Pilot Trial of Evidence-Based Integrative Group Therapy to Improve Executive Functioning among Adults: Implications for Community Mental Health and Training Clinics

Objective: Executive functioning (EF) deficits underlie several mental health diagnoses including ADHD, anxiety, and depression. Community mental health clinics face extensive waitlists for services with many referrals involving EF deficits. A pilot trial of a four-week group therapy was developed using key components from Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness with an aim to improve EF skills and offer low-fee services. Method: Eight adults (M = 34.5) waiting for services at a community clinic were enrolled in a four-week group therapy at an in-house training clinic for doctoral trainees. Baseline EF, pre-/post-intervention ADHD and distress symptoms, group satisfaction, and curriculum helpfulness were assessed. Results: Downward trends in ADHD and distress symptoms pre/post-intervention were not significant. Favorable responses on group satisfaction and helpfulness suggest clinical utility. Conclusion: Preliminary pilot data from a brief group therapy to improve EF may be an efficacious, acceptable, and feasible intervention for adults waiting for services at community mental health and training clinics where there are high demands and limits to services and staffs.

Nonlinear Impact Responses for a Damped Frame Supported by Nonlinear Springs with Hysteresis Using Fast FEA

This paper deals with nonlinear vibration analysis using finite element method for frame structures consisting of elastic and viscoelastic damping layers supported by multiple nonlinear concentrated springs with hysteresis damping. The frame is supported by four nonlinear concentrated springs near the four corners. The restoring forces of the springs have cubic non-linearity and linear component of the nonlinear springs has complex quantity to represent linear hysteresis damping. The damping layer of the frame structures has complex modulus of elasticity. Further, the discretized equations in physical coordinate are transformed into the nonlinear ordinary coupled differential equations using normal coordinate corresponding to linear natural modes. Comparing shares of strain energy of the elastic frame, the damping layer and the springs, we evaluate the influences of the damping couplings on the linear and nonlinear impact responses. We also investigate influences of damping changed by stiffness of the elastic frame on the nonlinear coupling in the damped impact responses.

FEM Analysis of Occluded Ear Simulator with Narrow Slit Pathway

This paper discusses the propagation of sound waves in air, specifically in narrow rectangular pathways of an occluded-ear simulator for acoustic measurements. In narrow pathways, both the speed of sound and the phase of the sound waves are affected by the damping of the air viscosity. Herein, we propose a new finite-element method (FEM) that considers the effects of the air viscosity. The method was developed as an extension of existing FEMs for porous, sound-absorbing materials. The results of a numerical calculation for a three-dimensional ear-simulator model using the proposed FEM were validated by comparing with theoretical lumped-parameter modeling analysis and standard values.

Examination of the Effect of Air Viscosity on Narrow Acoustic Tubes Using FEM Involving Complex Effective Density and Complex Bulk Modulus

Earphones and headphones, which are compact electro-acoustic transducers, tend to have a lot of acoustic absorption materials and porous materials known as dampers, which often have a large number of extremely small holes and narrow slits to inhibit the resonance of the vibrating system, because the air viscosity significantly affects the acoustic characteristics in such acoustic paths. In order to perform simulations using the finite element method (FEM), it is necessary to be aware of material characteristics such as the impedance and propagation constants of sound absorbing materials and porous materials. The transfer function is widely known as a measurement method for an acoustic tube with such physical properties, but literature describing the measurements at the upper limits of the audible range is yet to be found. The acoustic tube, which is a measurement instrument, must be made narrow, and the distance between the two sets of microphones must be shortened in order to take measurements of acoustic characteristics at higher frequencies. When such a tube is made narrow, however, the characteristic impedance has been observed to become lower than the impedance of air. This paper considers the cause of this phenomenon to be the effect of the air viscosity and describes an FEM analysis of an acoustic tube considering air viscosity to compare to the theoretical formula by including the effect of air viscosity in the theoretical formula for an acoustic tube.

Theoretical Analysis of Damping Due to Air Viscosity in Narrow Acoustic Tubes

Headphones and earphones have many extremely small holes or narrow slits; they use sound-absorbing or porous material (i.e., dampers) to suppress vibratory system resonance. The air viscosity in these acoustic paths greatly affects the acoustic properties. Simulation analyses such as the finite element method (FEM) therefore require knowledge of the material properties of sound-absorbing or porous materials, such as the characteristic impedance and propagation constant. The transfer function method using acoustic tubes is a widely known measuring method, but there is no literature on taking measurements up to the audible range. To measure the acoustic properties at high-range frequencies, the acoustic tubes that form the measuring device need to be narrowed, and the distance between the two microphones needs to be reduced. However, when the tubes are narrowed, the characteristic impedance drops below the air impedance. In this study, we considered the effect of air viscosity in an acoustical tube, introduced a theoretical formula for this effect in the form of complex density and complex sonic velocity, and verified the theoretical formula. We also conducted an experiment and observed the effect from air viscosity in the actual measurements.

Acoustic Analysis with Consideration of Damping Effects of Air Viscosity in Sound Pathway

Sound pathways in the enclosures of small earphones are very narrow. In such narrow pathways, the speed of sound propagation and the phase of sound waves change because of the air viscosity. We have developed a new finite element method that includes the effects of damping due to air viscosity for modeling the sound pathway. This method is developed as an extension of the existing finite element method for porous sound-absorbing materials. The numerical calculation results using the proposed finite element method are validated against the existing calculation methods.

Acoustic Finite Element Analysis of a Slit Model with Consideration of Air Viscosity

In very narrow pathways, the speed of sound propagation and the phase of sound waves change due to the air viscosity. We have developed a new finite element method (FEM) that includes the effects of air viscosity for modeling a narrow sound pathway. This method is developed as an extension of the existing FEM for porous sound-absorbing materials. The numerical calculation results for several three-dimensional slit models using the proposed FEM are validated against existing calculation methods.