Dialectical Behavior Therapy Is Effective for the Treatment of Suicidal Behavior: A Meta-Analysis

Dialectical Behavior Therapy (DBT) prioritizes suicidal behavior and other self-directed violence as the primary treatment targets, and has been demonstrated to reduce self-directed violence in clinical trials. This paper synthesizes findings from controlled trials that assessed self-directed violence and suicidality, including suicide attempts, non-suicidal self-injury (NSSI), suicidal ideation, and accessing psychiatric crisis services. Eighteen controlled trials of DBT were identified. Random effects meta-analyses demonstrated that DBT reduced self-directed violence (d = -.324, 95% CI = -.471 to -.176), and reduced frequency of psychiatric crisis services (d = -.379, 95% CI = -.581 to -.176). There was not a significant pooled effect of DBT with regard to suicidal ideation (d = -.229, 95% CI = -.473 to .016). Our findings may reflect the prioritization of behavior over thoughts within DBT, and offer implications for clinical practice and future research concerning the implementation of DBT for acute suicidality.     

Interchangeability of Results From Computerized and Traditional Administration of the BIDR: Convenience Can Match Reality

Although interchangeability of results across computer and paper modes of administration is commonly assumed, recent meta-analyses and individual studies continue to reveal mean differences in scores for measures of socially desirable responding (SDR). Results from these studies have also failed to include new methods of scoring and crucial aspects of scaling, reliability, validity, and administration emphasized in professional standards for assessment that are essential in establishing equivalence. We addressed these shortcomings in a comprehensive, repeated measures investigation for 6 ways of scoring the Balanced Inventory of Desirable Responding (BIDR), one of the most frequently administered companion measures of SDR in research and practice. Results for many previously unexamined, standards-driven aspects of scaling, reliability, and validity strongly supported the interchangeability of scores across modes of administration. Computer questionnaires also took considerably less time to complete and were overwhelmingly favored by respondents in relation to physical characteristics of the measures, appraisals of the the assessment experience, and perceived quality of information obtained. Collectively, these results highlight the importance of following professional standards when constructing and administering computerized assessments and the evolution of computer technology in providing viable, effective, and accepted platforms for administering and scoring the BIDR in numerous ways.     

Lead exposure and child maltreatment as models for how to conceptualize early-in-life risk factors for violence

Although rates of violent crime have been on the decline in the United States for the past two decades, young people—and particularly young men—continue to commit and fall victim to alarmingly high rates of violence. Effective prevention requires data on what the determinants of violence are and when in the life course they emerge. The goal of this review was to identify early-in-life risk factors for violence and to describe (a) who is most affected and (b) effect mechanisms. I focus on abuse and neglect and exposure to lead as risk factors for violence that disproportionately affect young children and that are likely to have causal effects on development. I conclude with future directions for research and intervention.     

Perceived Stigma and Self-Stigma in College Students: A Literature Review and Implications for Practice and Research

Perceived and self-adopted forms of stigma are omnipresent. Although stigma is often discussed alongside mental illness, constructs such as race, ethnicity, and sexuality can also cause individuals to adopt feelings of stigma within themselves. The literature has called for further inquiry examining the effects of perceived and self-stigmas among different populations. In response, this literature review examines the influence of perceived and self-stigmas on college student populations. Overall, perceived and self-stigmas have the potential to negatively affect students’ psychological well-being, willingness to seek treatment, cocurricular experiences, and academic performance. Implications for future research are presented based on the review’s findings.     

Talking about proportion: Fraction labels impact numerical interference in non‐symbolic proportional reasoning

Across two experiments, we investigated how verbal labels impact the way young children attend to proportional information, well before the introduction of formal fraction education. Five‐ to seven‐year‐old children were introduced to equivalent non‐symbolic proportions labeled in one of three ways: (a) a single, categorical label for multiple fractions (both 3/4 and 6/8 referred to as “blick”), (b) labels that focused on the numerator [e.g., 3/4 labeled as “three blicks” (Experiment 1) or “three‐fourths” (Experiment 2)], or (c) labels that had a complete part‐whole structure (“three‐out‐of‐four”). Children then completed measures of non‐symbolic proportional reasoning that pitted whole‐number information against proportional information for novel proportions. Across both experiments, children who heard the categorical labels were more likely to match non‐symbolic displays based on proportion than children in any of the other conditions, who demonstrated higher levels of numerical interference. These findings suggest that fraction labels have the potential to shape children's attention to proportional information even in the context of non‐symbolic part‐whole displays and for children who are not familiar with formal fraction symbols. We discuss these findings in terms of children's developing understanding of proportional reasoning and its implications for fraction education.     

Executive attention moderates the effect of trait anxiety on hyperarousal symptoms

The majority of individuals exposed to trauma do not go on to develop posttraumatic stress disorder (PTSD); thus, researchers have sought to identify individual difference variables that make one particularly susceptible to posttraumatic stress symptoms. Trait anxiety is one individual difference variable implicated in the pathogenesis of posttraumatic stress symptoms. Following from cognitive theories of anxiety and extant data, the purpose of the present study was to examine executive attention as a moderator of the relation between trait anxiety and posttraumatic stress symptoms, particularly hyperarousal symptoms, among undergraduate women reporting trauma exposure (N = 88). As predicted, executive attention moderated the association between trait anxiety and hyperarousal symptoms, such that there was a significantly weaker relation as executive attention increased. Study results further support the potential buffering effect of executive attention in relation to posttraumatic stress symptoms, as well as the possible importance of targeting executive attention following trauma exposure.     

Invideo et Amo: on Envying the Beloved

Philosophia - Can we love and envy the same person at the same time? There is an overwhelming, cross-cultural and cross-disciplinary, consensus that love and envy are deeply incompatible. In this...     

Disrupted Transition to Parenthood: Gender Moderates the Association Between Miscarriage and Uncertainty About Conception

Miscarriage is a devastating yet common experience shared by women and their partners. Doctors often recommend that couples attempt to conceive again after the experience of a miscarriage, yet little is known about the emotional toll of conception following miscarriage. In the current study, we addressed two primary research questions: (a) How does experiencing a miscarriage relate to recalled emotional experiences of uncertainty surrounding efforts to conceive again? and (b) does gender moderate the association between miscarriage and retrospective accounts of emotions surrounding efforts to conceive? An online sample of parents from across the U.S. (N?=?429; 84.4 % married or cohabiting) reported their number of prior miscarriages and completed online questionnaires assessing recalled psychological adjustment (anxiety, rumination, positive and negative emotions) during their efforts to conceive their youngest child. In addition, they provided written responses regarding their experiences during this time. Participants’ responses were quantitatively analyzed for word use using LIWC, a text-analysis software program, to obtain an observational indicator of emotions. For women but not men, miscarriage was associated with recalled anxiety, rumination, and negative emotions surrounding efforts to conceive a child, as well as the use of more negative emotion, sadness, and anxiety words when describing efforts to conceive. Thus, miscarriage seemed to taint the emotional experience of trying to conceive again, and this consequence seemed particularly poignant for women.     

Local context effects during emotional item directed forgetting in younger and older adults

This paper explored the differential sensitivity young and older adults exhibit to the local context of items entering memory. We examined trial-to-trial performance during an item directed forgetting task for positive, negative, and neutral (or baseline) words each cued as either to-be-remembered (TBR) or to-be-forgotten (TBF). This allowed us to focus on how variations in emotional valence (independent of arousal) and instruction (TBR vs. TBF) of the previous item (trial n-1) impacted memory for the current item (trial n) during encoding. Different from research showing impairing effects of emotional arousal, both age groups showed a memorial boost for stimuli when preceded by items high in positive or negative valence relative to those preceded by neutral items. This advantage was particularly prominent for neutral trial n items that followed emotional items suggesting that, regardless of age, neutral memories may be strengthened by a local context that is high in valence. A trending age difference also emerged with older adults showing greater sensitivity when encoding instructions changed between trial n-1 and n. Results are discussed in light of age-related theories of cognitive and emotional processing, highlighting the need to consider the dynamic, moment-to-moment fluctuations of these systems.