Counseling and Guided Self‐Help Outcomes for Clients With Bulimia Nervosa: A Meta‐Analysis of Clinical Trials From 1980 to 2010

This meta‐analysis included 111 clinical trials exploring the effectiveness of counseling/psychotherapy and guided self‐help approaches in the treatment of bulimia nervosa. In general, single‐group studies supported higher efficacy of counseling/psychotherapy, whereas wait‐list, treatment‐as‐usual, and placebo studies indicated both approaches were equally effective at termination (posttest) and follow‐up in altering binging, purging, laxative use, and self‐reported bulimia or body dissatisfaction perceptions in nearly all comparisons.     

Perfectionism,Components of Stress Reactivity,and Depressive Symptoms

The current study examined the associations among dimensions of perfectionism, facets of stress reactivity, and self-reported depressive symptoms in 191 university students. Participants completed the Multidimensional Perfectionism Scale, the Perfectionism Cognitions Inventory, the Perceived Stress Reactivity Scale (PSRS), and a measure of depressive symptoms. The PSRS is a relatively new instrument that measures several distinguishable facets of stress reactivity including prolonged stress reactivity, reactivity to failure, and reactivity to social evaluation. Analyses confirmed that most of the perfectionism measures were associated with stress reactivity to failure experiences. Socially prescribed perfectionism and perfectionistic automatic thoughts were also associated with prolonged stress reactivity and reactivity to social evaluation. Moreover, all facets of stress reactivity were correlated with depressive symptoms. Finally, prolonged stress reactivity and reactivity to social evaluation mediated the links between perfectionism dimensions and depressive symptoms. The current findings provide general support for models of perfectionism and stress, and suggest that perfectionists have heightened sensitivities to stressors related to their self-definitions that are activated when threatening stressors involving these themes are experienced.     

Projecting perfection by hiding effort: supplementing the perfectionistic self-presentation scale with a brief self-presentation measure

Extensive research has illustrated the relevance of individual differences in perfectionistic self-presentation, but there has been little work on how perfectionistic self-presentation is expressed. The current research addressed this issue by examining the tendency to project a perfectionistic image by hiding effort. This research develops and evaluates a brief unifactorial measure as an extension of perfectionistic self-presentation. It is shown that the Perfectionistic Self-Presentation Hiding Effort Scale is reliable and valid in terms of its links with multidimensional perfectionism dimensions. Further, individual differences in seeming perfect while hiding effort accounted for unique variance in depression and social anxiety. Factors and processes that contribute to attempting to seem perfect while hiding effort are discussed.     

Reliability and validity of a new scale to measure prejudice: The GRISMS

The goal of the present research was to assess the reliability and validity of the fiftyitem Modified Godfrey-Richman ISM Scale (M-GRISMS). The sample consisted of seventy-one female and sixty male introductory psychology students. Test items included various ethnic groups (Racism subscale), religious groups (Religion subscale), and the Heterosexist and Sexist subscales. Each of these was parsed into various subcategories, e.g., the Racism subscale assessed attitudes toward African-Americans, Asian-Americans, European-Americans, Hispanics, and Native Americans. The final version of the M-GRISMS (the M-GRISMS-M) was found to be highly reliable and valid. Eight independent factors traversed two or more “isms.”     

A new kid on the block: The Memory Validity Profile (MVP) in children with neurological conditions

Determining the validity of obtained data is an inherent part of a neuropsychological assessment. The purpose of this study was investigate the failure rate of the Memory Validity Profile (MVP) in a large clinical sample of children and adolescents with neurological diagnoses. Data were obtained from 261 consecutive patients (mean age = 12.0, SD = 3.9, range = 5–19) who were referred for a neuropsychological assessment in a tertiary care pediatric hospital and were administered the MVP. In this sample, 4.6% of youth failed the MVP. Mean administration time for the MVP was 7.4 min, although time to complete was not associated with failure rates. Failure rates were held relatively consistent at approximately 5% across age ranges, diagnoses, and psychomotor processing speed abilities. Having very low, below normal, or above normal intellectual abilities did not alter failure rate on the MVP. However, those with intellectual disability (i.e., IQ<70) had a higher fail rate at 12% on MVP Total Score, but only 6% on the MVP Visual portion. Failure rates on the MVP were associated with lower scores on memory tests. This study provides support for using the MVP in children as young as 5 years with neurological diagnoses.     

Bias in the Reporting of Family History: Implications for Clinical Care

Family history of cancer is critical for identifying and managing patients at risk for cancer. However, the quality of family history data is dependent on the accuracy of patient self reporting. Therefore, the validity of family history reporting is crucial to the quality of clinical care. A retrospective review of family history data collected at a community hospital between 2005 and 2009 was performed in 43,257 women presenting for screening mammography. Reported numbers of breast, colon, prostate, lung, and ovarian cancer were compared in maternal relatives vs. paternal relatives and in first vs. second degree relatives. Significant reporting differences were found between maternal and paternal family history of cancer, in addition to degree of relative. The number of paternal family histories of cancer was significantly lower than that of maternal family histories of cancer. Similarly, the percentage of grandparents' family histories of cancer was significantly lower than the percentage of parents' family histories of cancer. This trend was found in all cancers except prostate cancer. Self-reported family history in the community setting is often influenced by both bloodline of the cancer history and the degree of relative affected. This is evident by the underreporting of paternal family histories of cancer, and also, though to a lesser extent, by degree. These discrepancies in reporting family history of cancer imply we need to take more care in collecting accurate family histories and also in the clinical management of individuals in relation to hereditary risk.     

IS SELF-OBJECTIFICATION RELATED TO INTEROCEPTIVE AWARENESS? AN EXAMINATION OF POTENTIAL MEDIATING PATHWAYS TO DISORDERED EATING ATTITUDES

Although there has been considerable empirical support for Objectification Theory ( Fredrickson & Roberts, 1997 ), findings have been mixed regarding self-objectification's relationship to interoceptive awareness, an awareness of one's internal physical and emotional states. We examined whether interoceptive awareness mediated the relationship between self-objectification and disordered eating attitudes, exploring more specifically the relative contributions of difficulties recognizing feelings of hunger and satiety versus emotions. College women ( N = 195) completed measures assessing self-objectification, interoceptive awareness, awareness of emotions, and disordered eating attitudes. Self-objectification correlated significantly more strongly with interoceptive awareness when internal cues about hunger and satiety were assessed. The relationship between self-objectification and disordered eating attitudes was partially mediated by interoceptive awareness. Results revealed that interoceptive awareness may best be captured by a measure that includes lack of awareness of both hunger and satiety and emotional states. Research and clinical implications of these findings are discussed.     

Gender Role Internalization, Multiple Roles, and Chinese Women's Mental Health

The influence of gender role internalization as a moderator in the relationship between women's multiple roles and psychological distress was investigated. Study 1 identified three components of gender role internalization, which were labeled "Traditional Ideal Person,""Self-sacrifice," and "Competence without Complaint," and found that it did not overlap with existing gender-typed measures among 128 female Chinese university students. The multidimensionality of gender role internalization was confirmed in Study 2 among a sample of 225 women in the paid Hong Kong workforce. As expected, role quality was a better predictor of psychological distress than role quantity. Gender role internalization accounted for significant portions of explained variance even after taking role quality into account. Internalization of Traditional Ideal Person and Competence without Complaint messages exacerbated distress in certain areas when role quality was low. However, internalization of Self-Sacrifice messages mitigated distress for Chinese women with low work quality.     

Factor structure of the CNS Vital Signs computerized cognitive battery in youth with neurological diagnoses

Computerized cognitive batteries, such as CNS Vital Signs (CNSVS), can provide valuable information in clinical and research settings. However, psychometric properties, especially in children and adolescents, remain relatively understudied. The aim of this study was to investigate the factor structure of CNSVS in children and adolescents with neurological diagnoses.

Participants with neurological diagnoses (N = 280) age 7–19 years were assessed as part of their clinical care at a tertiary hospital. All participants received the full CNSVS computerized cognitive battery, which contains seven subtests designed to measure attention, executive functioning, psychomotor speed, and memory. Principal components analyses were used to examine factor structure.

Scores from CNSVS subtests loaded onto a three-component solution and accounted for 46% of the variance. The three components were deemed to best represent (1) speed, (2) memory, and (3) inhibition, with subtest scores loading differently than the original 11 primary and secondary domain scores would have suggested.

Although the CNSVS program generates numerous primary and secondary domain scores, a three-component solution represents a more parsimonious approach to interpreting performance on the CNSVS in youth with neurological diagnoses. Confirmation of this factor solution in other samples is warranted.