Brief Behavioral Activation Treatment for Depressed Adolescents Delivered by Nonspecialist Clinicians: A Case Illustration

Behavioral activation (BA) can be as effective as cognitive-behavioral therapy for the treatment of depression in adults, but to date there is little research with adolescents. This is problematic given the recognized need to increase access to evidence-based interventions for depression in young people. We have developed a new adaptation of brief Behavioral Activation (Lejuez, Hopko, Acierno, Daughters, & Pagoto, 2011) specifically for young people: Brief BA for depressed adolescents. In this paper, we use a case example with session-by-session measurement to show how a nonspecialist clinician can deliver this intervention successfully. We discuss the key themes arising from this training case, challenges the clinician faced, and how these were managed through training and supervision.     

Efficacy of Guided iCBT for Depression and Mediation of Change by Cognitive Skill Acquisition

Guided internet CBT (iCBT) is a promising treatment for depression; however, it is less well known through what mechanisms iCBT works. Two possible mediators of change are the acquisition of cognitive skills and increases in behavioral activation. We report results of an 8-week waitlist controlled trial of guided iCBT, and test whether early change in cognitive skills or behavioral activation mediated subsequent change in depression. The sample was 89 individuals randomized to guided iCBT (n = 59) or waitlist (n = 30). Participants were 75% female, 72% Caucasian, and 33 years old on average. The PHQ9 was the primary outcome measure. Mediators were the Competencies of Cognitive Therapy Scale–Self Report and the Behavioral Activation Scale for Depression–Short Form. Treatment was Beating the Blues plus manualized coaching. Outcomes were analyzed using linear mixed models, and mediation with a bootstrap resampling approach. The iCBT group was superior to waitlist, with large effect sizes at posttreatment (Hedges’ g = 1.45). Dropout of iCBT was 29% versus 10% for waitlist. In the mediation analyses, the acquisition of cognitive skills mediated subsequent depression change (indirect effect = -.61, 95% bootstrapped biased corrected CI: -1.47, -0.09), but increases in behavioral activation did not. iCBT is an effective treatment for depression, but dropout rates remain high. Change in iCBT appears to be mediated by improvements in the use of cognitive skills, such as critically evaluating and restructuring negative thoughts.     

Rate of Torque Development and Feedforward Control of the Hip and Knee Extensors: Gender Differences

The purpose of this study was to determine whether women demonstrate decreased rate of torque development (RTD) of the hip and knee extensors and altered onset timing of the vastus lateralis and gluteus maximus during a drop-jump task when compared with men. On average, women demonstrated significantly lower normalized RTD of the hip extensors (women: 11.6 ± 1.3 MVT.s^?1, men: 13.1 ± 0.9 MVT.s^?1; p ≤ .01); however, there was no significant difference in knee extensor RTD. Women also demonstrated significantly earlier activation of their vastus lateralis (women: 206.0 ± 130.6 ms, men: 80.9 ± 69.6 ms; p ≤ .01) and gluteus maximus (women: 85.7 ± 58.6 ms, men: 54.5 ± 35.4 ms; p = .02). In both men and women, there was a significant negative correlation between the hip extensor RTD and the vastus lateralis electromyographic onset time (men: r = –.386, p = .046; women: r = –.531, p = .008). The study findings suggest that women may utilize a feedforward control strategy in which they activate their knee extensors earlier than men to compensate for deficits in hip extensor RTD. The impaired capacity to rapidly stabilize the hip and knee joints during dynamic maneuvers may contribute to the increased risk of anterior cruciate ligament injury observed in women.     

The role of response readiness in subliminal visuomotor processes

The present study aims to examine the impact of response readiness on visuomotor processes triggered by subliminal stimuli using a mixed paradigm involving the masked prime paradigm and a foreperiod paradigm. Experiment 1 ensured that response readiness was successfully manipulated in the mixed paradigm. Importantly, Experiment 2 found that the negative compatibility effect (NCE; a behavioral indicator of subliminal visuomotor processes) disappeared and that response time lost its power to modulate the compatibility effect (CE) with reduced response readiness (due to temporal uncertainty). These results of CEs both independent of response latency and across different levels of response latency indicate that response readiness is a prerequisite for obtaining the NCE. The findings suggest that automatic processing of subliminal stimuli is susceptible to top-down control for reducing the interference of irrelevant information, which ensures a high degree of adaptability and flexibility of our cognitive system in interactions with the changing environment.     

午睡剥夺对科学发明问题解决中的原型启发效应的影响

选取生态效度较高的科学发明问题材料(分为高启发量与低启发量两类),采用“1对1”和“8对8”的“学习-测试”实验范式,考察午睡剥夺对科学发明问题解决中的原型启发效应的影响.结果发现:午睡剥夺处理、范式(“1对1”和“8对8”)和材料启发量高低在原型激活率和问题解决率上主效应均显著,午睡剥夺和范式以及启发量高低在问题解决率以及原型激活率上的交互作用不显著.这一结果说明,午睡剥夺影响科学发明问题解决中的原型启发效应,这种影响是通过对启发信息应用和原型激活两个加工过程的影响而实现的.     

创新思维中原型激活促发顿悟的认知神经机制

创造性是人类智能的高级表现, 创新思维则是个体创造性的核心过程。我们以创造性问题解决中的顿悟过程为研究对象, 提出并验证了创新思维中原型激活促发顿悟的理论构想; 综合运用事件相关电位(ERP)和功能性核磁共振(fMRI)的技术优势, 初步揭示了原型激活促发顿悟的大脑机制。具体表现为, 楔前叶的激活可能与原型激活和关键信息提取有关; 左侧额下回/额中回的激活可能与与思维定势打破和新异联结形成有关; 同时研究也表明大脑的特定准备状态(额中回/扣带前回的激活)对顿悟的产生有积极的促进作用。     

The influence of forward and backward associative strength on false memories for encoding context

Two experiments examined the effects of forward associative strength (FAS) and backward associative strength (BAS) on false recollection of unstudied lure items. Themes were constructed such that four associates were strongly related to a lure item in terms of FAS or BAS and four associates were weakly related to a lure item in terms of FAS or BAS. Further, when FAS was manipulated, BAS was controlled across strong and weak associates, while FAS was controlled across strong and weak associates when BAS was manipulated. Strong associates were presented in one font while weak associates were presented in a second font. At test, lure items were disproportionately attributed to the source used to present lures' strong associates compared to lures' weak associates, both when BAS was manipulated and when FAS was manipulated. This outcome demonstrates that both BAS and FAS influence lure item false recollection, which favours global-matching models' explanation of false recollection over the explanation offered by spreading activation theories.     

Shoulder Joint Position Sense Improves With External Load

Joint position sense (JPS) is important in the maintenance of optimal movement coordination of limb segments in functional activities. Researchers have shown that the sensitivity of musculotendinous mechanoreceptors increases as muscle activation levels increase. In the present study, when 25 participants tried to replicate the same presented position, both vector and elevation angle repositioning errors decreased linearly as the external load increased up to 40% above unloaded shoulder torque. However, external load had no effect on plane repositioning error. The results indicated that JPS increased under conditions of increasing external load but only in the direction of the applied load. That finding indicates that JPS acuity improves as muscle activation levels increase.     

A Cerebral Hyperventilation Index for Electroencephalography

This study was an attempt to determine the effect of drive on probability learning. Each of two groups of Ss was divided into high- and low-drive groups on the basis of MAS scores. Each S was given 200 trials on a probability learning task, with 70 per cent reinforcement on one side and 30 per cent reinforcement on the other. At the .05 level, there was no difference between groups in probability choices, and neither group differed from the objective probability scores. The results are discussed in terms of the number of trials involved, the introduction of emotional arousal, and Hullian theory. On the basis of a comparison with the results of previous studies, it was suggested that investigators be cautious in generalizing probability learning results from one species to another.     

Facial expressions can inhibit the activation of gender stereotypes

ABSTRACT

Using faces as the priming stimuli, the present study explored the influence of facial expressions on the activation of gender stereotypes using a lexical decision paradigm. Experiment 1 explored the activation of gender stereotypes when the facial primes contained only gender information. The results showed that gender stereotypes were activated. In Experiment 2, the facial primes contained both gender category and expression information. The results indicated that gender stereotypes were not activated. Experiment 3 required the participants to make emotion, gender, or impression decisions concerning the facial primes before the lexical decision task. The results showed that gender stereotypes were not activated in emotion and impression decisions conditions, whereas stereotypes were activated in gender decisions condition. These finding suggest that facial expressions can inhibit automatic activation of gender stereotypes, unless the perceivers perform gender categorization processing to prime faces intentionally.