Development of a Patient Adherence Scale for Exposure and Response Prevention Therapy

Exposure and response prevention (EX/RP) is an evidence-based treatment for obsessive-compulsive disorder (OCD). For EX/RP to be maximally effective, it is believed that patients must adhere outside of sessions to the procedures they learn in therapy. To date, there is no standard measure of patient EX/RP adherence, despite the importance of accurately assessing EX/RP adherence in both clinical research and practice. This paper describes the development of the Patient EX/RP Adherence Scale (PEAS), which assesses the patient's between-session adherence to the therapist's EX/RP instructions, and presents initial data on the scale's reliability and validity. The scale was designed to focus on the key procedures of EX/RP and to be brief enough to be used at each treatment session. The scale demonstrates excellent interrater reliability and good face and content validity. The usefulness of the scale is considered in the context of being an important tool to researchers trying to understand and improve outcomes of EX/RP for OCD as well as to EX/RP therapists in clinical practice. Future research will need to test the scale's reliability and validity in a larger sample of patients over the course of treatment.     

Crossed-categorization, evaluation, and face recognition

We investigated the relationship between evaluative intergroup bias and biased errors in intergroup face recognition after crossed-categorization (the combination of two social categories in defining a target of perception). Although evaluative bias and recognition bias often operate in parallel, we draw on two previously unconnected literatures to predict a divergence between these two processes after crossed-categorization. We tested this hypothesis by assessing participants’ evaluations of and recognition of targets who shared two ingroups with participants, targets who shared only one ingroup with participants, and targets who shared neither ingroup. Consistent with predictions, targets’ shared and unshared group memberships combined additively to affect evaluation, but targets who shared two ingroup memberships were better recognized than all other category combinations. These results document the relationship between evaluative bias and recognition bias after crossed-categorization and indicate that crossed-categorization affects evaluative bias and recognition bias in different ways.     

Interpretation bias and depressive symptoms: The role of self-relevance

Cognitive theories of depression emphasize negatively biased interpretations as an important target of therapy. Much of the research on interpretation bias in depression has focused on selection, or deciding which of several interpretations is likely. However, depressive biases may also exist in the generation of possible interpretations, or the ability to think of positive alternatives. If biases exist for generation as well as selection, therapeutic techniques to encourage the generation of more positive interpretations would be warranted. Asking therapy clients to consider someone else in a similar situation is a commonly used therapy strategy but has not been sufficiently examined empirically. In the current studies, we examine interpretation generation and selection in dysphoric and nondysphoric individuals, and contrast interpretations made for the self to interpretations made for two types of “other.” Our studies reveal depressive biases in both interpretation generation and selection, and indicate that interpretation valence is highly sensitive to the type of other considered. All participants generated and selected significantly more positive interpretations for friends than for themselves, but generated significantly more negative interpretations for hypothetical others than for themselves. Our results suggest that encouraging dysphoric individuals to imagine others can be beneficial, but the type of “other” used is critically important, with instructions to consider a close friend most likely to be effective in decreasing negativity in interpretation.     

Determinants of Money Management Behavior

Financial debt continues to rise, especially among college students, indicating a need for behavioral research to develop more effective money-management interventions. This study examined social psychological variables relevant to money management decision making among college students. Attitude, affect, perceived ability, and past experience were found to influence money-management behavior (i.e., maintaining a budget). We also examined an attitude model of money management and found 9 variables (e.g., normative influence, perceived barrier, perceived control) that determined attitudes toward maintaining a budget. The relevance of our findings to debt prevention is discussed.     

Concurrent and 2-year longitudinal relations between executive function and the behavior of 1st and 2nd grade children.

Abstract Concurrent and 2-year longitudinal relations were investigated between two indicators of children's ( n =60; mean age = years 11 months) executive function, inhibitory control and sequencing ability, and behavior problem symptomatology. Dependent measures were parent and teacher reported internalizing and externalizing behavior. Hierarchical multiple regression analyses demonstrated few significant concurrent associations between either inhibitory control or sequencing ability, and behavior problem symptoms. In contrast, baseline inhibitory control predicted decreased teacher reported externalizing, and parent reported externalizing and internalizing behavior problems over a 2-year period. Baseline sequencing ability also predicted decreased teacher reported externalizing and parent reported internalizing behavior over this same time period. Results suggest that some aspects of executive function in early elementary grade-school children may be more strongly associated with change in behavior over time than concurrent behavior. Implications of these findings for the prevention of behavior problems are discussed.     

An investigation of the correlations between aggression,impulsiveness, social problem‐solving,and alcohol use

Impulsivity has been shown to predict aggression and heavy drinking in males, and poor social problem‐solving has been identified as a potential mediating variable in this relationship. We set out to investigate the inter‐relationships among impulsiveness, social problem‐solving, aggression, and alcohol use in a non‐offender sample of British males (N=70). Of our proposed relationships, only two were significant: higher impulsivity was related to poorer social problem‐solving, and poorer social problem‐solving was related to greater aggression. Combining impulsivity and social problem‐solving indicated that poor social problem‐solving, not impulsivity, was what exerted the influence over aggression in this sample. Impulsivity perhaps presents an obstacle to learning in the early developmental years, and the legacy of poor problem‐solving is what later contributes to aggression. Aggr. Behav. 28:439–445, 2002. © 2002 Wiley‐Liss, Inc.     

Automatic stereotypes vs. automatic prejudice: Sorting out the possibilities in the weapon paradigm

Payne (2001) has documented that African-American faces automatically facilitate the categorization of handguns, relative to White faces. We suggest that these provocative results could derive from either the automatic activation of prejudice (negative evaluations) or the automatic activation of stereotypes (both positively and negatively valenced associations). In an extension of Payne’s procedure, we show that African-American faces facilitate the categorization of both handguns and sports-related objects, but not the categorization of insects or fruits. Additionally, both handguns and sports objects are more likely to be miscategorized following a White face prime than an African-American one. These results suggest that when perceivers are attempting to identify objects, automatic stereotypic associations, both positively and negatively valenced ones, are more influential than general negative sentiments towards African-Americans.     

Assessments of changes in the effective salience of stimulus elements as a result of stimulus preexposure

Rats received exposure to 3 flavor compounds, AX and BX, presented in alternation, and CX, presented on a separate block of trials. The hypothesis that this treatment would leave B effectively more salient than C was tested in 3 ways. Experiment 1 showed that the unconditioned response evoked by B was stronger than that evoked by C. Experiment 2 showed that B was more effective than C when used as a reinforcer in a sensory preconditioning procedure. Experiment 3 showed that B was learned about more readily than C as a conditioned stimulus in flavor aversion conditioning. Alternating preexposure to 2 similar stimuli may protect their distinctive features from the loss of salience normally produced by nonreinforced exposure to a stimulus.     

TREBIG: A 360/75 FORTRAN program for three-mode factor analysts designed for big data sets

In the analysis of multifactor, longitudinal data, it has long been the practice of investigators to factor analyze the data in each time period separately and then compare the factor structures by eye. This has obvious problems and various measures of similarity were devised, none of which really worked properly. In recent years, other procedures have been proposed to better handle these sorts of data (i.e., Corballis, 1970; Jöreskog, 1970; Tucker, 1966). Tucker’s solution is termed “3-mode factor analysis,” which is essentially the Eckart-Young decomposition of a set of matrices that are derived by collapsing a tensor of order three. It has the advantage of combining the factor analyzes of each time period and indicating how the changes occur.