The Effectiveness of Group Metacognitive Therapy for Generalised Anxiety Disorder: A Pilot Study

Generalised anxiety disorder (GAD) responds well to individually delivered metacognitive therapy (MCT). The current study investigated the effectiveness of MCT administered to groups of patients with GAD in a general outpatient treatment centre. Thirty-three consecutively referred adult patients with GAD were assessed before treatment (pretreatment), after the last treatment session (posttreatment), and six months after treatment had ended (follow-up). Analyses of treatment effects were conducted for all patients entering the study (i.e., intent-to-treat analysis, using the last-observation-carried-forward procedure), and repeated for the patients who completed treatment (completers analysis), using paired samples t-tests. Further, effect sizes (ESs) and indices of clinical significance were calculated, and compared with those reported in studies into the efficacy and effectiveness of individually delivered MCT for GAD. Among both the intent-to-treat and the completers sample, large pre- to posttreatment reductions in symptoms of worry, trait-anxiety, and general psychopathology. The magnitude of change and the degree of clinical significance were smaller than those reported in studies into the effectiveness of individually delivered MCT for GAD, whereas the attrition rate (27 %) was higher. It is tentatively concluded that MCT for GAD can be effectively delivered in a group format in a heterogenous clinical practice setting. Further evaluation is clearly indicated.     

Testing hypotheses involving Cronbach's alpha using marginal models

We discuss the statistical testing of three relevant hypotheses involving Cronbach's alpha: one where alpha equals a particular criterion; a second testing the equality of two alpha coefficients for independent samples; and a third testing the equality of two alpha coefficients for dependent samples. For each of these hypotheses, various statistical tests have been proposed. Over the years, these tests have depended on progressively fewer assumptions. We propose a new approach to testing the three hypotheses that relies on even fewer assumptions, is especially suited for discrete item scores, and can be applied easily to tests containing large numbers of items. The new approach uses marginal modelling. We compared the Type I error rate and the power of the marginal modelling approach to several of the available tests in a simulation study using realistic conditions. We found that the marginal modelling approach had the most accurate Type I error rates, whereas the power was similar across the statistical tests.     

Action Emulation between Canonical Models

In this paper we investigate Kripke models, used to model knowledge or belief in a static situation, and action models, used to model communicative actions that change this knowledge or belief. The appropriate notion for structural equivalence between modal structures such as Kripke models is bisimulation: Kripke models that are bisimilar are modally equivalent. We would like to find a structural relation that can play the same role for the action models that play a prominent role in information updating. Two action models are equivalent if they yield the same results when updating Kripke models. More precisely, two action models are equivalent if it holds for all Kripke models that the result of updating with one action model is bisimilar to the result of updating with the other action model. We propose a new notion of action emulation that characterizes the structural equivalence of the important class of canonical action models. Since every action model has an equivalent canonical action model, this gives a method to decide the equivalence of any pair of action models. We also give a partial result that holds for the class of all action models. Our results extend the work in van Eijck et al. (Synthese 185(1):131–151, 2012).     

Tales of two self-control scales: Relations with Five-Factor and HEXACO traits

This study compared the Five-Factor and HEXACO personality correlates of two common self-control constructs – Tangney self-control and Grasmick self-control – and their relations with delinquency. In both a student and a community sample, conscientiousness (mainly the prudence facet) was the most consistent and strongest correlate of both constructs. HEXACO honesty–humility was an important correlate of Grasmick self-control but not of Tangney self-control. Additionally, honesty–humility (mainly the fairness facet) was the most consistent predictor of delinquency, whereas the two self-control scales differed in the extent to which they predicted delinquency across samples.     

BIS- and BAS-activation and study outcomes: A mediation study

Building on Gray’s original Reinforcement Sensitivity Theory, we examined how individual differences in students’ activation of the behavioral inhibition (BIS) and the behavioral approach (BAS) systems relate to overcommitment to one’s studies and study engagement, and how these two forms of heavy study investment relate to three academically relevant outcomes. Using data from 565 Dutch university students, structural equation modeling showed that BIS-activation was positively associated with overcommitment to one’s studies, which in turn was positively related to exhaustion and the intention to quit one’s studies. BAS-activation was positively associated with study engagement, which in turn was negatively related to exhaustion and the intention to quit, and positively related to academic performance. Bootstrapping techniques revealed a mediating role of the two forms of heavy study investment. Apparently, BIS- and BAS-activation are associated with heavy study behavior, student well-being, and study outcomes.     

Occupational stress of professional nurses in South Africa

The objective of this study was to identify occupational stressors for professional nurses in South Africa. A cross-sectional survey design was used. A stratified random sample of professional nurses (n=818; females?=?97%) in hospitals in South Africa was used. The Nursing Stress Indicator (NSI) was administrated together with a biographical questionnaire. Three internally consistent stress factors, namely lack of organisational support, job demands and nursing-specific demands, were extracted. The most severe stressors for professional nurses included staff shortages, inadequate salaries and excessive administrative duties. Work overload, fellow workers not doing their job, health risks posed by contact with patients and demands of patients were also identified as stressors. Stress was associated with specific factors, including age, position (rank), care unit, and work experience.     

Personality in teams: Its relationship to social cohesion,task cohesion,and team performance

This study continued past research on the relationship between personality composition in teams and social cohesion and team performance (Barrick, Stewart, Neubert, & Mount, 1998). Results from the Barrick et al. sample (N = 50) were compared with data from two new samples, one comprising drilling teams in the US (N = 24), and the other comprising student teams in The Netherlands (N = 25). Furthermore, this study examined the relationship between personality composition and task cohesion, usually considered to be a stronger predictor of team performance than social cohesion. Results partly confirmed the relationships between personality composition, cohesion, and team performance that were found previously. Minimum levels of conscientiousness and agreeableness contributed positively to both task cohesion and team performance. High mean levels of extraversion and emotional stability contributed positively to social cohesion. Some results differed across the three samples, stressing the importance of task characteristics as a factor influencing relationships between team personality, team processes, and team performance. Although significant relationships were found between social cohesion, task cohesion, and performance, cohesion measures did not mediate relationships between personality composition and team performance.     

Impact of social support on health status and life satisfaction in people with a spinal cord injury

Abstract

Purpose: Assessment of the impact of received social support on functional health status and life satisfaction in people with spinal cord injury (SCI). Design: Respondents were 176 people with SCI between 18 and 65 years of age and living in the community. Mean time after injury was 3.6 years. Problem-oriented and emotion-oriented support, received from family members, friends and relatives, and professionals were assessed with the Sources of Social Support Inventory. Health status was assessed with the Sickness Impact Profile 68 and life satisfaction with the Life Satisfaction Questionnaire. Structural equation modelling with LISREL V8 was used to study relationships of different types and sources of social support with health status and life satisfaction.Results: Emotion-oriented support led to better psychological functioning and to greater life satisfaction. In addition, emotion-oriented support from the family led to greater satisfaction with relationships and emotion-oriented support from friends and acquaintances led to less satisfaction with social life. Problem-oriented support was not clearly related to health status and life satisfaction; there was only a negative relation between problem-oriented support and satisfaction with social life. Support, problem-oriented or emotion-oriented, from health-care professionals showed no relationships with health status or life satisfaction.Conclusions: Emotion-oriented support from family members and friends was most important for people with SCI. Greater problem-oriented support appears to be related to poorer life satisfaction.     

A review of: “Suicide: The tragedy of hopelessness”

David Aldridge (1997) Suicide: the Tragedy of Hopelessness, London: Jessica Kingsley, $15.95