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Objective:
Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome.
Method:
Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions.
Results:
(a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy.
Conclusion:
Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome.
What is the public health significance of this article? This study suggests the substantial value of systematic competence feedback for improving therapist competence in the psychotherapy of depression. No significant effect of competence feedback on the reduction of reported depressive symptoms was found.
Previous studies (Hyona, Yan, & Vainio, 2018; Yan et al., 2014) have demonstrated that in morphologically rich languages a word's morphological status is processed parafoveally to be used in modulating saccadic programming in reading. In the present parafoveal preview study conducted in Finnish, we examined the exact nature of this effect by comparing reading of morphologically complex words (a stem + two suffixes) to that of monomorphemic words. In the preview-change condition, the final 3-4 letters were replaced with other letters making the target word a pseudoword; for suffixed words, the word stem remained intact but the suffix information was unavailable; for monomorphemic words, only part of the stem was parafoveally available. Three alternative predictions were put forth. According to the first alternative, the morphological effect in initial fixation location is due to parafoveally perceiving the suffix as a highly frequent letter cluster and then adjusting the saccade program to land closer to the word beginning for suffixed than monomorphemic words. The second alternative, the processing difficulty hypothesis, assumes a morphological complexity effect: suffixed words are more complex than monomorphemic words. Therefore, the attentional window is narrower and the saccade is shorter. The third alternative posits that the effect reflects parafoveal access to the word's stem. The results for the initial fixation location and fixation durations were consistent with the parafoveal stem-access view.
Sequential data assimilation of the stochastic SEIR epidemic model for regional COVID-19 dynamics
(2021)
Newly emerging pandemics like COVID-19 call for predictive models to implement precisely tuned responses to limit their deep impact on society. Standard epidemic models provide a theoretically well-founded dynamical description of disease incidence. For COVID-19 with infectiousness peaking before and at symptom onset, the SEIR model explains the hidden build-up of exposed individuals which creates challenges for containment strategies. However, spatial heterogeneity raises questions about the adequacy of modeling epidemic outbreaks on the level of a whole country. Here, we show that by applying sequential data assimilation to the stochastic SEIR epidemic model, we can capture the dynamic behavior of outbreaks on a regional level. Regional modeling, with relatively low numbers of infected and demographic noise, accounts for both spatial heterogeneity and stochasticity. Based on adapted models, short-term predictions can be achieved. Thus, with the help of these sequential data assimilation methods, more realistic epidemic models are within reach.
Factorial experiments in research on memory, language, and in other areas are often analyzed using analysis of variance (ANOVA). However, for effects with more than one numerator degrees of freedom, e.g., for experimental factors with more than two levels, the ANOVA omnibus F-test is not informative about the source of a main effect or interaction. Because researchers typically have specific hypotheses about which condition means differ from each other, a priori contrasts (i.e., comparisons planned before the sample means are known) between specific conditions or combinations of conditions are the appropriate way to represent such hypotheses in the statistical model. Many researchers have pointed out that contrasts should be "tested instead of, rather than as a supplement to, the ordinary 'omnibus' F test" (Hays, 1973, p. 601). In this tutorial, we explain the mathematics underlying different kinds of contrasts (i.e., treatment, sum, repeated, polynomial, custom, nested, interaction contrasts), discuss their properties, and demonstrate how they are applied in the R System for Statistical Computing (R Core Team, 2018). In this context, we explain the generalized inverse which is needed to compute the coefficients for contrasts that test hypotheses that are not covered by the default set of contrasts. A detailed understanding of contrast coding is crucial for successful and correct specification in linear models (including linear mixed models). Contrasts defined a priori yield far more useful confirmatory tests of experimental hypotheses than standard omnibus F-tests. Reproducible code is available from https://osf.io/7ukf6/.
The present study sets out to address two fundamental questions in the reading of continuous texts: Whether semantic and phonological information from upcoming words can be accessed during natural reading. In the present study we investigated parafoveal processing during the reading of Korean sentences, manipulating semantic and phonological information from parafoveal preview words. In addition to the first evidence for a semantic preview effect in Korean, we found that Korean readers have stronger and more long-lasting phonological than semantic activation from parafoveal words in second-pass reading. The present study provides an example that human mind can flexibly adjust processing priority to different types of information based on the linguistic environment.
The present study explored the age-related changes of eye movement control in reading-that is, where to send the eyes and when to move them. Different orthographies present readers with somewhat different problems to solve, and this might, in turn, be reflected in different patterns of development of reading skill. Participants of different developmental levels (Grade 3, N = 30; Grade 5, N = 27 and adults, N = 27) were instructed to read sentences for comprehension while their eye movements were recorded. Contrary to previous findings that have been well documented indicating early maturation of saccade generation in English, current results showed that saccade generation among Chinese readers was still under development at Grade 5, although immediate lexical processing was relatively well-established. The distinct age-related changes in eye movements are attributable to certain linguistic properties of Chinese including the lack of interword spaces and word boundary uncertainty. The present study offers an example of how human eye movement adapts to the orthographic environment.
During the reading of alphabetic scripts and scene perception, eye movements are programmed more efficiently in horizontal direction than in vertical direction. We propose that such a directional advantage may be due the overwhelming reading experience in the horizontal direction. Writing orientation is highly flexible for Traditional Chinese sentences. We compare horizontal and vertical eye movements during reading of such sentences and provide first evidence of a text-orientation effect on eye-movement control during reading. In addition to equivalent reading speed in both directions, more fine-grained analyses demonstrate a tradeoff between longer fixation durations and better fixation locations in vertical than in horizontal reading. Our results suggest that with extensive reading experience, Traditional Chinese readers can generate saccades more efficiently in vertical than in horizontal direction.
This article introduces a new corpus of eye movements in silent readingthe Russian Sentence Corpus (RSC). Russian uses the Cyrillic script, which has not yet been investigated in cross-linguistic eye movement research. As in every language studied so far, we confirmed the expected effects of low-level parameters, such as word length, frequency, and predictability, on the eye movements of skilled Russian readers. These findings allow us to add Slavic languages using Cyrillic script (exemplified by Russian) to the growing number of languages with different orthographies, ranging from the Roman-based European languages to logographic Asian ones, whose basic eye movement benchmarks conform to the universal comparative science of reading (Share, 2008). We additionally report basic descriptive corpus statistics and three exploratory investigations of the effects of Russian morphology on the basic eye movement measures, which illustrate the kinds of questions that researchers can answer using the RSC. The annotated corpus is freely available from its project page at the Open Science Framework: https://osf.io/x5q2r/.
During sentence reading, low spatial frequency information afforded by spaces between words is the primary factor for eye guidance in spaced writing systems, whereas saccade generation for unspaced writing systems is less clear and under debate. In the present study, we investigated whether word-boundary information, provided by alternating colors (consistent or inconsistent with word-boundary information) influences saccade-target selection in Chinese. In Experiment 1, as compared to a baseline (i.e., uniform color) condition, word segmentation with alternating color shifted fixation location towards the center of words. In contrast, incorrect word segmentation shifted fixation location towards the beginning of words. In Experiment 2, we used a gaze-contingent paradigm to restrict the color manipulation only to the upcoming parafoveal words and replicated the results, including fixation location effects, as observed in Experiment 1. These results indicate that Chinese readers are capable of making use of parafoveal word-boundary knowledge for saccade generation, even if such information is unfamiliar to them. The present study provides novel support for the hypothesis that word segmentation is involved in the decision about where to fixate next during Chinese reading.
Word recognition in sentence reading is influenced by information from both preview and context. Recently, semantic preview effect (SPE) was observed being modulated by the constraint of context, indicating that context might accelerate the processing of semantically related preview words. Besides, SPE was found to depend on preview time, which suggests that SPE may change with different processing stages of preview words. Therefore, it raises the question of whether preview time-dependent SPE would be modulated by contextual constraint. In this study, we not only investigated the impact of contextual constraint on SPE in Chinese reading but also examined its dependency on preview time. The preview word and the target word were identical, semantically related or unrelated to the target word. The results showed a significant three-way interaction: The SPE depended on contextual constraint and preview time. In separate analyses for low and high contextual constraint of target words, the SPE significantly decreased with an increase in preview duration when the target word was of low constraint in the sentence. The effect was numerically in the same direction but weaker and statistically nonsignificant when the target word was highly constrained in the sentence. The results indicate that word processing in sentences is a dynamic process of integrating information from both preview (bottom-up) and context (top-down).