《Behavior Therapy》2022,53(3):440-457

Insomnia is highly prevalent among military veterans but access to cognitive-behavioral therapy for insomnia (CBT-I) is limited. Thus, this study examined the feasibility, acceptability, and potential efficacy of Insomnia Coach, a CBT-I-based, free, self-management mobile app. Fifty U.S. veterans, who were mostly male (58%) and mean age 44.5 (range = 28–55) years with moderate insomnia symptoms were randomized to Insomnia Coach (n = 25) or a wait-list control condition (n = 25) for 6 weeks. Participants completed self-report measures and sleep diaries at baseline, posttreatment, and follow-up (12 weeks postrandomization), and app participants (n = 15) completed a qualitative interview at posttreatment. Findings suggest that Insomnia Coach is feasible to use, with three quarters of participants using the app through 6 weeks and engaging with active elements. For acceptability, perceptions of Insomnia Coach were very favorable based on both self-report and qualitative interview responses. Finally, for potential efficacy, at posttreatment, a larger proportion of Insomnia Coach (28%) than wait-list control participants (4%) achieved clinically significant improvement (p = .049) and there was a significant treatment effect on daytime sleep-related impairment (d = −0.6, p = .044). Additional treatment effects emerged at follow-up for insomnia severity (d = −1.1, p = .001), sleep onset latency (d = −0.6, p = .021), global sleep quality (d = −0.9, p = .002), and depression symptoms (d = −0.8, p = .012). These findings provide preliminary evidence that among veterans with moderate insomnia symptoms, a CBT-I-based self-management app is feasible, acceptable, and promising for improving insomnia severity and other sleep-related outcomes. Given the vast unmet need for insomnia treatment in the population, Insomnia Coach may provide an easily accessible, convenient public health intervention for individuals not receiving care.  相似文献   

    

Alice Yuen-ching Keung  Vania Fai-ling Ho  Kathy Kar-man Shum 《The British journal of educational psychology》2022,92(3):1109-1132

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Sleep-disordered breathing and daytime sleepiness predict children’s reading ability     

Dr Anna Joyce CPsychol BSc MSc PhD  Dr Helen L. Breadmore CPsychol FHEA BSc MRes PhD 《The British journal of educational psychology》2022,92(2):576-593

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Peida Zhan  Hong Jiao  Dandan Liao 《The British journal of mathematical and statistical psychology》2018,71(2):262-286

To provide more refined diagnostic feedback with collateral information in item response times (RTs), this study proposed joint modelling of attributes and response speed using item responses and RTs simultaneously for cognitive diagnosis. For illustration, an extended deterministic input, noisy ‘and’ gate (DINA) model was proposed for joint modelling of responses and RTs. Model parameter estimation was explored using the Bayesian Markov chain Monte Carlo (MCMC) method. The PISA 2012 computer-based mathematics data were analysed first. These real data estimates were treated as true values in a subsequent simulation study. A follow-up simulation study with ideal testing conditions was conducted as well to further evaluate model parameter recovery. The results indicated that model parameters could be well recovered using the MCMC approach. Further, incorporating RTs into the DINA model would improve attribute and profile correct classification rates and result in more accurate and precise estimation of the model parameters.  相似文献   

    

Kirsi Stjerna 《Dialog》2018,57(3):173-177

Women—still—experience different forms of sexism in their daily lives. After the sixteenth‐century Protestant proclamation of the blessings of motherhood and women's bodies, and the women's sexual liberation movement of the 1960s, women's real freedoms and rights with their bodies, including sexual relations and procreation, are still being negotiated. Violence against women's bodies, including sex trafficking, relates to both the lack of appropriate education and fundamentally distorted views of humanity. Considering Luther's teaching on women as imago Dei, and attending theologically to the issues pertaining to misogyny—such as reforming the traditionally male‐centered God‐language and challenging the culture's implicit permission for ongoing violence against women—are some of the concrete steps that can be taken. Given the revelations with the #MeToo movement, the ELCA's 2018 draft on the Social Statement on Gender and Justice is timely.  相似文献   

    

Donald H. Baucom  Melanie S. Fischer  Michael Worrell  Sarah Corrie  Jennifer M. Belus  Efthymia Molyva  Sara E. Boeding 《Family process》2018,57(2):275-292

This study represents an effectiveness study and service evaluation of a cognitive behavioral, couple‐based treatment for depression (BCT‐D) provided in London services that are part of the “Improving Access to Psychological Therapies” (IAPT) program in England. Twenty‐three therapists in community clinics were trained in BCT‐D during a 5‐day workshop, followed by monthly group supervision for 1 year. The BCT‐D treatment outcome findings are based on 63 couples in which at least one partner was depressed and elected to receive BCT‐D. Eighty‐five percent of couples also demonstrated relationship distress, and 49% of the nonclient partners also met caseness for depression or anxiety. Findings demonstrated a recovery rate of 57% with BCT‐D, compared to 41% for all IAPT treatments for depression in London. Nonclient partners who met caseness demonstrated a 48% recovery rate with BCT‐D, although they were not the focus of treatment. BCT‐D was equally effective for clients regardless of the clinical status of the nonclient partner, suggesting its effectiveness in assisting both members of the couple simultaneously. Likewise, treatment was equally effective whether or not both partners reported relationship distress. The findings are promising regarding the successful application of BCT‐D in routine clinical settings.  相似文献   

    

Jacqueline A. Sparks  Barry L. Duncan 《Family process》2018,57(3):800-816

Systematic client feedback (SCF) is increasingly employed in mental health services worldwide. While research supports its efficacy over treatment as usual, clinicians, especially those who highly value relational practices, may be concerned that routine data collection detracts from clinical process. This article describes one SCF system, the Partners for Change Outcome Management System (PCOMS), along a normative (standardized measurement) to communicative (conversational) continuum, highlighting PCOMS’ origins in everyday clinical practice. The authors contend that PCOMS represents “both/and,” providing a valid signal of client progress while facilitating communicative process particularly prized by family therapists steeped in relational traditions. The article discusses application of PCOMS in systemic practice and describes how it actualizes time‐honored family therapy approaches. The importance of giving voice to individualized client experience is emphasized.  相似文献   

    

Mary B. Eberly-Lewis  Melissa Vera-Hughes  Taryn M. Coetzee 《The Journal of genetic psychology》2018,179(4):207-218

While particular parenting styles and parenting qualities have been linked to adolescent narcissistic tendencies, their association is likely indirect. Parents aim to indoctrinate adolescents with dispositional tendencies, such as self-confidence independence and a focus on peer acceptance, which incidentally manifest in narcissism. The authors investigated whether mothers' and fathers' positive parenting and lax discipline were linked indirectly to adolescent grandiose narcissism through a need for positive approval and independent self-construal. Adolescents (n = 460; 58.5% girls; age range = 15–18 years) completed several measures online. Structural equation modeling revealed that maternal positive parenting and discipline were indirectly linked to grandiose narcissism through adolescents' need for positive approval. Fathers' positive parenting was linked directly and partially through independent self-construal to grandiose narcissism. Fathers' discipline remained directly associated with adolescent grandiose narcissism. Discussion focuses on the nuanced association between parenting and grandiose narcissism in adolescents and the implications for upholding behavioral standards.  相似文献   

    

Tony Cheng 《Metaphilosophy》2018,49(4):548-567

This paper investigates the complicated relations between various versions of naturalism, behaviorism, and mentalism within the framework of W. V. O. Quine's thinking. It begins with Roger Gibson's reconstruction of Quine's behaviorisms and argues that it lacks a crucial ontological element and misconstrues the relation between philosophy and science. After getting clear of Quine's naturalism, the paper distinguishes between evidential, methodological, and ontological behaviorisms. The evidential and methodological versions are often conflated, but they need to be clearly distinguished in order to see whether Quine's argument against mentalism is cogent. The paper argues that Quine's naturalism supports only the weakest version of behaviorism, that is, the evidential one, but this version is compatible with mentalistic semantics. Quine's opposition to mentalism is an overreaction against the behaviorist camp. By contrast, Jerry Fodor's objection to José Luis Bermúdez is an overreaction from the opposite direction.  相似文献   

    

Devlin Russell 《Canadian journal of philosophy》2018,48(5):742-761

This paper constructs a theory according to which an intention is not a mental state but an action at a certain developmental stage. I model intention on organic life, and thus intention stands to action as (e.g.) tadpole stands to frog. I then argue for this theory by showing how it overcomes three problems: intending while (1) merely preparing, (2) not taking any steps, and (3) the action is impossible. The problems vanish when we see that not all actions are mature. Just as some frogs (such as tadpoles) are immature frogs, some actions (such as intentions) are immature actions.  相似文献