ORCID Profile
0000-0003-1093-8345
Current Organisations
Deakin University
,
Be Psychology and Mental Health
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Elsevier BV
Date: 07-2012
DOI: 10.1016/J.NEDT.2011.07.011
Abstract: Depression is highly prevalent in patients receiving palliative care however, detection rates are low, with many patients who suffer with depression continuing to go undetected and untreated. A number of factors unique to this setting, as well as issues relating to staff knowledge and self-efficacy working with depression, may impede the detection of patients who are depressed by professional health care staff. Although programmes aimed to train nurses and other allied health staff in depression may be an effective way to improve detection rates, there have been few studies investigating the efficacy of these interventions. This article draws upon recent literature to provide a narrative review of barriers to detection and factors relating to professional palliative care staffs' ability to provide pathways to care for patients who suffer with depression in this setting. Previously evaluated training programmes are reviewed and the argument is made that further development and empirical evaluation of depression training interventions for staff in this setting will provide services with evidence-based methods of training nurses and other professional care staff and improve the pathways to care for patients who suffer with depression.
Publisher: Wiley
Date: 02-05-2022
DOI: 10.1111/APHW.12364
Abstract: Reminiscence‐based interventions focus on the recall of autobiographical memories and reflective reasoning about these remembered experiences. This study assessed the effect of a three‐session, positive‐memory version of cognitive‐reminiscence therapy (CRT) on the psychological resources and mental well‐being of young adults. The participants ( N = 62, M age = 24.6 [ SD = 3.1], 71% females) were randomised to CRT or wait‐list. Psychological resources (self‐esteem, self‐efficacy, meaning in life and optimism), mental well‐being (depression, anxiety and stress symptoms) and theorised change processes (automatic negative thoughts, awareness of narrative identity and cognitive reappraisal) were assessed. The results showed the CRT group was significantly higher on psychological resources at post‐CRT ( d = 0.75–0.80) and follow‐up ( d = 0.52–0.87) and mental well‐being at post‐intervention ( d = 0.71–1.30) and follow‐up ( d = 0.64–0.98). The hypotheses regarding change processes were supported. Future research may use an active comparator and include a longer follow‐up, given only short‐term effects were assessed. Brief, positive‐focused CRT is effective in increasing psychological resources and mental well‐being in young adults.
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 12-2017
DOI: 10.1016/J.JANXDIS.2017.10.001
Abstract: Despite being a relatively prevalent and debilitating disorder, Generalized Anxiety Disorder (GAD) is the second least studied anxiety disorder and among the most difficult to treat. Dropout from psychotherapy is concerning as it is associated with poorer outcomes, leads to service inefficiencies and can disproportionately affect disadvantaged populations. No study to date has calculated a weighted mean dropout rate for GAD and explored associated correlates. A systematic review was conducted using PsycINFO, Medline and Embase databases, identifying studies investigating in idual psychotherapies for adults with GAD. Forty-five studies, involving 2224 participants, were identified for meta-analysis. The weighted mean dropout rate was 16.99% (95% confidence interval 14.42%-19.91%). The Q-statistic indicated significant heterogeneity among studies. Moderator analysis and meta-regressions indicated no statistically significant effect of client age, sex, symptom severity, comorbidity, treatment type, study type (randomized trial or not), study quality, number of sessions or therapist experience. In research investigating psychotherapy for GAD, approximately one in six clients can be expected to drop out of treatment. Dropout rate was not significantly moderated by the client, therapist or treatment variables investigated. Future research should specify the definition of dropout, reasons for dropout and associated correlates to assist the field's progression.
Publisher: Medknow
Date: 2020
Publisher: Elsevier BV
Date: 07-2022
DOI: 10.1016/J.AJP.2022.103136
Abstract: The Internet Addiction Test is a widely used assessment of symptoms of internet addiction. Although originally proposed as assessing different components of internet addiction, research has been mixed in terms of its factor structure. This study is the first to examine the psychometric properties of the IAT in an Indian population. A large s le (N = 2700) of Indians living in the Southern city of India were recruited door-to-door and completed the IAT and other validity measures. In Study 1, an exploratory factor analysis (n = 1375) indicated a one-factor structure, with 13 items measuring symptoms of internet addiction. This short-form IAT showed construct and convergent validity by correlating with higher daily internet use, higher scores on measures of problematic internet gaming, social media use, and smartphone use, and functional impact. In Study 2, confirmatory factor analysis (n = 1375) indicted this one-factor structure was a good fit to the data, and the correlations with validity measures were replicated. This short-form IAT appears to be valid as a measure of one underlying factor of problematic internet use in young Indian adults.
Publisher: Informa UK Limited
Date: 05-2013
DOI: 10.1080/09658211.2012.736523
Abstract: Despite the established effectiveness of reminiscence-based interventions for depression, little research exists into the pathways through which specific reminiscence functions are related to depressive symptoms. Drawing on theory of the mechanisms of change in cognitive-reminiscence therapy, the current study tests the hypothesised indirect associations of adaptive integrative and instrumental reminiscence functions with depressive symptoms and whether these relationships might differ among younger and older adults. Questionnaires were completed by a large community s le of the Australian population. Multiple mediation models were tested in two groups: younger adults (n = 730, M age = 52.24, SD=9.84) and older adults (n = 725, M age= 73.59, SD=6.29). Results were consistent across age groups, indicating that there was direct relationship between these reminiscence functions and depressive symptoms, but that integrative reminiscence is indirectly associated with depressive symptoms through meaning in life, self-esteem, and optimism, and that instrumental reminiscence is indirectly associated with depressive symptoms through primary control and self-efficacy. This study provides support for the relationships between constructs underlying the proposed mechanisms of change in cognitive-reminiscence therapy for the treatment of depression, and suggests these relationships are similar for younger and older adults.
Publisher: SAGE Publications
Date: 28-07-2016
Abstract: The utility of a narrative approach to identity and its role in psychological functioning are becoming increasingly recognized across various fields of inquiry. The current study aimed to develop a quantitative, self-report measure of the awareness of narrative identity and how globally coherent one’s autobiographical memories are perceived to be, specifically, in terms of temporal ordering, causal associations, and the perception of unifying themes. The construct validity and reliability of the Awareness of Narrative Identity Questionnaire (ANIQ) were assessed across three studies. In the first study, exploratory factor analysis of the responses of a large s le ( N = 441, M [age in years] = 33.1, SD = 15.2) to an initial item pool resulted in a 20-item four-factor structure congruent with the proposed subscales, and convergent and ergent validity were established. In the second study, and with a different s le ( N = 320, M [age in years] = 26.2, SD = 4.0), further evidence for the factor structure was provided through confirmatory factor analysis. Validity findings from Study 1 were replicated and extended on, and test–retest reliabilities were found to be high ( r = .72-.79). Importantly, in the third study ( N = 71, M [age in years] = 24.9, SD = 6.9), criterion validity was established, whereby the ANIQ subscales were demonstrated to be associated with dimensions of narrative coherence coded from written turning-point narratives. Across all studies, the internal reliabilities for the subscales were high (α = .86-.96). The ANIQ represents a valid, psychometrically sound, and novel method of assessing the awareness of narrative identity and autobiographical memory coherence.
Publisher: Springer Science and Business Media LLC
Date: 25-05-2023
DOI: 10.1007/S10608-023-10385-6
Abstract: Depression is characterized by different forms of overgeneralization that are all assumed to play a causal role in the development and course of depression. We examined, in a community s le of over 625 in iduals, whether these different forms of overgeneralization are correlated and whether they are prospective predictors of depression at 6-month follow-up. Negative overgeneralization to the self and across situations—two types of overgeneralized thinking processes—were significantly but weakly related, but neither of them was related to overgeneral memory—a memory-based form of overgeneralization. Overgeneralization to the self and overgeneral memory both predicted depression symptoms at follow-up. Further, two and three-way interactions indicated that higher levels of overgeneralization processes interact to predict depressive symptoms. Overgeneralization to the self and overgeneral memory both independently predicted probable recurrence of a major depressive episode during the follow-up period in in iduals that formerly experienced depression. Findings suggest that overgeneralization in depression is not a unitary construct and that different overgeneralization processes play independent and interacting roles in the course of depression.
Publisher: S. Karger AG
Date: 2016
DOI: 10.1159/000444417
Publisher: Elsevier BV
Date: 08-2020
Publisher: Springer Science and Business Media LLC
Date: 2013
Publisher: Wiley
Date: 04-10-2019
DOI: 10.1111/BJC.12236
Abstract: The ability to think about future events serves a range of important functions. People with schizophrenia show impairments in future thinking. However, whether these impairments are specific to positive or negative events and to what extent they are associated with impairments in verbal fluency and autobiographical memory remains poorly understood. People with schizophrenia (n = 93) and people without psychiatric diagnoses (n = 111) were asked to generate future events and retrieve past autobiographical events and they also completed a test of verbal fluency. Participants also completed questionnaire measures of the positive and negative dimensions of schizophrenia and depression symptoms. People with schizophrenia generated significantly fewer positive and negative future events than controls. In a linear regression, the interaction between diagnosis and autobiographical memory retrieval explained a significant amount of variance in the number of future events that participants generated even when accounting for symptoms and verbal fluency. Past and future thinking abilities were correlated in controls but not in people with schizophrenia. People with schizophrenia may not rely on autobiographical content to imagine the future and may rely instead on semantic processes. Interventions that improve past and future thinking amongst people with schizophrenia are warranted. Compared to control participants, people with schizophrenia have marked difficulty generating possible, positive and negative, future events. Unlike controls, for people with schizophrenia there is no relation between their ability to remember past events and their ability to think about the future. People with schizophrenia may have difficulty using their memories for their past to imagine and simulate possible future events.
Publisher: Springer Science and Business Media LLC
Date: 18-04-2018
DOI: 10.3758/S13421-018-0810-Z
Abstract: Overgeneral memory (OGM) refers to the failure to recall memories of specific personally experienced events, which occurs in various psychiatric disorders. One pathway through which OGM is theorized to develop is the avoidance of thinking of negative experiences, whereby cumulative avoidance may maladaptively generalize to autobiographical memory (AM) more broadly. We tested this, predicting that negative experiences would interact with avoidance to predict AM specificity. In Study 1 (N = 281), negative life events (over six months) and daily hassles (over one month) were not related to AM specificity, nor was avoidance, and no interaction was found. In Study 2 (N = 318), we revised our measurements and used an increased timeframe of 12 months for both negative life events and daily hassles. The results showed no interaction effect for negative life events, but they did show an interaction for daily hassles, whereby increased hassles and higher avoidance of thinking about them were associated with reduced AM specificity, independent of general cognitive avoidance and depressive symptoms. No evidence was found that cognitive avoidance or AM specificity moderated the effect of negative experiences on depressive symptoms. Our findings suggest that life events over 6-12 months are not associated with AM specificity, but chronic daily hassles over 12 months predict reduced AM specificity when in iduals avoid thinking about them. The findings provide evidence for the functional-avoidance hypothesis of OGM development and future directions for longitudinal studies.
Publisher: SAGE Publications
Date: 22-05-2022
DOI: 10.1177/15248380221090980
Abstract: Child sexual exploitation (CSE) is a serious and persistent global issue affecting up to 5% of the child and youth population worldwide yet there is no universally accepted definition. To develop a theoretically robust definition of CSE, this review systematically synthesized literature examining CSE definitions aiming to develop a conceptual model and typology. Electronic databases were searched to February 2021, yielding 384 nonduplicative records. Inclusion criteria were peer-reviewed and grey literature investigations of sexual exploitation, with a mean s le age of 18 years or younger, available in the English language. Literature review and data extraction followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Sixty-six studies met final inclusion criteria. Two independent reviewers extracted relevant data and used an epistemological approach to thematically analyse meaning and patterns across CSE definitions. Key findings demonstrate that CSE nomenclature is widely inconsistent, and despite growing awareness of this severe form of abuse, language continues to perpetuate stigma and criminalisation, utilising terms such as ‘adolescent or child prostitute’. Our findings propose a scientifically and trauma-informed definition and conceptualisation of CSE, based on the following four-dimensional components: (1) A child/young person (2) sexual acts (3) abuse and (4) exploitation (abuse + exchange). In this systematic review, a unified definition and conceptual model aims to advance knowledge and understanding of CSE, contributing to the progression of social norms which embrace nuances of trauma-informed practice and support for the identification and recovery of children, young people and families affected by sexual exploitation.
Publisher: SAGE Publications
Date: 08-07-2016
Abstract: Objective: To validate the Meaning in Life Questionnaire (MLQ) in earlier and later older-adulthood, and examine its correlates. Method: Participants in earlier ( n = 341, M age = 68.5) and later older-adulthood ( n = 341, M age = 78.6) completed the MLQ and other measures. Confirmatory multigroup analysis, correlations, and regression models were conducted. Results: A two-factor (presence and search), eight-item model of the MLQ had a good fit and was age-invariant. Presence and search for meaning were largely unrelated. Meaning was associated with life satisfaction, well-being across a range of domains, and psychological resources. Searching for meaning correlated negatively with these variables, but to a lesser degree in later older-adulthood. Discussion: The MLQ is valid in older-adulthood. Meaning in life is psychologically adaptive in older-adulthood. Searching for meaning appears less important, especially in later older-adulthood. Findings are discussed in the context of aging and psychosocial development.
Publisher: Elsevier BV
Date: 03-2018
DOI: 10.1016/J.BRAT.2018.01.003
Abstract: Episodic future thinking (EFT) refers to the mental simulation of future events that might be personally-experienced a crucial mental process in adaptation. Psychiatric disorders are associated with deficits in recalling episodic memory, however, no study has reviewed the empirical literature to assess for similar deficits in EFT. A systematic review comparing psychiatric groups with control groups on the specificity and episodic detail of EFT returned 19 eligible studies. An overall effect of g = -0.84 (95%CI = -1.06, - 0.62, p < .001) indicated in iduals with a psychiatric diagnosis have significantly less specific and detailed EFT. Publication bias was not detected, but heterogeneity was. No methodological characteristics were significant moderators. Subgroup analyses showed significant effects for depression (g = -0.79, p < .001, k = 7), bipolar disorder (g = -1.00, p < .001, k = 2), and schizophrenia (g = -1.06, p < .001, k = 6), but not posttraumatic stress disorder (g = -1.04, p = .260, k = 2) or complicated grief (g = -0.41, p = .08, k = 2). Deficits in EFT are apparent in some psychiatric disorders. However, many clinical groups are understudied, and the causal mechanisms and remediation of these deficits require further research attention.
Publisher: Elsevier BV
Date: 2020
DOI: 10.1016/J.JAD.2019.09.039
Abstract: Characteristic of the cardinal symptom of anhedonia, people with clinical depression report lower levels of anticipatory pleasure. However, the psychological mechanisms underlying these deficits are poorly understood. This is the first study to assess whether, and to what extent, phenomenological characteristics of episodic future thinking for positive future events are associated with anticipatory pleasure among depressed in iduals. In iduals with a Major Depressive Episode (MDE N = 117) and without (N = 47) completed ratings scales for depressive symptoms and trait anticipatory and consummatory pleasure. They then provided descriptions of personally-relevant positive future events and rated them for phenomenological characteristics and state anticipatory pleasure. Between-groups analysis showed that those with MDE reported lower trait anticipatory and consummatory pleasure. They also simulated future events with less specificity, less detail/vividness, less use of mental imagery, less use of first-person perspective, less plausibility erceived likelihood of occurring, and reported less associated state anticipatory pleasure. In regression analyses in the depressed group, lower scores for detail/vividness, mental imagery, and personal significance all uniquely predicted lower state anticipatory pleasure. Cognitive functioning was not assessed, which may help clarify deficits that underpin these findings. History of previous depressive episodes in the comparison group were not assessed, which may mean the observed between-group effects are underestimated. This study provides further evidence of deficits in episodic future thinking and anticipatory pleasure in depressed in iduals. It also establishes links between particular characteristics of episodic future thinking and state anticipatory pleasure, and indicates cognitive targets that may be amenable to intervention in order to reduce anhedonia.
Publisher: Cambridge University Press (CUP)
Date: 04-2021
DOI: 10.1017/S0033291721001343
Abstract: Impairments in retrieving event-level, specific autobiographical memories, termed overgeneral memory (OGM), are recognised as a feature of clinical depression. A previous meta-analytic review assessing how OGM predicts the course of subsequent depressive symptoms showed small effects for correlations and regression analyses when baseline depressive symptoms were controlled for. We aimed to update this study and examine whether their findings replicate given the decade of research that has been published since. A systematic literature review using the same eligibility criteria as the previous meta-analysis led to a doubling of eligible studies (32 v. 15). The results provided more precise estimates of effect sizes, and largely support the finding that OGM predicts the course of depressive symptoms. The effects were generally small, but significantly larger among clinical s les, compared to studies with non-clinical s les. There was some evidence that higher age was associated with stronger effects, and longer follow-up was associated with weaker effects. The findings on other moderating variables that were analysed were mixed. Continued research into this modifiable cognitive process may help to provide an avenue to better understand and treat highly prevalent and impactful depressive disorders.
Publisher: Informa UK Limited
Date: 30-03-2017
Publisher: Wiley
Date: 03-09-2015
DOI: 10.1002/ACP.3169
Publisher: Informa UK Limited
Date: 29-05-2022
Publisher: Springer Science and Business Media LLC
Date: 19-07-2022
Publisher: Wiley
Date: 30-09-2022
DOI: 10.1002/WCS.1624
Abstract: Several decades of research have established reduced autobiographical memory specificity, or overgeneral memory, as an important cognitive factor associated with the risk for and maintenance of a range of psychiatric diagnoses. In measuring this construct, experimenters code autobiographical memories for the presence or absence of a single temporal detail that indicates that the remembered event took place on a single, specific, day (Last Thursday when I rode bikes with my son), or multiple days (When I rode bikes with my son). Studies indicate that the specificity of memories and the amount of other episodic detail that they include (e.g., who, what, and where) are related and may rely on the same neural processes to elicit their retrieval. However, specificity and detailedness are nonetheless separable constructs: imperfectly correlated and differentially associated with current and future depressive symptoms and other associated intrapersonal (e.g., rumination) and interpersonal (e.g., social support) outcomes. The ways in which the details of our memories align with narrative themes (i.e., agency, communion, identity) and the coherence with which these details are presented, are also emerging as important factors associated with psychopathology. The temporal specificity of autobiographical memories may be important, but other memory constructs warrant further attention in research and theory, especially given the associations, and dependencies, between each of these constructs. Researchers in this area must consider carefully whether their research questions necessitate a focus on autobiographical memory specificity or whether a more inclusive analysis of other autobiographical memory features is necessary and more fruitful. This article is categorized under: Psychology > Memory.
Publisher: Wiley
Date: 16-04-2022
DOI: 10.1002/IJOP.12847
Abstract: Major depressive disorder (MDD) is associated with reduced specificity in autobiographical memory. It has been argued that this tendency occurs through a failure of effortful generative retrieval, regardless of valence of cue word. However, we propose that in MDD general memories are likely to be recalled via direct retrieval, and direct retrieval is more likely for negatively valenced cues. To provide a preliminary test of this, a large s le with MDD ( N = 298 M age = 47.2) completed the autobiographical memory test and indicated whether retrievals were generative or direct. Categoric and extended memories for negatively valenced cues were more often directly retrieved than generatively retrieved, and more often than direct retrieval for positively valenced cues. In contrast, categoric and extended memories for positively valenced cues were more often generatively retrieved relative to generative retrieval for negatively valenced cues. Relative to non‐clinical s les, direct retrieval for negatively valenced cues was high. Retrieval method and valence may be moderating processes in the type of memories recalled. This preliminary work presents the possibility of an extension of theory on retrieval tendencies in MDD.
Publisher: American Psychological Association (APA)
Date: 12-2013
DOI: 10.1111/CPSP.12043
Publisher: Springer Science and Business Media LLC
Date: 09-03-2022
DOI: 10.1007/S00426-022-01668-W
Abstract: Mental simulations of positive future events increase their detail/vividness and plausibility, with effects on cognitive-affective processes such as anticipated and anticipatory pleasure. More recently, spatial details have been distinguished as important in increasing detail and elaborating mental scene construction. Building on this research, this study ( N = 54 M age = 26.9) compared simulations of positive, self-relevant future events spatial details (i.e. people, objects, sequences of actions) with simulations focused on content details. Cross-sectionally at baseline, spatial details uniquely predicted phenomenological characteristics of future events, including anticipatory pleasure. The guided simulations increased detail and vividness, mental imagery, and pre-experiencing in both conditions. The content simulation condition did not increase content details relative to the spatial simulation condition, however, the inverse was true. Relatedly, overall detail and vividness were higher in the spatial condition, as was perceived control. The findings are discussed in relation to future thinking and mental health.
Publisher: Springer Science and Business Media LLC
Date: 17-06-2020
Publisher: SAGE Publications
Date: 17-03-2022
Abstract: The Temporal Experience of Pleasure Scale (TEPS) is a multidimensional self-report measure that has been used to improve understanding of anticipation (“wanting”) and consummation (“liking”) of reward. The TEPS has been used to assess anhedonia in clinical depression, but its factor structure has not yet been confirmed in this population. This seems important given mixed findings on the model fit and factor structure of the TEPS in other clinical and community s les. To remedy this, the current study used confirmatory factor analysis to test models of the TEPS items across three studies: (a) in adults with major depression ( n = 334), (b) in youth with major depression ( n = 305), and (c) in a community s le ( n = 320). In summary, the model fit of the two-factor TEPS scales was adequate in depressed and community Australian s les. Nevertheless, some items may require removal or revision based on cultural preferences for pleasurable experiences.
Publisher: BMJ
Date: 02-2019
DOI: 10.1136/BMJOPEN-2018-024508
Abstract: Major depression is a prevalent and debilitating disorder, but many sufferers do not receive support or respond to current treatments. The development of easily accessible and low-intensity treatments that have clear cognitive mechanisms of change is indicated. Memory specificity training (MeST) is an intervention for depression that targets deficits in recalling detailed memories of past experiences through repeated practice of autobiographical memory retrieval. This randomised controlled trial will assess the efficacy of an online, computerised version of MeST (c-MeST). Adults aged 18 and over with a current major depressive episode (MDE) will be recruited and randomised to have access to the seven session, online c-MeST programme for 2 weeks, or to a wait-list control group. The primary outcomes will be diagnostic status of MDE and self-reported depressive symptoms at postintervention. One-month and three-month follow-ups will be collected. Increases in autobiographical memory specificity will be assessed as a mediator of change, as well as other variables thought to contribute to reduced memory specificity, such as rumination and cognitive avoidance. Ethics approval has been granted by the Deakin University Human Research Ethics Committee to conduct the study (ID: 2017_168). The findings will be disseminated through scholarly publications and workshops and will inform future trials, such as with an active comparator or as an adjunct treatment. ACTRN12618000257268 Pre-results.
Publisher: Mary Ann Liebert Inc
Date: 04-2019
Abstract: Sexting (e.g., conveying nude electronic images) is now common among young adults. Despite leading to negative consequences for some (e.g., harassment and unwanted dissemination), findings regarding sexting behaviors and mental health variables have been mixed. We recruited a convenience s le of young adults (N = 444, M age = 20, SD = 1) to test the hypothesis that sexting might be associated with poorer mental health. Our results showed no association between receiving or sending sexts overall. However, receiving unwanted sexts, or sexting under coercion, was associated with higher depression, anxiety, and stress symptoms, and lower self-esteem, and these two sexting experiences were independent predictors of psychological distress. The relationship between these sexting behaviors with poor mental health was moderated by gender, with poorer outcomes for males receiving unwanted sexts. These findings indicate a possible moderating factor in sexting and mental health.
Publisher: Elsevier BV
Date: 2021
Publisher: Hogrefe Publishing Group
Date: 07-2020
DOI: 10.1027/1015-5759/A000536
Abstract: Abstract. Future-oriented variants of the Autobiographical Memory Test (AMT) are often used to assess the generation of specific episodic future thoughts, however, as yet the underlying factor structure of items in this modified test has not been examined. Therefore, over two studies we examined the factor structure and validity of an episodic future thinking variant of the Autobiographical Memory Test (Episodic Future Thinking-Test EFT-T). In Study 1, exploratory factor analysis ( N = 466) showed a one-factor structure underlying responses to positive, negative, and concrete noun cue words on the EFT-T. In Study 2, confirmatory factor analysis with a different s le ( N = 304) and using different cue words showed a good fit for a single-factor structure. In both studies, good convergent validity was found with scores on the EFT-T correlating with autobiographical memory specificity scores, with support for ergent factors also. Mixed support was found for associations with measures of mental imagery, and the implications for measurement are discussed. These studies provide the first evidence that the EFT-T unidimensionally assesses specificity in episodic future thinking across two cue word sets.
Publisher: Elsevier BV
Date: 10-2021
DOI: 10.1016/J.COPSYC.2021.02.002
Abstract: Memory Specificity Training (MeST) is an intervention developed from basic science that has found clinical utility. MeST uses cued recall exercises to target the difficulty that some people with emotional disorders have in recalling personally experienced events. MeST is simple enough to be delivered alongside traditional interventions or online by artificial intelligence. Currently, research indicates MeST's effects are immediate but short-lived, and there is limited research indicating its superiority over established interventions. Future investigations must establish the dosage and specific components of MeST that are necessary for clinically significant effects. Further, it must establish the secondary processes (e.g., problem-solving) that mediate between MeST-driven improvements in memory and symptoms. Similar interventions that build upon the idea of training autobiographical memory specificity are also emerging and warrant further investigation.
Publisher: Towarzystwo Naukowe KUL
Date: 02-09-2022
Abstract: Narrative identity allows various experiences to be integrated and incorporated into the concept of the self. Recent studies indicate that being aware of developing the story about the self that brings cohesion and meaning may be adaptive. This paper presents preliminary findings across three studies (two quantitative methods and one mixed) aimed at exploring the phenomenon of awareness of narrative identity in terms of its relations to other aspects of narrative identity and meaning-making (meaning in life, self-esteem, and post-traumatic growth). The total number of participants in all studies was 840 (N1 = 254, N2 = 424, N3 = 162). The results indicate that stronger awareness of narrative identity is related to higher self-narrative inclination and reflexivity and may be adaptive in terms of meaning-making and coping with traumatic events. People who were more aware of a narrative identity produced more elaborated and coherent self-narratives about an important past relationship. Additionally, they had a stronger tendency to integrate these past experiences with a sense of self-identity. Surprisingly, awareness of narrative identity was not related to self-esteem. These findings are discussed in terms of narrative identity literature. Moreover, possible directions for further studies to expand our understanding of awareness of narrative identity are proposed.
Publisher: Informa UK Limited
Date: 17-02-2023
Publisher: Springer Science and Business Media LLC
Date: 05-11-2023
DOI: 10.1007/S10608-022-10330-Z
Abstract: Improving future thinking, such as characteristics of specificity, detail, and use of mental imagery, may be one means to reduce anhedonia, particularly in a Major Depressive Episode (MDE) in which future thinking is impaired. The current study aimed to test this using a validated program, Future Event Specificity Training (FEST). Participants ( N = 177 80.8% women M age = 43.7, SD = 11.8) with a current depressive episode with anhedonia and high symptom severity were randomized to FEST or no FEST. Future thinking, anhedonia-related variables, and other clinical outcomes were assessed at baseline, one- and three-month follow-up. Relative to the control group, FEST was associated with significantly improved future thinking characteristics, a reduced likelihood of anhedonia (35.1% vs. 61.1%, p = .015), improvements on other anhedonia-related variables such as anticipatory ( d = 0.63, p = .004) and anticipated pleasure for future events ( d = 0.77, p .001), and desirable clinical outcomes such as less people meeting criteria for an MDE (37.8% vs. 64.8%, p = .011), higher behavioural activation ( d = 0.71, p = .001) and improved global functioning ( d = 0.52, p = .017). Changes in future thinking were found to mediate the effect of FEST on anhedonia. The quality of future thinking can be enhanced in Major Depression, and this leads to a substantially reduced likelihood of anhedonia, other significant clinical effects, and functional gains.
Publisher: Springer Science and Business Media LLC
Date: 02-12-2021
DOI: 10.1007/S10339-021-01067-W
Abstract: Episodic specificity inductions, involving brief training in recollecting episodic details, have been shown to improve subsequent performance on tasks involving remembering the past, imagining the future and problem solving. The current study examined if specificity inductions targeting self-referential past or future episodic thinking would have dissociable effects on generating past and future episodic detail and problem solving. Sixty-three participants were randomised to either a past self-referential or future self-referential episodic induction. All participants also completed a control task. Participants randomised to the self-referential future thinking induction generated more episodic details on past and future narrative tasks compared to a control task, whereas participants randomised to a self-referential past thinking induction showed similar performance to the control task. When examining within-group performance of participants randomised to the past or future induction, we found some evidence of dissociable effects of inductions on narrative generation tasks, but not on problem solving outcomes. Our findings suggest that self-referential inductions may be useful for increasing episodic specificity, but that the temporal distance and direction of the induction matters. We discuss our results in the context of the potential clinical utility of this approach for populations vulnerable to autobiographical memory disruption.
Publisher: American Medical Association (AMA)
Date: 22-09-2020
Publisher: SAGE Publications
Date: 23-04-2018
Abstract: Reminiscence therapy is a novel psychosocial approach to treating depressive symptoms in young adults. We present the first qualitative inquiry into young adults’ experience of reminiscence-based therapy, aimed at exploring attitudes toward this approach and their view of processes underpinning positive change. Help-seeking young adults (mean age = 20.8, SD = 1.6) with at least moderate depressive symptoms were interviewed following a course of cognitive-reminiscence therapy. The data were analyzed using thematic analysis. The intervention was reported to be a positive experience that led to positive outcomes. Change was attributed to common therapy factors and specific factors of cognitive reframing, increasing awareness of a broader life story, learning from the past to feel more confident and able to cope, and strengthened self-worth and self-acceptance. These findings provide unique insight into young adults’ experience with reminiscence-based treatment for depressive symptoms and indicate it is generally acceptable, useful, and age-appropriate for them.
Publisher: SLACK, Inc.
Date: 02-2015
DOI: 10.3928/00989134-20140701-01
Abstract: Using data from a larger study investigating the effectiveness of a structured clinical protocol to manage in iduals in residential facilities who experience behavioral and psychological symptoms of dementia (BPSD), the current study investigated whether external clinical support in using the protocol with specific residents increased compliance in its use, over and above only providing a generic workshop about the protocol and management of BPSD. Results indicated that provision of the workshop, in addition to clinical support, was associated with significantly higher compliance. However, compliance was only found to be related to positive outcomes when staff received the generic workshop and not clinical support. When clinical support was provided, compliance was not related to outcomes or worse outcomes. These findings, when considered in the context of the results of the larger trial, suggest that the relationship among clinical support, compliance with BPSD protocols, and clinical outcomes for residents and staff is complex and needs further investigation. [ Journal of Gerontological Nursing, 41 (2), 44–52.]
Publisher: American Psychological Association (APA)
Date: 06-2020
DOI: 10.1037/EMO0000765
Abstract: Episodic future thinking for positive future events is known to evoke positive affect. We aimed to assess whether it specifically evokes anticipated and anticipatory pleasure for future events, and behavioral intention. As a secondary aim, we examined if this differed compared to a condition of thinking of positive past events. In two studies, participants nominated 5 upcoming positive events and 5 positive past events. They then completed guided episodic thinking of past events and guided episodic thinking of future events. After guided episodic thinking, they rated the nominated future events on detail/vividness, mental imagery, anticipated and anticipatory pleasure, and behavioral intention. In Study 1 (
Publisher: Informa UK Limited
Date: 21-08-2023
Publisher: Elsevier BV
Date: 03-2019
Publisher: Elsevier BV
Date: 2016
DOI: 10.1016/J.IJLP.2015.08.035
Abstract: The success of prosecutions of perpetrators of sexual abuse often depends substantially upon the perceived credibility of the victim witness. However, perceptions of credibility may vary by generation of the observer, and the constitution of juries may therefore lead to bias. In this study we examined whether perceptions of credibility of female victims of sexual abuse varied across generation Y, generation X, "baby boomers", and "builders". One hundred and twenty-eight jury-eligible members of the community from each generation (N=512) responded to ten questions assessing the perceived believability, competence, trustworthiness, demeanour and sexual naiveté of females providing testimony related to alleged sexual abuse. Although consistent between-generation differences were not found for all questions, or all four groups of generational cohorts, in instances where significant differences were found, it was consistently the older generation groups (builders and baby boomers) that attributed less credibility to the victim than the younger generation groups (generation Y and generation X). The implications of these findings are discussed.
Publisher: Informa UK Limited
Date: 11-2015
DOI: 10.1080/09658211.2015.1103875
Abstract: Reminiscence-based psychotherapies have been demonstrated to have robust effects on a range of therapeutic outcomes. However, little research has been conducted on the immediate effects of guided activities they are composed of, or how these might differ dependent on the type of reminiscence. The current study utilised a controlled experimental design, whereby 321 young adults (mean age = 25.5 years, SD = 3.0) were randomised to one of four conditions of online reminiscence activity: problem-solving (successful coping experiences), identity (self-defining events contributing to a meaningful and continuous personal identity), bitterness revival (negative or adverse events), or a control condition (any memory from their past). Participants recalled autobiographical memories congruent with the condition, and answered questions to facilitate reflection on the memories. The results indicated that problem-solving and identity reminiscence activities caused significant improvements in self-esteem, meaning in life, self-efficacy and affect, whereas no effects were found in the bitterness revival and control conditions. Problem-solving reminiscence also caused a small effect in increasing perceptions of a life narrative/s. Differences between the conditions did not appear to be explained by the positive-valence of memories. These results provide evidence for the specific effects of adaptive types of problem-solving and identity reminiscence in young adults.
Publisher: Springer Science and Business Media LLC
Date: 14-01-2020
DOI: 10.1186/S13063-019-4036-6
Abstract: Youth depression is highly prevalent and is related to impairments in academic, social and behavioural functioning. Evidence-based treatments are available, but many young people do not respond or sufficiently recover with first-line options, and a significant proportion experience relapse. Consequently, there is clear scope to enhance intervention in this critical period of early-onset depression. Memory specificity training (MeST) is a low-intensity intervention for depression that targets reduced specificity when recalling memories of the past, a common cognitive vulnerability in depression. This randomised controlled trial will assess the efficacy of adding a computerised version of MeST (c-MeST) to usual care for youth depression. Young people aged 15–25 years with a major depressive episode (MDE) will be recruited and randomised to have immediate access to the seven session online c-MeST program in addition to usual care, or to usual care and wait-list for c-MeST. The primary outcomes will be diagnostic status of an MDE and self-reported depressive symptoms assessed at baseline, 1-, 3- and 6-month intervals. Autobiographical memory specificity and other variables thought to contribute to the maintenance of reduced memory specificity and depression will be assessed as mediators of change. Online provision of c-MeST provides a simple, low-intensity option for targeting a cognitive vulnerability that predicts the persistence of depressive symptoms. If found to be efficacious as an adjunct to usual care for depressed youth, it could be suitable for broader roll-out, as c-MeST is highly accessible and implementation requires only minimal resources due to the online and automated nature of intervention. Australian New Zealand Clinical Trials Registry, ACTRN12619000234112p . Registered on the 18 February 2019. All items from the WHO Trial Registration Data Set can be found within the protocol. 1.0
Publisher: American Psychological Association (APA)
Date: 10-2021
DOI: 10.1037/BUL0000345
Abstract: Decades of research has examined the difficulty that people with psychiatric diagnoses have in recalling specific autobiographical memories of events that lasted less than a day. Instead, they seem to retrieve general events that have occurred many times or which occurred over longer periods of time, termed overgeneral memory. We present the first transdiagnostic meta-analysis of memory specificity/overgenerality and the first meta-regression of proposed causal mechanisms. A keyword search of Embase, PsycARTICLES, and PsycINFO databases yielded 74 studies that compared people with and without psychiatric diagnoses on the retrieval of specific (
Publisher: Informa UK Limited
Date: 02-11-2020
Publisher: Wiley
Date: 10-03-2019
DOI: 10.1111/BJC.12218
Abstract: Deficits in anticipating pleasure may be an important dimension of anhedonia and functioning in psychiatric disorders, particularly schizophrenia and depression however, inconsistent findings have limited the conclusions that can be drawn. We conducted the first systemic review and meta-analysis of the extant literature for research comparing psychiatric groups to healthy control groups on anticipatory pleasure. Academic Search Complete, Science Direct, and CINAHL databases were systematically searched up to 9 June 2018 for relevant peer-reviewed articles, book chapters, and dissertations. Reference lists were also hand searched. A total of 36 studies were included in the review. A moderate-sized deficit was observed in schizophrenia spectrum disorders (k = 32, 1,851 patients and 1,449 controls, g = -0.42 [95% CI = -0.53 to -0.31], p < .001), and a large deficit in major depression (k = 415 patients and 506 controls, g = -0.87 [95% CI = -1.23 to -0.51], p < .001), with this effect being significantly larger for depression (p < .05). Meta-regression showed that heterogeneity was partially explained in schizophrenia spectrum by longer duration of illness and lower cognitive functioning predicting larger deficits. In depression, some evidence was found that ruling out a history of psychiatric illness in controls may be related to larger effects. There was evidence for small study bias inflating estimates in schizophrenia spectrum disorders. Deficits in anticipatory pleasure are manifest in these disorders, and significantly more so in major depression. These findings indicate a possible therapeutic target to link cognitive, affective, and behavioural factors that precipitate and maintain disorder. Anticipatory pleasure is impaired in schizophrenia spectrum and major depression. A particular focus on enhancing anticipatory pleasure may improve motivation for rewarding behaviour and psychosocial functioning. The review contained only a small number of studies for major depression. Given the heterogeneity in effects, there are likely to be more moderators of anticipatory pleasure that require examination.
Publisher: Elsevier BV
Date: 03-2019
DOI: 10.1016/J.PSYCHRES.2018.12.100
Abstract: Depressive symptoms are associated with deficits in objectively-rated detail and specificity in autobiographical future thinking for personally-relevant events. However, how depressive symptoms might affect the subjective, phenomenal characteristics of future thinking in general is not well understood. This study examined future thinking as self-reported by dysphoric (n = 79 probable major depression on the Patient Health Questionnaire and very or extremely difficult impact on functioning) and non-dysphoric adults (n = 79 as defined by normal range on the PHQ) that were matched on age and gender. The dysphoric group reported more frequent thoughts about their future in general, particularly for the long-term future, which persisted after controlling for emotional-valence. Dysphoric in iduals perceived their future thinking as being more frequently vivid and detailed, more often involving mental imagery and inner speech, more often involuntary, more often unrealistic or implausible, more negatively-valenced, and more often from a third-person perspective. The findings indicate differences in the phenomenology of thinking about one's future among dysphoric in iduals, some of which contrast with prior research findings. The implications for understanding autobiographical future thinking in depression are discussed, and studies are indicated to further clarify the content, function, and context of future thinking in altered affective states.
Publisher: Frontiers Media SA
Date: 18-03-2021
DOI: 10.3389/FPSYG.2021.625429
Abstract: The coherence of autobiographical memories plays an important role in psychological well-being, as borne out by recent studies. This study aimed to advance this understanding by assessing whether coherence predicted depressive symptoms over time in adults. Further, it aimed to specify mediators through which this association might occur, namely psychological resources of self-esteem self-efficacy, meaning in life, and optimism. A s le of 160 participants ( M age = 26.4, SD = 3.2, 58.1% women) completed surveys at three time-points spaced 1 week apart. The surveys contained measures of the perceived coherence of life stories and autobiographical memories, psychological resources, and depressive symptoms. The results of a path analysis model, controlling for depressive symptoms at baseline, indicated that perceived causal coherence was the only unique predictor of later depressive symptoms, and that this occurred through positive self-concept, represented by self-esteem and self-efficacy. Limitations of the study include no examination of cultural background as a moderating factor and the short time-intervals. Overall, the findings provide further evidence that the perception of how events have unfolded and impacted on one's life and sense of self is particularly important in mitigating depressive symptoms. It extends on our understanding by showing this occurs through changes in self-concept.
Publisher: MDPI AG
Date: 02-03-2021
Abstract: Sext dissemination presents policy and legislative challenges given its potential psychological, social, and legal harms. We report on a cross-national comparison of sext-image dissemination in a large s le of 1148 young adults aged 18–29 years (M = 22.54, SD = 2.50, 53.0% women, 47.0% men), either U.S. (53.8%) or Australian (46.2%) residents. The results indicate that 14% of young adults disseminated sexts, with no difference by gender or country. Over 50% of respondents indicated that the last time they received a disseminated sext, it was unexpected or unwelcome, with women twice as likely as men to receive unwelcome sexts. The most frequent motivations for sext dissemination were similar cross-nationally, relating to the attractiveness of the person depicted, as a joke, to gossip, because it was not a big deal, bragging, roasting or teasing, and to increase social status. Motivations of attractiveness, bragging, or social status were more commonly endorsed by men, while women endorsed reasons around gossip or roasting/teasing. Unique predictors of sext dissemination included U.S. residence, requesting sexts, receiving disseminated sexts, having one’s own images disseminated, and more positive subjective norms to dissemination, and there was a country–gender interaction, where Australian women and U.S. men were more likely to disseminate sexts than then U.S. women or Australian men. The findings have implications for prevention programs seeking to address harmful online sexual interactions, including addressing respect, consent, and subjective norms supporting non-consensual dissemination.
Publisher: Elsevier BV
Date: 11-2020
Publisher: Hogrefe Publishing Group
Date: 2019
DOI: 10.1027/1614-0001/A000275
Abstract: Abstract. The ability to mentally project oneself into the past and future is theoretically central to perception of a salient and cohesive narrative identity. Despite these theorized links, to date, the relationship between time perspective and narrative identity has not been empirically studied. We examined the association between these constructs in a s le of 212 participants ( M age = 28.3 years, SD = 10.9) who completed the Balanced Time Perspective Scale and the Awareness of Narrative Identity Questionnaire (ANIQ). Congruent with our hypotheses, stronger past perspective and a bias for past perspective over future were associated with a stronger awareness of having a narrative identity and the perception of temporal, causal, and thematic coherency of past experiences. When the past and future time perspective scales were examined together as predictors of the ANIQ subscales, past time perspective emerged as a significant predictor of stronger awareness of a narrative identity through dimensions of perceived coherence of past experiences, whereas future time perspective was a weak, direct predictor of lower awareness. The findings indicate that in idual differences in time perspective, and in particular a bias for past time perspective, are associated with a potentially more adaptive perception of narrative identity.
Publisher: Wiley
Date: 07-12-2018
DOI: 10.1002/IJOP.12548
Abstract: Sleep problems are highly prevalent among school-attending youth, and impact on school performance and outcomes. Sleep-competing behaviours are likely factors in the inadequate sleep time and related functional outcomes observed in this population. We examined a range of sleep-competing behaviours and their associations with sleep variables in Australian school-attending youth. We also assessed whether these behaviours indirectly affected mental health and daytime functioning through poorer sleep quality. A total of 353 school-attending youth (mean age = 14.6 years, 53% female) were recruited from high schools in Australia, and completed a range of self-report measures. Approximately 50% of the youth obtained sub-optimal levels of sleep and reported having a problematically long sleep onset latency. Sleep competing behaviours, related and unrelated to electronic media use, were reported as occurring frequently, and were associated with a range of sleep variables. These behaviours were also related to poorer mental health and daytime sleepiness, with this association explained by indirect effects through sleep quality. Sleep-competing behaviours are prevalent on school nights in Australian youth, and may have adverse associations with mental health and functioning. Prevention and intervention programs might address the risk factors identified in the current study.
Publisher: Informa UK Limited
Date: 06-08-2018
DOI: 10.1080/09658211.2018.1507042
Abstract: The Autobiographical Memory Test (AMT) has been central in psychopathological studies of memory dysfunctions, as reduced memory specificity or overgeneralised autobiographical memory has been recognised as a hallmark vulnerability for depression. In the AMT, participants are asked to generate specific memories in response to emotional cue words, and their responses are scored by human experts. Because the manual coding takes some time, particularly when analysing a large dataset, recent studies have proposed computerised scoring algorithms. These algorithms have been shown to reliably discriminate between specific and non-specific memories of English-speaking children and Dutch- and Japanese-speaking adults. The key limitation is that the algorithm is not developed for English-speaking adult memories, which may cover a wider range of vocabulary that the existing algorithm for English-speaking child memories cannot process correctly. In the present study, we trained a new support vector machine to score memories of English-speaking adults. In a performance test (predicting memory specificity against human expert coding), the adult-memory algorithm outperformed the child-memory variant. In another independent performance test, the adult-memory algorithm showed robust performances to score memories that were generated in response to a different set of cues. These results suggest that the adult-memory algorithm reliably scores memory specificity.
Publisher: Mary Ann Liebert Inc
Date: 04-2012
Abstract: Depression is a highly prevalent yet under-recognized and under-treated psychiatric illness in patients receiving palliative care. Nurses are the front-line health care professionals in these settings and are well-positioned to detect depressive symptoms and initiate pathways to care. Previous research suggests, however, that nurses' confidence and skills in relation to this task are low, and there appear to be a number of barriers within these settings that may impede nurses' engagement in this process. To further investigate these factors, a quantitative study was carried out with 69 palliative care nurses from three palliative care services in Australia. A number of issues were identified, including the need for further training in the signs and symptoms of depression, issues around discussing depression with patients and their family members, and difficulty differentiating depressive symptoms from grief. These findings provide insight into specific areas in which palliative care nurses would benefit from further training to improve detection rates for depression in this vulnerable population.
Publisher: Wiley
Date: 08-07-2018
DOI: 10.1002/ACP.3428
Publisher: Elsevier BV
Date: 12-2019
DOI: 10.1016/J.JBTEP.2019.101488
Abstract: Impairments in the specificity of autobiographical memory (AM) and future thinking are associated with a range of affective and psychopathological states, however, whether these deficits also occur in the context of state anxiety is not well known. We examined the effects of increasing state anxiety on the specificity of AM and future thoughts, as well as whether changes in rumination and executive functioning mediate any observed effects. Sixty-four participants (M age = 29.1, SD = 11.5) were randomized to either an anxiety or neutral mood induction and completed pre and post-measures of the constructs of interest. There were significant decreases observed in AM specificity in the anxiety induction group, relative to the neutral group. No changes were observed for future thinking specificity. Rumination was increased as a result of the anxiety induction, but only a non-significant trend was observed with respect to its association with changes in AM and future thinking specificity. Verbal fluency and working memory were not affected by the induction. Physiological measures of anxiety were not used. State anxiety, although increased, was not high in severity. Future research might use a clinical s le to assess generalizability of these findings. Although preliminary, these findings provide first evidence of the causal impact of an anxiety induction on the ability to retrieve specific AM.
Publisher: SAGE Publications
Date: 02-03-2012
Abstract: Clinical depression is highly prevalent yet underdetected and poorly managed within palliative care settings. This qualitative study explored the identification, monitoring, and management of symptoms of depression in patients receiving palliative care from 2 juxtaposed perspectives that are of care providers and care recipients' family members. Examining the barriers that restrict professional carers detecting and managing depression in their patients was a central focus of the study. Focus groups were held with 18 professional carers, including 8 holding managerial positions, across 2 palliative care services, 1 regional and 1 metropolitan, which provided both inpatient and community-based care. In idual interviews were conducted with 10 family members of patients who had received or were receiving palliative care through these services. Thematic analysis of these data identified that both professional carers and family members perceived that depression is a wide-spread concern for patients receiving palliative care however, numerous barriers were identified that affect professional carers’ ability to identify depression. These included knowledge and training deficits, low self-efficacy, prioritization of physical concerns and time constraints, patient/family characteristics, and system rocess issues. These themes (and related subthemes) are discussed in this article. Specialized training in depression is recommended for professional carers in order to improve their depression-related knowledge, detection skills, and self-efficacy. The ultimate goal of such training is to increase the rate of recognition of depression that in turn will lead to appropriate treatment for depressed patients.
Publisher: Wiley
Date: 14-04-2020
DOI: 10.1002/AUR.2301
Publisher: Elsevier BV
Date: 02-2014
DOI: 10.1016/J.CPR.2013.10.007
Abstract: Despite considerable controversy and speculation regarding sexting behaviour and its associated risks, to date there has been no integration and analysis of empirical literature on this topic. To collect and synthesise findings of the prevalence of sexting, its correlates, and the context in which it occurs, a systematic search of databases was conducted. Thirty-one studies, reporting on sexting prevalence and a erse range of related variables, met inclusion criteria. The estimated mean prevalence weighted by s le size was calculated, with trends indicating sexting is more prevalent amongst adults than adolescents, older age is predictive of sexting for adolescents but not adults, and more in iduals report receiving sexts than sending them. The correlates of sexting behaviour were grouped in terms of demographic variables, sexual and sexual risk behaviours, attitudes towards sexting, perceived outcomes of sexting, motivations for sexting, mental health and well-being variables, and attachment dimensions. Findings are discussed in terms of the trends indicated by the data, which provided substantiation that sexting behaviour is associated with numerous behavioural, psychological, and social factors. Limitations of the current research literature and future directions are also presented.
Publisher: SAGE Publications
Date: 09-05-2020
Abstract: Parents of children with autism spectrum disorder appear to experience high levels of psychological distress, yet little is known about the prevalence of psychological disorders in this population. The aim of this systematic review and meta-analysis was to estimate the proportion of these parents who experience clinically significant psychopathology. Articles reporting proportions of psychological disorders in a s le of parents of children with autism spectrum disorder were located. The initial search returned 25,988 articles. Thirty-one studies with a total s le of 9208 parents were included in the final review. The median meta-analytic proportions were 31% (95% confidence interval = [24%, 38%]) for depressive disorders, 33% (95% confidence interval = [20%, 48%]) for anxiety disorders, 10% (95% confidence interval = [1%, 41%]) for obsessive-compulsive disorder, 4% (95% confidence interval = [0%, 22%]) for personality disorders, 2% (95% confidence interval = [1%, 4%]) for alcohol and substance use disorders and 1% (95% confidence interval = [0%, 5%]) for schizophrenia spectrum disorders. Significant heterogeneity was detected in these categories. Further research is needed to gain more insight into variables that may moderate parental psychopathology. This review and meta-analysis is the first to provide prevalence estimates of psychological disorders in parents of children with autism spectrum disorder.
Publisher: Wiley
Date: 09-2022
DOI: 10.1002/CPP.2786
Abstract: Difficulty in accessing specific memories, referred to as reduced memory specificity or overgeneral memory (OGM), has been established as a marker of clinical depression. However, it is not clear if this deficit persists following the remission of depressive episodes. The current study involved a systematic review and meta-analysis of empirical studies with the aim of establishing whether remitted depression was associated with retrieving fewer specific and more overgeneral autobiographical memories. Seventeen studies were identified as eligible. The results indicated that people with remitted depression recalled fewer specific memories (k = 15 g = -0.314, 95% CI [-0.543 -0.085], z = -2.69, p = .007) and more categoric memories (k = 9 g = 0.254, 95% CI [0.007 0.501], z = 2.02, p = .043) compared to people who had never been depressed. Given these deficits have elsewhere been shown to be prognostic of future depressive symptoms, these findings suggest that reduced memory specificity/overgeneral memory persists following remission and may be a risk factor for future episodes of depression in those that are in remission. The findings are discussed in terms of how this knowledge might influence clinical understanding of relapse prevention and maintenance of remission in those with a history of depression.
Publisher: Springer Science and Business Media LLC
Date: 13-06-2011
Abstract: Clinical depression is highly prevalent yet under-detected and under-treated in palliative care settings and is associated with a number of adverse medical and psychological outcomes for patients and their family members. This article presents a study protocol to evaluate a training intervention for non-physician palliative care staff to improve the recognition of depression and provide support for depressed patients and their family members. Details of the hypotheses and expected outcomes, study design, training program development and evaluation measures are described. A randomised controlled trial will be implemented across two palliative care services to evaluate the "Training program for professional carers to recognise and manage depression in palliative care settings". Pre-, post- and three-month follow-up data will be collected to assess: the impact of the training on the knowledge, attitudes, self-efficacy and perceived barriers of palliative care staff when working with depression referral rates for depression and changes to staff practices. Quantitative and qualitative methods, in the form of self-report questionnaires and interviews with staff and family members, will be used to evaluate the effectiveness of the intervention. This study will determine the effectiveness of an intervention that aims to respond to the urgent need for innovative programs to target depression in the palliative care setting. The expected outcome of this study is the validation of an evidence-based training program to improve staff recognition and appropriate referrals for depression, as well as improve psychosocial support for depressed patients and their family members. Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000183088
Publisher: SLACK, Inc.
Date: 2017
DOI: 10.3928/00989134-20160928-01
Abstract: The current study aimed to profile behaviors associated with dementia that pose management difficulties for staff and determine whether existing rating scales capture these reported behaviors. Staff in 17 nursing homes described the behavioral symptoms of 229 residents with predominantly moderate-severe dementia associated with management difficulties. Behaviors were categorized by an expert clinical panel and compared to items in four dementia behavior rating scales. Staff reported 59 discrete behavioral symptoms, with physically agitated, aggressive verbal, non-aggressive verbal, and aggressive physical behaviors most common, followed by resistance to care and inappropriate social and sexual behaviors. Results suggested that some scales omit important behaviors reported by staff for residents with particularly challenging behaviors. The current study highlights the clinical complexity faced by nursing home staff in managing residents with behavioral symptoms of dementia. [ Journal of Gerontological Nursing, 43 (1), 34–43.]
Publisher: Informa UK Limited
Date: 16-10-2014
DOI: 10.1080/13607863.2014.967659
Abstract: Behavioral and psychological symptoms of dementia (BPSD) cause significant stress and distress to both aged-care residents and staff. This study evaluated a training program to assist staff to manage BPSD in residential care. A randomised controlled trial (RCT) was employed. The study was included in the Australian and New Zealand Clinical Trial Register residential care facilities. Staff (n = 204) and residents (n = 187) were from 16 residential care facilities. Facilities were recruited and randomly assigned to four staff training conditions: (1) training in the use of a BPSD-structured clinical protocol, plus external clinical support, (2) a workshop on BPSD, plus external clinical support, (3) training in the use of the structured clinical protocol alone, and (4) care as usual. Staff and resident outcome measures were obtained pre-intervention, three months and six months post-intervention. The primary outcome was changes in BPSD, measured using the Cohen-Mansfield Agitation Inventory (CMAI) as well as frequency and duration of challenging behaviors. Secondary outcomes were changes in staff adjustment. There were improvements in challenging behaviors for both intervention conditions that included training in the BPSD instrument, but these were not maintained in the condition without clinical support. The training/support condition resulted in sustained improvements in both staff and resident variables, whereas the other conditions only led to improvement in some of the measured variables. These results demonstrate the effectiveness of the BPSD protocol in reducing BPSD and improving staff self-efficacy and stress.
Publisher: Elsevier BV
Date: 07-2022
DOI: 10.1016/J.CPR.2022.102162
Abstract: Deficits in episodic future thinking (EFT) characteristics such as detail/vividness, specificity and the use of mental imagery are associated with psychopathology. However, whether these characteristics are associated with anxiety is not well understood. This article reports a systematic review and meta-analysis of research examining associations between anxiety and these EFT characteristics. Peer-reviewed studies that are published in the English language and contain at least one measure of anxiety and one measure of EFT characteristics were screened for inclusion in APAPsychINFO, CINAHL Plus and MEDLINE. Twenty-nine studies met the inclusion criteria. Results indicated that anxiety was not significantly correlated with detail/vividness overall. However, this was qualified by a moderating effect of cue valence. This finding is consistent with the Attentional Control and Contrast Avoidance Theories of anxiety, whereby higher anxiety is related to high detail/vividness in future thinking in the context of negatively-valenced cues, and conversely lower detail/vividness for positively-valenced cues. Anxiety was not significantly associated with specificity or the use of mental imagery. While heterogeneity and the low number of studies examining particular associations limited the findings, the results provide insight into the current state of the field and have both theoretical and clinical implications.
No related grants have been discovered for David Hallford.