Applied and Preventive Psychology

The aim of this study was to compare guided Internet-delivered to group-delivered cognitive behavioral therapy (CBT) for insomnia. We conducted an 8-week randomized controlled non-inferiority trial with 6-months follow-up. Participants were forty-eight adults with insomnia, recruited via media. Interventions were guided Internet-delivered CBT (ICBT) and group-delivered CBT (GCBT) for insomnia. Primary outcome measure was the Insomnia Severity Index (ISI), secondary outcome measures were sleep diary data, depressive symptoms, response- and remission rates. Both treatment groups showed significant improvements and large effect sizes for ISI (Within Cohen's d: ICBT post = 1.8, 6-months follow-up = 2.1; GCBT post = 2.1, 6-months follow-up = 2.2). Confidence interval of the difference between groups post-treatment and at FU6 indicated non-inferiority of ICBT compared to GCBT. At post-treatment, two thirds of patients in both groups were considered responders (ISI-reduction > 7p). Using diagnostic criteria, 63% (ICBT) and 75% (GCBT) were in remission. Sleep diary data showed moderate to large effect sizes. We conclude that both guided Internet-CBT and group-CBT in this study were efficacious with regard to insomnia severity, sleep parameters and depressive symptoms. The results are in line with previous research, and strengthen the evidence for guided Internet-CBT for insomnia.The study protocol was approved by, and registered with, the regional ethics review board in Linköping, Sweden, registration number 2010/385-31.

Scott O. Lilienfeld

Academic clinical psychology in the 21st Century: Challenging the sacred cows

21世纪的学术临床心理学：挑战神圣不可侵犯的观念

Results of existing literature suggest that the relationship between acculturation and mental health is complex. Some studies have found a beneficial association between increased acculturation and mental health, whereas others have found a detrimental association or no relationship at all. We reviewed literature on acculturation and mental health in Hispanics/Latino Americans, Asians/Asian Americans, and other ethnic groups. Results indicate that greater acculturation is associated with increased substance use and abuse. Findings for other disorders and symptoms demonstrate considerable heterogeneity and potential reasons for this variation are provided. Acculturation involves a complex set of processes that appear to have differential impact on mental health outcomes. Critical issues in the measurement of acculturation are discussed, and recommendations for future research are offered.

Vamsi K. Koneru

Amy G. Weisman de Mamani

Patricia M. Flynn

Hector Betancourt

Acculturation and mental health: Current findings and recommendations for future research

文化适应与心理健康：当前研究成果及未来研究建议

One of the core deficits that characterizes schizophrenia is an increase in distractibility and disinhibition at all levels of information processing. Patients with schizophrenia seem unable to focus attention on the relevant events while ignoring the irrelevant stimuli. This pattern of behavior is also observed in unmedicated schizotypal individuals who may carry liability for schizophrenia. In this review, we focus on studies of attentional inhibition, as assessed by the negative priming paradigm, to elucidate the relationships among deficits in inhibition, clinical symptoms and medication effects. We then consider models of the etiology of deficits in negative priming in schizophrenia and schizotypal personality. Finally, we discuss the potential power of utilizing hypothesis-driven cognitive paradigms in psychiatric research.

Randall K. Minas

Sohee Park

Attentional window in schizophrenia and schizotypal personality: Insight from negative priming studies

精神分裂症与分裂型人格的注意窗口：来自负启动研究的启示

This article examines a number of prominent trends in the conduct of psychological research and considers how they may limit progress in our field. Failure to appreciate important differences in temperament among researchers, as well as differences in the particular talents researchers bring to their work, has prevented the development in psychology of a vigorous tradition of fruitful theoretical inquiry. Misplaced emphasis on quantitative “productivity,” a problem for all disciplines, is shown to have particularly unfortunate results in psychology. Problems associated with the distorting effects of seeking grant support are shown to interact with the first two difficulties. Finally, the distorting effects of certain kinds of experimental studies are discussed, together with their implications for progress in this field.

Paul L. Wachtel

Investigation and its discontents

调查及其不满

Studies examining negative priming in dissociative identity disorder (DID) using the flanker task have reported emotional context effects. Significant negative priming is evident when individuals with DID are assessed in a context deemed emotionally neutral, while in contexts designed to elevate anxiety, DID samples display reduced negative priming. Limitations and considerations are discussed around statistical power, generalizability and reliability, and the use of diagnostic groups over specific clinical symptoms. The negative priming findings in this growing body of work have been interpreted with reference to the functioning of cognitive inhibitory mechanisms. Explored is how the episodic retrieval account of negative priming, with its reliance on memory mechanisms, could account for the DID findings. Encoding and retrieval possibilities are discussed and it is concluded that a failure to encode the prime trial distractor stimulus, in contexts of heightened anxiety, could explain the experimental findings from an episodic retrieval perspective.

Martin J. Dorahy

A critical evaluation of cognitive inhibition in dissociative identity disorder as inferred by negative priming in the flanker task: Limitations and the episodic retrieval alternative

分离性身份障碍中认知抑制的关键评估：通过侧翼任务中的负启动推断：局限性与情景提取替代方案

Prevention of depression and anxiety disorders is widely acknowledged as an important health care investment. However, existing preventive interventions have only shown modest effects. In order to improve the efficacy of prevention of depression and anxiety disorders, a number of authors have suggested that it is promising to focus on selective prevention programs that are offered to individuals scoring high on clearly established risk factors, whereby the preventive intervention then specifically targets these risk variables. This review presents repetitive negative thinking (worry and rumination) as a promising target for the prevention of depression and anxiety disorders.

Maurice Topper

Paul M.G. Emmelkamp

Thomas Ehring

Improving prevention of depression and anxiety disorders: Repetitive negative thinking as a promising target

改善抑郁和焦虑障碍的预防：重复性消极思维作为有前景的目标

Stigma has been described as one of the largest barriers for those who have been diagnosed with a mental disorder, with negative consequences impacting all facets of life, including the workplace. Although many population-based anti-stigma initiatives exist, the need for workplace interventions is being recognized, particularly as the financial costs of mental disorders in the workplace mount. Specific workplace-focused programs are emerging to address this need. The present paper describes efforts to reduce the stigma related to mental disorders in the workplace. Following the review, suggestions are made for future workplace anti-stigma interventions, as well as a discussion of considerations for researchers who evaluate such programs.

Andrew C.H. Szeto

Keith S. Dobson

Reducing the stigma of mental disorders at work: A review of current workplace anti-stigma intervention programs

减少工作场所心理障碍的污名化：当前职场反污名干预项目的综述

A growing body of research has demonstrated important variations in the prevalence, nature, and correlates of suicide across ethnic and sexual minority groups. Despite these developments, existing clinical and research approaches to suicide assessment and prevention have not incorporated cultural variations in any systematic way. In addition, theoretical models of suicide have been largely devoid of cultural influence. The current report presents a comprehensive analysis of literature describing the relationship between cultural factors and suicide in three major ethnic groups (African Americans, Asian Americans, and Latinos) and LGBTQ1 sexual minority groups. We utilized an inductive approach to synthesize this variegated body of research into four factors that account for 95% of existing culturally specific risk data: cultural sanctions, idioms of distress, minority stress, and social discord. These four cultural factors are then integrated into a theoretical framework: the Cultural Model of Suicide. Three theoretical principles emerge: (1) culture affects the types of stressors that lead to suicide; (2) cultural meanings associated with stressors and suicide affect the development of suicidal tendencies, one's threshold of tolerance for psychological pain, and subsequent suicidal acts; and (3) culture affects how suicidal thoughts, intent, plans, and attempts are expressed. The Cultural Model of Suicide provides an empirically guided cohesive approach that can inform culturally competent suicide assessment and prevention efforts in future research and clinical practice. Including both ethnic and sexual minorities in our investigations ensures advancement along a multiple identities perspective.

Joyce P. Chu

Peter Goldblum

Rebecca Floyd

Bruce Bongar

The cultural theory and model of suicide

自杀的文化理论与模型

Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (N = 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (d = 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (d = 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.

Bunmi O. Olatunji

Kate B. Wolitzky-Taylor

Craig N. Sawchuk

Bethany G. Ciesielski

Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD

担忧与焦虑障碍：针对广泛性焦虑障碍的元分析综合研究

With the continued operations in Iraq and Afghanistan, studies of the prevalence of posttraumatic stress disorder and related symptoms are now common. However, lacking is how these symptoms relate to precipitating conditions and the mitigating effects of social support on these symptoms. This is particularly relevant for reserve military personnel, who have been shown to be greater at-risk for postdeployment problems. The present study examined questionnaire data obtained from Army National Guard (ARNG) units immediately after their return from deployment to Iraq and Afghanistan during 2010 (N = 4329 soldiers in 50 units). Findings showed few soldiers displayed risk behaviors (i.e., daily alcohol use, use of illicit drugs, suicide thoughts, and physically threatening others) during and after deployment. Those most likely to have more postdeployment risk behaviors were also those who showed more risk behaviors during deployment. A substantial percentage of soldiers reported combat exposure, postdeployment negative emotions, and postdeployment loss of a personal relationship. These reported outcomes were all related to increased risk behaviors after deployment. The buffering effect of social support on postdeployment risk behaviors was equally evident when data were examined individually and when grouped by unit memberships. Implications of findings for future research, practice, and policies are discussed.

James Griffith

Courtney West

The Army National Guard in OIF/OEF: Relationships among combat exposure, postdeployment stressors, social support, and risk behaviors

陆军国民警卫队在伊拉克自由行动/持久自由行动中的战斗暴露、部署后压力源、社会支持与风险行为之间的关系

出版信息	出版商: Elsevier，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2004，原创研究文献占比: ，自引率:， Gold OA占比:

Applied and Preventive Psychology

期刊引文格式

有 1 位以上作者的期刊

有 2 位作者的期刊

有 3 位作者的期刊

有 5 位以上作者的期刊

书籍引用格式

学位论文引用格式

网页引用格式

专利引用格式

手工熬夜修改参考文献？研飞自动匹配期刊，一键轻松成稿，支持 Word/WPS

投稿经验分享