VA telemental health: suicide assessment

The Department of Veterans Affairs (VA) encompasses one of the largest telemental health networks in the world, with over 45,000 videoconferencing and over 5,000 home telemental health encounters annually. Recently, the VA designated suicide prevention as a major priority, with telehealth modalities providing opportunities for remote interventions. Suicide risk assessments, using videoconferencing, are now documented in the literature, as are current studies that find telemental health to be equivalent to face-to-face treatment. Remote assessment of suicidality, however, involves complex legal issues: licensing requirements for remote delivery of care, legal procedures for involuntary detainment and commitment of potentially harmful patients, and liability questions related to the remote nature of the mental health service. VA best practices for remote suicide risk assessment include paradigms for establishing procedures in the context of legal challenges (licensing and involuntary detainment/commitment), for utilizing clinical assessment and triage decision protocols, and for contingency planning to optimize patient care and reduce liability.     

Attachment insecurity and perceptions of housework: Associations with marital well-being.

This exploratory study examines the interactive effects of attachment insecurity and perceptions of housework on 2 dimensions of marital well-being--satisfaction and perceptions of fairness. Participants were 148 married couples obtained from an area probability sample as part of a larger study. Multilevel modeling analyses with the couple as the unit of analysis showed that women who scored high and men who scored low on the dimension of attachment anxiety and reported that their spouses performed more routine housework (i.e., prepares meals) also reported being over-benefited. Women who scored high and men who scored low on the dimension of attachment avoidance and reported that their spouses performed more intermittent housework (i.e., yard work) reported greater marital satisfaction. These results highlight the role of attachment orientations in explaining why perceptions of housework may have more or less prominent effects on marital well-being.     

Moral Conviction and Political Engagement

The 2004 presidential election led to considerable discussion about whether moral values motivated people to vote, and if so, whether it led to a conservative electoral advantage. The results of two studies—one conducted in the context of the 2000 presidential election, the other in the context of the 2004 presidential election—indicated that stronger moral convictions associated with candidates themselves and attitudes on issues of the day uniquely predicted self-reported voting behavior and intentions to vote even when controlling for a host of alternative explanations (e.g., attitude strength, strength of party identification). In addition, we found strong support for the hypothesis that moral convictions equally motivated political engagement for those on the political right and left and little support for the notion that a combination of morality and politics is something more characteristic of the political right than it is of the political left.     

Attitudes related to child sexual abuse: scale construction and explorative study among psychologists

A Child Sexual Abuse Attitude and Belief Scale was constructed and then answered by 242 child psychologists. Four CSA related attitude and belief subscales were identified through confirmatory factor analysis: (1) The Disclosure subscale reflecting favouring a disclosure at any cost; (2) The Pro-Child subscale reflecting unconditional belief in children's reports; (3) The Intuition subscale reflecting favouring an intuitive approach to CSA investigations; and (4) The Anti Criminal Justice System subscale reflecting negative attitudes towards the legal system. Beliefs that were erroneous according to empirical research were analyzed separately. The results suggest that some psychologists hold extreme attitudes and many erroneous beliefs related to CSA. Some misconceptions are common. Female participants tended to have stronger attitudes than male participants. The more training in interviewing children the participants had had, the more erroneous beliefs and stronger attitudes they had. Experience did not affect attitudes and beliefs.     

How does intergroup contact reduce prejudice? Meta‐analytic tests of three mediators

Recent years have witnessed a renewal of interest in intergroup contact theory. A meta‐analysis of more than 500 studies established the theory's basic contention that intergroup contact typically reduces prejudices of many types. This paper addresses the issue of process: just how does contact diminish prejudice? We test meta‐analytically the three most studied mediators: contact reduces prejudice by (1) enhancing knowledge about the outgroup, (2) reducing anxiety about intergroup contact, and (3) increasing empathy and perspective taking. Our tests reveal mediational effects for all three of these mediators. However, the mediational value of increased knowledge appears less strong than anxiety reduction and empathy. Limitations of the study and implications of the results are discussed. Copyright © 2008 John Wiley & Sons, Ltd.     

Post-Traumatic Reactions in Adolescents: How Well Do the DSM-IV PTSD Criteria Fit the Real Life Experience of Trauma Exposed Youth?

This study examined the structure and symptom specific patterns of post traumatic distress in a sample of 1,581 adolescents who reported exposure to at least one traumatic event. Symptom reporting patterns are consistent with past literature in that females reported more symptoms than males and older youth reported more symptoms than did their younger peers. Young people reporting exposure to exclusively violent type traumas were also found to be more likely to endorse symptoms than peers exposed exclusively to non violent type traumas. Confirmatory factor analysis provided stronger support for a four-factor model of PTSD than either the DSM-IV model or an alternate model. Further examination of the four factor model revealed gender differences in factor loadings with small to moderate effect sizes for recurrent, distressing memories, flashbacks, restricted affect, difficulty remember details, detachment, limited future orientation, hypervigilance and startle symptoms. Differences in factor loadings with the four factor model were also noted between younger and older adolescents, with medium to large effect sizes on the arousal items. In contract, comparison of the factor loadings revealed only small differences between youth exposed exclusively to violent traumatic stressors and those exposed exclusively to non violent traumatic stressors, suggesting relative similarity between these two groups.     

Exploratory and confirmatory factor analyses of the structured interview for disorders of extreme stress

Two studies were conducted to provide the first empirical examination of the factor structure of a revised version of the clinically derived Structured Interview for Disorders of Extreme Stress, a structured interview designed to assess associated features of posttraumatic stress disorder (PTSD) thought to be related to early onset, interpersonal, and prolonged traumatic exposure. Five factors representing demoralization, somatic dysregulation, anger dysregulation, risk/self-harm, and altered sexuality were derived from an exploratory factor analysis conducted with adult trauma survivors in substance abuse treatment. They provided a good fit in a confirmatory factor analysis conducted in a second study with a nonclinical sample of ethnoculturally diverse, socioeconomically disadvantaged, incarcerated adults. Evidence of the derived factors' internal consistency and convergent and discriminant validity is reported. Evidence supported the association of these factors with interpersonal trauma (physical and/or sexual), its repetition, and its earlier onset. Implications for clinical assessment of complex posttraumatic stress disorder are discussed.     

Adult age differences in attention to semantic context

In three experiments age differences in attention to semantic context were examined. The performance of younger adults (ages 18-29 years) and older adults (ages 60-79 years) on a semantic priming task indicated that both age groups could use information regarding the probability that a prime and target would be related to flexibly anticipate the target category given the prime word (Experiment 1). The timing by which target expectancies were reflected in reaction time performance was delayed for older adults as compared to younger adults, but only when the target was expected to be semantically unrelated to the prime word (Experiment 2). When the target and prime were expected to be semantically related, the time course of priming effects was similar for younger and older adults (Experiment 3). Together the findings indicate that older adults are able to use semantic context and the probability of stimulus relatedness to anticipate target information. Although aging may be associated with a delay in the timing by which controlled expectancies are expressed, these findings argue against an age-related decline in the ability to represent contextual information.     

Social network analysis: A methodological introduction

Social network analysis is a large and growing body of research on the measurement and analysis of relational structure. Here, we review the fundamental concepts of network analysis, as well as a range of methods currently used in the field. Issues pertaining to data collection, analysis of single networks, network comparison, and analysis of individual-level covariates are discussed, and a number of suggestions are made for avoiding common pitfalls in the application of network methods to substantive questions.