Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) as a measure of treatment effectiveness with psychiatric inpatients

Assessment procedures to evaluate inpatient treatment effectiveness can provide information to inform clinical practice. The Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) represents a standardized approach to assess patients' target problems that combines elements of individualized and nomothetic approaches. Although previous evaluations of CASPER with other patient populations have been encouraging, its use as a measure of change with an inpatient population has not been examined. In this study, 75 psychiatric inpatients completed CASPER and the Behavior and Symptom Identification Scale-32 (BASIS-32) at hospital admission and discharge. Results supported the concurrent validity of CASPER as a measure of pre- and posttreatment functioning and suggested that CASPER may provide a sensitive measure of change during inpatient treatment. Findings also supported the notion that patients' ratings of the extent to which their treatment focused on the problems they identified as a high priority were related to their overall treatment satisfaction.     

Duration processing in children as determined by time reproduction: implications for a few seconds temporal window

From research carried out over recent years using different experimental paradigms, it has become apparent that central information processing is temporally segmented into sequential units of a few seconds. This segmentation presumably reflects a neuronal process of temporal integration (TI) which automatically binds successive events into temporal units. Support for such TI comes, for example, from studies on temporal reproduction where standards up to approximately 2-3 s are reproduced veridically. Using this paradigm of temporal reproduction, we investigated the effect of normal cognitive development of sensory modality and of the range of presented standards on TI. Sixty children aged 6-7, 9-10 and 13-14 years reproduced visual or auditory standard durations ranged from 1 to 5.5 s or from 1 to 3 s. The results showed that durations of approximately 2 s were reproduced correctly, whereas those longer than 2.5 s were under-reproduced in the three age groups. For standards shorter than 2 s substantial age-related differences were revealed: the youngest group displayed significant over-reproduction comparing to older subjects. These observations indicate that the upper limit for TI is a stable feature across the different age groups. Furthermore an age-related modulation within the temporal window of the operating TI seems to be linked to cognitive development.     

How Risk is Perceived, Constructed and Interpreted by Clients in Clinical Genetics, and the Effects on Decision Making: Systematic Review

As an individual’s understanding of their genetic risk may influence risk management decisions, it is important to understand the ways in which risk is constructed and interpreted. We systematically reviewed the literature, undertaking a narrative synthesis of 59 studies presenting data on the ways in which individuals perceive, construct and interpret their risk, and the subsequent effects. While most studies assessed perceived risk quantitatively, the combined evidence suggests individuals find risk difficult to accurately quantify, with a tendency to overestimate. Rather than being a stand-alone concept, risk is something lived and experienced and the process of constructing risk is complex and influenced by many factors. While evidence of the effects of perceived risk is limited and inconsistent, there is some evidence to suggest high risk estimations may adversely affect health and lead to inappropriate uptake of medical surveillance and preventative measures by some individuals. A more focused approach to research is needed with greater exploration of the ways in which risk is constructed, along with the development of stronger theoretical models, to facilitate effective and patient-centered counseling strategies.     

What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model

Objective: To explore whether negative emotions mediate the effect of diabetes cognitions on diabetes self-care and conversely whether diabetes cognitions mediate the effect of negative emotions on diabetes self-care.

Design: Longitudinal observational study in adults with type 2 diabetes.

Main outcome measures: Self-reported depression and anxiety (Diabetes Wellbeing Questionnaire), cognitions (Illness Perceptions Questionnaire-Revised; Beliefs about Medicines Questionnaire), and diabetes self-care (Summary of Diabetes Self-Care Activities Scale) were completed at baseline and six months. Analyses used structural equation modelling.

Results: Baseline medication concerns were associated with elevated symptoms of depression and anxiety at follow-up, but emotions did not mediate medication concern’s effect on diabetes self-care. Baseline depression and anxiety symptoms were associated with specific diabetes cognitions over time, but these cognition domains did not mediate emotion’s effect on diabetes self-care. Personal control remained independent of emotions and was associated with diabetes self-care over time.

Conclusions: Negative emotions did not act directly or alongside cognitions to influence diabetes self-care. The reciprocal relationship between diabetes cognitions and emotions suggests cognitive restructuring, in addition to other mood management intervention techniques would likely improve the emotional wellbeing of adults with type 2 diabetes. Likewise, personal control beliefs are likely important intervention targets for improving self-care.     

Use of the Torrance Tests of Creative Thinking in an Exploratory Study of Creativity in Hong Kong Primary School Children: A Cross-cultural Comparison

This exploratory study reports an empirical attempt to (1) establish inter-scorer and parallel-forms reliabilities as well as convergent validity of the Chinese version of the TTCT, (2) measure the level of fluency, flexibility, and originality in 10–12 year-old Hong Kong children, and (3) compare the scores of the Hong Kong sample with those from other studies. The Figural and Verbal Forms A and B were administered. The overall results showed high inter-rater reliability of the Chinese version of the Test. The parallel-forms reliability between the Verbal Forms (P > 0.001) of the Test was higher than that between the Figural Forms (P > 0.05). The Hong Kong results on the Figural Test were generally higher than those obtained in Taiwan, Singapore, and USA, but slightly lower than the German results. This trend in the results was reversed on the Verbal Forms. The absence of sex differences on the TTCT was noted.     

How do women experience myocardial infarction? A qualitative exploration of illness perceptions, adjustment and coping

While UK Department of Health policy recognizes the importance of secondary prevention and rehabilitation following a cardiac event, there still appears a dearth of research addressing women's needs. This study aimed to explore adjustment in terms of women's perception of their cardiac event, impact on relationships and coping strategies employed. Five women suffering first time MI were interviewed, using a semi-structured format and were telephoned 2 months later. Data were analysed using Interpretative Phenomenological Analysis. Perceptions included: Making Sense of the Event, Cognitive and Emotional Responses and Self-beliefs. Relationships issues were: Others' Reactions and Change in Relationships and Roles. Cognitive and Behavioural strategies and Support from others (including cardiac rehabilitation) formed coping strategies. For most participants, the event was unexpected evoking uncertainty and later, emotions extending beyond the more widely accepted depression and anxiety. Women tended to minimize severity of symptoms and impact of event (perhaps as a way of coping and protecting others), displaying a strong sense of optimism and hope that life would soon return to "normal". However, it appeared this was difficult to maintain and the experience seemed to challenge relationships and roles. The findings suggest recommendations for further research with possible implications for clinical practice.     

A comparison of sources of baseline data for treatments of problem behavior following a functional analysis

It is common practice in research on the treatment of problem behavior to compare levels of targeted behaviors during treatment to levels when treatment is not in place. Some researchers use data collected as part of a multielement functional analysis as the initial baseline, whereas others collect new baseline data following completion of the functional analysis. We evaluated whether the source of baseline data influences the reliability and efficiency of decision-making. Results suggest that similar decisions are made in regard to treatment efficacy using the different sources of baseline data, but using data from a multielement functional analysis as baseline may save time. Interrater agreement was adequate, but lower for some graphs than has been observed in past studies. Several potential explanations for this discrepancy are discussed.     

A Study of Generative Partnership

This phenomenological study suggests that generativity, long conceptualized as a stage of individual psychosocial development, is a collaborative experience in the developmental trajectory of some marriages and long‐term partnerships. This new knowledge was developed through exploring the lived experience of 10 middle‐aged and older couples who participated in this research. Termed “generative partnership,” this collaborative experience includes 3 facets: embracing generative identity, contributing talents and resources, and passing it on. Findings suggest that generative partnerships enhance satisfaction and vitality in relationships at midlife and beyond as couples encounter the opportunities and challenges of growing old together.