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LGBTQ+ conversion therapy and applied behavior analysis: A call to action.

The term conversion therapy refers to any practices intended to alter a person's sexual orientation, gender expression, gender identity, or any combination thereof. The present‐day scientific consensus is that such practices are not only ineffective, but highly harmful and fundamentally unethical. However, historical connections exist between applied behavior analysis and the design and dissemination of conversion therapy practices.  A new paper in the  Journal of Applied Behavior Analysis highlights these connections and to call for further attention and action from contemporary behavior analysts on this matter. Specifically, we call for continued discussion and review of previously published conversion therapy papers according to present‐day guidelines for ethical research, position statements from professional organizations, additional ethics guidelines for behavior‐analytic practice, and future behavior‐analytic research and practice efforts that support LGBTQ+ people. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

PTSD in First Responders

Approximately 10% of first responders report posttraumatic stress disorder (PTSD). Although reports within first responders suggest that they have distinct symptom presentations, there is a need to understand how the clinical profiles of first responders may differ from others seeking treatment for PTSD.  A new study published in the European Journal of Psychotraumatology compared the PTSD symptom profiles of first responder and civilians seeking treatment for PTSD. Participants self-referred to the Traumatic Stress Clinic (University of New South Wales, Sydney) were recruited  for enrolment in out-patient treatment trials for PTSD. Participants comprised people of mean age 41.72 years (SD = 10.71) who met DSM-IV criteria for PTSD. The sample was composed of 128 first responders and 182 civilians. Clinician-administered interviews of PTSD (Clinician-Administered PTSD Scale) and depression were conducted, as well as measures of self-report measures of depression, alcohol use, posttraumatic appraisals, and anger. Results showed that first responders reported greater rates of dysphoric cluster of symptoms, including diminished interest, emotional numbing, and social detachment, and less psychological reactivity and avoidance of situations, than civilians with PTSD. Beyond PTSD symptoms, first responders also reported more severe levels of depression and suppressed anger. These findings indicate that treatment-seeking first responders present with a distinct clinical profile that is characterized by dysphoric symptoms. These symptoms can predict poor treatment response and require specific attention in treating PTSD in first responders.

For the abstract

Insomnia in survivors 8.5 years after the Utøya Island terrorist attack: Transition from late adolescence to early adulthood-the Utøya study

Insomnia is a global health concern, associated with many mental and physical health conditions. Prevalence of insomnia is reported to increase during adolescence and early adulthood. High levels of insomnia are also reported in adolescents up to 2.5 years after a traumatic event. What is less well understood is the prevalence of insomnia in a trauma exposed population transitioning from adolescence to adulthood. A new study in the European Journal of Psychotraumatology examined insomnia in the survivors in the 2011 Utøya Island terrorist attack, 2.5 years and 8.5 years after the attack when the majority of survivors were transitioning from late adolescence to early adulthood. Participants were 336 survivors of the Utøya Island attack who completed the Utøya Study 2.5 years (T3) and 8.5 years (T4) after the attack. Participants completed a face-to-face interview including the Bergen Insomnia Scale (BIS), which was used to assess insomnia symptoms and prevalence of meeting diagnostic criteria for insomnia. Results showed that insomnia was indicated in 47.7% of survivors 8.5 years after the attack. Insomnia prevalence did not significantly change from 2.5 to 8.5 years after the attack, though insomnia symptoms (BIS sum score) were found to increase. Age was negatively associated with insomnia at T4, with older age being associated with less insomnia. No significant sex difference was found in insomnia prevalence at T4.  Almost a decade after the Utøya Island terrorist attack, nearly a half of the young survivors in our study reported insomnia and typical age- and sex-related differences in sleep were not always seen. This rate is almost double what is reported in the general population (20–30%) indicating a high level of unmet need in this population. The implications of such sleep disruption during a critical time for physical, mental, social and cognitive development are far reaching. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

What is Orthorexia Nervosa?

Orthorexia Nervosa (ON) is characterized by specific behaviors frequently related to other psychopathological conditions, such as Obsessive–Compulsive Disorder (OCD) and Eating Disorders (EDs). Whereas ON can mainly be described as an excessive concern regarding healthy food, a new study published in the journal Eating and Weight Disorders examined if ON could be considered a condition related and differentiated from worry, other than OCD, EDs, perfectionism, anxiety, and depression. To achieve these aims, 302 individuals from the general population were enrolled and were divided into two groups named “High EHQ” and “Low EHQ”, based on their Eating Habits Questionnaire’s score (EHQ-21). Results showed that correlations of ON with EDs and non-adaptive perfectionism constructs emerged independently from Obsessive-Compulsive (OC) symptoms, and the same pattern was observed when comparing the High and the Low EHQ groups. The two groups also differ in the worry anxiety and depression constructs and are not affected by OC symptoms removal.  These results confirm a relationship between ON with the typical ED, perfectionistic, anxious, and depressive symptomatology, mainly when the OC features are controlled; moreover, worry constructs could be considered characteristic of the ON phenomenology. This study does not entirely exclude the relationship with obsessive and compulsive characteristics, which could be associated with or serve as a mediator of the orthorexic behavior. Future research could explore the potential mediating or collateral role of OC symptoms. Level of evidence: Level III, evidence obtained from well-designed cohort or case–control analytic studies. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

The nature of posttraumatic stress disorder in treatment-seeking first responders.

Approximately 10% of first responders report posttraumatic stress disorder (PTSD). Although reports within first responders suggest that they have distinct symptom presentations, there is a need to understand how the clinical profiles of first responders may differ from others seeking treatment for PTSD.   A new study published in the European Journal of Psychotraumatology compared the PTSD symptom profiles of first responders and civilians seeking treatment for PTSD. Participants self-referred to the Traumatic Stress Clinic (University of New South Wales, Sydney) for enrolment in out-patient treatment trials for PTSD. Participants comprised people of mean age 41.72 years (SD = 10.71) who met DSM-IV criteria for PTSD. The sample was composed of 128 first responders and 182 civilians. Clinician-administered interviews of PTSD (Clinician-Administered PTSD Scale) and depression were conducted, as well as measures of self-report measures of depression, alcohol use, posttraumatic appraisals, and anger. Results showed that first responders reported greater rates of dysphoric cluster of symptoms, including diminished interest, emotional numbing, and social detachment, and less psychological reactivity and avoidance of situations, than civilians with PTSD. Beyond PTSD symptoms, first responders also reported more severe levels of depression and suppressed anger. CThese findings indicate that treatment-seeking first responders present with a distinct clinical profile that is characterized by dysphoric symptoms. These symptoms can predict poor treatment response and require specific attention in treating PTSD in first responders. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

The Rise of Telepsychology

Mental health providers’ usage of telehealth modalities saw an exponential increase in response to the coronavirus disease 2019 (COVID-19) pandemic. Some experts have suggested that it takes considerable time, education, consultation, and/or supervision to develop the new technology-based competencies. Education is required to understand not just the technologies, but the practices (e.g., ethical, legal, safety planning), differences from face-to-face care, and workflows. Given the need for rapid transition due to COVID-19, it is unclear how providers prepared for the integration of telehealth with their traditional practices. As such, the purpose of a new study in Professional Psychology: Research and Practice  was to examine mental health providers’ educational activities prior to and post telehealth implementation. Four hundred and four practicing providers (i.e., psychologists, counselors, therapists, social workers) were assessed via an online researcher-created survey. Results indicated significant increases in telehealth usage following COVID-19, with videoconferencing being the most common modality used. Although approximately 74% of surveyed providers sought telehealth education prior to usage, approximately 26% did not. In supplement of anything learned prior, approximately 61% indicated pursuing additional education post implementation. Taken together, a significant portion of providers can be viewed as having gained information that guided ethical, legal, and safe clinical services. Nevertheless, with consideration of the breadth and duration of the educational activities pursued, many providers would likely still benefit from additional education to foster a more complete understanding of the new telehealth competencies. Details regarding usage and educational activities are discussed. Application of information is outlined. Findings can help provide direction for additional educational efforts for providers. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

Forecasting the Future of Psychotherapy

Whither psychotherapy in the 2030s? Following a decennial tradition, the authors of a study published in Professional Psychology: Research and Practice conducted an e-Delphi poll on the future of psychotherapy in the United States. A panel of 56 psychotherapy experts participated in two rounds of predictions and achieved consensus on most items. The experts forecast multicultural, mindfulness, and cognitive–behavior therapies to increase the most, whereas classical psychoanalysis, reality therapy, and gestalt therapy to decrease the most. Technological, relationship-building, strength-oriented, skill-building, and self-change interventions were expected to rise. Master-level clinicians of multiple professions were projected to expand while psychiatrists to decline in the proportion of psychotherapy rendered. Therapy platforms with the highest likelihood of flourishing were videoconferencing, texting, smartphone applications, and multiple or flexible platforms. Short-term therapy, crisis intervention, and very short-term therapy were predicted to increase the most. Forecast scenarios with the highest likelihood were therapy personalization, treatment of health problems, requirement of evidence-based practices for insurance reimbursement, and integration of psychotherapy into primary care. Limitations of the Delphi methodology are elucidated, and practice implications for health-service psychologists are advanced. (PsycInfo Database Record (c) 2022 APA, all rights reserved

For the abstract

Being A New Father

Parenting self-efficacy is a critical determinant of high-quality parenting behavior, but this aspect of parenting cognitions has been understudied for fathers. A new study published in the Journal of Family Psychology used ongitudinal data from a sample of 182 fathers of firstborn infants in dual-earner families were  assess how expectant fathers’ rearing history, personality and personal characteristics, and family relationships were associated with their initial levels of parenting self-efficacy in the early postpartum period. Expectant fathers completed surveys assessing their rearing history, personality, and personal characteristics during the third trimester of pregnancy and reported on their perceptions of coparenting and parenting self-efficacy at three months postpartum. Results of hierarchical regression analyses showed that new fathers were at risk for lower parenting self-efficacy when they had greater attachment anxiety and neuroticism, believed that mothers are inherently better caretakers, and planned to use their own fathers as models for childrearing. In contrast, new fathers had greater parenting self-efficacy when they perceived their coparenting relationships with children’s mothers more positively. These findings inform theory about the development of fathers’ parenting cognitions and behavior and practice with expectant and new fathers, and, if replicated in a larger, more representative sample, may be used to identify expectant fathers at risk for low parenting self-efficacy and in the design of policy initiatives to enhance father–child relationships. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

Are There Biomarkers for Child Abuse?

Child maltreatment (CM) is a widespread problem associated with poor mental and physical health outcomes. The underlying mechanisms of this link are not always well understood, however certain biological changes observed in maltreated individuals may play a role in connecting experience and outcome. A new review published in Psychological Trauma: Theory, Research, Practice, and Policy  specifically focuses on 2 markers of biological embedding, DNA methylation (DNAm) and telomere length (TL) in maltreated children and youth. As biomarker changes are not uniform among maltreated children, we additionally discuss biological and environmental resilience factors that may contribute to variability. Method: We conducted a systematic review of Medline, Embase and PsycINFO databases for studies examining DNAm and/or TL in maltreated children and youth. Methodological quality of the included studies was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) checklists for cohort studies and randomized control trials. Data extraction focused on various factors including population and CM (type, chronicity, severity, and duration) characteristics. Results: The initial search returned 1,688 nonduplicate results, with 417 full text articles reviewed. Twenty-six articles from 16 studies were ultimately included of which 8 examined telomere length and 18 examined DNA methylation. Conclusions: While some heterogeneity of findings was found, evidence supports differential changes in both biomarkers associated with CM. This review enhances understanding of the constellation of biological changes related to CM and consideration of the important role of resilience factors in mitigating risk. Elucidating these factors may highlight targets for future study and intervention development. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract

Sleep, Stress, and the Pandemic

Stress associated with global health threats such as the coronavirus disease 2019 (COVID-19) pandemic and related containment efforts may be associated with significant sleep disruption. Stress-related sleep disturbance is an established transdiagnostic risk factor; thus, identifying associations with coping strategies may inform future intervention efforts. A new study published in the journal Health Psychology examined secondary control-oriented coping strategies, including positive reappraisal, which may be particularly effective in the context of stressors characterized by high uncertainty and low controllability such as a pandemic. Method: The current study (total N = 227 undergraduate students, predominantly female) examined the associations among primary and secondary control-oriented coping strategies, positive and negative affect (PA, NA), and the development of acute sleep disturbance in the month after the declaration of the COVID-19 pandemic. Control of prepandemic reported sleep disturbance allowed for prospective analyses of pandemic-related change. Results: Participants reported high levels of stress due to the pandemic onset, including difficulties with time management, difficulties with work or school, and worry about the future. Reappraisal and acceptance were both associated with higher concurrent PA, lower NA, and less increase in sleep disturbance; however, positive reappraisal was the only coping strategy that predicted unique variance in increased sleep disturbance. Conclusions: Current findings add to our understanding of stress adaptation in response to stressors characterized by high severity, high uncertainty, and low controllability, such as the COVID-19 pandemic, and suggest that positive reappraisal and PA may foster resilience to stress-related sleep disturbance. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

For the abstract