Qualitative analysis of feedback on functional imagery training: A novel motivational intervention for type 2 diabetes

Objective: Effective motivational support is needed in chronic disease management. This study was undertaken to improve a novel type 2 diabetes motivational intervention, (functional imagery training, FIT) based on participant feedback and results from a self-management randomised controlled trial.

Design: Qualitative inductive thematic analysis of semi-structured interviews.

Main outcome measures: Open-ended questions on participant experiences of the FIT intervention content, process, most/least helpful features, suggestions for improvement and general feedback.

Results: Eight themes emerged. Participants thought FIT promoted autonomy and self-awareness. They found the intervention interesting and helpful in keeping their health on track through accountability provided by regular phone calls. However, boredom with repetitive use of imagery, feeling inadequately equipped to manage unhealthy cravings, and difficulty with the time commitment was reported by some. Supplementary written material was recommended.

Conclusion: Several well-received features of FIT overlapped with those from traditional motivational interviewing. FIT sessions should ensure content is regularly adapted to new health-enhancing goals. After self-management behaviour becomes habitual, imagery practice could be restricted to challenging contexts. Provision of a written rationale and use of mindfulness for cravings is recommended. With these improvements, the impact of FIT on diabetic control may be substantially enhanced.     

Validation of the German Version of the Sexual Self-Esteem Inventory for Women and its Application in a Sample of Sexually and Physically Abused Women

Results regarding the association between global self-esteem and sexual behavior suggest the importance of a domain-specific construct—so-called sexual self-esteem (SSE). Prior studies suggested that SSE is malleable and found a negative impact of sexual abuse on SSE. In the present study, the German translation of the Sexual Self-Esteem Inventory-Short Form (SSEI-SF) by Zeanah and Schwarz (1996) was validated via an online survey with 557 women and then investigated in a clinical sample of women suffering from PTSD following sexual and physical abuse compared with healthy controls (n = 130). We examined differences in SSE depending on the type of abuse. Confirmatory factor analysis revealed adequate model fit, with acceptable-to-excellent reliability (α = .78–.94) and sound convergent and discriminant validity. As expected, SSEI-SF scores were significantly lower in the clinical sample than those in the healthy control group. Within the clinical sample, there were no significant differences in SSE between clients who had experienced sexual abuse and those who had experienced physical abuse, but a history of sexual abuse was significantly linked to lower SSE and SSE was related to both sexual behavior and sexual satisfaction. In conclusion, our study supports the validity and applicability of the German version of the SSEI-SF. Results regarding the differences in SSE between survivors of abuse and healthy controls contribute to the further understanding of female sexuality and have implications for treatment.     

Benefiting From Disagreement: Counterarguing Reduces Prechoice Bias in Information Evaluation

Confirmatory information processing (i.e., information distortion) is a robust phenomenon with no known mitigation. This research proposes that information distortion might be mitigated by disrupting its driver, namely, the need for cognitive consistency. Priming a counterarguing mindset should induce people to refute their emerging preferences, thereby disrupting the operation of cognitive consistency. Five studies confirm this prediction. Study 1 demonstrates that priming a counterarguing mindset decreases information distortion. Studies 2 and 3 replicate Study 1 and further show that the influence of a head start on choice diminishes when counterarguing is primed. Study 4 shows that priming counterarguing inhibits consistency‐related concepts. Finally, Study 5 demonstrates that counterarguing not only reduces distortion but also yields reduced commitment to the preferred alternative.     

Developing cognitions about race: White 5‐ to 10‐year‐olds' perceptions of hardship and pain

White American adults assume that Blacks feel less pain than do Whites, but only if they believe that Blacks have faced greater economic hardship than Whites. The current study investigates when in development children first recognize racial group differences in economic hardship and examines whether perceptions of hardship inform children's racial bias in pain perception. Five‐ to 10‐year‐olds (N = 178) guessed which of two items (low versus high value) belonged to a Black and a White child and rated the amount of pain a Black and a White child would feel in 10 painful situations. By age 5, White American children attributed lower‐value possessions to Blacks than Whites, indicating a recognition of racial group differences in economic hardship. The results also replicated the emergence of a racial bias in pain perception between 5 and 10. However, unlike adults', children's perceptions of hardship do not account for racial bias in pain perception.     

Effectiveness of cognitive behavioral therapy on health‐related quality of life: An evaluation of therapies provided by trainee therapists

The present study was carried out to examine the treatment effect of cognitive behavioral therapy provided by trainee therapists at a university clinic, focusing on health‐related quality of life (HRQOL) optimism and symptoms. The study was conducted through a repeated measures design and included a treatment group (n = 21), which received cognitive behavioral therapy for an average of 10.7 therapy sessions and a control group (n = 14), that was put on a wait list for 8.6 weeks on average. After treatment, the treatment group improved significantly concerning general health (p = 0.028) and optimism (p = 0.027). In addition, clients improved in several areas within mental health and displayed some reduction in anxiety symptoms. Concurrently, the results also indicated some improvement within the control group, which may have been caused by the initial therapeutic contact, expectancy effects or spontaneous remission. The study concluded that cognitive behavioral therapy provided by trainee therapists may have a positive effect on areas within HRQOL and optimism.     

Practice makes perfect: Training the interpretation of emotional ambiguity

The interpretation of emotionally ambiguous words, sentences, or scenarios can be altered through training procedures that are collectively called cognitive bias modification for interpretation (CBM-I). In three experiments, we systematically manipulated the nature of the training in order to discriminate between emotional priming and ambiguity resolution accounts of training effects. In Experiment 1 participants completed word fragments that were consistently related to either a negative or benign interpretation of an ambiguous sentence. In a subsequent semantic priming task they demonstrated an interpretation bias, in that they were faster to identify relatedness of targets that were associated with the training-congruent meaning of an emotionally ambiguous homograph. We then manipulated the training sentences to show that interpretation bias was eliminated when participants simply completed valenced word fragments following unrelated sentences (Experiment 2), or completed fragments that were related to emotional but unambiguous sentences (Experiment 3). Only when participants were required to actively resolve emotionally ambiguous sentences during training did changes in interpretation emerge at test. Findings suggest that CBM-I achieves its effects by altering a production rule that aids the selection of meaning from emotionally ambiguous alternatives, in line with an ambiguity resolution account.     

Romantic Contexts, Sexual Behavior, and Depressive Symptoms among Adolescent Males and Females

In order to examine the association between sexual behavior and depressive affect among adolescents, 122 and 219 Israeli adolescents, in two separate studies, reported their romantic and sexual history, the quality of their relationships and level of depressive symptoms. Findings show that a higher level of sexual activity in short-term romantic relationships, which were low in intimacy and authenticity, was related to increased levels of depressive symptoms among females but not among males. In contrast, involvement in stable romantic relationships was not associated with increased depressive affect for either gender. Findings from a 3 month follow-up suggested that it may be that an increased level of depressive symptoms leads adolescent females to become more sexually involved in short romantic encounters.     

Competition Effects in Phonological Priming: The Role of Mismatch Position between Primes and Targets

In three experiments, we examined lexical competition effects using the phonological priming paradigm in a shadowing task. Experiments 1A and 1B showed that an inhibitory priming effect occurred when the primes mismatched the targets on the last phoneme (/bagar/–/bagaj/). In contrast, a facilitatory priming effect was observed when the primes mismatched the targets on the medial phoneme (/viraj/-/vilaj/). Experiment 2 replicated these findings with primes presented visually rather than auditorily. The data thus indicate that the position of the mismatching phoneme is a critical factor in determining the competition effect between prime and target words.     

Pathways to behavior problems in Norwegian kindergarten children: The role of parent emotion socialization and child emotion understanding

More than two decades of research have shown that parental emotion-related socialization behaviors (ERSBs) significantly predict child emotion understanding and externalizing behavior problems. This study aimed to replicate these findings in a sample of 40 Norwegian preschool children and to test whether the effect of parental ERSBs on externalizing child behavior problems was mediated through child emotion understanding. Parental report on ERSBs was obtained using the Coping with Children’s Negative Emotions Scale (CCNES) questionnaire. Child emotion understanding was assessed directly using the Test of Emotion Comprehension (TEC). The results showed that parental distress reactions and externalizing child behavior problems were significantly correlated and that parental expressive encouragement was significantly correlated with child emotion understanding. Estimation of indirect effects was conducted using process analysis and showed that parental expressive encouragement was indirectly related to externalizing child behavior problems (b = −0.17) via child emotion understanding. The results suggest that better child emotion understanding, and lower parental distress are related to lower levels of behavior problems in preschool children. These findings provide support for the Parental Meta-Emotion Philosophy (PMEP) model, where the effect of parental emotion socialization on externalizing child behavior problems is mediated through emotion understanding.