Increasing access to psychological therapies for people with psychosis: predictors of successful training

BackgroundCognitive behavioural therapy for psychosis (CBTp) is recommended for people with schizophrenia, but routine delivery remains limited. Obstacles to increasing access include inadequate training, organisational support and supervision, resulting in low levels of staff competence and confidence. This study is a preliminary evaluation of a CBTp training programme, designed to overcome these obstacles and to increase routine delivery of competent CBTp.MethodTraining outcomes for a pilot group and for the first three cohorts to complete training were analysed to identify predictors of successful completion and of therapy delivery after training.ResultsObjective competence was attained by 37 students (out of 58), who delivered therapy to over 160 service users. Successful completion was associated with previous CBT therapy experience. Delivery after one year was associated with working in a therapy rather than a care co-ordination role.ConclusionsThe programme succeeded in training therapists to deliver competent therapy. Our results suggest that preliminary training in CBT for other disorders may improve success rates in CBTp. Despite extensive service liaison, delivery remained problematic for care co-ordinators without role change and provision of dedicated time. The findings should inform future implementation strategies.     

Short measurements of personality - Validity and reliability of the GSOEP Big Five Inventory (BFI-S)

In the last decade, an upward trend in the use of short measurements for personality can be observed. The goal of this study was to explore the psychometric characteristics of the GSOEP Big Five Inventory (BFI-S; Gerlitz & Schupp, 2005), a 15-item instrument. We compared the BFI-S with the NEO-PI-R ( [Costa and McCrae, 1992a] and [Costa and McCrae, 1992b]) in a sample of 598 German adults (mean age = 42 years). Despite shortcomings for Agreeableness, the short scales generally showed acceptable levels of: (1) internal consistency, (2) stability over a period of 18 months, (3) convergent validity in relation to the NEO-PI-R and (4) discriminant validity. We conclude that in research settings with a pronounced need for parsimony, the BFI-S offers a sufficient level of utility.     

Factors that affect action possibility judgements: recent experience with the action and the current body state

It has been suggested that action possibility judgements are formed through a covert simulation of the to-be-executed action. We sought to determine whether the motor system (via a common coding mechanism) influences this simulation, by investigating whether action possibility judgements are influenced by experience with the movement task (Experiments 1 and 2) and current body states (Experiment 3). The judgement task in each experiment involved judging whether it was possible for a person's hand to accurately move between two targets at presented speeds. In Experiment 1, participants completed the action judgements before and after executing the movement they were required to judge. Results were that judged movement times after execution were closer to the actual execution time than those prior to execution. The results of Experiment 2 suggest that the effects of execution on judgements were not due to motor activation or perceptual task experience-alternative explanations of the execution-mediated judgement effects. Experiment 3 examined how judged movement times were influenced by participants wearing weights. Results revealed that wearing weights increased judged movement times. These results suggest that the simulation underlying the judgement process is connected to the motor system, and that simulations are dynamically generated, taking into account recent experience and current body state.     

Working memory predicts the rejection of false memories

The relationship between working memory capacity (WMC) and false memories in the memory conjunction paradigm was explored. Previous research using other paradigms has shown that individuals high in WMC are not as likely to experience false memories as low-WMC individuals, the explanation being that high-WMC individuals are better able to engage in source monitoring. In the memory conjunction paradigm participants are presented at study with parent words (e.g., eyeglasses, whiplash). At test, in addition to being presented with targets and foils, participants are presented with lures that are composed of previously studied features (e.g., eyelash). It was found that high-WMC individuals had lower levels of false recognition than low-WMC individuals. Furthermore, recall-to-reject responses were analysed (e.g., "I know I didn't see eyelash because I remember seeing eyeglasses") and it was found that high-WMC individuals were more likely to utilise this memory editing strategy, providing direct evidence that one reason that high-WMC individuals are not as prone to false memories is because they are better able to engage in source monitoring.     

Impact of Religious Activities on Quality of Life and Cognitive Function Among Elderly

Journal of Religion and Health - Religiosity and spirituality have previously been found to have significant effects on mental and physical health. This study aimed to compare...     

Problem-solving training to help workers increase positive affect,job satisfaction,and life satisfaction

The purpose of this study was to determine the effectiveness of brief problem-solving training for improving adjustment in individuals who have low control over their work environment. The 118 participants were flight attendants who were randomly assigned to an intervention or control group. The results indicated that when compared to the control group, those who received the problem-solving skills training reported at postintervention more problem-solving skills, more problem-solving self-efficacy, greater positive affect, higher job satisfaction, and higher life satisfaction. To assess whether improvements were due to experimenter demand, participants completed a measure of openness, which the intervention was not expected to affect. No difference in groups occurred for openness. The results provide evidence that problem-solving training can help improve adjustment in individuals working in low-control environments.     

Rejection Sensitivity and Vulnerability to Self‐Directed Hostile Cognitions Following Rejection

We examined the hypothesis that rejection increases self‐directed hostile cognitions in individuals who are high in rejection sensitivity (RS). In four studies employing primarily undergraduate samples (Ns = 83–121), rejection was primed subliminally or through a recall task, and self‐directed hostile cognitions were assessed using explicit or implicit measures. Negative or neutral control conditions were used in three of the studies. Measures of RS were obtained in pretesting. High RS participants were more likely than low RS participants to report or show greater self‐directed hostile cognitions in rejection conditions, compared to control conditions. Results held when controlling for depressive symptoms, history of self‐directed hostile cognitions, and general hostility. RS may represent a unique vulnerability for self‐directed hostile cognitions, a predictor of self‐harmful behavior.