Psychological Distress in Australian Clients Seeking Family and Relationship Counselling and Mediation Services

There is little published data on the prevalence of psychological distress among individuals and couples seeking counselling and mediation services from non‐government organisations (NGOs). This national cross‐sectional study establishes the prevalence of psychological distress among clients seeking family and relationship counselling and mediation services from Relationships Australia. A national sample of 1,365 clients attending services in April to May 2012 completed the 10‐item Kessler Psychological Distress Scale (K10) after their first counselling or mediation session. Individual counselling (M = 23.01, SD = 8.97, 95% CI [22.05–23.97]) and couple counselling (M = 21.63, SD = 8.10, [20.86–22.41]) clients reported a mean K10 score comparable to those reported by clinical studies of clients with anxiety or affective disorders. One quarter to one fifth of these clients reported very high psychological distress. Clients accessing mediation services had a mean score of 18.13 (SD = 7.76; [17.51–18.75]), and one tenth of clients reported very high distress. These elevated rates of very high psychological distress suggest that mental health issues may be a significant problem for a large proportion of clients accessing counselling and mediation NGO services provided under Family Support Programs (FSP) funding. Implications for screening for mental health and appropriate treatment planning are discussed.     

A study of the psychometric properties of the Beck Depression Inventory‐II,the Montgomery and Åsberg Depression Rating Scale,and the Hospital Anxiety and Depression Scale in a sample from a healthy population

The objective of this study is to evaluate internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS), the Beck Depression inventory‐II (BDI‐II) and the Montgomery and Åsberg Depression Rating Scale (MADRS) for screening for major depressive episode (MDE) in a selected sample from a healthy population. Participants answered the BDI‐II and the HADS questionnaires and were interviewed with MADRS. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM)‐IV Axis I Disorders‐Clinician Version (SCID‐CV) was used to diagnose MDE. Current MDE was diagnosed in 20 (6%) of the 357 participants. All three scales including the depression sub‐scale for HADS had high area under the receiver operating characteristics curve (ROC) (AUC) (0.84–0.87), and internal consistency was also high for all scales (0.75–0.89). Optimal cut‐off for MDE was ≥ 12 for BDI‐II, MADRS ≥ 8, HADS total ≥ 9, and HADS‐D ≥ 4, which all resulted in sensitivities = 85% and specificities > 78%. Diagnostic accuracy was low on all depression scales (Cohen's kappa = 0.20–0.40). Reports of the properties of depression scales in a healthy population are limited. We found BDI‐II, HADS and MADRS to be acceptable as screening instruments for MDE in a selected sample from healthy population with recommend cut‐offs as mentioned above.     

The frequency of actions and thoughts scale: development and psychometric validation of a measure of adaptive behaviours and cognitions

This paper describes the development and preliminary psychometric evaluation of an instrument that measures the frequency of adaptive behaviours and cognitions related to therapeutic change during cognitive behavioural therapy (CBT), for symptoms of anxiety and depression. Two studies were conducted. In study one, 661 participants completed an online survey with 28 items targeting adaptive behaviours and cognitions. Exploratory factor analysis performed on part of the sample (n = 451) revealed that a four-factor solution ‘characterised’ the data. This led to the development of a 12-item instrument, the Frequency of Actions and Thoughts Scale (FATS). Confirmatory factor analysis was used to confirm the factor structure of the FATS using the remaining sample (n = 210), which revealed an acceptable model fit. In study two, 125 participants with clinically significant symptoms of anxiety, depression, or both were recruited to an Internet-delivered CBT (iCBT) treatment course. Participants completed the FATS and other measures throughout treatment, after treatment, and at three-month follow-up. Correlations and residual change scores of the FATS and its subscales with measures of anxiety, depression, behavioural activation, and CBT-related skills usage supported the construct validity of the FATS. A significant increase in FATS scores over treatment was also observed. The findings provide preliminary support for the psychometric properties of the FATS, which appears to have utility in research investigating mechanisms of change in CBT.     

Repeated usage of a motorway automated driving function: Automation level and behavioural adaption

The user’s perspective on highly automated driving systems is mostly studied during first contact/single usage. However, with repeated usage, acceptance and usage of automated driving systems might change. For advanced driving assistance systems, change with growing system usage is studied as behavioural adaptation. This concept of behavioural adaptation is applied to highly automated driving systems. In a driving simulator study, N = 61 drivers used an automated driving system for motorways during six experimental sessions. The drivers were free to activate / deactivate the function as they liked and to spend driving time on self-chosen side tasks. Automation level was varied as a between-subject factor (L3 vs. L4). Results show a more positive evaluation of the L4 system and behavioural adaptation for both levels over the course of the six sessions. For most aspects, behavioural adaptation is independent of system level (e.g., for system evaluation, distribution of attention). Only for drivers’ reaction to requests to intervene, a strong impact of system level on the occurrence behavioural adaption can be found. The results are discussed with regard to the theory of behavioural adaptation.     

Even experienced phone users drive worse while texting – A driving simulator study

Several studies have clearly shown that texting on a mobile phone increases crash risk (e.g. Dingus et al., 2006; Victor et al., 2014). However, the frequency of texting while driving still remains high (e.g. Vollrath, Huemer, Teller & Likhacheva, 2016). One reason may be that drivers are convinced that they are able to manage this dual task due to their competency in driving and texting. From a theoretical point of view, this may be true within limits – two well-learned, automatically processed tasks may require so few resources most of the time that interferences may not occur.In order to test this assumption, a study with a standardized driving simulator task (the lane change task, LCT; Mattes, 2003) was done with n = 40 drivers selected for their driving experience and tested for their texting abilities. The effect of driving experience (high vs. low) and texting competence (high vs. low) on driving performance was examined in single (driving only) and dual-task (driving and texting) conditions. Additionally, a subjective assessment of one’s task performance was obtained. Texting on the mobile phone significantly impaired driving performance. While driving experience did not have an influence, the deteriorating effect of texting was significantly less pronounced in highly competent phone users. Interestingly, this objective effect was not found in the subjective assessment. Drivers with a high texting competence felt as impaired as drivers with a low texting competence. This is in line with the finding that even in this simple driving task their performance was still significantly deteriorated as compared to driving, only. Thus, it seems that the reason why people text while driving is not that they are not aware of the performance loss. However, this awareness of the possible risk does not seem sufficient to prevent them from texting while driving.     

Drinking,drug use and road rage in Turkish drivers

Alcohol or drug use and road rage behaviors in drivers are threats to traffic safety. The purpose of this research is to examine the relationship between alcohol or drug use and aggression in Turkish drivers, and to evaluate the mediating role of driving anger in this relationship. 270 amateur and professional Turkish drivers (170 male, 100 female) have filled up Driving Anger Scale (DAS), Driver Aggression Indicators Scale (DAIS), Alcohol Use Disorders Identification Test (AUDIT) and the Questionnaire Form. 15.9% of the participants scored 8 and higher on the AUDIT scale (alcohol problem). The most prevalent substance is cannabis, used at least once in a lifetime (20%). The results of mediated regression analysis indicates that driving anger has an increasing mediating role in the relationship between alcohol use and driver aggression. Due to limitations in the data, we could not reveal the relationship between substance use and driver aggression. These findings have led us to think that drinking use may contribute to being a perpetrator and/or a victim of the road rage. Taking precautions against drinking driving and road rage and going over the current implementations is important in order to create a safer traffic environment. Scientific researches carried out in this field must aim to provide the desired efficiency on prevention and intervention programs that reduce the prevalance of such dangerous acts.     

Eating-related problems among 13-15 year old Swedish adolescents: Frequency and stability over a one-year period

Viborg, N., Wångby‐Lundh, M., Lundh, L.‐G. & Johnsson P. (2012). Eating‐related problems among 13‐15 year old Swedish adolescents: Frequency and stability over a one‐year period. Scandinavian Journal of Psychology 53, 401–406. The frequency of eating‐related problems in young adolescents, and their stability over a one‐year period, was studied by the RiBED‐8 (Risk Behaviours related to Eating Disorders, 8 items) in a community sample of 13–15 year old adolescents who took part in a prospective study with a 2‐wave longitudinal design. The RiBED‐8 was found to have good reliability and construct validity among the girls, although it did not show equally convincing psychometric properties among boys. With a cut‐off of at least three critical answers on the RiBED‐8, 28.5–31.0% of the girls were seen as risk cases for the development of eating disorder. Of those girls who were risk cases at Time 1, a majority (68.8%) remained so at Time 2; of those girls who were not risk cases at Time 1, 16.1% became risk cases at Time 2. It is suggested that the RiBED‐8 is a brief, easily administered instrument that may be potentially useful in screening for eating‐related problems among girls.     

Time orientation and health-related behaviour: Measurement in general population samples

Research on health behaviour and time orientation has been hindered by a lack of consensus about appropriate measurement. Study 1 assessed the reliability of the Consideration of Future Consequences Scale (CFC) and the Zimbardo Time Perspective Inventory (ZTPI) in a general population sample (n?=?300). Although more reliable, the CFC was less readable. Study 2 assessed the validity of a shortened ZTPI, measuring future and present orientation, and the full CFC. The measures had good discrimination to distinguish interpersonal differences. Construct validity of present, but not future, orientation as measured by the ZTPI, was evidenced by its mediation of the association between socioeconomic status and expectations of participating in diabetes screening. The CFC mediated this relationship more weakly. Further investigation of present orientation in understanding health-related behaviour is warranted.     

Self-affirmation moderates effects of unrealistic optimism and pessimism on reactions to tailored risk feedback

We examined whether self-affirmation would facilitate intentions to engage in colorectal cancer (CRC) screening among individuals who were off-schedule for CRC screening and who were categorised as unrealistically optimistic, realistic or unrealistically pessimistic about their CRC risk. All participants received tailored risk feedback; in addition, one group received threatening social comparison information regarding their risk factors, a second received this information after a self-affirmation exercise and a third was a no-treatment control. When participants were unrealistically optimistic about their CRC risk (determined by comparing their perceived comparative risk to calculations from a risk algorithm), they expressed greater interest in screening if they were self-affirmed (relative to controls). Non-affirmed unrealistic optimists expressed lower interest relative to controls, suggesting that they were responding defensively. Realistic participants and unrealistically pessimistic participants who were self-affirmed expressed relatively less interest in CRC screening, suggesting that self-affirmation can be helpful or hurtful depending on the accuracy of one's risk perceptions.     

Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.