Operant-behavioural and cognitive-behavioural treatment for chronic low back pain.

Fifty-eight outpatients with chronic low back pain were randomly allocated to one of six experimental conditions. Four conditions were designated as treatment conditions and two as control conditions. The four treatment groups consisted of: cognitive treatment (either with or without relaxation training) and behavioural treatment (either with or without relaxation training). The cognitive and behavioural groups also received physiotherapy. The two control conditions consisted of: attention (physiotherapy plus discussion sessions) and no-attention (physiotherapy-only) conditions. All conditions, including the two controls, received the same physiotherapy back-education and exercise program. For the sample as a whole, improvements were obtained on measures of affective distress, functional impairment, medication use, pain-related dysfunctional cognitions and use of active coping strategies. These improvements were generally maintained at 6- and 12-month follow-ups. The combined psychological/physiotherapy treatment conditions improved significantly more than the physiotherapy-only conditions from pre to posttreatment on measures of pain intensity, self-rated functional impairment and pain-related dysfunctional cognitions. However, these differences were only weakly maintained at 6- and 12-month follow-ups. The behavioural conditions improved significantly more than the cognitive conditions from pre to posttreatment on the self-rated measure of functional impairment, but this difference was not maintained at 6- and 12-month follow-ups. Progressive relaxation training was found to make little contribution to either cognitive or behavioural treatments.     

Multimethod assessment of treatment process in chronic low back pain: comparison of reported pain-related anxiety with directly measured physical capacity

Although cognitive behavioural treatments (CBT) have proven efficacy in improving symptom management, pain-related distress, physical performance and return to work. few studies have examined the relationship between changes in behavioural process variables during treatment and improvement in outcome variables following treatment. We designed a multimethod assessment strategy to test the relative contribution of changes in physical capacity and pain-related anxiety to treatment outcome variables. Low back pain patients (n = 59) were treated with an intensive programme of physical exercise and CBT. Comparisons from pre- to post-treatment showed significant improvement in pain severity, interference, affective distress, activity level, and depression. Improvements in pain-related anxiety were associated with improvements in all outcome variables except interference. Of three physical capacity composite scores, improvement in only one (lumbar extension and flexion capacity) was associated with improvements in all outcome variables except interference. Further analyses demonstrated that the relationship between changes in pain-related anxiety and treatment outcome were independent of changes in physical capacity performance. Changes during treatment in pain-related anxiety may be more important than changes during treatment in physical capacity when predicting the effect of treatment on behavioural outcome measures. These results are discussed in the context of how to improve assessment of the chronic pain patient and improve the effectiveness of multidisciplinary CBT.     

Overconfidently underthinking: narcissism negatively predicts cognitive reflection

Abstract

There exists a large body of work examining individual differences in the propensity to engage in reflective thinking processes. However, there is a distinct lack of empirical research examining the role of dispositional factors in these differences and understanding these associations could provide valuable insight into decision-making. Here, we examine whether individual differences in cognitive reflection are related to narcissism (excessive self-focused attention) and impulsiveness (trait-based lack of inhibitory control). Participants across three studies completed measures of narcissism, impulsiveness and cognitive reflection. Results indicate that grandiose and vulnerable narcissists differ in their performance on problem-solving tasks (i.e., Cognitive Reflection Test [CRT]) and preferences for intuitive thinking, as well as the degree to which they reflect on and understand their own thoughts and enjoy cognitively effortful activities. Additionally, though impulsiveness was significantly related to self-report measures of cognitive reflection (i.e., metacognitive reflection, metacognitive insight, and need for cognition), it showed no association with a behavioural measure of cognitive reflection (i.e., CRT scores). Our results suggest that certain individual differences in dispositional and personality characteristics may play important roles in the extent to which individuals engage in certain forms of reflective thinking.     

The Kids' Empathic Development Scale (KEDS): A multi‐dimensional measure of empathy in primary school‐aged children

Empathy is an essential building block for successful interpersonal relationships. Atypical empathic development is implicated in a range of developmental psychopathologies. However, assessment of empathy in children is constrained by a lack of suitable measurement instruments. This article outlines the development of the Kids' Empathic Development Scale (KEDS) designed to assess some of the core affective, cognitive and behavioural components of empathy concurrently. The KEDS assesses responses to picture scenarios depicting a range of individual and interpersonal situations differing in social complexity. Results from 220 children indicate the KEDS measures three related but distinct aspects of empathy that are also related to existing measures of empathy and cognitive development. Scores on the KEDS show age and some gender‐related differences in the expected direction.     

Opponent processes in human emotions? An experimental investigation of hedonic contrast and affective interactions

Three hypotheses of opponent process theory (e.g., Solomon, 1980) were examined: (1) Following the removal of emotionally charged stimuli, an emotional response opposite in hedonic tone to the initial affective response will occur; (2) this response occurs as a reaction to the initial affective response (and is not the result of perceptual processes or reinterpretations of the situation); and (3) when opponent affective processes cooccur, they tend to cancel each other's effects.Individuals were led to associate happiness and sadness with stimuli through hypnotic inductions; other stimuli were conditioned to the emotional responses that followed the offset of these stimuli. On both physiological and self-report measures, affective afterreactions were observed following the termination of a stimulus eliciting happiness in a context where this result could not be attributed to individuals' perceptions of the likelihood of future pleasant events or to changes in the individuals' adaptation levels. In agreement with previous findings, no afterreaction following the termination of a stimulus eliciting sadness was observed. Evidence that affective processes interact was also obtained. When opponent affective processes cooccur, they appear to interact and cancel. When two nonopponent affective processes are elicited simultaneously, they appear to add or average. This result supports the assumption, common to many theories of emotion, that affective processes interact to determine individuals' observed emotional states.It is my pleasure to thank Patricia Barchas, Gordon Bower, Nelson Donegan, Mary Rothbart, Roger Shepard, and Philip Zimbardo for their advice and encouragement, and to express a special thanks to Phoebe Ellsworth for her invaluable assistance.     

Questionnaire dimensions of spider phobia: a replication and extension

Two studies are presented in this paper. The first presents an analysis of an extended version of the Spider Phobia Questionnaire (SPQ), which can be used to assess cognitive, behavioural and physiological aspects of responsiveness to spiders in spider phobics. The second examines the relationship between these measures and measures of behavioural avoidance, subjective anxiety and physiological response in high and low fear subjects during an avoidance test. The lack of an expected relationship between the two sets of measures is discussed.     

Linking Genetic Counseling Content to Short-Term Outcomes in Individuals at Elevated Breast Cancer Risk

Few studies have linked actual genetic counseling content to short-term outcomes. Using the Self-regulation Model, the impact of cognitive and affective content in genetic counseling on short-term outcomes was studied in individuals at elevated risk of familial breast-ovarian cancer. Surveys assessed dependent variables: distress, perceived risk, and 6 knowledge measures (Meaning of Positive Test; Meaning of Negative Test; Personal Behavior; Practitioner Knowledge; Mechanisms of Cancer Inheritance; Frequency of Inherited Cancer) measured at pre- and post-counseling. Proportion of participant cognitive and affective and counselor cognitive and affective content during sessions (using LIWC software) were predictors in regressions. Knowledge increased for 5 measures and decreased for Personal Behavior, Distress and Perceived Risk. Controlling for age and education, results were significant/marginally significant for three measures. More counselor content was associated with decreases in knowledge of Personal Behavior. More participant and less counselor affective content was associated with gains in Practitioner Knowledge. More counselor cognitive, and interaction of counselor cognitive and affective content, were associated with higher perceived risk. Genetic counselors dominate the content of counseling sessions. Therefore, their content is tied more closely to short term outcomes than participant content. A lack of patient communication in sessions may pose problems for understanding of complex concepts.     

Friendship closeness inventory: development and psychometric evaluation

This study developed a psychometrically sound measure of closeness in Australian men's (n = 59) and women's (n = 77) same-sex friendships, the Friendship Closeness Inventory. Subscales were developed to measure both masculine and feminine styles of closeness in three domains of Emotional Closeness, Behavioural Closeness, and Cognitive Closeness. The inventory was subjected to reliability checks which supported the reliability of each scale, and factor analyses which supported the 3-factor design. Correlations among ratings on subscales suggested that the affective, behavioural, and cognitive dimensions are distinguishable but related components of friendship. Group comparisons indicated that women rated themselves closer to their same-sex friends on the affective dimension than men. Researchers have suggested that sex-role socialisation may partly account for sex differences in self-ratings of emotional expressiveness in friendships. There were no significant differences between men's and women's ratings on the behavioural and cognitive aspects of friendships. The cognitive element may need further exploration in further scale development as it measures only one aspect of cognitive closeness: the perceived influence of friends. Pending further validation, the inventory appears potentially useful for research exploring affective, behavioural, and cognitive elements of young men's and women's friendships.     

Helping Divorced Parents to Benefit Adolescent Children: A Prospective Enrichment Programme

This study proposes a prospective integrative theory-based enrichment programme for divorced custodial parents to help their adolescent children. The programme comprises five brief sessions addressing: the needs of parents for information on post-divorce experiences of their children (cognitive component); the acquisition and practice of skills to improve effective parenting (behavioural component); the opportunity to share mutual feelings and experiences in a supportive group context (affective and social components) and reflection on positive post-divorce outcomes (philosophical component).     

Cognitions, metacognitions, and chronic pain

Purpose: Although the content of thoughts has received a considerable amount of attention in pain research, the importance of thought processes (metacognitions) has received less attention. Method: One hundred twenty-nine individuals with muscular dystrophy and chronic pain completed measures assessing metacognitions and frequency of both catastrophizing and pain control beliefs. Results: Greater use of reappraisal and distraction metacognitions were associated with more perceived control over pain, whereas greater use of worry and punishment metacognitions were associated with more catastrophizing. Conclusions/Implications: The current findings indicate that metacognitions are associated with both pain control beliefs and catastrophizing and therefore may play an important role in the development or maintenance of pain-related cognitive content thought to influence patient functioning. Research is needed to determine whether treatments that encourage changes in both metacognitions and cognitive content are more effective than treatments that focus on cognitive content alone. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

What standardized tests ignore when assessing individuals with neurodevelopmental disorders / Lo que ignoran los tests estandarizados en la evaluación de personas con trastornos del neurodesarrollo

Abstract

In this article we critique the use of traditional standardized tests for the cognitive assessment of children with neurodevelopmental disorders. Limitations stem from the lack of integrating (a) results from research into the psychological functioning of these populations, and (b) the main arguments underlying models of human development. We identify four secondary issues in this discussion: (1) these instruments cannot be used with children who have particularly low cognitive functioning; (2) little or no variance in the scores obtained by individuals with neurodevelopmental disorders, because all are at floor, prevent adequate interpretations; (3) measurements do not provide information useful for the design of intervention strategies; and (4) different cognitive and/or neural processes may underlie behavioural scores ‘in the normal range’. Rethinking traditional assessment methods in favour of technologically-mediated games yields new cognitive assessment possibilities.     

Does emotion influence visual perception? Depends on how you look at it

ABSTRACT

One of the biggest challenges in the study of emotion–cognition interaction is addressing the question of whether and how emotions influence processes of perception as distinct from other higher-level cognitive processes. Most theories of emotion agree that an emotion episode begins with a sensory experience – such as a visual percept – that elicits a cascade of affective, cognitive, physiological, and/or behavioural responses (the ordering and inclusion of those latter components being forever debated). However, for decades, a subset of philosophers and scientists have suggested that the presumed perception → emotion relationship is in fact bidirectional, with emotion also altering the perceptual process. In the present review we reflect on the history and empirical support (or, some might argue, lack thereof) for the notion that emotion influences visual perception. We examine ways in which researchers have attempted to test the question, and the ways in which this pursuit is so difficult. As is the case with the ongoing debate about the cognitive penetrability of perception, we conclude that nothing is conclusive in the debate about the emotional penetrability of perception. We nonetheless don rose-coloured glasses as we look forward to the future of this research topic.     

Information search activity: An overview

IntroductionThis article exposes a brief history of information search models, from general and behavioural models to cognitive ones and presents recent theoretical advances in this research field.Literature findingsSince the beginning of 1990s, many theoretical models have tried to describe and predict the human behaviours involved in the information search tasks, and specifically when this activity is performed in computer systems. Some of these models elaborated by psychologists have attempted to infer the cognitive processes involved.DiscussionInformation search can be considered as a complex cognitive activity that involves various individual (cognitive, affective), contextual and social factors.ConclusionWe also suggest research issues to be developed in order to increase our knowledge in this area and we plead for further research on specific concepts depending on future and/or recent areas of interest.     

Flexible control in processing affective and non-affective material predicts individual differences in trait resilience

Trait resilience is a stable personality characteristic that involves the self-reported ability to flexibly adapt to emotional events and situations. The present study examined cognitive processes that may explain individual differences in trait resilience. Participants completed self-report measures of trait resilience, cognitive flexibility and working memory capacity tasks, and a novel affective task-switching paradigm that assesses the ability to flexibly switch between processing the affective versus non-affective qualities of affective stimuli (i.e., flexible affective processing). As hypothesised, cognitive flexibility and flexible affective processing were unique predictors of trait resilience. Working memory capacity was not predictive of trait resilience, indicating that trait resilience is tied to specific cognitive processes rather than overall better cognitive functioning. Cognitive flexibility and flexible affective processing were not associated with other trait measures, suggesting that these flexibility processes are unique to trait resilience. This study was among the first to investigate the cognitive abilities underlying trait resilience.     

Development of the Muscle Appearance Satisfaction Scale: a self-report measure for the assessment of muscle dysmorphia symptoms

Muscle dysmorphia has recently been described as a variant of body dysmorphic disorder that involves an intense preoccupation with one's perceived lack of muscle size. Currently, no assessment measures specific to the cognitive, affective, and behavioral dimensions of the construct of muscle dysmorphia have been published. To address this need, the authors developed the Muscle Appearance Satisfaction Scale (MASS), a brief 19-item self-report measure for the assessment of muscle dysmorphia symptoms. Psychometric evaluation of the MASS across two samples of male weight lifting participants (total N = 372) revealed a stable five-factor structure. An evaluation of factor content resulted in the following factor labels: Bodybuilding Dependence, Muscle Checking, Substance Use, Injury, and Muscle Satisfaction. Internal consistency, test-retest reliability, and construct validity were established with the MASS total score and its subscales. The authors believe the MASS will be a useful measure for research and applied work relating to muscle dysmorphia.     

Assessing the validity of inferences from scores on the cognitive reflection test

Decision‐making researchers purport that a novel cognitive ability construct, cognitive reflection, explains variance in intuitive thinking processes that traditional mental ability constructs do not. However, researchers have questioned the validity of the primary measure because of poor construct conceptualization and lack of validity studies. Prior studies have not adequately aligned the analytical techniques with the theoretical basis of the construct, dual‐processing theory of reasoning. The present study assessed the validity of inferences drawn from the cognitive reflection test (CRT) scores. We analyzed response processes with an item response tree model, a method that aligns with the dual‐processing theory in order to interpret CRT scores. Findings indicate that the intuitive and reflective factors that the test purportedly measures were indistinguishable. Exploratory, post hoc analyses demonstrate that CRT scores are most likely capturing mental abilities. We suggest that future researchers recognize and distinguish between individual differences in cognitive abilities and cognitive processes.     

The effects of exposure to an acute naturalistic stressor on working memory, state anxiety and salivary cortisol concentrations

Exposure to an acute naturalistic stressor induces both psychological and physiological changes in humans. The two studies reported here explored the impact of exposure to an acute naturalistic stressor on state anxiety, working memory and HPA axis activation (salivary cortisol). In both experiments, ten healthy male participants were exposed to an acute naturalistic stressor, helicopter underwater evacuation training (HUET), and their physiological and behavioural responses before (first study) and after (second study) the stressor were compared to ten non-stressed controls. The results of both experiments showed that working memory performance was preserved during anticipation of an acute stressor, but impairments were observed immediately after stress exposure. Participants reported significantly higher state anxiety levels during anticipation and following stress exposure, whereas significant elevations in cortisol levels were only observed 25 min post exposure to stress, but not before or immediately after stress exposure. The results of both experiments demonstrated a dissociation between behavioural and biochemical measures and provided evidence for a dissociation of the effects of stress on cognitive and physiological measures depending on the time of testing, with cognitive impairments most evident following stress exposure.     

情感一致性及其对认知加工的影响

具身情绪观认为情感的核心功能是评价,这种评价信息会同时表征在低层感知系统和高层认知系统中,它们相互影响、互为因果。情感一致性反映的是情感具身反应（心理感受、情感相关的身体动作和表情等）与情感认知评价（情感的观念性内容,积极与消极）在效价上的耦合关系。这种关系突出的表现为效价上是否一致,情感一致促进其后的认知加工,情感不一致的作用相反。该观点在短时记忆、叙事建构、刻板印象和说服效果等领域得到了证实。未来的研究应重视情感一致性的情感意义,扩展情感一致性定义及假设,并检验情感一致性的评价本质。     

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.     

The interplay between feelings and beliefs about condoms as predictors of their use

Objective: Negative feelings about condoms are a key barrier to their use. Using the behavioural affective associations model, we examined the joint effects of affective associations and cognitive beliefs about condoms on condom use.

Design: In Study 1 (N = 97), students completed measures of their affective associations and cognitive beliefs about sex and condoms, sexual activity and condom use. In Study 2 (N = 171), a measure of behavioural intentions and condom selection task were added.

Main outcome measures: Condom use measured in Study 1 as (1) current condom use, and (2) willingness to use condoms; in Study 2 as: (1) behavioural intentions, (2) number of condoms selected.

Results: Affective associations with sex and condoms were behaviour-specific, were directly associated with the respective behaviour, and mediated the relations of cognitive beliefs to behaviour, ps < .05. In Study 2, affective associations were associated with behavioural intentions and the number of condoms selected, ps < .05; cognitive beliefs were indirectly associated with these outcomes through affective associations, indirect effects: ps < .05.

Conclusions: Affective associations are a behaviour-specific and proximal predictor of condom use, mediating the effect of cognitive beliefs, suggesting they may be a particularly viable intervention target.