A Tailored Cognitive-Behavioural Intervention Produces Comparable Reductions in Regimen-Related Distress in Adults With Type 2 Diabetes Regardless of Insulin Use: 12-Month Outcomes From the COMRADE Trial.

Objectives: Our aim in this study was to determine whether a cognitive-behavioural therapy plus small changes lifestyle intervention can produce comparable improvements in insulin users vs patients not using insulin with uncontrolled type 2 diabetes (T2D) and comorbid depressive or regimen-related distress (RRD) symptoms.

Methods: This study is a secondary analysis of Collaborative Care Management for Distress and Depression in Rural Diabetes Study, a randomized, controlled trial of a 16-session, severity-tailored cognitive-behavioural therapy plus small changes lifestyle intervention compared with usual care. Outcomes included glycated hemoglobin (A1C), regimen-related distress, depression, medication adherence and diabetes self-care.

Dispositional malevolence and impression formation: Dark Tetrad associations with accuracy and positivity in first impressions.

Objective: The Dark Tetrad traits (subclinical psychopathy, narcissism, Machiavellianism, and everyday sadism) have interpersonal consequences. At present, however, how these traits are associated with the accuracy and positivity of first impressions is not well understood. The present article addresses three primary questions.

To thine own self be true: psychological adjustment promotes judgeability via personality-behavior congruence.

Well-adjusted individuals are highly judgeable in that their personalities tend to be seen more accurately than the personalities of less adjusted individuals (Colvin, 1993a, 1993b; Human & Biesanz, 2011a). The mechanisms behind this effect, however, are not well understood. How does adjustment facilitate judgeability? In the present video-perceptions study, we examined potential mechanisms through which adjustment could promote judgeability at 3 stages of the Realistic Accuracy Model (RAM; Funder, 1995): (a) cue relevance, (b) cue availability, and (c) cue detection.