Brief Cognitive-Behavioral Therapy for Suicidal Inpatients

Suicide risk is elevated in psychiatric patients following discharge from inpatient care. Despite this vulnerability, there has been limited research investigating suicide prevention protocols that take into account the unique system characteristics of this setting (e.g., short lengths of stay, crisis stabilization treatment model, multidisciplinary team coordination). Cognitive-behavioral therapy (CBT) has demonstrated efficacy for improving suicide risk in outpatients, but has not been validated with inpatients. The current study was a treatment development and pilot feasibility open trial that modified brief cognitive-behavioral therapy (BCBT) for an inpatient setting (BCBT-I). Key treatment modifications included administering up to 10 sessions (depending on patient length of stay), daily, and in a standardized order, with core crisis management skills introduced during the first three sessions. In addition, coordination with the inpatient treatment team was included in BCBT-I implementation. Six adult inpatients with a recent suicide attempt enrolled and completed an average of 4.67 BCBT-I sessions (SD = 1.36). The treatment was highly acceptable (Client Satisfaction Questionnaire total score M = 3.49, SD = 0.73). Pre- to posttreatment effect sizes demonstrated improvements in suicidal ideation (d = 0.97), depression (d = 1.33), and suicidal implicit associations (d = 1.28). All but one of the participants (83%) completed follow-up assessments 1-, 2-, and 3-months postdischarge. Over follow-up, two participants reported suicidal ideation (both without intent), and none reported suicide attempts, preparatory acts or behaviors, or nonsuicidal self-injury. This study provided preliminary evidence supporting the feasibility of CBT to treat suicidal inpatients. Future research is needed to validate BCBT-I in a larger, randomized controlled trial to determine whether BCBT-I reduces suicide risk beyond that afforded by inpatient treatment alone.     

Comparing computer‐based training and lecture formats to teach visual analysis of baseline‐treatment graphs

Accurate analysis of data is vital to the validation of interventions. As such, there has been a recent increase in studies evaluating visual analysis training procedures. However, past investigations have not evaluated direct and indirect visual analysis training methods with matched instructional content that was systematically designed. Furthermore, training has rarely included assessment of generalization and maintenance of visual analysis skills. The purpose of the current dissertation study was to compare the effectiveness and efficiency of (a) computer‐based training, (b) lecture formats with and (c) without the opportunity to pause, and (d) a no‐training group to teach visual analysis of AB graphs to university students. To make these formats directly comparable, the instructional content was equated by ensuring information and examples were identical across the three training procedures. Eighty‐three students were randomly assigned to one of the four groups. Results showed that all three training formats produced increases in accurate responding compared to the no‐training group. Visual analysis skills generalized to novel graphs and maintained approximately 2 weeks following all trainings. These results suggest that structured approaches that are carefully designed to train visual analysis are effective and lead to gains that generalize and maintain in the absence of training.     

Psychometric properties of the French version of Brief Sensation Seeking Scale (B-SSS)

IntroductionA French version of the Briefing-Sensation Seeking Scale (B-SSS) (Hoyle et al., 2002) was developed according to a process of double reverse translation.ObjectiveTwo studies were then led to validate the psychometrics properties (validity and the reliability) of this French version of the B-SSS.MethodsIn the first study, 97 participants (14–24 years old) answered the original version (in English) and the translated version (in French). In the second study, 124 participants (14–24 years) answered the French version at two times measurement. Psychometrics analyses brings together reliability indices (Cronbach's alpha and temporal stability) and concurrent validity indices.ResultsFor both studies, Cronbach alphas were used to assess internal consistency, while intraclass coefficients (ICC) demonstrated temporal stability. In the second study, Pearson correlations between the French version and the ImpSS supported concurrent validity. Reliability is acceptable in the first study (α = .601 in, 674; ICC = .550–.895) and satisfactory in the second study (α = .734–.755; ICC = .650–.948). Pearson's correlation of the French version of the B-SSS and the ImpSS varies between .658 and .754.ConclusionPsychometrics properties of the French version of the B-SSS show that this scale can be used to measure sensation seeking with teenagers and for young adults.     

Information seeking on Bayesian conditional probability problems: A fuzzy-trace theory account

Recently, the ‘heuristics and biases’ approach to the study of decision making has been criticized, with a call for better integrated theory. Three experiments stemming from fuzzy-trace theory addressed information seeking on probability problems, and the cognitive representation of hit-rates, base-rates, and the contrapositive. As predicted by the fuzzy-trace principle of ‘denominator neglect’, many subjects exhibited ‘conversion errors’, confusing the hit-rate, P(A|B), with the answer, P(B|A). These subjects sought base-rates less often than other subjects. On causal problems, more subjects correctly represented base-rates, sought base-rates more often, and produced more accurate estimates than on non-causal problems. Subjects tutored on the meaning of the hit-rate sought the base-rate more often, and were more accurate than control subjects. Results are explained by fuzzy-trace theory principles of gist extraction, fuzzy processing preference, denominator neglect, and output interference.     

A preliminary evaluation of treatment duration on the resurgence of destructive behavior

Quantitative models of resurgence (e.g., Behavioral Momentum Theory, Resurgence as Choice) suggest that resurgence is partly a function of the duration of extinction exposure, with longer histories of extinction producing less resurgence. This prediction is supported by some laboratory research and has been partially supported by clinical translations that did not isolate the effects of extinction exposure prior to testing for resurgence. The degree to which different histories of extinction impact the likelihood of treatment relapse in therapeutic applications of differential reinforcement is of great interest to the clinical community, including insurance carriers and other financial providers. In the present study, we isolated the effects of extinction history for severe destructive behavior across 6 participants referred for treatment services and examined resurgence of destructive behavior when alternative reinforcement terminated. Our within-subject evaluation showed no difference in the level of resurgence or persistence of destructive behavior following short and long exposures to differential reinforcement with extinction. We discuss our failure to replicate in relation to experimental-design considerations for investigating this and other relapse phenomena in future research with clinical populations.     

A Meta-Analysis of Program Characteristics for Youth with Disruptive Behavior Problems: The Moderating Role of Program Format and Youth Gender

There is high variability in efficacy for interventions for youth with disruptive behavior problems (DBP). Despite evidence of the unique correlates and critical consequences of girls’ DBP, there is a dearth of research examining treatment efficacy for girls. This meta-analysis of 167 unique effect sizes from 29 studies (28,483 youth, 50% female; median age: 14) suggests that existing treatments have a medium positive effect on DBP (g = .33). For both boys and girls, the most effective interventions included (a) multimodal or group format, (b) cognitive skills or family systems interventions, and (c) length-intensive programs for (d) younger children. Boys demonstrated significantly greater treatment gains from group format interventions compared to girls, which is particularly important given that the group program format was the most prevalent format for boys and girls, with 14 studies involving 10,433 youth encompassing this category. This is the first meta-analysis to examine the effect of program characteristics in a sample of programs selected to be specifically inclusive of girls. Given that girls are underrepresented in intervention research on DBP, findings are discussed in terms of gender-responsive considerations and elucidating how key aspects of program structure can support more effective intervention outcomes for youth.     

Examining children's ability to delay reward: Is the delay discounting task a suitable measure?

Discounting the value of delayed rewards has primarily been measured in children with the delay of gratification task and in adolescents and adults with the delay discounting task. In the present study, we assessed the suitability of the delay discounting task as a measure of temporal discounting in children. A sample of 7- to 9-year-olds (N = 98) completed a delay discounting task, a delay of gratification task, a sensation seeking measure, and IQ measures. In addition, teacher-based assessments of attention-deficit/hyperactivity disorder traits were measured. The results indicated that the majority of children produced meaningful data on the discounting task and discounted rewards hyperbolically. Children with an elevated risk of attention-deficit/hyperactivity disorder showed a trend towards discounting future rewards on the delay discounting task more steeply than did those at low risk. However, delay discounting was unrelated to either delay of gratification or sensation seeking. We interpret these results as providing some support for the use of delay discounting as a measure of intertemporal choice in children, although the results also suggest that delay discounting and delay of gratification tasks may tap different processes in this population.     

Shivering for Status: When Cold Temperatures Increase Product Evaluation

While anecdotal evidence suggests that consumers maintain an association between high‐status products and cold temperature, no research has empirically examined this linkage. We propose and demonstrate that physical cold can indeed increase consumers’ perceptions of a product's status signaling and luxuriousness. We demonstrate this consequence can stem from tactile or visually induced temperatures and ultimately increase consumers’ overall evaluations of products. Finally, we highlight boundary conditions for when the effect is likely to manifest. Our findings offer theoretical contributions along with several practical implications for retailing, product design, brand management, and marketing communications.