A survey of mental health care provider's and managed care organization attitudes toward, familiarity with, and use of group interventions

Managed Care has had a significant impact on delivery systems for mental health services. Direct and indirect persuasion to provide more cost-effective treatments has been one consequence. The cost-saving qualities and the effectiveness of group interventions have produced clear expectations for an increased use of therapy groups. This study compared perceptions and uses of group treatments on a national sample of managed care organizations and mental health providers. Because group psychotherapy encompasses such a broad definition, five specific types of group interventions were defined: problem-focused homogenous, process-oriented heterogeneous, psycho-educational, self-help, and short-term groups. Implications of differences and similarities between directors of managed care organizations and treatment providers are examined and discussed across five response categories (familiarity/training, perceived effectiveness, likelihood of reimbursement/referral, daily use, and expectation for future use).     

The association between avoidant personality traits and motor impairment in a population-based sample of 11-12-year-old children

The aim of the study was to examine the association between avoidant personality traits and motor impairment in childhood. The relationship between other personality traits and motor function was also explored. A population-based screened sample of 150 11-12-year-old children (50 socially anxious, 50 impulsive and 50 nonsocially anxious/nonimpulsive) was assessed using the Coolidge Personality and Neuropsycho- logical Inventory for Children (CPNI) and the Motor Assessment Battery for Children (MABC). Among the personality scales, avoidant personality traits were most strongly associated with motor impairment. Children with clinically avoidant personality traits (n = 31) showed a significantly poorer motor performance than children in the nonclinical avoidance group (n = 119). About 50% of the children with clinical avoidance obtained a motor score below the 5th percentile. No gender differences in motor performance were found in the clinical avoidance group. More research on the impact of motor impairment on psychological development is needed.     

Reliability of job satisfaction measures

In this paper, we evaluate consistency in answers to subjective questions about job satisfaction and explore the implications of any inconsistencies. We do this by analyzing a cross-country data set for 6 EU countries where respondents were posed the same question about overall job satisfaction twice within the same questionnaire. We find that, on a 0–10 point ordered utility scale, 80% either classify themselves identically or in the immediate adjacent and that the differences in classification are symmetric around zero. Furthermore, we find that highly satisfied workers report most consistently. When job satisfaction is used as an explanatory variable, we show how OLS-parameter estimates provide a lower bound and IV-estimates an upper bound of the true estimate – and that the bounds are fairly tight. When job satisfaction is used as dependent variable, we generally find high consistency when parameters are highly significant in both models, while less significant or insignificant parameter estimates may change considerably. This indicates that higher significance standards may be advisable in analyses with satisfaction measures as dependent variable compared to more traditional models that are not based on subjective data.     

Dual-memory processes in crack cocaine dependents: The effects of childhood neglect on recall

Exposure to adversities during sensitive periods of neurodevelopment is associated with the subsequent development of substance dependence and exerts harmful, long-lasting effects upon memory functioning. In this study, we investigated the relationship between childhood neglect (CN) and memory using a dual-process model that quantifies recollective and non-recollective retrieval processes in crack cocaine dependents. Eighty-four female crack cocaine–dependent inpatients who did (N = 32) or did not (N = 52) report a history of CN received multiple opportunities to study and recall a short list composed of familiar and concrete words and then received a delayed-recall test. Crack cocaine dependents with a history of CN showed worse performance on free-recall tests than did dependents without a history of CN; this finding was associated with declines in recollective retrieval (direct access) rather than non-recollective retrieval. In addition, we found no evidence of group differences in forgetting rates between immediate- and delayed-recall tests. The results support developmental models of traumatology and suggest that neglect of crack cocaine dependents in early life disrupts the adult memory processes that support the retrieval of detailed representations of events from the past.     

‘If it makes you feel good it must be right’: Embodiment strategies for healthy eating and risk management

The following arguments are constructed around the encounter of embodied experiences and societal discourses. On the basis of an ethnographic study of 34 Danish consumers, we present different consumers' strategies in relation to their perception of healthy food and management of food‐related health risk. Drawing on a subsample representing particular subject positions in relation to healthy eating, we argue for an increased role of embodiment in consumers' risk handling. The study shows that because of the overload of information, consumers increasingly turn to personal experiences and bodily feelings as the instrument and strategy for evaluating possible health risk and benefit. Furthermore, the study shows how these evaluations are related to broader political and socio‐economic issues as well as closely intertwined with notion of trust and mistrust. Through embodied feelings, consumers navigate and negotiate their position in relation to social discourses of health and risk. Copyright © 2013 John Wiley & Sons, Ltd.     

Eye movement suppression interferes with construction of object-centered spatial reference frames in working memory

The brain’s frontal eye fields (FEF), responsible for eye movement control, are known to be involved in spatial working memory (WM).In a previous fMRI experiment (Wallentin, Roepstorff & Burgess, Neuropsychologia, 2008) it was found that FEF activation was primarily related to the formation of an object-centered, rather than egocentric, spatial reference frame. In this behavioral experiment we wanted to demonstrate a causal relationship between eye movement control and manipulation of spatial reference frames. Sixty-two participants recalled either spatial (“Was X in front of Y?”) or non-spatial (“Was X darker than Y?”) relations in a previously shown image containing two to four objects, each with an intrinsic orientation and unique luminance. During half of all recall trials a moving visual stimulus was presented, which participants had to ignore, thus suppressing eye movement. Response times were significantly slower for spatial relations with distraction while there was no effect on non-spatial relations. There was no effect on accuracy, i.e. WM maintenance. This is consistent with the hypothesis that in spatial representations the FEFs are involved in WM content manipulation, such as establishing an object-centered spatial frame of reference.     

The effect of age on decision making according to the Iowa gambling task

Aging has been associated with several brain changes that often affect the cognitive functioning of adults, but changes in executive functions, particularly in the field of decision making, have not been fully investigated. The Iowa Gambling Task (IGT) is a widely used tool to evaluate decision making, but little is known about the effect of age on its results. This study used the IGT and compared healthy young (n = 40) and elderly (n = 40) adults to evaluate their decision making processes. There were significant differences in the learning curve of the two age groups, but no difference in overall IGT performance. The results for the first IGT block were different from those of the rest of the task, and the group of elderly adults had a better performance in this block. Elderly adults also showed a preference for deck A, the one that resulted in greater losses. Findings confirmed the results of other studies, which reported that the IGT block score is the variable with the greatest sensitivity to age in this instrument.     

Psychological measures as predictors of military training performance

The predictive validity of 7 ability tests, the Big Five, and the Rorschach method administered to 71 male applicants at the Naval Special Forces (NSF) of Norway was evaluated based on pass/fail results in training. The findings showed: (a) small correlations between the ability tests, the Big Five scales, and the success criterion; (b) Rorschach variables measuring stress tolerance, reality testing, cognition, and social adjustment correlated significantly (r =.25 to.48) with pass/fail results in training, and (c) logistic regression analysis revealed that 3 of the Rorschach variables accumulated incrementally in the prediction of training completion when entered after the ability tests and the Big Five scales, thus supporting the merit of using Rorschach variables for predicting NSF training performance