RESUMEN
Digital mental health interventions, such as those provided by smartphone applications (apps), show promise as cost-effective approaches to increasing access to evidence-based psychosocial interventions for psychosis. Although it is well known that limited financial resources can reduce the benefits of digital approaches to mental healthcare, the extent to which cognitive functioning in this population could impact capacity to engage in and benefit from these interventions is less studied. In the current study we examined the extent to which cognitive functioning (premorbid cognitive abilities and social cognition) were related to treatment engagement and outcome in a standalone digital intervention for social functioning. Premorbid cognitive abilities generally showed no association with aggregated treatment engagement markers, including proportion of notifications responded to and degree of interest in working on app content, though there was a small positive association with improvements in social functioning. Social cognition, as measured using facial affect recognition ability, was unrelated to treatment engagement or outcome. These preliminary findings suggest that cognitive functioning is generally not associated with engagement or outcomes in a standalone digital intervention designed for and with people with schizophrenia spectrum disorders.
RESUMEN
The present study investigated the interdependence in the moment-to-moment fluctuations in parenting behavior during a triadic family interaction. Furthermore, by considering parenting interdependence within the broader family context, we also evaluated the role of various family risks (i.e., family instability, coparenting conflict, child externalizing problems) on parenting behavior interdependence. Participants were 192 families with an adolescent (Mage = 12.4 years), and maternal and paternal parenting behavior were separately rated on a minute-to-minute basis during a triadic family conflict discussion. Between mothers and fathers, various patterns of interdependence in parental sensitivity and disengagement emerged such that on the minute-to-minute basis, (a) greater maternal sensitivity was linked to greater paternal disengagement, (b) greater maternal disengagement was linked to higher paternal sensitivity, and (c) greater maternal disengagement was associated with lower paternal disengagement. Furthermore, multiple family risk factors moderated the magnitude of parenting interdependence, with the pattern of the moderations being generally consistent such that greater family risks were associated with more dampened parenting interdependence. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
