Reduced substance use as a secondary benefit of an indicated cognitive-behavioral adolescent depression prevention program

Our first aim was to test whether a group cognitive-behavioral (CB) depression prevention program reduces substance use escalation over 2-year follow-up relative to two active comparison interventions and a brochure assessment control. Our second aim examined whether reductions in depressive symptoms mediate intervention effects, as posited by the affect-regulation model of substance use. In this indicated prevention trial, 341 high school adolescents at risk for depression because of the presence of elevated depressive symptoms were randomized to a Group CB intervention, group supportive-expressive group intervention, CB bibliotherapy, or educational brochure control condition. Participants in Group CB had significantly lower rates of substance use compared with brochure control participants at both 1- and 2-year follow-up and lower substance use at 2-year follow-up relative to bibliotherapy participants; no other condition differences were significant. Mediational analyses suggested that reductions in depressive symptoms from baseline to posttest accounted for changes in substance use over 2 years for participants in Group CB relative to brochure control participants but did not mediate effects relative to those receiving bibliotherapy. Results suggest that a secondary benefit of this CB group indicated depression prevention program is lower rates of long-term substance use. Findings supported the hypothesis that, relative to a nonactive comparison condition, reductions in depressive symptoms mediated the effects of Group CB prevention on substance use escalation. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Protecting and Enhancing Eyewitness Memory: The Impact of an Initial Recall Attempt on Performance in an Investigative Interview

Evidence‐gathering begins at the scene of an incident. Available witnesses may be asked to provide an account of what happened, either in response to an open request for information or, in some regions, by completing a Self‐Administered Interview (SAI©). In both cases, an investigative interview may be conducted at some later date. This study sought to determine the impact of an initial retrieval attempt on a subsequent interview. After exposure to a mock crime, participants completed an SAI© or a free recall (FR), or did not engage in an initial retrieval (Control). One week later, participants were interviewed with a Cognitive Interview. SAI© participants reported more correct information and maintained higher accuracy than FR and Control participants. Consistency analyses revealed that the SAI© was effective because it preserved more of the originally recalled items (Time 1) than did an initial FR, and not because it yielded new recollections at Time 2. Copyright © 2014 John Wiley & Sons, Ltd.     

For the Win: Risk‐Sensitive Decision‐Making in Teams

Risk‐sensitivity theory predicts that decision‐makers should prefer high‐risk options in high need situations when low‐risk options will not meet these needs. Recent attempts to adopt risk‐sensitivity as a framework for understanding human decision‐making have been promising. However, this research has focused on individual‐level decision‐making, has not examined behavior in naturalistic settings, and has not examined the influence of multiple levels of need on decision‐making under risk. We examined group‐level risk‐sensitive decision‐making in two American football leagues: the National Football League (NFL) and the National College Athletic Association (NCAA) Division I. Play decisions from the 2012 NFL (Study 1; N = 33 944), 2013 NFL (Study 2; N = 34 087), and 2012 NCAA (Study 3; N = 15 250) regular seasons were analyzed. Results demonstrate that teams made risk‐sensitive decisions based on two distinct needs: attaining first downs (a key proximate goal in football) and acquiring points above parity. Evidence for risk‐sensitive decisions was particularly strong when motivational needs were most salient. These findings are the first empirical demonstration of team risk‐sensitivity in a naturalistic organizational setting. Copyright © 2016 John Wiley & Sons, Ltd.     

Psychometric Assessment of the Comprehensive Effects of Alcohol Questionnaire: Comparing a Brief Version to the Original Full Scale

The current set of studies compared the psychometric properties of the original Comprehensive Effects of Alcohol Questionnaire (CEOA) to a 15-item version (B-CEOA) in a nonclinical undergraduate sample (N = 581), and attempted to replicate and extend the B-CEOA findings in an undergraduate sample referred to an alcohol intervention (N = 734). Psychometric assessment included construct validity, internal consistency, and concurrent validity, using both positive and negative expectancy items in all analyses. Results provided further support for the empirical validity of the original CEOA, and provided support for the use of the B-CEOA despite the reduction in the number of items. The B-CEOA factor structures obtained using exploratory and confirmatory techniques provided support for a 4-factor structure of expectancies and 3-factor structure of valuations. Findings reveal potential problems with positive and negative expectancy items. Trade-offs regarding factor structure, internal consistency, and administration time should be considered in using the B-CEOA vs. the CEOA.     

Control beliefs as a mediator of the relation between stress and depressive symptoms among inner-city adolescents

Adolescents' control beliefs were examined as a mediator of the relation between stress and depressive symptoms among a diverse sample of 445 inner-city adolescents. Results indicated that control beliefs significantly mediate the relation between stress and depressive symptoms. The specific direct effects of six individual stress domains (peer, family, school, neighborhood, economic, discrimination) on control beliefs and depressive symptoms were also examined. Results showed that (1) economic stress relates to adolescents' control beliefs, (2) family stress relates to adolescent depressive symptoms, and (3) peer stress relates to both control beliefs and depressive symptoms. Secondary analyses revealed that control beliefs significantly mediate the specific relations between peer stress and depressive symptoms. Results were not found to vary across ethnic groups. The implications of these findings for adolescent mental health and preventive interventions targeting depression are discussed.     

Evidence for immune etiology in clozapine-induced thrombocytopenia of 40 months' duration: a case report

Platelet dysfunction and thrombocytopenia rarely occur during clozapine therapy, but constitute an important source of morbidity and mortality if they are not detected and therapy is discontinued. The manufacturer recommends discontinuing clozapine when the platelet count falls below 100,000/muL and resuming therapy when the count returns to within normal range (150,000-450,000/muL). If thrombocytopenia recurs, clozapine should be permanently discontinued. The authors report a rare case of long-term thrombocytopenia persisting 40 months postclozapine treatment. In addition, increased in vitro platelet [14C]serotonin release was observed in the presence of the drug, suggesting an immune-related cause for the thrombocytopenia.     

Editorial: Challenging injustice: Understanding upstanding,civic action,and bystander intervention to promote justice

Throughout history, individuals and communities have come together to challenge injustice in the local community and across the globe. In recent years, we have seen communities rally together to advocate for changes in policy and practice to address injustices faced by marginalized and disenfranchised groups of people. For instance, communities have taken action through the Movement for Black Lives in the United States, the women's uprising in Iran following the death of Mahsa Amini, and the pro-democracy protests in Hong Kong. These challenges to social injustices are not only led by adults. Rather, youth engage in civic action to amplify the voices of those who are marginalized, isolated, or victimized and frequently organize to protest injustice and foster collective action through social media or other technology. These challenges to injustice often arise from community-led efforts, rooted in the unique contexts and histories of the local community. This special issue considers challenging injustice broadly to include bystander intervention in instances of bullying, harassment, or aggression, political and civic engagement, anti-racist or anti-oppression activism, and resistance to injustice in institutions and communities. Three overarching themes are featured in this special issue: (1) work examining bullying experiences and factors that motivate bystander intervention in response to bullying; (2) scholarship exploring identity, socialization, and critical action and (3) research focused on collective action and challenging inequalities.     

Public and private self-consciousness and social phobia

The relationship between public and private self-consciousness and self-report questionnaires, clinician ratings, and various measures derived from an individualized simulation of an anxiety-provoking situation was examined in a sample of men and women seeking treatment for social phobia. As predicted, public, not private, self-consciousness was generally related to self-report and naive observer ratings of anxiety and to behavioral disruption during the simulation. The predicted relationship between public self-consciousness and how accurately subjects evaluated their performance in the anxiety-provoking situation was marginally supported. Hypotheses regarding the relationship between private self-consciousness and self-reported anxiety during an anxiety-provoking situation, and between private self-consciousness and the correspondence between physiological assessment and self-report, were not supported. The discussion focuses on methodological issues and the theoretical implications of the relationship between self-consciousness and social anxiety.