmetry model of bilingual memory proposed by Kroll and Stewart assumes that translation from a first language (L1) into a second language (L2), or forward translation, is mediated by an underlying conceptual memory, whereas L2-to-L1, or backward, translation is lexical and direct. Lexical links from L2 to L1 are hypothesized to be stronger than those from L1 to L2, but conceptual links are stronger for L1 than L2. These assumptions were evaluated in this study, which used stimulus items with similar recognition thresholds. Proficient Chinese-English bilinguals were tested on picture naming, word naming, word translation and category matching. The translation asymmetry effect predicted by the model (i.e., backward being faster than forward translation) was demonstrated; matching an L1 item to a category name was also faster than matching an L2 item. This pattern of results, nevertheless, did not completely hold after an adjustment procedure which sought to control for variations in response production and concept retrieval times due to stimulus types. The present findings are consistent with previous ones which show increased L2 conceptual processing for the proficient bilingual. They also suggest that an extended version of the asymmetry model should take into account possible biasing effects associated with some conventionally used bilingual tasks.     

ASSESSMENT AND TRAINING OF CLINICAL INTERVIEWING SKILLS: ANALOGUE ANALYSIS AND FIELD REPLICATION

Two studies were conducted to assess and train clinical interviewing skills. In Experiment 1, eight university practicum students (“therapists”) and either role played or volunteer “clients” were audiotaped during simulated interviews. Following the collection of baseline data on both therapist and client responses, training was provided by way of written materials, classroom instruction and practice, and quizzes. Results of a multiple baseline design across subjects showed improvements in therapists' interviewing skills and subsequent increases in client responding. Experiment 2 replicated and extended the research to a hospital outpatient clinic, in which therapists interviewed the parents of children with behavior problems. In addition, four months following the completion of Experiment 2, follow-up data collected during a maintenance condition showed continued high levels of therapist and client behavior. Finally, a panel of expert peers indicated that each response category was judged highly relevant to the behavioral assessment process.     

An investigation of detection biases in the unattended periphery during simulated driving

While people often think they veridically perceive much of the visual surround, recent findings indicate that when asked to detect targets such as gratings embedded in visual noise, observers make more false alarms in the unattended periphery. Do these results from psychophysics studies generalize to more ecologically valid settings? We used a modern game engine to create a simulated driving environment where participants (as drivers) had to make judgments about the colors of pedestrians’ clothing in the periphery. Confirming our hypothesis based on previous psychophysics studies, we found that subjects showed liberal biases for unattended locations when detecting specific colors of pedestrians’ clothing. A second experiment showed that this finding was not simply due to a confirmation bias in decision-making when subjects were uncertain. Together, these results support the idea that in everyday visual experience, there is subjective inflation of experienced detail in the periphery, which may happen at the decisional level.     

Predicting Compliance in Group CBT Using the Group Therapy Questionnaire

This study examined the clinical applicability of the Group Therapy Questionnaire (GTQ) for identifying individuals at risk of poor attendance in cognitive-behavioral therapy (CBT) groups for depression, anxiety, and obsessive-compulsive disorder (OCD). Participants (n = 80) completed the GTQ prior to their involvement in one of five types of CBT groups. Participants’ attendance was recorded by the group therapists. Findings revealed that patients’ expectations of group were associated with attendance. Level of interpersonal difficulty, health issues, and drug and alcohol use—as assessed by the GTQ—were not associated with attendance. A shorter version of the GTQ with questions tapping expectations of group participation would provide a valuable screening tool to aid clinicians in identifying clients at risk for low attendance.     

In the Face of Uncertainty: A Twin Study of Ambiguous Information,Anxiety and Depression in Children

Anxiety and depression share genetic influences, and have been associated with similar cognitive biases. Psychological theories of anxiety and depression highlight threat interpretations of ambiguity. Little is known about whether genes influence cognitive style, or its links to symptoms. We assessed ambiguous word and scenario interpretations, anxiety and depression symptoms in 300 8-year-old twin pairs. There were significant correlations between both negative interpretations of ambiguous words and scenarios and depression symptoms after controlling for anxiety symptoms (r = .13 and .31, respectively), but no significant correlations with anxiety independent of depression. Genetic effects ranged from 16% for depression to 30% for ambiguous word interpretations. Non-shared environmental influences were large (68–70%). Both genetic and environmental influences contributed to the association between depression and ambiguous scenario interpretations. These findings support psychological theories, which emphasise the role of environmental stress both on the development of threat interpretations and on their links with symptoms. The data also support a role for genetic influence on threat interpretations, which may mediate responses to stress.     

Incorporating family therapy into asthma group intervention: a randomized waitlist-controlled trial

Asthma psychoeducational programs have been found to be effective in terms of symptom-related outcome. They are mostly illness-focused, and pay minimal attention to systemic/familial factors. This study evaluated a novel asthma psychoeducation program that adopted a parallel group design and incorporated family therapy. A randomized waitlist-controlled crossover clinical trial design was adopted. Children with stable asthma and their parents were recruited from a pediatric chest clinic. Outcome measures included, for the patients: exhaled nitric oxide (eNO), spirometry, and adjustment to asthma; and for the parents: perceived efficacy in asthma management, Hospital Anxiety and Depression Scale anxiety subscale, Body Mind Spirit Well-being Inventory emotion subscale, and Short Form 12 health-related quality of life scale. Forty-six patients participated in the study. Attrition rates were 13.0% and 26.0% for the active and control groups, respectively. Repeated-measures ANOVA revealed a significant decrease in airway inflammation, as indicated by eNO levels, and an increase in patient's adjustment to asthma and parents' perceived efficacy in asthma management. Serial trend analysis revealed that most psychosocial measures continued to progress steadily after intervention. Significant improvements in both symptom-related measures and mental health and relationship measures were observed. The findings supported the value of incorporating family therapy into asthma psychoeducation programs.