INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Defining the Assessment and Treatment Competencies to Deliver Low-Intensity Cognitive Behavior Therapy: A Multi-Center Validation Study

Despite the vastly increased dissemination of the low-intensity (LI) version of cognitive behavior therapy (CBT) for the treatment of anxiety and depression, no valid and reliable indices of the LI-CBT clinical competencies currently exist. This research therefore sought to develop and evaluate two measures: the low-intensity assessment competency scale (LIAC) and the low-intensity treatment competency scale (LITC). Inductive and deductive methods were used to construct the competency scales and detailed rating manuals were prepared. Two studies were then completed. The first study used a quantitative, fully-crossed design and the second a multi-center, quantitative longitudinal design. In study one, novice, qualified, and expert LI-CBT practitioners rated an LI-CBT assessment session (using the LIAC) and an LI-CBT treatment session (using the LITC). Study two used the LIAC and LITC across four training sites to analyze the competencies of LI-CBT practitioners over time, across raters, and in relation to the actor/patients’ feedback concerning helpfulness, the alliance, and willingness to return. Both the LIAC and LITC were found to be single factor scales with good internal, test-retest reliability and reasonable inter-rater reliability. Both measures were sensitive to measuring change in clinical competence. The LIAC had good concurrent, criterion, discriminant, and predictive validity, while the LITC had good concurrent, criterion, and predictive validity, but limited discriminant validity. A score of 18 accurately delineated a minimum level of competence in LI-CBT assessment and treatment practice, with incompetent practice associated with patient disengagement. These observational ratings scales can contribute to the clinical governance of the burgeoning use of LI-CBT interventions for anxiety and depression in routine services and also in the methods of controlled studies.     

Women's anxiety about social and exercise settings

This study involved a comparison of social physique anxiety, assessed through the application of a modified version of the Social Physique Anxiety Scale, with 28 women who were new members exercising at all-female facilities compared to 43 new female members exercising at coeducational facilities. Analyses indicated there were no significant differences in means between the groups. The scores of women attending all-female facilities were significantly more influenced by the sex of members when choosing a facility.     

Specificity of the 21-Item Test in two elderly samples

ABSTRACT The purpose of this study was to measure the specificity of the 21-Item Test for detecting malingering in an elderly sample. The 21-Item Test was administered to 20 community-dwelling elderly individuals with means for age, education, and Short Portable Mental Status Questionnaire (SPMSQ) error scores of 76.25 years (SD?=?7.19), 14.30 years (SD?=?3.89), and 0.30 (SD?=?4.70). None of these healthy elderly participants were cognitively impaired. A second group of 53 nursing home residents had means for age, education, and SPMSQ error scores of 82.79 years (SD?=?8.56), 11.14 years (SD = 2.46), and 3.17 (SD?=?2.46). Approximately 60% of the nursing home participants had cognitive impairment based on the SPMSQ. The cut offs provided by Iverson (1998 , 21 Item Test Research Manual) for interpretation of the forced-choice component of the 21-Item Test were insensitive to age and relatively insensitive to cognitive deficits. Specificity was 100% since no elderly participant from either group scored in the range indicative of sub-optimal effort or biased responding.     

An experimental study on fear of public speaking using a virtual environment.

This paper examines a necessary condition for successful exploitation of a virtual environment (VE) in therapeutic intervention for fear of public speaking. The condition is that clients experience a degree of anxiety in the VE that is similar to what they would have been expected to experience in a similar real world setting. We refer to this as a "presence" response. The experimental study involved 20 people who were confident public speakers and 16 who were phobic, assessed on a standard psychological scale. Half of each group spoke within a VE depicting an empty seminar room, and the other half within the same room but populated by a neutrally behaving virtual audience of five people. Three responses were measured--a questionnaire-based measure of anxiety, a measure of self-focused attention on somatic responses, and actual heart rate. On all responses, the people with phobia showed a significant increase in signs of anxiety when speaking to the virtual audience compared to the empty room, whereas the confident people did not. The result was strong in spite of the relatively low representational and behavioral fidelity of the virtual characters.     

Determinants of the vividness of visual imagery: The effects of delayed recall,stimulus affect and individual differences

This study investigated the influence of emotion on vividness of imagery. A total of 80 undergraduate participants saw 25 pictures from the International Affective Picture System, representing different dimensions of valence and arousal. They rated each stimulus for valence, arousal, and emotionality. Each stimulus was then presented again, and participants formed an image of it, rating the image for vividness, valence, arousal, and emotionality. During a 15‐minute retention interval, participants completed several individual differences questionnaires. They then recalled each image from a verbal prompt and re‐rated its quality. Slides rated as extremely valenced and highly arousing were more vividly imaged than neutral slides. Low mood was also associated with more vivid imagery. The influence of stimulus variables was greater in the immediate imagery phase; that of individual differences tended to be greater in the delayed imagery phase. Of 29 participants, 7 reported intrusive memories of highly unpleasant stimuli at 1 year follow‐up.     

Putting yourself in the skin of a black avatar reduces implicit racial bias

Although it has been shown that immersive virtual reality (IVR) can be used to induce illusions of ownership over a virtual body (VB), information on whether this changes implicit interpersonal attitudes is meager. Here we demonstrate that embodiment of light-skinned participants in a dark-skinned VB significantly reduced implicit racial bias against dark-skinned people, in contrast to embodiment in light-skinned, purple-skinned or with no VB. 60 females participated in this between-groups experiment, with a VB substituting their own, with full-body visuomotor synchrony, reflected also in a virtual mirror. A racial Implicit Association Test (IAT) was administered at least three days prior to the experiment, and immediately after the IVR exposure. The change from pre- to post-experience IAT scores suggests that the dark-skinned embodied condition decreased implicit racial bias more than the other conditions. Thus, embodiment may change negative interpersonal attitudes and thus represent a powerful tool for exploring such fundamental psychological and societal phenomena.     

Is Age Just a Number? Cognitive Reserve as a Predictor of Divergent Thinking in Late Adulthood

The purpose of the study was to test a model of causal relationships among cognitive reserve (CR), personality variables such as Neuroticism and Openness to experience, and divergent thinking (DT), independently evaluating performance in different domains (verbal and graphic). It was hypothesized that CR, Openness, and Neuroticism would each directly influence verbal and graphic DT. A total of 135 subjects between 55 and 84 years old participated in the study and were interviewed in individual sessions. For a correct fit Neuroticism was eliminated from the measurement model. The goodness-of-fit indexes of the measurement model, the adequate composite reliability index and the discriminant validity supported the viability of the structural equation model (SEM). The goodness-of-fit indexes confirmed the existence of a significant effect of CR and Openness to experience in predicting both verbal and graphic DT. The three CR indicators had high loadings in their theoretical factor, with the observed variables study-work and WAIS vocabulary showing the highest loads. In summary, subjects with CR and Openness to experience were more flexible and original when solving verbal problems, and to a lesser degree, graphic problems.