Body image change in obese and overweight women enrolled in a weight-loss intervention: the importance of perceived versus actual physical changes

Using the exercise and self-esteem model as a guiding framework, this study examined variables related to body image change among 88 overweight and obese women (M(age)=28.4±7.8; M(BMI)=31.6±3.5) participating in a 16-week diet and exercise weight-loss intervention. Measures of body image and potential mechanisms of body image change (actual and perceived physical changes, self-efficacy) were administered at baseline, Weeks 8 and 16. Body image improved significantly over the study time-points (ps<.001). Perceived physical changes accounted for most explained variance (12-37%) in body image change (total R(2)(adj)=.21-.50). Improved perceptions of body fat were a particularly important predictor in each model (ps≤.04). Results support the notion that to improve body image, perceived changes to the body are more important than actual changes. Such information is integral to developing theories to explain body image change and interventions to maximize it.     

Steering a new course for deception detection research

Vrij and Granhag (2012) argue for a new direction in deception research based on structuring interviews in ways that more consistently elicit cues to deception. Although we find ourselves in general agreement, we believe there are several additional issues for researchers to consider. We emphasize the need to examine whether the proposed interview techniques lead to potential tradeoffs between information elicitation and deception detection, the importance of individual differences that may moderate previously obtained results, and the value of pursuing a goal of theoretical refinement alongside application development.     

The involvement of bottom-up saliency processing in endogenous inhibition of return

Participants are faster at detecting a visual target when it appears at a cued, as compared with an uncued, location. In general, a reversal of this cost-benefit pattern is observed after exogenous cuing when the cue-target interval exceeds approximately 250?ms (inhibition of return [IOR]), and not after endogenous cuing. We suggest that, usually, no IOR is found with endogenous cues because no bottom-up saliency-based orienting processes are claimed. Therefore, we developed an endogenous feature-based split-cue task to allow for endogenous saliency-based orienting. IOR was observed in the saliency-driven endogenous cuing condition, and not in the control condition that prevented saliency-based orienting. These results suggest that usage of saliency-based orienting processes in either endogenous or exogenous orienting warrants the appearance of IOR.     

Building Collaborative Mental Health Teams in Schools Through MFT School Certification: Initial Findings

Building collaborative multidisciplinary mental health teams to boost student achievement has been a growing initiative in American schools since the 1970s. Marriage and Family Therapists (MFTs)joined those teams in 2008, when Connecticut became the first state to certify MFTs for schoolbased practice. This article chronicles the history of that collaboration and reports initial research into MFT school-based participation on those teams.     

Einzel- und Paarintervention f��r depressive Koronarpatienten

Depressive symptoms in patients presenting with coronary heart disease have an impact on quality of life, health behavior, and prognosis. The psychotherapeutic interventions which had been tested for their efficacy in previous randomized controlled trials, showed only minor effects. A stepwise approach consisting of individual and group psychotherapeutic interventions was tested for efficacy in a German multicenter study. The presented paper describes the therapeutic procedure for two individual sessions and one couple session by means of case examples. The main focus was to determine depressive symptoms along with underlying maladaptive personality traits such as negative affectivity and social inhibition (type D pattern). Depressive mood, disappointments and mortifications both in private and professional life and also during the previous treatment are verbalized. Dysfunctional relation patterns and maladaptive sickness behavior are taken up by the psychotherapist and alternative behavior patterns are developed. The objective of the couple session is strengthening the partnership resources and offering relief of fears and worries relative to the heart disease. The psychotherapeutic procedure is psychodynamically oriented but also contains cognitive-behavioral and interactional treatment approaches.     

The abject self: self-states of relentless despair

Early childhood deprivation, attachment chaos, repeated medical traumata, and abuse set up neural networks of dread, shame, worthlessness, and hopelessness: the phenomenology of abject experience that resides in implicit memory. Abject interactions with others condense yearning and despair into complex enactments of abject suffering. Working in abject subgroups dilutes the intensity of abject material as ownership of toxic affects is broadened. Affective engagement and a relational perspective facilitate the management and transformation of self-abjection into more optimal relatedness in combined group and individual treatment.     

Distinguishing general and specific personality disorder features and implications for substance dependence comorbidity

Clinical and population-based samples show high comorbidity between Substance Use Disorders (SUDs) and Axis II Personality Disorders (PDs). However, Axis II disorders are frequently comorbid with each other, and existing research has generally failed to distinguish the extent to which SUD/PD comorbidity is general or specific with respect to both specific types of PDs and specific types of SUDs. We sought to determine whether ostensibly specific comorbid substance dependence-Axis II diagnoses (e.g., alcohol use dependence and borderline personality disorder) are reflective of more pervasive or general personality pathology or whether the comorbidity is specific to individual PDs. Face-to-face interview data from Wave 1 and Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. Participants included 34,653 adults living in households in the United States. We used hierarchical factor models to statistically partition general and specific personality disorder dimensions while simultaneously testing for specific PD-substance dependence relations. Results indicated that substance dependence-Axis II comorbidity is characterized by general (pervasive) pathology and by Cluster B PD pathology over and above the relationship to the general PD factor. Further, these relations between PD factors and substance dependence diagnoses appeared to largely account for the comorbidity among substance dependence diagnoses in the younger but not older participants. Our findings suggest that a failure to consider the general PD factor, which we interpret as reflecting interpersonal dysfunction, can lead to potential mischaracterizations of the nature of certain PD and SUD comorbidities.     

Clarifying boundaries of binge eating disorder and psychiatric comorbidity: a latent structure analysis

Binge eating disorder (BED) presents with substantial psychiatric comorbidity. This latent structure analysis sought to delineate boundaries of BED given its comorbidity with affective and anxiety disorders. A population-based sample of 151 women with BED, 102 women with affective or anxiety disorders, and 259 women without psychiatric disorders was assessed with clinical interviews and self-report-questionnaires. Taxometric analyses were conducted using DSM-IV criteria of BED and of affective and anxiety disorders. The results showed a taxonic structure of BED and of affective and anxiety disorders. Both taxa co-occurred at an above-chance level, but also presented independently with twice-as-large probabilities. Within the BED taxon, diagnostic co-occurrence indicated greater general psychopathology, lower social adaptation, and greater premorbid exposure to parental mood and substance disorder, but not greater eating disorder psychopathology. Eating disorder psychopathology discriminated individuals in the BED taxon from individuals in the affective and anxiety disorders taxon. Diagnostic criteria of BED were more indicative of the BED taxon than were criteria of affective and anxiety disorders. The results show that at the latent level, BED was co-occurring with, yet distinct from, affective and anxiety disorders and was not characterized by an underlying affective or anxiety disorder.