Measuring Emotion Regulation Skill Use During Treatment: A Promising Methodological Approach

Emotion regulation has become ubiquitous in the study of psychopathology and a growing number of treatment outcome studies are collecting data on emotion regulation skill use. However, traditional measures of emotion regulation fail to capture important nuances in emotion regulation processes, their relationship to psychopathology, and how individuals use emotion regulation skills over time and across contexts. Novel methodologies are particularly needed for measuring emotion regulation in the context of treatment studies. In this article, we discuss a proposed methodology, the combination of ecological momentary assessment (EMA), and single-case experimental design (SCED), for measuring emotion regulation strategy use in the context of treatment outcome studies. To inform this discussion, we provide a brief overview of common approaches to assessing emotion regulation skill use in the context of treatment outcome research. We then describe the utility of intensive data capture (EMA) in the context of idiographic treatment studies (SCED), present a case study to illustrate the different uses of data collected through EMA in the context of a SCED study, and discuss considerations for implementing this method in clinical practice.

A Qualitative Systematic Review of the Homeopathic Outcome Studies in Patients with HIV/AIDS

Background & Aim: Systematic reviews of high-quality randomized controlled trials are crucial to evidence-based medicine. The objective of this review is to test whether there is enough evidence of efficacy of homeopathy from conducted clinical trials in humans suffering from HIV/AIDS. Methods: The study design was criteria-based systematic review of cumulative research and assessment of the methodological quality of only 5 published clinical trials and one review article. Among the clinical outcome studies, 3 studies were of open-label, non-randomized, non-controlled format, 2 were randomized controlled trials and one was a set of replication study. The qualities of the trials were evaluated using a list of validated and pre-defined criteria of good methodology, and the outcomes of the trials were interpreted in relation to their quality. Main outcome measures were methodological qualities in terms of consideration of threats to external, internal, construct and statistical conclusion validity. Results: Trials were too few in number and were not of very high quality. The results showed a positive trend regardless of the quality of the trial or the variety of homeopathy used. The results of this review may be complicated by publication bias. Conclusions: At this moment, the evidences are not sufficient to draw definitive conclusions. So, further evaluation of homeopathy by well-performed controlled trials of high methodological quality is required.

Update on hypnotherapy for psychiatrists

SUMMARY Although hypnosis has played a part in psychotherapy for a long time, it is not yet seen as an evidence-based therapy and is absent from many practice guidelines when it comes to the treatment of psychiatric disorders. At present, the applications and methods of hypnotherapy are poorly understood and other methods of psychotherapy tend to be favoured. This review article aims to introduce the role of hypnotherapy and its application for certain common psychiatric presentations, as well as examine its efficacy by summarising recent evidence from high-quality outcome studies and meta-analyses.

Using video games to improve the sexual health of young people aged 15-25 years: A rapid review (Preprint)

BACKGROUND Sexually transmitted infections and unintended pregnancies among young people remain a public health concern in many countries. To date, interventions to address these concerns have had limited success. The use of serious games as educational tools is increasingly used in health and public professional education. Although acknowledged as having great potential, fewer studies have evaluated the use of serious games in sexual health education among young people and to date, there have been no published reviews of these studies. OBJECTIVE The aim was to assess the effects of video game-based sexual health interventions for risky sexual behavior in young people aged 15-25 years. METHODS A rapid review of randomized controlled trials (RCTs) and quasi-RCT trials. The search included these bibliographic databases: Cochrane Central Register of Controlled Trials; Embase; Medline; PsycINFO; Scopus. Two reviewers independently screened 50 percent of the articles retrieved at the full-text screening phase. RESULTS From a total of 459 citations identified, after removing duplicates, 327 articles were deemed eligible for title/abstract screening. Seventy full-texts were screened, leaving 10 articles (evaluating 11 different games) included in the review. The findings highlighted the considerable diversity in video game-based interventions and in the sexual health outcomes assessed. While there were some promising findings in outcome studies using game-based interventions, results across studies were mixed. CONCLUSIONS Although game interventions for sexual health have been in existence for almost three decades, there have been relatively few studies evaluating them and the results of previous outcome studies have been mixed. Moreover, there is little clarity about which specific elements of a game facilitate positive outcomes. We provide some recommendations for future researchers developing video game-based interventions to improve sexual health in young people.Sex education, serious games, sexually transmitted infections, rapid review

Are Inclusive Education or Special Education Programs More Likely to Result in Inclusion Post-School?

The main goal of both special education and inclusive education for young people with learning or behavioral difficulties is their maximum inclusion in the community as adults. The question of which of these two approaches is more likely to achieve this goal is addressed by considering the findings of three outcome studies of young people with moderate to severe levels of learning or behavioral difficulties who experienced either option, or some combination of the two. The overall findings indicate that students who left school from a special education setting had better outcomes than those who completed their education in mainstream schools. This is considered to be due to the vocational curriculum and work experience they gained in their final years of special education, which those in mainstream schools did not receive. This suggests that a policy of full inclusion, with the closure of special classes and special schools, will result in less inclusion in their communities post-school for young people with moderate to severe levels of learning or behavioral difficulties.

Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

Recovery remains the most dangerous phase of general anaesthesia in horses. The objective of this publication was to perform a structured literature review including levels of evidence (LoE) of each study with the keywords “recovery anaesthesia horse”, entered at once, in the search browsers PubMed and Web of Science. The two authors independently evaluated each candidate article. A final list with 444 articles was obtained on 5 April 2021, classified as: 41 “narrative reviews/expert opinions”, 16 “retrospective outcome studies”, 5 “surveys”, 59 “premedication/sedation and induction drugs”, 27 “maintenance with inhalant agents”, 55 “maintenance with total intravenous anaesthesia (TIVA)”, 3 “TIVA versus inhalants”, 56 “maintenance with partial intravenous anaesthesia (PIVA)”, 27 “other drugs used during maintenance”, 18 “drugs before/during recovery”, 18 “recovery systems”, 21 “respiratory system in recovery”, 41 “other factors”, 51 “case series/reports” and 6 “systems to score recoveries”. Of them, 167 were LoE 1, 36 LoE 2, 33 LoE 3, 110 LoE 4, 90 LoE 5 and 8 could not be classified based on the available abstract. This review can be used as an up-to-date compilation of the literature about recovery after general anaesthesia in adult horses that tried to minimise the bias inherent to narrative reviews.