Mechanisms of Behavioral and Affective Treatment Outcomes in a Cognitive Behavioral Intervention for Boys

Evidence for effective treatment for behavioral problems continues to grow, yet evidence about the effective mechanisms underlying those interventions has lagged behind. The Stop Now and Plan (SNAP) program is a multicomponent intervention for boys between 6 and 11. This study tested putative treatment mechanisms using data from 252 boys in a randomized controlled trial of SNAP versus treatment as usual. SNAP includes a 3 month group treatment period followed by individualized intervention, which persisted through the 15 month study period. Measures were administered in four waves: at baseline and at 3, 9 and 15 months after baseline. A hierarchical linear modeling strategy was used. SNAP was associated with improved problem-solving skills, prosocial behavior, emotion regulation skills, and reduced parental stress. Prosocial behavior, emotion regulation skills and reduced parental stress partially mediated improvements in child aggression. Improved emotion regulation skills partially mediated treatment-related child anxious-depressed outcomes. Improvements in parenting behaviors did not differ between treatment conditions. The results suggest that independent processes may drive affective and behavioral outcomes, with some specificity regarding the mechanisms related to differing treatment outcomes.     

With the past behind and the future ahead: Back-to-front representation of past and future sentences

Several studies support the psychological reality of a mental timeline that runs from the left to the right and may strongly affect our thinking about time. Ulrich and Maienborn (Cognition 117:126–138, 2010) examined the linguistic relevance of this timeline during the processing of past- and future-related sentences. Their results indicate that the timeline is not activated automatically during sentence comprehension. While no explicit reference of temporal expressions to the left–right axis has been attested (e.g., *the meeting was moved to the left), natural languages refer to the back–front axis in order to encode temporal information (e.g., the meeting was moved forward). Therefore, the present study examines whether a back–frontal timeline becomes automatically activated during the processing of past- and future-related sentences. The results demonstrate a clear effect on reaction time that emerges from a time–space association along the frontal timeline (Experiment 1). However, this activation seems to be nonautomatic (Experiment 2), rendering it unlikely that this frontal timeline is involved in comprehension of the temporal content of sentences.     

Incidental picture exposure affects later reading: evidence from the N400

Language comprehenders form a mental representation of the implied shape of objects mentioned in the text. In the present study, the influence of prior visual experience on subsequent reading was assessed. In two separate phases, participants saw a picture of an object and read a text about the object, suggesting the same or a different shape. When the shapes in the two phases mismatched, ERPs during reading showed a larger N400 amplitude than when the shapes matched, suggesting that a picture presented incidentally 15 min earlier affected reading. These results further strengthen the case for the interaction of language and visual experience during language comprehension.     

Time-course analysis of temporal preparation on central processes

Participants usually respond faster to a response signal (RS) when this signal is preceded by a warning stimulus than when it is not. A question of theoretical importance is the locus of this facilitating effect within the information processing stream. Recently, Los and Schut (Cogn Psychol 57:20–55, 2008) suggested that temporal preparation acts on central processes while perception of the RS is under way. The present study provides a stochastic model (central preparation model, CPM) based on this hypothesis and presents three experiments testing this model. To track the complete time-course of temporal preparation, the warning signal could either precede or follow the RS. The data show some systematic deviation from the model’s predictions, questioning CPM’s assumption that temporal preparation acts only on central processes. An alternative mechanism of temporal preparation based on the parallel grains model [Miller and Ulrich (Cogn Psychol 46:101–151, 2003)] is discussed.     

Estimating discrimination performance in two-alternative forced choice tasks: Routines for MATLAB and R

Ulrich and Vorberg (Attention, Perception, & Psychophysics 71: 1219–1227, 2009) introduced a novel approach for estimating discrimination performance in two-alternative forced choice (2AFC) tasks. This approach avoids pitfalls that are inherent when the order of the standard and the comparison is neglected in estimating the difference limen (DL), as in traditional approaches. The present article provides MATLAB and R routines that implement this novel procedure for estimating DLs. These routines also allow to account for processing failures such as lapses or finger errors and can be applied to experimental designs in which the standard and comparison differ only along the task-relevant dimension, as well as to designs in which the stimuli differ in more than one dimension. In addition, Monte Carlo simulations were conducted to check the quality of our routines.     

Trial-by-trial updating of an internal reference in discrimination tasks: Evidence from effects of stimulus order and trial sequence

In psychophysics, participants are often asked to discriminate between a constant standard and a variable comparison. Previous studies have shown that discrimination performance is better when the comparison follows, rather than precedes, the standard. Prominent difference models of psychophysics and decision making cannot easily explain this order effect. However, a simple extension of this model class involving dynamical updating of an internal reference accounts for this order effect. In addition, this Internal Reference Model (IRM) predicts sequential response effects. We examined the predictions of IRM in two duration discrimination experiments. The obtained results are in agreement with the predictions of IRM, suggesting that participants update their internal reference on every trial. Additional simulations show that IRM also accounts for the negative sequential effects observed in single-stimulus paradigms.     

Psychisches Risiko „Großstadtleben“

The material determining factors of mental stress and diseases are comparatively rarely reflected on and analysed in depth in psychotherapy research and by psychotherapists. This article should be seen as a plea to look at these factors in more detail. When this involves the question of the influence of risk factors of city lifestyle conditions on the mental health of its inhabitants, the urban environment“city” is the melting pot for a multitude of individual factors and factor constellations the influence of which must be theoretically conceptualized and empirically collated.     

Task relevance modulates processing of distracting emotional stimuli

Relatively little is known about the integration of people's fear-related dispositions and their expectations about stressful events. This research used information integration theory to examine how participants’ anxiety sensitivity and event expectancy are integrated to determine their social anxiety. Three studies were conducted—two with university students and one with anxiety clinic patients—in which participants were presented with multiple scenarios of a socially embarrassing event, each representing a different degree of event probability, from which subjective expectancies were derived. Independent variables included anxiety sensitivity (low, moderate, high) and event expectancy (low, medium, high, no probability information). Participants were asked to indicate their anxiety (dependent measure) in each expectancy condition in this 3 × 4 mixed, quasi-experimental design. The results of all three studies strongly suggest that anxiety sensitivity and event expectancy are integrated additively to produce social anxiety. Additional results and their implications for the treatment of anxiety-related disorders are also discussed.     

Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study

Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms.

Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT.

Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d = .93). Symptom reduction in the two syndromes were strongly correlated (r = .625, p = .004). Patients with a restrictive ED did not improve on either depression or ED symptoms.

Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients.     

Exploring the validity of scores from the Rosenberg Self-Esteem Scale (RSES) in Burundi: A multi-strategy approach

The present study aimed to validate the Rosenberg Self-Esteem Scale (RSES) in Burundi, through a multi-strategy approach used in cross-cultural studies. Respondents were 906 health workers (men = 56%; caregivers 60%). They responded to a bilingual version of RSES. We utilised Confirmatory Factorial Analysis (CFA) with structural equation modelling and a back translation test to explore the structure of the RSES and the reliability of scores from the scale. Data from an independent sample were analysed for the reliability of scores assessment. CFA results suggested that the global RSES factor was likely contaminated by a method-effect; mainly associated with negatively worded items. Internal consistencies and a back-translation test demonstrated that the negatively worded items were unsuitable in this context. The independent sample study confirmed poor reliability and internal consistency of scores for both alternative language versions of the RSES. Our data suggested that an overall cultural effect, rather than a merely specific language effect, may undermine the cross-cultural transportability of the Western scale.