A preliminary investigation of sudden gains in exposure therapy for PTSD

The purpose of the current study was to examine sudden gains in those receiving treatment for PTSD and whether these rapid changes were related to overall symptom reduction in a small sample of female assault survivors with PTSD undergoing prolonged exposure (PE) therapy. Sudden gains were found to occur in 52% of the sample. Among those who experienced a sudden gain, the average magnitude (12.4 points) accounted for 61% of overall symptom reduction. Importantly, treatment outcome was better for those who experienced sudden gains than those who did not. The experience of a sudden gain may result in patients becoming more fully engaged with treatment, and recognition of them may result in identifying potential process-related predictors of treatment response.     

Consultant Problem Understanding as a Function of Training in Interviewing to Promote Accessible Reasoning

The focus of this article is on how consultants develop a “high-quality” understanding of a teacher's presenting problem situation from interviewing them. A longitudinal quasi-experimental study was conducted with 10 graduate students enrolled on an accredited training program in school psychology in which interviewing and problem-solving skills were taught and practiced. Eight individuals who had been selected for the same training program but who had not enrolled acted as a comparison group to measure possible practice effects. The results indicated that following training consultant use of statements designed to reveal their reasoning to the teacher significantly increased, and was highly correlated with the quality of their subsequent written analyses of the teacher's problem situation.     

Providing a treatment rationale for PTSD: Does what we say matter?

Little is understood about the factors that influence a woman's preference for a particular type of treatment after an assault. Furthermore, it remains unclear the extent to which providing detailed information such as the mechanism underlying a treatment or its side effects can affect a client's treatment preference for psychotherapy or pharmacotherapy. The current study of 324 women with varying degrees of trauma exposure and posttraumatic stress symptoms experimentally manipulated the content of treatment rationales for two common PTSD treatments: sertraline (SER) and prolonged exposure (PE). Specifically, both information regarding the hypothesized mechanism of the treatment and treatment side effects were manipulated. In general, personal reactions were more positive and credibility was stronger for psychotherapy than pharmacotherapy. This preference for the psychotherapy persisted regardless of specific information presented in the treatment rationale. For those reporting heightened hyperarousal and those of minority status, there was an increased likelihood of more positive reactions to sertraline. The results highlight assessment of treatment-related beliefs and preferences early on in the therapeutic process. Ultimately, understanding the factors that shape treatment preferences may contribute to the development of personalized treatment strategies that integrate preferences and attitudes about treatment as a way of bolstering adherence and outcome.     

Unique Ethical Concerns in Clinical Trials Comparing Psychosocial and Psychopharmalogical Interventions

In recent years, there has been a particular emphasis placed on conducting randomized controlled trials (RCTs) that compare the relative efficacy of psychosocial and pharmacological interventions. This article addresses relevant ethical considerations in the conduct of these treatment trials, with a focus on RCTs with children. Ethical concerns, including therapeutic misconception, treatment preference, therapeutic equipoise, structure of treatments, and balancing risks versus benefits, are introduced through a clinical scenario and discussed as they relate to psychotherapy versus medication RCTs. In each case, suggestions are made for researchers seeking to minimize the impact of these ethical concerns on research participants.     

Trait emotional intelligence as a predictor of socioemotional outcomes in early adolescence

Trait emotional intelligence (EI) refers to a constellation of emotional self-perceptions located at the lower levels of personality hierarchies. This study investigated the predictive and incremental validity of this construct in a sample of 1140 pupils aged 11-13 years. Trait EI showed strong concurrent and predictive validity in relation to three measures of socioemotional competence: self-reported psychopathology as assessed by the Strengths and Difficulties Questionnaire, a sociometric measure of peer relations, and a peer-assessed measure of social behavior. Socioemotional measures were taken twice over a period of seven months. Structural equation modeling revealed trait EI and IQ effects on socioemotional competence (SEC), the former being stronger than the latter. Hierarchical regression analyses suggested an association also of trait with level of change in SEC (controlling for both IQ and SEC at time 1). The findings corroborate an important role for trait emotional intelligence in peer relations and socioemotional competence.     

Farm women/farm work

The lack of documentation of women's farm work makes it difficult to assess women's contributions to farm businesses. A survey of farm women in western Canada showed that while younger women were more likely to have a farm work role, they also saw more barriers to farm work than older women. Variations in women's farm work may be a result of cohort differences in socialization for farm work, of farm cycle, or of family cycle. Incorporation of off-farm and household work into the analysis of women's contributions to the farm business is suggested as a more comprehensive method of assessing their work involvement.This research was funded by The Research Council of Alberta Farming for the Future.     

Sleep deprivation and stressors: Evidence for elevated negative affect in response to mild stressors when sleep deprived

Stress often co-occurs with inadequate sleep duration, and both are believed to impact mood and emotion. It is not yet known whether inadequate sleep simply increases the intensity of subsequent stress responses or interacts with stressors in more complicated ways. To address this issue, we investigated the effects of one night of total sleep deprivation on subjective stress and mood in response to low-stress and high-stress cognitive testing conditions in healthy adult volunteers in two separate experiments (total N = 53). Sleep was manipulated in a controlled, laboratory setting and stressor intensity was manipulated by changing difficulty of cognitive tasks, time pressure, and feedback about performance. Sleep-deprived participants reported greater subjective stress, anxiety, and anger than rested controls following exposure to the low-stressor condition, but not in response to the high-stressor condition, which elevated negative mood and stress about equally for both sleep conditions. These results suggest that sleep deprivation lowers the psychological threshold for the perception of stress from cognitive demands but does not selectively increase the magnitude of negative affect in response to high-stress performance demands. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Language deficits in dyslexic children: speech perception, phonology, and morphology

We investigated the relationship between dyslexia and three aspects of language: speech perception, phonology, and morphology. Reading and language tasks were administered to dyslexics aged 8-9 years and to two normal reader groups (age-matched and reading-level matched). Three dyslexic groups were identified: phonological dyslexics (PD), developmentally language impaired (LI), and globally delayed (delay-type dyslexics). The LI and PD groups exhibited similar patterns of reading impairment, attributed to low phonological skills. However, only the LI group showed clear speech perception deficits, suggesting that such deficits affect only a subset of dyslexics. Results also indicated phonological impairments in children whose speech perception was normal. Both the LI and the PD groups showed inflectional morphology difficulties, with the impairment being more severe in the LI group. The delay group's reading and language skills closely matched those of younger normal readers, suggesting these children had a general delay in reading and language skills, rather than a specific phonological impairment. The results are discussed in terms of models of word recognition and dyslexia.