Lung function, adherence and denial in asthma patients who exhibit a repressive coping style

Lung function, adherence and denial were explored in asthma patients who possess a repressive coping style (repressors). Repressors (low trait anxiety, high defensiveness) and non-repressors were identified by their trait anxiety and defensiveness scores. Participants completed measures of self-reported adherence, denial, morbidity and demographic data. A lung function measure (FEV(1)) was obtained for a subset of patients. Repressors, who comprised 33% of the sample, had significantly worse lung function but scored significantly higher on self-reported adherence, compared to non-repressors. Age was positively correlated with adherence. Although repressive coping was positively correlated with denial, denial was significantly correlated with defensiveness but not trait anxiety. The study provides evidence that repressors are an important group to identify in future studies of asthma.     

Selective looking by infants

Previous studies of selective looking have shown that adults and young children can easily follow one visually specified event while ignoring another on which it is optically superimposed. The present experiments show that 4-month-old infants have the same ability. Two films were shown superimposed on the same screen, while one soundtrack was played in an attempt to influence the subjects' perceptual selection. When the films were separated during test periods, the infants looked mostly at the previously silent film, suggesting that it was novel for them. Control experiments showed that completely unfamiliar films elicited comparable novelty preferences in the same situation, that the soundtrack could also influence perceptual selection during side-by-side presentation of the same films, and that cross-modal habituation to the soundtrack alone could not account for the results. Perception is inherently selective, even in the first months of life.     

Cognitive subprocesses of mental rotation: why is a good rotator better than a poor one?

The Vanderberg-Kuse Mental Rotation Test is a standard test of mental rotation ability. Recent experiments have demonstrated that mental rotation is a complex cognitive process wherein different subprocesses (focused attention, visual scanning, perceptual decision, visual memory) play important roles in performance. We classified the population as good and poor rotators by performance of mental rotation (ns = 47: 22 men and 25 women, respectively; mean age: 20.7 yr.). To examine differences cognitive subprocesses of mental rotation of these two groups were compared. There were significant differences between poor and good rotators in performance on Raven's test and the Pieron Focused Attention test scores. The good rotators scored better because their perceptual decision-analytical intelligence (Raven) and focused attention scores were higher.     

Cognitive and affective consequences of repressive coping

This investigation examined whether repressors, individuals who seem especially reactive to emotional stimuli, would attempt to control their emotional reactions to unpleasant events, and whether such attempts would impair repressors’ recall for those stimuli. Participants viewed either an unpleasant or an emotionally neutral film and then reported their mood following the film and their recall memory for details in the film. Repressors reported a more pleasant mood than nonrepressors after the unpleasant film. Repressors did not, however, differ from non-repressors in their memory for details in the film. The results suggest that while repressors are efficient regulators of emotion, the cognitive effects of the repressive coping style are less clear. This research was supported by a University of Plymouth QR grant to the first author.     

Repression versus sensitization in response to media violence as predictors of cognitive avoidance and vigilance

Repression and sensitization as situational modes of coping with anxiety were examined as predictors of trait measures of cognitive avoidance and vigilance. In this study, 303 undergraduates saw a violent film clip to elicit anxiety. Increases in skin conductance level (SCL) and state anxiety (STA) from baseline were measured to identify repressors (high SCL, low STA) and contrast them with sensitizers (low SCL, high STA) and genuinely low anxious individuals (low SCL, low STA). State anger was also recorded. Trait measures of vigilance and cognitive avoidance were collected 2 weeks earlier. Significant SCL × STA interactions indicated that repressors scored higher on cognitive avoidance and lower on vigilance compared to sensitizers and low anxious participants. Repressors were less likely than sensitizers to report gaze avoidance during the clip. The anger by SCL interaction was nonsignificant, suggesting that repressors and sensitizers differ specifically in the processing of anxiety rather than negative affect in general.     

Cognitive and affective consequences of repressive coping

This investigation examined whether repressors, individuals who seem especially reactive to emotional stimuli, would attempt to control their emotional reactions to unpleasant events, and whether such attempts would impair repressors’ recall for those stimuli. Participants viewed either an unpleasant or an emotionally neutral film and then reported their mood following the film and their recall memory for details in the film. Repressors reported a more pleasant mood than nonrepressors after the unpleasant film. Repressors did not, however, differ from non-repressors in their memory for details in the film. The results suggest that while repressors are efficient regulators of emotion, the cognitive effects of the repressive coping style are less clear. This research was supported by a University of Plymouth QR grant to the first author.     

Preferential processing of visual trauma-film reminders predicts subsequent intrusive memories

This study used an analogue design to test the hypothesis that preferential processing of visual trauma reminders in the aftermath of a stressful or traumatic event gives rise to subsequent intrusive memories. Shortly after the presentation of a stressful film fragment, participants (n=36) were asked to detect neutral targets (rotated buildings or nature scenes) in a single target rapid serial visual presentation (RSVP) paradigm. During half of the streams, the target was preceded by a distracter. The distracters consisted of visual images extracted from an earlier presented stressful film (e.g., persons and objects that figured in the film). The degree of interference by these film reminders predicted subsequent intrusions recorded in a one-week diary. The results provide evidence that a deficient ability to obtain attentional control over perceptual “trauma” reminders during goal-directed behaviour may set people at risk for persistent intrusive memories. Implications for research investigating attentional bias and intrusive memories in context of posttraumatic stress disorder (PTSD) are discussed.     

Measurement of Preoperative Anxiety in Young Children: Self-report Versus Observer-rated

The utility of the self-report Children’s Anxiety and Pain Scale Anxiety subscale (CAPS-A) in comparison to the widely used, observer-rated Modified Yale Preoperative Anxiety Scale (mYPAS) in assessing anxiety in children undergoing day surgery procedures was examined. The CAPS-A test-retest reliability, concurrent validity with the Modified Yale Preoperative Anxiety Scale (mYPAS), and sensitivity to expected increases in anxiety at stressful times during the preoperative period were examined. Levels of observer-rated (mYPAS) and self-reported anxiety (CAPS-A) were obtained from 61 children (3 to 6 years) undergoing day surgery procedures. The CAPS-A demonstrated adequate test-retest reliability. Concurrent validity between the CAPS-A and mYPAS scores was poor. The CAPS-A failed to show sensitivity to the expected increases in anxiety at stressful time-points. Thus, an alternative scoring strategy for the CAPS-A was proposed (i.e., child’s refusal to point was scored as high anxiety). Post-hoc analyses demonstrated good concurrent and adequate convergent validity with the alternative scoring strategy.     

Rorschach object relations and fantasy themes incorrectly scored as determinants

Determinants are perceptual features of inkblots, but movement, reflections, pairs, and subdivisions of shading, scored as determinants, actually represent associative elaborations. Such misclassification of determinants obfuscates the response process and makes it difficult to evaluate the validity of inferences. To the extent that these scores are useful, they can be improved upon by fully developed content analysis. Movement, reflections, and pairs can best be understood as manifestations of object relations content themes, as scored in systems developed by Blatt, Krohn & Mayman, and Urist. Determinant scores for reflections and pairs should be eliminated. Shading should not be subdivided into texture, vista, and diffuse shading, since these are content themes without clear psychological significance or clear empirical support.     

A new objectively scored version of the Defence Mechanism Test

Kragh's Defence Mechanism Test has proved its worth in a number of applied settings but has hitherto required skilled time-consuming interpretation. Two studies are reported which validate an "objectively scored" version of the test developed using G-analysis. In the first, it was found that this version of the test could successfully predict the performance of trainee pilots. The second study examined the construct validity of this version of the test. It was found that the predictive factor from Study I re-emerged within a sample of students, where it correlated positively with scores on a test of perceptual defence and the Shrewdness (N) scale of the 16PF, and negatively with two of the identification scales of the Defence Mechanism Test. This factor was tentatively identified as one of general defensiveness. It is concluded that this form of the test deserves consideration when selecting individuals for stressful occupations.     

Emotion During Pregnancy and Delivery as a Function of Repression-Sensitization and Number of Childbirths

Two hundred pregnant women were asked, before and after child delivery, to fill out a questionnaire about their feelings during pregnancy and childbirth. A day after delivery, they filled out the revised repression-sensitization (R-S) scale (Byrne, Barry, and Nelson, 1963). Results of the study showed four factors in the women's feelings during pregnancy and child delivery: (1) feelings of pain and anxiety during pregnancy, as well as evaluation of the pain they had suffered during delivery; (2) anxiety in the labor room; (3) fear of giving birth to a defective child: and (4) pain in the labor room. Repressors scored lower on the first three-factors than sensitizers; no significant differences were found between them in the fourth factor. Repressors also indicated that the birth pangs would influence them to postpone their next pregnancy to a lesser extent than did sensitizers. However, both indicated the same actual length of waiting time till their next pregnancy. A possible difference in time perspective between the two groups was suggested to explain this apparent inconsistency. Results also showed that primiparae scored lower on the first factor and higher on the fourth factor than did muitiparae.     

Age at earliest reported memory: associations with personality traits, behavioral health, and repression

The present study examined relationships between the age at earliest memory and the personality traits and behavioral health of 107 undergraduates. Participants answered questions on their earliest memory and completed the Myers-Briggs Type Indicator (MBTI) and a medical history form. Analyses indicated that continuous scores on two MBTI scales (Sensing-Intuition and Judging-Perceiving) were inversely related to age at earliest memory as were participant's self-reported drug and alcohol problems, emotional and psychological symptoms, accident rates, physical symptoms, and satisfaction with health. Respondents who reported first memories at or after 7 years of age (i.e., approximately 1 SD above the mean age at recalled memory) were classified as repressors. Repressors scored in the Sensing and Judging directions on the MBTI and reported significantly fewer emotional symptoms, accidents, psychological symptoms, and less health satisfaction than nonrepressors. Results are consistent with the age at earliest memory and repression literature and support the use of earliest memory age as an index of repression.     

The Göteborg discothèque fire, 1998

Findings from a study of 563 adolescents’ reactions following a discotheque fire that killed 63 young people in Göteborg in October 1998 are presented. The group answered a questionnaire seven months following the disaster. The questionnaire included the Impact of Event Scale (IES) and the Birleson Depression Self‐Rating Scale (DSRS). The level of trauma was found to be very high, while depression scores were less elevated. A little under a third of the students scored above a clinical cut‐off point (> 35) on the IES, indicating high posttraumatic stress levels. Girls evidenced more depression and traumatic stress reactions than boys. Levels of reactions increased with more closeness (knowing victims personally) and if the adolescents were of non‐Swedish origin.     

Effects of short-term preparation on unexpected film stress

Abstract.— A hypothesis concerning the process of suppressing expected film stress was based on data from a previous study and tested in the present study. It was predicted that the "astonishment' responses brought about by an unexpectedly early confrontation would be reduced by a foreperiod, or time interval inserted before the film. This made it possible for the subject to refocus his attention on the film content. Predicted reduction in skin cohductance responses and increased anticipation times for stressful film scenes were obtained for foreperiods of both a 7 min and a 1 1/2 min duration. An attempt to experimentally manipulate the amount of concentration on the film content during a 7 min foreperiod did not affect the preparation process.     

Styles of Inhibiting Emotional Expression: Distinguishing Repressive Coping from Impression Management

ABSTRACT Although repressors' avoidant coping style seems genuinely defensive, an alternative hypothesis is that repressors are actually distress-prone impression managers who provide “socially desirable” verbal reports. To establish discriminant validity, 30 repressors and 30 self-identified impression managers participated in a timed phrase-completion task. Half of the subjects were encouraged to be emotionally expressive and half to be restrained. Repressors were highly defensive regardless of the social demand, and impression managers only managed to match the repressors' level of distancing during the first segment of the inhibitive condition. Repressors were as physiologically reactive when they made defensive claims as they were when they made more negative disclosures to others. Moreover, when confronted, only the repressors denied that their heart rate elevations might be related to their emotional responses. These findings suggest that repressors' limited emotional expression is more determined by defenses against awareness of affect than by self-presentational concerns.     

Knowing how to look predicts the ability to draw realistically

Some young children are able to create stunningly realistic drawings resembling those of adult artists. What perceptual abilities underlie this talent? This study examined two candidate skills on which adult artists excel: the ability to segment a complex form mentally (measured by the Block Design Task) and the ability to see hidden forms (measured by the Group Embedded Figures Test). Sixty‐seven 6‐ to 13‐year‐olds with a wide range of drawing abilities completed these tasks as well as an IQ test and an observational drawing task. While children who scored high on drawing realism outperformed those who scored low in drawing realism on both perceptual tasks, only detection of embedded figures predicted drawing realism. This occurred independently of age, gender, years of training, and verbal and non‐verbal IQ. There are certainly many contributors to this complex ability, but one component appears to be the tendency to see things more as they really are and thereby recognize the continuous contour of an object despite interference from other overlapping objects.     

Effects of preterm birth and gender on temperament and behavior in children

The aim of the present study was to assess the direct and interactive effects of premature birth and gender on temperament and behavioral problems in 80 children aged 18–36 months. The sample was composed of children born preterm (PT; n = 44) and children born full-term (FT; n = 36). The children's mothers completed temperament (ECBQ) and behavioral problem (CBCL 1.5–5) assessments. Analyses of variance (ANOVA 2 × 2) were performed. With regard to temperament, PT children exhibited significantly higher scores on high-intensity pleasure and perceptual sensitivity and lower scores on discomfort, cuddliness, and Attentional Focusing compared with FT children. Girls scored higher on fear and discomfort compared with boys. With concern to behavioral problems, PT children scored higher on attention problems compared with FT children. No interactive effect of premature birth and gender on temperament or behavioral problems was found.     

Repressive coping and cardiovascular reactivity to novel and recurrent stress

Background and objectives: Repressors tend to report less negative emotion and to describe challenges as less stressful, yet tend to exhibit higher rates of cardiovascular disease. While repressive coping has been shown to be associated with exaggerated physiological reactivity to novel stress, we sought to establish if elevated responses persisted across repeated exposure.

Design and methods: In a sample of 86 healthy female adults, a verbal-autonomic response dissociation index of repressive coping was computed. Participants were exposed to two consecutive stress tasks, with analyses based on comparisons of consecutive stress responses.

Results: Analysis of covariance demonstrated significant differences across the study on diastolic blood pressure and cardiac output, as a function of repressive coping. Repressors showed elevated reactions to both stress tasks; however, cardiac output responses to the second task were more muted indicating that repressive coping was associated with successful adaptation to recurrent stress. Nevertheless, repressive copers maintained an exaggerated cardiovascular responses to recurrent stress.

Conclusions: The present study identifies that repressive coping may be associated with increased risk of cardiovascular disease development through elevated cardiovascular reactions to both novel and recurrent stress.     

Psychopathy and physiological response to emotionally evocative sounds

Despite considerable evidence that psychopathic criminals are deviant in their emotional reactions, few studies have examined responses to both pleasurable and aversive stimuli or assessed the role of different facets of psychopathy in affective deviations. This study investigated physiological reactions to emotional sounds in prisoners selected according to scores on the 2 factors of Hare's Psychopathy Checklist--Revised (PCL-R; R. D. Hare, 1991). Offenders high on the PCL-R emotional-interpersonal factor, regardless of scores on the social deviance factor, showed diminished skin conductance responses to both pleasant and unpleasant sounds, suggesting a deficit in the action mobilization component of emotional response. Offenders who scored high only on the social deviance factor showed a delay in heart rate differentiation between affective and neutral sounds. These findings indicate abnormal reactivity to both positive and negative emotional stimuli in psychopathic individuals, and suggest differing roles for the 2 facets of psychopathy in affective processing deviations.     

MMPI correlates of performance on a behavior therapy ward.

In a behavioral treatment program for acute psychiatric patients, points were earned for adaptive behavior (e.g. self-care, attending ward activities) and lost for maladaptive behavior (e.g. assaults, verbal abuse). Points earned could be spent for a variety of goods and services (e.g. passes, extra staff time). Statistically significant correlations were found between MMPI scale scores and point-earning behavior. High scores on the F, 5, 6 and 8 scales were associated with low point gain for adaptive behavior, high point loss for maladaptive behavior, a high proportion of points spent to points earned, and a low overall net point earnings. Low score on F scale in combination with high score on 2 scale best predicted point-gain behavior, whereas high score on 8 scale in combination with low score on 1 scale best predicted point-loss behavior. Overall net points were best predicted by low score on F scale in combination with high scores on 0 and 9 scales. When subjects were grouped into common psychiatric profile types, differences were found in point-gain behaviors for items related to personal care and attending ward activities. At least some of these differences could be attributed to two factors: high scores on the 2, 3 and 7 scales were associated with higher than average point earnings, while high scores on the 8 scale were associated with lower than average point earnings.