The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale

Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS). Method: Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data. Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs. Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment.     

Religious Experience in a Cross-Cultural and Interfaith Context: Limitations and Possibilities

Religious experience is a multifaceted aspect of an individual’s experience involving conscious and unconscious components. Individuals, for example, maintain varied ideas of God at different levels of awareness and consciousness, all of which contribute to their broader experience of God. This paper focuses primarily on complex theistic experiences of God, their relationship to psychological and spiritual health, and how these experiences can be changed through psychological intervention. Consideration is also given to ethical issues and other implications of changing one’s religious experience.     

Leisure and Subjective Well-Being: A Model of Psychological Mechanisms as Mediating Factors

Leisure is a key life domain and a core ingredient for overall well-being. Yet, within positive psychology, its definition and the psychological pathways by which it evokes happiness are elusive (Diener and Biswas-Diener 2008). In this paper, we seek to address these issues by delineating leisure and presenting a conceptual framework linking leisure to subjective well-being (SWB). Leisure is defined as a multidimensional construct, encompassing both structural and subjective aspects. Respectively, it is the amount of activity/time spent outside of obligated work time and/or perceived engagement in leisure as subjectively defined. To explain the effects of leisure on SWB, a quantitative summary of theories from 363 research articles linking leisure and SWB was conducted. Based on our findings, we propose five core psychological mechanisms that leisure potentially triggers to promote leisure SWB: detachment-recovery, autonomy, mastery, meaning, and affiliation (DRAMMA). These psychological mechanisms promote leisure SWB which leads to enhanced global SWB through a bottom-up theory of SWB. We discuss how future research can use this conceptual model for understanding the interplay between leisure and SWB.     

Two-Factor Structure of Social-Evaluative Fear in Children: Distinguishing Fear of Positive and Negative Evaluation in Social Anxiety

Journal of Psychopathology and Behavioral Assessment - Social anxiety is characterized by fear, nervousness, and avoidance in social situations and can emerge as early as childhood. Recent...     

Expressing experience: the promise and perils of the phenomenological interview

Phenomenology and the Cognitive Sciences - This paper outlines several of the challenges that are inherent in any attempt to communicate subjective experience to others, particularly in...     

How normative and social identification processes predict self‐determination to engage in derogatory behaviours against outgroup hockey fans

Bringing together self‐determination theory, intergroup theories based on the social identity approach, and normative approaches, three studies conducted among hockey fans tested if social norms and social identity predict greater self‐determined motivation to engage in derogatory behaviours against an outgroup team and higher frequency of these behaviours. Higher self‐determination was conceptualised as an indicator of internalisation. In Study 1, hockey fans who identified more strongly as fans of the Montreal Canadiens (N = 181) displayed a stronger positive association between the perceived norm in favour of outgroup derogation and self‐determined motivation to engage in derogatory behaviours against fans of an outgroup team. This interaction also emerged on the frequency with which the derogatory behaviours were enacted. In Studies 2 and 3 (Ns = 105 and 116), this norm by social identity interaction was replicated on both the self‐determination and the frequency outcomes for fans of a diversity of teams in the National Hockey League. In Study 3, these findings were observed over and above a manipulation that framed derogatory behaviours as being either harmful or beneficial. Results are discussed in light of motivational theories, normative approaches, and intergroup theories based on the social identity approach. Copyright © 2014 John Wiley & Sons, Ltd.     

ACOUSTIC ANALYSIS OF ORAL PRODUCTIONS OF INFANTS LATER DIAGNOSED WITH AUTISM AND THEIR MOTHER

Research on early signs of autism in social interactions often focuses on infants’ motor behaviors; few studies have focused on speech characteristics. This study examines infant‐directed speech of mothers of infants later diagnosed with autism (LDA; n = 12) or of typically developing infants (TD; n = 11) as well as infants’ productions (13 LDA, 13 TD). Since LDA infants appear to behave differently in the first months of life, it can affect the functioning of dyadic interactions, especially the first vocal productions, sensitive to expressiveness and emotions sharing. We assumed that in the first 6 months of life, prosodic characteristics (mean duration, mean pitch, and intonative contour types) will be different in dyads with autism. We extracted infants’ and mothers’ vocal productions from family home movies and analyzed the mean duration and pitch as well as the pitch contours in interactive episodes. Results show that mothers of LDA infants use relatively shorter productions as compared to mothers talking to TD infants. LDA infants’ productions are not different in duration or pitch, but they use less complex modulated productions (i.e., those with more than two melodic modulations) than do TD. Further studies should focus on developmental profiles in the first year, analyzing prosody monthly.     

Health-Related Quality of Life in a Low-Socioeconomic Status Public Rental-Flat Population in Singapore

Health-related quality of life (HRQoL) is a well-established measure of health and general well-being. Socioeconomic status (SES) can affect HRQoL. We sought to determine whether there were differences in HRQoL between low versus higher area-SES flat communities in Singapore. Residents in two integrated public housing precincts comprising of rental-flat blocks (low area-SES neighborhood) and neighboring owner-occupied blocks (higher area-SES neighborhood) were asked to rate their self-perceived HRQoL using the EuroQol Group five dimensions (EQ-5D) instrument. The EQ-5D assesses HRQoL in five domains (mobility, self-care, usual activities, anxiety/mood and pain) and with a global visual analogue scale (EQ-VAS). We evaluated differences in HRQoL between the rental and owner-occupied neighborhoods, and factors associated with anxiety/depression in the rental-flat neighborhood using multivariate logistic regression. The participation rate was 89.1% (634/711). In the owner-occupied neighborhood, 56.7% (216/381) were in full health, compared with 54.2% (137/253) in the rental-flat population (OR = 0.90, 95%CI = 0.66–1.24, p = 0.568). Across the five domains, staying in a rental-flat neighborhood was independently associated with anxiety/depression (adjusted odds ratio [aOR] = 1.79, 95%CI = 1.10–2.92, p = 0.019). In the rental-flat population, having anxiety/depression was independently associated with minority ethnicity, problems with self –care, pain/discomfort, difficulty with healthcare costs, and not being on subsidized primary care (p < 0.05). There was no significant difference on the EQ-VAS between the two neighborhoods (p = 0.627). Staying in a low area-SES neighborhood was associated with more mental health problems. In the rental-flat population, self-reported anxiety/depression was associated with minority ethnicity, physical health problems, and financial disadvantage in healthcare.