Efficacy of Cognitive Therapy for Body Dysmorphic Disorder: A Randomized Controlled Pilot Trial

Dysfunctional cognitive processes and maladaptive interpersonal patterns have been postulated to maintain body dysmorphic disorder (BDD). The present trial evaluated CT for BDD (CT-BDD), which includes modules targeting maladaptive cognitive processing in BDD, as well as elements of schema therapy related to interpersonal problems. We investigated whether (a) CT-BDD is effective, as compared with a wait-list (WL) group at Week 12; (b) outcome of CT-BDD is maintained at posttreatment and 3- and 6-months follow-up; and (c) whether changes in shame and insight mediate changes in BDD symptom severity. Forty adults with BDD were randomized to 36 weeks immediate CT-BDD (n = 21), or to 12-week WL (n = 19). At Week 12, immediate CT-BDD was significantly superior to WL in clinician-rated BDD symptom severity, insight, self-reported BDD symptoms, shame, depression, general symptomatology, and life satisfaction. Changes in outcomes were associated with moderate to large effect sizes at Week 12. Reductions in shame and increase in insight separately mediated changes in BDD symptom severity during treatment at Week 12. From baseline to posttreatment, significant improvements occurred within CT-BDD in clinician-rated symptom severity, insight, depression, global functioning, self-reported BDD symptoms, shame, depression, general symptomatology, and life satisfaction. At posttreatment, improvements were associated with large effect sizes and were maintained at 3- and 6-month follow-up. Preliminary results support the efficacy of CT-BDD. Addressing interpersonal problems in addition to cognitive dysfunctions may increase the benefit of CBT for BDD patients.     

A review of processing and analysing visual metaphors in psychology

IntroductionA visual metaphor is an image depicting an incongruity in the spatial distribution of visual elements, which is not consistent with reality. In this paper, we present an overview of theoretical and empirical studies on visual metaphor processing.ObjectiveFirstly, attention is given to the spatial distribution of visual elements, which defines the type of visual metaphors as well as the meaning operations required to understand the communicative message. The paper then reviews several empirical studies that collect behavioural measures for assessing visual metaphor processing using questionnaires and exploring the role played by cognitive abilities. In line with the contemporary literature, we then present three semiotic dimensions for visual metaphor processing, namely the expression, conceptualisation, and communication. We then present a pilot study that focusses on these three dimensions. Few research studies have collected behavioural data for visual metaphors processing. This may be due to the lack of theoretical framework in the corresponding field of research. These three semiotic dimensions highlight the value of pursuing research on visual metaphors in the scope of psychology. The presented pilot study could be a starting point for the investigation of visual metaphors in the framework of psychology.ConclusionWe propose future avenues of research that consider the visual structure of metaphors and meaning operations while assessing the influence of cognitive abilities in visual metaphor processing.     

Measures of infant self-regulation during the first year of life: A systematic review

This study aimed to systematically review the measures used to assess infant self-regulation during the first 12 months of life. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement protocol. From 235 selected papers, 79 provided information on behavioural and physiological measures to assess infant self-regulation during the first 12 months of life. Thirty-six behavioural (30 observational and 6 parent-report) and five physiological different measures were identified. Studies with a longitudinal design, comprising larger samples, and aiming to assess infant self-regulation later in infancy, mostly used behavioural measures than physiological measures. Studies comprising lower samples and aiming to assess infant self-regulation earlier in infancy, mostly used observational than parent-reported measures. Studies targeting younger infants used physiological measures and studies targeting older infants used behavioural measures, with observational measures used with younger infants and parental-reported measures used with older infants during the first year of life. When measuring self-regulation is important to consider infant's age, to fit the measurement procedures with the self-regulation development level.     

Blinded by trust in close others: Examining the effect of social closeness on cooperative behaviors during the COVID-19 pandemic

In the context of public health crises such as the COVID-19 pandemic, it is essential that individuals cooperate by complying with preventive measures (e.g., wearing a mask). The current research examines how high trust in close others is linked to less cooperation—that is, less compliance with measures—and thus, undermines collective interests. Specifically, we test whether individuals are less willing to comply with preventive measures when interacting with close others they trust. We conducted two experiments in which participants read a vignette depicting a social interaction with either close others (e.g., family) or strangers. Participants had to report the extent to which they would (1) trust the other people in the situation and (2) comply with the mask wearing and physical distancing measures during this interaction. In both experiments, we find that when individuals are considering an interaction with close others, they report experiencing higher trust which is then linked to lower compliance with preventive measures. In Experiment 2, we further demonstrate that participants report less compliance with preventive measures around close others, even when they perceive non-compliance with the measures as morally “wrong”. Our findings shed light on the challenges that compliance with preventive measures poses during social interactions in a context of high trust.     

Judging the Probability of Hypotheses Versus the Impact of Evidence: Which Form of Inductive Inference Is More Accurate and Time‐Consistent?

Inductive reasoning requires exploiting links between evidence and hypotheses. This can be done focusing either on the posterior probability of the hypothesis when updated on the new evidence or on the impact of the new evidence on the credibility of the hypothesis. But are these two cognitive representations equally reliable? This study investigates this question by comparing probability and impact judgments on the same experimental materials. The results indicate that impact judgments are more consistent in time and more accurate than probability judgments. Impact judgments also predict the direction of errors in probability judgments. These findings suggest that human inductive reasoning relies more on estimating evidential impact than on posterior probability.     

Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale

The Child and Adolescent Functional Assessment Scale (CAFAS) is a multidimensional measure of degree of impairment in functioning. Interrater reliability data are presented for lay raters, graduate students, and frontline staff. Reliability was high for the total score and behaviorally-oriented scales. Construct, concurrent, and discriminant validity were assessed with the sample of children and adolescents evaluated at the Fort Bragg Demonstration Evaluation Project. Youth and their caregivers were evaluated via interview and selfcompleted instruments at four time points. Significant correlations were found between the CAFAS and other related constructs. Concurrent validity was demonstrated by logistic regression analyses examining the relationship between CAFAS ratings and problematic behaviors endorsed on measures completed by parents, teachers, or the youth. Youth with higher CAFAS total scores were much more likely to have poor social relationships, difficulties in school, and problems with the law. Discriminant validity was assessed with a repeated measures analysis of variance with intensity of care at intake and time as factors. Youth who were inpatients or in residential treatment centers at intake had higher CAFAS scores than those who were outpatients. These findings provide strong evidence for the reliability and validity of the CAFAS.     

Maintaining High Subject Retention in Follow-Up Studies of Children with Mental Illness

Measuring a program's success in enabling a child to improve functioning at home, school, and the community requires careful tracking of children's progress during the intervention and after it is completed. Attrition is often a major problem in carrying out longitudinal research. I present a number of strategies for maintaining high rates of response in follow-up studies, including how to choose a study design that enhances participation, how to locate study participants, how to engage study participants, and how to select and train high quality interviewers. The strategies presented have been used with success by a children's mental health agency and may be helpful to other researchers as they evaluate programs, measure outcomes, and study the life course of children with mental illness.     

Placement Stability Following Short-Term Residential Care

Youth discharged from a short-term residential facility and reunified with their parents were contacted at least one year after discharge to determine whether or not they had a disruption in their placement since reunification. Follow-up intervals of 149 youth contacted (82% of the eligible sample) ranged from a minimum of 12 months to a maximum of 30 months post-discharge. Differences in the time to placement disruption were analyzed using survival analysis techniques. After controlling for adjustment differences during the treatment program, youth behavior problems, and family problems, a significant interaction of youth age and treatment intensity was found: Compared to the others, younger youth who received additional treatment components had placement disruptions later and less frequently.     

Lack of early child care effects on school-age children's social competence and academic achievement

Teacher ratings of social competence and academic achievement were obtained from a sample of 127 Bermudian children at ages 5, 6, 7 and 8 years. The children were studied first during their pre-school years, when they had been exposed to various amounts and qualities of day care. Quality of care was found to be important to the children's intellectual and social development while they were in the day care settings but not after 1–4 years of primary schooling. In hierarchical and simultaneous regressions, family background characteristics, not child care amounts or qualities, were found to be predictive of social competence and academic achievement in the primary grades. By school age, the effects of infant and preschool child care experiences were no longer influential in children's development, but family background continued to be important. These findings and their implications for child care are discussed.     

A priori tests in repeated measures designs: Effects of nonsphericity

The validity conditions for univariate repeated measures designs are described. Attention is focused on the sphericity requirement. For av degree of freedom family of comparisons among the repeated measures, sphericity exists when all contrasts contained in thev dimensional space have equal variances. Under nonsphericity, upper and lower bounds on test size and power of a priori, repeated measures,F tests are derived. The effects of nonsphericity are illustrated by means of a set of charts. The charts reveal that small departures from sphericity (.97 <1.00) can seriously affect test size and power. It is recommended that separate rather than pooled error term procedures be routinely used to test a priori hypotheses.Appreciation is extended to Milton Parnes for his insightful assistance.