RESUMO
We examined the creation of spontaneous and suggestion-induced false memories in maltreated and non-maltreated children. Maltreated and non-maltreated children were involved in a Deese-Roediger-McDermott false memory paradigm where they studied and remembered negative and neutral word lists. Suggestion-induced false memories were created using a misinformation procedure during which both maltreated and non-maltreated children viewed a negative video (i.e., bank robbery) and later received suggestive misinformation concerning the event. Our results showed that maltreated children had higher levels of spontaneous negative false memories but lower levels of suggestion-induced false memories as compared to non-maltreated children. Collectively, our study demonstrates that maltreatment both increases and decreases susceptibility to memory illusions depending on the type of false memory being induced. Statement of contribution What is already known on this subject? Trauma affects memory. It is unclear how trauma affects false memory. What does this study add? This study focuses on two types of false memories.
Assuntos
Maus-Tratos Infantis/psicologia , Rememoração Mental , Repressão Psicológica , Sugestão , Criança , Pré-Escolar , Emoções/fisiologia , Feminino , Humanos , MasculinoRESUMO
This study explored the effects of positive information and imagery as ways of reducing a verbally installed fear in children. Seventy-two primary school children aged 9-13 years were first exposed to negative information to induce fear of a novel animal, and were then randomly assigned to three interventions: positive information, imagery, or a control condition. Outcome of various interventions was assessed by means of a standardized scale of fear beliefs and an index of confirmation bias (defined as the tendency to search for threat information in relation to the feared stimulus). Results indicated that both positive information and imagery were more effective in reducing fear than the control condition. Some evidence was also obtained showing that positive information was more effective than imagery, which suggests that this intervention represents the most optimal treatment approach when dealing with verbally acquired fears in children.
Assuntos
Medo/psicologia , Imaginação/fisiologia , Aprendizagem Verbal/fisiologia , Adolescente , Análise de Variância , Criança , Condicionamento Psicológico/fisiologia , Feminino , Humanos , Masculino , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Maintenance treatment with antidepressants is the leading strategy to prevent relapse and recurrence in patients with recurrent major depressive disorder (MDD) who have responded to acute treatment with antidepressants (AD). However, in clinical practice most patients (up to 70-80%) are not willing to take this medication after remission or take too low dosages. Moreover, as patients need to take medication for several years, it may not be the most cost-effective strategy. The best established effective and available alternative is brief cognitive therapy (CT). However, it is unclear whether brief CT while tapering antidepressants (AD) is an effective alternative for long term use of AD in recurrent depression. In addition, it is unclear whether the combination of AD to brief CT is beneficial. METHODS/DESIGN: Therefore, we will compare the effectiveness and cost-effectiveness of brief CT while tapering AD to maintenance AD and the combination of CT with maintenance AD. In addition, we examine whether the prophylactic effect of CT was due to CT tackling illness related risk factors for recurrence such as residual symptoms or to its efficacy to modify presumed vulnerability factors of recurrence (e.g. rigid explicit and/or implicit dysfunctional attitudes). This is a multicenter RCT comparing the above treatment scenarios. Remitted patients on AD with at least two previous depressive episodes in the past five years (n = 276) will be recruited. The primary outcome is time related proportion of depression relapse/recurrence during minimal 15 months using DSM-IV-R criteria as assessed by the Structural Clinical Interview for Depression. Secondary outcome: economic evaluation (using a societal perspective) and number, duration and severity of relapses/recurrences. DISCUSSION: This will be the first trial to investigate whether CT is effective in preventing relapse to depression in recurrent depression while tapering antidepressant treatment compared to antidepressant treatment alone and the combination of both. In addition, we explore explicit and implicit mediators of CT. TRIAL REGISTRATION: Netherlands Trial Register (NTR): NTR1907.
Assuntos
Antidepressivos/uso terapêutico , Terapia Cognitivo-Comportamental/métodos , Transtorno Depressivo Maior/prevenção & controle , Transtorno Depressivo Maior/terapia , Psicoterapia Breve , Protocolos Clínicos , Terapia Combinada , Transtorno Depressivo Maior/tratamento farmacológico , Seguimentos , Humanos , Avaliação de Resultados em Cuidados de Saúde , Modelos de Riscos Proporcionais , Anos de Vida Ajustados por Qualidade de Vida , Projetos de Pesquisa , Prevenção Secundária , Resultado do TratamentoRESUMO
Children's nighttime fears are common and cause significant interference to the child's functioning as well as causing much distress for the child and family. Therefore, effective and cost-efficient interventions are urgently needed by mental health professionals and counsellors. The authors review 29 studies, which investigated the efficacy of psychosocial treatment for children's nighttime fears. Most studies employed multiple baseline across subject designs or between group designs and most employed cognitive-behavioral techniques (i.e., desensitisation, emotive imagery, cognitive self-instruction, and reinforcement procedures). Although multi-method, informant assessments were not always conducted, in most studies rapid reduction of nighttime fears was typically achieved after only a few sessions with maintenance of gains. On the basis of our review, we make recommendations about assessment and intervention issues for the effective treatment of children's nighttime fears. Finally, future research directions are discussed including the need for a modern randomised clinical trial to more fully investigate treatment efficacy and the role of non-specific treatment factors.
Assuntos
Terapia Comportamental/métodos , Terapia Cognitivo-Comportamental/métodos , Medo , Ensaios Clínicos Controlados Aleatórios como Assunto , Transtornos do Sono-Vigília/terapia , Adolescente , Criança , Pré-Escolar , Terapia Combinada , Humanos , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/psicologiaRESUMO
Correlations between scores on the Gudjonsson Suggestibility Scale and a number of relevant personality characteristics, i.e., intelligence, memory, social inadequacy, social desirability, and fantasy proneness, were examined in a sample of 71 delinquent boys. Analysis showed that intelligence and memory were negatively related to suggestibility scores. That is, lower memory and intelligence were associated with higher suggestibility. No significant correlations were found between suggestibility and other personality characteristics.