A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes

This paper presents findings from a multi-centre, double-blind, randomized controlled trial that tested the hypothesis that parent and youth mental health improvements would be superior in a family-based intervention for adolescent depression (BEST MOOD) compared to a treatment-as-usual supportive parenting program (PAST). Eligible participants were families with a young person aged between 12 and 18 years who met diagnostic criteria for a depressive disorder (major, minor or dysthymic). Participating families (N = 64; 73.4% of youth were female) were recruited in Victoria, Australia and allocated to treatment condition using a block randomization procedure (parallel design) with two levels of blinding. This paper reports on the trial’s secondary outcomes on youth and parent mental health. General linear mixed models were used to examine the longitudinal effect of treatment group on outcome. Data were analyzed according to intention-to-treat; 31 families were analyzed in BEST MOOD, and 33 families in PAST. Parents in the BEST MOOD group experienced significantly greater reductions in stress and depressive symptoms than parents in the PAST group at 3-month follow-up. A greater reduction in parental anxiety was observed in the BEST MOOD group (d = 0.35) compared with PAST (d = 0.02), although the between-group difference was not significant. Both groups of youth showed similar levels of improvement in depressive symptoms at post-treatment (d = 0.83 and 0.80 respectively), which were largely sustained at a 3-month follow-up. The family-based BEST MOOD intervention appeared superior to treatment-as-usual (PAST) in demonstrating greater reductions in parental stress and depression. Both interventions produced large reductions in youth depressive symptoms.     

The Role of a Narrative's Emotional Flow in Promoting Persuasive Outcomes

The study of narrative persuasion has increased dramatically in the past decade. Whereas much of this research focuses on story and character involvement, the role of emotion—and emotional flow specifically—has been understudied. In this article, we explore the multiple ways that the desire for and the experience of emotional shifts may promote the persuasive influence of narratives. First, we propose that the desire for an emotional shift (e.g., mood management) can guide message selection. Then, the emotional flow, or the series of emotional shifts in response to the unfolding story, may promote and sustain continued engagement with the narrative world. As such, influence of the narrative is likely enhanced. We then argue that the heightened state of narrative engagement and its associated emotional states have implications for post-message attitudes, both short-term attitude change as well as over-time change via emotion-driven topic involvement and social sharing. A research agenda for greater integration of emotion into narrative research is proposed.     

Exposure,Agency, Perceived Threat,and Guilt as Predictors of Posttraumatic Stress Disorder in Veterans

Using a sample of 289 Iraq/Afghanistan veterans, this study examined the contributions of combat exposure, agency, perceived threat, and guilt to posttraumatic stress disorder (PTSD) symptoms. Regression analyses indicated the four variables (together with demographic variables) accounted for 79% of the variance in PTSD symptoms. Guilt was the most important predictor. In addition, guilt mediated between exposure and PTSD symptoms, perceived threat and PTSD symptoms, and agency and PTSD symptoms. Implications of these findings are discussed.     

Applying imagined contact to improve physiological responses in anticipation of intergroup interactions and the perceived quality of these interactions

This experiment (N = 49) is the first to show that imagined contact can buffer anticipatory physiological responses to future interactions, and improve the quality of these interactions. Participants imagined a positive interaction with a person with schizophrenia, or in a control condition, a person who did not have schizophrenia. They then interacted with a confederate whom they believed had schizophrenia. Participants in the imagined contact condition reported more positive attitudes and less avoidance of people with schizophrenia, displayed smaller anticipatory physiological responses, specifically smaller changes in interbeat interval and skin conductance responses, and had a more positive interaction according to the confederate. These findings support applying imagined contact to improve interactions with people with severe mental illnesses.     

If We Build It … Will They Come? – Establishing a Cancer Genetics Services Clinic for an Underserved Predominantly Latina Cohort

Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina⁶ (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used     

Dear diary, is plastic better than paper? I can't remember: Comment on Green, Rafaeli, Bolger, Shrout, and Reis (2006)

In this commentary, the authors discuss the implications of A. S. Green, E. Rafaeli, N. Bolger, P. E. Shrout, and H. T. Reis's (2006) diary studies with respect to memory. Researchers must take 2 issues into account when determining whether paper-and-pencil or handheld electronic diaries gather more trustworthy data. The first issue is a matter of prospective memory, and the second is a matter of reconstructive memory. The authors review the research on these issues and conclude that regardless of the type of diary researchers use, several factors can conspire to produce prompt--but inaccurate--data.     

Gender, socioeconomic status, age, and jealousy: emotional responses to infidelity in a national sample

The authors used a representative national sample (N = 777) to test the evolutionary hypothesis that men would be more bothered by sexual infidelity and women by emotional infidelity, the Jealousy as a Specific Innate Module (JSIM) effect. Our alternative conceptualization of jealousy suggests that there are distinct emotional components of jealousy that did not evolve differently by gender. The authors looked for effects of age, socioeconomic status (SES), and type of measure (continuous or dichotomous) on jealousy. The authors did not find age or SES effects. Forced-choice items provided support for our alternative view; both genders showed more anger and blame over sexual infidelity but more hurt feelings over emotional infidelity. Continuous measures indicated more emotional response to sexual than emotional infidelity among both genders.     

Will Julia Roberts harm Nicole Kidman? Semantic priming effects during face naming

Three experiments are reported, which examine whether face naming is vulnerable to semantic competition in a similar way to object naming. Previous experiments with object naming have shown that a related prime picture presented 3 trials before a target picture results in an increase in error rate and naming latencies when compared to unrelated prime conditions. The experiments here use the same paradigm, with errors as the main dependent variable. In Experiment 1, the prime and target faces were from the same occupational category (e.g., politicians, actors), and in Experiment 2, the primes and target faces were also associated to each other. In Experiment 3, the prime was presented as a name to be read aloud. Unrelated filler stimuli intervened between prime and target. In all experiments, there was a reduction in target-naming errors in the related conditions, and in Experiment 3 this was shown to be largely a reduction in naming failures. The results suggest that related name representations for famous people are not activated in parallel and in competition, and that there is some evidence for a relatively long lasting facilitatory effect. These results require some modification to any serial account of face naming to differentiate it from the generally well-established serial account of object naming.     

Phonetic-semantic mediated false recognition: does activation fail to spread?

Spoken word recognition involves brief activation of candidate words. Six experiments examined whether words semantically related to phonologically activated words would be falsely recognized. Experiments 1 and 2 involved homophones as test words; Experiment 3 used strong associates for the semantic mediation link. Experiment 4 approximated lists of "strong" converging associates. Experiment 5 expanded the real time needed for word identification by using a gating procedure during study. In Experiment 6, the goal was to create a more sensitive test by requiring participants to indicate which of two lures (mediated or control) was "most likely" to be new. Recognition errors were sensitive to separate phonetic and semantic stages in the mediated chain; however, there was little evidence of mediated false recognition, despite expectations derived from common models of spreading activation.