Adherence as a determinant of effectiveness of internet cognitive behavioural therapy for anxiety and depressive disorders

Since 2009, the Clinical Research Unit for Anxiety and Depression (CRUfAD) has been providing primary care clinicians with internet cognitive behaviour therapy (iCBT) courses to prescribe to patients. Although these courses have demonstrated efficacy in research trials, adherence in primary care is less than half that of the research trials. The present studies pose three questions: first, do course non-completers drop out because of lack of efficacy? Second, can changes in delivery (e.g. adding choice, reminders and financial cost) improve adherence? Last, does clinician contact improve adherence? The results showed that non-completers derive benefit before dropping out; that adding reminders, choice of course and timing, and financial cost can significantly improve adherence; and that clinician contact during the course is associated with increased adherence. It is concluded that improved adherence is an important determinant of effectiveness.     

Do girls and boys perceive themselves as equally engaged in school? The results of an international study from 12 countries

This study examined gender differences in student engagement and academic performance in school. Participants included 3420 students (7th, 8th, and 9th graders) from Austria, Canada, China, Cyprus, Estonia, Greece, Malta, Portugal, Romania, South Korea, the United Kingdom, and the United States. The results indicated that, compared to boys, girls reported higher levels of engagement in school and were rated higher by their teachers in academic performance. Student engagement accounted for gender differences in academic performance, but gender did not moderate the associations among student engagement, academic performance, or contextual supports. Analysis of multiple-group structural equation modeling revealed that perceptions of teacher support and parent support, but not peer support, were related indirectly to academic performance through student engagement. This partial mediation model was invariant across gender. The findings from this study enhance the understanding about the contextual and personal factors associated with girls' and boys' academic performance around the world.     

Child anger proneness moderates associations between child-mother attachment security and child behavior with mothers at 33 months

Child-mother attachment security, assessed via a modified Strange Situation procedure (Cassidy & Marvin, with the MacArthur Attachment Working Group, 1992), and parent-reported child proneness to anger were examined as correlates of observed child behavior toward mothers during a series of interactive tasks (N = 120, 60 girls). Controlling for maternal sensitivity and child gender and expressive language ability, greater attachment security, and lower levels of anger proneness were related to more child responsiveness to maternal requests and suggestions during play and snack sessions. As hypothesized, anger proneness also moderated several security-behavior associations. Greater attachment security was related to (a) more committed compliance during clean-up and snack-delay tasks for children high on anger proneness, (b) more self-assertiveness during play and snack for children moderate or high on anger proneness, and (c) more help-seeking during play and snack for children moderate or low on anger proneness. Findings further our understanding of the behavioral correlates of child-mother attachment security assessed during late toddlerhood via the Cassidy-Marvin system and underscore child anger proneness as a moderator of attachment-related differences in child behavior during this developmental period.     

Questionnaire of executive function for dancers: an ecological approach

There is a current debate about the ecological validity of executive function (EF) tests. Consistent with the verisimilitude approach, this research proposes the ballet executive scale (BES), a self-rating questionnaire that assimilates idiosyncratic executive behaviors of classical dance community. The BES was administrated to 149 adolescents, students of the Cuban Ballet School. Results present a Cronbach's alpha coefficient of .80 and a split-half Spearman-Brown coefficient r (SB) = .81. An exploratory factor analysis describes a bifactorial pattern of EF dimensions, with a self-regulation component, which explains more than 40% of variance, and a Developmental component, which accounts for more than 20% of variance. The questionnaire's total scores fit linear regression models with two external criteria of academic records, confirming concurrent validity. These findings support the hypothesis that the internalization of specific contextual cultural meanings has a mediating influence in the development of EF.     

Ethnicity as a social context for the development of African-American adolescents

Does anticipated future racial discrimination undermine African-American adolescents' academic motivation and performance? Do face-to-face experiences with racial discrimination at school undermine African-American adolescents' academic functioning? Does African-American ethnic identity buffer these relations? This paper addresses these questions using two waves of data from a longitudinal study of an economically diverse sample of African-American adolescents living near Washington D.C. The data were collected at the beginning of the 7th grade and after the completion of the 8th grade. As expected, the experiences of day-to-day racial discrimination at school from one's teachers and peers predicted declines in grades, academic ability self-concepts, and academic task values. A strong, positive connection to one's ethnic group (our measure of ethnic identity) reduced the magnitude of the association of racial discrimination experiences with declines in both academic self-concepts and school achievement. Most youth responded to anticipated future discrimination with increased academic motivation.     

On the importance of being masculine: Sex role,attribution, and women's career achievement

The present study investigated the relation between sex-role identification and career achievement in working women. Women classified as feminine in Bem's Sex Role Inventory achieved less in their careers, attributed their career performance less to ability and effort, and had parents with lower educational expectations for them than women classified as masculine. Multiple regression analysis of a number of correlates revealed that education level and masculinity were the only significant predictors of career achievement in women. When education was not included in the regression analysis, both masculinity and the absence of femininity predicted women's achievement.This study is based on an honor's thesis by Gail E. Kettlewell and is supported by a Social Sciences and Humanities Research Council grant to P. T. P. Wong.     

Effects of eye movements on the recognition and localization of dichotic stimuli

Three experiments examined the effect of gaze shifts on overall performance and ear differences in dichotic listening. In the first two experiments, lights were switched on and off so as to induce rightward, leftward, or upward gaze during dichotic stimulation. The dichotic material consisted of musical passages in Experiment 1 and two kinds of verbal material in Experiment 2. Vertical eye movements enhanced the accuracy of identification of music but not verbal material. The lateral direction of eye movements affected subjects' ability to localize targets in Experiment 1: localization was more accurate in the direction toward which subjects were looking. In the third experiment it was found that optokinetic nystagmus (OKN) influenced the asymmetry of performance on a dichotic consonant-vowel (CV) test. The right-ear advantage was greatest when the OKN drum rotated from left to right and least when it rotated from right to left. The effect was due to corresponding variation in left-ear scores. Possible mechanisms through which shifts of gaze affect auditory identification and localization are proposed.     

Caloric balancing and sucrose intake of hamsters and gerbils

In Experiment 1, hamsters and gerbils were randomly assigned to groups that were given a choice between pairs of sucrose solutions differing in concentration. The groups consisted of a control along with the following pairs: 2% and 6%; 2% and 8%; 2% and 12%; 2% and 18%; 6% and 8%; 6% and 12%; 6% and 18%; 12% and 18%. They were tested for 15 days, and the results indicated that the animals drank more from the cylinder containing the higher concentration. The principle of "least consummatory effort" appeared to be substantiated by these results. In Experiment 2, other hamsters and gerbils were randomly assigned to one of six groups receiving either 0.5%, 2%, 6%, 10%, 14%, or 18% sucrose solution. Analysis of their intake of sucrose and Purina Lab Chow indicated that their total caloric intake was relatively constant, reflecting the fact that an increase of consumption of the solutes in the sucrose solution reduced their intake of the stock diet. The results from both experiments indicated that although the caloric intake of hamsters relative to body weight was greater than that of gerbils, the proportion of total calories taken from sucrose was greater for the latter than for the former.     

Social preference of female gerbils (Meriones unguiculatus) as influenced by coat color of males

Female gerbils (Meriones unguiculatus) of three distinct coat colors (agouti, black, and sandy or pink-eyed dilution) were tested in a Y-maze whose arms led to compartments containing unfamiliar male gerbils of varying coat colors. The stimulus animals were separated from the females by a Plexiglas door. The trials lasted for 2 min and each female was exposed to the following four combinations: two males of the same coloring as the female; one male of the same color and another of a different color from the female; both males of different color from the female. The number of crossings to the left and right arms was relayed by photocells to an IBM PC computer. The results indicate that agouti females preferred visiting the arm occupied by agouti males while those of the other coat colors showed no preference for the "wild-type" males. Instead, sandy and black female gerbils preferred to be in proximity with those of non-wild types.