Risky assessments: participant suicidality and distress associated with research assessments in a treatment study of suicidal behavior

The purpose of this study was to examine patterns of self-reported suicidality and distress during research assessments in a sample of 63 women meeting criteria for borderline personality disorder and current and chronic suicidality. The risk management protocol we used during the two-year study period (University of Washington Risk Assessment Protocol; UWRAP) is described. Results indicated that changes in suicidality following assessments were small and relatively infrequent, and were just as likely to reflect decreases in suicidality as increases (17.5% versus 16.4% of sessions, respectively). Further, longitudinal analyses indicated that changes in suicidality became increasingly rare over the course of the 2-year study. Ratings of distress were more changeable than suicidality, underscoring the need for separate measurement of these constructs when assessing risk. With the aid of the UWRAP, our assessors judged 15 participants as high-risk status in 28 assessment sessions (3.7% of all sessions). In comparison to the rest of the sample, these individuals were of significantly greater clinical severity as measured by the HRSD 17-item, GAF scores, number and severity of previous suicide attempts, and number of previous psychiatric hospitalizations. Low-intensity risk intervention strategies (e.g., validating participant's feelings) were typically sufficient to reduce risk in these participants. Overall, our findings indicate that research with highly suicidal individuals can be done safely with the use of well-trained assessors and an appropriate crisis management protocol.     

Comparison of two self-report instruments for assessing binge eating in bariatric surgery candidates

This study compared two self-report methods for assessing binge eating in severely obese bariatric surgery candidates. Participants were 249 gastric bypass candidates who completed the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) and the Eating Disorder Examination-Questionnaire (EDE-Q) prior to surgery. Participants were classified by binge eating status (i.e., no or recurrent binge eating) with each of the measures. The degree of agreement was examined, as well as the relationship between binge eating and measures of convergent validity. The two measures identified a similar number of patients with recurrent binge eating (i.e., at least 1 binge/week); however, overlap was modest (kappa=.26). Agreement on twice weekly binge eating was poor (kappa=.05). The QEWP-R and EDE-Q both identified clinically meaningful groups of binge eaters. The EDE-Q appeared to differentiate between non/infrequent bingers and recurrent bingers better than the QEWP-R, based on measures of convergent validity. In addition, the EDE-Q demonstrated an advantage because it identified binge eaters with elevated weight and shape overconcern. Using the self-report measures concurrently did not improve identification of binge eating in this study. More work is needed to determine the construct validity and clinical utility of these measures with gastric bypass patients.     

The path of visual attention

Visual cuing is one paradigm often used to study object- and space-based visual selective attention. A primary finding is that shifts of attention within an object can be accomplished faster than equidistant shifts between objects. The present study used a visual cuing paradigm to examine how an object's size (i.e., internal distance) and shape, influences object- and space-based visual selective attention. The first two experiments manipulated object size and compared attentional shift performance with objects where the within-object distance between cued and uncued target locations was either equal to the between-object distance (1:1 ratio condition) or three times the between-object distance (3:1 ratio condition). Within-object shifts took longer for the larger objects, but an advantage over between-object shifts was still evident. Influences associated with the shapes of the larger objects suggested by the results of the first two experiments were tested and rejected in Experiment 3. Overall, the results indicate that within-object shifts of attention become slower as the within-object distance increases, but nevertheless are still accomplished faster than between-object shifts.     

Young adults' retrospective reports of parenting by mothers and fathers: associations with current relationship quality

The authors examined retrospective reports of both mothers' and fathers' parenting and young adults' (N = 75) relationship quality. Multiple regression analyses showed that, as predicted, young adults' retrospective reports of the positive parenting they experienced as children were significantly related to the extent by which they currently viewed (a) others as accessible and responsive, (b) their relationships with others as meaningful and important, and (c) themselves as able to form healthy relationships. Although both mothers' and fathers' parenting related to the quality of current relationships with parents, only reports of fathers' parenting were related to the quality of current relationships with a romantic partner. Fathers' parenting was also related to views of the self as being able to form secure and close relationships. The authors address both methodological and substantive explanations for these results.     

Children's understanding of the arithmetic concepts of inversion and associativity

Previous studies have shown that even preschoolers can solve inversion problems of the form a+b-b by using the knowledge that addition and subtraction are inverse operations. In this study, a new type of inversion problem of the form d x e/e was also examined. Grade 6 and 8 students solved inversion problems of both types as well as standard problems of the form a+b-c and d x e/f. Students in both grades used the inversion concept on both types of inversion problems, although older students used inversion more frequently and inversion was used most frequently on the addition/subtraction problems. No transfer effects were found from one type of inversion problem to the other. Students who used the concept of associativity on the addition/subtraction standard problems (e.g., a+b-c=[b-c]+a) were more likely to use the concept of inversion on the inversion problems, although overall implementation of the associativity concept was infrequent. The findings suggest that further study of inversion and associativity is important for understanding conceptual development in arithmetic.     

The differential effects of intrinsic and identified motivation on well-being and performance: prospective, experimental, and implicit approaches to self-determination theory

Self-determination theory research has demonstrated that intrinsic and identified self-regulations are associated with successful adaptation. However, few distinctions are typically made between these regulations and their outcomes. In the present studies, the associations between intrinsic and identified motivations and outcomes of psychological well-being and academic performance are compared in educational settings. In Study 1, intrinsic self-regulation predicted psychological well-being, independent of academic performance. In contrast, identified regulation predicted academic performance. Additionally, the more that students demonstrated an identified academic regulation, the more that their psychological well-being was contingent on performance. In Study 2a, priming intrinsic self-regulation led to greater psychological well-being 10 days later. In Study 2b, an implicit measure of identified regulation predicted academic performance 6 weeks later. Results indicate the need to address important distinctions between intrinsic and identified regulations.     

The role of self-efficacy in predicting rule-following behaviors in shelters for homeless youth: a test of the theory of planned behavior

Through a prospective study of 70 youths staying at homeless-youth shelters, the authors tested the utility of I. Ajzen's (1991) theory of planned behavior (TPB), by comparing the constructs of self-efficacy with perceived behavioral control (PBC), in predicting people's rule-following behavior during shelter stays. They performed the 1st wave of data collection through a questionnaire assessing the standard TPB components of attitudes, subjective norms, PBC, and behavioral intentions in relation to following the set rules at youth shelters. Further, they distinguished between items assessing PBC (or perceived control) and those reflecting self-efficacy (or perceived difficulty). At the completion of each youth's stay at the shelter, shelter staff rated the rule adherence for that participant. Regression analyses revealed some support for the TPB in that subjective norm was a significant predictor of intentions. However, self-efficacy emerged as the strongest predictor of intentions and was the only significant predictor of rule-following behavior. Thus, the results of the present study indicate the possibility that self-efficacy is integral to predicting rule adherence within this context and reaffirm the importance of incorporating notions of people's perceived ease or difficulty in performing actions in models of attitude-behavior prediction.     

Children's profiles of addition and subtraction understanding

The current research explored children's ability to recognize and explain different concepts both with and without reference to physical objects so as to provide insight into the development of children's addition and subtraction understanding. In Study 1, 72 7- to 9-year-olds judged and explained a puppet's activities involving three conceptual relations: (a) a+b=c, b+a=c; (b) a-b=c, a-c=b; and (c) a+b=c, c-b=a. In Study 2, the self-reports and problem-solving accuracy of 60 5- to 7-year-olds were recorded for three-term inverse problems (i.e., a+b-b=?), pairs of complementary addition and subtraction problems (i.e., a+b=c, c-b=?), and unrelated addition and subtraction problems (e.g., 3-2). Both studies highlighted individual differences in the concepts that children understand and the role of concrete referents in their understanding. These differences were related to using efficient procedures to solve unrelated addition and subtraction problems in Study 2. The results suggest that a key advance in children's conceptual understanding is incorporating subtractive relations into their mental representations of how parts are added to form a whole.