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.     

Metacognitive Experiences and Human Judgment: The Case of Hindsight Bias and Its Debiasing

ABSTRACT— Theories of judgment have emphasized the influence of what comes to mind—the content of people's thoughts. But recent research shows that metacognitive experiences accompanying thinking, like a sense of the ease or difficulty with which information comes to mind, qualify the conclusions that people derive from thought content. The case of hindsight bias and attempts to remove that bias (debiasing) illustrate this. After an event outcome is known, people display hindsight bias by exaggerating its inevitability, believing they "knew it all along." The magnitude of hindsight bias varies with the ease or difficulty that known or alternative outcomes come to mind; the usually observed hindsight bias may even reverse when outcomes are difficult to bring to mind or increase when alternatives are difficult to bring to mind. Implications of metacognitive experiences can extend to other biases and their debiasing, as well as to how people make sense of the past more generally.     

Adolescent athletes with learning disability display atypical maturational trajectories on concussion baseline testing: Implications based on a Finnish sample

Previous research has reported lower cognitive test scores on baseline testing in athletes reporting multiple previous concussions or a history of learning disability (LD). Age also has an important influence on cognitive performance. While these factors have been considered individually in previous studies, the present study is the first to explore the interaction of age, self-reported LD, and history of concussion on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT®) in a nationwide study of adolescent athletes. ImPACT® was administered to 1823 Finnish male ice hockey players (aged 12–21 years old) prior to the 2015–2016 or 2016–2017 playing seasons. Linear regressions and simple slopes analyses were used for clarifying the impact of LD and previous concussion history on maturational trajectories. In comparison to typically developing athletes, athletes with LD had lower neurocognitive scores in all composites and differing maturational trajectory in verbal memory and visual motor speed. The number of previous concussions did not impair neurocognitive performance at baseline assessment. Application of standard age-based norms to adolescent athletes with a history of LD has the potential to negatively skew clinical decision-making. Separate reference values for LD athletes are warranted due to their unique developmental cognitive trajectories. The reference values for the Finnish participants in this study are presented.     

Work-family conflict and psychological well-being: Stability and cross-lagged relations within one- and six-year follow-ups

The rank-order stability and cross-lagged relations between work-to-family conflict (WFC), family-to-work conflict (FWC), and psychological well-being were examined in two longitudinal studies with full two-wave panel designs. In Study 1 (n = 365), the time lag was one year, and in Study 2 (n = 153), six years. The Structural Equation Modeling showed that the stability for WFC was .69 over one and .73 over six years. The respective stabilities for FWC were .57 and .48. Cross-lagged relations were not detected between WFC/FWC and low psychological well-being (job exhaustion, marital adjustment, parental stress, and psychological distress), expected to exist on the basis of the integrative model of work-family interface [Frone, M. R., Yardley, J. K., & Markel, K. S. (1997). Developing and testing an integrative model of the work-family interface. Journal of Vocational Behavior, 50, 145-167.]. Instead, high job exhaustion preceded high psychological distress, both within one- and six-year time lags, and within a one-year time lag: low marital adjustment preceded high psychological distress, and high psychological distress preceded high parental stress. These findings supported the spillover perspective on work-family interface [Edwards, J. R., & Rothbard, N. P. (2000). Mechanisms linking work and family: Clarifying the relationship between work and family constructs. Academy of Management Review, 25, 178-199.].     

Investigating student engagement in computer-supported inquiry: a process-oriented analysis

The aim of this article is to describe and analyze how computer supported inquiry learning effects two secondary school students’ engagement in a literacy learning project. With comparative analysis of various sources of data we aim to understand what engagement is, how and why it changes over time and how changes in engagement are reflected in what learners do in an actual learning context. A set of methods was implemented that aimed at process-oriented analyses in a natural context of learning, that is, observations, interviews, content analysis of computer notes and an experience sampling questionnaire. The results show that even though the students had very different motivational tendencies in a traditional classroom, both of them showed progressive task engagement in this learning project. The data also illustrate how a technology supported environment can influence the way the students construct their goals and structure their activity. We conclude that multidimensional concepts, like engagement, have the potential to link the antecedents and consequences of how students behave, how they feel, and how they think, especially in the context of new pedagogical and technology-based learning environments.

A Game of Inches: Spontaneous Use of Counterfactuals by Broadcasters During Major League Baseball Playoffs1

We tested whether counterfactuals are made spontaneously outside of the laboratory by coding sportscasters’ online verbalizations during 1998 and 1999 Major League Baseball (MLB) playoff broadcasts, and we assessed whether naturally occurring game features relating to closeness (score closeness, series closeness, game end, and playoff end) delineated some conditions under which counterfactuals were more likely. Sportscasters made counterfactuals quite frequently during these MLB playoff games. In addition, sportscasters uttered greater numbers of counterfactuals as games progressed from early to late innings, which was particularly true when scores were close. Counterfactuals were also uttered in greater numbers with closer scores when series were tied than when one team had a lead. Results are discussed in terms of spontaneous counterfactuals, closeness as an antecedent, and the ecological validity of such thoughts.     

Debiasing the hindsight bias: The role of accessibility experiences and (mis)attributions

Two studies tested the role of accessibility experiences and attributions in debiasing the hindsight bias. Participants listed 4 or 12 thoughts about how a college football game, or the 2000 US Presidential election, might have turned out differently. Listing 12 thoughts was experienced as difficult, suggesting to participants that there were few ways in which the event could have turned out otherwise. Hindsight biases increased under this condition, unless participants attributed the difficulty of the thought generation to their own lack of knowledge, which resulted in a trend in the opposite direction. The interplay of accessible content, accessibility experiences and attribution in mental simulation is discussed.     

Moral psychology of nursing robots: Exploring the role of robots in dilemmas of patient autonomy

Artificial intelligences (AIs) are widely used in tasks ranging from transportation to healthcare and military, but it is not yet known how people prefer them to act in ethically difficult situations. In five studies (an anthropological field study, n = 30, and four experiments, total n = 2150), we presented people with vignettes where a human or an advanced robot nurse is ordered by a doctor to forcefully medicate an unwilling patient. Participants were more accepting of a human nurse's than a robot nurse's forceful medication of the patient, and more accepting of (human or robot) nurses who respected patient autonomy rather than those that followed the orders to forcefully medicate (Study 2). The findings were robust against the perceived competence of the robot (Study 3), moral luck (whether the patient lived or died afterwards; Study 4), and command chain effects (Study 5; fully automated supervision or not). Thus, people prefer robots capable of disobeying orders in favour of abstract moral principles like valuing personal autonomy. Our studies fit in a new era in research, where moral psychological phenomena no longer reflect only interactions between people, but between people and autonomous AIs.     

Evidence for the validity of the Clinical Perfectionism Questionnaire in a nonclinical population: more than just negative affectivity

This study examined the validity of the Clinical Perfectionism Questionnaire (CPQ; Fairburn, Cooper, & Shafran, 2003) in a nonclinical sample of 61 men and 182 women. Consistent with expectations, we found that scores on the CPQ were positively associated with scores on common measures of maladjustment, namely, depressive symptoms, anxious symptoms, and stress. In addition, results from regression analyses indicated that the CPQ accounted for additional variance in each of the 3 indexes of maladjustment beyond what was accounted for by multidimensional perfectionism and negative affectivity. Accordingly, our findings provide promising support for the validity of the CPQ in a nonclinical population.     

Age differences in women’s tendency to gossip are mediated by their mate value

In the current study it was investigated whether age differences in women’s tendency to gossip exist, and whether these could be accounted for by self-reported mate value. It was expected that younger women would report a higher tendency to gossip after reading a scenario in which a romantic rival was introduced, because they are at an age when competition for mates is salient and often intense. Moreover, it was hypothesized that this higher tendency to gossip would be attributable to these women’s higher mate value, since younger women have a higher reproductive capacity than older women. The results confirm these expectations: age differences in women’s tendency to gossip disappeared when controlling for mate value. Discussion focuses on the interpretation and implications of these results.