Sensed presence as a correlate of sleep paralysis distress, social anxiety and waking state social imagery

Isolated sleep paralysis (ISP) is a common parasomnia characterized by an inability to move or speak and often accompanied by hallucinations of a sensed presence nearby. Recent research has linked ISP, and sensed presence more particularly, with social anxiety and other psychopathologies. The present study used a large sample of respondents to an internet questionnaire (N=193) to test whether these associations are due to a general personality factor, affect distress, which is implicated in nightmare suffering and hypothesized to involve dysfunctional social imagery processes. A new measure, ISP distress, was examined in relation to features of ISP experiences, to self-reported psychopathological diagnosis, to scores on the Leibowitz Social Anxiety Scale and to scores on a new questionnaire subscale assessing social imagery in a variety of waking states. Three main results were found: (1) ISP experiences are only weakly associated with a prior diagnosis of mental disorder, (2) sensed presence during ISP is associated preferentially with ISP distress, and (3) ISP distress is associated with dysfunctional social imagery. A general predisposition to affective distress may influence the distress associated with ISP experiences; overly passive social imagery may, in turn, be implicated in this affect distress influence.     

Phenomenal characteristics of guided imagery,natural imagery,and autobiographical memories

Research indicates that guided imagery experiences can be mistaken for actual experiences under some circumstances. One explanation for such effects is that memory representations of guided imagery and actual events contain similar phenomenal characteristics such as sensory and contextual details, making the source of the events less distinguishable. This study examined this prediction, comparing memory characteristic ratings for guided imagery experiences with those for memories of perceived and natural imagery events (e.g., fantasies). Results replicated previous findings for the difference between perceived and natural imagery memories. Guided imagery ratings were also lower than those for perceived memories for most sensory details (sound, smell, and taste) and temporal details. However, guided imagery ratings for reflective details were lower than both perceived and natural imagery memory ratings. Thus, guided imagery was similar to natural imagery with respect to sensory details, but similar to perceived memories with respect to reflective details.     

Subjective distress associated with chronic stuttering

Stuttering is a chronic condition involving involuntary disruption to speech fluency. While elevated social anxiety has been found to be a risk factor for adults who have stuttered all their lives, it is unclear how stuttering influences other negative mood states such as interpersonal sensitivity and depressive mood. Consequently, controlled research was conducted that investigated negative affectivity across a number of domains in adults who stutter. Participants included 200 adults who have stuttered since childhood, with comparisons made to 200 non-stuttering controls of similar age and sex. The adults who stuttered were found to have significantly elevated levels of distress and negative mood states compared to the controls. As expected, significant differences were found for anxiety, however, significant and substantial differences were also found across a broad range of negative affect, including dimensions such as somatization, interpersonal sensitivity, depressive mood, hostility and paranoia. The implications of these findings for the better management of stuttering are discussed.Educational objectives: The reader will be able to describe: (a) the negative impact of a chronic disorder like stuttering on people who have stuttered all their life; (b) the factor structure of the SCL-90-R; (c) the negative affectivity construct, and (d) the difference between psychogenic theories of stuttering and neurological theories of stuttering.     

The effect of an imagery training program on imagery ability,imagery use,and figure skating performance

Abstract

There is a growing popularity of non-pharmacologic treatments for hypertension; among them is exercise. This paper critically reviews the evidence for the anti-hypertensive effect of exercise, scanning both the epidemiologic and experimental research. It evaluates some of the literature on exercise adherence, briefly describes one exercise program designed to promote adherence, and draws conclusions based on the literature.     

Trauma films, information processing, and intrusive memory development

Three experiments indexed the effect of various concurrent tasks, while watching a traumatic film, on intrusive memory development. Hypotheses were based on the dual-representation theory of posttraumatic stress disorder (C. R. Brewin, T. Dalgleish, & S. Joseph, 1996). Nonclinical participants viewed a trauma film under various encoding conditions and recorded any spontaneous intrusive memories of the film over the following week in a diary. Changes in state dissociation, heart rate, and mood were also measured. As predicted, performing a visuospatial pattern tapping task at encoding significantly reduced the frequency of later intrusions, whereas a verbal distraction task increased them. Intrusive memories were largely unrelated to recall and recognition measures. Increases in dissociation and decreases in heart rate during the film were also associated with later intrusions.     

Introversion-extraversion,tempo, and guided imagery

This research tested the hypotheses that (a) introverts would produce more vivid imagery than would extraverts, and (b) introverts would produce better mental imagery if the background auditory tempo was slow, and extraverts would produce better mental imagery of the background auditory tempo was fast. Participants (N=240) were classified as introverts or extraverts and were randomly assigned one of three tempo conditions: slow, fast, or none. They were instructed to form mental images while listening individually to one of two stories. Clicks (slow or fast) sounded in the background during the stories. All participants then completed detailed questionnaires about the vividness of their mental imagery. Analysis showed that introverts reported significantly more vividness in their imagery than did extraverts. The hypothesized interaction between personality and tempo was not found. Implications were drawn for therapeutic applications of mental imagery.     

Bizarre imagery, interference, and distinctiveness

Previous studies have shown that bizarre and common images produce equivalent levels of recall in unmixed-list designs. Using unmixed lists, we tested the view that bizarre images would be less susceptible than common images to common sources of interference. In all experiments, subjects imaged a list of either bizarre or common sentences and then performed some kind of interfering task before recalling the initial list of sentences. Experiment 1 showed that bizarre images were better accessed than common images after imaging an intervening list of common sentences. Also, components of common images tended to be better recalled than those of bizarre images after imaging an intervening list of bizarre sentences. Experiments 2a and 2b showed that interfering tasks consisting of studying lists of common concrete nouns did not differentially affect memory for bizarre and common images. In Experiment 3, labeling and imaging an interfering list of common pictures produced higher recall of bizarre images. Generally, bizarre images appeared to be less susceptible than common images to interference from certain types of common encodings. Importantly, the superior recall of bizarre images was always due to greater image (sentence) access, whereas higher recall of common images was associated with greater recovery of the image (sentence) constituents. Explanation of the precise pattern of results requires consideration of the distinctive properties of bizarre images.     

Mental imagery,reasoning, and blindness

Although reasoning seems to be inextricably linked to seeing in the “mind's eye”, the evidence is equivocal. In three experiments, sighted, blindfolded sighted, and congenitally totally blind persons solved deductive inferences based on three sorts of relation: (a) visuo-spatial relations that are easy to envisage either visually or spatially, (b) visual relations that are easy to envisage visually but hard to envisage spatially, and (c) control relations that are hard to envisage both visually and spatially. In absolute terms, congenitally totally blind persons performed less accurately and more slowly than the sighted on all such tasks. In relative terms, however, the visual relations in comparison with control relations impeded the reasoning of sighted and blindfolded participants, whereas congenitally totally blind participants performed the same with the different sorts of relation. We conclude that mental images containing visual details that are irrelevant to an inference can even impede the process of reasoning. Persons who are blind from birth—and who thus do not tend to construct visual mental images—are immune to this visual-impedance effect.     

Mental imagery, reasoning, and blindness

Although reasoning seems to be inextricably linked to seeing in the “mind's eye”, the evidence is equivocal. In three experiments, sighted, blindfolded sighted, and congenitally totally blind persons solved deductive inferences based on three sorts of relation: (a) visuo-spatial relations that are easy to envisage either visually or spatially, (b) visual relations that are easy to envisage visually but hard to envisage spatially, and (c) control relations that are hard to envisage both visually and spatially. In absolute terms, congenitally totally blind persons performed less accurately and more slowly than the sighted on all such tasks. In relative terms, however, the visual relations in comparison with control relations impeded the reasoning of sighted and blindfolded participants, whereas congenitally totally blind participants performed the same with the different sorts of relation. We conclude that mental images containing visual details that are irrelevant to an inference can even impede the process of reasoning. Persons who are blind from birth—and who thus do not tend to construct visual mental images—are immune to this visual-impedance effect.     

Snacking, aversive imagery, and weight reduction

This study was designed to explore the relationship between reduced snacking and weight loss and to evaluate the effectiveness of an aversive imagery procedure. Twenty-two participants completed an 11-wk. program designed to reduce the frequency of snacking. Reading an aversive "fat sheet" immediately prior to or after snacking, combined with a point system, was no more effective in reducing snacking than was the point system alone. Although incidence of snacking was significantly reduced, weight loss was greatest during the baseline period, when snacking was most frequent. The correlation between weekly weight loss and weekly number of snacks was nonsignificant. These results suggest that a single-minded focus on the reduction of snacking is unlikely to produce significant weight loss for most dieters.     

Aging, imagery, and the bizarreness effect

ABSTRACT This study examined the bizarre imagery effect in young and older adults, under incidental and intentional conditions. Intentionality was manipulated across experiments, with participants receiving an incidental free recall test in Experiment 1 and an intentional test in Experiment 2. This study also examined the relation between working memory resources and the bizarreness effect. In Experiment 1 young and older adults were presented with common and bizarre sentences; they later received an incidental recall test. There were no age differences in sensitivity to the bizarreness effect in Experiment 1 when ANOVAs were used to analyze the data. However, when the bizarreness effect was examined in terms of effect size, there was evidence that younger adults produced larger bizarreness effect sizes than younger adults. Experiment 2 further explored age differences in sensitivity to the bizarreness effect by presenting young and older adults with bizarre and common sentences under intentional learning conditions. Experiment 2 failed to yield age differences as a function of item type (bizarre vs. common). In addition, Experiment 2 failed to yield significant evidence that the bizarreness effect is modulated by working memory resources. The results of this study are most consistent with the distinctiveness account of the bizarreness effect.     

Rumination, reflection, intrusive thoughts, and hallucination-proneness: Towards a new model

Although rumination has been proposed to play an important role in the creation of hallucinations, direct empirical tests of this proposal have not yet been performed. Employing a distinction between ruminative and reflective self-consciousness, we set out to test a new model of the relations among rumination, reflection, intrusive thoughts, thought suppression, social anxiety, and hallucination-proneness. This model proposed that rumination would be related to hallucination-proneness through the mediating variable of intrusive thoughts, but that reflection would not be related to hallucination-proneness. The model was tested in a student population (N = 296) using path analyses. A modified version of the model was found to be a good fit to the data, once a direct path from reflection to hallucination-proneness had been added. As hypothesized, rumination was related to hallucination-proneness only indirectly, through the mediating variable of intrusive thoughts. Implications for interventions and future directions for research are considered.     

Hypnotic discontinuation in chronic insomnia: impact of psychological distress, readiness to change, and self-efficacy.

OBJECTIVE: To compare individuals who were successful in discontinuing hypnotic medications against those who were not on measures of insomnia severity, medication withdrawal symptoms, psychological symptoms, perceived health, readiness to change and self-efficacy. DESIGN: Secondary analyses of a randomized clinical trial comparing a hypnotic taper intervention with or without self-help treatment for insomnia. MAIN OUTCOME MEASURES: Self-report measures of insomnia severity, medication withdrawal symptoms, depression and anxiety symptoms, physical and mental health, stages of change, readiness to change, decisional balance, and general and situational self-efficacy. RESULTS: There were no significant differences at baseline between medication-free individuals and those still using sleep medication at the end of a taper intervention. Group differences emerged midway through the 8-week withdrawal program and were accentuated after the intervention; participants who remained medication-free during the next six months had less severe insomnia and anxiety symptoms, a more positive perception of their health and higher self-efficacy to refrain from hypnotic use in various situations. Contrary to expectations, there were no differences between drug-free and nondrug-free participants on both readiness to change and stages of change. CONCLUSIONS: Chronic users of hypnotic medications entered a taper intervention with equal levels of psychological distress, health, self-efficacy, and readiness to change. Successful hypnotic discontinuation was associated with overall improvement of insomnia, anxiety and distress symptoms, perceived health and self-efficacy. More intensive and individualized therapeutic attention may be warranted for individuals experiencing worsening of insomnia symptoms, more withdrawal symptoms and psychological distress, and lower self-efficacy during medication discontinuation.     

Depressive, anxious and intrusive thoughts in psychiatric inpatients and outpatients.

A revised form of the Distressing Thoughts Questionnaire as well as standardized self-report measures of depression, anxiety and obsessionality were administered to a large sample of psychiatric inpatients, outpatients and non-clinical controls. A subsample of the clinical subjects completed the questionnaire battery after 3 months. Factor analysis identified three distinct dimensions of negative thinking which corresponded to anxious, depressive and intrusive thoughts. Further analysis revealed that the intrusive thoughts differed from the anxious and depressive negative automatic thoughts in terms of their reduced association with psychopathology, increased temporal stability and nonspecific association with negative affect in general. These findings suggest that by adopting a more specific focus on obsessive-like ego-dystonic intrusive thoughts, researchers will be in a better position to investigate the role of this phenomena in the development of clinical obsessions.     

Psychological distress in patients with chronic atrophic gastritis: the risk factors,protection factors,and cumulative effect

This study aimed to examine the psychological status among Chronic Atrophic Gastritis (CAG) patients and to find the cumulative effects of risk and protective factors. A sample of 101 CAG patients completed the investigation. Hierarchical linear regression was used to find risk and protective factors, and examine the cumulative effects in risk factor index (RFI) and protective factor index (PFI). Results showed that nine symptoms from SCL-90-R were severer among CAG patients than those in adult norm. Risk factors including positive family history of cancer and higher negative life events could predict higher GSI (β = 0.206, p = 0.023; β = 0.398, p < 0.001; R² = 0.203); more household resistant, positive coping and stronger resilience were protective factors and could predict GSI negatively (β = -0.188, p = 0.020; β = -0.350, p = 0.012; β = ?0.066, p = 0.621; R² = 0.190). The GSI was positively correlated with RFI (β = 0.338, p < 0.001; R² = 0.113) and negatively related to PFI (β = ?0.378, p < 0.001; R² = 0.133). In conclusion, CAG patients suffered from various psychological distress, and the protective factors should be enhanced cumulatively to protect against psychological distress.     

Individual differences in the experience of depressive and anxious, intrusive thoughts

Cognitive—clinical theorists such as Beck have implicated various personality traits as vulnerability factors in the experience of negative, distressing cognitions. A cluster analysis, performed on the basis of Ss' responses to a questionnaire specially constructed to assess anxious and depressive thoughts for features such as frequency, sadness, worry, controllability and unacceptability, demonstrated individual differences in the experience of negative cognitions. These differences were associated with varying levels of trait anxiety, dysphoria and obsessionality. Further analysis revealed that trait anxiety and neuroticism were more strongly associated with depressive rather than anxious cognitions. Obsessional complaints evidenced minimal association with anxious thoughts, though a moderate correlation was obtained between the former and depressive self-statements. It is suggested that personality factors are influential in the experience of negative cognitions in a highly specific manner.     

Unemployment, coping and psychological distress

This study addressed the role of coping sytle in anxiety and depression of unemployed people. Two-hundred thirty-three people checking in at unemployment services participated. They filled in Carver, Scheier and Weintraub's (1989) coping measure (COPE), the Hospital Anxiety and Depression scale (HAD), gave information as to age, duration of unemployment and their appraisal of their situation. Four secondary dimensions of COPE were used in data analyses. Multiple regression analyses were undertaken with anxiety/depression as dependent and the coping variables as independent variables, with background/appraisal variables entered first. Coping variables added to the prediction of anxiety and depression over and above background/appraisal variables. For women Focus on Emotion coping as well as Avoidance was related to higher anxiety/depression scores ( p <0.01), whereas Reappraisal was related to lower anxiety/depression ( p <0.05). For men only Avoidance was related to anxiety/depression ( p <0.01). More Avoidance co-occurred with higher levels of anxiety as well as depression. The results are discussed with respect to possible intervention.     

Fantasy proneness, mental imagery and reality monitoring

Individual differences in fantasy proneness and vividness of mental imagery have been suggested to be related to source memory confusions. To test this hypothesis, two groups scoring either high or low on a measure of fantasy proneness (selected from a group of 231 subjects) were compared on measures of self report vividness of mental imagery, objective imagery ability and reality monitoring performance. The two groups differed significantly on ratings of imagery vividness (p<0.01), but not on the imagery performance tasks, nor on reality monitoring performance. Our results indicate that, although fantasy proneness is associated with experiences of vivid mental imagery, it does not necessarily lead to reality monitoring errors.