Psychology Commons^™

Removing Very Low-Performing Therapists: A Simulation Of Performance-Based Retention In Psychotherapy, Scott A. Baldwin, Zac E. Imel, Elisa Shang, David C. Atkins

Faculty Publications

Therapists can impact the likelihood a given patient will benefit from psychotherapy. However, therapists are rarely held accountable for their patients' outcomes. As a result, low performing providers likely continue to practice alongside providers with high response rates. In the current study, we conducted a Monte Carlo simulation to illustrate a thought experiment—what happens to patient outcomes if therapists with the worst outcomes were removed from practice? We drew initial samples of 50 therapists from three simulated populations of 1,000 therapists with a mean patient response rate of 50% and different effect sizes for therapist variability in outcomes. We simulated …

Collectivistic Coping Strategies For Distress Among Polynesian Americans, G. E. Kawika Allen, Timothy B. Smith

Faculty Publications

Previous research has shown that psychological services designed to assist clients in coping with stressful or traumatic events are more effective when aligned with clients’ cultural values, practices, and worldviews. However, limited research is available regarding the preferred coping strategies of Polynesian Americans. In examining collectivistic coping styles and their association with previous distress among 94 Polynesian Americans, we found that participants were highly likely to use family support and religion/spirituality to buffer the initial and residual effects of impairment attributable to distressing events, and private emotional outlets, such as psychotherapy, very infrequently. The use of private emotional outlets was …

Sertraline Effects On Cerebrospinal Fluid Monoamines And Species-Typical Socioemotional Behavior Of Female Cynomolgus Monkeys, Carol A. Shively, Thomas C. Register, James Dee Higley, Stephanie L. Willard

Faculty Publications

Rationale—Although widely prescribed, little is known about selective serotonin reuptake inhibitors (SSRIs) effects on social behavior and cerebrospinal fluid (CSF) monoamines in female primates.

Objective—To determine the effects of sertraline on agonistic and affiliative behavior.

Methods—21 adult female cynomolgus monkeys were housed in small, stable social groups, trained to participate in oral dosing, and began a 5-week cumulative dose response study. Serial doses of 0, 5, 10, 15, and 20 mg/kg of sertraline were administered orally for one week each. Behavior was recorded daily during 10-minute observations before and 4 hours after dosing. On the 7th day of dosing, circulating …

Loneliness And Social Isolation As Risk Factors For Mortality: A Meta-Analytic Review, Julianne Holt-Lunstad, Timothy B. Smith, Mark Baker, Tyler Harris, David Stephenson

Faculty Publications

Actual and perceived social isolation are both associated with increased risk for early mortality. The objective of this meta-analytic review is to establish the overall and relative magnitude of social isolation and loneliness and examine possible moderators. A literature search of studies (January 1980 to February 2014) was conducted using MEDLINE, CINAHL, PsycINFO, Social Work Abstracts, and Google Scholar. The included studies provide quantitative data on mortality as affected by loneliness, social isolation, or living alone. Across studies that statistically controlled for a variety of possible confounds, the independent random effects weighted average effect sizes for social isolation OR = …

A Sequence Variant In Human Kalrn Impairs Protein Function And Coincides With Reduced Cortical Thickness, Derin J. Cobia, Theron A. Russell, Katherine D. Blizinsky, Michael Cahill, Zhong Xie, Robert A. Sweet, Jubao Duan, Pablo V. Gejman, Lei Wang, John G. Csernansky, Peter Penzes

Faculty Publications

Dendritic spine pathology is a key feature of several neuropsychiatric disorders. The Rac1 guanine nucleotide exchange factor kalirin-7 is critical for spine morphogenesis on cortical pyramidal neurons. Here we identify a rare coding variant in the KALRN gene region that encodes the catalytic domain, in a schizophrenia patient and his sibling with major depressive disorder. The D1338N substitution significantly diminished the protein's ability catalyze the activation of Rac1. Contrary to wild-type kalirin-7, kalirin-7-D1338N failed to increase spine size and density. Both subjects carrying the polymorphism displayed reduced cortical volume in the superior temporal sulcus (STS), a region implicated in schizophrenia. …

Interaction Between Helicobacter Pylori And Latent Toxoplasmosis And Demographic Variables On Cognitive Function In Young To Middle-Aged Adults, Bruce L. Brown, Shawn D. Gale, Lance D. Erickson, Dawson W. Hedges

Faculty Publications

Helicobacter pylori and latent toxoplasmosis are widespread diseases that have been associated with cognitive deficits and Alzheimer’s disease. We sought to determine whether interactions between Helicobacter pylori and latent toxoplasmosis, age, race-ethnicity, educational attainment, economic status, and general health predict cognitive function in young and middle-aged adults. To do so, we used multivariable regression and multivariate models to analyze data obtained from the United States’ National Health and Nutrition Examination Survey from the Centers for Disease Control and Prevention, which can be weighted to represent the US population. In this sample, we found that 31.6 percent of women and 36.2 …

Association Between Toxocariasis And Cognitive Function In Young To Middle-Aged Adults, Bruce L. Brown, Lance D. Erickson, Shawn D. Gale, Andrew Berrett, Dawson W. Hedges

Faculty Publications

The ascarid nematodes Toxocara canis (Werner, 1782) and Toxocara cati (Schrank, 1788) may infect humans resulting in toxocariasis. A prior study associated species of Toxocara Stiles, 1905 with cognitive deficits in children. To determine if a similar association between toxocariasis and cognition exists in adults, we analysed a large dataset from the United States’ Center for Disease Control’s National Health and Nutrition Examination Survey. We used linear-regression and multivariate models to examine the association between toxocariasis as assessed by the presence of anti-Toxocara IgG antibodies and three measures of cognitive function – simple reaction time (SRT), symbol-digit substitution (SDS) and …

The Dependability Of Electrophysiological Measurements Ofperformance Monitoring In A Clinical Sample: A Generalizability Anddecision Analysis Of The Ern And Pe, Scott A. Baldwin, Michael J. Larson, Peter E. Clayson

Faculty Publications

Psychometric studies of the ERN, CRN, Pe, and Pc ERPs are increasing. Coherent integration of these results is difficultwith classical test theory because the definition of error depends on the measure of reliability. This study usedgeneralizability theory, which extends the ideas of classical test theory, as a framework for evaluating the influence ofpsychopathology and number of trials on dependability of measurement. Participants included 34 people meeting criteriafor major depression, 29 meeting criteria for an anxiety disorder, and 319 controls. For all ERPs, within-person variancewas larger than between-person variance across groups, indicating many trials are needed for adequate dependability (atleast 13). …

Personalized Contact Strategies And Predictors Of Time To Survey Completion: Analysis Of Two Sequential Randomized Trials, Victor D. Dinglas, Minxuan Huang, Kristin A. Sepulveda, Mariela Pinedo, Ramona O. Hopkins, Elizabeth Colantuoni, Dale M. Needham

Faculty Publications

Background

Effective strategies for contacting and recruiting study participants are critical in conducting clinical research. In this study, we conducted two sequential randomized controlled trials of mail- and telephone-based strategies for contacting and recruiting participants, and evaluated participant-related variables’ association with time to survey completion and survey completion rates. Subjects eligible for this study were survivors of acute lung injury who had been previously enrolled in a 12-month observational follow-up study evaluating their physical, cognitive and mental health outcomes, with their last study visit completed at a median of 34 months previously.

Methods

Eligible subjects were contacted to complete a …

Validation Of The Intermountain Patient Perception Of Quality (Ppq) Survey Among Survivors Of An Intensive Care Unit Admission: A Retrospective Validation Study, Samuel M. Brown, Glen Mcbride, Dave S. Collingridge, Jorie M. Buter, Kathryn G. Kuttler, Eliotte L. Hirshberg, Jason P. Jones, Ramona O. Hopkins, Daniel Talmor, James Orme

Faculty Publications

Background: Patients’ perceptions of the quality of their hospitalization have become important to the American healthcare system. Standard surveys of perceived quality of healthcare do not focus on the Intensive Care Unit (ICU) portion of the stay. Our objective was to evaluate the construct validity and internal consistency of the Intermountain Patient Perception of Quality (PPQ) survey among patients discharged from the ICU. Methods: We analyzed prospectively collected results from the ICU PPQ survey of all inpatients at Intermountain Medical Center whose hospitalization included an ICU stay. We employed principal components analysis to determine the constructs present in the PPQ …

Parent–Child Connectedness Mediates The Association Between Marital Conflict And Children’S Internalizing/Externalizing Outcomes, Scott Braithwaite, Emily Steele, Kersti A. Spjut, Krista Joy Dowdle, James Harper

Faculty Publications

A number of studies of marital conflict have examined both parent- and child–reports of marital conflict and child outcomes, but additional research is needed to provide evidence for potential mechanisms of action explaining the association between marital conflict and child internalizing and externalizing outcomes. In the present study (N = 330 2-parent/child triads), we show that the connectedness of the parent–child relationship (as reported by parents, but not children) significantly mediated the effect of marital conflict on children’s internalizing and externalizing behaviors. Our findings suggest that children’s perceptions are important when trying to understand the impact of marital conflict, but …

Trait Forgiveness And Enduring Vulnerabilities: Neuroticism And Catastrophizing Influence Relationship Satisfaction Via Less Forgiveness, Scott R. Braithwaite, Cindy M. Mitchell, Edward A. Selby, Frank D. Fincham

Faculty Publications

Two studies examine whether specific cognitive tendencies and underlying personality traits inhibit the tendency to forgive and, in turn, decrease relationship satisfaction among emerging adults in committed romantic relationships (median relationship duration 1–2 years). In Study 1 (N = 355), trait forgiveness had a positive, direct association with later relationship satisfaction and mediated the effect of neuroticism on relationship satisfaction. In Study 2 (N = 354), forgiveness had a positive, direct association with relationship satisfaction and mediated the association between catastrophic rumination and relationship satisfaction. Forgiveness mediated changes in relationship satisfaction over time, with greater trait forgiveness predicting higher relationship …

Does Pornography Consumption Increase Participation In Friends With Benefits Relationships?, Scott R. Braithwaite, Sean C. Aaron, Krista Joy Dowdle, Kersti A. Spjut, Frank D. Fincham

Faculty Publications

Friends with benefits (FWB) relationships integrate two types of relationships—friendship and a relationship that includes sexual intimacy but without an expectation of commitment. These relationships are often seen as less risky than other casual sexual behaviors, but they still pose a high risk of contracting an STI. Pornography consumption has been connected to increases in risky sexual behavior in other types of casual sex. In two studies (Study 1 N = 850; Study 2 N = 992), we examined the hypothesis that pornography use influences FWB behaviors, specifically through the mechanism of sexual scripts. Our results demonstrate that more frequent …

Effectiveness Of The Extended Parallel Process Model In Promoting Colorectal Cancer Screening, Wendy C. Birmingham, Man Hung, Watcharaporn Boonyasiriwat, Wendy Kohlmann, Scott T. Walters, Randall W. Burt, Antoinette M. Stroup, Sandie L. Edwards, Marc D. Schwartz, Jan T. Lowery, Deirdre A. Hill, Charles L. Wiggins, John C. Higginbotham, Philip Tang, Shirley D. Hon, Jeremy D. Franklin, Sally Vernon, Anita Y. Kinney

Faculty Publications

Objective: Relatives of colorectal cancer (CRC) patients are at increased risk for the disease, yet screening rates still remain low. Guided by the Extended Parallel Process Model (EPPM) we examined the impact of a personalized, remote risk communication intervention on behavioral intention and colonoscopy-uptake in relatives of CRC patients, assessing the original additive model and an alternative model in which each theoretical construct contributes uniquely. Methods: We collected intention-to-screen and medical-record-verified colonoscopy information on 218 individuals who received the personalized intervention. Results: Structural equation modeling showed poor main model fit (RMSEA=0.109; SRMR=0.134; CFI=0.797; AIC=11601; BIC=11884). However, the alternative model (RMSEA=0.070; …

Neural Correlates Of Gender Differences And Color In Distinguishing Security Warnings And Legitimate Websites: A Neurosecurity Study, Bonnie Brinton Anderson, C. Brock Kirwan, David Eargle, Scott R. Jensen, Anthony Vance

Faculty Publications

Users have long been recognized as the weakest link in security. Accordingly, researchers have applied knowledge from the fields of psychology and human–computer interaction to understand the security behaviors of users. However, many cognitive processes and responses are unconscious or obligatory and yet still have a profound effect on users’ security behaviors. With this in mind, researchers have begun to apply methods and theories of neuroscience to yield greater insights into the “black box” of user cognition. The goal of this approach—termed neurosecurity—is to better understand and improve users’ behaviors. This study illustrates the potential for neurosecurity by investigating how …