The Role of Social Skills in Predicting Treatment-Recovery in Children with a Social Anxiety Disorder

Research on Child and Adolescent Psychopathology - The current study investigated the role of social skills and its interaction with social anxiety as predictors of treatment outcome in children...     

Development of the acquisition and control of action-effect associations

Voluntary action is anticipatory and, hence, must depend on associations between actions and their perceivable effects. We studied the acquisition of action-effect associations in 4-5-vs. 7-year-old children. Children carried out key-pressing actions that were arranged to produce particular auditory effects. In a subsequent test phase, children were to press keys in response to the previous effect sounds, with the sound-key mapping being either consistent or inconsistent with previous key-sound practice. As the processes underlying voluntary action controls are known to significantly improve between 4 and 7 years of age, it was expected that younger children were more prone to automatic effects of acquired sound-key associations. This hypothesis was confirmed, but reaction times and accuracy measures showed different and dissociable patterns. Four-year-olds but not 7-year-olds were more likely to commit an error--i.e., to perform a sound-compatible rather than the correct action--if the sound-key mapping was inconsistent with previous practice. This effect strongly depended on previous practice, suggesting that it reflects long-term learning. In contrast, reaction time effects of mapping consistency did not depend on previous experience but only on the consistency between stimulus and action effect in the present task. Taken altogether, the results suggest that children acquire response-effect associations automatically and that younger children are more likely to suffer from frequent goal neglect; i.e., they tend to forget the current action goal, so that their behavior is dominated by automatic, stimulus-triggered response tendencies.     

Treatment Outcome of 18-Month, Day Hospital Mentalization-Based Treatment (MBT) in Patients with Severe Borderline Personality Disorder in the Netherlands

Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As to yet it has not been shown whether manualized day hospital MBT would yield similar results when conducted by an independent institute outside the UK. We investigated the applicability and treatment outcome of 18-month, manualized day hospital MBT in the Netherlands by means of a prospective cohort study with 45 Dutch patients with severe BPD and a high degree of comorbid Axis I and Axis II disorders. Outcomes were assessed each six months. Symptom distress, social and interpersonal functioning, and personality pathology and functioning all improved significantly, with effect sizes between 0.7 and 1.7. Suicide attempts, acts of self-harm, and care consumption were also significantly reduced. The results indicate that MBT can effectively be implemented in an independent treatment institute outside the UK. This study also supports the clinical effectiveness of manualized day hospital MBT in patients with severe BPD and a high degree of psychiatric comorbidity.     

Olfactory cues are more effective than visual cues in experimentally triggering autobiographical memories

Folk wisdom often refers to odours as potent triggers for autobiographical memory, akin to the Proust phenomenon that describes Proust’s sudden recollection of a childhood memory when tasting a madeleine dipped into tea. Despite an increasing number of empirical studies on the effects of odours on cognition, conclusive evidence is still missing. We set out to examine the effectiveness of childhood and non-childhood odours as retrieval cues for autobiographical memories in a lab experiment. A total of 170 participants were presented with pilot-tested retrieval cues (either odours or images) to recall childhood memories and were then asked to rate the vividness, detail, and emotional intensity of these memories. Results showed that participants indeed reported richer memories when presented with childhood-related odours than childhood-related images or childhood-unrelated odours or images. An exploratory analysis of memory content with Linguistic Inquiry and Word Count did not reveal differences in affective content. The findings of this study support the notion that odours are particularly potent in eliciting rich memories and open up numerous avenues for further exploration.     

Route learning in Korsakoff's syndrome: Residual acquisition of spatial memory despite profound amnesia

Korsakoff's syndrome (KS) is characterized by explicit amnesia, but relatively spared implicit memory. The aim of this study was to assess to what extent KS patients can acquire spatial information while performing a spatial navigation task. Furthermore, we examined whether residual spatial acquisition in KS was based on automatic or effortful coding processes. Therefore, 20 KS patients and 20 matched healthy controls performed six tasks on spatial navigation after they navigated through a residential area. Ten participants per group were instructed to pay close attention (intentional condition), while 10 received mock instructions (incidental condition). KS patients showed hampered performance on a majority of tasks, yet their performance was superior to chance level on a route time and distance estimation tasks, a map drawing task and a route walking task. Performance was relatively spared on the route distance estimation task, but there were large variations between participants. Acquisition in KS was automatic rather than effortful, since no significant differences were obtained between the intentional and incidental condition on any task, whereas for the healthy controls, the intention to learn was beneficial for the map drawing task and the route walking task. The results of this study suggest that KS patients are still able to acquire spatial information during navigation on multiple domains despite the presence of the explicit amnesia. Residual acquisition is most likely based on automatic coding processes.     

Using Multiple Contexts and Retrieval Cues in Exposure-Based Therapy to Prevent Relapse in Anxiety Disorders

The benefits of exposure-based interventions for anxiety disorders are substantial but not stable for everyone, given that these interventions are often followed by relapse of symptoms. A body of research provides a background on how to add certain strategies in exposure-based therapy to prevent relapse in anxiety disorders. This review summarizes some of these strategies and provides clear-cut clinical implications. Studies that provide support for two types of strategies to prevent relapse have been reviewed—the use of multiple contexts and the use of retrieval cues. The use of multiple contexts reduces context and stimulus specificity of extinction learning during exposure, while the use of retrieval cues enhances memory (re)consolidation and retrieval after exposure. The described strategies to enhance the accessibility and therefore the retrievability of exposure-based learning to prevent relapse in anxiety disorders can be summarized as advice to conduct exposure under variable conditions. This way, the generalizability of what is learned during exposure to the patients’ daily life after treatment improves. Therefore, adding these strategies in the course of exposure-based treatment of anxiety disorders seems beneficial. However, future replications and translational studies are needed to verify ecological validity.     

Cross-structural priming: prepositional phrase attachment primes relative clause attachment

In this paper we show that attachment height (high vs. low attachment) of a modifier to a complex noun phrase (CNP; e.g., "the servant of the actress"), can be primed between dissimilar syntactic structures. In a sentence completion experiment, we found that the attachment height of a prepositional phrase (PP) in the prime sentence primed the attachment height of a relative clause (RC) in the target sentence. This cross-structural priming effect cannot be explained in terms of the priming of specific phrase-structure rules or even sequences of specific phrase-structure rules (Scheepers, 2003), because the attachment of a PP to a CNP is generated by a different phrase-structure rule than the attachment of an RC. However, the present data suggest that the location at which the RC is attached to the CNP is mentally represented, independent of the specific phrase-structure rule that is attached, or by extension, that the abstract hierarchical configuration of the full CNP and the attached RC is represented (Desmet & Declercq, 2006). This is the first demonstration of a cross-structural priming effect that cannot be captured by phrase-structure rules.