Psychiatry and Psychology Commons^™

Experimental Manipulations To Test Theory-Driven Mechanisms Of Cognitive Behavior Therapy, Matthew W. Southward, Shannon Sauer-Zavala

Psychology Faculty Publications

Despite decades of randomized-controlled trials demonstrating the efficacy of cognitive-behavior therapy (CBT), the mechanisms by which CBT achieves its effects remain unclear. Here, we describe how one adaptive intervention, the sequential multiple assignment randomized trial (SMART), can be used to randomize patients at multiple decision points in treatment to draw stronger causal claims about mechanisms unfolding in the course of CBT. We illustrate this design using preliminary data and case examples from an ongoing SMART in which we are testing the role of aversive reactions to negative emotions as a hypothesized mechanism of change in the Unified Protocol. Finally, we …

Nocebo-Hypothesis Cognitive Behavioral Therapy (Nh-Cbt) For Persons With Functional Neurological Symptoms (Motor Type): Design And Implementation Of A Randomized Active-Controlled Trial, Matt Richardson, Maria Kleinstäuber, Dana Wong

Psychology Faculty Publications

Introduction: Functional Neurological Symptom Disorders (FNSD) are associated with high levels of disability and immense direct and indirect health costs. An innovative interdisciplinary rehabilitation approach for individuals with functional neurological symptoms of motor type–Nocebo-Hypothesis Cognitive Behavioral Therapy (NH-CBT)—combines CBT and movement retraining with video feedback embedded in a comprehensive explanatory model of the etiology of FNSD. Methods: This protocol describes the development and implementation of a phase II, parallel group, randomized controlled trial with blinded outcome assessors to compare the efficacy of NH-CBT with an active control condition (supportive counseling and movement retraining). Individuals meeting diagnostic criteria of an FNSD …

Tweeting About Sexism Motivates Further Activism: A Social Identity Perspective, Mindi Foster, Adrianna Tassone, Kimberly Matheson

Psychology Faculty Publications

Women, more so than men, are using social media activism to respond to sexism. However, when they do, they are also faced with gendered criticisms ('hashtag feminism') that may instead serve to silence them. Based in social identity theory, this research examined how women's social media activism, in response to sexism, may be a first step toward further activism. Two studies used a simulated Twitter paradigm to expose women to sexism and randomly assigned them to either tweet in response, or to a no-tweet control condition. Both studies found support for a serial mediation model such that tweeting after sexism …

Definition And Characteristics Of Behavioral Medicine, And Main Tasks And Goals Of The International Society Of Behavioral Medicine –An International Delphi Study, Joost Dekker, Marie Amitami, Anne H. Berman, Helen Brown, Bryan Cleal, Maria João Figueiras, Lila J. Finney Rutten, Egil A. Fors, Konstadina Griva, Jing Gu, Chris Keyworth, Maria Kleinstäuber, Claas Lahmann, Joseph T. F. Lau, Bernd Leplow

Psychology Faculty Publications

Background: In the past decades, behavioral medicine has attained global recognition. Due to its global reach, a critical need has emerged to consider whether the original definition of behavioral medicine is still valid, comprehensive, and inclusive, and to reconsider the main tasks and goals of the International Society of Behavioral Medicine (ISBM), as the umbrella organization in the field. The purpose of the present study was to (i) update the definition and scope of behavioral medicine and its defining characteristics; and (ii) develop a proposal on ISBM’s main tasks and goals. Method: Our study used the Delphi method. A core …

The Impact Of The Illness Label ‘Gout’ On Illness And Treatment Perceptions In Māori (Indigenous New Zealanders), Nicola Dalbeth, Meihana Douglas, Kate Mackrill, Leanne Te Karu, Maria Kleinstäuber, Keith J. Petrie

Psychology Faculty Publications

Background: Despite contemporary advances in understanding pathogenesis and effective management of gout, beliefs about the disease continue to be focused on gout as a self-inflicted illness. The illness label itself may contribute to inaccurate perceptions of the disease and its management. In Aotearoa/New Zealand, Māori (Indigenous New Zealanders) have high prevalence of severe gout. The aim of this study was to examine the impact of the illness label ‘gout’ on perceptions of the disease and its management for Māori. Methods: Māori supermarket shoppers (n = 172) in rural and urban locations were recruited into a study examining the perceptions about …

Why Are Some Cases Not On Track? An Item Analysis Of The Assessment For Signal Cases During Inpatient Psychotherapy, Thomas Probst, Maria Kleinstäuber, Michael J. Lambert, Karin Tritt, Christoph Pieh, Thomas H. Loew, Reiner W. Dahlbender, Jamie Delgadillo

Psychology Faculty Publications

Within the Routine Outcome Monitoring system “OQ-Analyst,” the questionnaire “Assessment for Signal Cases” (ASC) supports therapists in detecting potential reasons for not-on-track trajectories. Factor analysis and a machine learning algorithm (LASSO with 10-fold cross-validation) were applied, and potential predictors of not-on-track classifications were tested using logistic multilevel modeling methods. The factor analysis revealed a shortened (30 items) version of the ASC with good internal consistency (α = 0.72–0.89) and excellent predictive value (area under the curve = 0.98; positive predictive value = 0.95; negative predictive value = 0.94). Item-level analyses showed that interpersonal problems captured by specific ASC items (not …

Somatic Symptoms And Binge Eating In Women's Daily Lives, Kelly A. Romano, Kristin E. Heron, Kathryn E. Smith, Ross D. Crosby, Scott G. Engel, Stephen A. Wonderlich, Raina D. Pang, Tyler B. Mason

Psychology Faculty Publications

Objective

The present study aimed to determine whether the momentary severity of women's somatic symptoms was concurrently and prospectively associated with their engagement in binge eating in naturalistic settings.

Method

Thirty women (M_age = 34.13, SD = 13.92) who had engaged in binge eating at least once over the month prior to study entry completed a 14-day ecological momentary assessment (EMA) protocol. During each of the 14 days, participants received five semi-random surveys via text message that assessed momentary somatic symptom severity (i.e., headaches, stomachaches/pain, chest/heart pain, faintness/dizziness, shortness of breath, fatigue) and disordered eating behaviors. Generalized estimating equations …

Experiential Avoidance And Negative Affect As Predictors Of Daily Drinking, Jason B. Luoma, Benjamin G. Pierce, Michael E. Levin

Psychology Faculty Publications

People who drink alcohol to cope with negative affect tend to drink more and experience more frequent negative alcohol-related consequences. Experiential avoidance, the tendency to avoid, suppress, or otherwise attempt to control unwanted inner experiences, is a largely pathological process that may help account for how negative affect is linked to increased alcohol consumption. However, research to-date has typically used global, trait-like measures, which limit our understanding of the conditions under which experiential avoidance is problematic. The current study tested both between-person (trait) and within-person (daily) variation in experiential avoidance and negative affect as predictors of solitary and social drinking …