Patient preference as a predictor of outcomes in a pilot trial of person-centred counselling versus low-intensity cognitive behavioural therapy for persistent sub-threshold and mild depression

The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centred counselling (PCC) compared with low-intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analysed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < .05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyses preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g. guided self-help vs. face-to-face).     

Different responses in two strains of chickens (<Emphasis Type="Italic">Gallus gallus</Emphasis>) in a magnetic orientation test

Previous studies demonstrated that layer strain domestic chicks bred for egg production can orient using directional cues from the magnetic field; here we report that chicks from a broiler strain bred for meat production do not use magnetic cues for orientation. We imprinted both strains of chicken on a red ball and subsequently trained them in a featureless testing arena. Between rewarded trials in the geomagnetic field, we inserted unrewarded tests under the following conditions: (1) in the geomagnetic field, (2) in a magnetic field with North shifted by 90 degrees and (3) in a magnetic field with the inclination inverted. The layer chicks made a correct axial response in 75-80% of the tests, shifting their choices following a rotation of magnetic North. Chicks of the broiler strain, in contrast, performed at chance level with between 47 and 60% of choices on the correct axis. This difference between the strains does not appear to be due to substantial strain differences in motivation to perform the task. It therefore appears possible that the selection of the broiler strain has led to the elimination of the specific ability to respond to magnetic cues in the test situation.     

The Emotion Regulation Strategies of Adolescents and their Parents: An Experience Sampling Study

Parents are the main socialization agents in the development of emotion regulation (ER). In this study, we evaluated adolescents’ and their respective parents’ perspectives about their use of two ER strategies (cognitive reappraisal and expressive suppression) in daily life. In addition, we evaluated the within-family associations between adolescents’ and their parents’ use of strategies. We controlled for adolescents’ gender and age and the perceived quality of their relationships with their parents (mothers and fathers). The sample consisted of 33 12- to 18-year-old adolescent–father–mother triads, totaling 99 participants. Parents and adolescents reported their use of ER strategies in response to eight random prompts throughout the day, by means of the experience sampling method for 1 week. Participants provided 4082 reports on their momentary experiences. The data were analyzed using multilevel modeling to account for the hierarchical structure of the repeated daily assessments. The significant association between parents’ and adolescents’ use of ER strategies was specific to mother–adolescent dyads. The significant association between adolescents’ and their mothers’ ER strategies varied as a function of the adolescents’ age and the quality of their relationship with their mothers according to adolescents’ reports, but not as a function of adolescent gender. These findings suggest that mothers have a role in their adolescents’ emotion regulation in a developmental period characterized by autonomy from parental guidance.     

The face-inversion effect as a deficit in the encoding of configural information: direct evidence

We report four experiments leading to conclusions that: (i) the face-inversion effect is mainly due to the deficits in processing of configural information from inverted faces; and (ii) this effect occurs primarily at the encoding stage of face processing, rather than at the storage stage. In experiment 1, participants discriminated upright faces differing primarily in configuration with 81% accuracy. Participants viewing the same faces presented upside down scored only 55%. In experiment 2, the corresponding discrimination rates for faces differing mainly in featural information were 91% (upright) and 90% (inverted). In experiments 3 and 4, the same faces were used in a memory paradigm. In experiment 3, a delayed matching-to-sample task was used, in which upright-face pairs differed either in configuration or features. Recognition rates were comparable to those for the corresponding upright faces in the discrimination tasks in experiments 1 and 2. However, there was no effect of delay (1 s, 5 s, or 10 s). In experiment 4, we repeated experiment 3, this time with inverted faces. Results were comparable to those of inverted conditions in experiments 1 and 2, and again there was no effect of delay. Together these results suggest that an 'encoding bottleneck' for configural information may be responsible for the face-inversion effect in particular, and memory for faces in general.     

The development of sensitivity to biological motion in noise

We investigated developmental changes in sensitivity to biological motion by asking 6-year-olds, 9-year-olds, and adults (twenty-four in each group) to discriminate point-light biological motion displays depicting one of a variety of human movements from scrambled versions of the same displays. When tested without noise dots, participants at all ages performed near ceiling levels and no differences in accuracy were found among the three age groups. Age differences emerged in the second task, in which we used a staircase procedure to determine threshold values of the number of noise dots that could be tolerated in producing a percentage correct value corresponding to a d' value of 1.4. Sensitivity to biological motion improved linearly with age (p < 0.01), with 6-year-olds performing significantly more poorly than adults. This immature performance contrasts with adult-like accuracy by 4 years of age for sensitivity to global motion (Parrish et al, 2005 Vision Research 45 827-837). The comparison implies an immaturity at 6 years of age in the neural networks involved specifically in the processing of biological motion, networks that may include the superior temporal sulcus (STS).     

Resilience,religiosity and treatment adherence in hemodialysis patients: a prospective study

Resilience and religiosity have received attention as an important process in the experience and management of chronic comorbidities; however, there is no study evaluating resilience in hemodialysis patients and its association with other psychological dimensions or with treatment adherence. This observational prospective study assessed resilience (25 item Wagnild and Young Resilience Scale), religiosity under three dimensions (organizational, non-organizational and intrinsic) using DUREL scale, depressive symptoms (Patient Health Questionnaire-9) and health-related quality of life (Short Form-36 questionnaire). The main outcomes were medication adherence using the Morisky Medication Adherence Scale-8 (MMAR-8) and the missing/shortened dialysis sessions in the following six months. Of 208 patients approached, 202 (97.1%) agreed to participate. One hundred twenty-three patients (60.9%) were males and mean age was 52.8 ± 14.8 years-old. The median time on hemodialysis was 36 months (IQR, 12, 84). 82 (40.6%) patients obtained a MMAS-8 score <6 and were considered as having ‘poor adherence’. Overall, the mean score of medication adherence was low (5.7 ± 2.1). About adherence to hemodialysis sessions, patients missed a total of 234 (1.6%) hemodialysis sessions. Forty-eight patients (23.7%) missed an average of at least three sessions in six months. Regarding adherence to medication, there was no association in the uni- or multivariate analysis between religiosity dimensions and MMAS-8 score. After adjustment, resilience was positively associated with MMAS-8 score (standardized β coefficient .239, p = .016). Organized and intrinsic religiosity were associated with adherence to dialysis sessions (standardized β coefficient .258, p = .004 and .231, p = .026, respectively). Interestingly, opposite to medication adherence, more resilient patients were associated with less adherence to hemodialysis sessions (standardized β coefficient ?.296, p = .001). Religiosity was associated with dialysis adherence but not with medication adherence. Resilience was associated with higher medication adherence but lower adherence to dialysis sessions.     

The ego depletion effect on undergraduate university students: A systematic review

For most, the transition from high school to university marks the simultaneous transition from adolescence into emerging adulthood. Many studies have discussed the degradation of health throughout this time period and identified the increased chance of this cohort engaging in risky or unhealthy behavior. Ego depletion may provide a useful tool for beginning the exploration of this transition and its challenges. This systematic review intends to identify the studies over the last 5 years that have focused on the effect of ego depletion on cognitive and emotional variables with university students. The systematic search resulted in 48 studies from which to draw data and revealed that undergraduate university students are susceptible to the ego depletion effect (92% significant), and that it pervades across wide variety of cognitive and emotional variables such as self-control, prospective memory, and anxiety. These studies could yield suggestions for future planning of advisor–student relationships, peer-to-peer assistance programs, and many other useful avenues for easing the early years of university.     

The Lack of Teaching/Study of Religiosity/Spirituality in Psychology Degree Courses in Brazil: The Need for Reflection

This study investigated the existence/non-existence of subjects on the theme of religion/spirituality, in psychology degree courses in Brazil. Data were collected from university websites and through e-mail. The data include 301 (84.6%) of all existing courses; the subject of religiosity/spirituality is incorporated into 13% of public institutions and in 16% of private institutions; 84% of the courses do not have this subject incorporated into their curricula. Actually, few programs provide formal training in religion/spirituality. We present the definition of some terms, conclusions from publications within the theme of religion/spirituality, and a brief background on the place that religion holds in the culture of the Brazilians.     

Motivation as a predictor of outcomes in school‐based humanistic counselling

Background: Recent years have seen a growth in the provision of counselling within UK secondary schools, and research indicates that it is associated with significant reductions in psychological distress. However, little is known about the moderators and mediators of positive therapeutic benefit. In the field of adult mental health, motivation has been found to be one of the strongest predictors of therapeutic outcomes, and it was hypothesised that this may also be a predictor of outcomes for young people in school‐based counselling services. Aims: To assess the relationship between young people's motivation for counselling and its effectiveness within a secondary school setting. Sample: Eighty‐one young people (12–17 years old) who attended school‐based humanistic counselling services in Scotland. Method: Clients completed a measure of motivation for counselling at the commencement of their therapeutic work and a measure of psychological wellbeing at the commencement and termination of counselling. Results: Motivation for counselling was not found to be significantly related to outcomes. Discussion: The results indicate that the association between motivation and outcomes may be weaker in young people as compared with adults. However, a number of design factors may also account for the non‐significant findings: insufficient participants, marginal reliability of the motivation measure and social desirability effects.