Development and initial validation of a brief mental health outcome measure

Using a combination of classical test theory and Rasch item analysis, we developed a short scale designed to measure the effectiveness of mental health treatment across a wide range of mental health services and populations. Item development for the scale was guided by literature review and interviews with senior clinicians and with patients. Using 3 different samples consisting of inpatients, outpatients, and nonpatients, we reduced our initial item pool from 81 to 10 items. The 10-item scale had an alpha of .96 and showed strong correlations with commonly used measures of psychological well-being and distress. Our results suggest that the scale appears to measure a broad domain of psychological health. The scale appeared to lack ceiling and floor effects, and it discriminated between inpatients, outpatients, and nonpatients, suggesting the scale has excellent potential to be broadly responsive to a variety of treatment effects. In addition, the new scale proved to be sensitive to treatment changes in a sample of 20 psychiatric inpatients. Overall, the initial data suggest that we have developed a brief, sensitive outcome measure designed to have wide application across psychiatric and psychological treatments and populations.     

Unpicking the semantic impairment in Alzheimer's disease: qualitative changes with disease severity

Despite a vast literature examining semantic impairment in Alzheimer's disease (AD), consensus regarding the nature of the deficit remains elusive. We re-considered this issue in the context of a framework that assumes semantic cognition can break down in two ways: (1) core semantic representations can degrade or (2) cognitive control mechanisms can become impaired. We hypothesised and confirmed that the nature of semantic impairment in AD changes with disease severity. Patients at mild or severe stages of the disorder exhibited impairment across various semantic tasks but the nature of those deficits differed qualitatively for the two groups. Commensurate with early dysfunction of the cognitive control, temporoparietal-frontal-cingulate network, characteristics of deregulated semantic cognition were exhibited by the mild AD cases. In contrast, the severe AD group reproduced features of additional degradation of core semantic representations. These results suggest that spread of pathology into lateral anterior temporal lobes in later stage AD produces degradation of semantic representations, exacerbating the already deregulated system. Moreover, the dual nature of severe patients' impairment was highlighted by disproportionately poor performance on tasks placing high demand on both conceptual knowledge and control processes--e.g., category fluency.     

Prior Trauma Exposure for Youth in Treatment Foster Care

Very little research has focused on rates of trauma exposure for youth in treatment foster care (TFC). Available research has utilized record review for assessing exposure, which presents limitations for the range of trauma types examined, as records are predominantly focused on abuse and neglect. The current study examines exposure rates and association with emotional and behavioral outcomes for 229 youth in 46 TFC agencies. The youth in this study had exceptionally high rates of trauma exposure by foster parent report, similar to youth in traditional foster care, with nearly half of the sample exposed to four or more types of traumatic events. A composite child abuse and neglect exposure variable was associated with child and adolescent emotional and behavioral outcomes. Implications for services provided as part of TFC are discussed.     

An Evaluation of the NAMI Basics Program

This brief report describes results from an evaluation of NAMI Basics, a peer-delivered family education program for family caregivers of children and adolescents with mental illness. Over six classes, family members are given information (e.g. education about mental illness and treatments), skills training (e.g. family communication skills) and advocacy support. We report data from 36 caregivers who completed pre and posttest instruments measuring self-care, empowerment, and family problem-solving and communication skills. Results showed significant improvements in self-care, empowerment, and “incendiary” family communication after participation in the program. Results suggest that NAMI Basics may improve both parental functioning and familial processes. Implications and future directions are discussed.     

Executive control and the experience of regret

The experience of regret rests on a counterfactual analysis of events. Previous research indicates that regret emerges at around 6 years of age, marginally later than the age at which children begin to answer counterfactual questions correctly. We hypothesized that the late emergence of regret relative to early counterfactual thinking is a result of the executive demands of simultaneously holding in mind and comparing dual representations of reality (counterfactual and actual). To test this hypothesis, we administered two regret tasks along with four tests of executive function (two working memory tasks, a switch task, and an inhibition task) to a sample of 104 4- to 7-year-olds. Results indicated that switching, but not working memory or inhibition, was a significant predictor of whether or not children experienced regret. This finding corroborates and extends previous research showing that the development of counterfactual thinking in children is related to their developing executive competence.     

Revisiting backward recall and benchmark memory effects: a reply to Bireta et al. (2010)

When participants are asked to recall lists of items in the reverse order, known as backward recall, several benchmark memory phenomena, such as the word length effect, are abolished (Bireta et al. Memory & Cognition 38:279–291, 2010). Bireta et al. (Memory & Cognition 38:279–291, 2010) suggested that in backward recall, reliance on order retention is increased at the expense of item retention, leading to the abolition of item-based phenomena. In a subsequent study, however, Guérard and Saint-Aubin (in press) showed that four lexical factors known to modulate item retention were unaffected by recall direction. In a series of five experiments, we examined the source of the discrepancy between the two studies. We revisited the effects of phonological similarity, word length, articulatory suppression, and irrelevant speech, using open and closed pools of words in backward and forward recall. The results are unequivocal in showing that none of these effects are influenced by recall direction, suggesting that Bireta et al.’s (Memory & Cognition 38:279–291, 2010) results are the consequence of their particular stimuli.     

‘Lecturing’s Work’: A Collaborative Study with Harold Garfinkel

This article discusses some empirical materials from a collaborative study of ??lecturing??s work?? which the author conducted with Harold Garfinkel. The paper shows Garfinkel at work by presenting a history of the collaboration and discussing what we found. The article also considers some larger implications of our research for understanding how ethnomethodological studies can recover and discover the material regularities of everyday life as they are practiced in distinct settings. The paper reports on a program of ethnomethodological inquiry for discovering in situ what the produced orderliness of any setting??s endogenous tasks, competent courses of action and organizational objects could possibly be. The promise is that just what is identifying of social order, action and meaning is to be found massively, as the routine grounds of everyday activities, and in every case, as something worldly and embodied.     

Athlete identity and athlete satisfaction: The nonconformity of exclusivity

The goal of this study was to determine if there was a relationship between athletic identity, a relatively stable individual difference, and athlete satisfaction. A second goal was to evaluate the structure of athletic identity to examine potential differences between facets. Analyzing data from 175 NCAA student athletes, results indicated that use of overall athletic identity hid meaningful relationships between this self-identity concept and level of athlete satisfaction. When examined at the facet level, results indicated that athletic social identity and negative affectivity were positively related to athlete satisfaction while the exclusivity facet of athletic identity was negatively related to athlete satisfaction.