Treating Obsessive-Compulsive Disorder in Intimate Relationships: A Pilot Study of Couple-Based Cognitive-Behavior Therapy

Although cognitive-behavioral therapy (CBT) involving exposure and response prevention (ERP) is an established treatment for obsessive-compulsive disorder (OCD), not all patients respond optimally, and some show relapse upon discontinuation. Research suggests that for OCD patients in close relationships, targeting relationship dynamics enhances the effects of CBT. In the present study, we developed and pilot tested a 16-session couple-based CBT program for patients with OCD and their romantic partners. This program included (a) partner-assisted ERP, (b) techniques targeting maladaptive relationship patterns focal to OCD (e.g., symptom accommodation), and (c) techniques targeting non OCD-related relationship stressors. OCD, related symptoms, and relationship functioning were assessed at baseline, immediately following treatment (posttest), and at 6- and 12-month follow-up. At posttest, substantial improvements in OCD symptoms, relationship functioning, and depression were observed. Improvements in OCD symptoms were maintained up to 1 year. Results are compared to findings from studies of individual CBT for OCD and discussed in terms of the importance of addressing interpersonal processes that maintain OCD symptoms.     

Refining the two‐parameter testlet response model by introducing testlet discrimination parameters

For testlet response data, traditional item response theory (IRT) models are often not appropriate due to local dependence presented among items within a common testlet. Several testlet‐based IRT models have been developed to model examinees' responses. In this paper, a new two‐parameter normal ogive testlet response theory (2PNOTRT) model for dichotomous items is proposed by introducing testlet discrimination parameters. A Bayesian model parameter estimation approach via a data augmentation scheme is developed. Simulations are conducted to evaluate the performance of the proposed 2PNOTRT model. The results indicated that the estimation of item parameters is satisfactory overall from the viewpoint of convergence. Finally, the proposed 2PNOTRT model is applied to a set of real testlet data.     

Response expectancy versus response hope in predicting birth‐related emotional distress and pain

Response expectancies and response hopes have been shown to be two distinct constructs with important implications for nonvolitional outcomes. More specifically, studies show that response expectancies: (1) are sufficient to cause nonvolitional outcomes, (2) are not mediated by other psychological variables, and (3) are self‐confirming while seemingly automatic. A new programmatic research line has differentiated between people's response expectancies and their response hopes regarding nonvolitional outcomes and showed that even if response hope and response expectancy are separate constructs, they are not unrelated. These concepts have not yet been studied in pregnant women. Moreover, determining the causal factors that best explain the variance of emotional distress and pain in pregnancy is of great importance. Thus, the aim of this study was to investigate the interrelations between response expectancy and response hope in pregnant women with respect to (1) emotional distress prior to giving birth and (2) pain during giving birth. Additionally, self‐reported labor hours were analyzed as a secondary outcome. Results show that response expectancy for pain directly predicts pain, and that the discrepancy between response hopes and response expectancies is a strong predictor of investigated outcomes. Thus, our results support the idea that preventive psychological interventions for pregnant women should emphasize adjusting response expectancies and response hopes regarding the pain and emotional distress associated with giving birth. We believe that the results have both theoretical and practical implications and the topic deserves further investigation.     

Event-Related Potential and Behavioral Measures of Attention in 5-, 7-, and 9-Year-Olds

In 2 experiments, the development of auditory selective attention in children was assessed. The participants, aged 5, 7, and 9 years, responded to target stimuli in the left ear for 1 series (ignoring the standard stimuli) and in the right ear for the other series. In Experiment 1, event-related potentials (ERPs) evoked by the auditory stimuli were recorded from frontal, central, and parietal sites. The 9-year-olds showed a greater processing negativity (Nd) to the attended channel compared with the 5-year-olds. Both 7-and 9-year-olds showed significantly larger amplitudes for the P3 component of ERPs in the attended vs. ignored condition. Behaviorally, the 5-year-olds made fewer hits and more false alarms than did older children, and the 9-year-olds made significantly more false alarms than did the 7-year-olds. The results of Experiment 2 showed that the detriment in the performance of the 9-year-olds was a result of task parameters. The inability of 5-year-olds to attend selectively appears to involve problems with the inhibition of the processing of irrelevant information and with selection of the correct response.     

Variation of Isometric Response Force in the Rat

Hungry, unrestrained rats (N = 7) were rewarded for pressing a response beam in excess of 11 different force requirements. Changes in peak force production as a function of peak force requirement were examined by analyses of the first four moments of distributions of peak response forces: constant error, the within-subject standard deviation, skewness, and kurtosis. Results were similar to those previously obtained with human subjects: Constant error was positive at low and negative at high force requirements, the within-subject standard deviation increased as a negatively accelerating function of force requirement, and skewness and kurtosis were positive at low force requirements and decreased to negative values at the highest increments. Additional analyses of response kinetics indicated that rats, like humans, meet increasing force requirements by altering the rate of rise of force. The performance similarities suggest that common processes are engaged by the human and rat motor control systems to solve the problem of generating forces that are appropriate to the prevailing environmental constraints.     

Identification of Interindividual and Intraindividual Movement Patterns in Handball Players of Varying Expertise Levels

The authors examined the movement patterns of 5 left-handed handball players (ranging from beginner to national level) who threw a handball to different sections of a goal as if a goalkeeper were present. The authors used time-continuous, 3-dimensional kinematic data to assess interindividual movement patterns and considered participants' intraindividual differences relative to different targets. Cluster analysis yielded the highest assignment rates for level of expertise; a mean of 92% of trials was correctly assessed. The authors observed an interaction with expertise for the intraindividual movement patterns. Variability in the novice throwers was increased, whereas (a) advanced throwers experienced a period of stability, and (b) the expert thrower's variability was increased. The results indicate that random variability characterizes novice motor performance, whereas active functional variability may exemplify expert motor performance.     

Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised – two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy – Emotional Well-being Subscale) and distress (Profile of Mood States – short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

Psychological stress,appraisal, emotion and Cardiovascular response in a public speaking task

Forty-three undergraduates (30 males, 13 females) prepared and performed a speech task (stressor) or a reading task (no-stressor control). Preparing to speak led to greater threat appraisal, negative emotion, and cardiovascular (CV) response than preparing to read aloud, particularly in speech anxious individuals. Delivering the speech, however, did not result in an increment in CV response over and above preparation. Although threat appraisals could not explain the effect of stress on CV response during task preparation, negative emotion accounted for over half of the effect. These data support the hypothesis that CV response in these studies is at least partially accounted for by psychological processes (stressor-specific anxiety and negative emotional response) and suggests that these processes may be best studied during a period of stressor anticipation.     

Sustained Attention and Executive Functioning Performance in Attention-Deficit/Hyperactivity Disorder

The aim of this study was to further refine the cognitive phenotype of attention-deficit/hyperactivity disorder (ADHD), with respect to the ability to sustain attention and executive functioning. Participants were 34 boys with ADHD (combined type) and 28 normal controls. The groups were closely matched for age and IQ. All participants were 12 years of age. Both groups performed a computerized sustained attention task and a response interference task. Measures related to speed, accuracy, and time on task were collected. We found that children with ADHD performed slower, less accurately, more impulsively, and with less stability than controls. Both groups produced more errors with increasing time on task, reflecting reduced vigilance. Importantly, no interaction with time on task was found. The overall pattern of results suggests that measures related to accuracy are more informative than measures related to speed of responding in refining the cognitive phenotype of ADHD.     

Neuropsychological Deficits in Relation to Symptoms of ADHD: Independent Contributions and Interactions

Twelve children with and without Down syndrome (DS) performed eight subtests of an apraxia battery to determine under what conditions children with DS had difficulty performing representational and nonrepresentational gestures. Participants with DS also completed a dichotic listening test. Participants with DS performed just as well as control participants on all aspects of the apraxia battery except a subtest in which they were required to pantomime tool use from verbal instruction. This suggests that children with DS have difficulty generating an action from memory following verbal instruction. Given the sufficient context or visual demonstration, children with DS performed similar to the other participants. As well, there was a great deal of within-group variability for dichotic listening ear advantage. Participants with a greater left ear advantage on the dichotic listening test committed more errors on an imitation test that also included a verbal component than participants with a greater right ear advantage.