Work–family conflict, spouse support, and nursing staff well-being during organizational restructuring.

This study examined work and family conflict, spouse support, and nursing staff well-being during a time of hospital restructuring and downsizing. Data were collected from 686 hospital-based nurses, the vast majority (97%) women. Nurses reported significantly greater work–family conflict than family–work conflict. Personal demographic but not downsizing and restructuring variables predicted family–work conflict; downsizing and restructuring variables but not personal demographics predicted work–family conflict. Spouse support had no effect on work–family conflict but reduced family–work conflict. Both work–family conflict and family–work conflict were associated with less work satisfaction and greater psychological distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social–cognitive mediators of the association between community violence exposure and aggressive behavior.

There is increased awareness that exposure to violence in the community can influence students’ aggressive behavior at school; however, less is known about the mechanisms that mediate this process. Having an enhanced understanding of how community violence exposure relates to students’ aggressive behavior at school may inform the use of preventive interventions aimed at reducing school violence. Consistent with social–cognitive theory, the current study tested whether the association between exposure to community violence and teacher-reported aggressive behavior was mediated by biased social information processing. Data on 184 suburban adolescents and their teachers were analyzed with structural equation modeling. Community violence exposure and aggressive behavior in the classroom were significantly related and mediated by negatively biased social–cognitive factors. Results suggest that even relatively low levels of community violence exposure may increase the risk of students displaying aggressive behavior at school. Although gender differences were explored, social information processing appeared to be an important mediator for both boys and girls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Similarities and differences between practitioners of psychotherapy in Sweden: A comparison of attitudes between psychodynamic, cognitive, cognitive–behavioral, and integrative therapists.

[Correction Notice: An erratum for this article was reported in Vol 19(3) of Journal of Psychotherapy Integration (see record 2009-16521-006). The results of the post hoc tests were printed illegibly. In order to make it possible for the reader to understand which of the effect sizes belong to which of the comparisons, the tables are clarified in this erratum.] This study focuses on similarities and differences between Swedish psychotherapists of four orientations: psychodynamic, cognitive, cognitive–behavioral, and integrative therapy. The aim is to describe similarities and differences regarding (a) background factors, (b) focus in psychotherapy, (c) attitudes toward psychotherapy as art/craftsmanship, (d) scientific outlook, (e) what characterizes a good psychotherapist, and (f) how psychotherapy ought to be pursued. The therapists had very similar attitudes about the therapeutic relationship and rather similar attitudes about which effects psychotherapy ought to obtain. The greatest differences were related to psychotherapeutic techniques and science. The results are discussed with emphasis on the distance or proximity between the orientations. The conclusion is that there are differences between psychodynamic psychotherapy compared with cognitive and cognitive–behavioral therapies, which imply difficulties in integrating these orientations. However, the differences between the cognitive and cognitive–behavioral therapists are not of such a magnitude that they necessarily present an obstacle to integration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral approach system (BAS)–relevant cognitive styles and bipolar spectrum disorders: Concurrent and prospective associations.

The authors examined concurrent and prospective associations of behavioral approach system (BAS)–relevant and non-BAS-relevant cognitive styles with bipolar spectrum disorders. Controlling for depressive and hypomanic/manic symptoms, 195 individuals with bipolar spectrum disorders scored higher than 194 demographically similar normal controls on BAS sensitivity and BAS-relevant cognitive dimensions of performance concerns, autonomy, and self-criticism, but not on behavioral inhibition system sensitivity and non-BAS-relevant dimensions of approval seeking, sociotropy, and dependency. Moreover, group differences on autonomy fully mediated the association between higher BAS sensitivity and bipolar status. In addition, only BAS-related cognitive dimensions predicted the likelihood of onset of depressive and hypomanic/manic episodes among the bipolar individuals over a 3.2-year follow-up, controlling for initial symptoms and past history of mood episodes. Higher autonomy and self-criticism predicted a greater likelihood of hypomanic/manic episodes, and higher autonomy predicted a lower likelihood of major depressive episodes. In addition, autonomy mediated the associations between BAS sensitivity and prospective hypomanic/manic episodes. These findings suggest that individuals with bipolar spectrum disorders may exhibit a unique profile of BAS-relevant cognitive styles that influence the course of their mood episodes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An algorithm for determining use of trauma-focused cognitive–behavioral therapy.

The shift toward dissemination of evidence-based practices has led to many questions about who is appropriate for a particular treatment model, particularly with complex clients, in diverse community settings, and when multiple evidence-based models have overlapping target populations. Few research-based tools exist to facilitate these clinical decisions. The research on trauma-focused cognitive–behavioral therapy (TF-CBT), an evidence-based treatment for children suffering from posttraumatic stress reactions, is reviewed to inform development of an algorithm to assist clinicians in determining whether a particular client is appropriate for TF-CBT. Recommendations are made for future research that will facilitate matching TF-CBT and other evidence-based practices to particular child clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does distraction reduce the alcohol–aggression relation? A cognitive and behavioral test of the attention-allocation model.

Objective: This study provided the first direct test of the cognitive underpinnings of the attention-allocation model and attempted to replicate and extend past behavioral findings for this model as an explanation for alcohol-related aggression. Method: A diverse community sample (55% African American) of men (N = 159) between 21 and 35 years of age (M = 25.80) were randomly assigned to 1 of 2 beverage conditions (i.e., alcohol, no-alcohol control) and 1 of 2 distraction conditions (i.e., distraction, no-distraction). Following beverage consumption, participants were provoked via reception of electric shocks and a verbal insult from a fictitious male opponent. Participants' attention allocation to aggression words (i.e., aggression bias) and physical aggression were measured using a dot probe task and a shock-based aggression task, respectively. Results: Intoxicated men whose attention was distracted displayed significantly lower levels of aggression bias and enacted significantly less physical aggression than intoxicated men whose attention was not distracted. However, aggression bias did not account for the lower levels of alcohol-related aggression in the distraction, relative to the no-distraction, condition. Conclusions: These results replicated and extended past evidence that cognitive distraction is associated with lower levels of alcohol-related aggression in highly provoked males and provide the first known cognitive data to support the attentional processes posited by the attention-allocation model. Discussion focused on how these data inform intervention programming for alcohol-related aggression. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychotherapy in two-plus-one sessions: Outcomes of a randomized controlled trial of cognitive–behavioral and psychodynamic–interpersonal therapy for subsyndromal depression.

A total of 116 clients with a range of subsyndromal depression received 3 therapy sessions: 2 sessions 1 week apart followed by a 3rd session 3 months later (the 2?+?1 model). Clients were stratified for severity on the Beck Depression Inventory (BDI) as stressed, subclinical, or low-level clinically depressed. In a 2?×?2 design, they received either cognitive–behavioral (CB) or psychodynamic–interpersonal (PI) therapy, either immediately or after a 4-week delay. An initial advantage for the immediate condition disappeared once the delayed-condition clients received treatment. Improvement rates at the end of treatment were 67% (stressed), 72% (subclinical), and 65% (low-level clinically depressed). There were no significant differences between CB and PI treatment methods, with the exception at 1-year follow-up, when the BDI showed a significant advantage for CB. Implications for designing very brief planned interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family group cognitive–behavioral preventive intervention for families of depressed parents: 18- and 24-month outcomes.

Objective: In a long-term follow-up of a randomized controlled trial (Compas et al., 2009) to examine the effects at 18- and 24-month follow-ups of a family group cognitive–behavioral (FGCB) preventive intervention for mental health outcomes for children and parents from families (N = 111) of parents with a history of major depressive disorder (MDD). Method: Parents with a history of MDD and their 9- to 15-year-old children were randomly assigned to a FGCB intervention or a written information comparison condition. Children's internalizing, externalizing, anxiety/depression, and depressive symptoms; episodes of MDD and other psychiatric diagnoses; and parents' depressive symptoms and episodes of MDD were assessed at 18 and 24 months after randomization. Results: Children in the FGCB condition were significantly lower in self-reports of anxiety/depression and internalizing symptoms at 18 months and were significantly lower in self-reports of externalizing symptoms at 18 and 24 months. Rates of MDD were significantly lower for children in the FGCB intervention over the 24-month follow-up (odds ratio = 2.91). Marginal effects were found for parents' symptoms of depression at 18 and 24 months but not for episodes of MDD. Conclusions: Support was found for a FGCB preventive intervention for children of parents with a history of MDD significantly reducing children's episodes of MDD over a period of 2 years. Significant effects for the FGCB intervention were also found on internalizing and externalizing symptoms, with stronger effects at 18- than at 24-month follow-up. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of Handbook of cognitive–behavioral therapies, third edition.

Reviews the book, Handbook of cognitive–behavioral therapies, third edition edited by Keith S. Dobson (see record 2010-10108-000). Dobson’s revision of this classic volume provides a solid resource for psychologists and students of psychology. Many of us find that we become highly focused on our specific clinical work, teaching, and research, and it is easy to feel out of touch with the broader developments in the field. It is very helpful to pick up a resource such as this one to remind ourselves of the bigger picture in this important and influential treatment approach. Dobson has chosen authors for each topic who are key figures in the development of the approaches covered in their chapters. This choice of authors shows in the quality of the presentations and the familiarity with the key issues in each area. The book is divided into four parts: foundations, assessment, the therapies, and application to specific populations. This edited volume will be very useful in graduate courses on cognitive–behavioral therapies (CBTs) and in settings where clinical students are supervised. Practitioners and students with an interest in CBT will find it very helpful as a guide to the broad range of approaches and issues in CBT. In each area, the book provides up-to-date overviews of the research that guides our practice. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Subject-matter specificity of self-efficacy, outcome expectancies, interests, and goals: Implications for the social–cognitive model.

This study was designed to investigate the academic-subject-matter domain specificity of self-efficacy, interests, outcome expectations, and goals. Four major subject-matter domains were selected to investigate this issue: math/science, art, social studies, and English. To examine this question, 16 instruments were constructed to measure the 4 concepts across the 4 subject domains. An analytical strategy similar to that used in multitrait multimethod studies was used. Using this strategy, a series of factor models was tested for fit to the data using confirmatory factor analytic procedures. Results indicated that a factor solution that accommodated both distinct subject matters and distinct constructs provided the best fit to the data, supporting the existence of the constructs of academic self-efficacy, interests, outcome expectancies, and goals that are specific to each subject-matter domain. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapist differences in cognitive–behavioral psychotherapy for generalized anxiety disorder: A pilot study.

Little is known about factors differentiating more and less effective therapists or the mechanisms through which therapists influence outcome. In the present study, the performance of a small sample of 4 therapists was compared in the context of delivering cognitive–behavioral psychotherapy (CBT) to 32 clients with generalized anxiety disorder. More effective therapists were characterized by higher observer-rated CBT competence, higher client outcome expectations and client treatment credibility assessments, and higher early treatment client ratings of therapeutic alliance quality. Higher early CBT competence was associated with higher client midtreatment outcome expectations, which in turn were associated with better posttreatment outcomes. Although these findings are preliminary given the small sample of therapists and clients, they suggest that the common factor of outcome expectations might be a mechanism through which the specific factor of psychotherapist competence exerts its influence on treatment outcome. The implications of these findings and directions for future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

How does cognitive control reduce anger and aggression? The role of conflict monitoring and forgiveness processes.

It is well-established that superior cognitive control abilities are associated with lower levels of anger and aggression. However, the precise emotion regulation operations underlying this relationship have been underspecified and underexplored in previous research. Drawing on neuropsychological models of cognitive control, the authors propose that limited capacity resources can be recruited within a hostile situation to promote a process of forgiveness. The results of 2 studies supported this proposal. Across studies, individual differences in hostility-primed cognitive control were assessed implicitly. In Study 1, hostility-primed cognitive control predicted less aggressive behavior in response to a laboratory provocation. Moreover, forgiveness mediated these effects. In Study 2, hostility-primed cognitive control predicted forgiveness of provocations in participants' daily lives and subsequent reductions in anger. In sum, the results contribute to a systematic understanding of how cognitive control leads to lower levels of anger and aggression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

It's the algorithm! Why differential rates of chronicity and comorbidity are not evidence for the validity of the abuse–dependence distinction.

The validity of the abuse–dependence distinction within alcohol use disorders (AUDs) has been increasingly questioned on psychometric and conceptual grounds. Two types of findings are often cited as support for the validity of this distinction: (a) Dependence is more persistent than abuse, and (b) dependence is more highly comorbid with other Axis I and Axis II disorders than is abuse. Using data from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), we examined the extent to which the current diagnostic algorithm (3 of 7 dependence criteria for a diagnosis of dependence; 1 of 4 abuse criteria for a diagnosis of abuse if dependence criteria are not met) produces this pattern of findings independent of item set. Analyses in which all 330 permutations of the 11 AUD criteria were partitioned into a 4-item abuse set and a 7-item dependence set were conducted to examine the relevance of the criteria sets to estimates of persistence and comorbidity independent of criteria. Regardless of the criteria used, the dependence set (i.e., 3/7 criteria) always and substantially outperformed the abuse set (1/4) with respect to both persistence and comorbidity. These data indicate that chronicity and comorbidity are flawed indicators for the abuse–dependence distinction (and likely other conditions in which hierarchical decision rules are used). In addition, our analyses show that the current set of criteria defining alcohol dependence and abuse are not optimal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbal-spatial and visuospatial coding of number–space interactions.

A tight correspondence has been postulated between the representations of number and space. The spatial numerical association of response codes (SNARC) effect, which reflects the observation that people respond faster with the left-hand side to small numbers and with the right-hand side to large numbers, is regarded as strong evidence for this correspondence. The dominant explanation of the SNARC effect is that it results from visuospatial coding of magnitude (e.g., the mental number line hypothesis). In a series of experiments, we demonstrated that this is only part of the story and that verbal-spatial coding influences processes and representations that have been believed to be purely visuospatial. Additionally, when both accounts were directly contrasted, verbal-spatial coding was observed in absence of visuospatial coding. Relations to other number–space interactions and implications for other tasks are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Humanistic–existential psychotherapy competencies and the supervisory process.

There has been an increasing focus in recent years on articulating foundational and functional competencies for practice in professional psychology and how a competency-based approach might inform psychology training. With the aim of contributing to the dialogue in this area, the discussion herein explores psychotherapy competencies through the lens of a humanistic–existential perspective and describes implications for psychotherapy training and supervision. Specifically, competencies pertaining to facilitating the client’s experiential awareness and use of the psychotherapy relationship to engender client change are described. Next, the foundational and functional competencies within professional psychology that are particularly salient to a humanistic–existential psychotherapy framework are discussed. Finally, the ways in which a humanistic–existential supervision framework contributes to the development of psychotherapy competencies in trainees is considered. A brief vignette is presented to illustrate the supervision process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping and parenting: Mediators of 12-month outcomes of a family group cognitive–behavioral preventive intervention with families of depressed parents.

Objective: In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers, 14% fathers; 86% Caucasian, 5% African-American, 3% Hispanic, 1% American Indian or Alaska Native, 4% mixed ethnicity), changes in adolescents' (mean age = 11 years; 42% female, 58% male) coping and parents' parenting skills were examined as mediators of the effects of a family group cognitive–behavioral preventive intervention on adolescents' internalizing and externalizing symptoms. Method: Changes in hypothesized mediators were assessed at 6 months, and changes in adolescents' symptoms were measured at a 12-month follow-up. Results: Significant differences favoring the family intervention compared with a written information comparison condition were found for changes in composite measures of parent–adolescent reports of adolescents' use of secondary control coping skills and direct observations of parents' positive parenting skills. Changes in adolescents' secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing, and externalizing symptoms, accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children's internalizing symptoms and parenting were found from baseline to 6-month follow-up. Conclusion: The present study provides the first evidence for specific mediators of a family group cognitive–behavioral preventive intervention for families of parents with a history of major depressive disorder. The identification of both coping and parenting as mediators of children's mental health outcomes suggests that these variables are important active ingredients in the prevention of mental health problems in children of depressed parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mechanisms of percept–percept and image–percept integration in vision: Behavioral and electrophysiological evidence.

Previous research has shown that the detection of a visual target can be guided not only by the temporal integration of two percepts, but also by integrating a percept and an image held in working memory. Behavioral and event-related brain potential (ERP) measures were obtained in a target detection task that required temporal integration of 2 successively presented stimuli in the left or right hemifield. Task performance was good when both displays followed each other immediately (percept–percept integration) and when displays were separated by a 300- or 900-ms interval (image–percept integration), but was poor with intermediate interstimulus intervals. An enhanced posterior negativity at electrodes contralateral to the side of the target was observed for percept–percept and for image–percept integration, demonstrating that both are based on spatiotopic representations. However, this contralateral negativity emerged later and was more sustained on trials with long interstimulus intervals, indicating that image–percept integration is slower and involves a sustained activation of working memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)