Cardiac autonomic reactivity and recovery in predicting carotid atherosclerosis: the cardiovascular risk in young Finns study.

The present study examined the association of cardiac autonomic task-induced reactivity and recovery to preclinical atherosclerosis. Thirty-three men and 33 women aged 24-39 years participated in the ongoing epidemiological Cardiovascular Risk in Young Finns study. The authors measured heart rate (HR), respiratory sinus arrhythmia (RSA), and preejection period (PEP) during the mental arithmetic and speech tasks in 1999. Carotid atherosclerosis was assessed by measuring the thickness of the common carotid artery intima-media complex (IMT) with ultrasound in 2001. Higher HR, RSA, and PEP reactivity were associated with lower IMT values even after adjusting for cardiovascular risk factors (lipid levels, obesity, and blood pressure). In addition, better HR recovery after the mental arithmetic task was associated with lower IMT values, and this association persisted after all adjustments. Thus, higher task-induced cardiac autonomic reactivity and better HR recovery were related to less preclinical atherosclerosis. The authors concluded that cardiac pattern of reactivity and quick recovery may be associated with better cardiovascular health, and therefore all reactivity occurring in challenging situations should not automatically be considered as potentially pathological.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.     

Bullying in university between peers and by personnel: cultural variation in prevalence,forms, and gender differences in four countries

Social Psychology of Education - This study reports results from cross-cultural comparisons of (a) the frequency of university students’ experiences of bullying victimization and perpetration...     

Remembering changes: repetition effects in face recollection.

Two experiments examined effects of repetition and change on states of awareness in face recognition. Participants studied repeatedly presented photographs of faces, with the second presentation following either immediately after the first presentation (massed repetition) or following six intervening items (spaced repetition). To manipulate perceptual change, each repeated face was either identical or a mirror image of the first presentation. Subsequently, when recognising a face, participants indicated whether they consciously recollected its prior occurrence ("remembering") or recognised it on the basis of familiarity ("knowing"). Changes in appearance between repeated faces enhanced remember, but not know, responses, and these effects were accentuated for spaced, rather than massed, repetition. These findings suggest that distinctiveness of encoding supports the phenomenological experience of conscious remembering.     

On normal theory based inference for multilevel models with distributional violations

Data in social and behavioral sciences are often hierarchically organized though seldom normal, yet normal theory based inference procedures are routinely used for analyzing multilevel models. Based on this observation, simple adjustments to normal theory based results are proposed to minimize the consequences of violating normality assumptions. For characterizing the distribution of parameter estimates, sandwich-type covariance matrices are derived. Standard errors based on these covariance matrices remain consistent under distributional violations. Implications of various covariance estimators are also discussed. For evaluating the quality of a multilevel model, a rescaled statistic is given for both the hierarchical linear model and the hierarchical structural equation model. The rescaled statistic, improving the likelihood ratio statistic by estimating one extra parameter, approaches the same mean as its reference distribution. A simulation study with a 2-level factor model implies that the rescaled statistic is preferable.This research was supported by grants DA01070 and DA00017 from the National Institute on Drug Abuse and a University of North Texas faculty research grant. We would like to thank the Associate Editor and two reviewers for suggestions that helped to improve the paper.