Development and Pilot Evaluation of Smartphone-Delivered Cognitive Behavior Therapy Strategies for Mood- and Anxiety-Related Problems: MoodMission

Given the ubiquity and interactive power of smartphones, there are opportunities to develop smartphone applications (apps) that provide novel, highly accessible mental health supports. This paper details the development of a smartphone app, “MoodMission,” that aims to provide evidence-based Cognitive Behavior Therapy (CBT) strategies for mood- and anxiety-related problems, contributing to the prevention of clinically significant depression and anxiety disorders and serving as an adjunct to therapeutic interventions delivered by trained health professionals. MoodMission was designed to deliver strategies in the form of real-time, momentary responses to user-reported low moods and anxiety. The development process involved: (a) construction of a battery of strategies, (b) empirical evaluation, (c) a software and behavioral plan design and testing process, (d) user feedback, and (e) a public launch. A pilot study of 44 participants completed the Mobile Application Rating Scale (MARS; Hides et al., 2014) for usability testing and feedback. MoodMission was rated significantly higher than standardized health app norms on the majority of the domains, including Entertainment, Interest, Customization, Target Group, Graphics, Visual Appeal, Quality of Information, Quantity of Information, Visual Information, Credibility of Source, Recommendation to Use, Estimated Frequency of Use, and Overall Rating (Hedges’s g range 0.57–1.97, p < .006). Case examples illustrate the practical uses of the app. In addition to clinical applications, MoodMission holds promise as a research tool either as an augmentation to clinician-delivered therapy, or as a vehicle for standardizing client access to specific CBT strategies (e.g., in studies intending to study different change processes).     

The distressed (Type D) personality mediates the relationship between remembered parenting and psychological distress in cardiac patients

Objective: Both the distressed (Type D) personality (i.e. the combination of negative affectivity and social inhibition traits) and dysfunctional parenting styles are associated with anxiety and depression. As parenting styles have been related to personality development, dysfunctional parenting styles may also be associated with Type D personality. We examined whether remembered parenting was associated with anxiety and depression in cardiac patients and whether Type D personality mediated this relationship.

Methods: Our sample comprised 435 patients treated with percutaneous coronary intervention (PCI) and 123 patients with congestive heart failure (CHF). Patients completed the Hospital Anxiety and Depression Scale, Type D Scale (DS14), and Remembered Relationship with Parents (RRP¹⁰) scale.

Results: Remembered parenting was significantly associated with higher anxiety and depression levels and Type D personality. In multivariable linear regression analyses, Type D personality accounted for 25–29% of the variance in anxiety and 23–46% of the variance in depression, while remembered parenting was no longer significantly associated with these domains. Sobel tests and bootstrapping indicated that Type D personality mediated the relationship between remembered parenting and anxiety and depression.

Conclusion: Type D personality mediated the relationship between remembered parenting and anxiety and depression in both PCI and CHF patients.     

Repeated testing in eyewitness memory: a means to improve recall of a negative emotional event

Participants viewed either a violent, arousing film or a non-violent, control version of the same film. After viewing the film, they made three successive attempts to recall details of the event. Participants who were exposed to the negative emotional event were better than control participants at recalling details of the event itself, but they were worse at recalling details that preceded or followed the violence. Both groups of participants recalled significantly more information over successive recall attempts, suggesting that memory impairment due to arousal can be alleviated by repeated testing. Repeated testing was also associated with a small but reliable increase in memory intrusions. The implications of these findings for research on hypermnesia and on the relationship between arousal and memory are discussed. © 1998 John Wiley & Sons, Ltd.     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

The Process of Transcending a Traumatic Childhood

This study used a qualitative, exploratory approach to develop a conceptual framework that illustrated the process by which spirituality emerged as one of the processes that helped people transcend a traumatic childhood. Ninety people described how they survived and transcended the difficult time. This article outlines the stages of the developmental process that culminated for many in a deeper spiritual awareness and how this helped them in their process of transcending. These findings have implications for marriage and family therapists, clergy, and others in the helping professions in providing therapy, resources, and support for those who have experienced difficult childhoods.     

Identifying g: A review of current factor analytic practices in the science of mental abilities

Factor analysis is arguably one of the most important tools in the science of mental abilities. While many studies have been conducted to make recommendations regarding “best practices” concerning its use, it is unknown the degree to which contemporary ability researchers abide by those standards. The current study sought to evaluate the typical practices of contemporary ability researchers. We analyzed articles reporting factor analyses of cognitive ability tests administered to adult samples over a 12 year period. Results suggest that, in aggregate, the science of mental abilities seems to be doing well with respect to the issues of sample size, number of indicators (relative to number of factors) and breadth of indicators. Further, our results suggest that the majority of ability researchers are using methods of factor analysis that allow for the identification of a g factor. However, 14.57% failed to use a method that allowed a common factor to emerge. These results provide insights regarding the methodological quality of the science of mental abilities, and will hopefully encourage further “introspective” research into the science of mental abilities.     

Emotional devaluation of distracting patterns and faces: a consequence of attentional inhibition during visual search?

Visual search has been studied extensively, yet little is known about how its constituent processes affect subsequent emotional evaluation of searched-for and searched-through items. In 3 experiments, the authors asked observers to locate a colored pattern or tinted face in an array of other patterns or faces. Shortly thereafter, either the target or a distractor was rated on an emotional scale (patterns, cheerfulness; faces, trustworthiness). In general, distractors were rated more negatively than targets. Moreover, distractors presented near the target during search were rated significantly more negatively than those presented far from the target. Target-distractor proximity affected distractor ratings following both simple-feature and difficult-conjunction search, even when items appeared at different locations during evaluation than during search and when faces previously tinted during search were presented in grayscale at evaluation. An attentional inhibition account is offered to explain these effects of attention on emotional evaluation.     

The Voices of Therapists and Children Regarding the Inclusion of Children in Family Therapy: A Systematic Research Synthesis

In 1970, Nathan Ackerman challenged the field of marriage and family therapy to actively involve young children in the family therapy process. How has the field of marriage and family therapy responded to his challenge? Using a systematic research synthesis to review and critique the non-empirical and empirical literature in the area of children in family therapy, the author discovered that the field of marriage and family therapy has not responded to Ackerman's challenge in the way he may have hoped for nearly three decades ago. A summary of the literature's findings is provided and recommendations for future research, as well as implications, for the field of marriage and family therapy are discussed.     

Factor analysis to examine psychometric properties of family functioning measures

To assess the relationship of family functioning to problem behaviors and alcohol and drug use among youth, researchers must test the effects of interventions using suitably constructed and psychometrically sound scales. This study evaluated whether originally calculated coefficients alpha underestimate the reliability of the family functioning measures given. Through exploratory factor analysis, estimates of alternative internal consistency reliability which might improve the estimate of reliability were examined. Responses of 755 adults from Strengthening Multi-ethnic Families and Communities were analyzed. Coefficients alpha for two scales were modest (alpha = .68 and alpha = .75), and factor analysis indicated that the scales were multidimensional. After exploratory factor analysis, the reassessment of reliability based on the extracted factors indicated an overall increase in the coefficients alpha.