Poster Abstracts / Résumés d'affiches | 2018 TABLE OF CONTENTS · saini, prabhjot poster #4 social problem solving, autiobiographical memory and interpretation bias in social anxiety

CANADIANASSOCIATIONOFCOGNITIVEANDBEHAVIOURALTHERAPIESASSOCIATIONCANADIENNEDESTHÉRAPIESCOGNITIVESETCOMPORTEMENTALESPosterAbstracts/Résumésd'affiches|2018

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TABLEOFCONTENTS

Adams,KeriD. Poster#1 OUTTOGETME,ORNOTGOODENOUGH?COGNITIVESUBSTRATESOFPOSITIVEEVALUATIONFEARSINSOCIALANXIETYDISORDER

Baer,LawrenceH. Poster#2 AGROUPCBTPROTOCOLFORSOCIALANXIETYCOMORBIDWITHPSYCHOSIS:APILOTINVESTIGATION

Bahl,Nancy Poster#25 SMILE,YOUWILLFEEL…BETTER?COMPARINGEXPRESSIVESUPPRESSIONANDEXPRESSIVEDISSONANCEONMOODANDANXIETY

Chung,JasonJ.Z. Poster#50 AT-RISKLEVELSOFBORDERLINEPERSONALITYFEATURESANDDIFFICULTIESINEMOTIONREGULATIONAMONGSEXUALMINORITYADULTS

Deleurme,KendallA. Poster#14 WORRYANDGENERALIZEDANXIETYDISORDER:EXPLORINGPOTENTIALGENDERDIFFERENCES

Dixon-Luinenburg,TitaniaL.

Poster#6 SELF-HANDICAPPINGASAMODERATOROFTHERELATIONSHIPBETWEENSAFETYBEHAVIOURUSEANDANTICIPATORYANXIETYDURINGASPEECHTASK

Fehr,Cassandra Poster#21 AREYOUINCONTROL?EMOTIONALCONTROLMEDIATESTHERELATIONSHIPBETWEENANXIETYSENSITIVITYANDANXIETYSEVERITY

Felix,JoyeuseN. Poster#31 INVESTIGATINGWHTHERTRAITCOGNITIVEREAPPRAISALMODERATESTHEEFFECTSOFEXPRESSIVESUPPRESSIONONAFFECT

Ferguson,RyanJ. Poster#8 MEASURINGSELF-ANDOTHER-JUDGEMENTS:EVALUATINGTHEPSYCHOMETRICPROPERTIESOFTHEWAYSOFTHINKINGABOUTSOCIALBEHAVIOURQUESTIONNAIRE

Fréchette-Simard,Catherine

Poster#32 ASYSTEMATICREVIEWTHATDOCUMENTSTHESTRATEGIESINCLUDEDINCOGNITIVEANDBEHAVIORALTHERAPYPROGRAMSANDTHEEFFECTSONINTERNALIZEDDISORDERS

Garinger-Orwin,Jennifer

Poster#23 MINDFULNESSBASEDCOGNITIVETHERAPYFORRELAPSEPREVENTIONINANOUTPATIENTMENTALHEALTHPROGRAM

Green,SherylM. Poster#13 CBTFORPERINATALANXIETY:ANUPDATEONARANDOMIZEDCONTROLLEDTRIALHirst,SydneyA. Poster#16 THERELATIONBETWEENCOPING,DISSOCIATION,GENDER,ANDTRAUMA

FOLLOWINGANMVAHoffmeister,Jennifer-Ashley

Poster#27 CLINICALIMPLICATIONSFROMAMETA-ANALYSISEXAMININGTHEASSOCIATIONBETWEENEARLYLIFESTRESSANDCHILD-/ADOLESCENT-ONSETDEPRESSION

Hudd,Taylor Poster#3 WHATMOTIVATES(ORHINDERS)SOCIALAPPROACHBEHAVIOURFOLLOWINGEXCLUSION?ANEXPERIMENTALINVESTIGATIONOFHIGHVS.LOWSOCIALLYANXIOUSINDIVIDUALS

Jones,ShannonL. Poster#44 EVALUATINGGROUPTHERAPYINANADULTCONCURRENTDISORDERSOUTPATIENTPROGRAM

Jones,ShannonL. Poster#45 ASSESSINGTHEEFFECTIVENESSOFANADOLESCENTCONCURRENTDISORDERSTREATMENTPROGRAMUSINGANEWPROGRAMEVALUATIONSTRATEGY

Kane,Leanne Poster#46 IFILIKEIT,IMAYSEEKIT:THEPOSITIVEINTERPRETATIONOFBODILYSENSATIONSANDSEXUALSENSATIONSEEKINGMEDIATETHERELATIONSHIPBETWEENGENDERANDPARAPHILICINTERESTS

Kljenak,Diana Poster#47 CONQUERINGINSOMNIA:COGNITIVEBEHAVIORALTHERAPYFORINSOMNIA(CBT-I)-WORKSHOPFORCOMMUNITYMENTALHEALTHCAREPROVIDERS

Legg,Nicole Poster#48 SENSITIVITYTOREWARDANDPUNISHMENTDIFFERENTIATESASPECTSOFDISORDEREDEATING

Marshall,LaurenE. Poster#17 EFFECTSOFGENDERONCHARACTERBLAMEANDPTSDFOLLOWINGAMOTORVEHICLEACCIDENT

McConnell,Melanie Poster#40 PRELIMINARYFINDINGSFROMAGROUP-BASEDEVALUATIONOFCOMPREHENSIVEBEHAVIOURALINTERVENTIONFORTICSINELEMENTARY-AGEDCHILDREN

McLean,CarmenP. Poster#18 NEGATIVETRAUMA-RELATEDCOGNITIONSASAMEDIATOROFPTSDCHANGEAMONGTREATMENT-SEEKINGACTIVEDUTYMILITARYPERSONNELWITHPTSD

Moline,Rachel Poster#38 CASESTUDY:AMODULARAPPROCHTOTREATMENTFORPICAINYOUNGFEMALEWITHATRAUMAHISTORY

Mössler,MarciaF. Poster#20 THERELATIONSHIPBETWEENPAIN,ANGER,ANDDEPRESSIVESYMPTOMSFOLLOWINGAMOTORVEHICLEACCIDENT

Neilson,TessaL. Poster#24 SELF-ACCEPTANCEMEDIATESTHERELATIONSHIPBETWEENMINDFULNESSANDPSYCHOLOGICALWELL-BEING


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O’Brien,ChristineA. Poster#15 WHATISCERTAIN?PROSPECTIVEANDINHIBITORYINTOLERANCEOFUNCERTAINTYANDNEGATIVEBELIEFSABOUTWORRYDIFFERENTIALLYPREDICTEMOTIONALDISORDERSYMPTOMS

Ovanessian,MelinaM. Poster#10 PSYCHOMETRICPROPERTIESANDCLINICALUTILITYOFTHESPECIFICPHOBIAQUESTIONNAIRE

Owens,VictoriaA.M. Poster#34 CLIENTFEEDBACKREGARDINGPERCEIVEDSTRENGTHSANDAREASFORIMPROVEMENTFOLLOWINGINTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPY

Peynenburg,Vanessa Poster#35 INTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPYFORCHRONICHEALTHCONDITIONS:AMETA-ANALYSIS

Pridy,ColinB. Poster#22 RELATIONOFANXIETYSENSITIVITYTOCOGNITIVESTYLEDURINGEXERCISEQuigley,Leanne Poster#29 COGNITIVECHANGEINCOGNITIVEBEHAVIOURALTHERAPYVERSUS

PHARMACOTHERAPYFORDEPRESSION:ALONGITUDINALMEDIATIONANALYSISQuigley,Leanne Poster#30 ACBTAPPROACHTOEPISODICDEPERSONALIZATIONRadetzki,Phillip Poster#26 EFFECTSOFINTERPARENTALCONFLICTDURINGDIVORCEONOFFSPRING:

AMULTIDIMENSIONALINVESTIGATIONRomano,Mia Poster#5 NEGATIVEAUTOBIOGRAPHICALMEMORIESINSOCIALANXIETYDISORDER:

EXAMININGTHEINFLUENCEOFSELF-PERCEPTIONANDSHAMESaini,Prabhjot Poster#4 SOCIALPROBLEMSOLVING,AUTIOBIOGRAPHICALMEMORYANDINTERPRETATION

BIASINSOCIALANXIETYSaqui,Sonja Poster#41 CBTFORCHILDREN&YOUTHWITHINTELLECTUALDISABILITY&ANXIETYSchluter,MagdalenG. Poster#28 GAMBLING-RELATEDCOGNITIVEDISORTIONSMEDIATETHERELATIONSHIP

BETWEENDEPRESSIONANDPROBLEMGAMBLINGSEVERITYShinbine,DanielleL. Poster#19 EMOGRAPHICFACTORSASSOCIATEDWITHTRAUMAANDDEPRESSIVE

SYMPTOMOLOGYAFTERAMOTORVEHICLEACCIDENTSmithJohnston,KristaHaley

Poster#39 GROUPCOGNITIVEBEHAVIOURTHERAPYFORCHILDRENWITHANXIETYANDAUTISMSPECTRUMDISORDER:FEEDBACKANDACCEPTABILITYASRATEDBYPARENTS,CHILDREN,ANDCLINICIANS

Snaychuk,LindseyA. Poster#37 TECHNOLOGY-FACILITATEDSEXUALVIOLENCE:GENDER,ATTITUDESANDEXPERIENCES

Soucy,JoelleN. Poster#36 DEVELOPMENTOFONLINEMOTIVATIONALINTERVIEWINGFORENHANCINGENGAGEMENTININTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPY

Suarez,JessicaA. Poster#42 THEASSOCIATIONBETWEENPARENTANDCHILDPSYCHOPATHOLOGY:THEROLEOFEMOTIONREGULATIONANDPARENTALEMOTIONSOCIALIZATION

Szczeskiewicz,Joanna Poster#33 BUILDINGACBTGROUPPROGRAMATACOMMUNITYHOSPITALTaylor,Jasmine Poster#11 WHATPREDICTSREPETITIVEANDPROLONGEDHANDWASHING?Thomassin,Kristel Poster#49 LONG-TERMASSESSMENTOFTHERAPISTS’CONTINUEDUSEOFEVIDENCE-BASED

PRACTICESFOLLOWINGPARTICIPATIONINANEFFECTIVENESSTRIALTorok,Debra Poster#12 UNWANTEDINTRUSIVETHOUGHTSOFHARMINRESPONSETOINFANTCRYING

AMONGADOLESCENTSTutino,JessicaS. Poster#7 “IWASSOANXIOUSTHATIBARELYREMEMBERMYSPEECH!”THEINFLUENCEOF

SAFETYBEHAVIOURUSEONABILITYTOGATHERDISCONFIRMATORYEVIDENCEDURINGASPEECHTASK

Wojcik,KatharineD. Poster#43 THEPERPETUATIONOFPROBLEMATICBELIEFS:ADVERSECHILDHOODEVENTSANDEXPERIENCESWITHGUILTANDSHAMEINADULTHOODASMEDIATEDBYINTERPERSONALPROBLEMS

Zabara,Nick Poster#9 HOWDOWESTAYSAFE?GROUPINGSAFETYBEHAVIOURSINSOCIALANXIETY


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Poster#1OUTTOGETME,ORNOTGOODENOUGH?COGNITIVESUBSTRATESOFPOSITIVEEVALUATIONFEARSINSOCIALANXIETYDISORDERKerriD.Adams,MaggieMichaelis,KevinC.Barber,DavidA.Moscovitch|UniversityofWaterloo

Research has established that socially anxious individuals fear both negative and positive evaluation.However, the specific types of beliefs driving fears of positive evaluation (FPE) requires furtherinvestigation.Whileevolutionary theoristspropose thatFPE results from fearof social reprisaldue toincreasedcompetitionwithhigher rankedpeers (Weeks&Howell,2012),other researcherspostulatethat FPE may be driven by concerns about appearing inadequate in the face of increased socialstandards (Alden et al., 2008; Moscovitch, 2009). In a previous study on a large sample ofundergraduates (Barber & Moscovitch, 2016), we administered the Positive Evaluation Beliefs Scale(PEBS),developedtoassessthesetwoconstructs,aswellasquestionnairesassessingsocialanxietyandFPE.BothfearofreprisalandfearofinadequacywerefoundtobesignificantpredictorsofFPE,butonlyfearofinadequacywasasignificantpredictorofsocialanxietysymptoms.Thecurrentstudyinvestigatedsimilar questions in a clinical sample of participants with social anxiety disorder (SAD; n=131).Regressionanalyses revealed thatonly fearof inadequacypredictedFPE (β=.43, t(128)=4.59,p<.001),withfearofreprisalfailingtocontributesignificantvariance(β=.16,t(128)=1.74,p=.09).Inasubsequentregression analysiswith social anxiety symptoms as the outcome variable, inadequacywas again thelone significant predictor (β=.40, t(128)=4.33, p<.001), with reprisal contributing only marginallysignificant variance (β=.18, t(128)=1.93,p=.056).Bothmodelsaccounted forabout30%of theoverallvariance inoutcomes.TheseresultsenhanceourunderstandingofthecognitivesubstratesofpositiveevaluationfearsinSAD.WhilefearsofinadequacyandreprisalmaybothcontributetotheexperienceofFPE for individuals with SAD, fear of inadequacy appears to be prominent, thus helping to clarify alongstandingdebatewithintheliteratureandpavingthewayforexperimentalstudiestoexaminethesecognitivemechanismsmorecloselyinfutureresearch.

Poster#2AGROUPCBTPROTOCOLFORSOCIALANXIETYCOMORBIDWITHPSYCHOSIS:APILOTINVESTIGATIONLawrenceH.Baer,CentreforAddiction&MentalHealth,Toronto,ON,TaraM.Gralnick,UniversityofToronto, Toronto, ON, Samuel P. Rumak, University of British Columbia, Vancouver, BC, JamesWatson-Gaze, Centre for Addiction & Mental Health, Toronto, ON, and Faye Doell, Centre forAddiction&MentalHealth,Toronto,ON. Socialanxiety (SA) isa substantial clinical issue forpeoplewithpsychosis-spectrumdisorders. Ithasaprevalencerateofuptofivetimesthatinthegeneralpopulationandisapredictorofgenerallypooreroutcome, includingelevated riskof suicideandsubstanceuseandpoorerqualityof life, compared toindividualswithpsychosisbutwithoutcomorbidSA.TherearewellestablishedCBTtreatmentsforSA,but(1)individualswithpsychosisareoftenexcludedfromparticipatinginsuchinterventionswhenthey


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areofferedingeneraloutpatientsettings,(2)psychoticsymptoms,suchashallucinationsanddelusions,may reduce the effectiveness of the standard cognitive restructuring and exposures that are thefoundationofCBTSAtreatmentand(3)stigmaandself-stigmaregardingapsychosisdiagnosiscanactasbothcausalandmaintaining factors forSA in thispopulationbutarenotaddressed instandardSAtreatment. In the present pilot investigation, we outline the development of a novel CBT SA grouptreatment intervention designed specifically for peoplewith psychosis.We evaluated its efficacy in asampleof7outpatients(3female),allofwhomhadapsychosis-spectrumdiagnosisandmetcriteriaforSA. Key components of the intervention included (a) addressing stigma and its connection to SA viashameandacorebeliefofdefectivenessand(b)tailoringSAexposurestominimizeinterferencefromhallucinations and delusions. Pre- and post-treatment measures included the Brief Fear of NegativeEvaluation-II, the Liebowitz Social Anxiety Scale (self-report version) and the Internalized Stigma ofMental Illness Inventory(10-itemversion).Resultsshowedthatfearandavoidanceofsocialsituationsdeclined from the first session of group therapy to follow-up one month after the final session. Indiscussing the results, we highlight how the interaction between psychosis and social anxiety maycomplicateprogressinasocialanxietyintervention.

Poster#3WHATMOTIVATES(ORHINDERS)SOCIALAPPROACHBEHAVIOURFOLLOWINGEXCLUSION?ANEXPERIMENTALINVESTIGATIONOFHIGHVS.LOWSOCIALLYANXIOUSINDIVIDUALSTaylor Hudd & David A. Moscovitch, Department of Psychology and Centre for Mental HealthResearch|UniversityofWaterlooManyhighsociallyanxious(HSA)individualscanrecallpastexperiencesofsocialexclusionthatimpacttheir current self, other and world views. Social exclusion events are also common to low-SA (LSA)individuals,butevidencesuggeststheyarenotsimilarlyimpactful.HSAsmightrespondtotheseeventsinwaysthatmaketheexperienceandmemoryofsocialexclusionsparticularlytoxic.Forinstance,LSAsillustratebehaviouralmotivationtoengagesociallyfollowingarejection,perhapsinanefforttorestoretheir social network. Yet, under the same circumstances, HSAs do not illustrate the same socialapproachresponse.Thecurrentexperimentalstudyaimstoshedlightonthemechanismthatfacilitatesthisphenomenon.HSAand LSAundergraduateparticipantsundergoa laboratory-based task inwhichtheyareassignedto1of2conditionswheretheywillbemadetofeeleitherexcludedorincludedduringa “personalized” online game of catch (“Cyberball”). Subsequently, participants rate their levels ofnegative/positive affect and social pain—an emotional response to rejection that shares neurologicaloverlapwithphysicalpain.Then, they readandarepermitted to “like”profiledescriptionsostensiblywritten by their peers in an online environment inwhich they are instructed that “liking” otherswillincrease the chance that they will be paired with them to complete a subsequent social task (thusservingasabehaviouralmeasureofsocialapproach).Self-reportmeasuresofneedtobelongandself-esteemare also collected.Weexpect thatHSAswill experiencemore social pain than LSAs followingexclusion and that theywill, in turn, engage in reduced social approach. HSAs are expected to have


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lower self-esteem and greater need to belong, thereby heightening their social pain in response torejection.DatawillbefullycollectedandanalyzedbyApril,2018.

Poster#4

SOCIAL PROBLEM SOLVING, AUTIOBIOGRAPHICALMEMORY AND INTERPRETATION BIAS IN SOCIALANXIETYPrabhjot Saini, Mia Romano, Ruofan Ma, and David, A. Moscovitch, Department of PsychologyUniversityofWaterlooIndividualswithdepressionandpost-traumaticstressdisorderhavebeenshowntoscoreloweronsocialproblemsolvingmeasures thanhealthycontrols.Theseresultsare thought tobe linkedto theclinicalgroups’ impaired ability to recall and draw upon specific autobiographical memories containing richepisodic details. However, people with social anxiety disorder (SAD) tend to retrievemore specificepisodic details in their memories, raising questions about potential implications in social problemsolving abilities in this population. The current study examined social problem solving orientation,negativeautobiographicalmemoryretrieval,andinterpretationbiasinasampleof33participantswithSADand22healthycontrolparticipants.CommunityparticipantscompletedtheWaterloo ImagesandMemories Interview (WIMI), the Social Problem Solving Inventory –Revised (SPSI-R), and both a self-report measure and sentence completion task (SCT) to assess interpretation bias. Between groupsanalysesdemonstratedthatSADparticipantsweremorelikelytogenerateandendorsemorenegativeinterpretationsontheSCT(d=0.79and1.47,respectively)andhavehigherscoresonnegativeproblemsolvingorientation(NPO)ontheSPSI-R,indicatingatendencytosolvesocialproblemsinanimpulsiveoravoidantstyle(d=2.65).CorrelationalanalyseswiththetotalsamplerevealedthatNPOwasrelatedtothegenerationandendorsementofahigherpercentageofnegativewordsontheSCT(r=.629,p<.001and r =.548,p < .001).Additionally,NPOwas significantlypositively correlatedwithnegativememorydetails generated on theWIMI (r = .344, p = .035); however, Fischer tests demonstrated that thesecorrelations were significantly reduced in strength compared to the relations between NPO andinterpretationbias.TheresultssupporttheideathatNPOappearstodrawmoreheavilyuponautomaticnegative interpretations of social situations than specific recollections of autobiographical instances,thoughbothmayplayacontributingrole.

Poster#5

NEGATIVE AUTOBIOGRAPHICAL MEMORIES IN SOCIAL ANXIETY DISORDER: EXAMINING THEINFLUENCEOFSELF-PERCEPTIONANDSHAMEMiaRomano,TaylorHudd,NickZabara,andDavid,A.MoscovitchDepartmentofPsychology|UniversityofWaterloo

Individuals with Social Anxiety Disorder (SAD) commonly report experiencing negative self-imagesduringsocialencountersthatcanbetracedbacktoautobiographicalmemoriesinvolvingsocialrejectionorhumiliation.PriorstudieshaverevealeddifferencesbetweenSADandnon-anxiouscontrols in their


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reportedmemoriesofaversivesocialexperiences,whereSADparticipants’memoriesofaversiveeventscontainedsignificantlymoreepisodicdetailthanthoseofnon-anxiousindividuals.Thememorieswerealso appraised asmore distressing, intrusive, and informative of their self-perceptions. The followingstudy aimed to replicate and extend these findings by examining differences in current feelings ofembarrassmentandshameaboutdistressingsocialmemoriesanddifferencesinrecalledsocialstatusatthetimeofthedistressingmemory.Disparagingviewsoftheselfandone’ssocialrankareconsideredtobe primary features of SAD andmay help to account for the group differences observed in previousresearch. Community participants with SAD (n=33) and healthy controls (HC; n=19) completed theWaterloo ImagesandMemories Interview (WIMI).Consistentwith findings fromprevious studies, theSADgroupexperiencedgreaternegativeaffectwhile recalling thememory (d=1.50),and rated theirnegative memories as more intrusive (d = 1.18) and self-defining (d = 0.95). SAD participants alsoexperiencedmore current feelings of shameabout the event (d = 1.83) andperceived themselves asholding lower social status at the time of the event (d = -1.96). The degree towhich the eventwasperceived by individuals as “self-defining” moderated the relationship between group and currentfeelingsofshameabouttheevent(β=.657,p=.033).Sociallyanxiousindividualsappearmorelikelytodrawstable,negativeself-informationfromnegativeautobiographicalmemoriesandconsequently,feelheightenedshameeachtimethememoryisactivated.Findingswillbediscussedin lightoftheoreticalmodelsofSADandautobiographicalmemories.

Poster#6

SELF-HANDICAPPINGASAMODERATOROFTHERELATIONSHIPBETWEENSAFETYBEHAVIOURUSEANDANTICIPATORYANXIETYDURINGASPEECHTASKTitaniaL.Dixon-Luinenburg,JessicaS.Tutino,KelseyL.M.Bowie,AllisonJ.Ouimet,SchoolofPsychology|UniversityofOttawaSelf-handicapping involvespremeditateddecisionsorbehaviours thatactasexternal reasons forpoorperformance. Although self-handicapping has never been examined within the context of safetybehaviours(SBs),theconstructsmayinteractandpredictanxietyprecedingananxiety-provokingtask.TheabsenceofaSBmayworkasaself-handicapbyactingasanexternalreasonforwhyaspeechwaspoorly delivered (e.g., “I didn’t get to use a safety behaviour, so that’swhy I didn’t do well on myspeech”),thusleadingtoreducedanxietyprecedingthespeech.Toassesstherelationshipbetweenself-handicapping, safety behaviours, and anxiety during a speech task,we recruited a sample of speech-anxious individuals (n=50,projected finalN=100) todelivera10-minute speech in frontofa judge.ParticipantswererandomlyassignedtodeliverthespeecheitherwithorwithoutSBs.Theycompletedquestionnaires assessing self-handicapping and social anxiety, and rated their anxiety immediatelybefore their speech. Preliminary analyses suggest a moderate correlation between self-handicappingand social anxiety (r= .51, p < .001). However, condition (SB vs. no SB) did not predict anticipatoryanxiety (R= .03,F(1, 42) = .05,p= .83). The condition accounted for .001% of the variance inanticipatory anxiety, and the interaction between self-handicapping and condition did not predictanxiety(R=.34,ΔF(1,41)=.00,p=.99).Therelationshipbetweenself-handicappingandsocialanxiety


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has been neglected in the extant literature, yet this research demonstrates a robust association.Although self-handicapping and SBs together did not predict anticipatory anxiety, these preliminaryresultssuggestthatfurtherresearchontheroleofself-handicappinginsocialanxietyiswarranted.Self-handicapping may account for obstacles in treatment and provide information about a distinctpopulationofsociallyanxiousindividualswhohavedifferingtreatmentneeds.

Poster#7

“IWASSOANXIOUSTHATIBARELYREMEMBERMYSPEECH!”THEINFLUENCEOFSAFETYBEHAVIOURUSEONABILITYTOGATHERDISCONFIRMATORYEVIDENCEDURINGASPEECHTASKJessicaS.Tutino,B.A.,TitaniaDixon-Luinenburg,KelseyL.M.Bowie,MollyRooyakkers.,&AllisonJ.Ouimet,Ph.D.|UniversityofOttawaExposure therapy involves a gradual approach to feared stimuli,whichoftenelicitshigh state anxietyduringinitialsessions.Thegoalofexposureisforclientstogatherdisconfirmatoryevidenceaboutthefeared situations, leading to diminished anxiety over repeated sessions. However, as state anxietyincreases, cognitive resources are consumed by attention to the anxiety-provoking stimulus.Consequently,clients’abilitytoattendtodisconfirmatoryevidenceduringinitialexposuresessionsmaybecompromised.Allowingclientstousesafetybehavioursjudiciously(e.g.,keepabottleofwaterwiththem during a speech exposure) during early exposuresmay lead to reduced anxiety, and thereforeincrease clients’ capacity to identify disconfirming evidence. Speech-anxious participants (n = 60,projectedfinalN=100byMay2018)wererandomlyassignedtodeliveraspeech in frontofa judge,either with or without safety behaviours. Prior to the speech, participants completed a self-reportquestionnaire to assess their speech predictions (e.g., how likely it is that they would tremble).Followingthespeech,participantscompletedasimilarquestionnairetoassessthedegreetowhichtheybelieved that those predictions were accurate (e.g., to what degree did they actually tremble).Preliminaryfindings(n=30percondition)suggestthatparticipantsinbothgroupsreportedasignificantdecreaseintheirnegativepre-topost-speechbeliefs(F(1,28)=4.26,p=.04.However,therewerenodifferencesbetweengroupsonabilitytogatherdisconfirmatoryevidence(F(1,28)=.05,p=.82).Thesefindings have the potential to improve our understanding of the impact of safety behaviours oncognitiveprocessesimportanttoexposureoutcomes.Specifically,thesefindingsmayshedlightonthebenefits anddrawbacksof judicioususeof safetybehaviours, and thus,mayhelp to informcognitivebehaviouraltreatmentsforanxietydisorders.


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Poster#8MEASURINGSELF-ANDOTHER-JUDGEMENTS:EVALUATINGTHEPSYCHOMETRICPROPERTIESOFTHEWAYSOFTHINKINGABOUTSOCIALBEHAVIOURQUESTIONNAIRERyanJ.Ferguson,M.A.&AllisonJ.Ouimet,Ph.D.,SchoolofPsychologyUniversityofOttawaCognitive-behavioural models suggest that interpretation and judgement biases play a key role inmaintainingsocialanxietydisorder.Manyquestionnairesassesshowindividualsevaluatethemselvesinanxiety-provoking situations, yet fewer assess how they evaluate others—leading to limitedunderstandingoftheirroleinthedevelopmentandmaintenanceofsocialanxiety.Todate,researchershaveassessedother-judgementsusingindividuallycreatedquestionnaires;nowidelyacceptedmeasureof other-judgements exists. The degree towhich socially anxious individuals evaluate others in socialsituations is currently unclear, highlighting the benefit of evaluating self- and other-judgementstogether. TheWaysof ThinkingAbout Social BehaviourQuestionnaire (WTSBQ;Vonckenet al., 2006)consistsofninevignettesofanxiousindividualsinsocialsituations.Participantsratehowotherswouldthinkofthemiftheyweretheanxiousperson(Self),andtheirthoughtsabouttheanxiouspersoniftheywere an observer (Other). Although researchers have used theWTSBQ, they have yet to examine itspsychometricproperties.Thus,weevaluateditspsychometricpropertiesandassesseditspotentialforfutureuse.Undergraduatestudents(n=179,500anticipatedbyMay2018)completedanonlinesurvey.Preliminaryanalysessuggestgoodconvergent(e.g.,corebeliefs,self-compassion;rs>.18,ps<.05)anddivergent validity (e.g., fear of positive evaluation; r = -.05, p = .51) for the WTSBQ-Self. Mixedconvergent validity (e.g., other-compassion; r = .28, p < .01; interpersonal relations, other-orientedperfectionism;rs>-.04,ps<.59),butgooddivergentvalidity(e.g.,emotiondysregulation,r=-.04,p=.57)estimatesemergedforWTSBQ-Other.T-testsindicatestrongerconvergentvaliditycorrelationsthandivergent.Reliabilityandfactorstructureanalyseswillbeconductedwiththefullsample.GiventhattheWTSBQ examines self- and other-judgements, we will discuss our results in terms of refining themeasureforuseduringCognitive-behaviouraltherapyforsocialanxietydisorder.

Poster#9HOWDOWESTAYSAFE?GROUPINGSAFETYBEHAVIOURSINSOCIALANXIETYNick Zabara, Department of Psychology and Centre for Mental Health Research, University ofWaterloo,JuliaMcNeil,DepartmentofPsychologyandCentreforMentalHealthResearch,Universityof Waterloo, Kerri Adams, Department of Psychology and Centre for Mental Health Research,UniversityofWaterloo,DavidA.Moscovitch,DepartmentofPsychologyandCentreforMentalHealthResearch,UniversityofWaterlooSafetybehavioursarestrategiesthatanxiousindividualsusetoshelterthemselvesfrompotentialsocialjudgment.Thesestrategiesprotectusersfromtheir fears,butalsomaintainsocialanxietybyteachingusers that their fears were likely avoided by their reliance on the safety strategies themselves. To


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mitigatethisprocess,itisimportantforresearchersandclinicianstohaveareliablewayofcategorizingthemanysubtleandheterogenoustypesofsafetybehaviours(e.g.,fromavoidingeye-contacttoover-rehearsing conversations; Moscovitch, 2009). The Subtle Avoidance Frequency Examination (SAFE;Cuming et al., 2009) is themost commonly used psychometrically validatedmeasure of social safetybehaviours.DevelopersoftheSAFEdescribedathree-factorstructuremeasuringrestricting,active,andphysicalsymptommanagementbehaviours,butnostudieshaveattemptedtoreplicatethesefindings.Inthecurrentstudy,weconductedaconfirmatoryfactoranalysis(CFA)onSAFEdatacollectedfromanundergraduate sample (n=328) and a clinical sample (n=134). Results showed that the original factorstructure produced poormodel fit for the undergraduate sample χ2(461)=1470.70,p<.001; CFI=.820;RMSEA=.082, 90% CI [0.077, 0.87]; and the clinical sample χ2(461)=879.78, p<.001; CFI=.74;RMSEA=.082, 90% CI [0.074, 0.91].We therefore conducted an exploratory factor analysis using theundergraduate sample to test alternativemodels.We found that a two-factor structurebetter fit thedata, representing restrictive safety behaviours (e.g., avoiding asking questions) and active safetybehaviours (e.g.,makingexcuses aboutone’s appearance).Using aCFA,we replicated the two-factorstructurewith theclinical sample.Thisalternative factor structure ismoreconsistentwith theoreticalclassifications of social safety behaviours, which have focused on two subtypes: avoidance andimpression management (Plasencia et al., 2011). Thus, this study bolsters the validity and potentialutility of the SAFE formeasuring and conceptualizing safety behaviours in social anxiety in amannermoreconsistentwithcurrentresearch.

Poster#10PSYCHOMETRICPROPERTIESANDCLINICALUTILITYOFTHESPECIFICPHOBIAQUESTIONNAIREMelinaM.Ovanessian,MA,DepartmentofPsychology,RyersonUniversity;NicholeFairbrother,PhD,University of Victoria; Valerie Vorstenbosch, PhD, Ryerson University; Randi E. McCabe, PhD,McMasterUniversity;KarenRowa,PhD,McMasterUniversity andMartinM.Antony,PhD,RyersonUniversityDespiteanabundanceofself-reportmeasuresthatscreenforthepresenceofspecificphobias,thereisalack of comprehensive, well-validated screening tools for identifying a wide range of fears based onDSM-5specificphobiatypes.Thus,wedevelopedameasuretoassessfearofabroadrangeofphobicstimuli,andtheextenttowhichfear interfereswithdaily life.TheSpecificPhobiaQuestionnaire (SPQ;Fairbrother & Antony, 2012) was designed to assess the extent of fear and interference for a broadrange of objects and situations. The present study assessed the psychometric properties of the SPQ.Data were collected from 2 samples: (1) an adult, treatment-seeking sample (n=811) and (2) anundergraduate sample of introductory psychology students (n=150). An exploratory factor analysisrevealedfivefactors:(1)SituationsandNaturalEnvironment,(2),Blood-Injection-Injury,(3)Animals,(4)Health-Related,and(5)Driving,withinternalconsistency(Cronbach’sα)rangingfrom.64-.92.TheSPQalsodemonstratedgoodconvergentanddiscriminantvaliditywithmeasuresofworry,depression,andmeasuresofotherspecificphobias,andgoodtest-retestreliability.ResultsalsosuggestthatSPQscoresareusefulfordiscriminating individualswithspecificphobiasfromthosewithoutspecificphobias,andfor identifying specific phobia types. Overall, preliminary results suggest that the SPQ can serve as ausefultoolinbothresearchandclinicalsettings,andinforminterventionandpreventionefforts.


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Poster#11WHATPREDICTSREPETITIVEANDPROLONGEDHANDWASHING?JasmineTaylor,PsychologyDepartment,CentreforMentalHealthResearch,UniversityofWaterloo,ChristinePurdon,PsychologyDepartment,CentreforMentalHealthResearch,UniversityofWaterlooLeadingmodelsforunderstandingrepetitivebehaviourassertthatconcernsaboutthesafetyofoneselfor others, combinedwith an overvalued sense of responsibility, evoke anxiety (Rachman, 2002). Thisanxietyisnotresolveduntilthepersonisabletofeelcertainthatpotentialdangerhasbeenneutralizedvia some kind of action (Salkovskis, 1985; Rachman, 2002). We do not, however, have a goodunderstanding ofwhy that sense of certainty can be so elusive. Prominent explanations suggest thatbeliefssuchasdistrustofmemorymayinfluenceparametersofsafetybehaviours(suchasduration)andthat behaviour repetition can have a paradoxical effect on these beliefs, contributing to a self-perpetuatingcycle.

Usinganaturalisticparadigm,weexaminedwashingbehaviours in individuals lowandhigh infearsofcontamination (n = 235). Findings provide data on the basic phenomenology of hand washingbehavioursfollowingcontactwithapotentialcontaminant.Thosehighinfearofcontaminationwashedforsignificantlylongerandincludedmoreactionsintheirwash.Theyalsoreportedagreaterprobabilityofharmoccurring, greater severityofpotential harm, a greater senseof responsibility forpreventingharm,andsignificantlylesstrustintheirmemoryandattention.Thosehighincontaminationfearsweremorelikelytoreportterminatingbasedonaninternalsenseofcleanlinessorcompleteness.However,increasedwashdurationwasnotassociatedwithincreasedpost-washfeelingsofcleanlinessbutratherincreased feelingsofcontamination. Increasedwashdurationdid,however,predictgreaterpost-washtrustinone’ssensesandgreatervividnessofmemories.Participantswhoframedtheirgoalforwashingin avoidance (rather than approach) terms and those who sought to achieve certainty prior toterminating theirbehaviourwashed for significantly longer. These findingsare consideredwithin thetheoreticalcontextofcognitive-behaviouralmodelsofobsessive-compulsivedisorder.

Poster#12UNWANTEDINTRUSIVETHOUGHTSOFHARMINRESPONSETOINFANTCRYINGAMONGADOLESCENTSDebra Torok, Psychology Department, University of Victoria, Nichole Fairbrother, PsychiatryDepartment | Island Medical Program, University of British Columbia, Ronald Barr, Evidence toInnovation,BCChildren’sHospitalResearchInstituteUnwanted,intrusivethoughts(UIT)areacommonhumanexperience,typicallyrelatedtoone’scurrentconcernsandelicitedbyaversivestimuliandnegativemood.ThereisstrongevidencethatUITofinfant-related harm (both accidental and intentional) are a normative and likely adaptive postpartumexperience.Further,wenowhaveevidence that theseUITcanbe triggeredby infant crying.Todate,this phenomenon has not been investigated in adolescents who are often temporary caregivers andpotential future parents. The current study investigated UIT of infant-related harm among 130 non-


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parent adolescents (61.5% female) exposed to infant crying during a caregiving experience with aprogrammeddoll,“Ethan”.ParticipantsbabysatEthanforaperiodoftwohoursandcompletedseveralquestionnaires.Wetestedthehypothesisthat(a)genderofcaregiver,(b)feelingsofresponsibility,and(c) negative emotions (i.e., hostile and internalizing) would predict harm thought occurrence andnumber. Overall, 53.9% of participants reported thoughts of infant-related harm, with no significantgenderdifferences. IncreasedfeelingsofresponsibilityforEthanpredictedfewerharmthoughts(β= -0.23,p<0.05,95%CI[-0.78-(-0.11)].Withrespecttonegativeemotions,participantswhoreportedUITalsoreportedhigherlevelsofbothhostile(t(120)=-4.30,p=.000)andinternalizingemotions(t(122)=-4.27,p=.000).Moreover,hostile,butnotinternalizingemotionssignificantlypredictedthenumberofreported harm thoughts (β = 0.36, p < 0.05, 95%CI [0.098 - 0.37]). Findings show that over half thesample reportedUIT of infant-related harm, irrespective of gender, and feelings of responsibility andhostile emotions are predictors of infant-related UIT. They indicate that UIT are part of a normativecaregiving experience, even among adolescents, and highlight the need for increased attention topotentialUITandtheaccompanyingdistressandfrustrationamongadolescentcaregiversofinfants.

Poster#13CBTFORPERINATALANXIETY:ANUPDATEONARANDOMIZEDCONTROLLEDTRIALSheryl M. Green,1,2Ph.D., Eleanor Donegan,1Ph.D., Benicio N. Frey,1,2M.D., Arela Agako,2B.A., &RandiE.McCabe,Ph.D.1,2|1St. Joseph’sHealthcareHamilton;2McMasterUniversityThe perinatal period (pregnancy and the first 12 months postpartum) is a time of many biological,psychological and social changes in awoman’s life. Although this can be a joyful time,manywomenexperience increaseddistress. Theheightened risk formooddisorders in theperinatal period iswell-known,butrecentevidenceshowsthatanxietydisordersareatleastasprevalent,ifnotmoreso,thanmood disorders (Goodman et al., 2016) and can also be disabling. Psychoactive medication can beeffective for anxiety butmanywomen cannot or choosenot to takemedicationduring pregnancy orwhen breastfeeding. As such,there is a critical need for effective non-medical treatments. Cognitivebehaviour therapy isanempirically-supportedpsychological treatment foranxietyanddepressionbuthas received little attention in the context of perinatal anxiety. Our research team developed a newgroup cognitive behaviour therapy program (CBGT;Green et al., 2015) designed specifically to targetanxiety symptoms in women during pregnancy and postpartum. A randomized controlled trial tocomparetheeffectivenessofthis6-weekCBGTprogramtoa6-weekwaitlistiscurrentlyunderway.Anupdateontheresultsof this trialwillbepresentedfromasampleof65womenwhohavecompletedCBGTorwaitlistwithinthislargertrial.ItishypothesizedthatCBGTwillbeassociatedwithsignificantlygreaterreductionsinanxiety,worryanddepressivesymptomsthanwaitlistbypost-treatmentandthatgainswillbemaintainedat3monthsfollowingtreatment.Clientsatisfactionwithtreatmentwillalsobereported. These results will provide initial validation of a new non-medical intervention for thisvulnerablepopulation.


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Poster#14WORRYANDGENERALIZEDANXIETYDISORDER:EXPLORINGPOTENTIALGENDERDIFFERENCESKendallA.Deleurme&AlexanderM.Penney|MacEwanUniversityIndividuals with generalized anxiety disorder (GAD) experience excessive anxiety and uncontrollableworryaboutpotentialfuturenegativeeventsacrossavarietyofdomains.

WomenarediagnosedwithGADathigherratesthanmen(National InstituteofMentalHealth,2016).However, there isa lackof researchexamining if thepredictorsofworryandGADsymptomsvarybygender(Bottesi,Martignon,Cerea,&Ghisi,2018).ThisstudyexamineshowtheEmotionDysregulationModel(EDM)ofGAD,focusingonissueswithemotions,andtheMetacognitiveModel(MCM)ofGAD,emphasizingnegativebeliefs aboutworry,predictworryandGADsymptoms. Self-reportmeasuresofworry,GADsymptoms,theEDM,andtheMCMwereadministeredtoanon-clinicaluniversitysample(N=377).Independentsamplest-testswereconductedtodeterminemeandifferencesbetweenmen(n=248)andwomen (n=129)on thesevariables.Regressionanalyses investigatedwhat factorsuniquelypredicted worry and GAD symptoms for men and women. Results demonstrated that women hadsignificantlyhigherworry,GADsymptoms,negativebeliefsaboutworry,abilitytoexpressemotions,anddifficultyregulatingemotions.Menscoredsignificantlyhigheronmetacognitive-basedmeasures,suchas awareness of thought processing and need to control thoughts. Regression analyses showed thatnegativebeliefsaboutworryandfearofemotionsuniquelypredictedworryformen,whereasnegativebeliefs about worry was the only unique predictor for women. Findings also revealed that negativebeliefs about worry uniquely predicted GAD symptoms for both genders, while fear of emotionsuniquely predicted GAD symptoms for men, and emotional expressivity uniquely predicted GADsymptoms for women. Results may suggest how different models of GAD could be applied to eachgender.Further,findingshaveimplicationsforGADtreatment,encouraginggender-basedapproaches.

Poster#15WHATISCERTAIN?PROSPECTIVEANDINHIBITORYINTOLERANCEOFUNCERTAINTYANDNEGATIVEBELIEFSABOUTWORRYDIFFERENTIALLYPREDICTEMOTIONALDISORDERSYMPTOMSChristineA.O’Brien,GeoffreyS.Rachor,&AlexanderM.Penney|MacEwanUniversityResearchers have investigated the role of intolerance of uncertainty (IU) and negative beliefs aboutworry (NBW) in a variety of emotional disorders, such as generalized anxiety disorder (GAD) anddepression (McEvoy&Mahoney, 2013), social anxiety (SA;Hearn,Donovan, Spence,&March, 2013),panic disorder (PD;Morisson&Wells, 2002), obsessive-compulsivedisorder (OCD; Tolin et al., 2003),and health anxiety (HA; Melli, Carraresi, Poli, & Bailey, 2016). Recently, researchers have begun toexploretheroleofprospectiveandinhibitoryaspectsofIUinemotionaldisorders(Mahoney&McEvoy,2013).McEvoyandMahoney(2013)defineprospectiveanxietyasrelatingtocognitiveanticipationinIU,whileinhibitoryanxietyrelatestobehaviouralinhibitioninIU.AlthoughIUandNBWhavebeenfoundto


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contribute tovariousemotionaldisorders, researchershavenot yetexamined the roleofprospectiveand inhibitory aspects of IU while taking NBW into account. As such, the current project aimed tofurtherexamineprospectiveand inhibitoryaspectsof IU inemotionaldisorderswhilealsoconsideringNBW.Anundergraduatenon-clinical sample (N=505)completedonlinemeasuresof IUandNBW,aswell asmeasures of GAD, depression, SA, PD, OCD, and HA. Regression analyses were conducted toexamine which cognitive factors were associated with each disorder, while controlling for thecomorbidityofemotionaldisordersymptoms.Prospective IUuniquelypredictedGAD,depression,andSA symptoms. Inhibitory IU uniquely predicted GAD, HA, PD, and OCD symptoms. NBW uniquelypredictedGAD,depression,SA,andOCDsymptoms.Theseresultsprovidesupport for thenotionthatprospective and inhibitory IU may differentially contribute to various emotional disorders. Further,these results also suggest that NBW plays an important role in addition to IU in predicting specificemotionaldisordersymptoms.Areasforfutureresearchandclinicalimplicationswillbediscussed.

Poster#16THERELATIONBETWEENCOPING,DISSOCIATION,GENDER,ANDTRAUMAFOLLOWINGANMVASydneyA.Hirst,LindseyA.Snaychuk,LaurenE.Marshall,DanielleL.Shinbine,MelanieL.O’NeillDepartmentofPsychology,VancouverIslandUniversityMotor vehicle accidents (MVAs) are a significant source of trauma that puts individuals at risk fordevelopingposttraumatic stress disorder (PTSD) (Beck&Coffey, 2007). Females are twice as likely tomeetthecriteriaforPTSDdespitereportinglessexposuretotraumaticeventsthanmales(Tolin&Foa,2006). Additionally, avoidance and peritraumatic dissociation are associated with more severe PTSDsymptoms,and this relationshiphasbeenshown tobe strongeramong females (Pacellaetal.,2011).Community members and university students comprised of females (n = 94) and males (n = 44)completed a battery of questionnaires including the Accident Fear Questionnaire (AFQ; Kuch et al.,1995)andthePeritraumaticDissociativeExperiencesQuestionnaire(PDEQ;Marmaretal.,1997).ItwashypothesizedthatindividualswhoexperiencedhigherlevelsofavoidanceandperitraumaticdissociationwouldsubsequentlyexperienceagreaterseverityinPTSDsymptoms,asmeasuredbythePosttraumaticDiagnosticScale(PDS;Foaetal.,1997).Aswell,itwaspredictedthatthisrelationshipwouldbestrongeramongthefemaleparticipants.Ashypothesized,acorrelationalanalysisindicatedthatPTSDsymptomsarepositivelycorrelatedwithavoidance (r= .57,p< .001)andperitraumaticdissociation (r= .55,p<.001).Contrarytothehypothesisconcerninggenderdifferences,thisrelationshipwasstrongeramongthemaleparticipants(r= .59,p< .001;r= .77,p< .001) incomparisontothefemaleparticipants(r=.55,p<.001;r=.43,p<.001).Thisstudyisapartofagrowingbodyofresearchongenderspecificriskfactorsofpsychopathologyandimplicationsarefurtherdiscussed.


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Poster#17EFFECTSOFGENDERONCHARACTERBLAMEANDPTSDFOLLOWINGAMOTORVEHICLEACCIDENTLaurenE.Marshall,LindseyA.Snaychuk,SydneyA.Hirst,DanielleL.Shinbine,andMelanieL.O’NeillDepartmentofPsychologyVancouverIslandUniversitySurvivors of motor vehicle accidents (MVAs) are at increased risk of developing symptoms of PTSD(Heron-Delaney, Kenardy, Charlton, & Matsuoka 2013). Prevalence rates for PTSD after a MVA areestimatedat23%ofadults inCanadaandmanysymptomsofPTSDcanhaveadverseeffectsonwell-being (Fecteau & Nicki, 1999). Historically, research studies comparing gender differences in PTSDsymptoms indicate higher symptom severity and pervasiveness in females compared to males(Christiansen & Hansen, 2015). Themore commonly experienced symptoms among females include:anxiety, depression, and self-blame (Christiansen & Hansen, 2015). The current study examinedcharacterblame,depressive symptoms, andPTSD symptomology in a138 community,undergraduateuniversity students sample. It was hypothesized that symptoms of character blame, depression, andPTSDwouldbegreaterinfemales(n=94)comparedtomales(n=44).Contrarytopreviousresearch,bivariatecorrelationsindicatedthatmaleswithPTSDsymptomsfollowingaMVAreportedhigherlevelsofcharacterblame(r=.37,p=.01)thanfemales(r=.14)withregressionanalysesdemonstratinga12%variance in traumasymptoms formenversusa1%variance inwomen.These findings indicate thatamore detailed explanation into gender differences of the psychological injuries of MVA survivors isnecessary.Clinicalimplicationswillalsobediscussed.

Poster#18NEGATIVETRAUMA-RELATEDCOGNITIONSASAMEDIATOROFPTSDCHANGEAMONGTREATMENT-SEEKINGACTIVEDUTYMILITARYPERSONNELWITHPTSDCarmen P. McLean, National Center for PTSD, Dissemination and Training Division, Edna B. Foa,University of Pennsylvania, Thea Gallagher, University of Pennsylvania, Yinyin Zang, University ofPennsylvania, Kathy Benhamou, University of Pennsylvania, Jeffrey S. Yarvis, Headquarters, Carl R.DarnallArmyMedicalCenter,BrettT.Litz,VABostonHealthcareSystemandBostonUniversitySchoolofMedicine,JimMintz,TheUniversityofTexasHealthScienceCenteratSanAntonio,StaceyYoung-McCaughan, The University of Texas Health Science Center at San Antonio, Alan L. Peterson, TheUniversityofTexasHealthScienceCenteratSanAntonioProlonged exposure (PE) therapy is a well-established treatment for posttraumatic stress disorder(PTSD) thatwas derived from emotional processing theory (EPT; Foa, Huppert,& Cahill, 2006; Foa&Kozak, 1986). EPT emphasizes the role of negative trauma-related cognitions about the self and theworld in the development and maintenance of, and recovery from, PTSD. Negative trauma-relatedcognitions(e.g.,“I'mincompetent”)wereshowntomediatePTSDchangeduringPE(e.g.,McLean,Su,&Foa,2015),butfurtherresearchisneededto:1)examinetheroleofnegativecognitionsinotherPTSDtreatments,and2)testalternativemediatorsthatmayalsoaccountforchangeinPTSDsymptoms.Onepossiblealternatemediatoriscognitivecopingself-efficacy,whichhasbeenshowntomediaterecoveryduringcognitivebehavioraltreatmentforotheranxiety-relateddisorders(e.g.,Goldinetal.,2012),but


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hasnotbeenexaminedasamediatorofPTSDrecovery.Usingdatafromarecentlycompletedtrial(Foaetal.,2018),thecurrentstudyteststwocandidatemediators(PosttraumaticCognitionsInventory[PTCI]andCognitiveEmotionRegulationQuestionnaire[CERQ])oninterviewer-assessedPTSDsymptomsinalargesample(N=219)ofactivedutymilitarypersonnelwithPTSDrandomizedtoPEorPresentCenteredTherapy. Lagged mediational analyses will evaluate the relationship between PTCI/CERQ and PTSDsymptoms from baseline to 6-month follow-up, controlling for the temporal precedence ofmediatorversus outcome variables over time. Bootstrappingwill be used to estimate confidence intervals andconfirmindirecteffects.AnalyseswillexaminePTCIandCERQ,separately,asmediatorsofPTSDchangeand will identify the most influential mediator using a multiple mediator model. We will also testwhethertreatmentcondition(PEorPCT)moderatestherelativestrengthofmediation.ResultswillbediscussedintermsofEPTandconceptualizationsoftherapeuticmechanismsofchangeinPTSD.

Poster#19EMOGRAPHIC FACTORS ASSOCIATED WITH TRAUMA AND DEPRESSIVE SYMPTOMOLOGY AFTER AMOTORVEHICLEACCIDENTDanielle L.Shinbine, Psychology Department, Vancouver Island University, LindseyA.Snaychuk,Psychology Department, Vancouver Island University, Lauren E. Marshall, PsychologyDepartment, Vancouver Island University, Sydney A. Hirst, and Melanie L. O’Neill, PsychologyDepartment,VancouverIslandUniversity.Motor Vehicle Accidents (MVA)are a significant factor in the development of both trauma anddepressive symptomology (Beck & Coffey, 2007; Blanchard et al., 1996).Researchsuggeststhattraumasymptoms are higher in females and individualswho sustain severe physical injuries, butother demographic vulnerabilities, such as litigation statusandemployment statusafter theaccident,havenot been exploredas factors.Additionally, demographic factors for depressivevulnerabilitiesarelacking.Thecurrentstudyinvestigatedadditionaldemographicfactorsthatcouldleadin higher susceptibility of trauma or depressive symptomatology after an MVA. A community anduniversitysample (N=138) filledoutavarietyofquestionnairesabout theiraccidentandtheirmentalhealth, including the Beck DepressionInventory-II(BDI-II; Beck et al., 1996)and the PosttraumaticDiagnosticScale(PDS;Foaetal.,1997).Depressiveandtraumasymptomswerefoundtobesignificantlyhigher in participantswhowere engaged in current litigation andwere still out ofwork due to theirMVA.Compared to those employed, t-testsrevealed that individuals remaining out of work had thehighest levelsofposttraumaticstress(t(94)=4.52,p< .001)anddepressivesymptoms(t(93)=4.47,p<.001). In addition, a one-wayANOVAdemonstrated a significant effect of litigationstatus on traumasymptoms[F(2,129) = 4.27,p= 0.01] with individuals having no involvement in litigation having thelowest level of psychological sequalae. Increased attention on demographic factors, such as post-accidentemploymentand litigation,willallowformoreeffectiveassessment,particularly inamedicallegalcontext.Implicationsfortreatmentwillalsobediscussed.


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Poster#20THE RELATIONSHIP BETWEEN PAIN, ANGER, AND DEPRESSIVE SYMPTOMS FOLLOWING A MOTORVEHICLEACCIDENTMarciaF.Mössler,PriyaSharma,LindseyA.Snaychuck,andMelanieO’NeillDepartmentofPsychology|VancouverIslandUniversityThe range of psychological injuries following trauma are complex and not limited to only PTSD. Theinterplay between pain and anger may play an important role in an individual’s physical andpsychological recovery following a motor vehicle accident (Koch et al., 2006). The current studyexamined the role between pain (BPI; Cleeland & Ryan, 1994), anger (TAS; Bagby et al., 1994), anddepressivesymptoms(BDI-II;Becketal.,1996)inacommunity(n=68)anduniversitystudent(n=62)sample of survivors of a motor vehicle accident. Pearson correlation coefficients showed positiverelationshipsbetweenpainanddepression(r=.37,p=.0001),angeranddepression(r=.36,p=.0001),and unexpectedly, no relationship between pain and anger (r = .03, p = .35). Regression analysisdemonstratedthatpain levelsandangerweresignificantpredictorsofdepressivesymptoms(F(2, 130)=22.15,p=.0001),accountingfor24%ofthevarianceindepression.Thesefindingssuggestthattheroleof pain and anger in the development of psychological symptomatology such as depression areimportantandwouldbenefitfromfurtherresearchattention.Clinicalimplicationswillalsobediscussed.

Poster#21ARE YOU IN CONTROL? EMOTIONAL CONTROL MEDIATES THE RELATIONSHIP BETWEEN ANXIETYSENSITIVITYANDANXIETYSEVERITYCassandraFehr,JessicaTutino,&AllisonOuimet|UniversityofOttawaAnxiety sensitivity (AS) is the fearofanxiety-relatedsensations (e.g., racingheart,dizziness)and theirperceivedharmfulconsequences(e.g.,heartattack,fainting).AShasbeenshowntobeassociatedwithsymptomsofanxietyandisaprominentfeatureincognitivebehavioural(CBT)models.AccordingtoCBTmodels,beliefsaboutthemeaningofanxietysymptomscontributeto increasedhyper-awarenessandfear of the sensations, thereby leading to behaviours serving to reduce symptoms (e.g., avoidance).Moreover, anxiety refers to a cognitive-affective process bywhich an individual perceives a sense ofunpredictabilityandlossofcontrolovernegativeexperiencesandemotions,oftendefinedinresearchasanxietycontrol(AC).Researchhasconsistentlyfoundthatindividualswhoperceivealackofcontroloverpotentiallynegativeeventsandbodilysensationsareatanincreasedriskofexperiencinganxiety-related distress. Additionally, previous research in our lab found that people with higher levels ofanxiety sensitivity were more likely to endorse the belief that emotions are overwhelming anduncontrollable,whichwas in turn, related to anxiety severity. In this study,we investigatedwhethervarious aspects of anxiety control (i.e., emotional control, stress control, threat control)mediate therelationshipbetweenASandanxietyseverity.Participants(N=639undergraduatestudents)completedself-reportmeasures of AS, anxiety severity, and anxiety control. Using parallelmediation, we foundthatemotionalcontrolwastheonlyACdimensionthatsignificantlymediatedtherelationshipbetween


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AS and anxiety severity. People who reported greater AS also reported reduced perceived ability tocontroltheiremotions,and,inturn,greateranxietyseverity.Thesefindingsareconsistentwithrecentresearch from our lab that links AS and anxiety severity to perceived difficulty controlling emotions.Clinicians may benefit from addressing the role of clients’ perceived emotional control abilities asmaintainingmechanismsrelatedtoanxietysymptoms,thoughts,andbehaviours

Poster#22RELATIONOFANXIETYSENSITIVITYTOCOGNITIVESTYLEDURINGEXERCISEColinB.Pridy1,MargoC.Watt1,2,PabloRomero-Sanchiz1,3,andSherryH.Stewart11Dalhousie University Department of Psychology and Neuroscience, 2St. Francis Xavier UniversityPsychology Department 3Department of Personality, Assessment, and Psychological Treatment,SchoolofPsychology,UniversityofMalagaIntroduction.Anxietysensitivity(AS)isafearofarousal-relatedbodilysensationsthatincreasesriskofanxiety-related psychopathology. High AS individuals tend to avoid exercise due to feared arousalsensations.StevinsonandBiddle(1998;1999)proposedamodelofcognitivestyleduringexercisethatcrossesattentionalfocus(internal/external)andtaskrelevancy(relevant/irrelevant)dimensionstoyieldfourdistinctcognitivestyles.

Methods.ThepresentstudywasdesignedtoexaminerelationsbetweenASandcognitivestyleduringexercise using a recently developed and validated Attention and Distraction during ExerciseQuestionnaire (ADEQ; Pridy et al., under review) to tap the four cognitive styles in Stevinson andBiddle’smodel.We hypothesized that ASwould either be associatedwith: (a) an externally-focused,task-irrelevant cognitive style during exercise (reflecting a tendency to cognitively distract duringexercise as a coping strategy), or (b) an internally-focused, task-relevant cognitive style (reflecting atendencyto focusonbodilysensationsassociatedwithexercise).Asampleof875undergraduates [M(SD) age = 20.04 (3.04) years] completed the 18-item ADEQ as well as the 18-item Anxiety SensitivityIndex-3.Measureswerecompletedonline.

Results.Consistentwithoneofourtwoalternativehypotheses,usingstructuralequationmodelling,wefounda significant, positive associationbetweenASandan internally-focused, task-relevant cognitivestyle during exercise, where higher AS individuals reported an increased focus on bodily sensationsassociatedwithexerciseduringphysicalactivity.

Discussion. The observed relationship between AS and an internally-focused, task-relevant cognitivestyleduringexerciseislikelyduetohighASindividuals’tendenciestoattendtoandcatastrophizeaboutfeared exercise-induced bodily sensations. Futurework could testwhether this cognitive style duringexercisemediatestheestablishedrelationshipbetweenASandexerciseavoidance,andifitismalleablewithCBT.


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Poster#23MINDFULNESSBASEDCOGNITIVE THERAPY FORRELAPSEPREVENTION INANOUTPATIENTMENTALHEALTHPROGRAMJennifer Garinger-Orwin, Alberta Health Services, Calgary, AB, Deborah Dobson, Department ofPsychology, University of Calgary, Calgary, AB, and Katarina Jukic, AlbertaHealth Services, Calgary,AB.Many publicly funded outpatientmental health programs have struggled tomanage access and longwaitingtimesduetothehighvolumeofreferralsandneedfortheseservices.WaystoincreaseaccesshasbeenanidentifiedareaoffocuswithinAddictionsandMentalHealthinAlbertaandprogramshaveworked hard to manage and reduce waiting times. One way access can be improved is by helpingprogramsproviderelapsepreventionandfacilitatingdischargeforclients.Theobjectiveofthisqualityimprovementprojectwas toevaluate theoutcomeofaMindfulnessBasedCognitiveTherapy (MBCT)group within an outpatient mental health program. Purposes for this group included: relapseprevention, the development of skills and away to facilitate discharge for clients in a systemwhereneedstendtobegreaterthanresources.

Twenty individualsexperiencingavarietyofmentalhealthproblemswhowerewithinthefinaltwotothreemonthsoftreatmentparticipatedinthisgroup.Datawascollectedattheonsetandcompletionofthegroupfor14individuals.Sixmonthfollow-updatawascollectedforsixindividuals.Satisfactionwiththeprogramhasbeenveryhigh.Resultsalso indicatethattherehavebeenreductionsinbothanxiety(49%reduction)anddepressive(50%reduction)symptomsandincreasedskillsandknowledgebywhichtomanagethepotentialforrelapse(84%increase).Symptomreductionsappeartobemaintainedatsixmonthfollow-up.RelapsewasalsoassessedbytrackingEmergencyDepartmentandUrgentCarevisits,inadditiontoinpatientandoutpatientadmissionswithinthesixmonthsfollowingdischarge.Thisdatahasshownthatparticipantshavenotaccessedotherpublicly fundedmentalhealthservices.Althoughthe sample size is small, this project suggests that MBCT may be useful in reducing relapse andfacilitatingtheendingoftherapywithinanoutpatientmentalhealthprogram.

Poster#24SELF-ACCEPTANCE MEDIATES THE RELATIONSHIP BETWEEN MINDFULNESS AND PSYCHOLOGICALWELL-BEINGTessaL.Neilson,PsychologyDepartment,UniversityofCalgary,Mi-Ae Jeon,TheMindfulnessClinic,Toronto,KeithS.Dobson,DepartmentofPsychology,UniversityofCalgaryMindfulness interventionsare increasinglyused invariousmentalhealthcareareas,astheyhavebeenassociated with reduced negative emotions, as well as enhanced positive psychological functioning,includinghappiness,enhancedpurpose in life,andpositiverelationships.Recentlyself-acceptancehasemerged as a strong mediator between mindfulness, emotion regulation, and depression. In partpredicated on this observation, the current study examined self-acceptance as a proposedmeditator


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betweenmindfulness and psychological well-being, by testing a model wheremindfulness promotesself-acceptancebyfosteringnon-judgmentalawarenesstowardstheselfandexperiencesastheyarise.Thereforewe hypothesized that in addition to the direct benefits ofmindfulness onwell-being, self-acceptancewouldmediatethis relationship.Thepresentcross-sectionalstudyof542collegestudents(37.3% male and 62.7% females) used self-report questionnaires (including the Mindful AttentionAwareness Scale, the Unconditional Self-Acceptance Questionnaire, the Acceptance and ActionQuestionnaire, and a Psychological Well-Being measure) to test this model, and examine therelationships among dispositional mindfulness, psychological well-being, and self-acceptance. Resultsindicatedthatanoriginalmodelthatemployedthesuggestedfactorconstructsdidnotfitthedatawell,butanalternativemodel,inwhichthemindfulnessmeasurewasdividedintoitemparcels,fitthemodelwell, as the relation between mindfulness and psychological well-being was fully mediated by self-acceptance. The pattern of results supports the hypothesis that higher levels of dispositionalmindfulness are related to greater self-acceptance, which in turn is associated with improvedpsychological well-being. Implications of these results for theory and practice of mindfulnessinterventionsarediscussed.

Poster#25SMILE, YOU WILL FEEL … BETTER? COMPARING EXPRESSIVE SUPPRESSION AND EXPRESSIVEDISSONANCEONMOODANDANXIETYNancyBahl,JoyeuseN.Felix,KyleMcBride,andAllisonJ.OuimetSchoolofPsychology,UniversityofOttawa

Emotion regulation is increasingly incorporated in cognitive-behavioural models of psychopathology.Indeed, research findings suggest that certain emotion regulation strategies may be maladaptiveresponses to stressors, and consequently represent risk factors formood and anxiety disorders. Twoemotionregulationstrategiesinvestigatedinthisstudyareexpressivesuppression(ES;theinhibitionofanemotionalexpressionfollowingtheonsetofanemotionalexperience-a“pokerface”)andexpressivedissonance (ED; displaying an emotional expression incongruent to emotional state – smiling whenfeeling sad). Research suggests that ES may be a maladaptive ER strategy when used recurrently inresponse to stressors, as studies have found that people report a decrease in positive mood andincrease in anxiety when engaged in ES. In contrast to ES research, the facial feedback hypothesissuggeststhatpositivefacialmuscleactivity(i.e.,generatingasmile-relatedexpression)cansignificantlyincrease positive mood states (e.g., “half-smile” in Dialectical Behaviour Therapy). Our goal was toinvestigatewhetherEDisamoreadaptivestrategythanESusingoutcomesofmoodandanxiety,asthetwo strategies have not yet been compared in an experimental paradigm. Fifty-one participants(anticipatedN=84byApril2018)wererandomizedtouseExpressiveSuppression(n=26)orExpressiveDissonance(n=25)whilewatchingnegativeemotion-elicitingimages.Ourpreliminaryanalysessuggestthatrelativetobaseline,thoseintheEDgroupreportedsignificantlygreateranxiety(Mdifference=1.53,SE=.73, t(49)=2.08,p=.042, d=0.82) andmarginally significantly greater negativemood (Mdifference=-


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1.06, SE=.54, t(49)=2.08, p=.056, d=0.55) after watching the negative images. We will also reportfindings related to objectivemeasures of anxiety (i.e., electrodermal activity).Our preliminary resultssuggest that contrary to research supporting the facial feedback hypothesis, displaying a positiveexpression(i.e.,smiling)inresponsetoanegativestressor,maynotactuallybeanadaptivealternativeemotionregulationstrategytouse.

Poster#26EFFECTS OF INTERPARENTAL CONFLICT DURING DIVORCE ON OFFSPRING: AMULTIDIMENSIONALINVESTIGATIONPhillip Radetzki, Psychology Department, MacEwan University, and Sean Rogers, PsychologyDepartment,MacEwanUniversityResearchhasrevealedthenegativeconsequencesdivorcehasonchildren.Amongotherrisks,childrenof divorce are vulnerable to greater levels of anxiety and depression than are children of intactmarriages.However,researchershaverecentlyfoundthatnotallcasesofdivorceareequivalent.Highlevels of interparental conflict during the divorce process not only contributes to major depressivedisorderandalcoholdependencyinoffspring,butalsoanegativeviewoffamily,theself,andthesocialworld.Unfortunately,therearestillmanyeffectsofinterparentalconflictonchildrenthatremaineitherunder-researchedorun-researched.Thepresentstudyaims tocontribute to theareaby investigatingthe impactof interparentalconflictduringthedivorceprocessonthementalhealthofadultchildren.Specifically, itwashypothesizedthatperceptionsofhighinterparentalconflict(PIC)duringthedivorceprocess will positively correlate with irrational beliefs (IB), generalized anxiety disorder (GAD), andmaterialist orientations (MO), while negatively correlating with well-being (WB), emotion regulation(ER),and interpersonal competence (IC) inadult childrenofdivorce.As such, six self-reportmeasureswere administered online to a non-clinical sample of psychology university students (N = 126).Preliminary analyses revealed significant positive correlations between PIC and PWB and GAD.Meanwhile,analysesrevealedsignificantnegativecorrelationsbetweenPICandIBandER.AnalyseswillcontinuethisspringtodeterminethedegreetowhichPICpredictsthepresenceofPWB,GAD,andIB,ER.Ultimately,findingsmayhaverelevanceinguidingfamiliesthroughdivorce,includinghelpingthoseaffectedalongtheway.


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Poster#27CLINICAL IMPLICATIONS FROM A META-ANALYSIS EXAMINING THE ASSOCIATION BETWEEN EARLYLIFESTRESSANDCHILD-/ADOLESCENT-ONSETDEPRESSIONJennifer-Ashley Hoffmeister, Psychology Department, Biomedical Physiology and KinesiologyDepartment, Simon Fraser University, Alison Tracy, Psychology Department, University of BritishColumbia,Eunice Ip,PsychologyDepartment,UniversityofBritishColumbia,KathrynL.Humphreys,PsychologyDepartment,StanfordUniversity,andJoelleLeMoult,PsychologyDepartment,UniversityofBritishColumbiaSeveralrecentmeta-analyseshavedemonstratedtheassociationbetweenexperiencingearlylifestress(ELS) and the onset of depression in adulthood; however, the association between ELS, includingdifferent formsof ELS, on child- and adolescent-onset depressionhasnot beenquantified in ameta-analysis.Werecentlyconductedameta-analysistoexaminetheassociationbetweenvariousformsofELSandmajordepressivedisorder(MDD)diagnosisduringchildhoodoradolescence,andtotestwhichcharacteristicsmodify thisassociation (LeMoult,Humphreysetal., inpreparation).WefoundthatELSwas associatedwith significantly increased risk forMDDprior to adulthood. These findings stress theimportance of focused prevention of MDD among individuals who experienced ELS and reducingexposure to preventable forms of ELS. There is a small developmental window in which preventionefforts might mitigate the risk for MDD diagnosis, and may have long-term consequences for MDDseverity, recurrence, and associated functional impairment. Children and adolescence who haveexperienced ELS might benefit from targeted interventions that focus on skills, such as emotionregulation, that are impacted by experiencing ELS and that are implicated in risk for depression.Ourfindings also underscore the importance of understanding different ELS assessment methodology.Interview-basedmethodsofassessingELSyieldedalargerestimatedeffectsizethanstudieswhousedalternative methods. Thus, the method of assessing ELS has important clinical implications. Onepossibilityforthisfindingisthatinterview-basedassessmentsofELSallowpeopletorespondwithmoredetailedinformationthanquestionnaire-basedassessments.Inthiscase,itispossiblethatthenatureofclinicalassessmentswhichareinterview-basedmaymoreaccuratelydetermineincreasedriskforMDD.Overall,resultsfromthismeta-analysisarerelevanttocliniciansworkingwithchildrenandadolescentswhohaveexperiencedELS; findingscan informboththemethodofELSassessmentandthetimingofinterventions


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Poster28GAMBLING-RELATED COGNITIVE DISORTIONS MEDIATE THE RELATIONSHIP BETWEEN DEPRESSIONANDPROBLEMGAMBLINGSEVERITYMagdalenG. Schluter1,Hyoun S. Kim1, Julia C. Poole1,DavidC.Hodgins1,Dan S.McGrath1, Keith S.Dobson1,andHermanoTaveres2

1.DepartmentofPsychology,UniversityofCalgary,Calgary,AB2.DepartmentandInstituteofPsychiatry,GamblingOutpatientProgram,UniversityofSãoPaulo,SãoPaulo,BrazilPreviousresearchhasshownthatsymptomsofdepressionarehighlyprevalentamongindividualswithdisordered gambling. Furthermore, depression has been shown to increase problematic gamblingbehaviors. However, little is known about the psychological mechanism by which symptoms ofdepressionleadtodisorderedgambling.Herein,wetestedwhethercognitivedistortionsmayrepresentone suchmechanism,as cognitivedistortionsarekeycharacteristics inbothdepressionandgamblingdisorder and have been shown to predict gambling severity. Thus, it is plausible that gamblers withcomorbid depressionmay exhibit greater cognitive distortions, specifically gambling-related cognitivedistortions. This association may in turn explain greater gambling severity among individuals withcomorbid depression and disordered gambling. We assessed this possibility among 396 treatment-seekingindividualswithdisorderedgambling(224men,171women)inSaoPaulo,Brazil.Diagnosesofgambling disorderwere confirmed via structured clinical interviews. Participants also completed self-report measures of depression symptom severity (Beck Depression Inventory-II), gambling-relatedcognitive distortions (Gamblers’ Beliefs Questionnaire), and gambling severity (Gambling SymptomAssessment Scale). Results indicated that increased symptoms of depression were significantlyassociated with both increased problem gambling severity and increased gambling-related cognitivedistortions.Further,gambling-relatedcognitivedistortionspredictedgreaterproblemgamblingseveritywhen controlling for depressive symptomology. Critically, results from the Preacher and Hayesbootstrappingmethodindicatedthattherelationshipbetweensymptomsofdepressionandincreasedproblem gambling severity is mediated by gambling-related cognitive distortions. These results mayhave important clinical implications. Specifically, cognitive-behaviour therapies may benefit fromtargeting gambling-related cognitive distortions among individuals with depression and co-morbiddisorderedgambling.


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Poster#29COGNITIVE CHANGE IN COGNITIVE BEHAVIOURAL THERAPY VERSUS PHARMACOTHERAPY FORDEPRESSION:ALONGITUDINALMEDIATIONANALYSISLeanneQuigley,Centre forAddictionandMentalHealth;DavidDozois,WesternUniversity; LenaC.Quilty,CentreforAddictionandMentalHealth;UniversityofTorontoCognitive behavioural therapy (CBT) has demonstrated efficacy in the treatment ofMajor DepressiveDisorder (MDD). CBT is based on the cognitivemodel of depression,wherein dysfunctional cognitioncontributes to the onset and maintenance of depression. CBT is thought to improve depressivesymptomsbyproducingadaptivechangeincognition.ThepresentstudyevaluatedwhetherchangesincognitionmediatetreatmentoutcomeinCBTversuspharmacotherapyforMDD.Thesampleconsistedof 104 participants meeting diagnostic criteria for MDD as assessed by structured clinical interview.Participantswererandomizedtoreceive16weeksofCBT(n=54)orantidepressantmedication(ADM;n= 50). Measures of depressive symptoms (Hamilton Depression Rating Scale; HAMD) and cognitivecontentwerecollectedatWeek0(pre-treatment),4,8,and16(post-treatment).Thecognitivecontentmeasures included the Dysfunctional Attitudes Scale (DAS), Cognitive Distortions Scale (CDS), andAutomatic Thoughts Questionnaire – Negative (ATQ-N). Structural equation modeling (i.e.,autoregressive mediation models) was used to evaluate the longitudinal relationships betweentreatment condition, each of the cognitive variables, and depressive symptoms. The results indicatedthatdepressivesymptomsanddysfunctionalcognitionsignificantlydecreasedoverthetreatmentperiodfor both the CBT and ADM conditions, and that this decrease occurred earlier in treatment forparticipantsintheADMcondition.Ineachoftheautoregressivemediationmodelstested,noevidencewas found for longitudinalmediationof the relationship between treatment condition and change indepressivesymptomsviachange inanyof thecognitivevariables.Therewasalsonoevidence for thereversemediationrelationship(mediationoftherelationshipbetweentreatmentconditionandchangeinthecognitivevariablesviachange indepressivesymptoms).Thestudythusdidnot findsupport forthe cognitivemediationmodel of CBT; the implications of the results for CBT theory andmechanismresearcharediscussed.


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Poster#30ACBTAPPROACHTOEPISODICDEPERSONALIZATIONLeanneQuigley,CentreforAddictionandMentalHealth,andJudithLaposa,CentreforAddictionandMentalHealth;UniversityofToronto

Depersonalization is a subjective sense of unreality or detachment from oneself. Depersonalizationdisorder (DPD) involvespersistentor recurrentexperiencesofdepersonalization thatcausesignificantdistress or impairment in functioning. Despite a documented prevalence rate of 1 – 2%, there is apaucity of scientific inquiry into the nature, etiology, and treatment of DPD. There is currently noempiricallysupportedtreatmentforDPDandscarceliteraturetoguidecliniciansworkingwithpatientswiththisdisorder.Thisposterwillreviewtheconceptualization,course,contentandoutcomeofaclientwho presented for help with episodic depersonalization experiences. Substance use precipitated theonsetoftheclient’sdepersonalizationexperiences,whichresultedinhisperceptionofanalteredformofconsciousnessthatwassustainedintheabsenceoffurthersubstanceuse.Heexperiencedrecurrentepisodesofdepersonalizationaccompaniedby fearof lossof reality/consciousnessanddestructionofhis mind. Treatment included standard CBT interventions, including cognitive restructuring,interoceptiveexposures, and situational exposures. StrategiesbasedonAcceptanceandCommitmentTherapy (ACT)were also incorporated into the treatment.Over 10 sessions, the client experienced asignificant reduction in symptoms and improvement in functioning based on subjective report andstandardized measures. This case demonstrates the potential utility of CBT and acceptance-basedtreatmentforepisodicdepersonalization.

Poster#31INVESTIGATINGWHTHER TRAIT COGNITIVE REAPPRAISALMODERATES THE EFFECTSOF EXPRESSIVESUPPRESSIONONAFFECTJoyeuseN.Felix,NancyBahl,KyleMcBride,AllisonJ.OuimetSchoolofPsychology,UniversityofOttawa

Emotionregulation(ER)strategiesareresponsesthatallowpeopletoconsciouslyorunconsciouslyalterthe emotional experienceof an event. Researchers have investigated the impacts of ER strategies onpositive affect and negative affect. While encountering emotion-eliciting events, individuals mayattempt to regulate their emotions through cognitive reappraisal (CR) or expressive suppression (ES).PeoplewhouseCR tend to reporthigher levelsofPAand lower levelsofNA than thosewhouseES.However, the co-activation of these emotion regulation strategies has not been well-studied. Thepurposeofourstudywasto investigatehowtraitcognitivereappraisalmoderatestheeffectsofstateexpressivesuppressiononmoodandanxiety.Sixty femalestudents (anticipatedNbyApril2018=84)completed an online survey assessing ER strategies and psychopathology symptoms. We randomlyassignedparticipantstoeithermaintainanemotionallyunexpressiveface(expressivesuppression)ortoreact as they normally would as they viewed negatively-valenced arousing pictures from theInternationalAffectivePictureSystem.Theyreportedtheiraffectat4pointsthroughoutthetaskusing


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the self-assessment manikin. We hypothesized: 1) Participants who self-report high trait CR in bothgroupswillhavehigherpositiveaffectafterthepicturetask.2)Participantswhoself-reporthightraitCRinbothgroupswillexperiencelowerlevelsofanxietyafterthepicturetask.Usingmoderationanalyses,ourpreliminaryresultssuggestthatneithertraitcognitivereappraisalnorconditionpredictedpositiveaffect (F (2,47) = 1.13,p = .35), or level of anxiety (F (2,47) = .43,p = .73). These findings are relevant tocognitive-behavioural therapy (CBT), which often focuses on restructuring cognition and changingbehaviourtoreducedistressandimpairmentassociatedwithemotionssuchasanxietyanddepression.Specifically,wewilldiscussourfindings intermsofthe interactiveeffectsofsimultaneousERstrategyuse.

Poster#32A SYSTEMATIC REVIEW THAT DOCUMENTS THE STRATEGIES INCLUDED IN COGNITIVE ANDBEHAVIORALTHERAPYPROGRAMSANDTHEEFFECTSONINTERNALIZEDDISORDERSCatherineFréchette-Simard, IsabellePlanteand JonathanBluteau,DepartmentofSpecial EducationUniversityofQuebecinMontrealThisposteraimstopresentasystematicreviewthatidentifiesthestrategiesusedinprogramsbasedoncognitive behavioral therapy (CBT) to prevent and treat symptoms of anxiety, depression, andinternalizedbehaviorsofchildrenandadolescents.Basedonanonlinesearch(ERIC,PsycInfo,VirtuoseUQAM, and Google Scholar), 61 studies describing different cognitive behavioral programs wereselected.Resultsshowedthat40strategieswereimplementedinatleastoneprogram.However,noneofthestrategiesweresystematicallypresentinallprograms,andonlyfewwerereportedinmorethan50% of the studies. Cognitive restructuring and problem solvingwere themost popular strategies totreatdepressivesymptoms,whereasanxietyprogramsalsogenerallyincludedrelaxationandexposure.Furthermore, six strategieswere identified in a single anxiety program,whereas nine strategieswereimplemented in only one depression program. These results suggest that in anxiety and depressionprograms designed for children and adolescents, the label “CBT” encompasses a wide variety ofprogramswithonlyfewsimilarstrategies.SuchfindingshighlighttheneedtodefineacommonbasisforCBT programs, in order to better reflectCBT therapy and to identify the effectiveness of the strategies included in these programs.

Poster#33BUILDINGACBTGROUPPROGRAMATACOMMUNITYHOSPITALJoannaSzczeskiewiczTrilliumHealthPartners–CreditValleyHospital,Mississauga,ONMostresearchoneffectivenessofCBTgroupsforanxietyanddepressionisconductedwithclientswhomeetwelldefinedadmissioncriteria. Everydaypracticedoesnotoccur inoptimal circumstancesandrequiresbalancingof referralpressures, treatment criteriaand resourceavailability. InOntario,mosthospitalsadoptedgroupbasedservicesandrelyonLevelofCareUtilizationScale(LOCUS)asaresource


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allocation tool. Based on LOCUS scores, clients are assigned to intensive programs (PartialHospitalizationProgramorIntensiveOutpatientProgram)thatofferbetween10and20hoursofgroupcontactperweekoranoutpatientprogram thatoffersup to3hoursof groupcontactperweek. Allprogramsaretime-limited.

AtTrilliumHealthPartners–CVH site, intensiveprogramsare rooted indialecticalbehaviour therapyandfocusonriskstabilizationandbuildingofemotionregulationskills.TheoutpatientprogramconsistsofaCBTgroupforanxietyandaCBTgroupfordepression.

CBTgroupsweredevelopedwiththreeobjectivesinmind:(1)ensuringthattheprogramfitsalongthecontinuumwithotherserviceswithclientsenteringtheprogramasastand-alonetreatmentorasphasetwo of treatment after completion of DBT; (2) providing evidence-based treatment for symptoms ofdepression and anxiety; and (3) accounting for needs of clientswho presentwith symptoms of PTSDand/orOCD.

The proposed poster aims to describe program’s structure and admission criteria developed tomeetthesethreeobjectives,useofcaseconceptualizationtopersonalizetreatmentandbridgebetweenDBTandCBT,andweavingofOCDandPTSDrelatedinformationintothegroupcurriculum.PreliminarydatashowthatgroupcompletershaveachievedclinicallysignificantimprovementasmeasuredonBDI-II,BAIandPSWQ.Chronicpainandexacerbation insymptomsofbipolardisorderwerethemainculprits fortreatmentnon-completion.

Poster#34CLIENTFEEDBACKREGARDINGPERCEIVEDSTRENGTHSANDAREASFOR IMPROVEMENTFOLLOWINGINTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPYVictoria A.M. Owens, Joelle N. Soucy, Heather D. Hadjistavropoulos, Nichole Y. Faller, and AmberKlattPsychologyDepartment,UniversityofReginaCognitive Behaviour Therapy (CBT) is a well-established treatment for a variety of mental healthconcerns; unfortunately, barriers to accessing in-person services (e.g., time limitations, stigma)contribute to theundertreatmentofmental health. Toaddress thesebarriers, Internet-deliveredCBT(ICBT)wasdevelopedandhasshowncomparableeffectsizestoCBTinexistingliterature.ICBTprogramstypically involve clients reviewing educational materials online and may be paired with therapeuticsupport. The current study aimed to understand the perceived strengths and areas for improvementdenotedby135clientsthatparticipated intheWellbeingCourse,atransdiagnostic ICBTprogram.TheWellbeing Course consists of 5 lessons provided over 8weeks; the course presents psychoeducationalongwithinformationonbroadskillsthatclientscanapplytoavarietyofmentalhealthconcerns(e.g.,thought challenging). In the current study, theWellbeingCoursewas coupledwith therapist support,which involved clients receiving weekly online messages from a therapist. At the end of program,feedbackwas elicited from clients regardingwhat they liked about the program and suggestions forwhatcanbe improved inthefuture.Ofthe278commentssubmittedbyclients,177(i.e.,64%)noted


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perceived strengths and 101 (36%) of statements provided suggestions for ways to improve theprogram.Feedbacksuggeststhatclientsperceivedtheabilitytodownloadcontentforfutureuse,readaboutotherclients’experiences,andthecontentofthe lessonsasstrengthsoftheWellbeingCourse.Clients noted several areas for improvement such as increasing the number and variability of clientstories available, increasing the allotted time to complete the program, and ensuring therapistavailabilitymatchesclientneed.Resultsfromthecurrentstudyprovideinsightintopreferencesamongclients seeking ICBT. Areas in which clients suggest improvements will be considered in the futuredevelopmentofICBTprotocols.

Poster#35INTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPYFORCHRONICHEALTHCONDITIONS:AMETA-ANALYSISVanessa Peynenburg, Psychology Department, University of Regina, Swati Mehta, PsychologyDepartment,UniversityofRegina,andHeatherHadjistavropoulos,PsychologyDepartment,UniversityofReginaChronichealthconditionsareassociatedwithhighlevelsofpsychologicaldistress,withmanyindividualsexperiencingcomorbidanxietyandordepression. There isagrowingbodyofresearchexaminingtheuseofInternet-deliveredcognitivebehaviourtherapy(ICBT)formanagingthesymptomsofanxietyanddepression in individuals with chronic health conditions. The goal of this current research was toexamine the effectiveness of ICBT on anxiety and depression among persons with chronic healthconditions. MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane were searched for relevant studiespublishedfrom1990toDecember2017.Astudywasincludedifthefollowingcriteriaweremet:1)trialexaminedtheuseofICBT;(2)sampleexperiencedachronichealthcondition;3)participants>18yearsof age; and 4) trial reported the effects of ICBT on psychosocial outcomes (e.g., anxiety, depression,etc.). Twenty-one studies met inclusion criteria and investigated the following chronic healthconditions: tinnitus (n=8), fibromyalgia (n=3), pain (n=5), rheumatoid arthritis (n=3), cardiovasculardisease(n=1),andspinalcordinjury(n=1).PooledanalysiswasconductedontheprimaryandconditionspecificoutcomesusingthesoftwarepackageComprehensiveMeta-Analysis(version3).TheCochraneRisk of Bias tool was used to assess the risk of bias on the included studies. Pooled analysisdemonstrated small effects of ICBT in improving anxiety (SDM=0.47±0.09, 0.30-0.65, p<.001) anddepression (SDM=0.43±0.07, 0.30-0.56, p <.001). Sub-analyses of condition specific outcomes alsodemonstratedsmalltomoderateeffects.WhileICBTproducedsimilareffectsastraditionalfacetofacecognitive behaviour therapy; it was significantly more effective in improving primary outcomescompared to waiting-list and attention controls. ICBT shows promise as an alternative to traditionaltherapeuticinterventionsamongpersonswithchronichealthconditions.FutureresearchonlongtermeffectsofICBTforindividualswithchronichealthconditionsiswarranted.


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Poster#36DEVELOPMENT OF ONLINE MOTIVATIONAL INTERVIEWING FOR ENHANCING ENGAGEMENT ININTERNET-DELIVEREDCOGNITIVEBEHAVIOURTHERAPYJoelle N. Soucy, Victoria A. Owens, Heather D. Hadjistavropoulos, and Vanessa A. Peynenburg,PsychologyDepartment,UniversityofReginaInternet-delivered cognitive behaviour therapy (ICBT) is a new approach to disseminating cognitivebehaviourtherapy(CBT)that improvesclientaccesstomentalhealthcare.Despitetheefficacyof ICBTfor anxiety and depression, younger clients and clientswith higher baseline distress are less likely tocompletetreatment.Researchsuggeststhatambivalencetochangeisrelatedtoattrition.Motivationalinterviewing (MI) is designed to resolve ambivalence by facilitating clients’ intrinsic motivation tochange.GivensimilarissuesofdropoutinCBT,MIhasbeenintegratedintothetreatmentprocessandhasfurtherenhancedoutcomes.ResearchontheintegrationofMIandICBThasfocusedsolelyonMIinthe form of static questions. Titov et al. (2010) found that clients with anxiety who received onlinemotivationalquestionsweresignificantlymorelikelytocompleteICBTrelativetothosewhoreceivednoMI,althoughsymptomimprovementdidnotdifferbetweenthosewhodidordidnotreceiveMI.Reviewof the literatureon integrationofMI in online therapy reveals there is a need to improvehowMI isintegratedintoICBT.Inadditiontostaticquestions,videosandpersonalizedwrittenfeedbackshouldbeoffered tomore accurately simulate face-to-faceMI. This has the potential tomaximize outcomes ofICBT.TheaimistodescribearecentlydevelopedonlineMIpre-treatmenttoICBTthatusesquestions,videos,andwrittenfeedbacktoengageclientsintreatment.Specifically,theMIpre-treatmentincludesexercises,suchasvaluesclarification,importanceandconfidencerulers,andlookingforwardandback.Details regarding the protocol will be outlined in the poster along with future research directioninvolvingtheprotocol.DevelopinganadjuncttoICBTthataimstoresolveambivalencehasthepotentialto serve as a cost-effective method of improving outcomes, especially among clients who are atincreasedriskofdropout.

Poster#37TECHNOLOGY-FACILITATEDSEXUALVIOLENCE:GENDER,ATTITUDESANDEXPERIENCESLindsey A. Snaychuk, Psychology Department, Vancouver Island University and Melanie L. O'Neill,PsychologyDepartment,VancouverIslandUniversityTechnology-facilitated sexual violence (TFSV) is an understudied but prevalent phenomenon that canhaveseriousimplicationsonitsvictims.Historically,researchhasfocusedonofflinesexualharassmentor online harassment of a non-sexual nature, and little time has been dedicated to sexual violenceperpetrated through digital means. This research examines the various TFSV behaviours that arecommonlyexperiencedbyindividualsandtheirattitudestowardssuchbehaviours.Thesample(n=105)consistedofundergraduatestudentsenrolledatVancouverIslandUniversity.ParticipantscompletedanonlinesurveyusedtomeasuretheirperceivedseriousnessofcertainTFSVbehavioursaswellasassesstheirexperienceswiththespecificTFSVbehaviourslistedontheTFSV-V(Powell&Henry,2016).ResultsindicatethatfemalesconsistencytendedtorateTFSVbehavioursasmoreseriousthanmalesandbeatincreasedriskofvictimization.Femalesexperienced70%ofbehaviours listedontheTFSV-Vatdouble


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their rate of theirmale counterparts. The top threemost commonly experienced behaviours on theTFSV-Vweredifferentbetweengenders.Thesefindingssuggestthatgenderplaysaroleinvictimizationoutcomes. Future research should look to further investigate the role that gender plays in TFSVvictimizationbeyondanundergraduatepopulation.

Poster#38CASESTUDY:AMODULARAPPROCHTOTREATMENTFORPICAINYOUNGFEMALEWITHATRAUMAHISTORYRachelMoline1,SharonHou1,&KristelThomassin1|1UniversityofGuelphPicaisthepersistentconsumptionofnonnutritive,nonfoodsubstances.Theprevalenceofthisdisorderiscurrentlyunknown.However,itistypicallyobservedinindividualswithintellectualdisabilities(ID)anddevelopmental delays. Despite the potentially adverse complications associated with this condition(toxicity,internalobstruction),thereiscurrentlynogoldstandardtreatmentforpica.Thelowbaserateof this disorder has hindered opportunities for the development of evidence-based treatments.Accordingly, clinicians are likely less inclined to treat this disorder because of limited trainingopportunities.Thepresentcasestudyoutlinestheconceptualizationanddeliveryofamodularapproachtotreatmentfora10-year-oldCaucasianfemalepresentingwithpica,withoutadiagnosedID.Theclientalsopresentswithacomplextraumahistory, includingseveremalnutritioninuteroandneglect inherearly years. She currently lives with her adoptive parents. Primary targets for treatment includedreducing pica behaviours and improving the parent-child relationship; secondary targets includedbehaviouraldifficultiesand social-emotional concerns.A clinical assessment,using caregiverandchildself-report (CBCL, MASC, CDI, Conners), in addition to observations and clinical interviews, wasconducted to inform the treatment plan. Thus far, treatment has involved psychoeducation andinterventionwithcaregiversintandemwithindividualsessionswiththeclient.Weeklycaregiverratingsoftheclient’spicabehavioursandbehavioraldifficultiesweregathered.Overthecourseof14sessionsspanningapproximately4months,markedchangeshavebeenobservedinbothprimaryandsecondarytargets.Changes inpicabehaviourscontinuetobemonitoredoverthecourseof treatment.Thiscasereview offers a novel investigation into a modular approach for treating pica in a child without acomorbid ID. Emphasis is placedonoutlining the treatmentplangiven thepaucityof evidence-basedtreatmentforthispopulation.


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Poster#39GROUP COGNITIVE BEHAVIOUR THERAPY FOR CHILDREN WITH ANXIETY AND AUTISM SPECTRUMDISORDER:FEEDBACKANDACCEPTABILITYASRATEDBYPARENTS,CHILDREN,ANDCLINICIANSKrista Haley Smith Johnston, Psychology Department, BC Children’s Hospital & Simon FraserUniversity;MelanieMcConnell,PsychiatryDepartment,BCChildren’sHospital&UniversityofBritishColumbia; Kristen McFee, Psychology Department, BC Children’s Hospital & University of BritishColumbia;GraceIarocci,PsychologyDepartment,SimonFraserUniversityFacingYourFears (FYF;Reavenetal.,2011) isamodified,evidence-based(Reavenetal.,2012)groupcognitivebehavioural therapy (CBT) foranxietyamongchildrenwithAutismSpectrumDisorder (ASD).ThetreatmentdevelopershavefoundFYFtohavegoodacceptabilityratingsfromparents,children,andclinicians(mean=4.15outof5;Reavenetal.,2015)inamulti-siteUS-Canadacollaboration.Clinician-researchersatBCChildren’sHospital(BCCH)facilitated15ofthesegroupswithhighfunctioning(IQ>70;mean: 102.08) children with ASD ages 8 - 13 years (mean: 11) and their parents. As atertiary/quaternary health-care centre, referrals to BCCH are often complex; at intake, children whoparticipated in FYF met criteria for 2.8 anxiety disorders on average, in addition to numerous othermental health concerns (e.g., ADHD, depression, receptive or expressive language disorders).Preliminary analyses indicate statistically significant improvements in anxiety frompre- to post-group(Johnstonetal.,2017).Thegoalsofthecurrentclinicalevaluationweretoassessacceptabilityasratedby parents (n=65), children (n=60), and clinicians (n=10) who participated in FYF at BCCH. Bothquantitative and qualitative feedback will be presented. Overall, acceptability was high as rated byparents(range:3.57-4.6/5),children(range:3.29-4.47/5),andclinicians(3.52/4).Parents,childrenandcliniciansagreedthatgradedexposurewasoneofthemosthelpfulcomponentsofthegroup;however,only3ofthe5publishedRCTsexamininggroupCBTtreatmentforyouthwithASDandanxietyincludeexposure. Clinicianswereaskedtoevaluatetheirskilldevelopment inseveralcoreareas(e.g.,mentalhealth issues in ASD, modified CBT, behaviour management skills), identify core components of thetreatmentforparticipants,andprovidequalitativefeedbackaboutimportantandchallengingaspectsoffacilitatinggroup.Discussionaimstosupportongoingeffortstofacilitatecommunitydissemination.

Poster#40PRELIMINARY FINDINGS FROM A GROUP-BASED EVALUATION OF COMPREHENSIVE BEHAVIOURALINTERVENTIONFORTICSINELEMENTARY-AGEDCHILDRENMelanieMcConnell,1,2AinsleyBoudreau,1,2TaraJukes,1,2andHayaZaid-Alkailani1,2

DepartmentsofPsychology1andNeuropsychiatry2,BritishColumbiaChildren’sHospitalComprehensiveBehavioralInterventionforTics(CBIT)isasanevidence-basedtreatmentfordecreasingticfrequency,severity,andrelatedimpairment(Woodsetal.,2008).Despitepromisingadvancesinthepsychological treatmentof ticdisorders,mostchildren inneedof interventionhavenotreceivedCBIT(Woods et al., 2010). A promising avenue for addressing this service-delivery gap is to offer theintervention in a group-based format.Groupdeliveryof CBIThas thepotential toprovide services tomore individuals inneedof intervention for tics. Thepresent studyattempted toaddress this gapby


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evaluating theacceptabilityandeffectivenessofgroup-basedCBIT (i.e., “TicBusters”) for reducing ticseverity,numberoftics,ticfrequencyandtic-relatedimpairmentinchildrenwithtics.Seventeen9-to12-year-old children with tics and their parents participated in an eight session group-based CBIT.Outcomes for childrenwith ticswere assessed before and following group using questionnaire (childand parent) and clinician rated semi-structured interviews (YaleGlobal Tic Severity Scale). Datawereanalyzedusingwithin-subjectsanalysisofgrouptreatmentoutcomes.Preliminaryresultsfromthefirst17participants(n=20bythetimeofthepresentation)revealedthatchildrenwhoparticipatedintheTicBustersgrouphadsignificantlyfewertics(M=5.9,SE=0.5vsM=4.4,SE=0.6),lessfrequentlyoccurringtics(M=6.2,SE=0.6vsM=4.4,SE=0.5)andlessseveretics(M=28.3,SE=2.2vsM=17.6,SE=2.5;t(12)=4.35,p<.01)overall,followingtreatment.Tic-relatedimpairmentwasalsosignificantlylower(M=27.5,SE=3.5vsM=11.7,SE=3.7)followingtreatment,t(11)=3.98,p<.01.Parentswerealsosatisfiedwiththegroup(M=4.57;range=3.7–5.0).Thestudyprovidesinitialevidencesupportingtheacceptabilityandeffectivenessofgroup-basedCBITinaclinicalsampleofelementary-agedchildren.

Poster#41CBTFORCHILDREN&YOUTHWITHINTELLECTUALDISABILITY&ANXIETYSonjaSaqui,MA,UniversityofBritishColumbiaMichèleP.Cheng,MA,UniversityofBritishColumbiaSterettH.Mercer,Ph.D.,R.Psych,UniversityofBritishColumbiaReported prevalence rates of mental health concerns are significantly higher amongst children withlimited intellectual functioning than amongst typically developing children (Douma et al., 2006).Approximately 6% to 17% of typically developing youth meet criteria for a psychiatric disorder,compared to 25%-50% of youth with intellectual disabilities (Dekker & Koot, 2003). Of psychiatricdisorders,anxietydisordersarethemostprevalent,yet least treatedmentalhealthconcernacrossallchildren and adolescents (Chavira, Stein, Bailey, & Stein, 2004). Research exploring how to supportanxiety in people with limited intellectual functioning has lagged behind research focused on thebroaderpopulation(Hagopian&Jannet,2008).CognitiveBehavioralTherapy(CBT)hasalargeevidencebaseinreducinganxiety(Hofmann&Smits,2008).Althoughindividualswithintellectualdisabilitymayhave some of the requisite skills to engage in CBT, recognizing cognitions and cognitive mediationappeartobeparticularlychallengingforthiscohort(Oathamsahw&Haddock,2006).Further,CBTreliesheavilyonverbalcommunication.CBTmayneedtoberethoughtforchildrenwithintellectualdisability,as verbal communication is typically an area of difficulty (Gargiulo, 2009; Rice, 1989). Research onevidence-basedinterventionsormodificationstoCBTthatsupportchildrenandyouthwithintellectualdisability and coexisting verbal andmetacognitive difficulties in how tomanage feelings of anxiety iscritical.ThisposterwillsummarizethecurrentbodyofresearchsurroundingCBTforchildrenandyouthwithintellectualdisabilityandcomorbidanxiety.Implicationsforclinicalandcommunitybasedpracticewillbediscussed.Resourcesforfurtherreadingwillbereferenced.


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Poster#42THE ASSOCIATION BETWEEN PARENT AND CHILD PSYCHOPATHOLOGY: THE ROLE OF EMOTIONREGULATIONANDPARENTALEMOTIONSOCIALIZATIONJessicaA.Suarez,PsychologyDepartment,UniversityofGuelphKristelThomassin,DepartmentofPsychology,UniversityofGuelphResearch has demonstrated a link between parent psychopathology and children’s development ofpsychological problems. Given the implications of emotion skills in psychopathology, literature hasextrapolated that parents’ psychopathologymay be transmitted to children through emotion-relatedfactors.Wesought toexamineemotion-relatedparental andchild factors in tandem, to investigateapossible multiple-mediational pathway by which parental psychopathology is associated with childpsychopathology in a large sample (n=704) of parents (50%mothers) of children aged 8 to 12 years.Parents completed self-report measures, including the Brief Symptoms Inventory-18, Difficulties inEmotion Regulation Scale, and Coping with Children’s Negative Emotions Scale, andmeasures abouttheir child, including the BriefMonitor Scale, and Emotion Regulation Checklist. Using SPSSmultiple-mediationPROCESSmacros,weincludedparents’emotionregulationdifficulties,parents’unsupportivereactions to children’s negative emotions, and children’s emotion regulation skills as mediators intandem.All variables significantlymediated the linkbetweenparents’andchildren’spsychopathologysymptoms. Higher parent psychopathology symptoms were related to higher difficulties in parents’emotionregulationskills(b=1.231,SE=.057,t(702)=21.254,p<.001),whichwererelatedtohigherparentalunsupportivereactionstochildren’snegativeemotions(b=.020,SE=.001,t(701)=14.883,p<.001).Higherunsupportiveparentalreactionswererelatedto loweradaptivechildemotionregulationskills (b = -1.199, SE = .161, t(700) = -7.468, p < .001), which were related to higher childpsychopathologysymptoms (b= -.391,SE= .067, t(699)= -5.859,p< .001).These findingsemphasizepossible avenues for innovation in altering these trajectories and promoting positive, healthypsychological outcomes for children of parents with psychopathology. For instance, emotion-relatedparentingtrainingcoupledwithinterventionstoimproveemotionregulationskillsfortheseparentsmaycontributetothepreventionofthepotentialadversepsychologicaloutcomesfortheirchildren.


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Poster#43THE PERPETUATION OF PROBLEMATIC BELIEFS: ADVERSE CHILDHOOD EVENTS AND EXPERIENCESWITHGUILTANDSHAMEINADULTHOODASMEDIATEDBYINTERPERSONALPROBLEMSKatharine D. Wojcik, M.S., Department of Educational and Counselling Psychology, and SpecialEducation, University of British Columbia, Daniel W. Cox, Ph.D., Department of Educational andCounselling Psychology, and Special Education,University of British Columbia, John S.Ogrodniczuk,Ph.D.,DepartmentofPsychiatry,UniversityofBritishColumbia,&DavidKealy,Ph.D.,DepartmentofPsychiatry,UniversityofBritishColumbiaAdversechildhoodevents(ACEs)arelinkedtoanarrayofpsychologicaldifficultiesinadulthood(Felittietal.,1998).Specifically,ACEscanleadtoexternalizedemotionalproblemsthatmanifestintheformofguilt-related cognitions, and internalized problems such as shame-related cognitions (Covert et al.,2003).Thisstudy’spurposewastounderstandthemediatingimpactof interpersonalproblemsontheconnection between ACEs and guilt- and shame-related cognitions in adults. We investigatedinterpersonal problems that have been linked to guilt and shame: sensitivity, ambivalence, andaggression(Horowitzetal1988).TheAdverseChildhoodEventsQuestionnaire (ACE), the InventoryofInterpersonal Problems (IIP-PD), and the Personal Feelings Questionnaire 2 (PFQ-2 Brief) wereadministered toparticipants (n=249) fromacommunity sample living inWesternCanadaata singletime point. Participants were 45.6% White, 38.4% Asian, 86% heterosexual, 73.2% female with anaverageageof25.9years (SD=10.6), and72.8%withanaverage socio-economic status (SES)of lessthan$20,000peryear.ResultsindicatedthattherelationshipbetweenACEsandguiltwasmediatedbyinterpersonalsensitivity,b=.415,t(249)=4.195,p<.001,andinterpersonalaggression,b=1.95,t(249)=2.170,p<.05.Additionally,therelationshipbetweenACEsandshamewasmediatedbyinterpersonalsensitivity,b=.523,t(249)=5.730,p<.001.ThisstudyindicatedthemediatingeffectofinterpersonalproblemsonguiltandshameinadultswhohaveexperiencedACEs.Itbuildsonfoundationalknowledgeabout theeffectsof traumaduringchildhood.These findings indicate thatcliniciansmay impactguilt-andshame-relatedcognitionsbytargetinginterpersonalproblems.Specifically,interpersonalsensitivityand interpersonalaggressiontoreduceguiltand interpersonalsensitivity toreduceshame.Continuedresearchwill furtherourunderstandingofhowcognitive-behavioural therapists canuse interpersonalcontextstoimpactmaladaptivebeliefs.

Poster#44EVALUATINGGROUPTHERAPYINANADULTCONCURRENTDISORDERSOUTPATIENTPROGRAMShannonL.Jones,Ph.D.1,EmilyBedford,B.Sc.1,KristinaBrache,Ph.D.1,&AndreaLee,Ph.D.21AddictionCentre,FoothillsMedicalCentre,AlbertaHealthServices,Calgary,AB2EastCalgaryFamilyCareCentre,AlbertaHealthServices,Calgary,ABGrouptherapyisoftenacentralcomponentoftreatmentforadultswithconcurrentdisorders;however,theevaluationofitseffectivenessisoftenoverlookedduetotimeconstraints,clinicaldemands,andlessemphasisonresearchinpublicly-fundedoutpatientprograms.Adultsinourprogramspend66%oftheir


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time in groups, underscoring its importance in being evaluated. Our core groups include Level III(intended for patientswho are contemplative about changing their addiction and includes groups onmotivational interviewing,emotional coping,andcommunication),andLevel IV (intended forpatientscommitted to abstinence and includes groups on cognitive-behavior therapy (CBT), emotionalregulation,andlifetraps).Thecurrentstudyevaluatedthesegroupsbydeterminingwhetherpatientsa)improvedregardingmentalhealthandmotivationtochangesubstanceuse,andb)weresatisfiedwiththegroups. In2016-2017,55patients inLevel IIIand58patients inLevel IVcompletedpre-andpost-groupquestionnaires, including theDecisional BalanceQuestionnaire (DBQ; Prochaska&DiClemente,1983),BriefSymptomInventory(BSI;Derogatis&Spencer),andsatisfactionsurveys.RegardingLevelIII,ontheDBQ, therewasasignificantreduction inpatients’positivereasons forcontinuingtodrink/usedrugs (p = .045) and a significant increase in patients’ negative consequences associated with theirdrinking/drug use (p = .032). There were significant reductions in scores on all BSI subscales (e.g.,Depression,Anxiety;p<.05)excludingtheSomatizationsubscale.PatientsratedthequalityofLevelIIIasexcellent (48%), good (47%), and fair (5%).Regarding Level IV, therewere significant reductions inscoresonallBSIsubscales(p<.05),excludingtheAnxietysubscale.PatientsratedthequalityofLevelIVas excellent (64%), good (34%), and fair (2%), with the CBT group component being rated themostfavorably.Theimplicationsofthesefindingsandforimprovingprogramevaluationwillbediscussed.

Poster#45ASSESSING THE EFFECTIVENESS OF AN ADOLESCENT CONCURRENT DISORDERS TREATMENTPROGRAMUSINGANEWPROGRAMEVALUATIONSTRATEGYShannonL.Jones,Ph.D.,KristinaBrache,Ph.D.,&EmilyBedford,B.Sc.AddictionCentre,FoothillsMedicalCentre,AlbertaHealthServices,Calgary,ABProgramevaluation isan importantcomponentofoutpatientmentalhealthprogramsfordeterminingthe impact and effectiveness of services and for making decisions on how to strengthen existingprograms. Our outpatient treatment program for adolescents with concurrent disorders consists ofopen-ended individualand family therapy involvingmotivational interviewingandcognitivebehaviourtherapy as well as psychiatric consultation. Program evaluation historically entailed administeringoutcome measures at intake and discharge; however, early dropout rates and time limitations ofclinicians ledtosmallandskewedsamplesizes.Thecurrentstudyanalyzedanewprogramevaluationstrategytodeterminewhethera)thesamplesizeincreased,b)theselectedmeasuresweresensitivetochange,c)patientsimprovedregardingsubstanceuseandmentalhealthsymptoms,andd)patientsandparentsweresatisfiedwiththeprogram.From2016-2018,approximately80adolescents(aged14-21)completedbaselineandfollow-upmeasuresat3monthintervalsuntildischarge.MeasuresincludedtheSubstanceUseQuestionnaire(SUQ;Brache,2013),BriefSymptomInventory(BSI;Derogatis&Spencer,1982), and treatment satisfaction surveys completedby aparent/guardianand thepatient. RepeatedmeasuresANOVAcomparedmeansofSUQvariables (e.g., typicalsubstanceuse,pastweeksubstanceuse) and BSI subscale t-scores (e.g., depression, anxiety) over multiple time-points to determineimprovement and/or change in substance use and mental health symptoms over the course oftreatment, and descriptive analyses summarized treatment satisfaction over time. Implications forprogramimprovementaswellasforfutureprogramevaluationinitiativeswillbediscussed.


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Poster#46IFILIKEIT,IMAYSEEKIT:THEPOSITIVEINTERPRETATIONOFBODILYSENSATIONSANDSEXUALSENSATIONSEEKINGMEDIATETHERELATIONSHIPBETWEENGENDERANDPARAPHILICINTERESTSLeanneKaneandAndreaR.Ashbaugh,SchoolofPsychology,UniversityofOttawaInnonclinicalsamples,menreportmoreparaphilicsexualintereststhanwomen(Dawsonetal.,2016).Recentresearchsuggeststhatmeninterprettheirbodilysensationsmorepositivelythanwomen(Kane& Ashbaugh, 2017), which could account for the sex difference in arousal toward paraphilic acts.Additionally,menreportgreatersexualsensationseeking(SSS)thanwomen(Kalichmanetal.,1995).ItisalsoprobablethatpeoplewhointerprettheirbodilysensationsmorepositivelyalsoreportmoreSSS.Thus, the current study examined whether the positive interpretation of bodily sensations and SSSwould mediate the relationship between gender and paraphilic interests. Two hundred ninety-fourundergraduate students (50% men, 50% women) completed the Positive Interpretation of BodilySensationsScale(Kane&Ashbaugh,2017),theSexualSensationSeekingScale(Kalichmanetal.,1995),and the Paraphilia Scale-Interests subscale (Seto et al., 2012). Paraphilic interests were rated on abipolar scale from -3 (indicating repulsion) to +3 (indicating arousal). A serial mediation (10,000bootstrap samples) was conducted with gender and paraphilic interests as the independent andoutcomevariables,respectively.ThepositiveinterpretationofbodilysensationsandSSSwereincludedasmediatorsinthisorder.Resultsindicatedthatmen’sgreaterarousal/lesserrepulsiontotheparaphilicinterestswasmediatedthroughtwopathways:1)greaterSSS,and2)amorepositiveinterpretationofbodily sensations, which was in turn related to greater SSS. With the mediators, gender’s effect onparaphilic interests was no longer significant. These findings suggest that the ways in which peopleinterpret their bodily sensations, aswell as their tendency to seek varied, novel, andhigh-risk sexualexperiences, play a key role in explaining sex differences in atypical sexual interests. Etiologicalimplicationsarediscussed.

Poster#47CONQUERING INSOMNIA: COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBT-I)-WORKSHOPFORCOMMUNITYMENTALHEALTHCAREPROVIDERSDiana Kljenak, Department of Psychiatry, University of Toronto; Marta Novak, Department ofPsychiatry, University of Toronto, Jennifer Braverman, Department of Psychiatry, University ofToronto;MiqdadBohra,DepartmentofPsychiatry,UniversityofTorontoInsomniaaffects15-33%ofthepopulationwithevenhigherprevalenceratesintheelderlyandclinicalpopulations.CBT-I(CognitiveBehavioralTherapyforInsomnia)isconsideredthefirst-linetreatmentforchronic insomnia due to its superior long-term efficacy, lack of side effects, and patient preferencecomparedtosedative-hypnotics,whichareassociatedwithsignificantsideeffectsandrisks.CBT-Ialsodoubles the improvement rates of depression compared to antidepressant medication alone indepressed patients with insomnia. It improves other co-morbidities including pain and fibromyalgia,substance abuse, and PTSD. There is a shortage of clinicians trained to deliver this highly effectivetreatment.


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Ahalf-dayworkshop(didacticpresentation,case-examplesandvideodemonstration)wasdesignedforCMHproviderstoprovideeducationaboutCBT-I.

Theworkshopwasevaluatedthroughasatisfactionevaluationquestionnaireandapre-/post-workshopknowledge questionnaire. 87.5% of participants were satisfied with the workshop and 96.4 % ofrespondents agreed that the workshop was relevant to their work. After the workshop, learnersshowedincreasedself-perceivedconfidenceinCBT-Irelatedknowledgeincludingthecomponentsandassessmentofsleephygiene.Additionally,theirself-perceivedconfidenceinabilitytoimplementCBT-Iin their practice improved. Conclusion/ Limitations: A brief interactional workshop can increaseproviders’self-perceivedknowledgeandcomfortwithusingCBT-Istrategiesinpatientcare.Longitudinalinstructionwithhigher-levelevaluationisneededformoremeaningfulimpactonpracticechangesandclinicaloutcomes.

Poster#48SENSITIVITYTOREWARDANDPUNISHMENTDIFFERENTIATESASPECTSOFDISORDEREDEATINGNicole Legg, Psychology Department, University of Victoria, Cora Bell, Psychology Department,UniversityofVictoria,BriannaTurner,PsychologyDepartment,UniversityofVictoriaResearchershavebeguntosubstantiatethecriticalrolethatsensitivitytorewardandpunishmentholdsindisorderedeating (DE; Stapleton&Whitehead,2014). Specifically,heightened sensitivity to rewardmay promote overeating (i.e. vulnerability for bingeing behaviours; BB; Eneva et al., 2017; Schienle,Schafer, Hermann, Vaitl, 2009) whereas higher sensitivity to punishment may increase fear of beingoverweightand lead togreaterweight controlbehaviours (i.e.purging, restricting,exercise, laxatives;WCB; Eneva et al., 2017;Mussap, 2007). The current study examined the relationship between self-reportedscoresofsensitivitytopunishmentandreward(SPSRQ;Torrubia,Avila,Molto&Caseras,2001)andDEinfirst-yearundergraduatestudents(N=349,73%female).DEgroupclassificationindicatedthat17%ofparticipantsreportedengaginginWCB,23%inBB,17%inbothWCBandBB,and44%reportednoDE,withsignificantlydifferentendorsementratesbetweengendersfortheWCB(89%female)andBB (59% female) groups (X2 = 17.52,p < .001).MANOVA analysis revealed that sensitivity to rewarddifferedbetweengroups(F(3,341)=5.53;p=.001);individualswhoengagedineitherWCB(p=.009),BB(p=.008),orboth(p= .000),hadhigherrewardsensitivitythanindividualswhohadnoDE.Resultsforsensitivitytopunishmentindicated(F(3,341)=4.07,p=.007)thatindividualswhoengagedinbothWCBandBBhadhigherpunishmentsensitivitythanthosewhoengagedinonlyBB(p=.003)ornoDE(p=.004).Maleswerehigher in rewardF(1,341)=13.73;p= .000)and lower inpunishmentF(1,341)=5.65;p=.018)thanfemales,however,therewerenogenderbygroupinteractions.Resultsindicatethatheightened rewardmay be a risk factor for DE, and heightened punishmentmay be a risk factor formulti-versussingle-methodDE.


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Poster#49LONG-TERM ASSESSMENT OF THERAPISTS’ CONTINUED USE OF EVIDENCE-BASED PRACTICESFOLLOWINGPARTICIPATIONINANEFFECTIVENESSTRIALKristelThomassin,DepartmentofPsychology,UniversityofGuelphLaurenK.Marchette,DepartmentofPsychiatry,CambridgeHealthAlliance/HarvardMedicalSchoolJohnR.Weisz,DepartmentofPsychology,HarvardUniversityIn recent decades, there has been an increased demand for the dissemination of evidence-basedpractices(EBPs)inclinicalcaresettings,whichhasledtoasurgeofresearchontheimplementationandsustainabilityofEBPs.GiventhesignificantresourcesneededtoimplementEBPs,oneimportantareaofresearch focushasbeenonwhether therapists trained in theseEBPs continue touse the therapeutictechniquesandprogramspost-trainingorpost-researchtrial.Thecurrentstudyexaminedcontinueduseof a transdiagnostic treatment, theMATCHprogram (Modular Approach to Therapy for Children andAdolescents with Anxiety, Depression, Trauma, or Conduct Problems; Chorpita & Weisz, 2009), thatincludes 33 empirically-supported practices (referred to as ‘modules’). The sample of therapists hadparticipated,about5yearsearlier, inarandomizedeffectivenesstrialofMATCHincommunitymentalhealth agencies in the northeastern United States. Twenty-eight therapists (74% of total eligibletherapists) completed questionnaires on their current use of MATCH modules, on perceivedeffectivenessanddifficultyofeachmodule,theirattitudestowardEBPs,andtheirsatisfactionwiththeMATCHprogram.Continueduserangedfrom46%to58%(M=51%)forAnxietymodules,46%to64%(M=53%)forDepressionmodules,33%to42%forTraumamodules(M=37%),and38%to69%(M=57%)forConductmodules.ThemodulesusedmostfrequentlywereRelaxationforDepression,GettingAcquainted for Anxiety, Safety Planning for Traumatic Stress, and Praise for Conduct Problems.Additional analyses will examine perceived effectiveness and difficulty as well as variables (e.g.,therapistattitudes) thatmayberelatedtocontinueduse.Knowledgeabout theextent towhichEBPsaresustainedyearslaterbytherapistsmayofferimportantinsightsintowaystomaximizeresourcesandfacilitateimplementationandsustainability.

Poster#50AT-RISK LEVELS OF BORDERLINE PERSONALITY FEATURES AND DIFFICULTIES IN EMOTIONREGULATIONAMONGSEXUALMINORITYADULTSJason J. Z. Chung, Lynnaea Northey, Matthew A. Wakefield, & Alexander L. Chapman,PsychologyDepartment,SimonFraserUniversityEmerging research indicates that sexual minorities are overrepresented among individuals withborderlinepersonalitydisorder(BPD)andamongthosewithat-risklevelsofborderlinepersonality(BP)features (Zanarini, 2008; Reuter et al., 2016). These studies, however, focus primarily on adults frominpatient settings or adolescents from the community. Therefore, little is known about the rates ofsexualminorityadultswithat-risk levelsofBPfeatures inoutpatientsettings.Toaddressthisgap,thecurrentsamplewasderivedfromfivestudiesusingcommunityanduniversitysamples(N=519;Mage=21.62,SD =5.29;75% female;48%Asian) to compare theat-risk levelsofBP featuresanddifficultieswith emotion regulation among sexual minorities and their heterosexual counterparts. Seventy-two


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participantsself-identifiedasbeingsexualminorities (i.e., theyreportedsexualorientations thatwerenot primarily heterosexual). Participants were assessed for BP features (PAI-BOR; Morey, 1991) anddifficulties in emotion regulation (DERS-SF; Kaufman et al., 2015). The results indicated that sexualminorities reported higher levels of BP features (M = 35.46, SD = 13.18; t = -4.08, p < 0.001) anddifficulties with emotion regulation (M = 48.80, SD = 12.24; t = -4.02, p < 0.001) compared to theirheterosexual counterparts (M = 28.86, SD = 12.95;M = 41.78, SD = 12.62, respectively). A greaterproportion of sexual minorities reported at-risk levels of BP features (41.7%) compared to theirheterosexualcounterparts(26.2%;X2=7.33,p=0.007).Thesefindingsarecomparabletopastresearchconductedwith clinical andadolescent communitypopulations (Hatzenbuehleret al., 2008;Reuteretal.,2016),furtherhighlightingtheneedformoreresearchonthemechanismsthatputsexualminoritiesat-risk for BPD. These results also suggest that emotion regulation deficits could be an importanttreatmenttargetforsexualminoritiespresentingwithat-risklevelsofBPfeatures.

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Poster Abstracts / Résumés d'affiches | 2018 TABLE OF CONTENTS · saini, prabhjot poster #4 social problem solving, autiobiographical memory and interpretation bias in social anxiety