Small is beautiful: In defense of the small-<Emphasis Type="Italic">N</Emphasis> design

The dominant paradigm for inference in psychology is a null-hypothesis significance testing one. Recently, the foundations of this paradigm have been shaken by several notable replication failures. One recommendation to remedy the replication crisis is to collect larger samples of participants. We argue that this recommendation misses a critical point, which is that increasing sample size will not remedy psychology’s lack of strong measurement, lack of strong theories and models, and lack of effective experimental control over error variance. In contrast, there is a long history of research in psychology employing small-N designs that treats the individual participant as the replication unit, which addresses each of these failings, and which produces results that are robust and readily replicated. We illustrate the properties of small-N and large-N designs using a simulated paradigm investigating the stage structure of response times. Our simulations highlight the high power and inferential validity of the small-N design, in contrast to the lower power and inferential indeterminacy of the large-N design. We argue that, if psychology is to be a mature quantitative science, then its primary theoretical aim should be to investigate systematic, functional relationships as they are manifested at the individual participant level and that, wherever possible, it should use methods that are optimized to identify relationships of this kind.     

Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model

Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements. The staff of the North Carolina State University Veterinary Hospital, a specialty academic teaching institution, wanted to investigate whether similar success could be achieved in the tertiary care veterinary setting. We discuss the background and rationale for this method, as well as the approach that was taken to create a clinical ethics committee.     

Emotional reactivity to daily events in youth with anxiety disorders

Background: Although research supports associations between anxiety and emotional reactivity in adults (Cisler, J. M., Olatunji, B. O., Feldner, M. T., &; Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: an integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68–82.), few studies have examined emotional reactivity in anxious youth (e.g., Carthy et al., 2010; Tan, P. Z., Forbes, E. E., Dahl, R. E., Ryan, N. D., Siegle, G. J., Ladouceur, C. D., &; Silk, J. S. (2012). Emotional reactivity and regulation in anxious and nonanxious youth: a cell-phone ecological momentary assessment study. Journal of Child Psychology and Psychiatry, 53(2), 197–206.). Methods: Using daily diary methodology, this study examined both negative affect (NA) and positive affect (PA) reactivity to daily events in youth diagnosed with anxiety (N?=?68; 60% female; 78% non-Hispanic White; M age?=?11.18 years, SD?=?3.17). We also examined whether parent-reported emotion regulation would predict emotional reactivity. Results: Participants reported more NA on days they experienced more negative parent and teacher events and less PA on days that they experienced more negative peer events. Additionally, better emotion regulation was associated with less NA reactivity to negative teacher events and to both negative and positive academic events. Conclusions: Interpersonal events have a salient effect on daily affect for anxious youth. Youth anxiety therapists should target emotion regulation associated with negative events involving adults and address barriers to developing and maintaining positive peer relationships.     

Treating Procrastination Using Cognitive Behavior Therapy: A Pragmatic Randomized Controlled Trial Comparing Treatment Delivered via the Internet or in Groups

Procrastination is a common problem among university students, with at least half of the population reporting great difficulties initiating or completing tasks and assignments. Procrastination can have a negative impact on course grades and the ability to achieve a university degree, but can also lead to psychological distress. Cognitive behavior therapy (CBT) is believed to reduce procrastination, but few studies have investigated its effectiveness in a regular clinical setting. The current study explored its effects using a pragmatic randomized controlled trial comparing treatment delivered during 8 weeks as self-guided CBT via the Internet (ICBT) or as group CBT. In total, 92 university students with severe procrastination were included in the study (registered as a clinical trial on Clinicaltrials.gov: NCT02112383). Outcome measures on procrastination, depression, anxiety, and well-being were distributed at pre- and posttreatment as well as 6-month follow-up. An outcome measure of procrastination was administered weekly. Linear mixed and fixed effects models were calculated, along with improvement and deterioration rates. The results showed large within-group effect sizes on procrastination, Cohen’s d of 1.29 for ICBT, 95% Confidence Interval (CI) [0.81, 1.74], and d of 1.24 for group CBT, 95% CI [0.76, 1.70], and small to moderate benefits for depression, anxiety, and well-being. In total, 33.7% were regarded as improved at posttreatment and 46.7% at follow-up. No differences between conditions were observed after the treatment period, however, participants in group CBT continued or maintained their improvement at follow-up, while participants in self-guided ICBT showed some signs of deterioration. The findings from the current study suggest that CBT might be an effective treatment for those struggling with severe procrastination, but that a group format may be better for some to sustain their benefits over time and that the clinical significance of the results need to be investigated further.     

Comics and in-Between Kids: Immigration-Themed Graphic Novels as a Resource for Second-Generation Adolescents

This paper describes the process of acculturation for immigrant adolescents using immigration-themed graphic novels. The author’s own experience as a third-culture child is offered as a starting point. The paper explains recent developments in acculturation theory. It uses vignettes from the graphic novels to show discrimination, ethnic bullying, and cultural self-definition. The article explains adolescents’ life-and-death need to belong in tension with a need to hold onto ethnic pride. It underscores that the painful process of working through cultural identifications is an important part of identity development and faith formation for adolescents.     

The Concept of Mental Toughness: Tests of Dimensionality,Nomological Network,and Traitness

Mental toughness has received increased scholarly attention in recent years, yet conceptual issues related to its (a) dimensionality, (b) nomological network, and (c) traitness remain unresolved. The series of studies reported in this article were designed to examine these three substantive issues across several achievement contexts, including sport, education, military, and the workplace. Five studies were conducted to examine these research aims—Study 1: N = 30; Study 2: calibration sample (n = 418), tertiary students (n = 500), athletes (n = 427), and employees (n = 550); Study 3: N = 497 employees; Study 4: N = 203 tertiary students; Study 5: N = 115 army candidates. Collectively, the results of these studies revealed that mental toughness may be best conceptualized as a unidimensional rather than a multidimensional concept; plays an important role in performance, goal progress, and thriving despite stress; and can vary and have enduring properties across situations and time. This series of studies provides a foundation for further basic and applied research of mental toughness across various achievement contexts.     

An Exploration of the Relationship Between Spirituality and State and Trait Anger Among Medical Students

There is a dearth of studies exploring spiritual attitudes of medical students from developing countries and its relationship to anger. This study was conducted to assess spiritual attitudes and their relationship with anger in a set of medical students in southern India. In this cross-sectional observational study, medical students who were undergoing clinical rotations were offered participation. Selected demographic data were obtained. The participants were rated using the Spiritual Attitudes Inventory [SAI, which comprises of Duke Religiosity Index, Existential Well-Being Scale (EWBS), Negative Religious Coping and Multidimensional Health Locus of Control scale] and State and Trait Anger Expression Inventory 2. Out of 98 students approached, 82 participated (response rate 83.6 %). The mean age of sample was 20.7 years (±0.9 years) with a slight preponderance of females (54.9 %). SAI scores correlated well significantly with subscale scores. Gender had no difference on the SAI or subscale score. Differences were found between self-reported religion and EWBS scores (Kruskal–Wallis χ ² = 8.891, p = 0.012). Total SAI score had a significant negative correlation with state anger, trait anger and anger expression. High levels of spirituality may be correlated with lower levels of state anger, trait anger and anger expression in medical students.