Web-based CBT for the prevention of anxiety symptoms among medical and health science graduate students

ABSTRACT

Medical and health science graduate students report greater anxiety problems than the general population, but they are less likely to seek treatment due to cultural and logistical barriers. One preventative approach that overcomes these barriers is web-based cognitive behavioral therapy (webCBT). It is unknown whether webCBT is effective for preventing anxiety escalation within this population. A randomized controlled trial was conducted, comparing the effects of webCBT versus a control group (CG). Medical university students (n=594; Mage=27; 67% female; 80% Caucasian) completed online baseline measures and four assigned online activities. Measures were re-administered after approximately three months. There was a small interaction effect between time of assessment and treatment condition. Anxiety severity was lower in the webCBT (M[SD]=2.88[3.36]) versus CG condition (M[SD]=3.69 [3.35]) at follow-up. This effect was moderate for students with mild, versus minimal, anxiety at baseline. The proportion of students with possible anxiety disorder was lower in the webCBT (4.5%) versus CG (8.5%) condition, and the proportion of mildly anxious students with a clinically significant increase in symptoms was lower in the webCBT (10%) versus CG (20%) condition. WebCBT may aid in preventing anxiety escalation in this population, particularly for at-risk students who report mild anxiety symptoms.     

Traditional group therapy and computer-administered treatment for test anxiety

Abstract

Traditional group therapy for test anxiety, modelled after Weissberg (1976), was compared with the computer-administered treatment of Thoresen, Insel, Roth, Ross, and Seyler (1986). Both treatments contained cognitive and behavioral elements including systematic desensitization and Jacobsonian relaxation techniques. The participants were 36 test-anxious students seeking treatment within a university counseling center. Effectiveness of each treatment was assessed by studying changes in test anxiety (total, worry, emotionality), as measured by the Test Anxiety Inventory (Spielberger, 1980). and changes in grade point average (GPA). There was a statistically significant reduction in the three test anxiety measures for both treatments. No significant differences in GPA, as a result of the treatment, were found. There was no significant difference in reduction of test anxiety between the treatments. These findings support the efficacy of the computerized treatment which may be a suitable alternative to group therapy and, in some situations, may be the treatment of choice.     

A Profile of Double Victims: Sexual Coercion by a Dating Partner and a Stranger

Victim profiles of sexual coercion might differ based on the type of perpetrator that initiates the coercion—namely, a stranger versus a dating partner. Some victims experience coercion from both types of perpetrators—referred to here as “double victims.” Survey data from 2,322 undergraduates at two relatively large U.S. universities in the Midwest and Southeast revealed in a multinomial logistic regression analysis that victims of distinct types of perpetrators had unique predictors as part of their overall profiles. Background characteristics associated with each type were identified. In comparison to nonvictims, a profile of double victims emerged—a White female who had been abused as a child, who had cohabited with a partner, used alcohol or drugs, had been emotionally abused by a partner, had lied to a partner, used the Internet to find a partner, had dated interracially, and had engaged in sex in a noncommitted relationship. Implications and limitations of these findings are included in the discussion.     

Factors Predicting Dating Violence Perpetration Among Male and Female College Students

This study examined the importance of witnessing parental violence, experiencing childhood violence, problems with alcohol, length of relationship, relationship satisfaction, anger management skills, and partner's use of physical and psychological aggression for male and female perpetrators of dating violence in college. For males, partner's use of physical aggression, low anger management skills, and high relationship satisfaction were the strongest predictors of physical aggression. For females, partner's uses of physical and psychological aggression were the most important predictors of their use of physical aggression. The model in this study was a good predictor of male violence, accounting for 81% of the variance; however, it only accounted for 51% of the variance in female violence.     

The Role of Parenting in Relational Aggression and Prosocial Behavior among Emerging Adults

This study investigated the role of remembered parenting styles and parental psychological control in the prediction of relational aggression and prosocial behavior in a college student sample (N = 323). Participants’ retrospective ratings of how they were parented were related to relational aggression and prosocial behavior; however, somewhat different relationships emerged for African American and White participants. Permissive parenting, authoritative parenting, and parental psychological control predicted relational aggression. Participant race and all 3 parenting styles (authoritarian, authoritative, and permissive) predicted prosocial behavior. Participant race moderated the relationship between psychological control and prosocial behavior. Specifically, parental psychological control was inversely related to prosocial behavior for African American, but not White, participants.     

Gender Differences in the Association of Intimate Partner Violence and Relationship Values among College Students

Although research has indicated that cognitions and situational factors play a role in relationship satisfaction and aggression, few studies have investigated the association between intimate partner violence (IPV) and relationship values. We addressed this gap by measuring college students’ perpetration of and victimization by four types of IPV; namely, physical violence, sexual violence, threats, and psychological aggression over the past year. One-way ANOVAs and multiple regression analyses were used to measure the association between IPV and the endorsement of relationship values. The results suggest that past IPV perpetration and victimization correlated with the current endorsement of relationship values for males more than females. In general, male perpetrators rated relationship values such as security, investment, others’ approval, and daily conflict as less important than non-perpetrators. Although male victimization explained significant variance in security, investment, and others’ approval, the results were somewhat mixed as to whether victimization related to higher or lower ratings of relationship values, with the majority of the results suggesting an inverse correlation between relationship value endorsement and IPV experience. Future research can investigate mediating factors in the relationship between IPV and relationship value endorsement, as well as look at how IPV and relationship values influence decisions concerning relationship maintenance.     

Beliefs about memory among psychology students and their professors in psychodynamic clinical and experimental study programs

IntroductionResearch has shown that lay people, and even psychologists, may have distorted knowledge about memory functioning. May different study programs in psychology influence their ideas?Objective(s)The study was aimed at evaluating psychology students’ and psychology professors’ knowledge about memory and factors potentially affecting the accuracy of episodic memory reports in clinical and legal contexts.MethodA questionnaire was administered to introductory and advanced students of psychology enrolled at different curricula – experimental psychology and clinical psychology with a psychoanalytical orientation – and to professors teaching the courses in the same curricula.ResultsResults showed that advanced students and professors in experimental psychology have higher general knowledge of factors influencing memory performance than their peers, including memory issues of particular relevance to clinical psychology; no difference between the curricula was found for the introductory students.ConclusionThe results are discussed in terms of the risks that the lack of knowledge on memory functioning of the psychologists with a psychodynamic orientation may have in producing wrong reports in forensic contexts.     

Altruism in adolescents and young adults: validation of an instrument to measure generative altruism with structural equation modeling

Aim of this study was to develop and test a research instrument to measure generative and functional altruism in adolescents/young adults. In an anonymous questionnaire survey using standardised questionnaires, 873 students were recruited in academic high schools and professional schools. The 7-item Generative Altruism Scale (GALS), which includes affective and behavioural elements, correlated with relevant external measures that correspond with the underlying construct. Confirmatory factor analysis proved an acceptable model fit with characteristics of χ² [df = 14, N = 846] = 129.946, p < .001, CFI = .91, AIC = 157.946, and SRMR = .048. Female and male students differed significantly with respect to altruism scores (F = 25.5; p < .0001). The GALS could be used for empirical studies analysing the connection between altruism and the development of ethical values and prosocial behaviour. Particularly, compassion as an intrinsic motivator could be fostered in appropriate education programmes.     

The validation of a religiosity measure for individuals with schizophrenia

Measures of religiosity validated for psychotic patients do not exist. This study sought to examine the psychometric properties of a modified version of the Religious Life Inventory (RLI) in this population. It was anticipated that religiosity would be affected by psychotic symptoms. The religiosity of patients with schizophrenia was assessed while symptoms were more evident and again after treatment, to evaluate changes in religiosity. Four factors were found which characterized the religiosity of people with schizophrenia. These factors were found to have good construct validity. Patient's responses indicated a reduced need for religion when re-assessed once symptom scores were reduced.     

Risk,religiosity, and emerging adulthood: description of Christian,Jewish, and Muslim university students at entering the freshman year

American students transitioning to university are at an increased risk for behaviours such as binge drinking, depression and suicidality. Despite the proliferation of prevention and intervention programs, rates remain high. Although religiosity is known to confer a protective effect in this population, it remains largely untapped as a resource because, among other reasons, it is poorly understood, poses ethical challenges, and exposes areas of distrust between the religious and medical establishments. This report describes the findings of a survey that examined possible factors explaining the relationship between religiosity, risky behaviours and emotional extremes in students as they transitioned into their first year of university. This study accounted for the religious diversity of the US by surveying Christian, Jewish, Muslim and religiously unaffiliated students. Findings indicated that religiosity was consistently and negatively correlated to risky behaviours across all faith groups. Interestingly, unique patterns in levels of religiosity emerged among the various faith groups. Similarly, patterns of engagement in risky behaviours demonstrated variation among religious groups. Our findings add to the body of evidence that suggests university-based professionals take into consideration student religiosity when creating prevention intervention programs for students.