Predictors and consequences of sudden gains in transdiagnostic cognitive-behavioural therapy for anxiety disorders

Sudden gains—substantial stable symptom improvements between consecutive therapy sessions—are a common phenomenon. As condensed points of change, examination of sudden gains can provide insight into mechanisms of therapeutic change. This study investigated the association between sudden gains and cognitive change, therapeutic alliance, and/or client engagement in transdiagnostic group cognitive-behavioural therapy for anxiety disorders. Of 58 treatment initiators, 21% (n = 12) exhibited a sudden gain. Consistent with previous research, sudden gainers demonstrated significantly greater pre- to post-treatment symptom improvement than non-sudden gainers. Observational coding of therapy sessions found that sudden gains were associated with elevated levels of cognitive change and client engagement in the pre-gain session, and elevated levels of cognitive change and therapeutic alliance in the post-gain session. However, these results varied by use of within- and between-subject control comparisons, highlighting the value using a dual control methodology. In context of previous research, the results on cognitive change replicate previous findings in depressive populations, and clarify mixed findings in anxiety populations. The results on therapeutic alliance replicate previous findings for the first time in an anxiety sample, although the between-subject control comparisons revealed complexity previously undetected. This study was also the first to investigate and thus establish the relation between client engagement and sudden gains.     

The Relationship Between Momentary States of Therapist Self-Awareness and Perceptions of the Counseling Process

To investigate the role of momentary self-awareness, beginning therapists and their volunteer clients participated in a postsession process recall in which therapist helpfulness and momentary self-awareness were assessed along with client reactions. Therapist anxiety levels and strategies used to manage hindering self-awareness were also examined. Results suggest that momentary states of heightened therapist self-awareness may be hindering. Specifically, when therapists rated themselves as more self-aware from moment to moment during counseling sessions, they also rated themselves as more anxious before the session and their clients rated them as less helpful during the session. In addition, therapists reported using a variety of strategies to manage distracting self-awareness, including focusing on intervention planning and focusing on the client. Implications for therapist training are discussed.     

Do drives drive the train of thought?—Effects of hunger and sexual arousal on mind-wandering behavior

Physiological needs that are currently unfulfilled are known to affect human cognition and behavior. The present study investigates whether and how the temporary activation of two primary physiological needs, namely hunger and sexual arousal, influence both the frequency and the contents of mind-wandering episodes. To induce hunger, one group of participants fasted for a minimum of five hours whereas another group of participants was exposed to audio material with explicit sexual content to provoke sexual arousal. Both groups as well as an additional control group, which had not received hunger instructions and had not been exposed to arousing material of any kind beforehand, performed a reading task during which mind wandering was assessed using a standard experience-sampling method. Results showed that acute hunger but not elevated sexual arousal renders the occurrence of mind-wandering episodes more likely. Induction of both hunger and sexual arousal rendered the occurrence of need-related off-task thoughts more likely and changed time orientations of mind wandering. The present findings are well in line with the assumption that unfulfilled needs regularly achieve cognitive priority and extend the cognitive-priority idea to self-generated thoughts.     

Predicting sports performance from well-being: A mapping of professional athletes’, amateur athletes’ and non-athletes’ positions

IntroductionPrediction of performance and well-being are two essential keys in sports performance.ObjectiveThe study aimed to map different positions regarding the way in which individuals integrated mentally five elements of eudaimonic well-being (relatedness, autonomy, competence, mental vitality and physical vitality) for predicting the degree of performance at the beginning of a match.MethodTwenty-four non-athletes, 44 amateur athletes and 26 professional athletes indicated their prediction of performance in 32 scenarios constructed from the combination of these elements of well-being. Cluster analysis, ANOVAs, and chi-square test have been done.ResultsTwo positions on prediction of performance were found. The first cluster was called “Sometimes Performance Prediction” and the second cluster was named “Seldom Performance Prediction”. The five elements had a positive effect on the prediction of performance. The composition of both clusters was linked to the level of involvement in sport.ConclusionOffering athletes a “well-being environment” may lead to predict the sports performance.     

The role of parents’ autonomy support and psychological control in sibling relationship functioning through children’s need-based experiences

This study aimed to examine whether parents’ autonomy support and psychological control during sibling conflict would relate to children’s need-based experiences and relationship functioning within the sibling relationship. Two siblings (M_age = 8.61 years, SD = 0.91 and M_age = 10.50 years, SD = 0.94) of 205 families filled out questionnaires. Results showed that parental autonomy support related positively to siblings’ relationship satisfaction via children’s need satisfaction. Additionally, fathers’ psychological control related negatively to provided autonomy support and positively to provided psychological control from one sibling to the other (as reported by the other sibling) and negatively to satisfaction with this relationship via need frustration. These findings highlight the importance of the quality of parents’ involvement during sibling conflict.