Parents' perceptions of pharmacological and cognitive-behavioral treatments for childhood anxiety disorders

Cognitive-behavioral therapy (CBT) and pharmacotherapy are the most well-established treatments for childhood anxiety disorders. This study examined how parents (N=71) seeking treatment for their child's anxiety disorder perceive the acceptability, believability, and effectiveness of these treatments. While both treatments were perceived favorably, CBT was rated as more acceptable, believable, and effective in the short- and long-term. Children's treatment history influenced parents' perceptions of pharmacotherapy, with parents of children with no treatment history perceiving medication treatment as less acceptable and believable than parents of children with a history of medication alone or in combination with behavior therapy. No effect of treatment history was found for perceptions of CBT. Significant positive correlations emerged between parents' perceived acceptance and believability for pharmacotherapy and child age and level of dysfunction due to their child's anxiety, respectively. The level of the child's anxiety was not significantly correlated with parents' perceptions of either CBT or pharmacotherapy. Our results suggest that parents of anxious children prefer CBT to medication for the treatment of their child's anxiety disorder. Directions for future research are discussed.     

Interpretation biases in social anxiety: response generation, response selection, and self-appraisals

Cognitive theories propose that the resolution of ambiguity is related to the maintenance of social anxiety. A sentence completion task was used to examine how individuals high (n=26) and low (n=23) in social anxiety resolve ambiguous social sentences. Individuals were asked to generate as many responses as came to mind for each sentence, and then to endorse the response that best completes the sentence. Total responses, first responses, and endorsed responses were examined separately. Results indicated that high anxious individuals had more negative and anxious responses and fewer positive and neutral responses than low anxious individuals on all sentence completion measures. In contrast, a self-report measure of interpretation bias indicated that more of negative and anxious appraisals were related to social anxiety, while positive and neutral appraisals were not. Results are discussed in terms of a multi-stage processing model of interpretation biases.     

Enhancing adolescent girls’ argument skills in reasoning about personal and non-personal decisions

The present study sought to evaluate (a) the effectiveness of an intervention in developing adolescents’ argument skills regarding a decision on a topic of high potential personal relevance (teen pregnancy) or one of general social relevance (capital punishment), and (b) differential effects of the two topics in promoting the generalization of skills to a new topic. Thirty 14–15-year-old adolescent girls participated in an intervention on one of the two topics. The 16 sessions of the intervention were identical except for topic. Argument skills were assessed on both topics at pretest and posttest. Both interventions were effective in developing rudimentary argument skills, but only the intervention focusing on the personally relevant topic resulted in transfer to the less personal topic. Transfer in the opposite direction did not occur.     

An investigation of the interaction between cognitive style and context reinstatement on the memory performance of eyewitnesses

The power of context reinstatement to improve recall is well established, but the degree of effect obtained varies widely between studies. Exploring possible causes for this variation, this paper examines the relationship between cognitive style and the efficacy of context reinstatement in improving free and cued recall in an eyewitness paradigm. Experiment 1, using a live staged event and a 1 week delay, indicated a significant improvement in free recall with the reinstatement of context and, as expected, no such improvement in cued recall. However, analysis of the data according to field dependency, as measured by Witkin, Oltman, Raskin, and Karp's [A manual for the Embedded Figures Test (1971) Palo Alto, CA: Consulting Psychologists Press] Group Embedded Figures Test (GEFT) revealed that, in free recall, field dependent witnesses' scores improved significantly with context reinstatement, whilst the scores of field independent witnesses did not. In cued recall, however, the field independent witnesses scored significantly higher overall than field dependent witnesses. Experiment 2 sought replication of these findings again utilised the GEFT and the Riding [Cognitive Styles analysis (1991) Birmingham: Learning and Training Technology] Cognitive Styles Analysis (CSA). Analysis of the data according to the Wholist-Analytic (W-A) dimension of the CSA, indicated no interaction with either context reinstatement or memorial performance. However the GEFT analysis produced similar results to that obtained in Experiment 1. The meaning of the interaction between the GEFT and both free and cued recall, and the failure of the CSA to similarly interact are discussed, together with the implication of these findings for establishing the value of reinstating context for individual eyewitnesses.     

A genetic two-factor model of the covariation among a subset of Multidimensional Aptitude Battery and Wechsler Adult Intelligence Scale—Revised subtests

The phenotypic and genetic factor structure of performance on five Multidimensional Aptitude Battery (MAB) subtests and one Wechsler Adult Intelligence Scale—Revised (WAIS-R) subtest was explored in 390 adolescent twin pairs (184 monozygotic [MZ]; 206 dizygotic (DZ)). The temporal stability of these measures was derived from a subsample of 49 twin pairs, with test–retest correlations ranging from .67 to .85. A phenotypic factor model, in which performance and verbal factors were correlated, provided a good fit to the data. Genetic modeling was based on the phenotypic factor structure, but also took into account the additive genetic (A), common environmental (C), and unique environmental (E) parameters derived from a fully saturated ACE model. The best fitting model was characterized by a genetic correlated two-factor structure with specific effects, a general common environmental factor, and overlapping unique environmental effects. Results are compared to multivariate genetic models reported in children and adults, with the most notable difference being the growing importance of common genes influencing diverse abilities in adolescence.     

Individual differences in information order effects: The importance of right-hemisphere access in belief updating

The order in which information is received alters the evaluation of causal hypotheses. Specifically, research suggests that the last piece of information oftentimes has the greatest impact on the evaluation and that the difference in subjective value between two pieces of information is an important factor influencing the magnitude of this recency effect. The present paper extends this line of work by exploring individual differences in this phenomenon via one's degree of handedness. Two hundred and five participants were given two hypothetical scenarios and related causal hypotheses accompanied by two pieces of additional information and asked to revise their belief in each hypothesis as information accumulated. Results confirmed predictions that 1) inconsistent/mixed-handers (those who use their non-dominant hand for at least some activities) show a larger effect with two pieces of inconsistent weak or strong information, and 2) neither mixed-handers nor consistent/strong-handers (those who use their dominant hand for almost all activities) show an effect with strong and weak pieces of consistent information. Mixed-handers' susceptibility to persuasive arguments and Ramachandran’s (1995; Ramachandran and Blakeslee, 1998) belief-updating theory centered around communication between the two halves of the brain and functional access to the right hemisphere are used to account for these data.     

Association between individual differences in non-symbolic number acuity and math performance: A meta-analysis

Many recent studies have examined the association between number acuity, which is the ability to rapidly and non-symbolically estimate the quantity of items appearing in a scene, and symbolic math performance. However, various contradictory results have been reported. To comprehensively evaluate the association between number acuity and symbolic math performance, we conduct a meta-analysis to synthesize the results observed in previous studies. First, a meta-analysis of cross-sectional studies (36 samples, N = 4705) revealed a significant positive correlation between these skills (r = 0.20, 95% CI = [0.14, 0.26]); the association remained after considering other potential moderators (e.g., whether general cognitive abilities were controlled). Moreover, a meta-analysis of longitudinal studies revealed 1) that number acuity may prospectively predict later math performance (r = 0.24, 95% CI = [0.11, 0.37]; 6 samples) and 2) that number acuity is retrospectively correlated to early math performance as well (r = 0.17, 95% CI = [0.07, 0.26]; 5 samples). In summary, these pieces of evidence demonstrate a moderate but statistically significant association between number acuity and math performance. Based on the estimated effect sizes, power analyses were conducted, which suggested that many previous studies were underpowered due to small sample sizes. This may account for the disparity between findings in the literature, at least in part. Finally, the theoretical and practical implications of our meta-analytic findings are presented, and future research questions are discussed.     

Audiovisual beat induction in complex auditory rhythms: Point-light figure movement as an effective visual beat

This study investigated whether explicit beat induction in the auditory, visual, and audiovisual (bimodal) modalities aided the perception of weakly metrical auditory rhythms, and whether it reinforced attentional entrainment to the beat of these rhythms. The visual beat-inducer was a periodically bouncing point-light figure, which aimed to examine whether an observed rhythmic human movement could induce a beat that would influence auditory rhythm perception. In two tasks, participants listened to three repetitions of an auditory rhythm that were preceded and accompanied by (1) an auditory beat, (2) a bouncing point-light figure, (3) a combination of (1) and (2) synchronously, or (4) a combination of (1) and (2), with the figure moving in anti-phase to the auditory beat. Participants reproduced the auditory rhythm subsequently (Experiment 1), or detected a possible temporal change in the third repetition (Experiment 2). While an explicit beat did not improve rhythm reproduction, possibly due to the syncopated rhythms when a beat was imposed, bimodal beat induction yielded greater sensitivity to a temporal deviant in on-beat than in off-beat positions. Moreover, the beat phase of the figure movement determined where on-beat accents were perceived during bimodal induction. Results are discussed with regard to constrained beat induction in complex auditory rhythms, visual modulation of auditory beat perception, and possible mechanisms underlying the preferred visual beat consisting of rhythmic human motions.     

Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment

This paper is concerned with the psychopathological processes that account for the persistence of severe eating disorders. Two separate but interrelated lines of argument are developed. One is that the leading evidence-based theory of the maintenance of eating disorders, the cognitive behavioural theory of bulimia nervosa, should be extended in its focus to embrace four additional maintaining mechanisms. Specifically, we propose that in certain patients one or more of four additional maintaining processes interact with the core eating disorder maintaining mechanisms and that when this occurs it is an obstacle to change. The additional maintaining processes concern the influence of clinical perfectionism, core low self-esteem, mood intolerance and interpersonal difficulties. The second line of argument is that in the case of eating disorders shared, but distinctive, clinical features tend to be maintained by similar psychopathological processes. Accordingly, we suggest that common mechanisms are involved in the persistence of bulimia nervosa, anorexia nervosa and the atypical eating disorders. Together, these two lines of argument lead us to propose a new transdiagnostic theory of the maintenance of the full range of eating disorders, a theory which embraces a broader range of maintaining mechanisms than the current theory concerning bulimia nervosa. In the final sections of the paper we describe a transdiagnostic treatment derived from the new theory, and we consider in principle the broader relevance of transdiagnostic theories of maintenance.     

Group therapy for pathological gamblers: a cognitive approach

This study evaluated the efficacy of a group cognitive treatment for pathological gambling. Gamblers, meeting DSM-IV criteria for pathological gambling, were randomly assigned to treatment (N=34) or wait-list control (N=24) conditions. Cognitive correction techniques were used first to target gamblers' erroneous perceptions about randomness, and then to address issues of relapse prevention. The dependent measures used were the DSM-IV criteria for pathological gambling, perceived self-efficacy, gamblers' perception of control, desire to gamble, and frequency of gambling. Post-treatment results indicated that 88% of the treated gamblers no longer met the DSM-IV criteria for pathological gambling compared to only 20% in the control group. Similar changes were observed on all outcome measures. Analysis of data from 6-, 12- and 24-month follow-ups revealed maintenance of therapeutic gains. Recommendations for group interventions are discussed, focusing on the cognitive correction of erroneous perceptions toward the notion of randomness.