Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial

This study further evaluates the efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP). A diagnostically heterogeneous clinical sample of 37 patients with a principal anxiety disorder diagnosis was enrolled in a randomized controlled trial (RCT) involving up to 18 sessions of treatment and a 6-month follow-up period. Patients were randomly assigned to receive either immediate treatment with the UP (n=26) or delayed treatment, following a 16-week wait-list control period (WLC; n=11). The UP resulted in significant improvement on measures of clinical severity, general symptoms of depression and anxiety, levels of negative and positive affect, and a measure of symptom interference in daily functioning across diagnoses. In comparison, participants in the WLC condition exhibited little to no change following the 16-week wait-list period. The effects of UP treatment were maintained over the 6-month follow-up period. Results from this RCT provide additional evidence for the efficacy of the UP in the treatment of anxiety and comorbid depressive disorders, and provide additional support for a transdiagnostic approach to the treatment of emotional disorders.     

Perceived Stress and Comorbid Illness Predict Depressive Symptomatology in People with Coeliac Disease

A high prevalence of depression is found in people with coeliac disease (CD). People with CD who are depressed are less likely to manage their illness effectively, which may lead to complications. Identification of variables associated with depression in people with CD may facilitate early detection and intervention. Participants were 749 members (125 males, 622 females) of the Queensland Coeliac Society (aged 18–88 years), recruited via a mailout. Participants completed the Modified Zung Self‐Rating Depression Scale, the Perceived Stress Scale, and the Perceived Consequences Subscale (from the Revised Illness Perception Questionnaire). Stress (p = .001) and comorbid medical illness (p = .01) were significantly associated with depression in CD. The current study made an original contribution to the body of literature by identifying stress and comorbid medical illness as predictors of depression in CD.     

Developing procedural flexibility: Are novices prepared to learn from comparing procedures?

Background. A key learning outcome in problem‐solving domains is the development of procedural flexibility, where learners know multiple procedures and use them appropriately to solve a range of problems (e.g., Verschaffel, Luwel, Torbeyns, & Van Dooren, 2009 ). However, students often fail to become flexible problem solvers in mathematics. To support flexibility, teaching standards in many countries recommend that students be exposed to multiple procedures early in instruction and be encouraged to compare them. Aims. We experimentally evaluated this recommended instructional practice for supporting procedural flexibility during a classroom lesson, relative to two alternative conditions. The alternatives reflected the common instructional practice of delayed exposure to multiple procedures, either with or without comparison of procedures. Sample. Grade 8 students from two public schools (N= 198) were randomly assigned to condition. Students had not received prior instruction on multi‐step equation solving, which was the topic of our lessons. Method. Students learned about multi‐step equation solving under one of three conditions in math class for about 3 hr. They also completed a pre‐test, post‐test, and 1‐month‐retention test on their procedural knowledge, procedural flexibility, and conceptual knowledge of equation solving. Results. Novices who compared procedures immediately were more flexible problem solvers than those who did not, even on a 1‐month retention test. Although condition had limited direct impact on conceptual and procedural knowledge, greater flexibility was associated with greater knowledge of both types. Conclusions. Comparing procedures can support flexibility in novices and early introduction to multiple procedures may be one important reason.     

Accuracy in parameter estimation for ANCOVA and ANOVA contrasts: sample size planning via narrow confidence intervals

Contrasts of means are often of interest because they describe the effect size among multiple treatments. High-quality inference of population effect sizes can be achieved through narrow confidence intervals (CIs). Given the close relation between CI width and sample size, we propose two methods to plan the sample size for an ANCOVA or ANOVA study, so that a sufficiently narrow CI for the population (standardized or unstandardized) contrast of interest will be obtained. The standard method plans the sample size so that the expected CI width is sufficiently small. Since CI width is a random variable, the expected width being sufficiently small does not guarantee that the width obtained in a particular study will be sufficiently small. An extended procedure ensures with some specified, high degree of assurance (e.g., 90% of the time) that the CI observed in a particular study will be sufficiently narrow. We also discuss the rationale and usefulness of two different ways to standardize an ANCOVA contrast, and compare three types of standardized contrast in the ANCOVA/ANOVA context. All of the methods we propose have been implemented in the freely available MBESS package in R so that they can be easily applied by researchers.     

Chicken or egg? Untangling the relationship between orthographic processing skill and reading accuracy

There is increasing evidence of a relationship between orthographic processing skill, or the ability to form, store and access word representations, and reading ability. Empirical research to date has not, however, clarified the direction of this relationship. We examined this question in a three-year longitudinal study of children from Grades 1 to 3. We included standard measures of orthographic processing skill, at both the lexical and sublexical level, and word reading accuracy, as well as controls of vocabulary, non-verbal reasoning, and phonological awareness. In all analyses, word reading predicted progress in acquiring orthographic processing skill, regardless of grade level or orthographic processing measure. In contrast, orthographic processing skill did not predict progress in word reading. Our results suggest that, between Grades 1 and 3, children acquire orthographic processing skill through their reading and that this ability, as characterized by the most common tasks used to date, does not play an independent role in supporting reading acquisition.     

A factor analytic investigation of the BASC-2 Behavioral and Emotional Screening System Parent Form: psychometric properties, practical implications, and future directions

The Behavior Assessment System for Children, Second Edition (BASC-2) Behavioral and Emotional Screening System Parent Form (BESS Parent; Kamphaus & Reynolds, 2007) is a recently developed instrument designed to identify behavioral and emotional risk in students. To describe the underlying factor structure for this instrument, exploratory (EFA) and confirmatory factor analyses (CFA) were conducted utilizing two subsets of a large, nationally-representative sample. The results of the EFA suggested that the BESS Parent contained a four-factor latent structure (i.e., Externalizing, Internalizing, Adaptive Skills, and Inattention), which was supported by CFA. Results support further investigation into utilizing four subscales in addition to an overall risk score; distributional and reliability information for the BESS Parent subscales is provided. Practical implications for school psychologists interested in early identification and directions for future research are discussed.     

Canadian Arab Youth at the Border: Cultural Dissociation,Fear Management,and Disciplining Practices in Securitized Spaces

In this paper, we explore what Canadian Arab youth do to navigate border and travel transit sites. Arab youth are the focus for this study because they are a neglected demographic of research in ethnic studies, compared to the more copious studies on Canadian Arabs. Our research empirically investigates the struggles that this youth demographic faces, and the efforts they undertake to manage their marginalization. Some of these efforts involve practices of cultural dissociation, fear management, and self-disciplining through behavioral self-surveillance. Drawing upon an existing body of research that recognizes the highly fraught and securitized nature of air travel and border transfer, particularly for Arab/Muslim populations, we use the findings from focus groups conducted in Kitchener-Waterloo to theoretically situate some of the real struggles of Canadian Arab youth. As prominent racialized and securitized identities in the War on Terror (WoT), Arab youth are often forced, or feel that they are forced to perform their Canadian-ness to substantiate their innocence, and in some cases, this requires minimalization, or even erasure of part of who they are.     

Learning to listen to trans and gender diverse children: A Response to Zucker (2018) and Steensma and Cohen-Kettenis (2018)

ABSTRACT

The authors answer recent responses by Steensma & Cohen-Kettenis (2018 Steensma, T. D., & Cohen-Kettenis, P. T. (2018). A critical commentary on “A critical commentary on follow-up studies and “desistence” theories about transgender and gender non-conforming children”. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1468292[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) and Zucker (2018 Zucker, K. (2018). The myth of persistence: Response to AA critical commentary on follow-up studies and “Desistance” theories about transgender and gender non-conforming children. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1468293[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) to our critical commentary on “desistance” stereotypes and their underlying research on trans and gender diverse children (Temple Newhook et al., 2018 Temple Newhook, J., Pyne, J., Winters, K., Feder, S., Holmes, C., Tosh, J., … Pickett, S. (2018). A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1456390[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). We provide clarification in the following areas: (1) the scope of our paper; (2) our support of longitudinal studies; (3) consequences of harm to trans and gender diverse children; (4) clinical practice implications; (5) concerns about validity of research methodology; and (6) the importance of learning to listen to trans and gender diverse children.     

Beyond Pathologizing Harm: Understanding PTSD in the Context of War Experience

An alternative to objectifying approaches to understanding Post-traumatic Stress Disorder (PTSD) grounded in hermeneutic phenomenology is presented. Nurses who provided care for soldiers injured in the Iraq and Afghanistan wars, and sixty-seven wounded male servicemen in the rehabilitation phase of their recovery were interviewed. PTSD is the one major psychiatric diagnosis where social causation is established, yet PTSD is predominantly viewed in terms of the usual neuro-physiological causal models with traumatic social events viewed as pathogens with dose related effects. Biologic models of causation are applied reductively to both predisposing personal vulnerabilities and strengths that prevent PTSD, such as resiliency. However, framing PTSD as an objective disease state separates it from narrative historical details of the trauma. Personal stories and cultural meanings of the traumatic events are seen as epiphenomenal, unrelated to the understanding of, and ultimately, the therapeutic treatment of PTSD. Most wounded service members described classic symptoms of PTSD: flashbacks, insomnia, anxiety etc. All experienced disturbance in their sense of time and place. Rather than see the occurrence of these symptoms as decontextualized mechanistic reverberations of war, we consider how these symptoms meaningfully reflect actual war experiences and sense of displacement experienced by service members.     

A comparison of procedures for unpairing conditioned reflexive motivating operations

This study compared the effectiveness of two procedures to reduce behavior evoked by a reflexive conditioned motivating operation (CMO‐R). Task demands were shown to evoke escape‐maintained problem behavior for 4 students with disabilities. Alternative communication responses were taught as an appropriate method to request escape and this treatment combined with extinction for problem behavior led to decreases in problem behavior for all students. A beeping timer was then arranged to temporally precede the task demand to create a CMO‐R that evoked communication responses. When data showed that the sound of the timer was functioning as a CMO‐R, two methods to reduce behavior evoked by a CMO‐R—extinction unpairing and noncontingent unpairing—were evaluated. Results indicated that noncontingent unpairing was an effective method to reduce the evocative effects of the CMO‐R. Extinction produced unsystematic effects across participants. Results are discussed in terms of abolishing CMOs and the implications of CMOs.