A randomized clinical trial on the effectiveness of a reintegration training program versus booster sessions after short-term inpatient psychotherapy

Although several studies show symptomatic improvements in patients with personality disorders after short-term inpatient psychotherapy, reintegration remains difficult. In this study the effectiveness of a specifically designed reintegration training program is investigated. One hundred twenty-eight patients were randomized to either a reintegration training program aimed at improving general functioning and work resumption, or booster sessions. Outcome measures used were symptom level, work status, absence from and impediments at work. The results showed that compliance in the booster session group was significantly better than in the reintegration training program. The percentage of persons with a paid job increased during the booster sessions from 64 to 87%, but not during the reintegration training (76%). There were no differences in the other outcome measures. We concluded that reintegration training was not more (cost)-effective than booster sessions. Our hypothesis is that continuity of care (same therapists and program) explains the favorable results of the booster sessions.     

Preliminary evidence that acute and chronic daily psychological stress affect sexual arousal in sexually functional women

It is assumed that psychological stress may inhibit sexual arousal in women. Research on the effect of (acute and chronic) psychological stressors on genital and subjective sexual arousal, however, is scarce. To investigate whether psychological stressors indeed inhibit sexual responding, sexually functional women were randomly assigned to an experimental condition (n=30) in which acute psychological stress was induced by a frustrating computer task or a control condition (n=29). After the acute psychological stress or control induction women were exposed to an erotic stimulus. Genital sexual arousal was assessed using vaginal photoplethysmography. Self-report ratings of subjective sexual arousal were collected after the erotic stimulus. Furthermore, women were post hoc divided into a 'low' and a 'high' chronic stress group, based on their pre-assessment scores on a chronic daily stress questionnaire. As predicted, it was found that women in the acute stress condition responded with lower levels of genital and subjective sexual arousal to an erotic stimulus than women in the control condition. In addition, women with high levels of chronic stress responded with lower levels of genital sexual arousal to an erotic stimulus than women with low levels of chronic stress. Chronic stress did not affect the level of subjective sexual arousal.     

The Golombok Rust Inventory of Sexual Satisfaction (GRISS): predictive validity and construct validity in a Dutch population

The discriminant and predictive validity of the Dutch translation of the Golombok Rust Inventory of Sexual Satisfaction (GRISS; Rust and Golombok, 1985, Rust and Golombok, 1986a, Rust and Golombok, 1986b; Ter Kuile et al., (1993); Ter Kuile et al., accepted for publication) was examined in independent samples comprising sexological (357 males and 380 females) and gynaecological outpatients (156 males and 209 females). Prediction of the presence of sexual complaints with the GRISS differed in these samples. The best performance was found in the male sexology sample in which sensitivity and specificity, as well as the predictive values both positive and negative were satisfactory. The predictive characteristics in the other three samples were found to be less satisfactory and were confounded with sample characteristics concerning the presence or absence of individual sexual problems. The availability of the other partners' GRISS scores enhanced the GRISS' predictive capacities for males and females in these samples. In 320 female and 300 male sexology patients and their partners, the convergent and divergent construct validity of the GRISS scales was investigated using other instruments measuring psychological distress, marital, sexual and general life maladjustment, personality traits of psychoticism, extraversion and neuroticism and social desirability. No correlations of the GRISS with social desirability were found. GRISS subscales were found to represent relatively independent constructs. These findings were confirmed by higher-order factor analyses of subscale scores of males and females.     

The development of the multidimensional locus of pain control questionnaire (MLPC): Factor structure,reliability, and validity

This study was conducted to develop a comprehensive Multidimensional Locus of Pain Control questionnaire (MLPC) and to examine how locus of pain control is related to pain appraisals, pain coping strategies, and adjustment to chronic pain. Subjects were 170 chronic headache patients. By means of factor analysis, four subscales were derived: an Internal, a Chance, a Physician, and a Medication locus of pain control orientation scale. The reliability and validity of the subscales appeared to be satisfactory. The results of the present study indicate that the locus of pain control orientation is significantly related to pain appraisals such as perceived pain control and catastrophizing and, to a lesser degree, to coping strategies as measured by the Coping Strategies Questionnaire (CSQ). However, almost no relationship was observed between locus of pain control and adjustment to pain. Further research with the MLPC in different chronic pain populations is warranted in order to investigate whether the results found in this study can be generalized to chronic pain patients in general.     

Cognitive-behavioral therapy for women with lifelong vaginismus: process and prognostic factors

Cognitive-behavioral therapy (CBT) seems an effective treatment of lifelong vaginismus, but mechanisms of action have not yet been established. The present study explored whether the effect of CBT for lifelong vaginismus is mediated by changes in fear of penetration and avoidance behavior, which CBT explicitly aims to alter. A second aim of this study was to predict treatment outcome on the basis of pre-treatment variables. Participants with lifelong vaginismus were allocated at random to a 3-months CBT (n=81) or a waiting-list control condition (n=36). Full vaginal penetration with the penis of the partner constituted the primary outcome measure. Change scores in successful 'non-coital penetrative-behavior' and 'fear of coitus' were used to measure the mediating variables. Treatment resulted in an increase of intercourse (outcome), a decrease in fear of coitus, and an enhancement of successful non-coital penetration behavior, compared with no treatment. Outcome (intercourse) was partly mediated by changes in fear of coitus and changes in avoidance behavior. No treatment predictors could be detected in this study sample. It is concluded that techniques such as gradual exposure, aimed at decreasing avoidance behavior and penetration fear, constitute an important avenue of change in the treatment of lifelong vaginismus.     

The Fairness of National Decision‐making Procedures: The Views of Adolescents in 18 European Countries

This study examines adolescents' evaluation of the fairness of three forms of democratic decision‐making procedures (direct democracy, representative democracy and group representation) and one non‐democratic procedure (oligarchy). Social dominance orientation‐Egalitarianism (SDO‐E), religious group identification and the countries' level of democracy are examined as predictors. The 2008 Europroject dataset was used, which contained 4441 native majority adolescents (mean age = 16.1 years) in 18 European countries. Adolescents evaluated direct democracy as most fair, followed by group representation, representative democracy and oligarchy. This rank order was found independent of the issue under consideration (moral or social), and of SDO‐E and religious identification, and across the countries. In addition, adolescents scoring higher on SDO‐E and on religious identification found group representation and non‐democratic oligarchy fairer. Copyright © 2014 John Wiley & Sons, Ltd.     

Reconsidering Advertising Literacy as a Defense Against Advertising Effects

It is widely assumed that advertising literacy makes children less susceptible to advertising effects. However, empirical research does not provide convincing evidence for this view. In this article, we explain why advertising literacy as it is currently defined (i.e., conceptual knowledge of advertising) is not effective in reducing children's advertising susceptibility. Specifically, based on recent insights on children's advertising processing, we argue that due to the affect-based nature of contemporary advertising, children primarily process advertising under conditions of low elaboration and, consequently, are unlikely to use their advertising knowledge as a critical defense. Moreover, literature on cognitive development suggests that children's ability to use advertising knowledge as a defense will be further limited by their immature executive functioning and emotion regulation abilities. Therefore, we argue that the current conceptualization of advertising literacy needs to be extended with two dimensions: advertising literacy performance, which takes into account the actual use of conceptual advertising knowledge, and attitudinal advertising literacy, which includes low-effort, attitudinal mechanisms that can function as a defense under conditions of low elaboration. We conclude our article with specific directions for future research and implications for the ongoing societal and political debate about children and advertising.     

Think‐Aloud Process Superior to Thought‐Listing in Increasing Children's Critical Processing of Advertising

This study develops and tests a model of children's critical processing of advertising. Within this model, 2 paths to reduced advertising susceptibility (i.e., attitude toward the advertised brand) were hypothesized: a cognitive path and an affective path. The secondary aim was to compare these paths for different thought verbalization processes: think‐aloud and thought‐listing. The model was tested on a sample of 8‐ to 12‐year‐old children (N = 163). Structural equation modeling revealed that, for children in the think‐aloud group, both cognitive and affective paths were successful in reducing advertising susceptibility. However, for children in the thought‐listing group, only the affective path was successful. These findings suggest that the think‐aloud process increased children's motivation and ability to critically process advertising messages.     

Relationship between patient characteristics and treatment allocation for patients with personality disorders

Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.     

Development and validation of the Material Values Scale for children (MVS-c)

The aim of this study was to develop a scale to measure materialism among children while relying on insights from research conducted among adults. Although research among adults suggests that materialism is a second-order construct with three underlying factors (i.e., material centrality, material happiness, and material success), existing materialism scales for children include only one or two of these factors. Hence, we adapted the items of the well-established Material Values Scale (MVS) of Richins and Dawson (1992) to make them appropriate for use among children. We then administered the Material Values Scale for children (MVS-c) to 1001 8- to 11-year-olds. Structural equation modeling confirmed the presumed second-order structure of the MVS-c. Based on these findings, we created 6- and 3-item versions in addition to the full-length, 18-item MVS-c. All three versions performed well in terms of test–retest reliability and construct validity.