Depression secondary prevention in primary care

In order to analyse efficacy, effectiveness and efficiency of several depression secondary prevention programs, three group interventions were developed in Primary Care Centres: cognitive-behavioral therapy, promotion of one's coping resources therapy (just paying attention to abilities, without training) and social support. The sample was composed by 60 people with from-mild-to-moderate depressive symptoms, who were randomly assigned either to any of the treatments or to a control group (waiting list). Psychopathology, quality of life and attendance to mental health services variables were assessed at pretest, posttest and two follow-up evaluations, 6 and 12 months afterwards. Outcomes: both therapies had more efficacy, effectiveness and efficiency compared to the social support group, and this one was better than the waiting list.     

Evaluating psychological injury in motor vehicle accidents (MVA): development and validation of a protocol for detecting pretense

In order to assess the feigning ability of the psychological injury in a motor vehicle accident (MVA), a total of 105 subjects, which never had suffered a serious MVA and lay in psychopathology, responded to the MMPI-2 in line with the standard instructions. Thereafter, subjects were instructed to feign moral damage generated by a MVA prior to being evaluated using a clinical-forensic interview a week later, and responding to the MMPI-2 another week later. The results show that 60.9% of the subjects were able to effectively feign moral damage on the MMPI-2, and 3.8% in the forensic clinical interview. The analysis of the instruments and procedures for the validation of subject responses i.e., the original validity control scales of the MMPI-2 and the analysis of feigning strategies in the forensic clinical interview, revealed no efficacy in feigning detection. Nevertheless, collectively, all the control measures and procedures were effective for the detection of feigning. Therefore, a protocol for the detection of feigning of moral damage has been proposed.     

Utility of composite and multiple criteria measuring discriminative efficiency in personnel selection

The present study examined the utility of decision making in personnel selection comparing multiple and composite criteria by discriminative efficiency, in a bricklaying training program. We have found valid predictors (aptitudes, personality and experience) with different forms of the criterion, the ERPF scale, in logistic and multiple regression analysis. Results seem indicate that there is not a better criterion, so it depends on different conditions and different aims to reach. We proposed criteria as combining measures but not opposed.     

Maximum information stratification method for controlling item exposure in computerized adaptive testing

The proposal for increasing the security in Computerized Adaptive Tests that has received most attention in recent years is the a-stratified method (AS - Chang and Ying, 1999): at the beginning of the test only items with low discrimination parameters ( a ) can be administered, with the values of the a parameters increasing as the test goes on. With this method, distribution of the exposure rates of the items is less skewed, while efficiency is maintained in trait-level estimation. The pseudo-guessing parameter ( c ), present in the three-parameter logistic model, is considered irrelevant, and is not used in the AS method. The Maximum Information Stratified (MIS) model incorporates the c parameter in the stratification of the bank and in the item-selection rule, improving accuracy by comparison with the AS, for item banks with a and b parameters correlated and uncorrelated. For both kinds of banks, the blocking b methods (Chang, Qian and Ying, 2001) improve the security of the item bank.     

Subtypes of drug-addicts in treatment: empirical support for a distinction between Type A and Type B

This study examines the possibility of replicating and generalizing a multidimensional typology of drug-addicts by means of the evaluation of 320 participants who were receiving outpatient treatment for their problem of addiction. A two-stage cluster analysis was performed, revealing the existence of two typologies of consumers, called type A and Type B. The participants classified as Type B showed various indicators of chronicity (higher mean age, higher unemployment rate), more severity of their problem of drug consumption and of medical aspects, employment support, legal, family/social and psychiatric problems in comparison with Type A. Participants from the latter group reported active employment as their main source of income and they had consumed drugs for fewer years. However, they presented more severity associated with alcohol consumption. In view of these data, Type A is called functional drug-addict and Type B chronic drug-addict. Once the groups of drug-addicts were delimited, a more specific characterization was made, taking seven problem areas into account: medical, employment support, alcohol, drugs, legal, family/social, and psychiatric areas. As a general conclusion, more psychosocial severity was observed in Type B as compared with Type A. Lastly, the implications and usefulness of grouping drug-addicts into typologies is discussed.     

Equivalence classes formation applied to learning musical notes

Three experiments involving training and application of equivalence classes were carried out. In the first of them, with 6-6 years old children, and applying the equivalence classes logic to musical symbols and sounds learning, the necessary relations to build three equivalence classes (do, mi, sol) of five members each were acquired. In second and third experiments, five and seven equivalence classes (musical notes) of five member each were obtained. Six and a half years old children and one 17 years old Down syndrome diagnosed child took part in them, respectively. Results highlight the theoretical meaning of equivalence classes as explanation of human symbolic behavior, as the educational incomes of improving learning of basic elements in artistic skills.     

Spatial learning and goldfish telencephalon NMDA receptors

Recent results have demonstrated that the mammalian hippocampus and the dorso-lateral telencephalon of ray-finned fishes share functional similarities in relation to spatial memory systems. In the present study, we investigated whether the physiological mechanisms of this hippocampus-dependent spatial memory system were also similar in mammals and ray-finned fishes, and therefore possibly conserved through evolution in vertebrates. In Experiment 1, we studied the effects of the intracranial administration of the noncompetitive NMDA receptor antagonist MK-801 during the acquisition of a spatial task. The results indicated dose-dependent drug-induced impairment of spatial memory. Experiment 2 evaluated if the MK-801 produced disruption of retrieval of a learned spatial response. Data showed that the administration of MK-801 did not impair the retrieval of the information previously stored. The last experiment analyzed the involvement of the telencephalic NMDA receptors in a spatial and in a cue task. Results showed a clear impairment in spatial learning but not in cue learning when NMDA receptors were blocked. As a whole, these results indicate that physiological mechanisms of this hippocampus-dependent system could be a general feature in vertebrate, and therefore phylogenetically conserved.     

ERPs and contextual semantic discrimination: degrees of congruence in wakefulness and sleep

This study explores whether the brain can discriminate degrees of semantic congruency during wakefulness and sleep. Experiment 1 was conducted during wakefulness to test degrees of congruency by means of N400 amplitude. In Experiment 2, the same paradigm was applied to a different group of participants during natural night sleep. Stimuli were 108 sentences (definitions with two attributes) with four possible degrees of congruence as ending targets. In both studies, the amplitude of N400-like effect showed modulation according to the degree of congruency. The results indicate that the brain can accomplish sentential semantic discriminations not only in wakefulness but also in sleep.     

A comparative analysis of animals' understanding of the human pointing gesture

We review studies demonstrating the ability of some animals to understand the human pointing gesture. We present a 3-step analysis of the topic. (1) We compare and evaluate current experimental methods (2) We compare available experimental results on performance of different species and investigate the interaction of species differences and other independent variables (3) We evaluate how our present understanding of pointing comprehension answers questions about function, evolution and mechanisms. Recently, a number of different hypotheses have been put forward to account for the presence of this ability in some species and for the lack of such comprehension in others. In our view, there is no convincing evidence for the assumption that the competitive lifestyles of apes would inhibit the utilization of this human gesture. Similarly, domestication as a special evolutionary factor in the case of some species falls short in explaining high levels of pointing comprehension in some non-domestic species. We also disagree with the simplistic view of describing the phenomenon as a simple form of conditioning. We suggest that a more systematic comparative research is needed to understand the emerging communicative representational abilities in animals that provide the background for comprehending the human pointing gesture.     

Therapists' emotional reactions to patients as a mediator in cognitive behavioural treatment of panic disorder with agoraphobia

The aims of this study were to examine whether therapists' emotional reactions to their patients mediate the effect of personality disorders and interpersonal problem behaviours on the outcome of treatment, focusing on an Axis I disorder; and whether therapists' reactions mediate the effect of personality disorders on the course of interpersonal problems. Therapists completed a checklist of emotional reactions to individual patients after the end of residential cognitive or guided mastery therapy for 46 inpatients with panic disorder with agoraphobia. The severity of DSM-III-R personality disorder was related to therapists' insecurity feelings, but not to interest and anger. A higher level of therapists' insecurity feelings was related to less reduction in self-reported agoraphobic avoidance during treatment, whereas therapists' emotions were unrelated to symptomatic course after treatment. Therapists' insecurity feelings appeared partly to mediate the relationship between patients' severity of personality disorder and persistence of patients' interpersonal dominance and nurturance problems.