Additionally, our sample size [152 compared with 50 and 28 healthy controls in Nakamura et al. (2007) and Roppongi et al.'s (2010) studies, respectively] should provide a more representative and powerful
sample than in previous studies.
Not exact matches
With respect to
previous literature, our results are generally consistent with Donn and Sherman's (2002) findings that the (younger) undergraduate students
in their
sample were less likely
than the (older) graduate students who participated
in their
study to report having used the Internet to meet potential partners.
Our
sample can be characterized as high risk (baseline ECBI T score > 55) 42 or at the borderline of clinical (T score > 60), 34 which is typical of
previous randomized clinical trials of parent training for young children.41 The results across methods
in this
study are impressive given that effect sizes have been shown to be associated with the magnitude of symptom severity at baseline, 43 and thus it is typically more difficult to find large effects
in prevention
than in intervention trials.
There is growing evidence for online mindfulness courses being as effective as other face - to - face interventions and online courses for stress even without a therapeutic alliance.37 — 40 Previously found Perceived Stress Scale (PSS) effect sizes are comparable to those found with face - to - face mindfulness and CBT interventions, including our
previous research examining the course currently under investigation.40 — 42 One RCT found that an automated internet - based therapy including CBT and mindfulness actually had better outcomes for Irritable Bowel Syndrome (IBS)
than the comparative online therapist - led intervention, suggesting that the effects of internet interventions can not be attributed to, and do not rely on, therapist interaction.43
Studies are finding that online mindfulness courses can be beneficial for depression
in samples with IBS and epilepsy and anxiety symptoms
in a non-clinical
sample comparing a 3 - week mindfulness course with positive psychology interventions and treatment as usual (see Monshat38 for a review).
A web - based approach was adopted to reach a more geographically diverse
sample of parents
than in the
previous studies and to ascertain the validity of the scale when administered
in this alternative format.
Although this
study has some shortcomings such as small
sample size, potential selection bias, and less
than ideal controls (eg, treatment group was seen for a longer period
than control group), the results are promising and consistent with data from
previous studies in non-medical patients with depression.
Although the current dataset collected little demographic data on individual cases, information from the practices showed a very high percentage of suburban practices
in the current
sample, suggesting the possibility that the overall socioeconomic status of these subjects might be much higher
than it was
in the original PSC - 17
sample.1 As noted
in previous studies with the PSC43 and other measures, 9,13,44,45 the rate of positive screening, especially for externalizing problems, is usually higher
in lower — socioeconomic status populations.
On social - emotional measures, foster children
in the NSCAW
study tended to have more compromised functioning
than would be expected from a high - risk
sample.43 Moreover, as indicated
in the
previous section, research suggests that foster children are more likely
than nonfoster care children to have insecure or disordered attachments, and the adverse long - term outcomes associated with such attachments.44 Many
studies of foster children postulate that a majority have mental health difficulties.45 They have higher rates of depression, poorer social skills, lower adaptive functioning, and more externalizing behavioral problems, such as aggression and impulsivity.46 Additionally, research has documented high levels of mental health service utilization among foster children47 due to both greater mental health needs and greater access to services.
Although,
sampling differences between the US and Dutch participants (i.e. there were no high school students
in the US
sample) might partly explain this result, it stil is remarkable, as
previous Dutch
studies showed that D / HH students do have a lower friendship quality
than hearing students [1], [8].
Because our
sample differed from those used
in these
previous studies (e.g., majority of children
in our
sample had a DBD and all were aged 7 years and over), rather
than use the a priori scales, we computed parallel analysis and exploratory factor analysis (described below) and scored the measure based on these results.
Our finding that the severity of depressive symptoms was a significant but relatively smaller contributor to physical disability
in this
sample (after controlling for the possible effects of age, sex and duration of pain) is consistent with findings of some
previous studies of patients with chronic pain, but not with some treatment
studies, which found that depression level contributed to less significant improvement
in pain - related disability.11, 27 It is not surprising that cognitive, pain and behavioural variables accounted for more physical disability
than depressive symptoms but it is notable that social support (as measured by the MPI), sense of control over life, and catastrophising did not significantly contribute to physical disability.
This
sample reported lower conflict and higher cohesion
than previous studies with nonclinical, healthy
samples, suggesting that the families
in this
study were doing remarkably well prior to transitioning to the pump.