Social roles, basic need satisfaction, and psychological health: the central role of competence

The authors propose that competence need fulfillment within valued role domains (i.e., spouse, parent, worker) will account, in part, for associations between autonomy and relatedness need fulfillment and psychological health. Testing these assertions in cross-sectional and longitudinal surveys of women in two independent community samples, the findings are the first to formally examine whether the satisfaction of competence needs within social roles accounts for associations between other types of need satisfaction and affective outcomes as well as depressive symptomology. Evidence supporting the hypothesis was stronger when examining individuals' affective health as compared to their depressive symptoms. Implications of the findings are discussed with regard to need fulfillment within social roles.     

Mothers' and Fathers' Depressive Symptoms and Conflict-Resolution Strategies in the Marriage and Children's Externalizing and Internalizing Behaviors

The authors examined mothers' and fathers' avoidance and attacking conflict-resolution strategies in the marriage and their depressive symptoms as they related to children's externalizing and internalizing behaviors. A nonclinical community sample of 51 families and their children's 1st-grade teachers (N = 41) participated. Both mothers and teachers completed a behavior-problem checklist in order to evaluate the incidence of internalizing and externalizing behaviors in the children. Correlational statistics revealed significant associations between parents' avoidance and attacking strategies and their depressive symptoms. Also, parents' use of avoidance was related to more internalizing behaviors in the children. When hierarchical regression analyses were used to examine the contributions of the parents' attributes to children's externalizing and internalizing behaviors, mothers' avoidance and an interaction between mothers' and fathers' avoidance were identified as significant predictors of children's internalizing behaviors.     

Aging and self-reported internal and external memory strategy uses: The role of executive functioning

The aim of this study was to investigate the effect of advanced age on self-reported internal and external memory strategy uses, and whether this effect can be predicted by executive functioning. A sample of 194 participants aged 21 to 80 divided into three age groups (21-40, 41-60, 61-80) completed the two strategy scales of the Metamemory in Adulthood (MIA) questionnaire, differentiating between internal and external everyday memory strategy uses, and three tests of executive functioning. The results showed that: (1) the use of external memory strategies increased with age, whereas use of internal memory strategy decreased; (2) executive functioning appeared to be related only to internal strategies, the participants who reported the greatest use of internal strategies having the highest executive level; and (3) executive functioning accounted for a sizeable proportion of the age-related variance in internal strategy use. These findings suggest that older adults preferentially use external memory strategies to cope with everyday memory impairment due to aging. They also support the view that the age-related decrease in the implementation of internal memory strategies can be explained by the executive hypothesis of cognitive aging. This result parallels those observed using objective laboratory memory strategy measures and then supports the validity of self-reported memory strategy questionnaire.     

Treatment of panic disorder with agoraphobia: randomized placebo-controlled trial of four psychosocial treatments combined with imipramine or placebo

Few randomized controlled trials have included panic disorder patients with moderate to severe agoraphobia. Therefore, this population was studied using pharmacotherapy as well as psychotherapy. At the time of the study, imipramine was widely used as a pharmacological treatment. Also, current practice guidelines for patients with panic disorder find selective serotonin reuptake inhibitors and tricyclic antidepressants roughly comparable in terms of efficacy. Therefore, the main objective of this study is to compare four psychosocial treatments-cognitive and graded in vivo exposure treatments, graded in vivo exposure, cognitive treatment, and supportive therapy-to evaluate the benefits of combining cognitive therapy with exposure in vivo. These treatments were combined with imipramine or placebo for a total of eight experimental conditions. Participants presented moderate to severe agoraphobia. The method involved a randomized, double-blind, placebo-controlled trial with 137 participants who completed a 14-session protocol involving the treatments just mentioned. Measures were taken at baseline and posttreatment and at 3-, 6-, and 12-month follow-up. All treatment conditions were statistically and clinically effective in reducing self-reported panic-agoraphobia symptoms over the 1-year follow-up. No statistical differences were observed between imipramine and placebo conditions. This study found that all treatment modalities helped reduce panic and agoraphobic symptomatology over a 1-year follow-up period. These surprising results support the need to document the relations among the various components of an intervention. This would make it possible to assess the relative efficacy of the treatment components rather than of the intervention as a whole.     

Research Report: How do GPs make referral and treatment decisions when patients present with mental health problems?

The purpose of this pilot study was to identify factors considered by GPs when making mental health referral decisions and to explore referral strategies and related individual differences between GPs. In structured interviews with nine GPs from two surgeries, brief case scenarios were presented. The GPs were asked what treatment or referral option they would recommend in each case, what the main reasons for their choices were and what outcomes they would expect. A short questionnaire was also used. The interviews were transcribed and a content analysis was carried out. Evidence for a variety of patient-related, service-related and doctor-related factors influencing referral decisions was found and compared with previous research findings. In line with results from earlier studies, individual differences between GPs in terms of referral rates, strategies used, confidence and interest in dealing with mental health problems were found. Implications of the findings and of previous research for referrers, service providers and for therapy were discussed. As the present study has obvious limitations, suggestions for future research were made.     

Inner speech sustains predictable task switching: direct evidence in adults

It has been proposed that inner speech supports task selection in task-switching studies, especially when the need for endogenous control is increased. This has been established through the suppression of inner speech in cognitive-flexibility tasks that leads to poorer performance. The aim of this study is to quantify the role of inner speech in a flexibility task by using surface laryngeal electromyography, which, contrary to previous studies, enables participants to freely verbalise the tasks. We manipulated endogenous and exogenous flexibility in a mathematical switching task paradigm. Experiment 1 shows that inner speech acts as a support for switching and is recruited more often when the tasks are of an endogenous type. The main result of Experiment 2 that language is recruited more for the mixing cost than for the switch cost (regardless of the endogenous factor) extends past findings obtained through articulatory suppression.     

Protective role of educational level on episodic memory aging: An event-related potential study

The aim of the present experiment was to investigate whether educational level could modulate the effect of aging on episodic memory and on the electrophysiological correlates of retrieval success. Participants were divided into four groups based on age (young vs. older) and educational level (high vs. low), with 14 participants in each group. Event-related potentials (ERP) were recorded while participants performed a word-stem cued-recall task. Age-related memory deficits were greater for the less educated individuals. Age differences in the ERP old/new effects were also modulated by the level of education. This study demonstrated that the effects of age on episodic memory and ERP correlates of retrieval success are smaller in participants with high educational levels than those with lower levels. These findings provide support for the reserve hypothesis and highlight the need to consider individual differences when studying cognitive and cerebral changes in aging.