Self-help for binge eating disorder in primary care: A randomized controlled trial with ethnically and racially diverse obese patients

Objective

The objective was to examine the effectiveness of a self-help treatment as a first line primary care intervention for binge eating disorder (BED) in obese patients. This study compared the effectiveness of a usual care plus self-help version of cognitive behavioral therapy (shCBT) to usual care (UC) only in ethnically/racially diverse obese patients with BED in primary care settings in an urban center.

Method

48 obese patients with BED were randomly assigned to either shCBT (N = 24) or UC (N = 24) for four months. Independent assessments were performed monthly throughout treatment and at post-treatment.

Results

Binge-eating remission rates did not differ significantly between shCBT (25%) and UC (8.3%) at post-treatment. Mixed models of binge eating frequency determined using the Eating Disorder Examination (EDE) revealed significant decreases for both conditions but that shCBT and UC did not differ. Mixed models of binge eating frequency from repeated monthly EDE-questionnaire assessments revealed a significant treatment-by-time interaction indicating that shCBT had significant reductions whereas UC did not during the four-month treatments. Mixed models revealed no differences between groups on associated eating disorder psychopathology or depression. No weight loss was observed in either condition.

Conclusions

Our findings suggest that pure self-help CBT did not show effectiveness relative to usual care for treating BED in obese patients in primary care. Thus, self-help CBT may not have utility as a front-line intervention for BED for obese patients in primary care and future studies should test guided-self-help methods for delivering CBT in primary care generalist settings.     

Dodecagonal quasicrystal in Mn-based quaternary alloys containing Cr,Ni and Si

A dodecagonal quasicrystal showing 12-fold symmetry forms in Mn-rich quaternary alloys containing 5.5 or 7.5 at.% Cr, 5.0 at.% Ni and 17.5 at.% Si. After annealing at 700 °C for 130 h, the quasicrystal precipitated in a matrix of β-Mn-type crystalline phase. The shape of the quasicrystal is needle-like having a length of several tens of micrometres. Electron diffraction as well as powder X-ray diffraction experiments has revealed the following characteristics of the quasicrystal: diffraction symmetry 12/mmm, the presence of systematic extinction for h₁h₂h₂h₁h₅-type reflections with odd h₅ index, and then five-dimensional space group P12₆/mmc. Indexing of the reflections indicated that the dimension of the common edge in the equilateral triangle–square tiling is 4.560 Å, and the periodicity is 4.626 Å along the 12-fold axis. This is the first example of the dodecagonal quasicrystal synthesized by ordinary metallurgical method in 3-d transition-metal alloys.     

Self-awareness and self-monitoring of cognitive and behavioral deficits in behavioral variant frontotemporal dementia, primary progressive aphasia and probable Alzheimer's disease

Lack of insight is a core diagnostic criterion for behavioral variant frontotemporal dementia (bvFTD), and is believed to be intact in the early stages of primary progressive aphasia (PPA). In other neurological conditions, symptom-specific insight has been noted, with behavioral symptoms appearing especially vulnerable to reduced insight. Different components of insight, self-awareness and self-monitoring, are also often considered separate phenomena. The current study compared insight in patients with PPA, bvFTD, and probable Alzheimer's disease (PrAD) and a group of cognitively intact control subjects. Additionally, differences in insight for the domains primarily affected by the three types of dementia, namely, Behavior, Naming, and Memory, were assessed, and self-awareness and self-monitoring were compared. A total of 55 participants were enrolled. Participants were asked to complete self-estimate scales demonstrating their perceived ability immediately prior to, and immediately following a test in each domain of interest. Results indicated that PPA and normal control groups performed very similarly on control (Weight and Eyesight) and cognitive domains, whereas bvFTD and PrAD patients were unable to accurately assess Memory. All three diagnostic groups failed to accurately assess their behavioral symptoms, suggesting that this domain is vulnerable to loss of insight across diagnoses. Naming ability, in contrast, was either accurately assessed or underestimated in all groups. Finally, there were no notable differences between self-awareness and self-monitoring, potential explanations for this are examined.     

Variation in the Use of Pronouns as a Function of the Topic of Argumentation in Young Writers Aged 11 Years

In our view, the ability to impose moral values which may be, to some extent, either shared or conflictual, influences the strategy adopted when writing argumentative texts. Our hypothesis is that the greater the socio-moral distance between the writers’ representations (the writers in this case being children) and those of the recipients (here the parents), the more likely it is that writing will be successful. Three topics derived from a preliminary experiment and corresponding to significant differences in opinion between children and parents were tested in a population of 11-year-old pupils. The pupils had to write a letter designed to convince their parents about one of these topics. We analyzed the texts in order to identify the different configurations in the frequencies of use of the pronouns (frequencies of Je (I), Tu (You), Il (He), On (One/We)) and adverbs. These frequencies differed depending on the topic that was being written about (the moral context that is mobilized).

小学教师课堂信息表征对知觉加工能力影响的研究

对80名20～40岁小学教师进行实验室实验与心理测验,探讨小学教师表征深度对不同类型课堂信息加工速度和判断准确性的影响,并对部分参加实验教师的课堂教学情况进行了访谈。结果表明:表征深度对课堂信息加工速度有显著的影响,对课堂信息判断正确率没有影响;教师课堂教学情况的访谈结果与实验研究结果基本一致。     

Infra-humanization: Ambivalent sexism and the attribution of primary and secondary emotions to women

Leyens and colleagues (e.g., Leyens et al., 2001) have observed that people are more likely to attribute uniquely human (secondary) emotions to the in-group than to the out-group. We examined whether males and females differentially attribute primary and secondary emotions to women. We hypothesized that individual differences in hostile sexism (HS) and benevolent sexism (BS), rather than participant sex, would predict the attribution of emotions to women. As expected, high BS individuals were more likely to attribute positive secondary emotions to women than low BS individuals. In contrast, high HS individuals were more likely to deny positive secondary emotions to women than low HS individuals. Participant sex was not related to the attribution of emotions to women after the effects of HS and BS were accounted for.     

语言,语义,语言表征,心理理论--从语言获得建构理论谈心理理论和语言能力的关系

语言获得建构论认为儿童利用社会和一般的认知技能进行范畴化。通过主动的用法建构获得语言符号系统。通过大量研究分析推断：儿童心理理论的发展是儿童社会认知概念系统发展和语言表征发展的结果。通过概念系统发展和语言表征以及语言功能性发展的分析,有助于理解语言能力和心理理论的关系。     

Dreaming and waking: similarities and differences revisited

Dreaming is often characterized as lacking high-order cognitive (HOC) skills. In two studies, we test the alternative hypothesis that the dreaming mind is highly similar to the waking mind. Multiple experience samples were obtained from late-night REM sleep and waking, following a systematic protocol described in Kahan (2001). Results indicated that reported dreaming and waking experiences are surprisingly similar in their cognitive and sensory qualities. Concurrently, ratings of dreaming and waking experiences were markedly different on questions of general reality orientation and logical organization (e.g., the bizarreness or typicality of the events, actions, and locations). Consistent with other recent studies (e.g., [Bulkeley and Kahan, 2008] and [Kozmová and Wolman, 2006] ), experiences sampled from dreaming and waking were more similar with respect to their process features than with respect to their structural features.     

Integrating mind and body: Graduate psychology education in primary behavioral health care

Extensive research supports the biopsychosocial model, but the current health care system generally operates according to a model of mind-body dualism. Integrated primary behavioral health care offers an alternative to this dualism. This paper describes the University of Louisville Graduate Psychology Education (GPE) program, a pre-doctoral integrated primary behavioral health care training program. This program emphasizes four shared psychosocial determinants that have been associated with physical health status: Victimization and potentially traumatic stress exposure, emotional functioning, social relationship functioning, and illness representations. It does so within the broader context of providing care for individuals who are underserved and economically disadvantaged. The initial phase of the program is evaluated and implications for graduate psychology education and patient care are discussed.     

A Discourse on Educational Leadership: Global Themes,Postmodern Perspectives

Epistemology mirrors reality but notperfectly, and in the process molds reality butnot exactly as intended or anticipated. Horizontal interconnections also exist betweenand among epistemology, ideology, theory andpraxiology. However, these relations areneither deductive nor deterministic in naturebut are merely resonant, and then unclear,ambiguous and confounded. In this paper, thepoint is made that we need a grand reflectionon both our paradigms of reality and ourpredicaments of life as lived, to deal with thediscontent of humanity at this moment of thehistory of our civilization, and to engage inpraxis ``to act on our world and to reconstructit' to make it moral, just and more humane. Toundertake such a grand reflection, we need apractical philosophy of knowledge – that is, apractical epistemology – to bridge across themultiple epistemological approaches nowcrowding our discussions. An epistemictriangle formed by systems thinking,constructivist thinking, and dialecticalthinking is offered to serve as the startingpoint of crystallization for building a commonground for epistemologies. It is shown how suchan epistemological diagram could be first usedto develop a minimum ideological consensus andthen to bring orderliness to the chaos ofcontemporary themes of our civilization andissues of education and culture within andacross nations. Finally, an agenda foreducational leadership for educational practiceis offered to fit the needs of the globalcommunity of nations as we enter thetwenty-first century.