A constructive replication of client change during psychodynamic treatment in an outpatient setting

We responded to the need for replication in psychotherapy research by extending a prior naturalistic study documenting the effectiveness of long-term psychodynamic treatment. We employed three novel analytic strategies and evaluated their influence on substantive interpretations offered in the prior study. The sample consisted of clients (N = 387; M_age = 31.61; SD = 11.13; 58.9% female; 79.1% Caucasian/White) receiving outpatient treatment at a psychodynamic training clinic. Results replicated the original two-class solutions for social functioning, depression and life satisfaction. Novel to the replication analyses, each trajectory for social functioning and depression exhibited nonlinear change and results advanced research on a theorised mechanism of effective psychodynamic treatment. Results showed that change in experiential avoidance was a possible mechanism between early-treatment change in social functioning and later-treatment changes in depression symptoms and life satisfaction. Clinical implications focus on the influence that initial levels of symptoms and well-being may have on early and later phases of treatment, monitoring progress throughout treatment, and how to promote symptom and well-being improvement.     

The Relationship Between Perceived and Actual Physical Fitness: A Meta-Analysis

The purpose of our study was to meta-analytically estimate the relationship between actual and perceived fitness, and variables that may moderate this relationship (i.e., gender, age, and perceived fitness measure). Computer, hand, and journal literature searches identified 53 potential studies. On review, 28 of these studies met the inclusion criteria of having a perceived and actual (i.e., objective) measure of physical fitness. Using random effects modeling procedures, we found a medium mean effect size of .38 (N = 33 independent effect sizes, p < .001, Fail-Safe N = 4,654). Moderator analyses revealed that younger people had more accurate estimates of their fitness, and standardized perceived fitness measures had significantly larger effect sizes than unstandardized perceived fitness measures. In summary, men and women of all ages accurately perceived their fitness level, with larger effects evidenced for younger people and for studies that used standardized perceived fitness measures. Unfortunately, because most Americans are either low active or sedentary, their perceptions reveal that they are not fit. Research limitations and future directions are discussed.     

Attitude of Gratitude: Exploring the Implementation of a Gratitude Intervention with College Athletes

This study explored the implementation of a 90-min Attitude of Gratitude workshop among 51 National Collegiate Athletic Association Division I student-athletes. Levels of state gratitude, psychological distress, life satisfaction, sport satisfaction, athlete burnout, and perceived available support in sport were measured the week before, immediately after, and 4 weeks postintervention. Significant increases in well-being (state gratitude, sport satisfaction, social support) and significant decreases in ill-being (psychological distress, athlete burnout) were observed postintervention. Results of this pilot study warrant further exploration of gratitude interventions in applied sport psychology. Limitations, practical implications, and recommendations for future research are discussed in light of the current findings.

Lay Summary: Fifty-one NCAA Division I athletes participated in a one-time “Attitude of Gratitude” workshop. Following the workshop, student-athletes scored higher on measures of well-being and lower on measures of ill-being as compared to their baseline scores. Results encourage further exploration of positive psychology interventions such as gratitude in the sport context.     

A multi-modal investigation of the roles of distress tolerance and emotional reactivity in obsessive-compulsive symptoms

Emerging evidence implicates important roles of poor distress tolerance and heightened emotional reactivity in obsessive-compulsive disorder. To date, investigations have relied mostly on self-report measures, and we sought to extend the literature by examining the relationship between OC symptoms and distress tolerance, as well as emotional reactivity, using three laboratory assessments. Nonclinical participants (N=167) viewed emotional films associated with four different negative emotions and also completed mirror tracing and handgrip persistence tasks. Greater obsessions scores were predictive of poorer emotional tolerance for a sad film and shorter persistence on the mirror tracing task. Among men only, obsessions were negatively correlated with persistence on the handgrip task. Associations between increased emotional reactivity and washing symptoms also emerged. These findings provide further evidence for the role of poor distress tolerance in obsessions and suggest heightened emotional reactivity may play a role in compulsive washing.     

Harry and Sally Revisited: The Influence of Spirituality and Education on Sexual Tension in Cross-Sex Friendships in Secular and Christian Universities

A sample of 406 subjects completed a questionnaire testing the influence of personal spirituality, education and several other factors on sexual tension in cross-sex friendships (CSF Tension). The subjects included 143 students from a Christian university (CU), 137 from a secular junior college (JC), and 127 non-students (NS). The primary criterion variable was the amount of CSF Tension experienced: Each subject rated to what extent sexual tension made friendship difficult due to different characteristics (e.g., he/she is physically attractive, dressed seductively) of 16 hypothetical friendships. A measure of sexuality—a composite of 12 questions adapted from the Self-Assessment Survey—assessed sexual activity, values, and ideation. Other predictors included neuroticism, openness to experience, extraversion, and demographics. JC students rated significantly more liberal than CU students on all 12 of the sexuality questions but no CSF-Tension differences were found for 15 of the 16 hypothetical CSF comparisons. JC students also rated two standard deviations lower on spirituality than CU students. Also, NS differed from students by being older, more spiritual, more educated, less involved in sexual activities, and experienced less CSF Tension. For the entire sample, spirituality was associated with sharply lower levels of sexual activities and ideation (r = ?.601) and significantly lower levels of CSF Tension. The influence of education was similar to that of spirituality but not as robust.     

A Longitudinal Investigation of Posttraumatic Growth in Adult Patients Undergoing Treatment for Acute Leukemia

An acute leukemia diagnosis can be an extremely stressful experience for most patients. Posttraumatic growth (PTG) is positive psychological change experienced following a struggle with highly challenging life circumstances. The current study is the first longitudinal investigation of predictors of PTG and distress in adult acute leukemia patients undergoing induction chemotherapy. Findings suggest that these patients report PTG, and levels of PTG appear to increase over the weeks following leukemia diagnosis and induction chemotherapy. Variables associated with higher total PTG scores over time included greater number of days from baseline, younger age, and greater challenge to core beliefs. Variables associated with higher distress included greater number of days from baseline, greater perceived cancer threat, higher symptom severity, and lower spiritual well-being. Results underscore the critical role that examination of one’s core beliefs may play in the development of PTG over time.