Negative cognitions and avoidance in emotional problems after bereavement: a prospective study

Cognitive behavioural conceptualisations of grief propose that negative cognitions and avoidance strategies play a key role in emotional problems after bereavement. In the current study, this assumption was examined. Ninety-seven individuals who had lost a relative less than 5 months ago completed questionnaires tapping background and loss-related variables, negative cognitions (about the self, life, the future, and one's own grief reactions), avoidance, and symptoms of complicated grief (CG) and depression. Of these mourners, 70 people (72%) completed symptom measures again 6 months later at T2 (7-10 months after the loss), and 60 (62%) completed symptoms measures still 9 months later at T3 (16-19 months after the loss). Among other things, results showed that all four cognitive variables and the avoidance variable were strongly associated with concurrent and prospective symptom levels, even when the influence of relevant background/loss-related variables was controlled. In addition, independent of initial symptom levels, most of the cognitive variables predicted later CG and depression. The avoidance variable only predicted additional variance in depression at T3 beyond T1 symptom levels. Findings indicate that negative cognitions are important in emotional problems after bereavement and that the role of avoidance in the development of these problems needs further scrutiny.     

One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions

The purpose of this study was to investigate the effectiveness of a single session of cognitive restructuring in a sample of phobic dental patients. Fifty-two patients were randomly assigned to one of three conditions: cognitive restructuring (modification of negative cognitions), provision of information (about oral health and dental treatment), and a waiting list control condition. Both interventions maximally lasted one hour. In comparison with the waiting list control condition and the information intervention condition, the cognitive intervention condition not only showed a large decrease in frequency and believability of negative cognitions, but also exhibited a clear decline in dental trait anxiety. Analysis at a follow-up of one year demonstrated a further, drastic reduction in dental anxiety in both intervention conditions, wherein the difference among these conditions was not maintained. It is concluded that it is possible to obtain substantial reductions of dental trait anxiety through a single session of cognitive restructuring. Nevertheless, repeated exposure to the dental situation seems necessary for a further reduction of anxiety.     

Negative self-focused cognitions mediate the effect of trait social anxiety on state anxiety

The cognitive model of social anxiety predicts that negative self-focused cognitions increase anxiety when anticipating social threat. To test this prediction, 36 individuals were asked to anticipate and perform a public-speaking task. During anticipation, negative self-focused cognitions or relaxation were experimentally induced while self-reported anxiety, autonomic arousal (heart rate, heart rate variability, skin conductance level), and acoustic eye-blink startle response were assessed. As predicted, negative self-focused cognitions mediated the effects of trait social anxiety on self-reported anxiety and heart rate variability during negative anticipation. Furthermore, trait social anxiety predicted increased startle amplitudes. These findings support a central assumption of the cognitive model of social anxiety.     

The angry cognitions scale: a new inventory for assessing cognitions in anger

Although cognitive–behavioral therapy is the preferred anger management treatment, research on the cognitive processes associated with anger is relatively sparse. One reason for this has been a lack of adequate measures of the cognitive processes associated with anger. The current study addresses this limitation by developing a theoretically derived instrument to measure the cognitive processes thought to be associated with maladaptive anger. Pilot work identified a set of 72 items written to reflect 5 domains that cut across cognitive theories of anger: overgeneralizing, inflammatory labeling, demandingness, catastrophic evaluation, and misattributing causation. Items were administered to 362 participants and statistical analyses yielded the 54-item Angry Cognitions Scale (ACS). Evidence supporting the construct validity of the ACS was demonstrated through relationships with the experience and expression/control of anger, hostile thoughts, anger consequences, depression and anxiety, and other measures of positive and negative cognitions.     

The role of optimism and pessimism in chronic pain patients adjustment

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.     

Defensive pessimism: harnessing anxiety as motivation

In this article we discuss the strategies that people may use to cope with situations that are risky in that they present the possibility for failure and potential threats to self-esteem. Previous research has indicated that anxiety (Sarason, 1980) and explicitly set low expectations (Sherman, Skov, Hervitz, & Stock, 1981) may lead to performance deficits in these situations. Experiment 1 indicates, in contrast, that with a strategy called defensive pessimism (Norem & Cantor, 1986), individuals may sometimes use low expectations to cope with their anxiety so that it does not become debilitating. A second experiment further supports the contention that low expectations may help individuals negotiate risky situations by showing that interference with the defensive-pessimism strategy impairs performance. Subjects whose strategic construction of the situation was not interfered with do not show impaired performance. These data are interpreted as evidence that the effects of low expectations and high anxiety on performance may be mediated by the strategies individuals use when approaching risky situations.     

Optimism, pessimism, and change of psychological well-being in cancer patients

Whereas most previous studies have assessed optimism/pessimism as a unidimensional construct, there is increasing awareness that optimism and pessimism may represent two partially independent dimensions. In this study, the role of optimism and pessimism for the maintenance of psychological well-being was assessed in 161 newly diagnosed cancer patients. Before the start of chemotherapy, more positive affect balance was associated with higher optimism and lower pessimism. Over the course of 9 months following diagnosis, pessimism predicted negative change in affect balance, whereas no effect of optimism appeared. Higher levels of perceived side-effects of chemotherapy were associated with negative change in affect balance. However, an interaction effect of perceived side-effects with pessimism indicated that this was only the case in patients with above-median levels of pessimism. The conclusion is drawn that it may be more important to be less pessimistic than to be optimistic when diagnosed with cancer.     

Optimism and pessimism: Associations to coping and anger-reactivity

The purpose of the present study was to examine episodic coping and situational anger-reactivity in relation to optimism and pessimism while correcting for some of the limitations of previous research. In the present investigation, optimism and pessimism were operationalized as separate constructs. In addition, an attempt was made to ‘standardize’ the nature of the Stressor that subjects reported on, and to assess short-term emotional reactivity. Semipartial correlational analyses that corrected for multicollinearity among the coping subscales indicated that, independent of variability in the contextual features of the Stressors, scores on the optimism subscale of the Life Orientation Test (LOT) were positively correlated with confrontive coping and accept-responsibility coping, and inversely related to escape-avoidance coping. Pessimism scores were positively related to escape-avoidance coping and inversely related to confrontive coping and planful problem solving coping. Neither optimism nor pessimism were related to levels of ‘stress-induced’ anger reactivity. These data suggest that optimism and pessimism are distinct constructs, that each construct is associated with different coping strategies, and that coping differences between optimists and pessimists are not necessarily associated with differences in emotional reactivity. These findings have implications for future research examining dispositional optimism and pessimism as stress-moderating personality factors.     

Dispositional pessimism,defensive pessimism and optimism: The effect of induced mood on prefactual and counterfactual thinking and performance

This study analyses the extent to which dispositional pessimists differ from defensive pessimists and optimists in the generation of prefactual and counterfactual thoughts and in their performance in an anagram task, under different conditions of induced mood. Dispositional pessimists performed in a similar manner in all circumstances, recording an equal number of prefactual thoughts. By contrast, optimists and defensive pessimists optimised their performance under positive and negative conditions, respectively. It should be noted that after performing this task, the number of counterfactual thoughts expressed by dispositional pessimists varied according to mood states. The results are discussed in terms of the rigidity of the generalised expectations of dispositional pessimism.     

Retroactive pessimism: a different kind of hindsight bias

In an attempt to regulate disappointments people may sometimes change their perceptions of the events leading to an undesirable outcome so that in retrospect this outcome seems almost inevitable. This retroactive pessimism effect was demonstrated in three studies. In the first, sports fans rated the likelihood of success for their team and its opponent before and after an important soccer match. Evidence for significant pre‐ and post‐game probability shifts was found for the fans of the defeated team but not for the supporters of the winning opponent. In the second and the third experiments participants responded to a scenario depicting a loss of stipend that was either large or small in value. Participants were expected to show more evidence of retroactive pessimism with greater disappointment. Indeed, estimates of the probability of a more favorable counterfactual outcome were sensitive to the magnitude of the loss with lower estimates of the probability that things could have turned out better in the large stipend condition. The effect was attenuated, however, when the loss was not personal but rather that of a friend (Experiment 2), or when the disappointment was mitigated (Experiment 3). Copyright © 2002 John Wiley & Sons, Ltd.     

亲密关系中的权力认知

亲密关系中的权力是指亲密关系中的一方改变另一方的思想、情感和/或行为以使其与自己的偏爱相符合的能力或潜能,以及抵抗另一方施加影响企图的能力或潜能。二元权力——社会影响模型和权力的关系阶段模型是关于亲密关系中的权力的最新理论进展。研究者通常使用自评法、观察编码法和实验操纵法对亲密关系中的权力进行测量。亲密关系中的权力能够对认知、情绪情感、亲社会行为、攻击行为、性行为产生影响。在未来的研究中,应注意从社会关系的角度看待亲密关系中的权力,并探讨亲密关系中的权力与一般权力的关系、亲密程度对亲密关系中权力效应的影响、以及关系阶段对亲密关系中权力影响策略的影响。     

Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients.

The present study investigated the relationship between respiratory function, catastrophic thoughts about anxiety, and panic in 48 Chronic Obstructive Pulmonary Disease (COPD) patients. During a routine office visit which included respiratory function tests (Forced Vital Capacity, FVC; Forced Expiratory Volume--first second, FEV1) patients completed a battery of questionnaires which assessed history of panic, days with shortness of breath, general activity level, agoraphobic cognitions, perception of bodily sensations, anxiety and depression. Thirty-seven percent of the sample reported experiencing a panic attack. Subjects showed a significant impairment in respiratory functioning. Patients with a history of panic did not differ from those who had not experienced panic on demographic, physiologic, or activity variables. Patients who experienced panic reported significantly more agoraphobic cognitions and greater concern with bodily sensations than did patients who did not experience panic.     

An investigation of concurrent validity between two optimism/pessimism questionnaires: The life orientation test-revised and the optimism/pessimism scale

The purpose of this investigation was to investigate the concurrent validity of the Life Orientation Test-Revised (LOT-R) (Scheier et al., 1994) and Optimism/Pessimism Scale (OPS) (Dember et al., 1989) by administering each questionnaire to the same group of participants. The 154 participants (84 men and 70 women) were volunteer university students enrolled in physical activity classes at a southeastern university. The questionnaires were counterbalanced to reduce possible bias due to taking one questionnaire before taking the other. Due to recent suggestions concerning scoring mechanisms for the LOT-R (Dember et al., 1989; Hummer, Dember, Melton & Schefft, 1992; Lightsey, 1996; Marshall and Lang, 1990) the instrument was scored to produce a unidimensional score and two subscale scores. The analysis suggested that the LOTR and OPS may not be measuring similar constructs. The results revealed that the LOT-R may be measuring “trait” optimism and pessimism, while the OPS may be measuring “state” optimism and pessimism. It was also suggested that future research investigate racial differences on these constructs.     

The role of cognitions in OCD treatment: toward rapprochement

The authors of the papers in this special issue have underscored the efficacy of both psychological and pharmacological treatments for OCD. Despite the potency of these interventions, complete symptom remission rarely occurs. Furthermore, problems related to treatment drop-out, the persistence of residual symptoms despite adequate therapy, patients' vulnerability to relapse and recurrence, and the lack of a clear method for managing co-morbidity or treating OCD subtypes remain incompletely addressed. This response to the authors' papers evaluates their positions and extends their papers by examining issues such as how cognitive therapy and exposure and response prevention can best be integrated, the role of medication in OCD treatment, factors that impact treatment readiness and/or resistance, and the need for effectiveness research.     

Dispositional pessimism predicts illness-related disruption of social and recreational activities among breast cancer patients

The authors tested whether dispositional pessimism would predict withdrawal from social activities among women treated for breast cancer. In a cross-sectional sample 3-12 months postsurgery, disruption of social and recreational activities (measured by the Sickness Impact Profile) correlated with concurrently assessed pessimism. This association appeared mediated by emotional distress and fatigue. A longitudinal sample was studied shortly postsurgery and over the next year. Initial pessimism predicted disruption of social activities concurrently and prospectively (3, 6, and 12 months later) but predicted change in disruption from one time to the next only at final follow-up. These associations appeared partially mediated by distress. The authors conclude that pessimism places patients at risk for adverse outcomes in several respects rather than solely with regard to emotional distress.     

An investigation of concurrent validity between two optimism/pessimism questionnaires: The life orientation test-revised and the optimism/pessimism scale

The purpose of this investigation was to investigate the concurrent validity of the Life Orientation Test-Revised (LOT-R) (Scheier et al., 1994) and Optimism/Pessimism Scale (OPS) (Dember et al., 1989) by administering each questionnaire to the same group of participants. The 154 participants (84 men and 70 women) were volunteer university students enrolled in physical activity classes at a southeastern university. The questionnaires were counterbalanced to reduce possible bias due to taking one questionnaire before taking the other. Due to recent suggestions concerning scoring mechanisms for the LOT-R (Dember et al., 1989; Hummer, Dember, Melton & Schefft, 1992; Lightsey, 1996; Marshall and Lang, 1990) the instrument was scored to produce a unidimensional score and two subscale scores. The analysis suggested that the LOTR and OPS may not be measuring similar constructs. The results revealed that the LOT-R may be measuring “trait” optimism and pessimism, while the OPS may be measuring “state” optimism and pessimism. It was also suggested that future research investigate racial differences on these constructs.     

Optimism and pessimism dimensions in the Life Orientation Test-Revised: Method and meaning

The Life Orientation Test and its revision include items tapping both the belief that good things will happen (optimism) and the belief that bad things will not happen (low pessimism). The present investigation addressed the relationship of optimism and pessimism from psychometric and substantive perspectives. Two variations of the LOT-R, one with standard items and one with extreme adverbs (e.g., “always”) removed, were administered to undergraduate (n = 971) and web-based samples (n = 2806). Although there was psychometric support for a bidimensional structure in both versions, only the revised version showed substantive differences in the correlations of optimism versus pessimism with personality criteria. The generic recommendation is to use the original, unidimensional scale.     

Convergence and predictive validity in measures of optimism and pessimism: Sequential studies

Optimism and pessimism are personality variables that have repeatedly been shown to affect health, job performance, and social relationships. Various instruments purport to measure these dispositions that differ substantially in their theoretical and measurement models. While research has examined relations between subsets of these measures, their unique predictive ability has been neglected. Three sequential studies evaluated the interrelation and predictive ability of the three most utilized instruments, the Life Orientation Test (LOT), the O/P Instrument (OPI) and variants of the Attributional Style Questionnaire (ASQ). Consistent with expectations, measures sharing a future-expectancy component (LOT and OPI) were moderately related and most predictive of health, depression, and coping. ASQ measures were modestly related to the LOT and OPI and offered less consistent predictions.