Ambulatory group treatment for cocaine dependent patients combining cognitive behavioral therapy and motivational interviewing

Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.     

Children’s Perspectives and Evaluations of Safety in Diverse Settings and Their Subjective Well-Being: A Multi-National Approach

There is a need to explore variations in children’s safety perceptions for different settings (home, school and neighbourhood) and their relationship with subjective well-being (this including satisfaction with safety and satisfaction with life as whole) by comparing a variety of cultural contexts. A further objective is to explore to what extent gender, age group (10 and 12-year-olds) and level of SWB (measured using the SLSS -Student’s Life Satisfaction Scale- and the BMSLSS -Brief Multidimensional Student’s Life Satisfaction Scale) play a role in this prediction. Results obtained through binary logistic models with samples from Spain (n = 2,724), Algeria (n = 2432), South Africa (n = 2192) and Israel (n = 1914), show that children’s perceptions of safety are predicted by their different perceptions and evaluations of school, home and the nearby area. Perceptions of safety in the nearby area and satisfaction with safety (O.R. = 1.080) contribute to predicting higher levels of satisfaction with life as a whole to a greater extent than scores on the SLSS (O.R. = 1.036) and the BMSLSS (O.R. = 1.050) scales. The country participants live in (especially when combined with satisfaction with safety) and, to a lesser extent gender, also make important contributions. The age group they belong to plays a significant role in predicting higher perceptions of safety at home, in the area nearby, at school, and in predicting higher satisfaction with safety. Results open the door to the introduction of specific interventions (e.g. improving parent-child communication, enhancing public spaces for children to play and promoting children’s participation at school), aimed at promoting higher satisfaction with safety and also indirectly at higher satisfaction with life as a whole, on the basis of achieving positive changes of those factors which make the highest contribution.

     

Changes with Age in Subjective Well-Being Through the Adolescent Years: Differences by Gender

A one-year follow up study was conducted on a sample of 940 Spanish adolescents aged mostly from 10 to 15 in order to explore the extent to which their subjective well-being (SWB) changes from one year to the next, and whether these changes are the same for both genders regardless of the instrument used to measure SWB. Participants responded to the same four SWB scales twice, with an interval of a year in between. A decrease in the levels of SWB is identified from the years 11–12 onwards, the decrease in girls being more marked. Multiple-item, domain-based scales (Brief Multidimensional Student’s Life Satisfaction Scale and Personal Well-Being Index) are more sensitive than single-item scales (Overall Life Satisfaction and Happiness Taking into Account Overall Life) in detecting this decrease. Implications for the study of SWB are discussed from a developmental perspective.     

Non-linearity,Complexity and Limited Measurement in the Relationship Between Satisfaction with Specific Life Domains and Satisfaction with Life as a Whole

In this article we defend that the adoption of a non-linear approach, theoretically framed on complexity theories can make some contribution to the bottom-up approach, which explains the levels of satisfaction with life as a whole through the combination of the levels of satisfaction in different life domains. Two approaches have been tested: (Rojas in J Happiness Stud 7:467–497, 2006) constant elasticity of substitution model and the model with quadratic terms and interaction effects (González et al. in Soc Indic Res 80:267–295, 2006; González et al. in Qual Quant 42:1–21, 2008). In order to prevent obtaining false non-linear relationships they have been analysed twice taking into account or not limited measurement of satisfaction with life as a whole. Results show that: (a) any of the two non-linear models fits better than the linear one; (b) any of the models failing to take into account limited measurement fits worse; (c) the non-linear model with quadratic terms and interaction effects fits better than Rojas’. The implications for the study of psychological well-being are discussed.     

Does subjective well-being show a relationship between parents and their children?

The relationship between the subjective well-being of parents and their own 12–16-year-old children was explored in a Spanish sample of N = 266 families. A positive relationship was expected due to both a shared environment and the possibility of the genetic transmission of subjective well-being ‘set-points’. A positive significant relationship was found for the summated scale of satisfaction domains forming the Personal Well-being Index, and for the specific domains of health and security for the future. However, no relationship was found for the other five domains that make up this Index or for satisfaction with life as a whole. We conclude while these results provide some evidence for the expected influence of a shared environment, they have failed to provide evidence for high heritability of set-points for subjective well-being.     

Ethnic Minority Psychologists: Whom They Mentor and Benefits They Derive From the Process

Ethnic minority psychologists were found to be prolific mentors of both ethnic minority and European American protégés. Mentoring benefits were not related to ethnic similarity.     

Temperament and Personal Wellbeing in a Sample of 12 to 16 Year-Old Adolescents

Working on the basis that temperament – understood as the root from which personality traits emerge – is related to subjective wellbeing, a study was conducted on a sample of 1.483 students in compulsory secondary education aged between 12 and 16, half of whom attended schools in a rural or semiurban area and half in an urban setting. The aims of the study were as follows: a) to determine the level of personal wellbeing in a sample of 12 to 16 year-old adolescents measured using scores obtained from the Personal Wellbeing Index (PWI), and b) to analyse the relationship between temperament, measured using the Early Adolescent Temperament Questionnaire (EATQ-R), and personal wellbeing. Results indicate, among other things, that those temperament dimensions which best predict a high level of personal wellbeing are activity level, affiliation, shyness (with a negative weight), inhibitory control and activation control.     

Psychometric analysis of the AF5 multidimensional scale of self-concept in a sample of adolescents and adults in Catalonia

The aim of this study is to carry out a psychometric study of the AF5 scale in a sample of 4.825 Catalan subjects from 11 to 63 years-old. They are students from secondary compulsory education (ESO), from high school, middle-level vocational training (CFGM) and from the university. Using a principal component analysis (PCA) the theoretical validity of the components is established and the reliability of the instrument is also analyzed. Differential analyses are performed by gender and normative group using a 2 x 6 factorial design. The normative group variable includes the different levels classified into 6 sub-groups: university, post-compulsory secondary education (high school and CFGM), 4th of ESO, 3rd of ESO, 2nd of ESO and 1st of ESO. The results indicate that the reliability of the Catalan version of the scale is similar to the original scale. The factorial structure also fits with the original model established beforehand. Significant differences by normative group in the four components of self-concept explored (social, family, academic/occupational and physical) are observed. By gender, significant differences appear in the component of physical self-concept, academic and social but not in the family component.     

Comorbid attention-deficit/hyperactivity disorder in borderline patients defines an impulsive subtype of borderline personality disorder

In order to examine the impulsive profile of a BPD sample with comorbid ADHD, adult patients who met criteria for BPD were assessed for ADHD with the CAADID and the WURS. A high rate of ADHD in the BPD sample was found, with sixty-nine (38.1%) BPD patients diagnosed as having comorbid adult ADHD. BPD-ADHD group had higher rates of general substance use disorder (59.4% vs. 38.4%), antisocial personality disorder (7.2% vs. 0.9%) and obsessive-compulsive personality disorder (21.7% vs. 6.3%). The BPD group without comorbid adult ADHD showed a higher rate of mood disorders (62.5% vs. 37.7%), panic disorders (54.5% vs. 23.1%) and benzodiazepine abuse (18.8% vs. 5.8%). Only in BPD patients without ADHD was comorbid avoidant personality disorder found. BPD patients could be distinguished in two clear subgroups related to the adult ADHD comorbidity. BPD-ADHD patients showed a more homogeneous and impulsive profile while BPD without ADHD comorbidity had more anxiety and depressive disorders.     

Toward a More Comprehensive Understanding of Peer Maltreatment: Studies of Relational Victimization

Although many past studies of peer maltreatment have focused on physical victimization, the importance of an empirical focus on relational victimization has only recently been recognized. In relational victimization, the perpetrator attempts to harm the target through the manipulation of relationships, threat of damage to them, or both. We review what is currently known about relational victimization with three issues in mind: (a) developmental changes in the manifestation of relational victimization, (b) gender differences in the likelihood of being victimized, and (c) evidence that relational victimization is harmful.