Toward making progress feedback an effective common factor in couple therapy

Systematic monitoring of individual therapy progress, coupled with feedback to the therapist, reliably enhances therapy outcome by alerting therapists to individual clients who are off track to benefit by the end of therapy. The current paper reviews the possibility of using similar systematic monitoring and feedback of therapy progress as a means to enhance couple therapy outcome, including what measures of therapy progress are most likely to be useful, how to structure feedback to be most useful to therapists, and the likely mediators of the effects of therapy progress feedback. One implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. As a test of this assumption, midtherapy progress was examined as a predictor of final couple therapy outcome in a sample of 134 distressed couples. Either a brief 7- or 32-item assessment of couple therapy progress at midtherapy detected a substantial proportion (46%) of couples who failed to benefit by the end of therapy. Given that failure to benefit from couple therapy is somewhat predictable across the course of therapy, future research should test whether systematic monitoring and feedback of progress could enhance therapy outcome.     

Greater emotional arousal predicts poorer long-term memory of communication skills in couples

Many studies have examined the importance of learning skills in behaviorally based couple interventions but none have examined predictors of long-term memory for skills. Associations between emotional arousal and long-term recall of communication skills delivered to couples during a behaviorally based relationship distress prevention program were examined in a sample of 49 German couples. Fundamental frequency (f(0)), a vocal measure of encoded emotional arousal, was measured during pre-treatment couple conflict. Higher levels of f(0) were linked to fewer skills remembered 11 years after completing the program, and women remembered more skills than men. Implications of results for behaviorally based couple interventions are discussed.     

The role of negative affectivity and negative reactivity to emotions in predicting outcomes in the unified protocol for the transdiagnostic treatment of emotional disorders

The present study aimed to understand the contributions of both the trait tendency to experience negative emotions and how one relates to such experience in predicting symptom change during participation in the Unified Protocol (UP), a transdiagnostic treatment for emotional disorders. Data were derived from a randomized controlled trial comparing the UP to a waitlist control/delayed-treatment condition. First, effect sizes of pre- to post-treatment change for frequency of negative emotions and several variables measuring reactivity to emotional experience (emotional awareness and acceptance, fear of emotions, and anxiety sensitivity) were examined. Second, the relative contributions of change in negative emotions and emotional reactivity in predicting symptom (clinician-rated anxiety, depression, and severity of principal diagnosis) reductions were investigated. Results suggested that decreases in the frequency of negative emotions and reactivity to emotions following participation in the UP were both large in magnitude. Further, two emotional reactivity variables (fear of emotions and anxiety sensitivity) remained significantly related to symptom outcomes when controlling for negative emotions, and accounted for significant incremental variance in their prediction. These findings lend support to the notion that psychological health depends less on the frequency of negative emotions and more on how one relates to these emotions when they occur.     

Offline improvement occurs for temporal stability but not accuracy following practice of integer and non-integer rhythms

Procedural learning benefits from memory processes occurring outside practice resulting in offline learning. Offline gains have been demonstrated almost exclusively for the ordinal structure of sequential motor tasks. Many skills also demand that the correct serial order of events be appropriately timed. Evidence indicates that the temporal aspect of a procedural skill can be encoded independent of serial order knowledge and governed by at least two distinct neural circuits. The present experiment determined if (a) offline gains emerge for temporal learning, and (b) if such gains occur for timing supervised by distinct timing systems. Participants experienced 216 practice trials of a 7-key press sequence that involved integer- or non-integer timing rhythms. Twenty-four hours after training 30 test trials were administered. Results revealed robust offline enhancement for timing performance of the non-integer based temporal sequences. This improvement was localized to stabilization of the required relative but not absolute time profiles. The neural circuitry central to supporting the performance of non-integer timing sequences is also a principal constituent of what is described as the "cognitive" timing system. Timing governed by this system appears most susceptible to offline gains via consolidation.     

Thinking about muscles: the neuromuscular effects of attentional focus on accuracy and fatigue

Although the effects of attention on movement execution are well documented behaviorally, much less research has been done on the neurophysiological changes that underlie attentional focus effects. This study presents two experiments exploring effects of attention during an isometric plantar-flexion task using surface electromyography (sEMG). Participants' attention was directed either externally (towards the force plate they were pushing against) or internally (towards their own leg, specifically the agonist muscle). Experiment 1 tested the effects of attention on accuracy and efficiency of force produced at three target forces (30, 60, and 100% of the maximum voluntary contraction; MVC). An internal focus of attention reduced the accuracy of force being produced and increased cocontraction of the antagonist muscle. Error on a given trial was positively correlated with the magnitude of cocontraction on that trial. Experiment 2 tested the effects of attention on muscular fatigue at 30, 60 and 100%MVC. An internal focus of attention led to less efficient intermuscular coordination, especially early in the contraction. These results suggest that an internal focus of attention disrupts efficient motor control in force production resulting in increased cocontraction, which potentially explains other neuromechanical findings (e.g. reduced functional variability with an internal focus).     

Achievement goals as mediators of the relationship between competence beliefs and test anxiety

Background. Previous work suggests that the expectation of failure is related to higher test anxiety and achievement goals grounded in a fear of failure. Aim. To test the hypothesis, based on the work of Elliot and Pekrun (2007) , that the relationship between perceived competence and test anxiety is mediated by achievement goal orientations. Sample. Self‐report data were collected from 275 students in post‐compulsory education following courses in A Level Psychology. Results. Competence beliefs were inversely related to the worry and tension components of test anxiety, both directly and indirectly through a performance‐avoidance goal orientation. A mastery‐avoidance goal orientation offered an indirect route from competence beliefs to worry only. Conclusion. These findings provide partial support for Elliot and Pekrun's (2007) model. Although significant mediating effects were found for mastery‐avoidance and performance‐avoidance goals, they were small and there may be other mechanisms to account for the relations between competence beliefs and test anxiety.     

Classification of Co-occurring Depression and Substance Abuse Symptoms Predicts Suicide Attempts in Adolescents

Although both depression and substance use have been found to contribute to suicide attempts, the synergistic impact of these disorders has not been fully explored. Additionally, the impact of subthreshold presentations of these disorders has not been researched. We utilized the Quadrant Model of Classification (a matrix of severity of two disorders) to assess for suicide attempt risk among adolescents. Logistic regression was used to examine the impact of co-occurring disorder classification on suicide risk attempts. Results indicate that quadrant classification had a dramatic impact on suicide attempt risk, with individuals with high severity co-occurring disorders at greatest risk.     

An investigation of the accuracy of standardized path coefficients

Given the popular and ever-increasing use of path analytic research paradigms in the social sciences, it is desirable to conduct an investigation into the accuracy of the standardized path coefficients that are often the end-product of these paradigms. In pursuit of this goal, population parameters were preset concerning the correlations between all of the variables and their reliability coefficients. Based on these parameters, thousands of experiments were generated with varying numbers of cases (n). For each experiment, at each level of n, standard path analyses were conducted, and standardized path coefficients were obtained. These standardized path coefficients were then compared against the population path coefficients on which the simulations were based to determine their accuracy. The findings indicate mixed evidence for the accuracy of path analysis research paradigms.     

Using a sharp instrument to parse apart strategy and consistency: an evaluation of PPT and its assumptions

Potential Performance Theory (PPT) is a general theory for parsing observed performance into the underlying strategy and the consistency with which it is used. Although empirical research has supported that PPT is useful, it is desirable to have more information about the bias and standard errors of PPT findings. It also is beneficial to know the effects of violations of PPT assumptions. The authors present computer simulations that evaluate bias and standard errors at varying levels of strategy, consistency, and number of trials per participant. The simulations show that, when the assumptions are true, there is very little bias and the standard errors are low when there are moderate or large numbers of trials per participant (e.g., N=50 or N=100). But when the independence assumption is violated, PPT provides biased findings, although the bias is quite small unless the violations are large.     

It's a just world no matter which way you look at it

According to the confluence theory (D. Trafimow, 2009), there is a general tendency of associated mental elements to become compatible with each other. It is possible to derive a reversibility principle from this theory; effects that have been shown to go in 1 direction also can be shown to go in the other direction. Two experiments applied these ideas to just-world phenomena. In Experiment 1, the authors replicated traditional just-world effects but also demonstrated that they occur in the reverse direction. In Experiment 2, the authors extend the notion of compatibility by showing that the value participants assigned to luck is influenced by the assumed goodness or badness of the person involved. The authors also obtained a "contagion" effect whereby a person associated with the target person was tainted by the target person's goodness or badness.