Initiation of evidence-based psychotherapies in Veterans with posttraumatic stress disorder

The Department of Veterans Affairs (VA) requires that all VA hospitals and clinics provide access to evidence-based psychotherapies (EBPs). Despite these widespread dissemination efforts, only a minority of Veterans receive EBP services. Reasons for these low rates of EBP utilization are largely unknown. This study examined the characteristics of Veterans with posttraumatic stress disorder (PTSD) who did (Initiation group) and did not (No-Initiation group) initiate a VA-approved EBP after participating in an information session. Veterans chose their preferred treatment from a menu of EBPs. Results demonstrated that Veterans in the No-Initiation group had longer periods of time between their referral and first EBP visit. Among Veterans in the Initiation group, the majority (68%) initiated a trauma-focused EBP as their first or second treatment, suggesting that providing a range of treatment options did not negatively impact their willingness to engage in PTSD treatment. Results are discussed in terms of VA initiatives to improve access to and initiation of mental health care for Veterans.     

Deployment trauma and seeking treatment for PTSD in US soldiers

Many service members in need of mental health treatment do not seek such treatment. This study investigated the frequency of Army soldiers’ exposure to specific types of deployment stressors and whether different event-types were associated with willingness to seek and actual receipt of treatment. Male soldiers who were married (n = 600) completed online surveys that assessed posttraumatic stress disorder (PTSD), willingness to seek treatment for PTSD, actual receipt of PTSD treatment, and the frequency of exposure to 4 types of potentially traumatizing warzone experiences: committing a moral injury, observing a moral injury, threats to life, and traumatic loss. Soldiers who reported greater exposure to moral injury experiences (committed or observed) were less likely to be willing to seek treatment, regardless of PTSD symptom severity. Although exposure to moral injury did not differentiate actual treatment receipt, soldiers who endorsed loss were more likely to have received treatment, regardless of PTSD symptom severity. These results suggest that the types of trauma experienced during deployment may be a factor in postdeployment treatment-seeking attitudes and behaviors.     

Midlife women's generativity and authoritarianism: marriage, motherhood, and 10 years of aging

Generativity and authoritarianism assessed at age 52 were correlated with criterion variables assessed at age 62 in a sample of well-educated women (N = 81). Results indicated that generativity predicted positive personality characteristics, satisfaction with marriage and motherhood, and successful aging. By contrast, although authoritarianism is linked in the literature to endorsing traditional gender roles, authoritarianism was uncorrelated in the current study with happiness about marriage and was negatively related to perceptions of motherhood. Furthermore, authoritarianism was correlated with neuroticism later in life. These data suggest that midlife authoritarianism may be problematic as women transition from their 50s to their 60s. Midlife generativity, in contrast, seems to offer one path to life satisfaction.     

Randomized prevention trial for early conduct problems: effects on proactive parenting and links to toddler disruptive behavior.

Despite knowledge of early pathways to conduct problems, few preventive interventions are specifically designed to modify disruptive behavior in toddlerhood. One potential prevention target is proactive and positive parenting, which is associated with reduced risk of conduct problems in preschoolers. This randomized trial with 120 low-income 2-year-old boys examined whether a brief family-centered intervention that reduces disruptive behavior (D. Shaw, T. Dishion, L. Supplee, F. Gardner, & K. Arnds, 2006) also leads to increases in proactive and positive parenting. It also explored whether change in parenting predicts change in disruptive behavior. In the intervention group, proactive and positive parenting skills increased among parents of 3-year-olds. Change in proactive and positive parenting of 2- to 3-year-old toddlers correlated with change in child disruptive behavior, although the mediation effect of positive parenting was of only borderline significance. Findings suggest that even within a brief and multifaceted preventive intervention, change in proactive parenting skills contributes modestly but significantly to change in child problem behavior.     

The effects of divided attention at study and test on false recognition: A comparison of DRM and categorized lists

Three experiments investigated the effects of divided attention at encoding and retrieval on false recognition. In Experiment 1, participants studied word lists in either full or divided attention (random number generation) conditions and then took part in a recognition test with full attention. In Experiment 2, after studying word lists with full attention, participants carried out a recognition test with either full or divided attention. Experiment 3 manipulated attention at both study and test. We also compared Deese/Roediger-McDermott (DRM) and categorized lists, due to recent claims regarding the locus of false memories produced by such lists (Smith, Gerkens, Pierce, & Choi, 2002). With both list types, false "remember" responses were reduced by divided attention at encoding and increased by divided attention at retrieval. The findings suggest that the production of false memories occurs as a result of the generation of associates at encoding and failures of source monitoring retrieval. Crucially, this is true for both DRM and categorized lists.     

Young people's perceptions and experiences of leaving high school early: an exploration

Research suggests it is important for students to feel a sense of belonging to their school. Students who do not belong at school often attempt to satisfy this need through membership in antisocial groups, or they drop out from school altogether. The current study explored the perceptions and experiences of the school context held by young people who have left school early. Twelve young people aged 16–19 years were interviewed on their experiences of school and their wellbeing as a result of leaving school early. Constructionist grounded theory methodology formed the basis of the data analysis. The early leaving process was identified as having three phases; exclusion from school, the transition into workforce and the ‘now’ phase. The results identified factors in the school context that contributed to early student withdrawal. Furthermore, the research has implications for creating a ‘normative narrative’ (Rappaport, 2000 ) in relation to early school leavers. Copyright © 2007 John Wiley & Sons, Ltd.     

The categorization effect in hedonic contrast: Experts differ from novices

Test stimuli are rated as less “good” when they follow very good context stimuli than when they are presented alone. This diminution in rating is called hedonic contrast. Contrast is attenuated if the context and the test stimuli are perceived as being in different categories. Because experts use as their basic-level categories what are the subordinate levels for novices, they will categorize when novices do not. Therefore, in the following studies, both experts and novices showed hedonic contrast when attractive context orchids preceded more neutral test orchids. However, only the novices showed hedonic contrast when attractive context irises preceded the test orchids. Novices viewed the irises and the orchids as “flowers” and therefore members of the same category, resulting in contrast. Experts, however, viewed the irises and the orchids as being in different categories; therefore, hedonic contrast did not occur.     

What children do on the Internet: domains visited and their relationship to socio-demographic characteristics and academic performance.

HomeNetToo is a longitudinal field study designed to examine the antecedents and consequences of home Internet use in low-income families. Participants included 140 children, mostly 13-year-old African American (83%) boys (58%), living in single-parent households (75%) where the median annual income was $15,000 (USD). This report focuses on children's Internet activities, socio-demographic characteristics related to their Internet activities, and the relationship between academic performance and Internet activities. Overall, findings indicate that low-income children initially use the Internet primarily for entertainment. As home Internet use loses its novelty children become more focused in their Internet activities, reducing the number of websites they visit and visiting more websites targeted to their specific interests. Pornography websites are popular initially, especially among boys, but their popularity decreases dramatically after 3 months. Age, race, and sex have little influence on which websites are most popular. Academic performance predicts subsequent Internet activities, and Internet activities predict subsequent academic performance. Directions for future research to identify mechanisms that mediate the relationship between Internet activities and academic performance and implications for the digital divide are discussed.     

Creativity and experience of a creative task: Person and environment effects

We examined the effects of a person factor (general causality orientation) and an environment factor (threat of evaluation) on creativity and personal experience of a creative collage-making task. Ninety college students completed questionnaires and made a collage under conditions of expected evaluation or no-evaluation. Creativity was a function of participants’ characterizations of themselves as artistic, and among men, of the interaction between environment and person factors. Task experience was affected by environment factors and, marginally, by the interaction of environment and person factors, with participants feeling less competent at the task under threat of evaluation, and exerting the greatest effort when they were under evaluation threat and were higher on control orientation. These findings may have implications for future motivation for creative tasks.     

The self-protective and undermining effects of attributional ambiguity

Two experiments assessed the self-protective and undermining effects of attributional ambiguity. Both studies utilized immersive virtual environment technology to achieve otherwise difficult manipulations of stigma. In Experiment 1, White and Latino participants were either stigmatized (represented as Latino) or not (represented as White) and given negative leadership performance feedback. Afterwards, stigmatized participants reported higher well-being and attributed negative feedback more to discrimination than nonstigmatized participants. In Experiment 2, Latinos represented veridically showed self-protective effects after receiving negative leadership feedback. Additionally, this experiment revealed undermining effects of attributional ambiguity such that those participants represented as Latino discounted positive feedback and reported lower well-being. Thus, attributional ambiguity of stigmatized individuals (real or induced) buffered well-being in the face of negative feedback but undermined the well-being effects of positive feedback.