Objectives: The aim of this study was to evaluate the impact of computer-assisted “drill-and-strategy” cognitive remediation (CR) for community-dwelling individuals with schizophrenia on cognition, everyday self-efficacy, and independent living skills. Methods: Fifty-six people with schizophrenia or schizoaffective disorder were randomized into CR or computer game (CG) playing (control), and offered twenty 1-hr individual sessions in a group setting over 10 weeks. Measures of cognition, psychopathology, self-efficacy, quality of life, and independent living skills were conducted at baseline, end-group and 3 months following intervention completion. Results: Forty-three participants completed at least 10 sessions and the end-group assessment. Linear mixed-effect analyses among completers demonstrated a significant interaction effect for global cognition favoring CR (p=.028). CR-related cognitive improvement was sustained at 3-months follow-up. At end-group, 17 (77%) CR completers showed a reliable improvement in at least one cognitive domain. A significant time effect was evident for self-efficacy (p=.028) with both groups improving over time, but no significant interaction effect was observed. No significant effects were found for other study outcomes, including the functional measure. Conclusions: Computer-assisted drill-and-strategy CR in schizophrenia improved cognitive test performance, while participation in both CR and CG playing promoted enhancements in everyday self-efficacy. Changes in independent living skills did not appear to result from CR, however. Adjunctive psychosocial rehabilitation is likely necessary for improvements in real-world community functioning to be achieved. (JINS, 2018, 24, 549–562)

‘Welzijn op Recept’ is an intervention in which primary care providers refer patients with psychosocial problems to a community well-being organisation. Welzijn op Recept has been helping participants in the town of Nieuwegein, the Netherlands for more than three years. An impact study was carried out from September to December 2014. The qualitative study aimed to determine what happens in the chain of the social prescription and what changes the participant experiences in terms of social participation. The participants in this study were selected by the well-being coaches. A total of 10 semi-structured in-depth interviews were conducted. This study has shown that the participants had confidence in their referral to the community well-being organisation. The well-being coaches constitute a link between primary care providers, patients and the community well-being organisation. Participants have explicitly indicated that they experienced an increase in their own strength, self-confidence, self-reliance and the number of social contacts, and stated that they are experiencing better health. A point of special interest in the current programme is the planning of structured follow-up interviews after starting up an activity.

There is a known relationship between the way athletes interpret the feelings of pre-competitive arousal and their subsequent performance. In equestrian sports, riders' interpretation of their horses' temperament may be an additional unique factor that influences the levels of riders' arousal and performance. The aims of this study were to investigate the effect of intensity and direction of arousal and self-confidence on dressage and showjumping performance, and to investigate how perception of equine temperament traits affects arousal and performance components. Twenty-two student riders (6 males and 16 females) competing on unfamiliar horses were asked to participate in the study. Prior to the competition, riders completed the Revised Competitive Sport Anxiety Inventory-2 with direction scales, and rated their horses' temperament traits using an adapted Five Factor Personality Questionnaire. Dressage performance scores were found to be positively correlated with cognitive arousal intensity (r = − 0.5, P < 0.05) and self-confidence intensity (r = 0.59, P < 0.05). Showjumping faults were negatively correlated with somatic arousal direction scores (r = − 0.5, P < 0.05). The ‘active’ equine temperament was positively correlated with somatic arousal intensity in showjumping (r = 0.5, P < 0.05) and negatively correlated with cognitive arousal direction in dressage (r = − 0.71, P < 0.005). These findings suggest that riders' self-confidence and perception of their horses' temperament are important factors in the relationship between arousal and performance.

Background: This study examined characteristics of members of the public who self-referred and the effectiveness of psycho-educational CBT self-confidence workshops when run in routine practice. Method: Repeated measures were employed at pre- and post-workshop stages. Results: Of the 56 members of the general public who self-referred to the workshops, 70% were above the clinical cut-offs for Global Distress (CORE OM) and 86% were above the clinical cut offs for depression symptomatology (CES-D). Follow up data (n = 31) showed significant reduction in self-reported distress and depression at 4-week follow-up. A further analysis showed that those whose scores were above the clinical threshold at initial presentation benefited most but those with scores below the threshold did not seem to benefit. Conclusions: This study demonstrates that psycho-educational CBT workshops attract those with high levels of distress and depression, and have potential as a cost effective means of disseminating psychological interventions.

Research into other sports has shown that excessive levels of anxiety can undermine motor function during performance. This study aims to investigate the effects of anxiety and self-confidence on equestrian performance. Forty riders (12 male, 28 female; 15 elite, 25 non-elite; 12 dressage, 17 showjumping, 11 eventing) completed the Revised Competitive Sport Anxiety Inventory 2 (CSAI-2R), which measures the levels of somatic and cognitive anxiety (arousal) as well as levels of self-confidence. Two-way between-subjects MANOVA tests were used to examine competence-by-discipline interactions and gender-by-discipline interactions in CSAI-2R scores. Post hoc analysis was conducted using one-way univariate ANOVA tests. Spearman's rank correlation tests were conducted between each of the CSAI-2R subscales according to competence, discipline and gender. Most important findings include lower somatic arousal and higher self-confidence in elite compared with non-elite riders, with 15.2 ± 4.4 vs. 19.0 ± 5.0, F1,34 = 5.8, P < 0.05; 31.5 ± 4.8 vs. 25.1 ± 7.4, P < 0.01, respectively. Negative correlations between cognitive arousal and self-confidence were found among elite riders, non-elite riders, showjumpers and female riders (r = − 0.69, P < 0.005; r = − 0.41, P < 0.05; r = − 0.52, P < 0.05; r = − 0.33, P < 0.05). Greater riding-specific skills in the elite rider may result in increased self-confidence. Lower levels of somatic anxiety may further increase fine motor skills in elite riders. Practical implications are that non-elite riders would benefit from sport psychological interventions increasing levels of self-confidence and reducing symptoms of somatic arousal to improve performance.