Chicago Urban Resiliency Building (CURB): An Internet-Based Depression-Prevention Intervention for Urban African-American and Latino Adolescents

Early preventive interventions for depressive disorders in racial/ethnic minorities may help to reduce lifetime depression outcome disparities by improving developmental trajectories and social outcomes. We describe the development process, intervention and evaluation plan for a culturally adapted, low-cost, primary care/Internet-based depression-prevention intervention (CURB, Chicago Urban Resiliency Building). CURB is culturally adapted for socio-economically disadvantaged African-American and Latino adolescents according to the PEN-3 model of health promotion programs (Airhihenbuwa in Health and culture: beyond the Western paradigm, Sage Publishers, Thousand Oaks, 1995). Based on the idea that health behavior is rooted in culture, the PEN-3 model contains three interdependent dimensions that influence health beliefs and behaviors. Within each dimension are factors (using the acronym PEN) that must be considered about the target culture. Application of the PEN-3 model occurred in 3 phases. In each phase, a dimension of the model was explored and subsequent changes were made to the intervention so as to be more culturally suitable. In the CURB clinical trial, adolescents ages 13–17 will be recruited from wait-lists for mental health services at community health care provider organizations and screened for risk of future depressive disorder in the primary care sites. Adolescents screening positive for persistent depressed mood will be randomly assigned to either the CURB intervention group or the wait-list control group. The study aims are to determine if participants in the CURB intervention group will have lower levels of depressive symptoms and/or a lower cumulative incidence of depressive episodes.     

Reversal negativity and bistable stimuli: Attention,awareness, or something else?

Ambiguous (or bistable) figures are visual stimuli that have two mutually exclusive perceptual interpretations that spontaneously alternate with each other. Perceptual reversals, as compared with non-reversals, typically elicit a negative difference called reversal negativity (RN), peaking around 250 ms from stimulus onset. The cognitive interpretation of RN remains unclear: it may reflect either bottom-up processes, attentional processes that select between the alternative views of the stimulus, or it may reflect the change in the contents of subjective awareness. In the present study, event-related potentials in response to endogenous unilateral and bilateral reversals of two Necker lattices were compared with exogenously induced reversals of unambiguous lattices. The RN neither resembled the attention-related N2pc response, nor did it correlate with the content of subjective visual awareness. Thus, we conclude that RN is a non-attentional ERP correlate of the changes in the perceptual configuration of the presented object.     

Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions

This systematic review and meta-analysis examined the efficacy of adolescent cognitive–behavioral sleep interventions. Searches of PubMed, PsycINFO, CENTRAL, EMBASE, and MEDLINE were performed from inception to May 1, 2016, supplemented with manual screening. Nine trials were selected (n = 357, mean age = 14.97 years; female = 61.74%). Main outcomes were subjective (sleep diary/questionnaire) and objective (actigraphy) total sleep time (TST), sleep onset latency (SOL), sleep efficiency (SE), and wake after sleep onset (WASO). There were a small number of randomized controlled trials (RCTs; n = 4) and a high risk of bias across the RCTs; therefore, within sleep condition meta-analyses were examined (n = 221). At post-intervention, subjective TST improved by 29.47 min (95% CI 17.18, 41.75), SOL by 21.44 min (95% CI ?30.78, ?12.11), SE by 5.34% (95% CI 2.64, 8.04), and WASO by a medium effect size [d = 0.59 (95% CI 0.36, 0.82)]. Objective SOL improved by 16.15 min (95% CI ?26.13, ?6.17) and SE by 2.82% (95% CI 0.58, 5.07). Global sleep quality, daytime sleepiness, depression, and anxiety also improved. Gains were generally maintained over time. Preliminary evidence suggests that adolescent cognitive–behavioral sleep interventions are effective, but further high-quality RCTs are needed. Suggestions for further research are provided.     

Subjective Well-Being and Self-Reported Health in Osteoarthritis Patients Before and After Arthroplasty

The main aim of the current study is to examine the changes in the components of subjective well-being (SWB) over time in patients with osteoarthritis who have undergone total hip or knee replacement surgery (arthroplasty). We are also interested in determining whether pre-operative ratings of self-reported health (SRH) status, as well as change in health status, can serve as predictors for postoperative levels of SWB. To this end, 50 participants who had been admitted to a hospital for arthroplasty completed the measures twice—first at the clinic one day before the surgery, and then at home approximately 4.5 months after the surgery. Despite the fact that there were substantial improvements in participants’ health and physical functioning after the arthroplasty, there were no changes in their ratings of general SRH, life satisfaction (LS), or negative affect (NA). The only change in SWB scores was in the level of positive affect (PA), which was significantly higher after surgery compared with the pre-operative measurement. LS, NA, and PA scores after arthroplasty were differentially predicted by health ratings, showing that, it is the cognitive-evaluative component of SWB (i.e., LS) that is mostly responsible for the association between general SRH and SWB while affective components (i.e., NA and PA) are primarily related to more specific health indicators. Our findings can assist physicians in their efforts to provide more realistic expectations for their patients undergoing surgery in terms of the physical and psychological outcome.     

Fear of snakes and facial reactions: A case of rapid emotional responding

The aim of the present study was to explore how rapid emotional responses are manifested as facial electromyographic (EMG) reactions when people with explicit fear of snakes are exposed to their fear relevant stimuli. Fifty-six subjects, high or low in fear of snakes, were exposed to pictures of snakes and flowers while facial EMG activity from the corrugator supercilii and the zygomatic major muscle regions was recorded. Measures of autonomic activity and ratings of the stimuli were also collected. Pictures of snakes evoked a rapid corrugator supercilii muscle reaction which was larger in the High fear group as early as 500ms after stimulus onset. The High fear group also rated snakes as more unpleasant and displayed larger skin conductance responses (SCRs) and increased heart rate (HR) when exposed to snakes. Pictures of flowers tended to evoke increased zygomatic major muscle activity which did not differ among the groups. The present results demonstrate that the facial EMG technique is sensitive enough to detect rapidly evoked negative emotional reactions. The results support the hypothesis that people high in fear of snakes are disposed to react very rapidly with a negative emotional response to their fear relevant stimuli.     

Having shaved a kiwi fruit: Memory of unfamiliar subject-performed actions

Summary In an experiment with young and elderly adults, memory of unfamiliar actions performed by the subjects was compared with memory of actions low and high in familiarity, in order further to assess the role of a knowledge base as regards memory material encoded by enacting. Memory of similar actions encoded verbally was also assessed. The findings showed that the type of encoding, as well as familiarity, determined free-recall memory performance. The highest free-recall scores were found for familiar actions encoded by performance, in both an immediate and a delayed free-recall test. Recognition memory was also enhanced by enacting, whereas the influence of familiarity with an item upon recognition performance was limited to actions encoded verbally. The role of familiarity in recognition performance of actions encoded verbally was reversed compared with that in free recall, in that recognition of unfamiliar actions was most effective. Moreover, age-related memory deficits were found in this study. Elderly adults showed a consistently lower level of performance than younger subjects in both types of free-recall test and in the recognition test. This effect of age was found regardless of the type of encoding, demonstrating that age-related memory differences are not compensated by motor encoding. The age effect was also found regardless of familiarity with the items, and was most significant for unfamiliar actions. This demonstrates that elderly adults have particular difficulty in processing unfamiliar memory material.The experiment was conducted as part of the fulfillment of the requirements for obtaining the diploma degree of Maria Schumacher. Portions of this paper were presented at the 32nd Tagung experimentell arbeitender Psychologen, Regensburg, April 1990.     

Benefits of Blocked Over Serial Feedback on Complex Motor Skill Learning

The effects of blocked versus serial feedback (FB) on the learning of a complex motor skill-the production of slalom-type movements on a ski-simulator-were examined. FB was given about force onset, which is considered to be a measure of movement efficiency; relatively late force onsets characterize expert performance. One group of participants (blocked FB; n = 10) received FB about 1 foot per day; for example, for the right foot on Days 1 and 3 and for the left foot on Days 2 and 4. For another group (serial FB; n = 10), the foot about which FB was received was switched on consecutive trials on each of 4 days of practice. Learning was assessed on no-FB trials at the beginning of Days 2, 3, and 4, and on Day 5. Even though there were no differences between groups in force onset, the blocked FB group produced significantly larger movement amplitudes and higher movement frequencies than the serial FB group on the retention test on Day 5. Thus, contrary to the learning of more simple skills (e.g., T. D. Lee & H. Carnahan, 1990), constantly changing the movement component that FB is provided about did not seem to be beneficial for the learning of more complex skills. The findings add to the increasing evidence showing that practice variables that have been shown to enhance the learning of simple skills can actually be detrimental to the learning of complex skills.     

German capitalization of nouns and the detection of letters in continuous text.

The missing-letter effect refers to the phenomenon that letters are more difficult to detect in common function words (such as the) than in content words. Assuming that the missing-letter effect is diagnostic of the extraction of text structure, we exploited a special feature of German--the convention to capitalize the initial letter of nouns. Given the great flexibility of word order in German, it was proposed that this convention might help readers specify the structure of the sentence. Therefore orthographic variations that violate the capitalization rules should disrupt structure extraction and should result in a reduced missing-letter effect. The results indicated that: 1) capitalization of function words eliminated the missing-letter effect, but not at the beginning of a sentence; 2) A missing-letter effect occurred when the capitalization of the first letter was correct, but was followed by typecase alternation, and also when the size of the initial letters was relatively large for function words, but relatively small for content words. The results were discussed with respect to the possible contributions of visual familiarity, structural role, and processing time to the missing-letter effect, taking into account that a capitalized initial letter conveys significant information about the word class for German readers. Thus, the present results indicate that readers take advantage not only of function words but of any other information (here the capitalization of nouns) that helps to extract the structure of a sentence.     

Does action make you faster? A retrieval‐based approach to investigating the origins of the enactment effect

The enactment effect, the stable finding that memory for action phrases is enhanced in a subject-performed compared to a verbal task (SPT; VT), has repeatedly been demonstrated. The question remains whether the enactment effect has to do with specific characteristics of the SPT-retrieval process. Experiment 1 tested younger and older adults in a within-subjects design with two direct free recall tests. Thorough analyses of the recall process showed that the benefit from self-performing the items becomes apparent early into the retrieval phase for both age groups. Experiment 2 tested the same age groups with a retention phase of 30 minutes. The same general results pattern emerged. The acceleration of the recall process in SPTs is indicative of a heightened accessibility of the actively encoded material, making it less susceptible to forgetting. This property of SPTs must be taken into account when trying to determine the origins of the enactment effect.