Implementation and Evaluation of Evidence-Based Psychotherapeutic Practices for Youth in a Mental Health Organization

The current initiative and program evaluation study is a demonstration of the research to practice process in youth-focused psychotherapy. We collaborated within a community-university partnership to create practice and research infrastructure in order to develop, implement, and evaluate two new models of service founded on evidence-based psychotherapeutic practice parameters. The two new service models incorporated validated interventions to address behavior problems in elementary age children, and depression in adolescents, which were delivered in separate but similarly run intensive outpatient programs within a mental health setting. We utilized a rigorous training, technical assistance, fidelity monitoring, and outcome measurement strategy to promote the integrity and quality of services provided. The resultant programs were delivered with acceptable to high fidelity and effects on youth and parenting measures collected during program and from pre to post showed a decrease in targeted problems in youth and positive benefits for families. This initiative and program evaluation adds to the accumulating research-to-practice literature in children’s mental health.     

Exploring linguistic correlates of social anxiety in romantic stories

The current study used computerized linguistic analysis of stories about either going on a date or taking a walk down a street to examine linguistic correlates of social anxiety in a sample of undergraduate students. In general, linguistic analysis revealed associations of social anxiety with several linguistic variables, including negative emotion, affect, and anxiety words. Participants higher in social anxiety wrote fewer affect words. The relationship between social anxiety and anxiety words depended on gender, whereas the relationship between social anxiety and negative emotion words depended on both gender and the nature of primes (supraliminal vs. subliminal) received. Overall, our findings highlight the potential utility and benefits of using linguistic analysis as another source of information about how individuals higher in social anxiety process romantic stimuli.     

Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders

Between 30 and 70% of patients with eating disorders drop out from outpatient treatment. However, research has been unable to identify factors that consistently predict dropout from eating disorder treatment. Most studies have exclusively investigated the role that individual patient characteristics play in dropout and have ignored more process-based factors such as expectations about treatment, the therapeutic alliance, or time spent on a treatment waiting list. This study aimed to investigate the roles of both individual patient characteristics and process-based factors in dropout from outpatient treatment for eating disorders. The study involved data collected from consecutive eating disorder referrals to the only public specialist eating disorder service for youth and adults in Perth, Western Australia. The standard treatment provided at this service is Enhanced Cognitive Behaviour Therapy on an individual basis. The study involved 189 patients referred to the service between 2005 and 2010. Forty five percent of this sample dropped out of treatment. Results showed that, in this sample, two individual factors, lowest reported weight and the tendency to avoid affect, and one process-based factor, time spent on the wait list for treatment, were significant predictors of dropout. These findings are valuable because a process-based factor, such as wait-list time, may be easier to address and modify than a patient's weight history or the trait of mood intolerance. Increased resources for eating disorder services may reduce waiting list times which would help to reduce dropout and maximize treatment outcomes.     

Do not fear your opponent: suboptimal changes of a prevention strategy when facing stronger opponents

The time spent making a decision and its quality define a widely studied trade-off. Some models suggest that the time spent is set to optimize reward, as verified empirically in simple-decision making experiments. However, in a more complex perspective compromising components of regulation focus, ambitions, fear, risk and social variables, adjustment of the speed-accuracy trade-off may not be optimal. Specifically, regulatory focus theory shows that people can be set in a promotion mode, where focus is on seeking to approach a desired state (to win), or in a prevention mode, focusing to avoid undesired states (not to lose). In promotion, people are eager to take risks increasing speed and decreasing accuracy. In prevention, strategic vigilance increases, decreasing speed and improving accuracy. When time and accuracy have to be compromised, one can ask which of these 2 strategies optimizes reward, leading to optimal performance. This is investigated here in a unique experimental environment. Decision making is studied in rapid-chess (180 s per game), in which the goal of a player is to mate the opponent in a finite amount of time or, alternatively, time-out of the opponent with sufficient material to mate. In different games, players face strong and weak opponents. It was observed that (a) players adopt a more conservative strategy when facing strong opponents, with slower and more accurate moves, and (b) this strategy is suboptimal: Players increase their winning likelihood against strong opponents using the policy they adopt when confronting opponents with similar strength.     

The Confluence of Adverse Early Experience and Puberty on the Cortisol Awakening Response

Associations between early deprivation/neglect in the form of institutional care with the cortisol awakening response (CAR) were examined as a function of pubertal status among 12- and 13-year-old post-institutionalized youth. CARs indexed hypothalamic-pituitary-adrenocortical reactivity. Post-institutionalized youth were compared to youth adopted internationally from foster care (adoption control) and to nonadopted youth reared in families comparable in parental education and income to the adoptive families. Post-institutionalized youth exhibited a blunted CAR if they were at earlier but not if they were at later stages of puberty. Similarly, for both groups of internationally adopted youth combined, earlier but not later stages of puberty were associated with more blunted CARs at higher but not lower levels of parent-reported pre-adoption physical and social neglect.     

Towards a psychosocial mediator model of hostility and CHD

Abstract

How might hostility contribute to the development of CHD? One possible explanation, labelled “psychosocial vulnerability”, is that hostile individuals inhabit a more taxing interpersonal world, and that increased stress, in turn, causes CHD. However, previous research testing this proposition has suffered from a measurement confound by employing self-reports of stress, social support, and hostility. One hundred and twelve subjects participated in the current study and completed the Cook-Medley Hostility scale. Then, each subject's closest friend was asked to estimate for the past year: (1) how many stressors had been encountered by the subject; (2) how easily the subject was upset by a stressor; (3) how many emotional reactions the subject disclosed after a stressor; and (4) how much social support was available to the subject. Results suggested that hostile men and women may both be phychosocially vulnerable, but they are so at different stages of the stressor-distress process. There was no relation between hostility and observed stressor frequency for either men or women, however, hostility in men was found to be related to increased distress in reaction to stressors and in women was related to decreased disclosure about these stressful events. Importantly, hostility in both men and women was related to decreased levels of observed social support, as compared to their non-hostile peers.     

Opposite developmental trends for false recognition of basic and superordinate names

This study investigated the development of false memories for basic and superordinate names using the DRM procedure. Two experiments were conducted with younger (3–5 years old) and older (10–12 years old) children. In the first experiment the DRM procedure was used with categorised lists and in the second experiment both types of lists—categorised and associative—were applied. False recognition for basic and superordinate names showed opposite developmental trends, regardless of list type. False recognition increased for critical-basic items and decreased for critical-superordinate items with age. These opposing results are mainly explained by age differences in conceptual knowledge and editing processes.     

Conceptual and non-conceptual repetition priming in category exemplar generation: Evidence from bilinguals

One measure of conceptual implicit memory is repetition priming in the generation of exemplars from a semantic category, but does such priming transfer across languages? That is, do the overlapping conceptual representations for translation equivalents provide a sufficient basis for such priming? In Experiment 1 (N=96) participants carried out a deep encoding task, and priming between languages was statistically reliable, but attenuated, relative to within-language priming. Experiment 2 (N=96) replicated the findings of Experiment 1 and assessed the contributions of conceptual and non-conceptual processes using a levels-of-processing manipulation. Words that underwent shallow encoding exhibited within-language, but not between-language, priming. Priming in shallow conditions cannot therefore be explained by incidental activation of the concept. Instead, part of the within-language priming effect, even under deep-encoding conditions, is due to increased availability of language-specific lemmas or phonological word forms.     

Relations between a ruminative thinking style and obsessive–compulsive symptoms in non-clinical samples

Abstract

There is tremendous interest in understanding the cognitive processes behind obsessive–compulsive disorder (OCD). Whereas previous research on cognitive OCD models has focused on the dysfunctional content of obsessional thinking, processes and styles of thinking have not yet been investigated. The present study investigated the relationship between a ruminative response style and obsessive–compulsive (OC) symptomatology in two non-clinical samples. In Sample 1, 261 students completed the Ruminative Response Scale, the Padua-Inventory, Revised, and the Beck Depression Inventory. Tendency to ruminate was positively correlated with the severity of OC symptoms and particularly with obsessive rumination, even after controlling for depression. Results were replicated in Sample 2 (211 students). Data indicate that a ruminative response style and obsessive rumination share common processual features. Understanding the interaction between rumination and obsessional thinking might help to further elucidate the role of cognitive vulnerability factors in OCD and to expand cognitive and metacognitive models of OCD.     

Retrieval dynamics in false recall: revelations from identifiability manipulations

The present study analyzed the retrieval dynamics of false recall, using an externalized free-recall task after participants studied Deese/Roediger–McDermott lists with high- and low-identifiable critical words. In Experiment 1, the memory test required participants to write down the words they remembered as having been presented in each list (recall output) plus any related words that came to mind (inclusion output). The results of the inclusion output showed that highly identifiable critical items were more frequently generated than less identifiable critical items, suggesting that highly identifiable critical words were more accessible in a first phase of retrieval. At the same time, the results of the recall output showed that highly identifiable critical items were less often falsely recalled than low-identifiable critical items, a replication of previous findings. In Experiment 2, self-reports corroborated that participants were using an editing strategy based on the identification and exclusion of critical words—that is, the identify-to-reject strategy. These results help us to more fully understand the identifiability effect and, beyond that, emphasize the importance of considering the intervening of dual processes of accessibility and error correction as a crucial feature in theoretical explanations of false memories.