Evaluation of the effectiveness of Face IT, a computer-based psychosocial intervention for disfigurement-related distress.

Some people who have a visible difference (disfigurement) experience psychosocial adjustment problems that can lead to social anxiety and isolation. The aim of this study was to assess the effectiveness of a new computerised CBT-based intervention (Face IT) in reducing anxiety and appearance-related distress for individuals with visible differences. Face IT was tested against a non-intervention control group and standard CBT-based face-to-face delivery. Eighty-three participants were assessed at four time points using the Hospital Anxiety and Depression Scales, Derriford Appearance Scale-24, Body Image Quality of Life Inventory and Fear of Negative Evaluation (FNE). The findings indicate a significant reduction in anxiety and appearance-related distress in both the Face IT intervention and the face-to-face condition. Similar findings were reported for depressive symptoms and FNE. Results at the three and six months follow-up demonstrate increased improvements in psychological functioning with both interventions. This new online psychosocial intervention has been found to be effective at reducing anxiety, depression and appearance concerns amongst individuals with disfigurements, whilst increasing positive adjustment. A remote-access, computer-based intervention offers the potential to provide psychosocial support more easily and in a cost-effective manner to adults with appearance-related distress.

Depressive rumination reduces specificity of autobiographical memory recall in acquired brain injury.

Individuals with acquired brain injuries (ABI) often experience depression following injury, with estimated rates between 20 and 40% within the first year and up to 50% thereafter (Fleminger et al., 2003). Previous studies with non-brain-injured individuals have identified that rumination is prevalent in both the development and maintenance of depression. The study aimed to explore how depressive rumination may contribute to overgeneral memory recall in ABI patients, by assessing the effects of manipulating ruminative self-focus on autobiographical memory performance across levels of brain injury. Fifty-eight ABI individuals with mild (28) to moderate/severe (30) cognitive impairments were assessed on measures of mood, rumination and autobiographical memory. They were then randomly assigned into matched groups for an intervention (a distraction) or a rumination task. Following intervention, they were re-assessed for autobiographical recall and rumination. Findings indicate that ruminative self-focus reduced specificity of autobiographical memory in individuals with ABI, suggesting that depressive rumination plays a role in the reduced access to autobiographical memories. Higher baseline levels of depression and rumination were also associated with less specificity in recall. These findings indicate the value of identifying and treating depression among this population.