Need for speed: Evaluating slopes of OCD recovery in behavior therapy enhanced with d-cycloserine

Evidence suggests that the antibiotic d-cycloserine (DCS) enhances the treatment effects of exposure and response prevention (ERP) for Obsessive-Compulsive Disorder (OCD). Further, evidence suggests that the effects of DCS diminish partway through treatment, but it is unclear to what extent. In an effort to evaluate these issues, the current study re-analyzes data from a 10-session randomized controlled trial of ERP + DCS versus ERP + placebo in a sample of 22 adults with OCD. We analyzed repeated-measures mixed models with random slopes and intercepts across different intervals: sessions 1-10, 1-5, and 6-10. The results indicate that the course of ERP was 2.3 times faster over the full 10 sessions for the DCS compared to the placebo group, and nearly six times quicker in the first half of ERP. Further interpretation of the results suggests that DCS does not amplify the effects of ERP, but instead initiates treatment effects sooner in treatment. In addition, DCS does not necessarily lose its effect over repeated use, but instead may exhaust its maximum utility after effectively jump-starting ERP. Ultimately, DCS may provide a means for curtailing treatment costs, decreasing treatment dropout and refusal rates, and enhancing access to care.     

Beyond the “Birds and the Bees”: Gender Differences in Sex‐Related Communication Among Urban African‐American Adolescents

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). The current study examined gender differences in communication about sex‐related topics in a community sample of urban, African‐American mothers and adolescents living in impoverished neighborhoods with high HIV rates. One hundred and sixty‐two mother–adolescent dyads completed self‐report measures of sex‐related communication. Youth also reported on their sexual risk. We identified the range of sexual‐based topics that adolescents discussed with their mothers, fathers, friends, and at school. The relationship between the frequency of sexual communication and sexual risk was examined. We also investigated congruency between adolescent and mother report about whether sexual‐based discussions occurred. Consistent with prior research, girls talked to their mothers, fathers, friends, and at school about sex‐related topics more than boys. Findings indicated that mothers not only communicated more frequently about sexual issues with their daughters than sons but that parental messages for girls were more protective. Greater sexual communication with mother was significantly associated with decreased HIV risk in the past 90 days and increased protection from HIV. Inconsistencies between mother and adolescent reports about sexual communication were marginally associated with decreased protection from HIV. Findings reveal the protective effect of sexual communication and the general lack of congruence between mother and adolescent reports of sexual communication.     

The Positive Plus Program: Affirmative classroom management to improve student behavior

This study describes the Positive Plus Program, a multicomponent intervention combining behavior‐specific praise with an interdependent group contingency and teacher feedback. An elementary school teacher wanting to improve her classroom management skills implemented the Positive Plus Program. Four second‐grade students participated in the study, and each of the students emitted disruptive behavior in class previously. This study, using an ABAB design, indicated that when the teacher reliably delivered high levels of behavior‐specific praise and awarded points, disruptive behavior was less likely. Student outcomes showed increased academic engagement and decreased off‐task motor and verbal behavior from pre‐ to post‐intervention. Teacher ratings indicated high levels of social validity. In light of these findings, implications for future research and implementation are discussed.     

Étude des liens entre conduite automobile agressive et transgressive et impulsivité : compréhension empirique et clinique à l’aide du modèle UPPS de l’impulsivité

The aim of this study is to clarify the relationship between impulsiveness and aggressive and transgressive driving using the UPPS Impulsive Behavior Scale. A total of 353 participants (laypersons) filled the Aggressive Driving Behavior Scale (ADBS) and the UPPS. Main results indicate: positive correlations between the four facets of impulsiveness and aggressive and transgressive driving and urgency and sensation-seeking are significant predictors of aggressive driving and its dimensions. These results highlight the need to develop treatment based on an in-depth clinical evaluation of prime behaviours.     

A Survey of Rewards for Teens: Extension and 25-Year Follow-Up

Extant reward surveys and item preferences assessments have shown to be a reliable mode of ascertaining potential reinforcers for various populations; however, many are outdated and may comprise of items or rewards that contemporary populations may not value. The purpose of this research is to extend upon the Houlihan, Jesse, Levine, and Sombke (1991 Houlihan, D., Jesse, V. C., Levine, H. D., &; Sombke, C. (1991). A survey for use with teenage children. Child &; Family Behavior Therapy, 13(1), 1–11.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) Survey of Rewards for Teens (SORT) and assess whether there is evidence of a potential, generational shift in reward preferences in high school students from 1991 to 2016. This inquiry is of particular importance to behavior analysts due to the idiosyncratic nature of reward preference, a tendency for rewards to shift over time, and the salient role played by rewards in behavior therapy programs. Results suggest that the reward preferences of contemporary high school students differ when compared to the sample of adolescents in Houlihan et al. (1991 Houlihan, D., Jesse, V. C., Levine, H. D., &; Sombke, C. (1991). A survey for use with teenage children. Child &; Family Behavior Therapy, 13(1), 1–11.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) study. In addition, a proposed revision of the SORT is provided, whose development was derived based on the resulting component structure from a principal components analysis (PCA) and inspection of component psychometric properties.     

Identifying behavioural change among drivers using Long Short-Term Memory recurrent neural networks

Globally, motor vehicle crashes account for over 1.2 million fatalities per year and are the leading cause of death for people aged 15–29 years. The majority of road crashes are caused by human error, with risk heightened among young and novice drivers learning to negotiate the complexities of the road environment. Direct feedback has been shown to have a positive impact on driving behaviour. Methods that could detect behavioural changes and therefore, positively reinforce safer driving during the early stages of driver licensing could have considerable road safety benefit. A new methodology is presented combining in-vehicle telematics technology, providing measurements forming a personalised driver profile, with neural networks to identify changes in driving behaviour. Using Long Short-Term Memory (LSTM) recurrent neural networks, individual drivers are identified based on their pattern of acceleration, deceleration and exceeding the speed limit. After model calibration, new, real-time data of the driver is supplied to the LSTM and, by monitoring prediction performance, one can assess whether a (positive or negative) change in driving behaviour is occurring over time. The paper highlights that the approach is robust to different neural network structures, data selections, calibration settings, and methodologies to select benchmarks for safe and unsafe driving. Presented case studies show additional model applications for investigating changes in driving behaviour among individuals following or during specific events (e.g., receipt of insurance renewal letters) and time periods (e.g., driving during holiday periods). The application of the presented methodology shows potential to form the basis of timely provision of direct feedback to drivers by telematics-based insurers. Such feedback may prevent internalisation of new, risky driving habits contributing to crash risk, potentially reducing deaths and injuries among young drivers as a result.     

The effects of clinical supervision on supervisees and patients in cognitive behavioral therapy: a systematic review

Clinical supervision is a central part of psychotherapist training but the empirical support for specific supervision theories or features is unclear. The aims of this study were to systematically review the empirical research literature regarding the effects of clinical supervision on therapists’ competences and clinical outcomes within Cognitive Behavior Therapy (CBT). A comprehensive database search resulted in 4103 identified publications. Of these, 133 were scrutinized and in the end 5 studies were included in the review for data synthesis. The five studies were heterogeneous in scope and quality and only one provided firm empirical support for the positive effects of clinical supervision on therapists’ competence. The remaining four studies suffered from methodological weaknesses, but provided some preliminary support that clinical supervision may be beneficiary for novice therapists. No study could show benefits from supervision for patients. The research literature suggests that clinical supervision may have some potential effects on novice therapists’ competence compared to no supervision but the effects on clinical outcomes are still unclear. While bug-in-the-eye live supervision may be more effective than standard delayed supervision, the effects of specific supervision models or features are also unclear. There is a continued need for high-quality empirical studies on the effects of clinical supervision in psychotherapy.     

Bidirectional Spillover in the Family across the Transition to Parenthood

Although family systems theory posits reciprocal causality between subsystems of the family, such as intimate partner violence exacerbating harsh parenting and vice versa, longitudinal studies with cross‐lagged models have been used infrequently to test these principles. As guided by the spillover model, this study examined bidirectional associations between couple dysfunction, parent–child aggression risk, and child functioning across the transition to parenthood to determine whether and how disruptions in one subsystem relate to problems in other family subsystems. Participants were 201 first‐time mothers and 151 fathers from a diverse community sample, evaluated during pregnancy, and reassessed two more times through their child's first 18 months of life. Individual and dyadic path model results indicate bidirectional spillover effects between parent–child aggression risk and child functioning for both mothers and fathers, and spillover from parent–child aggression risk to couple dysfunction for mothers but not fathers. However, limited spillover effects were identified between couple functioning and child adjustment, in contrast to previous work. Findings suggest that spillover can happen reciprocally and early in the family, supporting transactional models of behavior and highlighting the need for early family level intervention.     

Continuous measurement of attachment behavior: A multimodal view of the strange situation procedure

Infant attachment is a critical indicator of healthy infant social-emotional functioning, which is typically measured using the gold-standard Strange Situation Procedure (SSP). However, expert-based attachment classifications from the SSP are time-intensive (with respect both to expert training and rating), and do not provide an objective, continuous record of infant behavior. To continuously quantify predictors of key attachment behaviors and dimensions, multimodal movement and audio data were collected during the SSP. Forty-nine 1-year-olds and their mothers participated in the SSP and were tracked in three-dimensional space using five synchronized Kinect sensors; LENA recordings were used to quantify crying duration. Theoretically-informed multimodal measures of attachment-related behavior (e.g., dyadic contact duration, infant velocity of approach toward the mother, and infant crying) were used to predict expert rating scales and dimensional summaries of attachment outcomes. Stepwise regressions identified sets of multimodal objective measures that were significant predictors of eight of nine of the expert ratings of infant attachment behaviors in the SSP’s two reunions. These multimodal measures predicted approximately half of the variance in the summary approach/avoidance and resistance/disorganization attachment dimensions. Incorporating all objective measures as predictors regardless of significance levels, predicted individual ratings within an average of one point on the original Likert scales. The results indicate that relatively inexpensive Kinect and LENA sensors can be harnessed to quantify attachment behavior in a key assessment protocol, suggesting the promise of objective measurement to understanding infant-parent interaction.     

亲组织不道德行为的解释机制与理论模型

亲组织不道德行为(Unethical Pro-organizational Behavior, UPB)界定的是组织员工出于维护组织的利益而做出的不道德行为。UPB在组织中难以被识别, 却可能给组织带来严重的负面影响。因兼具亲组织性和不道德性, UPB的研究引起了各界的广泛关注。因此, 有必要明确UPB的来源与界定; 亦有必要借鉴“不道德行为”的解释路径, 从理性决策和直觉判断两个解释机制对UPB前因研究取得的进展进行理论归纳梳理, 形成理论模型。在此基础上提出未来的研究方向:亲领导不道德行为和亲团队不道德行为的细分研究, 中国本土背景下企业所有制形式对UPB理论模型可能产生的调节作用, 以及角色压力对UPB的影响。