A behavioral medicine intervention as an adjunctive treatment for HIV-related illness

Abstract

This investigation assessed the efficacy of a behavioral medicine intervention in the adjunctive treatment of symptomatic HIV seropositive men. Twenty-six, well coping, seropositive gay males were randomly assigned to either a treatment group or a waiting list control group. The treatment group received eight weeks of training in thermal biofeedback, guided imagery and hypnosis Significant results (p < 0.05) indicated that HIV-related symptoms (fever, fatigue, pain, headache, nausea and insomnia) decreased and that vigor and hardiness increased. No significant changes were found in absolute numbers of CD4 cells, tension-anxiety or depression.     

Validation of the Internet and Social Networking Experiences Questionnaire in Spanish adolescents

The aim of this paper is to validate the Internet Related Experiences Questionnaire (IREQ) with a sample of 525 participants from Compulsory Secondary Education, considering the possible addiction to the internet from both interpersonal and intrapersonal dimensions. Besides, associations between CERI scores and several variables such as sex, age as well as selfesteem were analyzed. Results show a good fit of the questionnaire through a Confirmatory Factor Analysis (CFA), where the interpersonal factor explains a higher percentage of the variance at the expense of the intrapersonal factor. Statistically significant differences between IREQ scores and age and a lineal positive association between self-esteem and possible interpersonal addiction to the internet were found. The possibility of these results to be affected by the social use of the Internet and the generalization in young people's lives is discussed. Moreover, the need of designing and implementing prevention programs for a healthy use of the internet is discussed.     

Validity evidence of the Behavioral Activation for Depression Scale-Short Form among depressed smokers

Background/Objective

A measure of Behavioral Activation (BA) is highly recommended when evaluating BA treatment effects for smokers with depression. Recently, a short version of the Behavioral Activation for Depression scale (BADS-SF) has been developed as a means of assessing changes in activation and avoidance patterns. To date there is no validated version of this questionnaire in Spanish. This study sought to adapt the BADS-SF to a Spanish population of depressed smokers. Method A sample of 169 smokers (72.2% female) with elevated depressive symptomatology completed the BADS-SF. Results A bi-factorial structure was obtained: Activation and Avoidance. Results indicated an acceptable internal consistency for both the Activation (ω = .85) and the Avoidance subscales (ω =.70). Overall, convergent validity was obtained with Activation and Avoidance subscales being related to other depression-related measures such as depressive symptomatology (Activation r = ?.29; Avoidance r = .35), environmental reward (Activation r = .40; Avoidance r = ?.41) and, nicotine dependence (Avoidance r = .23). This latter variable was the only one not showing a statistically significant association with the Activation factor (r = ?.12). Conclusions The Spanish BADS-SF can be considered as a reliable and valid instrument when assessing behavioral activation among clinically depressed smokers.     

Sustained attentional and disattentional abilities and arousability: Factor analysis and relationships to hypnotic susceptibility

The neurophysiologically separate dimensions of deeply focused, sustained attention and arousability are shown to be differentially related to hypnotic susceptibility. University undergraduates, 98 men and 112 women, were administered the Harvard Group Scale of Hypnotic Susceptibility; the Group Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C); and questionnaires that assessed attentional abilities (Differential Attentional Processes Inventory (DAPI), Tellegen Absorption Scale (TAS)), Extraversion (Eysenck Personality Questionnaire), strength of the nervous system (Strelau Temperament Scale (STS)), augmenting-reducing (Vando Reducer-Augmenter Scale (RAS)), and emotionality (Affect Intensity Measure (AIM)). Women were significantly higher on TAS, DAPI dual attention physical-cognitive scale, and AIM; men were significantly higher on TAS and STI Strength of Excitation Scale. Separate factor analyses for men and women separately yielded fairly similar four-factor solutions. The first major factor, defined by DAPI Moderately Focused Attention and Dual Attention scales, represented moderately sustained attention in a complex environment with limited interference from competing stimuli. The extremely involved and focused attention factor, defined by the TAS and DAPI Extremely Focused Attention Scale, had hypnotic susceptibility loaded more strongly for men than women. The arousability factor was defined by EPQ Extraversion, STI Mobility of Nervous System (MNS) scale, and RAS. The neo-Pavlovian nervous system processes factor was defined by the STI Strength of Excitation and Strength of Inhibition scales; the STI MNS scale also loaded on this factor for men. Only for women were introverts more hypnotizable than extraverts. Results support H. J. Crawford and J. H. Gruzelier's (1992) in E. Fromm and M. Nash (Eds.) Contemporary Perspectives in Hypnosis Research (pp. 227–266) New York: Guildford Press) neurophysiological model of hypnosis that proposes that highly hypnotizable persons have a more efficient fronto-limbic sustained attentional and disattentional system.     

心理戒毒实验研究

1问题以往对毒品依赖者的临床治疗,偏重于躯体依赖的药物戒治,实践表明,克服戒断反应并不困难。然而,戒断反应消除了,毒瘾却并没戒除,表现是：复吸率非常高──达98％。如此之高的复吸率引起我们的注意：反复吸毒到底是一个生理问题还是一个心理问题？吸毒者在反复吸毒过程中追求的是什么？由此,导向另一个更深层次的问题：“戒毒要戒掉什么？”我们就此问题进行了调查,调查对象包括广州、探圳等戒毒所收治的150名吸毒者。结果显示：（1）开始吸毒时有非常强烈的情绪体验,这种情绪体验的强烈程度和愉快程度远远超过性交的体验。随…     

The Children's Social Vulnerability Questionnaire (CSVQ): Validation,relationship with psychosocial functioning,and age-related differences

Background/Objective: Social vulnerability refers to difficulties detecting potentially harmful interpersonal situations. Although it is an important predictor of psychosocial and interpersonal difficulties in clinical samples, research investigating this construct is scarce. We aimed to (a) develop a brief measure for assessing social vulnerability in typically developing children, the Children's Social Vulnerability Questionnaire (CSVQ) (b) examine the relationship between social vulnerability and psychosocial functioning, (c) explore age-related differences, and (d) explore levels of social vulnerability amongst children with clinical needs. Method: Data were gathered on two samples. Participants were parents (n = 790) of elementary school-aged children (3-12 years), and parents and teachers of a second sample (n = 96). Results: Results provide strong reliability and validity evidence. Social vulnerability showed moderate relationships with emotional and behavioural problems, and only a weak relationship with social skills. Parents perceived greater social vulnerability in younger than older children, and amongst children with clinical needs. Parents’ and teachers’ scores were correlated. Conclusions: Social vulnerability is not simply a lack of social skill; rather, it is a valuable construct for understanding psychosocial risk, especially for young and clinical samples of children.     

The instrumental use of group prototypicality judgments

Recently, Waldzus et al. [Waldzus, S., Mummendey, A., Wenzel, M., & Boettcher, F. (2004). Of bikers, teachers and Germans: Groups’ diverging views about their prototypicality. British Journal of Social Psychology, 43, 385-400] have shown that ingroup members often tend to judge the ingroup as more prototypical of the superordinate group than other subgroups. In this paper, we argue that, in addition to the motivational processes that have been posited to explain this phenomenon, prototypicality judgments may vary according to instrumental considerations. In particular, those who believe their ingroup interest to be undermined by remaining part of the common group will downplay ingroup’s prototypicality as a way to sustain their separatist position. In a first study (N = 63), we found that Scottish respondents who support Scottish independence judged the Scots to be less prototypical of Britain than the English, as compared with Scots who do not support independence. In a second study (N = 191), we manipulated the rhetorical context within which prototypicality judgments were made. Results showed that the pattern found in study 1 only applied when the issue of independence was made salient. When the issue of the importance of Scottish history in Britain was made salient, the opposite pattern appeared, i.e. supporters of independence judged the Scots more prototypical than the English compared to non-supporters. These results were also interpreted in instrumental terms.     

The Application of Facilitated Imagery to Marital Counseling

SUMMARY

The purpose of this study was to assess whether facilitated imagery is a successful technique for improving both marital satisfaction and individual psychological functioning. Twenty marital couples were randomly assigned to two experimental groups: Both received three sessions of structured marital enrichment and one also received three facilitated imagery sessions. Posttests were given at one month and four months following treatment. Subjects exposed to facilitated imagery showed significantly greater improvement on some scales of marital satisfaction and individual psychological functioning, and these improvements persisted at the four-month posttest. In posttest interviews, subjects reported the primary benefit was insight into themselves and their spouses.

A series of 2x(3) repeated measure analyses of variance were used to detect changes for husbands and wives. Subjects exposed to facilitated imagery reported significantly greater improvement than enrichment-only subjects on some scales of marital satisfaction and individual psychological functioning. In addition, improvements persisted at the four-month posttest for the enrichment-plus-imagery subjects, but declined for the enrichment-only subjects. In interviews, the majority of imagery subjects reported that the process had been helpful to them both personally and relationally. Subjectively they reported gaining insight into themselves or their spouse as the primary benefit obtained from the imagery work.     

Maladaptive personality traits in adolescence: Psychometric properties of the Personality Diagnostic Questionnaire-4+

The Personality Diagnostic Questionnaire-4+ (PDQ-4+) is a self-report used for the assessment of personality disorder traits, however, its psychometric characteristics have yet to be tested in community samples of adolescents. The main goal was to analyze the psychometric properties of the PDQ-4+ scores in a large sample of non-clinical adolescents (N = 1,443; M = 15.9 years; SD = 1.2). The PDQ-4+ scores showed adequate psychometric properties. Reliability of the subscales, incorporating a Likert-type 5-point response format, ranged from .62 to .85. The study of the internal structure at item level revealed that the PDQ-4+ subscales were essentially one-dimensional. Analysis of the internal structure at the subscale level by means of exploratory factor analysis and exploratory structural equation modeling yielded a possible three-dimensional solution. The PDQ-4+ subscales correlated moderately with emotional and behavioural variables measured by the Strengths and Difficulties Questionnaire. The results have clear implications for the understanding of maladaptive personality traits in adolescents.