Individuelle Therapiezielerreichung nach Gruppentherapie „SAVE“

Background

Adolescents with attention deficit hyperactivity disorder (ADHD) are severely impaired in routine daily activities in the same way as adults. Therapy programs focus on improving everyday behavior. Goal attainment scaling (GAS) has already proven to be a suitable instrument for assessing treatment success with adult ADHD patients.

Material and methods

Goal attainment scaling was used in addition to standardized self-evaluation of core symptoms of ADHD in 49 adolescents aged 12-18 years old with a mean age of 14.14 years (standard deviation SD±1.59 years) with ADHD to operationalize treatment success of the cognitive behavior group therapy program SAVE. Behavior-oriented aims and criteria for target achievement were set. To examine treatment success changes were assessed at different time points (10 weeks before treatment, process evaluation during treatment and after treatment).

Results

The adolescents in this study were able to define relevant goals together with the therapists. They focused on goals concerning organization of everyday life, attention, distraction and power of endurance. Goals were reached from the beginning of the study to post-evaluation, even before SAVE started, with great effects (d?=?1.85). Adolescents evaluated changes in symptoms during the course of the SAVE program in general (d?=?0.47) and attention deficits (d?=?0.45) as having significant effects. The reduction in symptoms (attention) was only moderately correlated with the target achievement.

Conclusion

The GAS method has been proven to be a practical instrument to assess treatment success for adolescents with ADHD. Further studies in a controlled design should focus on assessment of the influence of GAS as an intervention method.     

Patient Perspectives on Co-Therapists’ Behaviors in Group CBT

Journal of Contemporary Psychotherapy - Therapist behaviour influences group cohesion and the outcome of group psychotherapy. The group members make first hand observations of the therapists in...     

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Neuropsychology Review - Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This...     

Working Memory Rating Scale's Utility to Identify Children's Memory Difficulties in Diverse Educational Environments: Can It Work in Every School?

The aim of the present study was to explore the psychometric properties of the observer‐based Working Memory Rating Scale (WMRS) tool, in a sample of 6‐ to 12‐year‐old Greek primary school children. Results established a good internal consistency; appropriate factorial, criterion‐related and convergent validity; and diagnostic utility of the scale in the Greek population. However, the relationship between teacher's ratings and the objective assessment of children's working memory abilities was mediated by children's vocabulary knowledge, suggesting that verbal skills can constitute a form of bias in this particular educational environment. In conclusion, the WMRS can provide a reliable assessment of children's working memory capacity in Greek schools. Nevertheless, characteristics of the child such as verbal abilities could bias teacher's judgments. Therefore, the WMRS in Greek schools should be used as an initial screener, and objective working memory measures should be included in the assessment if warranted. Copyright © 2015 John Wiley & Sons, Ltd.     

If You Are Going to Pay Within the Next 24 Hours,Press 1: Automatic Planning Prompt Reduces Credit Card Delinquency

People often form intentions but fail to follow through on them. Mounting evidence suggests that such intention‐action gaps can be narrowed with prompts to make concrete plans about when, where, and how to act to achieve the intention. In this paper, we pushed the notion of plan‐concreteness to test the efficacy of a prompt under a minimalist automated calling setting, where respondents were only prompted to indicate a narrower duration within which they intent to act. In a field experiment, this planning prompt significantly helped people to pay their past dues and get out of debt delinquency. These results suggest that minimalist automatic planning prompts are a scalable, cost‐effective intervention.     

Phonemes: Lexical access and beyond

Phonemes play a central role in traditional theories as units of speech perception and access codes to lexical representations. Phonemes have two essential properties: they are ‘segment-sized’ (the size of a consonant or vowel) and abstract (a single phoneme may be have different acoustic realisations). Nevertheless, there is a long history of challenging the phoneme hypothesis, with some theorists arguing for differently sized phonological units (e.g. features or syllables) and others rejecting abstract codes in favour of representations that encode detailed acoustic properties of the stimulus. The phoneme hypothesis is the minority view today. We defend the phoneme hypothesis in two complementary ways. First, we show that rejection of phonemes is based on a flawed interpretation of empirical findings. For example, it is commonly argued that the failure to find acoustic invariances for phonemes rules out phonemes. However, the lack of invariance is only a problem on the assumption that speech perception is a bottom-up process. If learned sublexical codes are modified by top-down constraints (which they are), then this argument loses all force. Second, we provide strong positive evidence for phonemes on the basis of linguistic data. Almost all findings that are taken (incorrectly) as evidence against phonemes are based on psycholinguistic studies of single words. However, phonemes were first introduced in linguistics, and the best evidence for phonemes comes from linguistic analyses of complex word forms and sentences. In short, the rejection of phonemes is based on a false analysis and a too-narrow consideration of the relevant data.     

“I'm an ogre so I'm very hungry!” “I'm assistant ogre”: The Social Function of Sibling Imitation in Early Childhood

Siblings' imitative behaviors were investigated in 39 middle‐class dyads during six 90‐min home sessions at both Time 1 (M age: older sibling = 4.4 years; younger sibling = 2.4 years) and Time 2 (2 years later). Although younger siblings imitated most often at T1 and T2, older siblings' imitation increased proportionally over time in comparison to younger siblings. Findings highlight the affiliative nature of imitation that occurred during reciprocal play interactions, via positive responses, and the content of the imitation. Finally, age was controlled by comparing first‐born siblings aged 4 at T1 to second‐born siblings aged 4 at T2. Findings demonstrated that sibling imitation had distinct characteristics despite the age match and partner effects. Sibling imitation is a dynamic, interactive social behavior and may be a powerful source of learning for young children.

Highlights

• The role of sibling imitation in ongoing play in early childhood is highlighted.
• Sibling imitation is a dynamic and affiliative behavior that promotes interaction during play.
• Naturalistic observations of sibling imitation document that it is a powerful source of learning for young children.

     

Age Differences in Processes Underlying Hindsight Bias: A Life-Span Study

Hindsight bias is the tendency to overestimate one’s prior knowledge of a fact or event after learning the actual fact. Recent research has suggested that age-related differences in hindsight bias may be based on age-related differences in inhibitory control. We tested whether this explanation held for 3 cognitive processes assumed to underlie hindsight bias: recollection bias, reconstruction bias, and the tendency to adopt newly acquired knowledge as old. We performed a typical hindsight-bias study with 9-year-olds, 12-year-olds, young adults, and older adults. Participants first gave numerical judgments to difficult almanac questions. They later received the correct judgments for some of the questions while trying to recall their own earlier judgments. To experimentally test the impact of inhibitory control, the correct judgment was presented either in a weak or in a strong manner that was difficult to ignore. Hindsight bias was larger in the strong condition than in the weak condition and followed a U-shaped life-span pattern with young adults showing the least hindsight bias in line with an inhibitory-control explanation. Yet, the mixture of underlying processes differed considerably between age groups, so inhibitory control did not suffice as a sole explanation of age differences.     

Egg White or Sun-Kissed: A Cross-Cultural Exploration of Skin Color and Women’s Leisure Behavior

The present study explores how culture-based meanings and values toward skin color, which are associated with women’s body image ideals and gender-role expectations, profoundly influence women’s leisure behaviors. Using in-depth interviews with East Asian, Asian American, and Euro-American women (n?=?43), results revealed how leisure behaviors are tied to cultural perceptions of skin color. People from different cultural backgrounds construct meanings and values pertaining to skin color, including beauty-related standards, social class, gender roles, and lifestyles. Culture-based values, such as the preference for tanned skin among Euro-Americans and for lighter skin among East Asians, affect a wide range of daily behaviors. These behaviors include conscious as well as subtle daily decision-making regarding sun-seeking, sun-avoidance, and sun-protection behaviors; indoor versus outdoor leisure participation; and appearance modifications. The study’s results add knowledge to how perceptions and attitudes toward skin color and appearance manifest in women's daily behavior in general and leisure behavior in particular. In addition, the current study shows how individual behaviors reflect cultural meanings and values toward body image, specifically skin color, by emphasizing the links between cultural values and women’s day-to-day lives.