Interpretations of voices in patients with hallucinations and non-patient controls: a comparison and predictors of distress in patients

BACKGROUND: This study tested the hypotheses that interpretations of voices will be associated with distress linked to auditory hallucinations, and that patients experiencing hallucinations will exhibit higher levels of negative interpretations in comparison with non-patients. METHOD: The Interpretation of Voices Inventory (British Journal of Clinical Psychology 41 (2002) 259) was administered to patients who met DSM-IV criteria for schizophrenia spectrum disorders with auditory hallucinations and non-patients. Patients were also assessed using a semi-structured interview to asses clinical dimensions of their voices. RESULTS: The results showed that people with psychosis who experience auditory hallucinations did exhibit higher levels of positive and negative interpretations of voices, in comparison to non-patients. Correlational analyses revealed that interpretations of voices were significantly associated with emotional, physical and cognitive characteristics of voices. Regression analyses demonstrated that physical characteristics of voices and metaphysical beliefs were significant predictors of emotional characteristics of voices. CONCLUSIONS: The theoretical and clinical implications of these findings are discussed.     

Longitudinal Impact of Toddlers' Exposure to Domestic Violence

This study assessed how exposure to domestic violence (DV) during early childhood and increases in exposure over time influenced toddlers' behavior and peer problems, physical health, and cognitive abilities in middle childhood. Data from three waves of the survey component of “Welfare, Children, and Families: A Three-City Study” were assessed. Thirty-five percent of the 2- to 4-year-olds had mothers who reported DV victimization; 16% reported an increase in DV victimization over 2 years. Opposing past literature, none of the middle childhood outcomes were significantly influenced by early DV exposure. However, increases in mother's DV victimization from 1999 to 2001 significantly increased children's internalizing and externalizing problems and marginally decreased their school engagement in middle childhood in 2005.     

Testing an extended theory of planned behavior to predict young people's intentions to join a bone marrow donor registry

An extended theory of planned behavior (TPB) was used to understand the factors, particularly control perceptions and affective reactions, given conflicting findings in previous research, informing younger people's intentions to join a bone marrow registry. Participants (N = 174) completed attitude, subjective norm, perceived behavioral control (PBC), moral norm, anticipated regret, self‐identity, and intention items for registering. The extended TPB (except PBC) explained 67.2% of variance in intention. Further testing is needed as to the volitional nature of registering. Moral norm, anticipated regret, and self‐identity are likely intervention targets for increasing younger people's bone marrow registry participation.     

The role of negative urgency impulsivity and financial management practices in compulsive buying

Previous research has shown that negative urgency impulsivity is associated with compulsive buying even after controlling for depression. The aim of the present study was to replicate this finding and to examine if financial management practices mediated this relationship. A community sample of 162 participants (34 male and 128 female), aged between 18 and 82 years, completed online self‐report questionnaire measures. As expected, results revealed (1) significant positive associations between compulsive buying and both negative urgency impulsivity (NUI) and psychological distress; and (2) a significant negative association between compulsive buying and financial management practices. We also found that after controlling for psychological distress (3) NUI was still significantly correlated with compulsive buying, and (4) financial management practices partially mediated the relationship between NUI and financial management practices. Our findings are consistent with an extension of the theory that compulsive buying is motivated by relieving negative mood states, positing both negative affect‐driven impulsivity and psychological distress as important factors in understanding compulsive buying. These findings also support current cognitive‐behavioural interventions for the treatment of compulsive buying that target psychological distress, NUI, and financial management practices.     

Comprehensive versus matched psychosocial treatment in the MTA study: conceptual and empirical issues

Addressed some factual inaccuracies and presented alternative positions on key issues raised in the article by Greene and Ablon (this issue) on the question, "What does the Multimodal Treatment Study (MTA) tell us about effective psychosocial treatment for attention deficit hyperactivity disorder (ADHD)?" The Greene and Ablon critique does not present for the reader's consideration the full range of findings from the MTA study, notably those most relevant to psychosocial treatment, and articulates a theoretical position that effective treatment requires matching treatment to children's assessed needs, an approach not taken in the MTA study. In this article, I present the full range of findings from the MTA study related to psychosocial treatment effects, correct the misperceptions that exist about the study based on limited reviews such as Greene and Ablon's, and review the empirical and experimental design issues that produced the decision by the MTA investigative team to study the effects of intensive, comprehensive psychosocial treatment. I argue that the questions asked by the MTA study about psychosocial treatment were important, relevant, and were addressed well in the MTA study design.     

Integration: Opportunities and Challenges for Family Therapists in Primary Care

Integration of behavioral and physical health is becoming critical for the overburdened primary care system. Policy changes are needed to accommodate integration nationally. Locally, medical and behavioral health providers are working together to create models that better fit their patients?? comprehensive needs while respecting the clinical, operational, and financial constraints of the current system. Family therapists trained to work in medical settings have an opportunity to emerge as clinical, research, and administrative leaders in this context. However, a paradigm shift is crucial to adapting their systemic orientation to interactions between individual patients, providers, staff, and healthcare and support systems. This article provides family therapists with: (1) an overview of the basic structure and barriers of integration, (2) suggestions on how to deliver quality care despite barriers at the local level, and (3) examples of key advocacy efforts representing possible entryways on a larger scale.     

Group Reward Contingencies and Cooperative Learning: Immediate and Delayed Effects on Academic Performance,Self-esteem,and Sociometric Ratings

While cooperative learning methods have been reported to have positive effects on a range of personal and social student outcomes, research into their academic benefits has produced mixed results. This study evaluated the effects of one cooperative learning method (cooperative reading and integrated composition, or CIRC) on the reading achievement, sociometric ratings, and self-esteem of 83 third-graders under three reward conditions (group rewards, individual rewards, and no rewards). Although students in the group rewards condition achieved significantly (p < 0.05) higher rate and accuracy scores on weekly reading quizzes than those in the individual and no rewards conditions, this effect was not reflected in overall pre–post reading test scores. There were also no significant effects for condition on the sociometric questionnaire. There was, however, a significant condition by sex interaction effect on total self-esteem scores, which indicated higher scores in the group rewards condition than in the other two conditions for girls. Results are interpreted in light of their practical implications for the application of the CIRC method in school settings, and their theoretical implications for research on the impact of group reward contingencies in cooperative learning methods. This revised version was published online in August 2006 with corrections to the Cover Date.     

Walking Down the Sunny Side of the Street: Three Studies Developing a Spiritually Nuanced Measure of Optimism

Across a series of studies, an effort was made to operationalize optimism in a spiritually nuanced fashion. In the first study, it was proposed and tested that spiritual optimism might consist of two factors: “here and now” and “end of story” optimism. However, a second study suggested that spiritual optimism had more of a unitary quality. The second study also suggested that the construct of spiritual optimism was separate from the construct of hope. The third study confirmed the unitary nature of the spiritual optimism measure and provided evidence for the construct validity of the measure. Spiritual optimism was directly related to a general measure of coping and a measure of religious coping. The relationships between spiritual optimism and different types of religious coping appeared stronger than between spiritual optimism and the more general measures of coping.     

Autobiographical narratives of deaf and hearing adults: an examination of narrative coherence and the use of internal states

To examine the impact of early linguistic experiences on later verbal report of autobiographical memory, 13 hearing adults and 13 deaf adults born to hearing parents described events that occurred before and after the age of 10 years. The contextual, temporal, and thematic coherence of the narratives was rated. The use of emotional, perceptual, mental, and physiological states was also recorded. There were differences in the coherence of the narratives and use of internal states according to the age at which the events occurred. There were no group differences in coherence, but hearing adults provided longer narratives than deaf adults. When narrative length was controlled, deaf adults included more emotional states than hearing adults. Results suggest that early unavailability of language does not impact the coherence of adults' narratives, although certain features of linguistic expression specific to ASL may result in greater saturation of emotional states references in autobiographical narratives of deaf adults.