Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial

Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n = 31) or wait-list control (n = 30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly – S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7). Linear mixed effects regression analysis using the full intention-to-treat sample demonstrated that the treatment had superior outcomes on the main outcome measure as compared with the control group, Cohen’s d = 0.93, 95% CI [0.24, 1.63]. The benefits of treatment over control were also evident in scores of depression, Cohen’s d = 0.61, 95% CI [0.04, 1.19], and quality of life, Cohen’s d = 0.88, 95% CI [0.14, 1.61]. The results provide preliminary support for Internet-delivered acceptance and commitment therapy as a potentially effective treatment of psychological symptoms associated with hearing problems.     

Über den Vergleich von Helligkeitsgefällen

Ohne Zusammenfassung Mit 12 Abbildungen im Text     

Psychologische Analysen hirnpathologischer Fälle

Ohne Zusammenfassung     

Beyond level of self-esteem: exploring the interplay of level,stability, and contingency of self-esteem,mediating factors,and academic achievement

Social Psychology of Education - Self-esteem plays a decisive role for students in achievement situations. However, it is still unclear how different self-esteem facets and their interactions...     

How Not to Criticise Scientism

This paper argues that the main global critiques of scientism lose their punch because they rely on an uncharitable definition of their target. It focuses on epistemological scientism and divides it into four categories in terms of how strong (science is the only source of knowledge) or weak (science is the best source of knowledge) and how narrow (only natural sciences) or broad (all sciences or at least not only the natural sciences) they are. Two central arguments against scientism, the (false) dilemma and self-referential incoherence, are analysed. Of the four types of epistemological scientism, three can deal with these counterarguments by utilizing two methodological principles: epistemic evaluability of reliability and epistemic opportunism. One hopes that these considerations will steer the discussion on scientism to more fruitful pastures in the future. For example, there are interesting methodological considerations concerning what evaluability or reliability and epistemic opportunism entail.     

Approach-avoidance goals and relationship problems,communication of stress,and dyadic coping in couples

Partners in romantic relationships differ in the extent to which they are oriented towards positive outcomes (e.g., intimacy) or away from negative outcomes (e.g., conflict). The present study examines these approach-avoidance relationship goals in relation to self-reported relationship problems, stress communication, and dyadic coping. Hypotheses were tested on a dyadic level (Actor-Partner Interdependence Model) using data from 368 couples. As expected, people endorsing approach goals reported fewer relationship problems, more effective stress communication, and better dyadic coping. People endorsing avoidance goals reported more relationship problems and poorer dyadic coping. Further, approach-oriented people tended to perceive their partner as being more communicative and more supportive, whereas avoidance-oriented people tended to perceive their partner as more communicative but less supportive. Reports by partners agreed with the self-reports of approach- and avoidance-oriented spouses concerning stress communication and dyadic coping. These findings highlight motivational factors in general, and orientation towards approach-avoidance goals in particular, as key features in understanding relationship maintenance.