An Open Trial of Web-Based Mindfulness-Based Cognitive Therapy for Perinatal Women at Risk for Depressive Relapse

Depression occurring during pregnancy and postpartum (i.e., the perinatal period) is common and associated with adverse outcomes for women and their offspring. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce risk for depressive relapse among at-risk individuals generally, and recent adaptations document the efficacy of MBCT among perinatal women specifically. In addition, MBCT, when delivered using a web-based format (Mindful Mood Balance [MMB] program), has demonstrated acceptability and feasibility for at-risk individuals generally. The aim of the present open trial study was to examine the feasibility, acceptability, and preliminary outcomes of MMB for use with pregnant women at risk for depressive relapse (N = 37). We predicted that MMB would be feasible and acceptable as assessed by session completion and participation in phone coaching calls, home practice completion, and self-reported satisfaction via questionnaire and interview. We also predicted that women would not demonstrate significant worsening of depression symptom severity during MMB, consistent with our focus on prevention. A brief case example based on a composite of participants is presented to illustrate the MMB structure and content and the phone coaching protocol. Participants demonstrated engagement with the program, reported perceiving benefits in the intended depression prevention targets of MMB, and sustained minimal to mild depressive symptom severity over the course of the program. Given these promising results and the potential benefits of averting depression for women and their families, further development and rigorous testing of MMB among at-risk pregnant women is warranted.     

Memory for where, but not what, is used during visual search

Although the role of memory in visual search is debatable, most researchers agree with a limited-capacity model of memory in visual search. The authors demonstrate the role of memory by replicating previous findings showing that visual search is biased away from old items (previously examined items) and toward new items (nonexamined items). Furthermore, the authors examined the type of memory representations used to bias search by changing an item's individuating feature or location during search. Changing the individuating feature of an item did not disrupt normal search biases. However, when the location of an item changed, normal search biases were disrupted. These results suggest that memory used in visual search is based on items' locations rather than their identity.     

When does the daily hazard rate for committing suicide stabilize in psychiatric outpatients?

To ascertain whether the daily hazard risk rate for committing suicide by psychiatric outpatients stabilizes over time, a parametric survival analysis was calculated for the 6891 outpatients who were followed by Brown, Beck, Steer, and Grisham. Approximately 3 1/4 years after a patient's initial evaluation, the daily hazard rate leveled off and dropped below the hazard rate that would occur if a constant (exponential) daily hazard rate were assumed. The cost-effectiveness of conducting follow-up studies to identify suicidal risk factors in psychiatric outpatients beyond three years was questioned.     

When the heat is on: romantic partner responses influence distress in socially anxious women

This study provided a preliminary test of whether socially anxious women and their partners would show more negative social support behavior, especially among those with low relationship satisfaction, and whether this would increase the distress of the socially anxious women. Women with (n=22) and without (n=23) heightened social anxiety were observed interacting with their partners under a social-evaluative threat and support behaviors were coded. Unexpectedly, no differences were found between socially and non-socially anxious women and their partners. Although relationship satisfaction influenced this process, it was the more satisfied women who showed more negative behavior. Additionally, the more positive behaviors the partner exhibited, the greater was the distress reported by socially anxious women, particularly among women whose partners reported high relationship satisfaction. Implications for how these findings might expand theories on interpersonal processes in social anxiety are discussed.     

Effect of orientation and of shape similarity on perceptual grouping

A method in which Os were asked to partition a pattern into two regions was used to investigate the perceptual grouping produced by changes in the orientation and shape of two-line figures. The results show that the judged similarity of the figures fails to predict the degree to which the figures form distinct perceptual groups. Grouping was most strongly influenced by differences in the orientation of the lines composing the figures. Crossing of lines making up the figures also affected grouping, but was less decisive than line orientation.     

Use of the Beck Depression Inventory-II with Adolescent Psychiatric Outpatients

To provide information on the use of the Beck Depression Inventory-II (BDI-II) with adolescents, the BDI-II was administered to 105 male and 105 female outpatients between 12 and 18 years old who were seeking psychiatric treatment. The internal consistency of the BDI-II was high (coefficient = .92). The mean BDI-II total score of the girls was approximately 5 points higher than that of the boys (p < .001), and age (years) was positively correlated with the BDI-II total scores (r = .18, p < .01). An iterated principal-factor analysis identified three factors, but only the Cognitive and Somatic-Affective factors were generalizable.     

Discrimination of loudness similarity

Interval and ratio scale values were derived from measures of variability in the discrimination of loudness similarity. The interval values are linearly related to interval values based on equisection judgments (Garner, 1954), cumulating jnds (Riesz, 1933), and the dispersion of absolute judgments (Gamer, 1952). Scale values based on three diverse discriminability procedures and on the method of equisection are thus in good agreement. The ratio lvalues, however, are at variance with ratio values determined by direct ratio estimations (Stevens, 1955).     

Participating in social enquiry and action

This paper describes the collaborative endeavours of residents and a wide range of professional workers in a particular area of Nottingham, with reference to a community psychology approach to addressing sources of psychological distress. The activities include a survey of people's views about living in the area and the factors they identify as affecting their health; and initiatives in community participation and action. One hundred and twenty three people were interviewed by members of the Sneinton and Bakersfield Community Forum. Harmful influences upon health and causes of stress were revealed as litter, dog dirt, air and traffic pollution, feeling unsafe to go out at night and lifestyle-related issues such as smoking and diet. Public meetings, the local press and short written reports were used to publicize these results and encourage further involvement. Many local residents and professionals are now active in a network of groups which address social and environmental concerns.     

Simultaneous control of attention by multiple working memory representations

Working memory representations play a key role in controlling attention by making it possible to shift attention to task-relevant objects. Visual working memory has a capacity of three to four objects, but recent studies suggest that only one representation can guide attention at a given moment. We directly tested this proposal by monitoring eye movements while observers performed a visual search task in which they attempted to limit attention to objects drawn in two colors. When the observers were motivated to attend to one color at a time, they searched many consecutive items of one color (long run lengths) and exhibited a delay prior to switching gaze from one color to the other (switch cost). In contrast, when they were motivated to attend to both colors simultaneously, observers' gaze switched back and forth between the two colors frequently (short run lengths), with no switch cost. Thus, multiple working memory representations can concurrently guide attention.     

Differentiating cognitive content between depressed and anxious outpatients

Quantitative research suggests that depressed and anxious patients can be differentiated based on their cognitive content. This study used qualitative research methods to separate the specific components of open-ended depressive and anxious thought content in 79 psychiatric outpatients. Patients with major depressive disorder (MDD; n = 36), generalized anxiety disorder (GAD; n = 10), and other psychiatric disorders (PC; n = 33) were instructed to (a) describe their most bothersome problem; (b) imagine the worst possible negative outcome followed by the best possible positive outcome; and (c) describe associated thoughts and emotions for each scenario. The content of patients' responses were coded to examine (a) the types and severity of problems; (b) the presence or absence of hopelessness, catastrophizing, hopefulness, and unrealistic positive expectations; and (c) the presence or absence of particular emotions associated with imagined worst and best outcomes. More GAD patients than MDD and PC patients indicated anticipated anxious emotions associated with imagined worst outcomes, and fewer MDD patients than GAD and PC patients indicated anticipated happiness associated with imagined best outcomes. No group differences emerged for the other variables considered. These findings suggest that depressed and anxious patients differ in their cognitive expectancies about future life events in terms of their own anticipated emotional reactions.