Pharmacologic approaches in the treatment of eating disorders

Important advances in the treatment of eating disorders, particularly bulimia nervosa, have been made during the past decade. Controlled trials for bulimia nervosa have demonstrated significant benefit from short-term pharmacotherapy with antidepressant medications and from short-term individual and group psychotherapies. Despite these advances, treatment of a patient often involves complex clinical decisions around such issues as choice of initial treatment modality, incomplete resolution of symptoms, and the role of long-term maintenance treatment. To address these questions, this review focuses primarily on summarizing results of published controlled trials of pharmacotherapy in patients with bulimia nervosa. In addition, it outlines the more limited literature on controlled pharmacotherapy trials for anorexia nervosa and for the provisionally identified syndrome of binge eating disorder.     

Positioning and animating human figures in a task-oriented environment

TEMPUS is an interactive graphics system which enables a user to model the task-oriented activities of several human agents in a three-dimensional environment. The user can create one or more human figures which are correctly scaled according to a specific population, or which meet certain size constraints. These figures may be viewed in any of several graphical modes.     

Therapist competence in cognitive therapy for depression: Predicting subsequent symptom change.

Objective: The efficacy of cognitive therapy (CT) for depression has been well established. Measures of the adequacy of therapists' delivery of treatment are critical to facilitating therapist training and treatment dissemination. While some studies have shown an association between CT competence and outcome, researchers have yet to address whether competence ratings predict subsequent outcomes. Method: In a sample of 60 moderately to severely depressed outpatients from a clinical trial, we examined competence ratings (using the Cognitive Therapy Scale) as a predictor of subsequent symptom change. Results: Competence ratings predicted session-to-session symptom change early in treatment. In analyses focused on prediction of symptom change following 4 early sessions through the end of 16 weeks of treatment, competence was shown to be a significant predictor of evaluator-rated end-of-treatment depressive symptom severity and was predictive of self-reported symptom severity at the level of a nonsignificant trend. To investigate whether competence is more important to clients with specific complicating features, we examined 4 patient characteristics as potential moderators of the competence-outcome relation. Competence was more highly related to subsequent outcome for patients with higher anxiety, an earlier age of onset, and (at a trend level) patients with a chronic form of depression (chronic depression or dysthymia) than for those patients without these characteristics. Competence ratings were not more predictive of subsequent outcomes among patients who met (vs. those who did not meet) criteria for a personality disorder (i.e., among personality disorders represented in the clinical trial). Conclusions: These findings provide support for the potential utility of CT competence ratings in applied settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Executive coaching: The need for standards of competence.

Psychologists working in the emerging competency area of "executive coaching" must promote a more complete understanding of what constitutes effectiveness in this arena—particularly when the expected outcome is sustained behavior change. Experienced psychologists must accept accountability for the need to inform and educate corporate decision makers about the core skills, competencies, experience, and related professional issues critical for successful outcomes. These educative efforts are essential if executive coaching for sustained behavior change is to be established as a respected consultative area adding value to organizationally based leadership development initiatives. The purpose of this article is to begin the dialogue among psychologists about the need to become more proactive in their educative efforts with these decision makers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A broad-band lumped element analytic model incorporating skin effect and substrate loss for inductors and inductor like components for silicon technology performance assessment and RFIC design

We present a broad-band lumped element planar inductor model that is suitable for RFIC design in silicon technologies. We provide extensions of the modeling methodology to similar components such as differential inductors, baluns, and solenoid inductors. The analytic computation of the physics-based model components, incorporating both metal skin effect and substrate loss, is described. The model is validated using measured data from over 200 inductors made with five different silicon back-end process technologies. The physics-based implementation of the model allows its use for determining the optimum process technology characteristics for specific radio frequency integrated circuit (RFIC) designs. The analytical based implementation with lumped elements enables effective integration into a robust CAD system for efficient design of RFIC circuits.     

Frequency and intensity modulation characteristics of GaAs lasersin an external cavity

Frequency and intensity modulation characteristics were measured for external cavity GaAs diode lasers as a function of modulation frequency. The data, displayed as a chirp-to-power ratio (CPR), showed at low modulation frequencies a flat response and a 0° or 180° relative phase, depending on laser structure. A model incorporating a carrier-density-dependent imaginary part of the differential gain (Henry alpha factor) is developed to explain the data. The model yields simple scaling of the CPR with injection current and photon lifetime. The agreement between the model and data including scaling is excellent. These results provide strong evidence for transverse spatial hole burning in these lasers     

Older siblings benefit from a family-based preventive intervention for preschoolers at risk for conduct problems.

This study evaluated sibling effects of a family-based intervention aimed at preventing conduct problems in preschool-age siblings of adjudicated youths. Ninety-two families of preschoolers who had older siblings adjudicated for delinquent acts were randomly assigned to intervention and control conditions. Of these, 47 families had nontargeted school-age (5-11 years) or adolescent siblings (12-17 years) living at home. These families were considered in this report. The authors hypothesized group differences on antisocial behavior and positive peer relations for older siblings of targeted preschoolers. The authors examined outcomes of parent- and teacher-reported behavior immediately postintervention and 8 months postintervention. Findings revealed significant intervention effects 8 months following intervention for adolescent siblings on parent-reported antisocial behavior and positive peer relations. Teacher reports confirmed group differences for antisocial behavior immediately postintervention. Findings document benefits for adolescent siblings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)