Effects of test anxiety,ego stress,and attentional skills training on arithmetic reasoning: An experimental evaluation of a brief counseling strategy

Abstract

Two hundred forty high school students (120 male and 120 female) in India performed a moderately difficult multiple choice Arithmetic Reasoning task after undergoing short-term (40 minutes) cognitive treatment in the form of Attentional Skills Training. A 2 × 2 × 2 (Test Anxiety x Attentional Skills Training x Stress) design with separate analysis for boys and girls indicated these results: with intervention the high anxiety subjects under ego stress conditions, compared to their high-anxious control, low-anxious ego stress, or low-anxious control counterparts, reported the maximum significant improvement in performance on the Arithmetic Reasoning test. The low-anxiety subjects performed consistently well with or without treatment or stress conditions. The findings shed new light on the attentional theory of test anxiety, and it was reasoned that long-term effects of cognitive treatment be studied by using varied performance tasks (difficulty level controlled) on different gender and age groups across cultures.     

Effects of test anxiety, ego stress, and attentional skills training on arithmetic reasoning: An experimental evaluation of a brief counseling strategy

Abstract Two hundred forty high school students (120 male and 120 female) in India performed a moderately difficult multiple choice Arithmetic Reasoning task after undergoing short-term (40 minutes) cognitive treatment in the form of Attentional Skills Training. A 2 × 2 × 2 (Test Anxiety x Attentional Skills Training x Stress) design with separate analysis for boys and girls indicated these results: with intervention the high anxiety subjects under ego stress conditions, compared to their high-anxious control, low-anxious ego stress, or low-anxious control counterparts, reported the maximum significant improvement in performance on the Arithmetic Reasoning test. The low-anxiety subjects performed consistently well with or without treatment or stress conditions. The findings shed new light on the attentional theory of test anxiety, and it was reasoned that long-term effects of cognitive treatment be studied by using varied performance tasks (difficulty level controlled) on different gender and age groups across cultures.     

Affirmative Dialectical Behavior Therapy Skills Training With Sexual Minority Veterans

Minority stress theory posits that unique stressors create an invalidating environment, which places sexual minority individuals at increased risk for psychiatric morbidity. Sexual minority veterans’ experience of minority stressors results in elevated levels of emotion dysregulation, anxiety, depression, and suicidality. Clinical interventions designed to address minority stress and treat emotional dysregulation and related disorders among sexual minority veterans are warranted. Professional guidelines recommend the adaptation of evidence-based treatments to address the unique features of sexual minority and veteran mental health. Dialectical Behavior Therapy (DBT) is a treatment for emotion dysregulation and related problems that addresses an invalidating environment, which is an appropriate framework for sexual minorities. The current research adapts the Emotion Regulation module of DBT Skills Training. This adaptation highlights minority stress as part of the invalidating environment and adds new teaching points to address the unique features of sexual minority mental health to create Affirmative DBT Skills Training. Six sexual minority veterans completed Affirmative DBT Skills Training meeting on a weekly basis for 10 consecutive weeks. Before and after treatment, participants completed measures of emotion regulation, anxiety, and depression as well as assessments of minority stress processes. Affirmative DBT Skills Training was well received in this sample. Results suggest that the intervention was effective in decreasing emotion dysregulation and symptoms of depression. These findings suggest Affirmative DBT Skills Training is a promising treatment, although more research is warranted, particularly given the small sample size and lack of a control group.     

Attentional Bias,Self-consciousness and Perfectionism in Social Phobia Before and After Cognitive-Behaviour Therapy

Attentional bias for threat words (as measured by the emotional Stroop task), selfconsciousness and perfectionism was studied in 24 patients with social phobia before and after cognitive-behaviour treatment. A total of 18 (75%) of the patients were classified as treatment responders on the basis of reduced scores for social anxiety. The treatment responders showed a significant reduction in attentional bias for social threat words, in public self-consciousness and in perfectionism. The non-responders showed an equal reduction in perfectionism; as they had a much higher level of perfectionism before treatment, however, their change only amounted to a lowering of their level of perfectionism to the level that characterized the treatment responders before treatment. The treatment responders, on the other hand, reduced their level of perfectionism to that of non-clinical samples.     

Walking versus biofeedback: a comparison of acute interventions for stressed students

Background: High rates of stress-related problems in college students and low utilization of treatment options demonstrate the need for effective stress-reducing interventions that can be self-regulated. This study compared the effect of brief paced-breathing with biofeedback and exercise interventions on heart rate variability, state anxiety and affect. Methods: Students (n?=?32) with high levels of perceived stress completed three 10-min interventions on separate days: paced-breathing with biofeedback (Biofeedback), a self-paced walk (Exercise), and an attention control condition of quiet studying (Quiet Study). Anxiety and affect were measured before (Pre), immediately after (Post0) and 15 mins after (Post15) the intervention. Heart rate variability was measured pre- and post-intervention using electrocardiogram. Results: Biofeedback reduced anxiety more than the exercise condition (Pre to Post0: Biofeedback d?=??0.48, Exercise d?=??0.13). Secondly, Exercise temporarily increased energy (Pre to Post0: d?=?0.67), whereas Biofeedback temporarily increased calmness (Pre to Post0: d?=?0.51). All conditions significantly increased total heart rate variability (p?Conclusions: Biofeedback and Exercise interventions improved emotional states in high-stress college students, but the type of change observed (i.e. energizing, calming or anxiety reducing) depended upon the condition.     

Diminished heart rate complexity in adolescent girls: a sign of vulnerability to anxiety disorders?

Background and Objectives: Diminished heart rate variability has been found to be associated with high anxiety symptomatology. Since adolescence is the period of onset for many anxiety disorders, this study aimed to determine sex- and anxiety-related differences in heart rate variability and complexity in adolescents.

Methods: We created four groups according to sex and anxiety symptomatology: high-anxiety girls (n?=?24) and boys (n?=?25), and low-anxiety girls (n?=?22) and boys (n?=?24) and recorded their cardiac function while they performed regular school activities. A series of two-way (sex and anxiety) MANOVAs were performed on time domain variability, frequency domain variability, and non-linear complexity.

Results: We obtained no multivariate interaction effects between sex and anxiety, but highly anxious participants had lower heart rate variability than the low-anxiety group. Regarding sex, girls showed lower heart rate variability and complexity than boys.

Conclusions: The results suggest that adolescent girls have a less flexible cardiac system that could be a marker of the girls’ vulnerability to developing anxiety disorders.     

Anxiety and dimensions of perfectionism in first year college students: The mediating role of mindfulness

IntroductionAnxiety and perfectionism affect academic success of college students. Mindfulness is associated with decrease anxiety and perfectionism among college students.ObjectiveThis study evaluates the mediating role of dispositional mindfulness on the relationship between adaptive and maladaptive dimensions of perfectionism and anxiety in first year college students.MethodThe subjects, 283 first year college students (59.5% girls), completed self-reported measures of anxiety, perfectionism and dispositional mindfulness.ResultsOur results show that maladaptive perfectionism is associated with greater anxiety, and a higher dispositional mindfulness score is associated with less anxiety symptoms. Also, mindfulness mediates the relationship between maladaptive perfectionism and anxiety symptoms, especially in girls. When the shared variance of maladaptive and adaptive perfectionism is statistically controlled, adaptive perfectionism is associated with anxiety symptoms in boys and mindfulness in girls.ConclusionThis study confirms the mediating role of mindfulness on the relation between maladaptive perfectionism and anxiety. Gender differences, limits of the mindfulness measure and future research are discussed.     

Effectiveness of therapy group in women with localized breast cancer

Background/ObjectiveBreast cancer causes high levels of anxiety and depression, deteriorating quality of life of patients. Several studies have found that group therapy reduces depression and anxiety also improves the quality of life. The aim of this study is to analyze group therapy effectiveness in emotional state and quality of life in women with breast cancer after finalized medical treatments.MethodParticipants in this study were 100 adult women diagnosed of breast cancer non-mestastasic and were divided into two types of intervention groups (Self-esteem-Social Skills and Cognitive-Behavioral Therapy). Evaluation instruments were questionnaire Functional Assessment of Breast-cancer Therapy (FACT-B) and Hospital Anxiety and Depression Scale (HADS).ResultsA statistically significant effect of group therapy in reducing anxiety and depression were observed. Quality of life and emotional well-being significantly improved. These effects remain three months after intervention.ConclusionsThe results show that the psychological intervention group is efficient to improve emotional state and quality of life of women with breast cancer.     

Regulation strategies during COVID-19 quarantine: The mediating effect of worry on the links between coping strategies and anxiety

IntroductionThe COVID-19 outbreak forced Italian citizens into a generalized quarantine from March to May 2020. The quarantine is a successful measure to reduce the virus's spread through physical and social distancing, but it can also have negative psychological consequences on the population. People experience high levels of worry and anxiety and have to cope with the consequences of the health emergency. The aim of this study was to preliminarily assess the causal relations among coping, worry and state anxiety at the time of COVID-19 first wave, and the mediation role of worry between coping and state anxiety.MethodsDuring March 2020, 1273 Italian citizens completed an ad hoc online survey composed of sociodemographic and preoccupation-related questions, and standardized self-report questionnaire (Brief COPE, Penn State Worry Questionnaire and State-Trait Anxiety Inventory-State form). Three separate mediation models were performed.ResultsThe relationship between coping strategies (i.e.: problem-focused coping, emotion-focused coping and dysfunctional coping) and state anxiety resulted to be mediated by worry. Dysfunctional and problem-focused coping had a negative effect on anxiety scores and this effect was amplified by high levels of worry. Emotion-focused coping reduced state anxiety scores through its effect on reducing the levels of worry, which in turn was related to a reduction in anxiety.ConclusionThe present study offers first evidence for the mediation role of worry in the relation between coping and anxiety during quarantine caused by COVID-19 pandemic. It supports the clinical importance of investigating people's coping strategies along with the levels of (cognitive) worry and their long-term effects on the psychological well-being during the outbreak, in order to deliver adequate personalized interventions. Psychological support should enhance emotion-focused coping strategies that have a protective effect on both worry and anxiety.     

Children and adolescents who stutter: Further investigation of anxiety

PurposeDespite the greatly increased risk of social anxiety disorder in adults who stutter, there is no clear indication of the time of onset of this disorder in childhood and adolescence. The purpose of this study was to explore this issue further using the Revised Children's Manifest Anxiety Scale (RCMAS), so that appropriate interventions can be developed prior to adulthood. This is the first time the RCMAS has been completed by children younger than 11 years. Using the same test for both school-age children and adolescents can potentially identify when anxiety starts to develop from age 6 years through to adulthood.MethodsThe RCMAS was administered to 18 school-age boys, five school-age girls, 41 adolescent boys and nine adolescent girls who were seeking treatment for their stuttering. Participants also rated the severity of their own stuttering.ResultsAll mean scaled scores on the four RCMAS subscales and Total Anxiety scores were within normal limits. However, for both groups of boys, scores on the Lie Scale were significantly higher than scores on the other three subscales.ConclusionsExperts suggest high scores on the RCMAS Lie Scale are indicative of participants attempting to present themselves in a positive light and so cast doubt on the veracity of their other responses on the test. One interpretation, then, is that the boys were concealing true levels of anxiety about their stuttering. The results suggest why findings of anxiety studies in children and adolescents to date are equivocal. Clinical implications are discussed.Educational objectives: The reader will be able to: (a) discuss why understanding when anxiety starts in people who stutter is important, (b) describe the function of the RCMAS Lie sub scale and (c) summarize the possible implications of the RCMAS findings in this study.     

Systematic review of the effectiveness of interpersonal coach education interventions on athlete outcomes

ObjectivesTo systematically review and evaluate the literature on the effectiveness of coach education interventions. Specifically, we aimed to: (a) describe the non-formal coach education interventions aimed at coaches' interpersonal knowledge base, (b) highlight underpinning theoretical models, (c) assess the methodological quality of articles evaluating these interventions, (d) identify participant characteristics, and (e) establish the effect of these interventions on athletes' cognitive, affective, and behavioural outcomes.DesignSystematic review of published empirical research.MethodPublished English language articles were identified using electronic databases and manual searches of reference lists. The quality of the identified articles was assessed using the Effective Public Health Practice Project (EPHPP) tool.ResultsFour interventions fulfilled the inclusion criteria and were thus systematically reviewed. Overall, education interventions based on coach effectiveness training and achievement goal theory produced mixed effects on a variety of athlete outcomes, such as anxiety, self-esteem, fear of failure, and motivational orientation.ConclusionsDue to the diversity in athlete outcomes and intervention design, it is difficult to draw firm conclusions around the effectiveness of coach education interventions. The small number of identified interventions highlights the current paucity of empirical data on coach education intervention effectiveness. More research is needed to further our understanding of intervention effectiveness to allow for growth and improvement in coach education. Furthermore, theory-based, rather than “theory inspired” coach education interventions are required.     

The Relationship among Metacognitions,Attentional Control,and State Anxiety

Abstract

The present study explored the relationship among metacognitions, attentional control, and state anxiety. A convenience sample of 142 undergraduate students completed the Meta-Cognitions Questionnaire-30, the Attentional Control Scale, and the State subscale of the State–Trait Anxiety Inventory 3 weeks before end-of-year examinations. A cross-sectional design was adopted, and data analysis consisted of correlation and hierarchical regression analyses. Correlation analyses showed that three dimensions of metacognition (negative beliefs about thoughts concerning uncontrollability and danger, cognitive confidence, and beliefs about the need to control thoughts) were positively correlated with state anxiety. These same metacognitions were also found to be negatively correlated with attention shifting and, with the exception of cognitive confidence, attention focusing. Both attention focusing and attention shifting were found to be negatively correlated with state anxiety. A hierarchical regression analysis showed that negative beliefs about thoughts concerning uncontrollability and danger and attention focusing independently predicted state anxiety. Overall, these findings support the hypotheses and are consistent with the metacognitive theory of psychological dysfunction in that they show that metacognitions (in the form of negative beliefs about thoughts concerning uncontrollability and danger) and executive control (in the form of attention-focusing) individually contribute to state anxiety. The implications of these findings are discussed.     

Covert and overt orienting of attention to emotional faces in anxiety

Attentional biases for emotional faces were investigated in high, medium, and low anxiety groups (N = 54) using a probe detection task. Four types of facial expression (threat, sad, happy, neutral) were used to examine the specificity of the bias. Attentional bias measures were derived from manual reaction times (RTs) to probes and the direction of initial eye movement (EM) to the faces. The RT data indicated enhanced vigilance for threat rather than neutral faces in high and medium, but not low, state anxiety. The bias for negative faces appeared to be a combined function of stimulus threat value and the individual's anxiety level. The RT bias did not seem to depend on overt orienting, as many participants made few EMs. However, those who made frequent EMs to the faces showed concordance between the RT and EM bias measures, and so the RT measure of attentional bias for negative versus positive faces at 500 ms appears to provide a valid index of the direction of initial orienting to emotional stimuli. There was no evidence of an anxiety - related bias for happy faces (predicted by the emotionality hypothesis), nor a dysphoria - related bias for sad faces. However, increased dysphoria scores were associated with reduced attentiveness to happy faces.     

Attentional processing of emotional material in types of anxiety and depression

ABSTRACT

The present study was designed to address the hypothesis that differences and similarities in patterns of attentional processing in recently proposed types of anxiety and depression are connected with the dominant (reactive, regulative) function they play in stimulation processing and their structural components. Participants (N?=?1247) filled out the Anxiety and Depression Questionnaire, which assesses types of anxiety and depression, and completed the Emotional Faces Attentional Test one week later. The obtained results confirmed our prediction and suggested that the proposed typology of anxiety and depression is valid in the adaptive meanings of both phenomena.     

Effects of anxiety,a cognitive secondary task,and expertise on gaze behavior and performance in a far aiming task

ObjectivePrevious studies focused on investigating the separate effects of anxiety, cognitive load, and expertise on perceptual-motor performance, but the combined effects of these factors have not been studied yet. The objective of the current study was to investigate these factors in combination.DesignEleven expert dart players and nine novices performed a dart throwing task in low-anxiety (LA) and high-anxiety (HA) conditions with and without a secondary task.MethodTo manipulate anxiety the dart throwing task was performed low (LA) and high (HA) on a climbing wall with and without the secondary counting backwards task. Performance and efficiency of task execution and gaze behavior were assessed.ResultsThe anxiety manipulation evoked a decrease in dart performance, but only for the novices. Increases in mental effort and dart times and a decrease in response rate on the secondary task were observed for both groups. This shows that there were decreases in processing efficiency with anxiety. Most important, the anxiety-induced decrease in performance for the novices was accompanied by final fixations on the target that were substantially shorter and deviated off the target earlier. The dual task did not affect performance.ConclusionAnxiety affects efficiency and sometimes performance in far aiming tasks. Changes are accompanied by changes in gaze behavior, particularly the final fixation on the target. All in all, findings provide support for Attentional Control Theory as a suitable framework to explain the effects of anxiety, a cognitive secondary task, and expertise in far aiming tasks.     

Social Anxiety,Social Skills and Expectancy/ Cost of Negative Social Events

Abstract

The aim of the study was to investigate the relationships between social anxiety, social skills and estimated cost as well as expectancy of negative social/non-social events. One hundred and twenty-six students (half males and half females) filled in the Social Phobia and Anxiety Inventory (SPAI), the Social Skills Inventory (SSI), and measures of expectancy and estimated cost of negative social and non-social events. Social anxiety was negatively correlated with self-reported social skills. Further, social anxiety was strongly related to both expectancy and estimated cost of negative social, as opposed to non-social, events. Social skills were related to expectancy, but not to estimated cost of negative social events. Finally, the correlation between social anxiety and expectancy of negative social events disappeared when social control (measured with a subscale of SSI) was partialized out of the relationship, whereas the correlation between social anxiety and estimated cost of negative social events did not. Potential therapeutic implications are discussed.     

Attentional control mediates fearful responding to an ecologically valid stressor

Background and Objectives: Attentional control (AC) is defined as the ability to voluntarily shift and disengage attention and is thought to moderate the relationship between preexisting risk factors for fear and the actual experience of fear. Design: This longitudinal study elaborates on current models of AC by examining whether AC moderates or mediates effects of an ecologically valid stressor (a college examination) and also whether AC is predictive of state-like fear over longer timescales than previously reported. Methods: Based on previous findings, we hypothesized that AC would moderate the relationship between trait anxiety and affective distress in response to the examination stressor. We also tested a competing mediational model based on AC theory. These models were tested in two separate samples (sample 1, N = 219; sample 2, N = 129; Total N = 348) at two time points, at the beginning of a college semester in a large undergraduate class and 5 minutes prior to a college examination. Results: Mediation but not moderation of anxiety by AC was supported in both samples using multiple dependent measures. Conclusions: We conclude that AC may be useful in predicting affective distress in naturalistic settings, particularly in cases where anxiety is anticipatory.     

The role of BIS/BAS in the vulnerability for depression in adolescent girls

Reinforcement Sensitivity Theory (RST), the original (i.e. Gray, 1982) or revised (Gray & McNaughton, 2000), has yet to be used as a framework for investigating vulnerability to Major Depressive Disorder (MDD) in adolescents. The present study employed a high-risk design to examine whether aberrant BIS-FFFS/BAS activity was similarly present in both depressed girls and girls at high risk for depression.MethodsN = 85 age-matched biological daughters of mothers with differential MDD status: (a) MDD (n = 17), (b) high-risk (n = 34), and (c) healthy controls (n = 34) completed measures of the BIS/BAS, depression, and anxiety.ResultsMDD girls scored significantly higher on BIS than healthy controls but not high-risk girls, and the high-risk and control groups did not differ. No group differences were found on BAS or FFFS-Fear.ConclusionsElevated BIS was not identified as a vulnerability factor for MDD; however, it does distinguish depressed adolescents from healthy controls.     

The Life Skills Training Program as a Health Promotion Strategy:

Life skills training can be considered an essential kind of school health promotion effort. In this article, the theoretical foundations of the Life Skills Training Program are described. Then, the components of the intervention program are presented, including: (1) cognitive component; (2) decision making component; (3) techniques for coping with anxiety; (4) social skills training component; and (5) self-improvement component. Selected evaluation studies of the Life Skills Training Program are summarized to show effects on student health risk factors. Finally, general implications of school health promotion are discussed.     

French adaptation of the Attentional Control Scale: Confirmatory factor analyses and relationship with trait anxiety and efficiency of orienting,alerting, and executive control attentional networks

BackgroundThe Attentional Control Scale (ACS) is a self-report questionnaire that measures individual differences in attentional control.ObjectiveThis study compared four models of the French version of the ACS and examined its links to trait anxiety and three attentional networks (orienting, alerting, and executive control) measured with the Attention Network Test (ANT).ResultsConfirmatory analyses conducted with a sample of 284 university students supported a two-factor (focusing and shifting) model. For 59 participants who completed the ANT, we found a positive correlation between focusing and the executive control network, while shifting was negatively correlated with alerting and orienting. Trait anxiety was negatively correlated with focusing and the alerting and executive control networks.ConclusionResults are discussed with a view to improving the assessment of attentional control, a key executive dimension for emotion regulation and attentional disengagement in anxiety.