Rumination-focused cognitive behaviour therapy for residual depression: a case series

The treatment of chronic and recurrent depression is a priority for the development of new interventions. The maintenance of residual symptoms following acute treatment for depression is a risk factor for both chronic depression and further relapse/recurrence. This open case series provides the first data on a cognitive-behavioural treatment for residual depression that explicitly targets depressive rumination. Rumination has been identified as a key factor in the onset and maintenance of depression, which is found to remain elevated following remission from depression. Fourteen consecutively recruited participants meeting criteria for medication--refractory residual depression [Paykel, E.S., Scott, J., Teasdale, J.D., Johnson, A.L., Garland, A., Moore, R. et al., 1999. Prevention of relapse in residual depression by cognitive therapy--a controlled trial. Archives of General Psychiatry 56, 829-835] were treated individually for up to 12 weekly 60-min sessions. Treatment specifically focused on switching patients from less helpful to more helpful styles of thinking through the use of functional analysis, experiential/imagery exercises and behavioural experiments. Treatment produced significant improvements in depressive symptoms, rumination and co-morbid disorders: 71% responded (50% reduction on Hamilton Depression Rating Scale) and 50% achieved full remission. Treating depressive rumination appears to yield generalised improvement in depression and co-morbidity. This study provides preliminary evidence that rumination-focused CBT may be an efficacious treatment for medication--refractory residual depression.     

The construct of psychophysiological reactivity: Statistical and psychometric issues

The purpose of this paper is to review major statistical and psychometric issues impacting the study of psychophysiological reactivity and discuss their implications for applied developmental researchers. We first cover traditional approaches such as the observed difference score (DS) and the observed residual score (RS), including a review of classic and recent research on their reliability and validity from two related bodies of work: the measurement of change and the Law of Initial Values. Second, we review several types of latent variable modeling in this context: latent difference score (LDS) models, latent residual score (LRS) models, latent state-trait (LST) models, and latent growth curve (LGC) models. Finally, we provide broad guidelines for applied researchers broken down by key stages of a psychophysiological project: study planning, data analysis, and reporting of results. Our recommendations highlight the need for (1) increased attention to the ubiquitous nature of measurement error in observed variables and the importance of employing latent variable models when possible, and (2) increased specification of theories relating to the construct of reactivity, especially in regards to the distinction between baseline arousal and change over time in broader systems of variables.     

Initial development and validity evidence for the processes of change in Psychological Skills Training Questionnaire

ObjectivesThe purpose of this study was to create and provide validity evidence for the Processes of Change in Psychological Skills Training Questionnaire (PCPSTQ).DesignThe current study used a cross-sectional research design.MethodsFive hundred fifty nine NCAA Division I, professional, and Olympic level athletes participated in the current study. To create the PCPSTQ, an initial pool of 114 items was generated by the research team. After a content validity process, 65 items were retained for analysis. Exploratory structural equation modeling was used as an analytic strategy to identify the most appropriate factor structure for the PCPSTQ. Decisions about the most appropriate model were made using multiple fit indices. To examine the construct validity of the PCPSTQ, a series of one-way ANOVAs were conducted to examine differences in processes of change use across stage of change.ResultsIn the current study, validity evidence provided support for a 7-factor process of change measure (χ² = 325.84, p < .001; Comparative Fit Index = .971; Tucker Lewis Index = .945; Root Mean Square Error of Approximation = .037; Standard Root Mean Square Residual = .020). Results also supported the construct validity of the scale as a significant difference in process of change use across stage of change was reported for all seven processes.ConclusionsResults of the current study support the factor structure and construct validity of the PCPSTQ. It appears that the processes of behavior change reported across multiple behavior change domains might also be viable for sport psychology professionals.     

The response-cued completion hypothesis and the nature of residual cost in regular switch

Three experiments are presented that compare the residual cost found when shifting from one task to another under different extra-response conditions, to test whether the response is the main factor to complete mental set reconfiguration. We investigated whether residual costs can be eliminated if participants carry out a response prior to completing switch trials. In all experiments, participants were required to press an extra key during the inter-trial interval (ITI) to proceed. In experiment 1, this extra response consisted of pressing the space bar. In experiment 2, the response consisted of pressing one of the two possible keys that belonged to the alternating tasks response set. In experiment 3, the interpolated response involved pressing one of the two possible keys, not belonging to the response set of the alternating tasks. We found no residual cost in the second or the third experiments. To explain the nature of residual cost we discuss the data in the context of a response cued completion hypothesis.