Mixed anxiety and depression is common among older adults. The aim of the study was to compare the effects of an eight-week-long tailored internet-supported cognitive behaviour therapy (ICBT) programme and to compare against the provision of weekly general support. A second aim was to investigate if pre-treatment cognitive flexibility and self-reported cognitive problems would predict outcome. We included 66 older adults (aged over 60 years) with mixed anxiety/depression following media recruitment and randomised them into treatment and control groups. We also included a one-year follow-up. As a measure of executive function, we used the Wisconsin Card Sorting Test (perseverative errors) and the Cognitive Failures Questionnaire during the pre-treatment phase. Results showed a moderate between-group effect on the main outcome measure, the Beck Anxiety Inventory (BAI) (d= .50), favouring the treatment group. Nearly half (45.5%) of that group were classified as responders. One person (3%) in the treatment group deteriorated. There were significant correlations between perseverative errors and outcome (on the BAI r = -.45), but not among self-reported cognitive function. We conclude that guided, tailored ICBT may be effective for some older adults and that the role of cognitive function needs to be investigated further.
Many Caribbean coral reefs have experienced an increase in erect brown algae (species of Sargassum, Turbinaria and Lobophora) over the past 18 yr. We explored the effects of fleshy algal overgrowth on coral reef fishes by reducing erect algae by ~2.5 kg(wet) m -2 on 8 patch reefs (average size ~1000 m 2 ) whereby half were in a new no-fishing zone and half in an unrestricted fishing zone. Another 8 reefs were left as unmanipulated controls in the respective zones. Multivariate ordination indicated that the algal removal had marginal effect on whole-fish assemblages but that effect was highly significant on the biomass of common herbivores. The reduction of erect algae resulted in a rapid increase in the abundance of the blue-headed wrasse Thalassoma bifasciatum (Labridae), in the biomass of the blue tang Acanthurus coeruleus (Acanthuridae), and in both the abundance and biomass of the spotlight parrotfish Sparisoma viride (Scaridae). Bite rates and intra-and inter-specific aggressive encounters were used as measures of resource quality, and we found that these measures increased for surgeonfishes and damselfishes after the algal reduction, particularly in the center of the patch reefs, where most erect algae was originally located. Increased accessibility, net production and palatability of the early successional turf algae on the manipulated reefs are likely to account for the increased numbers, biomass and feeding rates of the dominant herbivorous fishes.KEY WORDS: Acanthuridae · Algal-fish interactions · Brown algae · Herbivory · Labridae · Management interactions · Sargassum · Scaridae · Turbinaria
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