Intervenciones psicológicas para cuidadores con síntomas depresivos: revisión sistemática y metanálisis

It has been well determined that nonprofessional caregiving, which is a fundamental component of care to dependent persons, may lead to an increased risk for mental disorders in caregivers, especially depression. This paper sought to conduct a systematic review and meta-analysis to determine the efficacy of psychological interventions to reduce depressive symptoms aimed at nonprofessional caregivers. A comprehensive search of studies published from 1980 to 2013 was conducted in Medline and PsycInfo databases, as well as in the references of other reviews, meta-analysis and relevant book chapters, thereby shortlisting 13 papers. Although most of the interventions reached positive results in decreasing depressive symptomatology, their effects in general were moderate (ES = −0.49, 95% CI [−0.62, −0.36]). Important advances have been produced regarding the quality of the studies, but some limitations are still found which restrict the scope of their findings. It is necessary to conduct further studies that meet excellence standards and, more concretely, regarding indicated prevention of depression.     

Psychological Contract in HIV Prevention Clinical Trials in Resource Poor Communities in Africa

The paper explored the application of psychological contract in HIV prevention clinical trials in resource poor communities in Africa. The psychological contract was discussed in relation to practices in New HIV Prevention Technologies in Africa. From this discussion, it would seem risk for exposure to HIV infection is less well articulated in the psychological contract between the promoters of HIV prevention clinical trials and participants in resource poor communities in Africa. The trialing of New HIV Prevention Technologies in Africa should have in-built psychological contract transparency to reduce the risk of participant exposure to HIV infection in clinical trials.     

Y's Girl: Increasing body satisfaction among primary school girls

To date, effective body image interventions for preadolescent school girls are lacking. The present study sought to evaluate the effectiveness of Y's Girl, a published body image curriculum specifically tailored for preadolescent school girls. A sample of 60 Grade 6 girls with a mean age of 11.25 (range of 11–12) years were allocated either to an intervention or control group and completed baseline and posttest measures of body image, thin-ideal internalization, body comparison, self-esteem, peer factors, and disordered eating. Findings revealed that, compared to the control group, girls receiving the intervention reported improved body image, thin-ideal internalization, body comparisons, and self-esteem at posttest 1 week after the intervention ended. Furthermore, changes in body satisfaction were moderated by initial levels of risk-factors. These findings provide initial support for Y's Girl as an effective, affordable body image intervention for preadolescent girls which can be implemented by teachers.     

The focus of attention in working memory: Evidence from a word updating task

Three experiments examined the cognitive costs of item switching within working memory with a novel word updating task, thereby extending previous research to the field of linguistic stimuli and linguistic-graphemic updating operations. In Experiments 1 and 2 costs for switching between working memory items were evident on the word level, and they increased with an increasing word set size (Experiment 2). In contrast, a surprisingly similar switch effect on the level of letters was not affected by word set size (Experiment 2). Experiment 3 showed that this effect is not simply based on the need for re-orienting visual spatial attention. To account for the overall picture of results, a recursive model of attentional foci is proposed. Moreover, individual working memory span appears to be associated with the accuracy of item switching, but not with its speed.     

Enhancing dissemination in selective eating disorders prevention: An investigation of voluntary participation among female university students

Maximising dissemination of efficacious psychological interventions is an important undertaking, particularly in prevention work where the target population may not be seeking help. Consequently, the current study investigated voluntary participation in a selective eating disorder prevention programme by examining predictors of, and evaluating a motivational enhancement approach to, increased participation. Female students studying first-year psychology (N = 124, M_age = 19.30, SD = 1.55) completed baseline measures, were randomised to a motivational or control condition, then presented with a flyer for an eating disorders prevention trial and assessed regarding potential participation. Results showed that interest and likelihood of participation were low overall and lack of time the most commonly endorsed reason. Participants high on weight concerns were more likely to cite the group format of the intervention as a deterrent. A greater belief in the helpfulness of body image programmes and higher personal ineffectiveness were significant predictors of interest in participation. There was no significant difference between those who did and did not undergo the motivational enhancement with respect to interest and likelihood of participation. These findings suggest important avenues for consideration when designing eating disorder prevention efforts relying on voluntary participation, and highlight the importance of evaluating programmes cross-culturally.     

Rural Embedded Assistants for Community Health (REACH) Network: First-Person Accounts in a Community–University Partnership

Community research and action projects undertaken by community–university partnerships can lead to contextually appropriate and sustainable community improvements in rural and urban localities. However, effective implementation is challenging and prone to failure when poorly executed. The current paper seeks to inform rural community–university partnership practice through consideration of first-person accounts from five stakeholders in the Rural Embedded Assistants for Community Health (REACH) Network. The REACH Network is a unique community–university partnership aimed at improving rural health services by identifying, implementing, and evaluating innovative health interventions delivered by local caregivers. The first-person accounts provide an insider’s perspective on the nature of collaboration. The unique perspectives identify three critical challenges facing the REACH Network: trust, coordination, and sustainability. Through consideration of the challenges, we identified several strategies for success. We hope readers can learn their own lessons when considering the details of our partnership’s efforts to improve the delivery infrastructure for rural healthcare.     

Focus on opportunities as a mediator of the relationships between age, job complexity, and work performance

Focus on opportunities is a cognitive-motivational facet of occupational future time perspective that describes how many new goals, options, and possibilities individuals expect to have in their personal work-related futures. This study examined focus on opportunities as a mediator of the relationships between age and work performance and between job complexity and work performance. In addition, it was expected that job complexity buffers the negative relationship between age and focus on opportunities and weakens the negative indirect effect of age on work performance. Results of mediation, moderation, and moderated mediation analyses with data collected from 168 employees in 41 organizations (mean age = 40.22 years, SD = 10.43, range = 19–64 years) as well as 168 peers providing work performance ratings supported the assumptions. The findings suggest that future studies on the role of age for work design and performance should take employees’ focus on opportunities into account.     

Couples Relationship Education and Couples Therapy: Healthy Marriage or Strange Bedfellows?

This paper focuses on issues sparked by the Couples Relationship Education (CRE) field moving toward a more clinical model to meet the needs of an increasing number of distressed couples coming to CRE programs. We review the concerns raised and recommendations made by Bradford, Hawkins, and Acker (2015), most of which push CRE toward a more clinical model. We address these recommendations and make suggestions for best practices that preserve the prevention/education model underlying research‐based CRE. The three main issues are couple screening, leader training, and service delivery models. Our suggested best practices include: conducting minimal screening including the assessment of dangerous levels of couple violence, training leaders with key skills to handle issues raised by distressed couples as well as other couples who may place additional burdens on leaders, providing referrals and choices of programs available to participants at intake and throughout the CRE program, and adding (rather than integrating) clinical services to CRE services for couples who desire additional intervention. Finally, throughout the paper, we review other key issues in the CRE field and make recommendations made for future research and practice.     

Should we screen for depression? Caveats and potential pitfalls

The availability of brief screening instruments encourages their routine use in identifying individuals who are presumed to be at risk for clinical depression. In primary medical care where this idea has been most tested, however, there is little evidence that screening by itself improves the outcome of depression. Reasons why screening cannot serve as an efficient basis for the prevention of depression are reviewed. Moreover, a positive score on a screening instrument does not indicate a clear need for intervention or the form that any intervention should take. Routine screening should be undertaken only when the resources are available for interpreting the significance of positive screen scores, appropriate and acceptable interventions are available, and potential negative effects of screening can be avoided. Until these conditions can be met, alternatives to screening should be considered.     

Three layers of working memory: Focus-switch costs and retrieval dynamics as revealed by the N-count task

Two experiments explored the process of switching items in and out of the focus of attention using a new paradigm, the N-count task (adapted from Garavan, 1998; N varied from 1 to 4). This task yielded a focus size of one, indicated by a substantial focus-switch cost for 2-count. Additionally, the focus-switch costs in response time increased with working memory load, indicating an effortful search process occurring at a speed of about 240 ms/item. Maintaining and switching to and from a passive load did not increase the focus-switch costs or decrease memory accuracy, indicating that there is no crosstalk between passive and active items. The results support a concentric theory of working memory: a small focus at its core, a surrounding area of (at least) three readily available items referred to as the outer store, and a still wider region of passive storage, possibly more long-term memory than working memory.