Is EBM an Appropriate Model for Research into the Effectiveness of Psychotherapy?

Topoi - EBM, and the hierarchy of evidence it prescribes, is a controversial model when it comes to research into the effectiveness of psychotherapeutic treatments. This is due in part to the...     

Evaluation of Violence Prevention Approaches Among Early Adolescents: Moderating Effects of Disability Status and Gender

High prevalence rates of aggression during adolescence and associated adjustment difficulties for perpetrators and victims highlight the need for effective violence prevention programs. School-based prevention programs are advantageous as they occur in a key setting for youths' social and emotional development. The current study compared the efficacy of a combined universal violence prevention approach that included individual-level skill-building (i.e., lessons from Second Step) and school environment (i.e., Olweus Bullying Prevention Program; OBPP) interventions to OBPP alone. Participants were 231 sixth, seventh, and eighth graders (ages 11–15; M?=?12.6, SD?=?1.0) in middle school (48?% male, 67?% African American). A total of 14 classrooms were randomly assigned to the combined intervention (seven) or OBPP only comparison (seven) condition, split evenly across grades. Intervention effects were moderated by disability status and gender. Among students without disabilities those who received the combined intervention reported greater increases in anger regulation coping skills than those in the comparison condition. In contrast, among youth with disabilities greater increases in teacher-rated social skills were found for students in the combined intervention than students in the comparison condition at posttest. Gender-moderated effects included greater decreases in teacher ratings of externalizing problems and bullying behaviors for boys in the combined intervention versus the comparison condition at posttest. Study results inform school-based violence prevention programs and are discussed along with implications.     

Mothers' responses to infant physical appearance

Mothers' responses to slides of infants were assessed. During individual presentations of the slides they showed increases in smiling to infant photographs in general, but showed large skin conductance responses only to pictures of their own infant. They did not look differentially at the photographs. During paired presentations, mothers looked longer at their own infant's photograph. Moreover, they looked longer at unfamiliar infants who they perceived to be high in cuteness. These findings are discussed with reference to the role of infant physical appearance in infant-adult social relations.     

Perceived social support and maternal adaptation during the transition from hospital to home care of high-risk infants

Forty-two mothers of high-risk infants who had been hospitalized in a newborn intensive care unit were interviewed approximately 2 months after hospital discharge. On standard questionnaires, they reported how much support they had received since discharge and their need for and satisfaction with support in three areas: Emotional, informational, and tangible support. Mothers also completed the Profile of Mood States, the Sleep, Feeding, and Crying Questionnaire, and the Impact of Event Scale and rated the severity of the infant's medical condition and expected developmental/health outcome. Measures of maternal adaptation and infant characteristics were subjected to exploratory factor analysis from which summary scores were constructed. One maternal adaptation factor and two infant status factors were examined in relation to social support variables, but no significant associations were found for the sample as a whole. However, satisfaction with each area of support was related to maternal adaptation when the infant's post-discharge status was relatively more severe. The results are discussed in terms of the crises of the hospital to home transition and the difficult tasks that face parents after the assumption of full responsibility for a vulnerable infant who required newborn intensive care.     

Inadequate Response to Therapy as a Predictor of Suicide

The role of response to cognitive therapy as a predictor of suicide was investigated by comparing 17 outpatients with mood disorders who committed suicide with 17 matched patients who did not commit suicide. The suiciders attended significantly fewer sessions of cognitive therapy and dropped out of therapy more frequently: 88% of the suiciders, compared to 53% of the controls, were rated by their therapists as requiring more treatment at termination. They also had higher levels of hopelessness at the termination of therapy. The results suggest that premature termination of therapy and inadequate response to treatment have unfavorable prognostic significance for eventual suicide.