Comorbidity and Internet-Delivered Transdiagnostic Cognitive Behavioural Therapy for Anxiety Disorders

Internet-delivered transdiagnostic anxiety interventions aim to reduce symptoms across several anxiety disorders using one treatment protocol. However, it is unclear whether comorbidity affects outcomes of such treatment. This study re-examined data from a recent randomised controlled trial (N = 129) that evaluated the efficacy of an Internet-delivered transdiagnostic cognitive behavioural therapy (iCBT) intervention for participants with principal diagnoses of generalised anxiety disorder (GAD), social phobia (SP) panic disorder and agoraphobia (PDA), of whom 72% met criteria for a comorbid anxiety disorder or depression. Participants were divided into two groups based on whether or not they had a comorbid disorder before treatment. Participants with comorbid conditions reported higher symptom levels at pre-treatment, post-treatment, and follow-up across a range of measures. Both groups showed significant reductions in symptoms over treatment; however, participants with comorbid disorders showed greater reductions in measures of GAD, PDA, SP, depression, and neuroticism. In addition, treatment significantly reduced the number of comorbid diagnoses at follow-up. These results indicate transdiagnostic iCBT protocols have the potential to reduce comorbidity.     

My Disaster Recovery: a pilot randomized controlled trial of an Internet intervention

Abstract

This pilot study tested the efficacy of the My Disaster Recovery (MDR) website to decrease negative affect and increase coping self-efficacy. Fifty-six survivors of Hurricane Ike were recruited from a larger study being conducted at the University of Texas Medical Branch at the first anniversary of the storm. Restricted randomization was used to assign participants to the MDR website, an information-only website, or a usual care condition. Group×time interactions indicated that MDR reduced participant worry more than the other conditions. A similar trend was also identified for depression. Both websites were accessed a small to moderate amount and participants reported mixed satisfaction for both websites. Although the effect sizes for worry and depression were in the moderate to large range, small sample size and timing of the intervention qualify the findings. These preliminary findings encourage further evaluation of MDR with a larger, demographically diverse sample and indicate that the MDR website might be helpful in reducing worry and depression.     

幼儿在集合比较中运用数数的实验研究

本研究中运用了两个实验探讨数数干预和测查条件对儿童在集合比较中运用数数的影响。干预对3岁儿童(M=3：9)没有影响。在平均年龄为4岁4个月时．干预组儿童比控制组儿童更倾向于用数数比较集合．自然组儿童也比传统组更倾向于用数数。许多4岁儿童在无干预时不用数数可能是因为,1)不知数数比视觉性比较更有效,或2)他们在集合比较中的数数极易受测查情景因素的影响。儿童在集合比较中的数数运用与他们的数数水平密切关联。     

Belief Reasoning and Emotion Understanding in Balanced Bilingual and Language-Dominant Mexican American Young Children

Belief reasoning and emotion understanding were measured among 102 Mexican American bilingual children ranging from 4 to 7 years old. All children were tested in English and Spanish after ensuring minimum comprehension in each language. Belief reasoning was assessed using 2 false and 1 true belief tasks. Emotion understanding was measured using subtests from the Test for Emotion Comprehension. The influence of family background variables of yearly income, parental education level, and number of siblings on combined Spanish and English vocabulary, belief reasoning, and emotion understanding was assessed by regression analyses. Age and emotion understanding predicted belief reasoning. Vocabulary and belief reasoning predicted emotion understanding. When the sample was divided into language-dominant and balanced bilingual groups on the basis of language proficiency difference scores, there were no significant differences on belief reasoning or emotion understanding. Language groups were demographically similar with regard to child age, parental educational level, and family income. Results suggest Mexican American language-dominant and balanced bilinguals develop belief reasoning and emotion understanding similarly.     

Modeling Clustered Data with Very Few Clusters

Small-sample inference with clustered data has received increased attention recently in the methodological literature, with several simulation studies being presented on the small-sample behavior of many methods. However, nearly all previous studies focus on a single class of methods (e.g., only multilevel models, only corrections to sandwich estimators), and the differential performance of various methods that can be implemented to accommodate clustered data with very few clusters is largely unknown, potentially due to the rigid disciplinary preferences. Furthermore, a majority of these studies focus on scenarios with 15 or more clusters and feature unrealistically simple data-generation models with very few predictors. This article, motivated by an applied educational psychology cluster randomized trial, presents a simulation study that simultaneously addresses the extreme small sample and differential performance (estimation bias, Type I error rates, and relative power) of 12 methods to account for clustered data with a model that features a more realistic number of predictors. The motivating data are then modeled with each method, and results are compared. Results show that generalized estimating equations perform poorly; the choice of Bayesian prior distributions affects performance; and fixed effect models perform quite well. Limitations and implications for applications are also discussed.     

符号数量和非符号数量的空间表征:5岁儿童的SNARC效应和距离效应

对物理刺激的数量信息表征是符号数字表征的前提和基础,据此假设在儿童的SNARC效应发生的时序问题上,非符号数量(如面积)的空间表征早于符号数量(如阿拉伯数字)的空间表征。本研究邀请5岁幼儿完成数字比较和面积比较两类任务,结果发现在数字比较任务中没有出现SNARC效应,但却存在距离效应;在面积比较任务中出现了SNARC效应和距离效应。可以推断,在阿拉伯数字的空间表征出现之前,儿童已经能够对非符号数量信息进行空间表征。     

Studies on spontaneous attention to number (SAN) are based on spontaneous focusing on numerosity (SFON)

Li and Baroody presented a study in which they investigate children’ spontaneous attention to exact quantity without acknowledging how previous studies of spontaneous focusing on numerosity (SFON) are related to their concept and methods. The authors’ reaction to our pointing this out makes it is clear that SFON research has had foundational role in the development of Baroody and his colleagues spontaneous attention to number (SAN) idea. Thus the authors must acknowledge the SFON literature as the substantial part of their theoretical and methodological construct. The latest definition of SAN states this undeniably. “SAN is the attentional process that underlies exact number recognition initiated by the mathematical thinking triggered by SFON (e.g., attention to “threeness” directed by conceptual knowledge of “three” activated by SFON).” Furthermore, in their response, Dr Baroody and Dr Li admit that “An awareness of the SFON literature did help us explicitly recognize that, given the ambiguous instructions that do not explicitly direct a child’s attention to number, both the nonverbal production and matching tasks were useful in assessing unguided or spontaneous attention to a number.” It is surprising that in their response to the European Journal of Educational Psychology, the authors maintain their claim that they have cited the SFON literature adequately in their study about SAN.     

Quantified Propositional Logic and the Number of Lines of Tree-Like Proofs

There is an exponential speed-up in the number of lines of the quantified propositional sequent calculus over Substitution Frege Systems, if one considers proofs as trees. Whether this is true also for the number of symbols, is still an open problem. This revised version was published online in June 2006 with corrections to the Cover Date.