Towards modern post-coma care based on neuroscientific evidence

BackgroundUnderstanding the mechanisms underlying human consciousness is pivotal to improve the prognostication and treatment of severely brain-injured patients. Consciousness remains an elusive concept and the identification of its neural correlates is an active subject of research, however recent neuroscientific advances have allowed scientists to better characterize disorders of consciousness. These breakthroughs question the historical nomenclature and our current management of post-comatose patients.MethodThis review examines the contribution of consciousness neurosciences to the current clinical management of severe brain injury. It investigates the major impact of consciousness disorders on healthcare systems, the scientific frameworks employed to identify their neural correlates and how evidence-based data from neuroimaging research have reshaped the landscape of post-coma care in recent years.ResultsOur increased ability to detect behavioral and neurophysiological signatures of consciousness has led to significant changes in taxonomy and clinical practice. We advocate for a multimodal framework for the management of severely brain-injured patients based on precision medicine and evidence-based decisions, integrating epidemiology, health economics and neuroethics.ConclusionsMajor progress in brain imaging and clinical assessment have opened the door to a new era of post-coma care based on standardized neuroscientific evidence. We highlight its implications in clinical applications and call for improved collaborations between researchers and clinicians to better translate findings to the bedside.     

Construction of a Meaning Effectiveness Model: A new interpretation of meaning in life

This paper aims to determine the precise meaning of the word “meaning” in the context of the sense of meaning and to explain the characteristics of meaning and meaning in life. Using ordinary language analysis and phenomenology, this paper defines meaning as the possibility of something to realize its goal: the effectiveness of a thing in realizing the goal. Thus, this paper aims to establish a Meaning Effectiveness Model (MEM), which regards meaning as a function of goal and effectiveness to explain the meaning phenomena, including degree, frequency, stability, adaptive functions, and emerging conditions of meaning. Within the framework of MEM, meaning in life is divided into meaning within life and the meaning of life itself, which have different characteristics. The relationship between the model and existing meaning theories is also discussed.     

Coordination tending towards an anti-phase relationship determines greater sway reduction during entrainment with a simulated partner

The increased risk of falls in the older aged population demands the development of assistive robotic devices capable of effective balance support. For the development and increased user acceptance of such devices, which provide balance support in a human-like way, it is important to understand the simultaneous occurrence of entrainment and sway reduction in human-human interaction. However, sway reduction has not been observed yet during a human touching an external, continuously moving reference, which rather increased human body sway. Therefore, we investigated in 15 healthy young adults (27.20±3.55 years, 6 females) how different simulated sway-responsive interaction partners with different coupling modes affect sway entrainment, sway reduction and relative interpersonal coordination, as well as how these human behaviours differ depending on the individual body schema accuracy. For this, participants were lightly touching a haptic device that either played back an average pre-recorded sway trajectory (“Playback”) or moved based on the sway trajectory simulated by a single-inverted pendulum model with either a positive (Attractor) or negative (Repulsor) coupling to participant's body sway. We found that body sway reduced not only during the Repulsor-interaction, but also during the Playback-interaction. These interactions also showed a relative interpersonal coordination tending more towards an anti-phase relationship, especially the Repulsor. Moreover, the Repulsor led to the strongest sway entrainment. Finally, a better body schema contributed to a reduced body sway in both the “reliable” Repulsor and the “less reliable” Attractor mode. Consequently, a relative interpersonal coordination tending more towards an anti-phase relationship and an accurate body schema are important to facilitate sway reduction.     

Towards consensus in conceptualizing and operationalizing physical activity maintenance

Recognized challenges in promoting long-term physical activity maintenance may be due to inconsistencies in the conceptualization and operationalization of behavior maintenance terminology in physical activity research. The overall goal of this paper is to propose a framework and agenda for the development of a common set of terms, definitions, and measures for physical activity maintenance concepts that can be widely tested and evaluated. To initiate this effort, this paper (1) provides an overview of conceptual and operational definitions of physical activity maintenance used in the empirical literature, (2) evaluates whether behavior maintenance terms used in addiction science can be translated to physical activity, (3) recommends research directions for developing consensus definitions of physical activity maintenance, and (4) proposes a conceptual model of physical activity maintenance with inflection points that require operational definitions to be decided upon through consensus efforts in the field. Consensus over the conceptualization and operationalization of physical activity maintenance is needed to draw conclusions regarding which policies and programs are best able to promote long-term behavior change.     

Utilizing driving simulators for persons with multiple sclerosis: A scoping review

ObjectiveThis scoping review synopsized and mapped the evidence on the utility of driving simulators for drivers with Multiple Sclerosis (MS) including participant characteristics (e.g., demographic, clinical) suited to simulator use; and driving scenario environments, maneuvers, and outcomes reflective of driving performance.Data SourcesThe research team searched six databases for English studies on driving simulator performance in drivers with MS.Study SelectionFour reviewers independently screened 976 unique titles, 148 abstracts, and 18 full-text sources for study inclusion or exclusion. Inclusion criteria ensured that studies utilized measures of driving simulator performance in adults 18 years or older with MS.Data ExtractionReviewers independently charted, verified, and achieved consensus on 100% of the data in the extraction table.Data SynthesisThe scoping review included thirteen studies (twelve assessment, one intervention), published between 2001 and 2021. Studies included small samples (N = 11–50) of adults (M age = 36–50 years; 40–91% female), mostly with a relapsing-remitting (53–100%) diagnosis and low to moderate physical disability (Expanded Disability Status Scale score < 6.0). The assessment studies utilized driving scenarios to assess pre-driving (n = 1) or driving abilities (n = 2), responses to hazardous events in suburban (n = 1) or urban environments (n = 4), or the ability to maintain speed or lateral lane positioning during monotonous highway drives (n = 7), with four scenarios also including responses to secondary divided attention tasks. The intervention study utilized driving simulation as a training program to improve driving-related skills.ConclusionsThe evidence on the utility of driving simulators for adults with MS is limited to assessment of driving performance, mostly during monotonous highway drives. Further research should consider exploring how driving simulators can be utilized to assess driving performance in other environments or for intervention. Gender should be examined to support gender diverse populations.     

Factors affecting perceived safety and enjoyment based on driver experience

A positive driving experience, especially for older drivers, increases the attention to the emotional dimensions of driving, such as the driver’s perceived safety. Therefore, this study empirically presents factors affecting driver experience and compares them between older and younger drivers. Consequently, we conducted a face-to-face survey on elderly and young drivers and analyzed the data of 246 drivers using structural equation modeling. The analysis presented measurements and structural model evaluations. Considering the analysis, it was found that driving-related information and car-exterior context affect the perceived safety and enjoyment of a driver’s experience. Additionally, car-exterior context exerts a greater influence on the perceived safety and enjoyment of the elderly drivers’ group than the young drivers’ group. The results of this study will empirically contribute to the satisfaction of driver experience and perceived safety improvement in the future. It also provides a basis for the development of driving interfaces to improve the quality of the driving experience of the elderly.     

Audiovisual time-to-collision estimation for accelerating vehicles: The acoustic signature of electric vehicles impairs pedestrians' judgments

To avoid collisions, pedestrians intending to cross a road need to accurately estimate the time-to-collision (TTC) of an approaching vehicle. For TTC estimation, auditory information can be considered particularly relevant when the approaching vehicle accelerates. The sound of vehicles with internal combustion engine (ICEVs) provides characteristic auditory information about the acceleration state (increasing rotational speed and engine load). However, for electric vehicles (EVs), the acoustic signature during acceleration is less salient. Although the auditory detection of EVs has been studied extensively, there is no research on potential effects of the altered acoustic signature of EVs on TTC estimation. To close this gap, we compared TTC estimates for ICEVs and for EVs with and without activated acoustic vehicle alerting system (AVAS). We implemented a novel interactive audiovisual virtual-reality system for studying the human perception of approaching vehicles. Using acoustic recordings of real vehicles as source signals, the dynamic spatial sound field corresponding to a vehicle approaching in an urban setting is generated based on physical modeling of the sound propagation between vehicle and pedestrian (listener) and is presented via sound field synthesis (higher-order Ambisonics). In addition to the auditory simulations, the scene was visually presented on a head-mounted display with head tracking. Participants estimated the TTC of vehicles that either approached at a constant speed or accelerated positively. In conditions with constant speed, TTC estimates for EVs with and without AVAS were similar to those for ICEVs. In contrast, for accelerating vehicles, there was a substantial effect of the vehicle type on the TTC estimates. For the EVs, the mean TTC estimates showed a significant overestimation. Thus, subjects on average perceived the time of arrival of the EV at their position as longer than it actually was. The extent of overestimation increased with acceleration and presented TTC. This pattern is similar to a first-order TTC estimation representing a failure to consider the acceleration, which is consistently reported in the literature for visual-only presentations of accelerating objects. In comparison, the overestimation of TTC was largely reduced for the accelerating ICEVs. The AVAS somewhat improved the TTC estimates for the accelerating EVs, but without reaching the same level of accuracy as for the ICEVs. In real traffic scenarios, overestimations of the TTC of approaching vehicles might lead to risky road-crossing decisions. Therefore, our finding that pedestrians are significantly less able to use the acoustic information emitted by accelerating EVs for their TTC judgments, compared to accelerating ICEVs, has important implications for road safety and for the design of AVAS technologies.     

Exploration of anomalous perceptual experiences in migraine between attacks using the Cardiff Anomalous Perceptions Scale

Distortions in sensory experiences that precede a migraine attack have been extensively documented, the most well-known being the visual aura. Distortions in the experience of other senses are also reported as part of an aura, albeit less frequently, together with changes in the perception or ownership of the body or body parts. There are many examples of differences in aspects of visual perception between migraine and control groups, between attacks, but not as much on unusual experiences involving other senses, the sense of the body or the experience of the environment. Seventy-seven migraine (33 with aura) and 74 control participants took part. Anomalous perceptions were experienced by both migraine and control groups, but more with migraine experienced them and rated them as more distressing, intrusive and frequent. Associations with reports of visual triggers of migraine and visual discomfort are presented. This study is the first to show relationships between these factors.     

Mind matters: A narrative review on affective state-dependency in non-invasive brain stimulation

Variability in findings related to non-invasive brain stimulation (NIBS) have increasingly been described as a result of differences in neurophysiological state. Additionally, there is some evidence suggesting that individual differences in psychological states may correlate with the magnitude and directionality of effects of NIBS on the neural and behavioural level. In this narrative review, it is proposed that the assessment of baseline affective states can quantify non-reductive properties which are not readily accessible to neuroscientific methods. Particularly, affective-related states are theorized to correlate with physiological, behavioural and phenomenological effects of NIBS. While further systematic research is needed, baseline psychological states are suggested to provide a complementary cost-effective source of information for understanding variability in NIBS outcomes. Implementing measures of psychological state may potentially contribute to increasing the sensitivity and specificity of results in experimental and clinical NIBS studies.     

Verbal and practical intelligence in general anxiety,obsessive compulsive and major depression disorders

IntroductionPrevious researches have shown that anxiety symptoms are negatively associated with measures of intelligence. However, recent findings indicate possible positive relationships between Generalized Anxiety Disorders (GAD) and intelligence. Also, Obsessive Compulsive Disorder (OCD) is associated with a moderate degree of underperformance on cognitive tests, including deficient processing. There are inconsistent results to present the relationship between Major Depression Disorder (MDD) and IQ. The present study has three main aims. The first aim of this study is to investigate the difference between IQ in individuals with GAD, OCD and major depressive disorder, and normal group. The second purpose is to perform a comparative study between the GAD, OCD and MDD groups on verbal and non-verbal intelligence. The third aim of this study is to examine the relationships between GAD, OCD and MDD as well as their underlying cognitive processes, including worry, rumination, and post-event processing, with verbal and non-verbal intelligence.ObjectiveThe present study is performed on four groups of participants including those with GAD, OCD, MDD and Healthy Volunteer (HV) group consisting of individuals without psychiatric disorders.MethodThe number of 50 healthy volunteers as the control group, 45 patients with GAD, 20 patients with OCD and 25 patients with MDD (n = 140) were selected as the case-referent groups. The present study was a cross-sectional type and the research was performed based on the causal-comparative method. Verbal and non-verbal intelligence was measured with the Wechsler Adult Intelligence Scale-3rd edition (WAIS-III). Rumination and post-event processing were measured by PSWQ, RRS-BR, and PEPQ, respectively.ResultsThe results indicate that Verbal Intelligence and Verbal Comprehension Index in GAD patients have significant differences in comparison to the OCD, MDD and control groups. While, the value of the Working Memory Index (WMI) in the normal group is higher than the value of the same index in the GAD, OCD and MDD groups. Also, the values of the Processing Speed Index (PSI) in normal and GAD groups are higher than the OCD and MDD groups. The worry, rumination, and post-event processing in patients with GAD are positively correlated with general and verbal intelligence. But, verbal and non-verbal intelligence had a negative correlation with worry, rumination and post-event processing in healthy volunteers.ConclusionInvestigation of the possible connections between intelligence and the cognitive processes underlying emotional disorders can provide therapeutic strategies for smart individuals who are at risk for GAD.     

How are physical literacy interventions conceptualized? – A systematic review on intervention design and content

The concept of physical literacy (PL) has gained increasing attention over the last decade and posits that individuals value and take responsibility for engagement in physical activities for life through (a) motivation/confidence, (b) physical competence, and (c) knowledge/understanding. There is a mounting number of articles that have recently transformed the conceptual ideas of PL into interventions. The goal of this pre-registered (PROSPERO CRD42020188926) systematic review was to analyze and summarize PL interventions in terms of design and content. A total of 18 databases were searched drawing on the 2020 preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Inclusion criteria were English language, publication by November 2020, and interventions based on or inspired by PL. Articles that met these criteria were analyzed in relation to basic delivery characteristics, theoretical foundations, study objectives, intervention content, and potential links between the PL domains (a-c) and content. The multiphase screening process with two independent raters yielded 44 eligible interventions across 46 articles. The analyses of the review demonstrated that the majority of interventions were conducted on children or adolescents and in countries with higher economic development. While 77.3% of the interventions adopted a holistic understanding of PL, only 38.6% formulated study goals or intervention content to cover all the core PL domains. Importantly, only 25.0% of the interventions showed substantial links between PL domains and intervention content and can thus be classified as theory-based. Taken together, most interventions targeted aspects of physical competence (84.1%), whereas knowledge/understanding (59.1%) and motivation/confidence (47.7%) were often neglected. Therefore, future interventions should commit to systematically address all domains of PL simultaneously. PL interventions exposed weaknesses in reporting delivery characteristics and content. Finally, a model is suggested which assumes that practical PL efforts may better harmonize with PL theory and conception if they cultivated a tight interlocking with the three core domains of PL at all stages of the intervention process.     

Additional effects of a cognitive task on dual-task training to reduce dual-task interference

ObjectiveWhen we perform dual-tasks in daily life, task performance is generally reduced. As these reductions in performance (i.e., dual-task interference) are responsible for various accidents such as falls, the repeated practice of dual-task (i.e., dual-task training) is often implemented to reduce dual-task interference. However, the risk of various accidents increases with longer dual-task training, as dual-task interference cannot be avoided. Therefore, it is important to achieve training goals more rapidly during dual-task training. This study sought to determine whether a combination of dual-task training and cognitive tasks would accelerate training effects.DesignThe experimental design included four groups: 1) cognitive task training group, 2) dual-task training group, 3) cognitive task and dual-task training group, and 4) non training group.MethodWe assessed single- and dual-task performance before and after the 2-week training sessions. We adopted a dual-task involving knee extension and an auditory reaction, and used N-back task as a cognitive task. On the other hand, dual-task training was the same method to assess dual-task performance.ResultDual-task interference was reduced in all groups in both the tasks. However, the number of participants in the cognitive task and dual-task training group who achieved a reduction in dual-task cost was significantly higher than those in other groups.ConclusionThese findings could contribute to the development of an effective method for reducing dual-task interference and resolving issues caused by dual-task interference in daily life.     

Lessons learned from pedestrian-driver communication and yielding patterns

Understanding the hidden patterns of tacit communication between drivers and pedestrians is crucial for improving pedestrian safety. However, this type of communication is a result of the psychological processes of both pedestrians and drivers, which are very difficult to understand thoroughly. This study utilizes a naturalistic field study dataset and explores the hidden patterns from successful and failed communication events using a pattern recognition method known as Taxicab Correspondence Analysis (TCA). The successful communication scenarios indicate the combinations of variable attributes such as eye contact, facial expression, the assertion of crossing, and effective traffic control devices are strongly associated with successful scenarios. The patterns for failed scenarios are most likely to be on the roadway with a relatively higher speed limit (e.g., 35 mph) and a relatively lower speed limit (e.g., 15 mph) under different conditions. On roadways with a higher speed limit, the failed scenarios are highly associated with passive and undecisive pedestrians, pedestrians far away from the crosswalk, regardless of pedestrian-driver eye contact and facial expression of the pedestrians. Instead of waiting for pedestrians to making a crossing decision, overspeeding drivers are more likely to speed up and pass the crosswalk. On roadways with a lower speed limit, the failed scenarios are often associated with distracted pedestrians, vehicles having the right of way, and the absence of effective traffic control devices. These findings could help transportation agencies identify appropriate countermeasures to reduce pedestrian crashes. The findings on driver-pedestrian communication patterns could provide scopes for improvement in computer vision-based algorithms designed for autonomous vehicle industries.     

Investigating driver reactions to movements of autonomous vehicle in permitted right turn through driving simulator experiments

Traffic safety has always been a hot topic for human-driven (HDV) and autonomous vehicles (AV) mixed flow. The conflict between permitted right-turn vehicles (PRT) and opposing through vehicles (TH) at signalized intersections (left-handed traffic) is extraordinarily critical. AVs with aggressive behaviors are able to accept short gap time without losing safety. However, such a turning maneuver may lead to dangerous feelings and cause unexpected reactions of approaching drivers. This study aims to investigate and model drivers’ reactions in TH movements to PRT AVs considering the trust degree of drivers to AVs. Questionnaire surveys and driving simulator experiments were conducted for 41 participants. Results reveal that the right turn timing of PRT AV will significantly influence drivers’ reactions. Basically, TH drivers will brake with a high probability under the situation of small expected post encroachment time (PET). It is also found that female drivers and drivers with low trust in AVs are more vigilant to PRT AVs than other drivers. Based on this finding a two-layer model for reproducing TH drivers’ reactions to PRT AVs is proposed. The first layer is to determine the braking decision and the second layer is to calculate the parameters of braking behaviors (brake lag, braking time, and speed drop). The significance and coefficients variables in these models proved that the trust in AV will influence drivers’ decisions and braking behaviors (brake lag and braking time). The more the drivers trust AVs, the smaller the expected PET to AVs they can accept for passing without braking, and the more gently they will brake (longer brake lag and shorter braking time) due to the cutting in of PRT AVs. This effect will become significant after drivers have experienced several interactions with AVs.     

The conscious experience of color constancy and neural responses to subliminal deviations – A behavioral and EEG/ERP oddball study

IntroductionColor constancy, a property of conscious color experience, maintains object color appearance across illuminant changes. We investigated the neural correlates of subliminal vs. conscious stimulus deviations of color constancy manipulations.MethodsBehavioral and Oddball EEG/ERP experiments were conducted (n = 20). Psychophysical illuminant variation discrimination thresholds were first estimated, to establish individual perceptual awareness ranges, allowing for simulation of natural daylight spectral and spatial variations on colored surfaces, at different ambiguity levels.ResultsBehavioral results validated illuminant choice. ERPs showed a significant modulation of posterior P1 component specifically for the subliminal global uniform deviation condition, respecting color constancy. Neural correlates of conscious percepts were identified at posterior N2-P3 latencies, parietal (P3b) and frontal regions.ConclusionsWe identified an early subliminal correlate of low-level illuminant change, which reflects automatic unconscious detection of global color constancy deviations. Its suppression under conscious perception is probably due to top-down suppression according to prediction error models.     

Attentional focus effects on joint covariation in a reaching task

Adopting an external focus of attention (EF) has been found beneficial over internal focus (IF) for performing motor skills. Previous studies primarily examined focus of attention (FOA) effects on performance outcomes (such as error and accuracy), with relatively less emphasis on movement coordination. Given that human movements are kinematically and kinetically abundant (Gefland & Latash, 1998), FOA instructions may change how motor abundance is utilized by the CNS. This study applied the uncontrolled manifold analysis (UCM) to address this question in a reaching task. Healthy young adults (N = 38; 22 ± 1 yr; 7 men, 31 women) performed planar reaching movements to a target using either the dominant or nondominant arm under two different FOA instructions: EF and IF. Reaching was performed without online visual feedback and at a preferred pace. Joint angles of the clavicle-scapula, shoulder, elbow, and wrist were recorded, and their covariation for controlling dowel endpoint position was analyzed via UCM. As expected, IF led to a higher mean radial error than EF, driven by increases in aiming bias and variability. Consistent with this result, the UCM analysis showed that IF led to higher goal-relevant variance among the joints (V_ORT) compared to EF starting from the first 20% of the reach to the end. However, the goal-irrelevant variance (V_UCM)—index of joint variance that does not affect the end-effector position—did not show FOA effects. The index of stability of joint coordination with respect to endpoint position (ΔV) was also not different between the EF and IF. Consistent with the constrained action hypothesis, these results provide evidence that IF disrupted goal-relevant joint covariation starting in the early phases of the reach without affecting goal-irrelevant coordination.     

Effects of school-based interventions on motivation towards physical activity in children and adolescents: A systematic review and meta-analysis

IntroductionAssuming that motivation is the key to initiate and sustain beneficial health behaviors, the aim of this systematic review was to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards PA in school-aged children and adolescents.MethodsA comprehensive literature search was carried out in six electronic databases to identify randomized controlled trials and quasi-experimental trials examining the effects of PA interventions implemented during the regular school day, e.g., during physical education lessons or lunch breaks. Primary outcomes of interest were students' motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Meta-analyses were conducted for these outcomes using Comprehensive Meta-analysis software. Secondarily, intervention effects on students' PA behaviors were examined and the findings summarized narratively. Methodological quality of studies was evaluated using the Cochrane Collaboration's tool for assessing risk of bias for randomized trials; certainty of evidence on outcome level was evaluated using the GRADE approach.ResultsIn total, 57 studies carried out between 2001 and 2018 were included in this review. Sixteen individual meta-analyses were performed and revealed significant pooled effects for the outcomes enjoyment (g = 0.310), perceived autonomy (g = 0.152), identified regulation (g = 0.378), intrinsic motivation (g = 0.419), self-determination index (g = 0.672), task/mastery climate (g = 0.254), ego/performance climate (g = −0.438), autonomy supportive climate (g = 0.262), task goal orientation (g = 1.370), ego goal orientation (g = −0.188). The narrative data synthesis indicated an increase in students' PA behavior. The overall risk of bias was high across all studies and certainty of evidence of meta-analyzed outcomes ranged from very low to moderate. Moderate certainty of evidence was found for ego/performance climate and ego goal orientation. Conclusions: Meta-analyses suggest that school-based PA interventions may be effective in increasing a variety of motivational outcomes. However, the certainty of evidence was limited in the majority of outcomes. Further research is needed to identify effective intervention strategies that increase students’ motivation towards PA.     

Novel use of a virtual driving assessment to classify driver skill at the time of licensure

Motor vehicle crash rates are highest immediately after licensure, and driver error is one of the leading causes. Yet, few studies have quantified driving skills at the time of licensure, making it difficult to identify at-risk drivers before independent driving. Using data from a virtual driving assessment implemented into the licensing workflow in Ohio, this study presents the first population-level study classifying degree of skill at the time of licensure and validating these against a measure of on-road performance: license exam outcomes. Principal component and cluster analysis of 33,249 virtual driving assessments identified 20 Skill Clusters that were then grouped into 4 major summary “Driving Classes”; i) No Issues (i.e. careful and skilled drivers); ii) Minor Issues (i.e. an average new driver with minor vehicle control skill deficits); iii) Major Issues (i.e. drivers with more control issues and who take more risks); and iv) Major Issues with Aggression (i.e. drivers with even more control issues and more reckless and risk-taking behavior). Category labels were determined based on patterns of VDA skill deficits alone (i.e. agnostic of the license examination outcome). These Skill Clusters and Driving Classes had different distributions by sex and age, reflecting age-related licensing policies (i.e. those under 18 and subject to GDL and driver education and training), and were differentially associated with subsequent performance on the on-road licensing examination (showing criterion validity). The No Issues and Minor Issues classes had lower than average odds of failing, and the other two more problematic Driving Classes had higher odds of failing. Thus, this study showed that license applicants can be classified based on their driving skills at the time of licensure. Future studies will validate these Skill Cluster classes in relation to their prediction of post-licensure crash outcomes.     

Testing attitudes,social desirability and behavioral regulations as moderators of implicit-explicit exercise discrepancies: A replication study in Iranian students

IntroductionThere is mixed evidence regarding moderators of the relationship between implicitly and explicitly measured constructs. This study examined this issue with evaluations of exercise relative to health or appearance in a sample of Iranian adolescents. Investigaing automatic associations and reflective constructs might provide important implications for developing interventions targeting exercise behavior in a population with different cultural, social, and economic barriers to exercise than European or North American adolescents.MethodsParticipants were 471 students enrolled in grades 9 to 12, of whom 269 (54.9%) were female. Behavioral regulations, explicit attitudes, and social desirability were investigated as possible moderators. All students completed questionnaire measures of physical activity behavior, attitudes, social desieality and behavioral regulation. They also completed two Go/No Go Association tasks to measure automatic associations of exercise with health and apperarance.ResultsAttitude was a significant moderator of discrepancies between automatic associations of exercise with health and health motives. Interjected regulation moderated implicit-explicit appearance discrepancies. Participants with low social desirability and negative automatic appearance associations had the highest appearance motivation.ConclusionsParticipants focused on the potential of achieving positive health outcomes of exercise rather than physical appearance outcomes, which differs from research from other countries. It is possible that, health was strongly linked with exercise by the pervasive societal pressures in Iran to have a healthy body.     

Using targeted visceroception to improve interoceptive sensibility and emotion regulation

Focusing on one's body can improve the awareness and regulation of emotion. Interoception – sensing the physiological condition of the body, particularly of the viscera – appears to play an important role. While the majority of previous research studies have examined interoceptive sensitivity (i.e., detection of objectively measurable physiological changes), there has been relatively limited investigation of interoceptive sensibility (i.e., subjective awareness of those changes), and even fewer studies permitting causal conclusions. The current study is part of a randomised controlled trial on visceroception in the context of emotion regulation, using an 8-week intervention involving focused attention on either cardiac or gastrointestinal activity. Group differences in emotion regulation and reactivity were assessed using the Multidimensional Assessment of Interoceptive Awareness (MAIA), the Difficulties in Emotion Regulation Scale, and the Emotion Reactivity Scale (ERS). The findings suggest that focussed attention on gastrointestinal activity (i.e., gastroception), in particular, improves interoceptive sensibility and emotion regulation, as evidenced by increases on the MAIA's Noticing, Body Listening, and Self-regulation subscales, and decreases on the Arousal subscale of the ERS. Gastroception may make distinct contributions to the benefits of body focus in a research context where the gut is often overlooked.