The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale

Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS). Method: Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data. Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs. Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment.     

Modelling decisions to undergo genetic testing for susceptibility to common health conditions: an ancillary study of the Multiplex Initiative

New genetic tests reveal risks for multiple conditions simultaneously, although little is understood about the psychological factors that affect testing uptake. We assessed a conceptual model called the multiplex genetic testing model (MGTM) using structural equation modelling. The MGTM delineates worry, perceived severity, perceived risk, response efficacy and attitudes towards testing as predictors of intentions and behaviour. Participants were 270 healthy insured adults aged 25-40 from the Multiplex Initiative conducted within a health care system in Detroit, MI, USA. Participants were offered a genetic test that assessed risk for eight common health conditions. Confirmatory factor analysis revealed that worry, perceived risk and severity clustered into two disease domains: cancer or metabolic conditions. Only perceived severity of metabolic conditions was correlated with general response efficacy (β?=?0.13, p<0.05), which predicted general attitudes towards testing (β?=?0.24, p<0.01). Consistent with our hypothesised model, attitudes towards testing were the strongest predictors of intentions to undergo testing (β?=?0.49, p<0.01), which in turn predicted testing uptake (OR 17.7, β?=?0.97, p<0.01). The MGTM explained a striking 48% of the variance in intentions and 94% of the variation in uptake. These findings support use of the MGTM to explain psychological predictors of testing for multiple health conditions.     

The assessment of protective behavioral strategies: Comparing prediction and factor structures across measures

Protective behavioral strategies (PBS), or drinking control strategies, are specific behaviors one can utilize to minimize the harmful consequences of alcohol consumption. As there is not currently a standard measure of PBS, the goal of the present study was to examine the factor structure and concurrent validity of three scales designed to assess PBS: Protective Behavioral Strategies Scale (PBSS; Martens, M. P., Ferrier, A. G., Sheehy, M. J., Corbett, K., Anderson, D. A., & Simmons, A., 2005 Development of the Protective Behavioral Strategies Survey. Journal of Studies on Alcohol, 66, 698-705), Protective Behavioral Strategies Measure (Novik, M. G., & Boekeloo, B. O., 2011, Dimensionality and psychometric analysis of an alcohol protective behavioral strategies scale. Journal of Drug Education, 41, 65-78. doi:10.2190/DE.41.1.d), and the Strategy Questionnaire (SQ); (Sugarman, D. E., & Carey, K. B., 2007), The relationship between drinking control strategies and college student alcohol use. Psychology of Addictive Behaviors, 21, 338-345. doi:10.1037/0893-164X.21.3.338). In a sample of college students (n = 291), we used confirmatory factor analysis to examine the proposed factor structures of each scale. Although the theorized three-factor structure fit the data moderately well for the PBSS, the theorized factor structures for the Protective Behavioral Strategies Measure and SQ did not fit the data well. Further, the composite scores from the PBSS were all significantly negatively correlated with alcohol-related problems, whereas the composites of the SQ were not significantly correlated with alcohol-related problems. Although we have evidence in favor of 1 PBS measure over others, we discuss broader issues related to assessment of PBS. We consider the different instructions, response scales, and time intervals for various PBS measures in terms of how they relate to the advancement of PBS research. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Protective behavioral strategies as a mediator and moderator of the relationship between self-regulation and alcohol-related consequences in first-year college students

This study examined protective behavioral strategies (PBS) as a potential mediator and moderator of the relationship between self-regulation and alcohol-related consequences. Participants were 249 first-year undergraduate men and women. The use of PBS partially mediated the relationship between self-regulation and alcohol-related problems (i.e., supporting the "self-control equals drinking control" hypothesis). However, use of PBS appeared more important for those with poorer self-regulation abilities (supporting the "PBS protect the impaired" hypothesis). Because both mediation and moderation were supported, a moderated mediation model was tested. The moderated mediation model demonstrated that the negative relationship between self-regulation and alcohol-related consequences could be explained by use of PBS for individuals with poor-to-average self-regulation but not for individuals with above-average, self-regulation abilities. Implications of the study's findings are discussed.     

Is it sometimes better to receive than to give? Preferences for receiver roles over proposer roles in consumer behavior ultimatums

In the context of purchasing ultimatums, consumers may dislike the freedom of choice that comes with proposing offers due to their awareness that the other party may have better information than they do and the fact that the attractiveness of outside alternatives is uncertain. Indeed, across three studies, we find that people prefer to receive rather than propose offers. In Study 1, proposers reached fewer agreements and experienced less favorable attitudes (e.g., satisfaction, fairness, recommendation intentions), particularly when their offers were rejected. In Study 2, proposers experienced more uncertainty and cognitive depletion as compared to receivers, again particularly if the proposed offer was rejected. In Study 3, role preferences were explained by the existence of higher regret in the proposer role, particularly if the proposed offer was rejected. We conclude with a consideration of the theoretical and practical implications of our research for scholars, customers, and service providers.     

Taking a fresh perspective: Vicarious restoration as a means of recovering self-control

In the realm of self-regulation, recent work shows that the state of ego depletion can be vicariously transmitted from a target to a perceiver simply by imagining the perspective of a depleted target (i.e., vicarious depletion; Ackerman et al., 2009). The present study asked whether such vicarious effects can extend to the domain of self-regulatory recovery. In Experiment 1, depleted participants who took the perspective of someone engaging in a restorative activity showed recovered self-control on a later task. Experiments 2 and 3 expanded upon this effect by illustrating that such vicarious self-regulatory processes only emerge if the target is similar to the participant. Taken together, the present studies offer a powerful method by which mental resources can be replenished, and identify one critical boundary condition of its effectiveness.     

A tutorial on Bayesian nonparametric models

A key problem in statistical modeling is model selection, that is, how to choose a model at an appropriate level of complexity. This problem appears in many settings, most prominently in choosing the number of clusters in mixture models or the number of factors in factor analysis. In this tutorial, we describe Bayesian nonparametric methods, a class of methods that side-steps this issue by allowing the data to determine the complexity of the model. This tutorial is a high-level introduction to Bayesian nonparametric methods and contains several examples of their application.     

Dyadic interracial interactions: a meta-analysis

This meta-analysis examined over 40 years of research on interracial interactions by exploring 4 types of outcomes: explicit attitudes toward interaction partners, participants' self-reports of their own emotional state, nonverbal or observed behavior, and objective measures of performance. Data were collected from 108 samples (N = 12,463) comparing dyadic interracial and same-race interactions, predominantly featuring Black and White Americans. Effect sizes were small: Participants in same-race dyads tended to express marginally more positive attitudes about their partners (r = .07), reported feeling less negative affect (r = .10), showed more friendly nonverbal behavior (r = .09), and scored higher on performance measures (r = .07) than those in interracial dyads. Effect sizes also showed substantial heterogeneity, and further analyses indicated that intersectional, contextual, and relational factors moderated these outcomes. For example, when members of a dyad were the same sex, differences between interracial and same-race dyads in negative affect were reduced. Structured interactions led to more egalitarian performance outcomes than did free-form interactions, but the effects of interaction structure on nonverbal behavior depended on participant gender. Furthermore, benefits of intergroup contact were apparent: Differences in emotional state across dyadic racial composition disappeared in longer term interactions, and racial minorities, who often have greater experience with intergroup contact, experienced less negative affect in interracial interactions than did majority group members. Finally, there was a significant historical trend toward more egalitarian outcomes across dyadic racial composition for explicit attitudes and for nonverbal behavior; however, participants' emotional responses and performance have remained consistent.