• Building the capacity for psycho-oncology research: A survey of the research barriers and training needs within the International Psycho-Oncology Society (IPOS)

      Lambert, SD; Coumoundouros, C; Hulbert-Williams, NJ; Shaw, J; Schaffler, J; McGill University; University of Chester; University of Sydney (Wolters Kluwer, 2020-07-28)
      Background: The International Psycho-Oncology Society (IPOS) is a multidisciplinary professional network that aims to improve psychosocial care for individuals impacted by cancer. IPOS encourages research activity, recognising that a high-quality evidence-base is essential to provide best-practice, data-driven clinical care. This study aimed to determine the barriers to research involvement and the training needs and priorities of IPOS members, with the goal of facilitating the development of training resources tailored to the needs of IPOS members. Methods: A link to an online, cross-sectional survey was disseminated to all registered members of IPOS via email. The online survey platform SimpleSurvey was used, and questions included demographic characteristics and items related to research interests, involvement, and training needs. High priority research training needs were identified as research tasks respondents rated as highly important, yet possessed a low perceived skill level in. Results: 32% of IPOS members (n = 142) completed the survey. Participants represented 49 countries and were at a variety of career stages. Overall, participants reported spending an average of 17.3 hours per week on research (range = 0 to 80 hours per week), with 69% of respondents wanting to increase their research involvement. The main barriers to research participation included lack of research funding (80%) and lack of protected time (63%). IPOS members identified five high priority training needs: (1) preparing successful grant applications; (2) preparing research budgets; (3) community-based participatory research; (4) working with decision makers; and (5) finding collaborators or expert consultants. Participants suggested funding access, statistical advisors and networking and mentorship opportunities as ways to enhance research involvement. Members preferred online training modules (39%) and mentorship programs (19%) as methods by which IPOS could provide research support. IPOS was viewed as being able to contribute to many aspects of research capacity building such as networking, training, and dissemination of research findings. Conclusions: IPOS has an important role in encouraging research capacity building among members. This survey provides an agenda for workshops and training opportunities. Mainly, for respondents it was less about training in research methods and more about training in how to prepare successful grant applications, including budgets, and receiving mentorship on this as well as having opportunities to collaborate with other researchers.
    • A Novel Approach for Autism Spectrum Condition patients with Eating Disorders: Analysis of Treatment Cost-savings

      Tchanturia, Kate; Dandil, Yasemin; Li, Zhuo; Smith, Katherine; Leslie, Monica; Byford, Sarah; King's College London; South London and Maudsley NHS Foundation Trust; Illia University (Wiley, 2020-07-10)
      Objective: In the current economic context, it is critical to ensure that eating disorder (ED) treatments are both effective and cost-effective. We describe the impact of a novel clinical pathway developed to better meet the needs of autistic patients with EDs on the length and cost of hospital admissions. Method: The pathway was based on the Institute for Healthcare’s Model of Improvement methodology, using an iterative Plan, Do, Study, Act format to introduce change and to co-produce the work with people with lived experience and with healthcare professionals. We explored the change in length and cost of admissions before and after the pathway was introduced. Results: Preliminary results suggest that the treatment innovations associated with this pathway have led to reduced lengths of admission for patients with the comorbidity, which were not seen for patients without the comorbidity. Estimated cost-savings were approximately £22,837 per patient and approximately £275,000 per year for the service as a whole. Conclusion: Going forward, our aim is to continue to evaluate the effectiveness and cost-effectiveness of investment in the pathway to determine whether the pathway improves the quality of care for patients with a comorbid ED and autism and is good value for money.
    • A leftward bias for the arrangement of consumer items that differ in attractiveness

      Rodway, Paul; Schepman, Astrid; University of Chester (Taylor & Francis, 2020-06-24)
      People are frequently biased to use left side information more than right side information to inform their perceptual judgements. This research examined whether the leftward bias also applied to preferences for the arrangement of everyday consumer items. Pairs of consumer items were created where one item was more attractive than the other item. Using a two-alternative forced choice task, Experiment 1 found a robust preference for arrangements with the more attractive consumer item on the left side rather than the right side of a pair. Experiment 2 reversed the judgement decision, with participants asked to choose the arrangement they least preferred, and a bias for arrangements with the more attractive item on the right side emerged. Experiment 3 failed to find an effect of the ‘attractive left’ preference on participants’ purchasing intentions. The preference for attractive left arrangements has implications for the display of consumer products and for the aesthetic arrangement of objects in general. The findings are discussed in relation to hemispheric asymmetries in processing and the role of left to right scanning.
    • There is no Other Monkey in the Mirror for Spider Monkeys (Ateles geoffroyi)

      Murray, Lindsay; Schaffner, Colleen; Aureli, Filippo; Amici, Federica; University of Chester, Adams State University, Universidad Veracruzana, Liverpool John Moores University, Max Planck Institute for Evolutionary Anthropology (American Psychological Association, 2020-06-18)
      Mirror self-recognition (MSR), usually considered a marker of self-awareness, occurs in several species and may reflect a capacity that has evolved in small incremental steps. In line with research on human development and building on previous research adopting a gradualist framework, we categorized the initial mirror responses of naïve spider monkeys (Ateles geoffroyi) according to four levels. We compared social, exploratory, contingent and self-exploratory responses to a mirror and faux mirror during three short trials. If spider monkeys respond as most monkey species, we predicted they would perform at level 0, mainly showing social behavior toward their mirror-image. However, because spider monkeys show enhancement of certain cognitive skills comparable to those of great ape species, we predicted that they would perform at level 1a (showing exploratory behavior) or 1b (showing contingent behavior). GLMMs revealed that monkeys looked behind and visually inspected the mirror significantly more in the mirror than the faux mirror condition. Although the monkeys engaged in contingent body movements at the mirror, this trend was not significant. Strikingly, they showed no social behaviors toward their mirror-image. We also measured self-scratching as an indicator of anxiety and found no differences in frequencies of self-scratching between conditions. Therefore, in contrast to most findings on other species, spider monkeys did not treat their image as another monkey during their initial exposure to the mirror. In fact, they reached at least level 1a within minutes of mirror exposure. These responses recommend spider monkeys as good candidates for further explorations into monkey self-recognition.
    • Investigating resting brain perfusion abnormalities and disease target-engagement by intranasal oxytocin in women with bulimia nervosa and binge-eating disorder and healthy controls

      Martins, Daniel; Leslie, Monica; Rodan, Sarah; Zelaya, Fernando; Treasure, Janet; Paloyelis, Yannis; King's College London; University College London (Springer, 2020-06-08)
      Advances in the treatment of bulimia nervosa and binge eating disorder (BN/BED) have been marred by our limited understanding of the underpinning neurobiology. Here we measured regional cerebral blood flow (rCBF) to map resting perfusion abnormalities in women with BN/BED compared to healthy controls and investigate if intranasal oxytocin (OT), proposed as a potential treatment, can restore perfusion in disorder-related brain circuits. Twenty-four women with BN/BED and 23 healthy women participated in a randomised, double-blind, crossover, placebo-controlled study. We used arterial spin labelling MRI to measure rCBF and the effects of an acute dose of intranasal OT (40IU) or placebo over 18-26 minutes post-dosing, as we have previously shown robust OT-induced changes in resting rCBF in men in a similar time-window (15-36 min post-dosing). We tested for effects of treatment, diagnosis and their interaction on extracted rCBF values in anatomical regions-of-interest previously implicated in BN/BED by other neuroimaging modalities, and conducted exploratory whole-brain analyses to investigate previously unidentified brain regions. We demonstrated that women with BN/BED presented increased resting rCBF in the medial prefrontal and orbitofrontal cortices, anterior cingulate gyrus, posterior insula and middle/inferior temporal gyri bilaterally. Hyperperfusion in these areas specifically correlated with eating symptoms severity in patients. Our data did not support a normalizing effect of intranasal OT on perfusion abnormalities in these patients, at least for the specific dose (40 IU) and post-dosing interval (18-26 minutes) examined. Our findings enhance our understanding of resting brain abnormalities in BN/BED and identify resting rCBF as a non-invasive potential biomarker for disease-related changes and treatment monitoring. They also highlight the need for a comprehensive investigation of intranasal OT pharmacodynamics in women before we can fully ascertain its therapeutic value in disorders affecting predominantly this gender, such as BN/BED.
    • Predictors of individual differences in emerging adult theory of mind

      Stewart, Suzanne L. K.; Kirkham, Julie A.; University of Chester (SAGE, 2020-05-21)
      Little is known about what factors are associated with emerging adult theory of mind (ToM). We predicted that childhood fantasy play (CFP), need for cognition (NfC), and fiction reading would be positive predictors due to their deliberative, perspective-taking nature while engagement with media and technology would be a negative predictor due to increased interpersonal distance. The best-fit mixed logit model (n = 369) showed that CFP, texting frequency, and NfC were significant positive predictors while smartphone usage and preference for task switching were significant negative predictors. Email and phone call usage were contributing non-significant negative predictors. Our study extends previous findings regarding NfC, and highlights the importance of CFP engagement for ToM beyond immediate childhood. Future research should investigate how subtly different media (e.g., texting vs smartphone use) have differential predictive relationships with social cognition. Data and code are available at doi: 10.17605/OSF.IO/CBD9J.
    • Developing an Integrated Approach

      Tod, David; Lafferty, Moira; Liverpool John Moores University; University of Chester (Routledge, 2020-05-05)
      Integration occurs when consultants combine multiple theoretical orientations and ways of operating to enhance the efficacy, effectiveness, efficiency, and ethical standing of services they provide clients. There is no one model of integration. The models practitioners develop are shaped by their histories, inclinations, and proclivities; the contexts and cultures in which they operate; the types of work they undertake; and the clients they serve. Integrated models allow practitioners to feel congruent, authentic, and comfortable with the ways they help clients. In this chapter, we define integration, discuss why it is viable in our field, examine ways practitioners integrate service delivery systems, consider obstacles to integration, and suggests ways educators and supervisors can assist practitioners.
    • Video-mediated behavior in gorillas (G. g. gorilla): A stage in the development of self-recognition in a juvenile male?

      Murray, Lindsay; University of Chester (American Psychological Association, 2020-03-12)
      The anomalous position of gorillas (G. g. gorilla) in the capacity for self-recognition remains puzzling. The standard measure of self-recognition is Gallup’s (1970) mark test that assesses an individual’s ability to recognize its altered image in a mirror following the application of paint marks to visually inaccessible areas. Here, the results of a small-scale pilot study are presented, utilizing video playback through a television monitor, to examine behavioural differences indicative of developing self-recognition. The behaviors of four Western lowland gorillas at Bristol Zoo, UK were observed while watching a TV screen during five conditions: blank screen, white noise interference, footage of unfamiliar gorillas, self previously recorded, and self-live. Differences were predicted in the frequency of the gorillas’ observed behaviors when viewing each of the conditions: specifically, that there would be more visual inspection, contingent body and facial movements, and self-exploration in the self-recorded and self-live conditions compared to the other conditions. These predictions were partially supported. No agonistic or fear responses were observed and self-exploration was only seen in the self-live condition. During live playback, contingency-checking movements and self-exploration of the mouth were observed, particularly in the youngest gorilla, providing important video evidence of a close parallel to the mouth exploratory behavior witnessed in self-recognizing chimpanzees. On the basis of these preliminary findings of differentiated spontaneous behaviors, a tentative framework is proposed for categorizing gorillas according to levels of developing self-recognition along a continuum.
    • “It’s not just part of my life, it is my life”: The paradoxical identities of a community judo coach

      Ryrie, Angus; Lafferty, Moira E.; Liverpool John Moores, University of Chester (Manchester Metropolitan University Press., 2019-12-31)
      The aim of this chapter is to explore coaching identities and present a case study that captures the everyday realities and multifaceted roles a community judo coach undertakes. In doing so, it provides a platform to explore and discuss the identities exhibited; evaluate practice within contextually different settings to present a realistic appraisal of coaching in the “field.”
    • Recruiting cancer survivors into research studies using online methods: a secondary analysis from an international cancer survivorship cohort study.

      Hulbert-Williams, Nicholas J.; Pendrous, Rosina; Hulbert-Williams, Lee; Swash, Brooke; University of Chester (ecancer Global Foundation, 2019-12-12)
      Recruiting participants into cancer survivorship research remains a significant challenge. Few studies have tested and compared the relative use of non-clinical online recruitment methods, especially in samples of adult cancer survivors. This paper reports on the feasibility of recruiting a representative cohort of cancer survivors using online social media. Two-hundred participants with a cancer diagnosis within the past 12 months were recruited via social media (Facebook, Twitter, Reddit) into a longitudinal questionnaire study. Different methods of online recruitment proved to be more effective than others over time. Paid Facebook boosting, Reddit posts, and Twitter adverts placed by existing cancer charities proved most helpful in reaching our recruitment target (contributing 27%, 22% and 32% respectively). Recruiting online achieved a more demographically and clinically representative sample for our study: our sample was younger, less heteronormative, including those with a range of clinical diagnoses, primary and recurrence illness, and patients who had both completed and were still receiving treatment. This was certainly not a quick method of sample recruitment but that could have been optimised by focussing only on the three most effective methods describe earlier. Whilst we found that online recruitment is significantly lower cost than traditional recruitment methods, and can reduce some biases, there still remains the potential for some biases (e.g. excluding much older participants) and ethical/methodological issues (e.g. excluding those without access to the internet). We outline our recruitment strategy, retention rates, and a cost breakdown in order to guide other researchers considering such methods for future research in cancer survivorship.
    • When speaking English is not enough: The consequences of Language-based stigma for non-native speakers

      Birney, Megan E.; Rabinovich, Anna; Morton, Thomas A.; Heath, Hannah; Ashcroft, Sam; University Centre Shrewsbury, University of Chester (Sage, 2019-11-06)
      We explored the effects of language-based stigma on the relationship between native and non-native speakers. In two studies we found that stigmatized non-native speakers experienced more negative interpersonal interactions, higher levels of intergroup threat, and reduced performance on an English test compared to non-native speakers who did not experience stigma. These effects were mediated by anxiety and moderated by prevention-related goals. Furthermore, native speakers perceived stigmatized (vs. not-stigmatized) speakers’ accents as stronger and their commitment to living in the host country as weaker. Our findings suggest that experiencing language-based stigma can: a) incite a stereotype threat response from non-native speakers, and b) damage their relationship with native speakers on an interpersonal and intergroup level.
    • A personal journey of a long and winding road to Professorial status: An alternative pathway and the challenges, trials and tribulations.

      Lafferty, Moira E.; University of Chester (Springer: Palgrave, 2019-11-01)
      For many years, the awarding of a professorial title was seen as a realistic objective and target for those with a substantive international portfolio of research publications and grant income success. With the changing landscape in Higher Education and a drive within the UK for Universities to show much more social responsibility and engagement we are beginning to see much needed change. In this chapter, I reflect on my personal journey to professorship and how my numerous experiences and diverse portfolio of activity finally came together to have personal and professional meaning. In telling my story, I am to raise awareness of the numerous challenges I encountered as a female, from my early years entering higher education through to my professorial application and beyond. I also reflect on my thoughts and feelings and provide ideas about what we can do to help more women thrive and succeed within academia.
    • Understanding self-respect and its relationship to self-esteem

      Clucas, Claudine; University of Chester (Sage, 2019-10-21)
      The concept of self-respect has received little attention in the psychological literature and is not clearly distinguished from self-esteem. The present research sought to empirically investigate the bases of self-respect by manipulating adherence to morals together with interpersonal appraisals, or task-related competence, in hypothetical scenarios (Studies 1a and 1b) and a situation participants relived (Studies 2 and 3). Participants’ levels of state self-respect and self-esteem were measured. Studies 1-3 found main effects of adherence to morals on self-respect, with self-respect mediating the effect of adherence to morals on self-esteem, but little support for competence and interpersonal appraisals directly influencing self-respect. Self-respect uniquely contributed to anticipated/felt self-esteem alongside competence or interpersonal appraisals. The pattern of results supports the conceptualisation of self-respect as a component of self-esteem associated with morally principled conduct, distinct from performance and social self-esteem. The findings have implications for our understanding of self-esteem and moral behaviour.
    • Communicative roots of complex sociality and cognition.

      Roberts, Anna I.; Roberts, Sam G. B. (2019-10-14)
      Mammals living in more complex social groups typically have large brains for their body size and many researchers have proposed that the primary driver of the increase in brain size through primate and hominin evolution was the selection pressures associated with sociality. Many mammals, and especially primates, use flexible signals that show a high degree of voluntary control and these signals may play an important role in forming and maintaining social relationships between group members. However, the specific role that cognitive skills play in this complex communication, and how in turn this relates to sociality, is still unclear. The hypothesis for the communicative roots of complex sociality and cognition posits that cognitive demands behind the communication needed to form and maintain bonded social relationships in complex social settings drives the link between brain size and sociality. We review the evidence in support of this hypothesis and why key features of cognitively complex communication such as intentionality and referentiality should be more effective in forming and maintaining bonded relationships as compared with less cognitively complex communication. Exploring the link between cognition, communication and sociality provides insights into how increasing flexibility in communication can facilitate the emergence of social systems characterised by bonded social relationships, such as those found in non-human primates and humans. To move the field forward and carry out both within- and among-species comparisons, we advocate the use of social network analysis, which provides a novel way to describe and compare social structure. Using this approach can lead to a new, systematic way of examining social and communicative complexity across species, something that is lacking in current comparative studies of social structure. [Abstract copyright: © 2019 Cambridge Philosophical Society.]
    • “All roads lead to Rome”, but “Rome wasn’t built in a day". Advice on QSEP navigation from the ‘Roman Gods’ of assessment!

      Eubank, Martin; Holder, Tim; Lowry, Ruth; Manley, Andrew; Maynard, Ian; McCormick, Alister; Smith, Jenny; Thelwell, Richard; Woodman, Tim; Lafferty, Moira E.; et al. (British Psychological Society, 2019-09-30)
      This article aims to explore assessors’ observations and experiences of QSEP in relation to trainee competence development and demonstration, and help QSEP trainees and supervisors to identify some of the potholes in the road and consider ways to avoid them. Specifically, assessors have written a short review of their QSEP observations and commentary about what they want to see more of in the future. Their views are forthright, but given in good faith in the spirit of providing advice to candidates, and guidance to supervisors, about the nature and scope of QSEP submissions.
    • Many Roads Can Lead to Rome – Supervisors perspectives on successful supervision and the challenges.

      Lafferty, Moira E.; Hemmings, Brian; Katz, Jonathan; Cunliffe, Matthew; Eubank, Martin; University of Chester, University of Greenwich, Liverpool John Moores University (British Psychological Society, 2019-09-30)
      The article focuses directly on the stories of supervision and supervision in practice at the micro level by drawing on the views and experiences of three supervisors, two (Brian and Jonathan) with numerous years supervisory experience and one newly qualified supervisor (Matt). Brian and Jon, supervise their QSEP candidates through a combined group and individual supervisory programme in contrast, Matt adopts an individual approach with all his supervisees. In the remainder of this article, these three supervisors present their thoughts and personal experiences on three core areas, developing the supervisory relationship, challenges to supervision and the concept of continued development as a supervisor.
    • The Psychological Impact of Cancer (PIC) Scale: development and comparative psychometric testing against the Mini-MAC© Scale in UK and Australian cancer survivors.

      Hulbert-Williams, Lee; Whelen, Liz; Mulcare, Hunter; University of Chester; Western Health (Wolters Kluwer, 2019-09-20)
      Background: Clinicians and researchers make considerable use of both the Mental Adjustment to Cancer (MAC) Scale, and the shorter Mini-MAC, to measure psychological adjustment in cancer patients. The length of the scale is problematic when used clinically, and its psychometric properties have been criticized. This paper presents two studies leading to the development of a novel scale the Psychological Impact of Cancer (PIC) Scale using items drawn from the MAC. Methods: Study 1 used standard item-reduction techniques to shorten the Mini-MAC in a sample of 160 cancer patients of mixed diagnosis, recruited an average 46 days post-diagnosis. This resulted in a 12-item scale with a four-factor structure, similar to that derived from a 2012 re-analysis of the Mini-MAC. Study 2 presents confirmatory factor analysis (CFA) of this new measure and tests its construct validity and test-retest reliability in a sample of 183 mixed cancer survivors. Results: This study indicated that the shorter scale performed well on CFA indicators (RMSEA= .083; ECVI= .923; PNFI= .604; AGFI .857) and tests of internal consistency (all >.623); and comparable concurrent validity with longer versions. The four factors were labeled cognitive distress, cognitive avoidance, emotional distress and fighting spirit. Conclusions: Given its shorter length and acceptable psychometrics, the PIC offers a useful clinical and research tool to assess the psychological impact of cancer. Psychometric properties of one subscale (fighting spirit) remain poor, but no worse than in the original scale; directions for further development of the scale are described.
    • Police officers’ and Registered Intermediaries’ use of drawing during investigative interviews with vulnerable witnesses

      Dando, Coral J.; Mattison, Michelle L. A.; University of Chester; University of Westminster (Taylor & Francis, 2019-09-19)
      Attempts to enhance episodic retrieval focus largely on verbal strategies which do not always address the limited or impaired free recall ability of vulnerable witnesses. Asking a witness to draw while recalling episodic information has long been deemed an effective method of improving communication and cognitive performance. Thus far, research has revealed these effects within laboratory settings but with scarce attention paid to real-life interview practice. In this paper, we explore police officers’ and Registered Intermediaries’ use of drawing during investigative interviews with vulnerable witnesses. A sample of specialist practitioners (n=85), comprising of vulnerable witness interviewing police officers (n=50) and Registered Intermediaries (n=35) completed a self-report questionnaire. As expected, frequent use of drawing was reported by both practitioner groups, and there was a positive correlation between reported use and perceived effectiveness. There were similarities between groups in reported techniques employed when using drawing, but some differences were apparent and these were attributed to the differing functions in police and Registered Intermediary roles. Overall, a consensus between empirical research and practice is evident, but these findings warrant further exploration in order to establish whether such practice is wide-spread.
    • Are Prisoners More Psychopathic than Non-forensic Populations? Profiling Psychopathic Traits among Prisoners, Community Adults, University Students, and Adolescents

      Boduszek, Daniel; Debowska, Agata; Sherretts, Nicole; Willmott, Dominic; Kielkiewicz, Krzysztof; Popiolek, Katarzyna; Hyland, Philip (Informa UK Limited, 2019-09-12)