The cost-effectiveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial

Borderline personality disorder places a significant burden on healthcare providers and other agencies. This study evaluated the cost-effectiveness of cognitive behavior therapy plus treatment as usual compared to treatment as usual alone for patients with borderline personality disorder. The economic analysis was conducted alongside a multi-center, randomized controlled trial. The costs of primary and secondary healthcare utilization, alongside the wider economic costs, were estimated from medical records and patient self-report. The primary outcome measure used was the quality-adjusted life year (QALY), assessed using EuroQol. On average, total costs per patient in the cognitive behavior therapy group were lower than patients receiving usual care alone (-689 pounds sterling), although this group also reported a lower quality of life (-0.11 QALYs). These differences were small and did not approach conventional levels of statistical significance. The use of cognitive therapy for borderline personality disorder does not appear to demonstrate any significant cost-effective advantage based on the results of this study.     

Developmental patterns of African American and Caucasian adolescents' alcohol use

This study examined the developmental alcohol use trajectories of Caucasian and African American adolescents. Participants were 1,358 adolescents (77.6% Caucasian). Results suggest that not only do patterns of alcohol use differ for Caucasian and African American adolescents, but that there is substantial within group variation as well. Results suggest that using a within-groups developmental approach is one promising way to identify subgroups of adolescents at greatest risk for substance use.     

Theoretical, Developmental & Cultural Orientations of School-Based Prevention Programs for Preschoolers

Schools are the primary environment in which to conduct prevention programs for school-age children. Educators, policy makers, and psychologist argue that prevention efforts should begin as early as possible to maximize their effectiveness. Surprisingly, there are relatively few school-based prevention programs targeted for preschoolers. Given the evidence supporting earlier rather than later prevention efforts and the fact that many children in the United States attend preschool programs, more research on the feasibility and effectiveness of prevention programs administered in preschool environments is warranted. In this article, we review the existing literature on school-based prevention programs targeted for preschool children. We examine whether school-based prevention programs are theory driven, developmentally appropriate, culturally sensitive, and aimed specifically at symptom reduction or behavior promotion. Based on the findings of this review, our aim is to identify gaps in the prevention research literature regarding programs for preschoolers and propose research to address such gaps to create more effective school-based prevention programs for young children.     

“I'm Not That Type of Person”: Managing the Stigma of Having an Abortion

Drawing on interviews with U.S. women, this article offers a social–psychological framework for understanding the stigma of having an abortion and identifies the individual stigma management strategies women use to mitigate negative intrapersonal and interpersonal consequences of abortion stigma. We also contribute to contemporary understandings of abortion stigma by theorizing how aspects of abortion stigma—such as its concealability and episodic expression—interfere with women's potential to collectively manage or dismantle abortion stigma. Finally, we discuss how our conceptual framework can be used to inform the development of a measure of the stigma experiences of women who have had an abortion, which can help improve health and well-being outcomes for women.     

A Dual Process Model of Attitudes towards Immigration: Person × Residential Area Effects in a National Sample

This research took a person × situation approach to predicting prejudice by looking at how social worldviews interact with real‐world environmental factors to predict how people respond to immigrants within their local area. Taking a Dual Process Motivational approach, we hypothesized that a higher proportion of immigrants in the local community would be associated with negative attitudes toward immigration for respondents high in dangerous world beliefs. Conversely, we hypothesized that living in a highly affluent (as opposed to socioeconomically deprived) community would be associated with negative attitudes toward immigration for respondents high in competitive world beliefs. Both hypotheses were supported using regional information derived from national census data combined with representative survey data from a large telephone sample conducted in New Zealand (N = 6,489). These findings support the proposition that individual differences interact with specific features of the environment to predict people's levels of prejudice in distinct ways.     

More of a (wo)man offline? Gender roles measured in online and offline environments

The increased availability of and access to the Internet has resulted in online psychological assessment becoming an attractive mode of collecting data. However, equivalence between online measures and their offline counterpart cannot be assumed. The aim of the current study was to examine for the first time the online and offline equivalence of a commonly employed measure of gender role orientation: the Bem Sex Role Inventory (BSRI) short-form. Participants (N = 372) completed the BSRI short-form either online (n = 244) or offline (n = 128). Equivalence was assessed through reliability measures and mean differences. Reliability analyses indicated good and comparable levels of internal consistency. There was no significant difference between femininity scores depending on mode of administration. However, masculinity scores were significantly higher when the BSRI short-form was administered offline. An additional and unexpected finding was that there was no significant difference between men and women’s masculinity scores. Explanations for the pattern of results seen are considered, including the possible role of social desirability. Future research should further consider conceptualisations of gender in the online environment. Given the findings reported here, it is recommended that researchers collecting gender role data online interpret their findings mindful of possible administration mode effects.     

Trying But Failing: Implicit Attitude Transfer Is Not Eliminated by Overt or Subtle Objectivity Manipulations

People with mental illness experience discrimination, paternalistic treatment, and avoidance. To facilitate assessment of such experiences, the authors developed the Multifaceted Stigma Experiences Scale. It assesses four dimensions of experienced stigma in interpersonal interaction: hostile discrimination, benevolent discrimination, taboo, and denial. The influence of stigma experiences on mental health was modeled in a two-wave panel with persons with mental illness (N = 367, 79% repeated response rate). Results indicate that both subtle and blatant forms of stigma constitute a barrier to recovery and may be interpreted as attempts to increase social distance and reinforce the existing social order.