Meta-analysis of psychological interventions for chronic low back pain.

The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.     

To know where the bodies are buried: The use of the cognitive interview in an environmental scale spatial memory retrieval task

Missing body homicide cases have gained public interest globally due to some high-profile cases. In many of these cases, the task of locating the victim's remains relies on the information investigators can gain through the interviewing of willing suspects. To date, investigative interviewing research has largely focused on the retrieval of episodic memory (events) without focusing on spatial memory, a prominent cognitive task required in locating a victim's remains. The current experiment tests the enhanced cognitive interview (ECI) against a free recall strategy in a mock homicide scenario where participants are required to hide and retrieve an object in a natural bushland setting. The results showed that those in the ECI condition produced more coarse- and fine-grained details of landmarks and their actions at and journeying to the deposition site. This demonstrates the value of using the ECI in generating more valuable information to assist in successive search attempts.     

THE EFFECTIVENESS OF A CONSTANT TIME-DELAY PROCEDURE TO TEACH CHAINED RESPONSES TO ADOLESCENTS WITH MENTAL RETARDATION

The effectiveness of a 5-s constant time-delay procedure to teach three chained food preparation behaviors to four moderately retarded adolescent students was evaluated within a multiple probe design across behaviors. Results indicate that the procedure was effective in teaching all four students to make a sandwich, boil a boil-in-bag item, and bake canned biscuits. The skills maintained with at least 85% accuracy over a 3-month period. Training generalized from the school to the home setting for the 2 subjects that completed generalization probe sessions. The percentage of errors across all skills and students was less than 9%.     

A reformulation of the general Euclidean model for the external analysis of preference data

This paper discusses least squares methods for fitting a reformulation of the general Euclidean model for the external analysis of preference data. The reformulated subject weights refer to a common set of reference vectors for all subjects and hence are comparable across subjects. If the rotation of the stimulus space is fixed, the subject weight estimates in the model are uniquely determined. Weight estimates can be guaranteed nonnegative. While the reformulation is a metric model for single stimulus data, the paper briefly discusses extensions to nonmetric, pairwise, and logistic models. The reformulated model is less general than Carroll's earlier formulation.The author is grateful to Christopher J. Nachtsheim for his helpful suggestions.     

Declines in Major League Batting Performance as a Function of Game Pressure: A Drive Theory Analysis1

Zajonc's (1965) drive theory explanation argues that greater arousal tends to impair performance on difficult tasks. The hypothesis that arousal generated by “pressure situations” during major league baseball games would hinder batting performance—a difficult task—was tested by examining such performance during the 1989 season. Six “pressure situations” were identified, some occurring during the late innings of close games and others occurring throughout the game when there were two outs. Two measures of batting performance (batting average and slugging average) were employed. Results indicated broad support for the hypothesis. Reasons for this pattern are discussed, as are possible alternative explanations for these findings.     

On the clinical utility of the concept of depressive affect as signal affect.

The author reviews the scant literature relating to the concept of depressive affect as an affect parallel to anxiety. Then, through the presentation of detailed clinical psychoanalytic data, in particular the patient's associations to interpretation, he demonstrates the value to the conduct of a psychoanalysis of an awareness of the role of depressive affect as a signal affect that triggers defense.