Exploring the Effectiveness of a Mixed-Diagnosis Group Cognitive Behavioral Therapy Intervention Across Diverse Populations

Depression and anxiety are the most common mental health disorders seen in clinical practice and they are highly comorbid. Cognitive behavioral therapy (CBT) has been demonstrated as an effective treatment for both depression and anxiety but is often not available to all individuals who could benefit from it. This paper investigates the effectiveness of a mixed-diagnosis group CBT intervention that incorporates mindfulness meditation for individuals presenting with depression and/or anxiety: CBT Basics II. This intervention was evaluated across two distinct mental health programs to determine both if it can demonstrate positive results and if it is feasible to implement in these types of programs. Sample 1 (n = 42 completers) consisted of higher-functioning individuals in a general mental health program. Sample 2 (n = 53 completers) consisted of individuals with more chronic and severe mental health diagnoses. Overall, intent-to-treat analyses revealed improvements in psychiatric symptoms, and increases in CBT knowledge and mindfulness skill across both programs. This indicates that CBT Basics II is effective across diverse mental health populations and shows promise for improving access to CBT.     

Memory training interventions require a tailor-made approach: Commentary on McDaniel and Bugg

Memory training for older adults often produces gains that are limited to the particular memory tasks encountered during training. We suggest that memory training programs may be misguided by an implicit "generalist" assumption-memory training on a couple of memory tasks will have a positive benefit on memory ability in general. One approach to increase memory-training benefits is to target training for the everyday memory tasks for which older adults struggle. Examples include training retrieval strategies, prospective memory strategies, and strategies for learning and remembering names. Another approach is to design training to foster transfer. Possible elements to improve transfer are increasing the variation that is experienced during the course of training at the level of stimuli and tasks, incorporating "homework" that guides the older adult to become attuned to situations in which the strategies can be applied, and providing older adults with a better understanding of how memory works. Finally, incorporating aerobic exercise into memory training programs may potentiate the acquisition and maintenance of the trained cognitive strategies.     

A Componential Approach to Training Reading Skills: Part 2. Decoding and Use of Context

This is the second of two articles that describe the development and evaluation of three component-specific instructional systems for improving critical reading skills. The skill components that were the focus of training have been shown in prior research to represent particular sources of processing difficulty for young adult, poor readers and, based on a model of component interaction, were predicted to have a potentially strong impact on the performance of other component processes. Part 1 presented the evaluation of SPEED, a system designed to develop automaticity in the ability to perceptually encode multiletter units that appear in words. Part 2 describes the evaluation of the RACER and SKI JUMP systems, which focus respectively on developing automaticity in phonological decoding of orthographic information in words and the use of context frames in retrieving and integrating word meanings. In both the RACER and SKI JUMP training studies, all subjects achieved highly accurate and efficient levels of performance in the skill that was the focus of training. Furthermore, SKI JUMP training had an impact on word analysis components and on a measure of inferential comprehension. An analysis of the patterns of transfer of skills acquired in training is presented, and conditions for optimizing skill integration are discussed.     

Effects of mothers’ conversation style and receipt of misinformation on children's event reports

Can memory sharing conversations with mothers lead to errors in children's event memory when mothers are exposed to misinformation about what their children experienced and does this effect vary as a function of maternal memory-sharing style? Mothers were exposed to a false suggestion about a non-shared event and then discussed that event with their children. When later interviewed, those children whose mothers were provided this misinformation were likely to wrongly report experiencing activities consistent with the maternal suggestion and embellish their reports of these activities with elaborative detail. Moreover, children whose mothers spoke in a highly elaborative manner were more likely to recall occurrences in line with the maternal suggestion and provided more fictitious narrative detail describing non-occurring-but-suggested information than did children whose mothers used a less elaborative style. These findings suggest that when mothers hold false beliefs about a non-shared event, an elaborative maternal style is associated with an increase in children's false reports reflecting maternal beliefs.     

The role of action and coping planning in the relationship between intention and physical activity: A moderated mediation analysis

Objective: Using a moderated mediation model, the present study investigated whether the mediation of intention into physical activity (PA) behaviour via action planning depends on the level of coping planning.

Method: A four-month prospective study was conducted among 157 French adults, who were recruited through a web-based survey. They were administrated measures of behavioural intention and sociodemographic variables at baseline and action and coping planning and PA four months later.

Results: Action planning partially mediated the contribution of intention on PA level. However, this indirect effect was conditional on the level of coping planning, insofar as action planning acted as a mediator of the intention–PA relationship only for individuals with high level of coping planning.

Conclusion: The results highlight the complexity of the relationship between intention and behaviour and provide evidence for the distinct role of both forms of planning.