Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.     

Clinicians’ Attitudes Toward Therapeutic Alliance in E-Therapy

Although therapeutic alliance is a crucial factor in face-to-face therapies, no data exist on clinicians’ attitudes towards alliance in E-therapy. The study explored clinicians’ perceived importance of alliance in E-therapy, clinicians’ confidence in their skills to develop alliance in E-therapy, and whether attitudes towards alliance in E-therapy are associated with intended E-therapy practice. Clinicians (n = 106) responded to an online survey. The majority of clinicians considered alliance to be extremely important in both face-to-face therapy and E-therapy. However, clinicians’ ratings of the importance of alliance in face-to-face therapies were significantly higher than their ratings of the importance of alliance in E-therapy. Clinicians reported less confidence in their skills to develop alliance in E-therapy than in face-to-face therapy. Intended E-therapy practice correlated with confidence in one's ability to develop alliance in E-therapy and with previous E-therapy practice.     

La percepción de la conducta agresiva: Un estudio taxonómico de las diferencias inter e intraculturales

Resumen

El presente artículo tiene corno principal objetivo ser una alternativa a las tradicionales clasificaciones teóricas de la agresión e, incluso, a los estudios taxonómicos empíricos más recientes. Usar estímulos no representativos, ofrecer indicios sobre las dimensiones de juicios preseleccionados, etc. son algunos de los inconvenientes que no permiten considerar a estas dimensiones perceptuales de la agresión como fiables. En este trabajo se pretenden superar estas y otras críticas con el fin de proporcionar las verdaderas dimensiones que subyacen a la percepción social de los episodios agresivos cotidianos. El Escalamiento Multidimensional (Modelo IÑDSCAL) fue seleccionado como el análisis más apropiado para proponer una taxonomía empírica adecuada y comprobar hasta qué punto una misma taxonomía es compartida por diferentes subculturas (Universitaria y Reclusa). El análisis de los datos nos permitió concluir acerca de la existencia de un dominio psicológico en 4 dimensiones para percibir un conjunto de estímulos agresivos, de la existencia de ciertas diferencias entre ambas submuestras y, por último, de la homogeneidad existente dentro de una misma muestra, independientemente de algunas variables de personalidad previamente seleccionadas.     

Psychometric properties of the Spanish version of the Revised Competitive State Anxiety Inventory-2 with athletes

The aim of this work was to develop a Spanish adaptation of the Revised Competitive State Anxiety Inventory-2. The scale was translated and its psychometric properties were analyzed with data from a sample of 149 athletes. Exploratory and confirmatory factor analyses were performed which supported a 16-item CSAI-2R assessing the three hypothesised dimensions of anxiety: Somatic anxiety, Cognitive anxiety, and Self-confidence. Overall fit of the model was good with a value of .97 for Comparative and Non-Normed Fit Indexes, and .045 for Root Mean Square Error of Approximation. Cronbach alpha coefficients for the factors ranged from .79 to .83. It is concluded that this version shows adequate properties, in terms of its dimensionality and internal consistency. Guidelines are also provided for future research on its validity as a measure of state anxiety in competitive situations.     

Priming effects on the N400 in the affective priming paradigm with facial expressions of emotion

We studied the effect of facial expression primes on the evaluation of target words through a variant of the affective priming paradigm. In order to make the affective valence of the faces irrelevant to the task, the participants were assigned a double prime–target task in which they were unpredictably asked either to identify the gender of the face or to evaluate whether the word was pleasant or unpleasant. Behavioral and electrophysiological (event-related potential, or ERP) indices of affective priming were analyzed. Temporal and spatial versions of principal components analyses were used to detect and quantify those ERP components associated with affective priming. Although no significant behavioral priming was observed, electrophysiological indices showed a reverse priming effect, in the sense that the amplitude of the N400 was higher in response to congruent than to incongruent negative words. Moreover, a late positive potential (LPP), peaking around 700 ms, was sensitive to affective valence but not to prime–target congruency. This pattern of results is consistent with previous accounts of ERP effects in the affective priming paradigm that have linked the LPP with evaluative priming and the N400 with semantic priming. Our proposed explanation of the N400 priming effects obtained in the present study is based on two assumptions: a double check of affective stimuli in terms of valence and specific emotion content, and the differential specificities of facial expressions of positive and negative emotions.     

Mood state indicators for adolescent athletes based on POMS multidimensional model

In this paper, we offer a short version of the POMS, with only 33 items, designed to apply to young Spanish athletes. One hundred and six male soccer players, aged 14 and 15 years, participated in the study. In order to select the proposed items, we tried to maximize three criteria: (1) items should be understood by subjects, (2) items should be perceived as conceptually similar as possible to the meaning of their respective factors, and (3) every factor should contain at least 4 items. To meet the second criterion, PROXSCAL scaling procedure was used, which allowed retaining the items closest to the meaning of each factor. All goodness-of-fit indexes were satisfactory in all the proximity analyses performed. In the proposed POMS version, the 33 items refer to seven mood factors, as follows: Tension (4 items), Depression (9 items), Anger (4 items), Vigour (4 items), Fatigue (4 items), Confusion (4 items), and Friendliness (4 items).     

Splenium development and early spoken language in human infants

The association between developmental trajectories of language‐related white matter fiber pathways from 6 to 24 months of age and individual differences in language production at 24 months of age was investigated. The splenium of the corpus callosum, a fiber pathway projecting through the posterior hub of the default mode network to occipital visual areas, was examined as well as pathways implicated in language function in the mature brain, including the arcuate fasciculi, uncinate fasciculi, and inferior longitudinal fasciculi. The hypothesis that the development of neural circuitry supporting domain‐general orienting skills would relate to later language performance was tested in a large sample of typically developing infants. The present study included 77 infants with diffusion weighted MRI scans at 6, 12 and 24 months and language assessment at 24 months. The rate of change in splenium development varied significantly as a function of language production, such that children with greater change in fractional anisotropy (FA) from 6 to 24 months produced more words at 24 months. Contrary to findings from older children and adults, significant associations between language production and FA in the arcuate, uncinate, or left inferior longitudinal fasciculi were not observed. The current study highlights the importance of tracing brain development trajectories from infancy to fully elucidate emerging brain–behavior associations while also emphasizing the role of the splenium as a key node in the structural network that supports the acquisition of spoken language.