A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Parenting and Prematurity: Understanding Parent Experience and Preferences for Support

Infants born very preterm are at risk of developmental and behavioural problems and their parents are at risk of psychological distress and compromised parenting. This study has two key aims: (1) to identify, from the parents’ own perspective, the unique aspects of parenting an infant born very preterm and (2) to assess parent preferences for support including opinions of a new, tailored parenting intervention, Prem Baby Positive Parenting Program (Triple P). A qualitative approach was taken with focus groups of 18 parents of infants born preterm and a thematic analysis conducted. Parents identified several unique aspects of parenting an infant born preterm including: difficulty coping with the stress of hospitalisation; institutionalisation to the hospital environment; a lack of preparation for the transition to parenthood; grief; isolation; getting into “bad parenting habits” of overnurturance and a lack of certainty about developmental expectations. Parents preferred parenting support that is tailored to parents of infants born preterm, has flexible delivery, enhances coping skills and the spousal relationship and is sensitive to the emotional context of parenting an infant born preterm. Understanding the experiences and the preferences of parents of infants born preterm is an important step in tailoring parenting interventions to fit their needs.     

Bound to Feel Bad About Oneself: Relations Between Attachment and the Self-conscious Emotions of Guilt and Shame in Children and Adolescents

Two cross-sectional studies were conducted to explore the relationship between attachment and the self-conscious emotions of guilt and shame in childhood. Study 1 was performed in non-clinical children aged 9–13 years (N = 688) who completed a single-item measure of attachment style and a vignette-based instrument for assessing guilt and shame. Results showed that children who classified themselves as insecurely attached displayed higher levels of shame and maladaptive types of guilt as compared to securely attached children. Study 2 was conducted in adolescents aged 12–18 years (N = 135), of whom the majority was referred to a clinical setting because of externalizing problems. Adolescents filled in a dimensional scale for measuring attachment quality to parents and peers and the above mentioned vignette-based instrument of guilt and shame. It was found that the clinical adolescents generally exhibited lower levels of self-conscious emotions as compared to non-clinical adolescents. Within this clinical group, communication to parents and peers was associated with higher levels of self-conscious emotions, and alienation was accompanied by higher levels of maladaptive forms of guilt and shame. Altogether, these results fit with the theory that attachment (in)security is involved in people’s proneness to experience self-conscious emotions.     

Testimonial Engagement: Undocumented Latina Mothers Navigating a Gendered Deportation Regime

This community-based qualitative study investigated the real or threatened impact of immigration enforcement on undocumented mothers as they navigate a “gendered deportation regime.” We analyzed seven interviews with undocumented mothers who have experienced the deportation of someone close to them and live under the constant threat of deportation. Based on an inductive, team-based analysis process, we present case examples of four themes that illustrate how undocumented mothers describe their experience negotiating the aftermath and threat of deportation: quality of life, material possibilities, balancing the social, and engaging with advocacy networks. Findings expand on previous research emphasizing the impact of “deportability” on the everyday lives of undocumented immigrants by attending to gendered aspects of immigration enforcement. As a collaborative research team composed of social work faculty, graduate students, and immigrant rights activists, we also critically engage with our attempts to meld research and community organizing in order to illustrate challenges that scholars and social service practitioners face when working with undocumented populations.     

Measurement Properties for a Scale Assessing Self-Regulation in Parents and Parenting Practitioners

Journal of Child and Family Studies - Parenting self-regulation is increasingly recognised as an important facet of positive parenting, as it allows parents to manage their thoughts, behaviours,...     

Cognitive deficits, schizophrenia, and the anterior cingulate cortex

Cognitive deficits are thought to be responsible for some of the symptoms and dysfunction in schizophrenia. Recent research on the anterior cingulate cortex supports this assumption. More detailed and definitive evidence for this association will require identification of specific neural networks whose abnormal structure, connections or activity create the cognitive deficits in question.