The psychometric properties of the Recovery Experiences Questionnaire of employees in a higher education institution

The objective of this study was to investigate the factorial validity and reliability of scores from the Recovery Experience Questionnaire (REQ) in a higher education institution. As part of the measure validation, the relationships of the four recovery dimensions (psychological detachment, relaxation, mastery and control) to other variables in the nomological network (work-home interference, home-work interference and ill health) were investigated. Data was collected from 366 participants (females = 65.3%; white = 80.35%). Confirmatory factor analysis was used to test competing factorial models. The results supported a four-factor structure for the REQ. Relationships with other variables in the nomological network were all theoretically consistent, as expected.     

Change in sleep symptoms across Cognitive Processing Therapy and Prolonged Exposure: A longitudinal perspective

Sleep disturbance is a core component in posttraumatic stress disorder (PTSD). Although cognitive-behavioral treatments for PTSD reduce the severity of sleep symptoms, they do not lead to complete remission. The present study examines the impact of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) on subjective measures of sleep disturbance from treatment randomization through long-term follow-up (LTFU). Participants were 171 female rape victims with PTSD who were randomly assigned to CPT, PE, or Minimal Attention (MA). After 6-weeks, the MA group was randomized to CPT or PE. Sleep symptoms were assessed at baseline, post-MA, post-treatment, 3-months, 9-months and LTFU using the Pittsburgh Sleep Quality Index (PSQI) and nightmare and insomnia items from the Clinician Administered PTSD Scale. Change in sleep during MA, from pre- to post-treatment for CPT and PE, and from post-treatment through LTFU was assessed using piecewise hierarchical linear modeling with the intent-to-treat sample. Controlling for medication, sleep improved during CPT and PE compared to MA, and treatment gains were maintained through LTFU. CPT and PE were equally efficacious and improvements persist over LTFU, yet, neither produced remission of sleep disturbance. Overall, sleep symptoms do not remit and may warrant sleep-specific treatments.     

Age and Cultural Gender Equality as Moderators of the Gender Difference in the Importance of Religion and Spirituality: Comparing the United Kingdom,France, and Germany

A range of research studies has found that women report greater importance of religion and spirituality in their lives than men do. This study extends the literature on this phenomenon, and the theories that aim to explain it, by looking at whether gender differences in the three European countries (the United Kingdom, France, and Germany) differ by adult age group (young adults 18–39, midlifers 40–59, and older adults 60+), and by the cultural gender equality of the countries in question. Participants provided data on the importance of religiosity and spirituality to their life. Significant gender differences were found within all three countries, for each of the three age groups. In line with predictions based on Global Gender Gap Report 2016, Germany showed the smallest difference, followed by France and the United Kingdom. Gender differences were smaller in the young adult samples than for midlife adults or older adults.     

Multiple Kernel Contraction

This paper focuses on the extension of AGM that allows change for a belief base by a set of sentences instead of a single sentence. In [FH94], Fuhrmann and Hansson presented an axiomatic for Multiple Contraction and a construction based on the AGM Partial Meet Contraction. We propose for their model another way to construct functions: Multiple Kernel Contraction, that is a modification of Kernel Contraction, proposed by Hansson [Han94] to construct classical AGM contractions and belief base contractions. This construction works out the unsolved problem pointed out by Hansson in [Han99, pp. 369]. This revised version was published online in August 2006 with corrections to the Cover Date.     

Government Apologies for Historical Injustices

Scholars from various disciplines suggest that government apologies for historical injustices fulfill important psychological goals. After reviewing psychological literature that contributes to this discussion, we present a list of elements that political apologies should contain to be acceptable to both members of the victimized minority and the nonvictimized majority. Content coding of a list of government apologies revealed that many, but not all, include most of these elements. We then reviewed research demonstrating that political apologies that contain most of these facets are favorably evaluated, but especially by members of the nonvictimized majority. Next, we examined how the demands of victimized minorities affect their satisfaction with government apologies that lack some components. We conclude by discussing the implications of our analysis for when and how governments should apologize.     

The effects of fixed-time reinforcement schedules on problem behavior of children with emotional and behavioral disorders in a day-treatment classroom setting

The current study assessed the effects of fixed-time reinforcement schedules on problem behavior of students with emotional-behavioral disorders in a clinical day-treatment classroom setting. Three elementary-aged students with a variety of emotional and behavioral problems participated in the study. Initial functional assessments indicated that social attention was the maintaining reinforcer for their verbally disruptive behavior. Baseline phases were alternated with phases in which attention was provided on fixed-time schedules in the context of an ABAB design. The results indicated that the provision of attention on fixed-time schedules substantially reduced the participants' rate of verbal disruptions. These decreases were maintained during initial thinning of the schedules. The results provide one of the first examples that such an intervention can be successfully implemented in a classroom setting.     

Personalizing Behavioral Interventions Through Single‐Patient (N‐of‐1) Trials

Behavioral interventions are typically studied with the use of a conventional between‐subject randomized controlled trial (RCT) design. In this design, the effect of an intervention on one group of patients is compared with the effect of a control condition on another group of patients, such that a between‐subject change is tested. A between‐subject design has an underlying assumption that there is a homogenous treatment effect for a behavioral intervention, drug, or psychotherapy and that the way the intervention operates in the study will tend to operate in the same way in many other patients. We review some of the philosophical and practical problems with the use of this design when a clinician is attempting to decide on a course of behavioral treatment aimed at within‐subject change in patients who are likely to have heterogeneous or unique responses to behavioral treatment. We also review the biases inherent in our current clinical practice model, which does not use any empirical data collection or design for testing if a treatment is useful, and also in the conventional between‐subject personalized medicine RCT designs. We propose increased use of single‐patient (also known as N‐of‐1) trials that employ within‐subject designs, in cases where treatment response is heterogeneous – as is the case for most psychological and behavioral treatments. Limitations of such designs include that they can only be used when the treatment is potentially reversible, the patient can act as their own control, and the outcome can be measured repeatedly. Increased use of within‐subject trials may address in many more instances the more clinically relevant question of how a specific patient will respond to a specific treatment and could introduce a more harmonious scientific approach into the way we treat our patients. We have incorporated a case presentation that illustrates the complexities of applying evidence drawn from these different designs to selecting and evaluating treatments for the behavioral issues commonly faced by clinicians and patients.     

Changes in Specialists’ Perspectives on Cancer Genetic Testing,Prophylactic Surgery and Insurance Discrimination: Then and Now

We surveyed cancer genetics specialists in 1998 to learn what they would do if at 50 % risk to carry a BRCA or Lynch syndrome mutation. We chose to repeat our study 14 years later, to examine how perspectives have changed with the extensive data now available. In July 2012 we surveyed the National Society of Genetic Counselors (NSGC) Cancer Special Interest Group via an internet based survey. We found statistically significant increases in the percentage of specialists who: would undergo BRCA testing (p?=?0.0006), opt for prophylactic bilateral mastectomy (p =0.0001), opt for prophylactic removal of their uterus and ovaries for Lynch syndrome (p =0.0057 and P?=?0.0090, respectively), and bill testing to insurance (p >0.0001). There were also statistically significant decreases in the percentage of participants who would have their colon removed for Lynch syndrome (p?=?0.0002) and use an alias when pursuing testing (p?>?0.0001). Over the past 14 years there has been a major change in perspective amongst cancer genetic specialists regarding genetic testing, prophylactic surgery and insurance discrimination.