Diagnostic construct validity of MMPI-2 Restructured Form (MMPI-2-RF) scale scores

In the current investigation, the authors examined the diagnostic construct validity of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in a patient sample. All participants were diagnosed via the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I/P). The data set used in this study was composed of 544 patients--67 with bipolar disorder, 407 with major depressive disorder, and 70 with schizophrenia. Multivariate analyses revealed a pattern of mean scale differences among patient groups that was mostly consistent with the prominent features of each diagnostic group; logistic regression analyses identified a number of scales that were strong, unique predictors in the differentiation between pairs of diagnostic groups. The higher order scales (H-O)--the Emotional/Internalizing Dysfunction (EID) and Thought Dysfunction (THD) scales were most useful in differentiating between patient groups. For differentiating bipolar disorder patients from the other diagnostic groups, the Activation (ACT) Specific Problem scale was most useful. Although not all hypothesized scale differences emerged; overall, the pattern of results provides support for the diagnostic construct validity of the MMPI-2-RF scales.     

Age-related decrease in recognition of emotional facial and prosodic expressions

The recognition of nonverbal emotional signals and the integration of multimodal emotional information are essential for successful social communication among humans of any age. Whereas prior studies of age dependency in the recognition of emotion often focused on either the prosodic or the facial aspect of nonverbal signals, our purpose was to create a more naturalistic setting by presenting dynamic stimuli under three experimental conditions: auditory, visual, and audiovisual. Eighty-four healthy participants (women = 44, men = 40; age range 20-70 years) were tested for their abilities to recognize emotions either mono- or bimodally on the basis of emotional (happy, alluring, angry, disgusted) and neutral nonverbal stimuli from voice and face. Additionally, we assessed visual and auditory acuity, working memory, verbal intelligence, and emotional intelligence to explore potential explanatory effects of these population parameters on the relationship between age and emotion recognition. Applying unbiased hit rates as performance measure, we analyzed data with linear regression analyses, t tests, and with mediation analyses. We found a linear, age-related decrease in emotion recognition independent of stimulus modality and emotional category. In contrast, the improvement in recognition rates associated with audiovisual integration of bimodal stimuli seems to be maintained over the life span. The reduction in emotion recognition ability at an older age could not be sufficiently explained by age-related decreases in hearing, vision, working memory, and verbal intelligence. These findings suggest alterations in social perception at a level of complexity beyond basic perceptional and cognitive abilities.     

The relationship between agreeableness and the development of the working alliance in patients with borderline personality disorder

The working alliance between therapist and patient is an important component of effective interventions for borderline personality disorder (BPD). The current study examines whether client personality affects the development of the working alliance during the treatment of BPD, and whether this influences treatment effectiveness. Data was based on 87 patients with BPD who were participants in a randomized controlled trial comparing Dialectical Behavior Therapy (DBT) and general psychiatric management. Higher levels of trait Agreeableness were associated with steeper increases in working alliance throughout treatment, but only in the DBT condition. Increases in working alliance were in turn associated with better clinical outcomes. Mediation models revealed a significant indirect path from Agreeableness to better clinical outcomes, mediated through larger improvements in working alliance over time. These results highlight the role that patient personality can play during the therapeutic process, with a specific focus on the importance of Agreeableness for alliance development.     

From intentions via planning and behavior to physical exercise habits

ObjectivesIndividuals who enact a health behavior effortlessly with minimal conscious deliberation can be assumed to have formed a healthy habit. This can be reflected by increases in self-reported habit strength of a behavior. We examined whether physical exercise intentions facilitate changes in exercise habit strength by increasing the use of action planning and exercise.DesignTwo field studies investigated the effect of behavioral intentions on changes in habit strength through a sequential path from action planning to exercise.MethodExercise intentions, action planning, habit strength, and exercise were assessed at two measurement points in time in 231 university students (Study 1), and at four points in time in 134 rehabilitation patients (Study 2).ResultsIn multiple-step mediation models in both samples, there were indirect effects of intentions on habit strength through action planning and behavior.ConclusionAction planning and behavior operated as sequential mediators to bridge the gap between intentions and habit strength. Exercise habit strength may increase as a result of conscious action planning and frequent behavior enactment. Including these constructs jointly into behavior change models may improve the understanding of the mechanisms involved in behavior maintenance.     

Cross-National Replication of the Gender Identity Interview for Children

We administered the Gender Identity Interview for Children, a 12-item child-informant measure, to children referred clinically for gender identity problems in Toronto, Ontario, Canada (N = 329) and Amsterdam, The Netherlands (N = 228) and 173 control children. Confirmatory factor analysis identified a Cognitive Gender Confusion factor (4 items) and an Affective Gender Confusion factor (8 items). Patients from both clinics had a significantly higher deviant total score than the controls, and the Dutch patients had a significantly higher deviant score than the Toronto patients. In this cross-national study, we are the first to report on the validity of this measure to discriminate children with gender identity disorder from controls outside of North America.     

Socially desirable responding on the web: investigating the candor hypothesis

The investigation presented here explores the hypothesis that participants are less likely to respond in a socially desirable fashion on self-report questionnaires completed on the Web relative to those completed in the laboratory--the candor hypothesis. A battery of social desirability questionnaires (i.e., Balanced Inventory of Desirable Responding [Paulhaus, 1984], Marlowe-Crowne Social Desirability Scale [Crowne & Marlowe, 1964], Eysenck Personality Questionnaire-Revised Lie Scale [Eysenck & Eysenck, 1994]) was administered to 3 groups: 2 groups consisted of undergraduate participants who were randomly assigned to complete the measures either in the laboratory (n = 60) or on the Web (n = 60), and 1 group consisted of self-selected participants who visited our experimental Web page and completed the measures online (n = 284). This design allowed us to assess the role of Web administration while controlling for differences in sample type, an oft-neglected issue in the Web literature. Results do not support the claim that administering self-report measures over the Web results in a decrease in socially desirable responding. Furthermore, these findings highlight the problems associated with confounding sample and medium. Implications for the use of Web as a research tool are discussed.     

Reciprocal language style matching in psychotherapy research

Successful coordination of language, that is language style matching (LSM; Gonzales, Hancock, & Pennebaker, 2010) indicated by interdependent use of function words, might be of particular relevance to the psychotherapy process. Empirically, two previous psychotherapy studies indicate that LSM may provide a deeper understanding of the quality of the therapeutic alliance. Theoretically, this process of implicit linguistic coordination may be conceptualised as interpersonal synergy (Riley, Richardson, Shockley, & Ramenzoni, 2011). To illustrate the potential of LSM in psychotherapy research, patterns of LSM per 5 min segments and reciprocal LSM per speaking turn were assessed in a seven‐session treatment demonstration of a narcissistic client. First, LSM predicted observed frequency of ruptures but did not predict observer‐rated working alliance in the corresponding 5 min segments. Second, LSM in these 5 min segments showed a quadratic trajectory of change within session and a stable pattern between sessions. Reciprocal LSM per speaking turn showed that within the majority of this treatment, the client followed the therapist's language style; however, this influence appeared to be bidirectional during the time of a physical altercation in session five. LSM may thus provide a novel way to study some of the more elusive aspects of the therapeutic interaction.     

“I Should not Forget the Apples!”—Mind‐Wandering Episodes Used as Opportunities for Rehearsal in an Interrupted Recall Paradigm

Mind‐wandering is mostly studied for its negative effects on ongoing cognitive tasks but may be also of adaptive value. We tested the idea of mind‐wandering providing opportunities for rehearsal by asking participants to study 20 grocery items for a recall test. After cued recall of 10 items, participants were either told that the recall task was finished or that it was interrupted for another task. All participants then performed a two‐back task during which thought contents were repeatedly probed. Cued recall of the remaining items was better in the interrupted than in the finished condition, and this effect was accompanied by a more efficient rehearsal strategy: Participants' thought‐reports in the interrupted condition revealed a stronger and more persistent engagement in shopping‐task‐related thoughts. Activating a relevant goal led to mind‐wandering episodes being persistently used as opportunities for rehearsal revealing participants' adaptive usage of off‐task thoughts.Copyright © 2017 John Wiley & Sons, Ltd.     

Changing caring behaviours in rehabilitation after a hip fracture – A tool for empowerment?

Different rehabilitation programs after surgery have been presented to improve the outcome for patients with a hip fracture. Empowerment has been suggested as useful, but requires a change in the caring behaviours of health professionals. The aim with this study was to evaluate if training and supervision of the nursing staff could alter caring behaviours. A case-control study of nursing staff treating hip fracture patients was performed at a hospital with two sites. Training and supervision was given to the nursing staff at the intervention site. The intervention focused on creating positive care interaction by using eight guidelines. The evaluation was performed with recordings of a constructed caring situation before training, and observations of care situations at the ward before and after intervention. The results showed no differences at baseline between the two sites in the caring behaviours. After intervention, significant effects of caring behaviours were seen in seven out of eight guidelines, the effect sizes ranged from medium to large. The findings indicate that the nursing staff can change caring behaviours and facilitate the empowerment of patients with a hip fracture.