Study of Sexual Concordance in Men and Women with Different Typologies of Adherence to the Sexual Double Standard

Background/ObjectiveSexual concordance (i.e., relationship between genital response and subjective sexual arousal) is higher in men than in women. Among the factors that could explain this difference would be the sexual double standard (SDS). Sexual concordance is examined by SDS typologies of adherence (egalitarian, man-favorable, and woman-favorable).MethodDuring exposure to a film with sexual content, genital response (penile circumference/vaginal pulse amplitude) and self-reported sexual arousal were recorded in 104 young adults (42 men and 62 women), distributed into SDS typologies of adherence on the basis of their scores on the Sexual Double Standard Scale.ResultsSexual concordance was obtained in men and women with egalitarian and man-favorable typology. Subjective sexual arousal explained a significant percentage of the variance in genital response in the egalitarian typology (men: R² = .32, p < .01; women: R² = .19, p < .05) and man-favorable typology (men: R² = .21, p < .05; women: R² = .23, p < .05).ConclusionsAgreement between genital responsiveness and subjective sexual arousal depends on DES adherence typology.     

The effects of lemon taste on attention,perceived exertion,and affect during a stepping task

ObjectivesTo better understand the effects of taste cues on delaying the attention shift from an external focus (dissociative) towards an internal focus (associative) as exercise intensity increases.DesignA between subjects' experimental design with random assignment to three groups: taste (lemon-flavored mouth guards), placebo (unflavored mouth guards), or control group (no mouth guards) was used. Participants reported perceived exertion, affect (i.e., pleasantness and arousal), and attention allocation before, during, and after performing a weighted stepping task.ResultsPerforming the task resulted in a gradual increase of perceived exertion, F (1.87, 74.89) = 63.05, p < .05, η_p² = .61, along with a shift from dissociative to associative attention, F (2.17, 86.68) = 35.57, p < .05, η_p² = .47 across all conditions. Additionally, participants reported feeling less pleasant and more aroused after task completion in all conditions. The lemon-flavored mouth guard failed to affect attention, F (4.33, 86.68) = 1.41, p = .23, η_p² = .07, perceived exertion, F (3.74, 74.86) = .38, p = .81, η_p² = .02, pleasantness, F (2, 40) = .126, p = .88, η_p² = .01, and arousal, F (2, 40) = 2.40, p = .10, η_p² = .10, differently than the other two conditions.ConclusionsThe study was one of the first to examine the effects of taste during an exertive task. Despite the non-significant effects of using a lemon-taste mouth guard on various cognitive variables (perception of exertion, attention allocation, pleasantness, and arousal), more scientific effort is needed to explore the effects of other tastes (e.g., sweet, bitter) and delivery methods (e.g., sprays, drops).     

Clarifying the Role of Psychological Pain in the Risks of Suicidal Ideation and Suicidal Acts among Patients with Major Depressive Episodes

The role of psychological pain in the risk of suicide was explored using a three‐dimensional psychological pain model (pain arousal, painful feelings, pain avoidance). The sample consisted of 111 outpatients with major depressive episodes, including 28 individuals with suicidal histories. They completed the Chinese version of the Beck Scale for Suicide Ideation (BSI), the Beck Depression Inventory (BDI), the Psychache Scale, and the three‐dimensional Psychological Pain Scale (TDPPS). A structured clinical interview was conducted to assess the history of suicidal acts. Significant correlations were found among BDI, BSI, and TDPPS scores (p < .01). Stepwise regression analyses showed that only pain avoidance scores significantly predicted suicide ideation at one's worst point (β = .79, p < .001) and suicidal acts (β = .46, p < .001). Pain avoidance was also a better predictor of current suicidal ideation (β = .37, p = .001) than were BDI scores (β = .31, p < .01). Increased levels of pain avoidance during a major depressive episode may be a dominant component of the motivation for suicide. Future clinical assessments for populations at high risk of suicide should include measures of psychological pain to reduce the incidence of suicide.     

Cumulative lifetime stress exposure,depression, anxiety,and well-being in elite athletes: A mixed-method study

Research suggests that elite athletes are at increased risk of poor mental health, partly due to the intense demands associated with top-level sport. Despite growing interest in the topic, the factors that influence the mental health and well-being of elite athletes remain unclear. From a theoretical perspective, the accumulation of stress and adversity experienced over the life course may be an important factor. To investigate this possibility, we employed a mixed-method design to: (a) examine whether cumulative lifetime stress predicted depression, anxiety, and well-being in elite athletes; and (b) help explain why cumulative lifetime stress exposure might have resulted in poor mental health and well-being. Ninety-five elite athletes (M_age = 29.81, SD = 10.88) completed the Stress and Adversity Inventory, Patient Health Questionnaire, Generalized Anxiety Disorder 7-item scale, and the Scales of General Well-Being. Hierarchical regression analyses revealed that total count and severity of lifetime stressor exposure significantly predicted greater depression (β = .42, p < .001; β = .46, p < .001) and anxiety symptoms (β = .34, p = .003; β = .28, p = .018), and worse well-being (β = -.42, p < .001; β = -.30, p = .015). Semi-structured interviews were then conducted with six athletes. Thematic analysis revealed that cumulative lifetime stress exposure fostered poor mental health and well-being by promoting maladaptive long-term coping strategies, increasing susceptibility to future stress, and limiting interpersonal relationships. We believe these findings can help practitioners identify, and intervene accordingly with, elite athletes at risk of experiencing stress-related mental health problems.     

Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders

ObjectiveTo compare a mindfulness-based intervention with cognitive behavioral therapy (CBT) for the group treatment of anxiety disorders.MethodOne hundred five veterans (83% male, mean age = 46 years, 30% minority) with one or more DSM-IV anxiety disorders began group treatment following randomization to adapted mindfulness-based stress reduction (MBSR) or CBT.ResultsBoth groups showed large and equivalent improvements on principal disorder severity thru 3-month follow up (ps < .001, d = ?4.08 for adapted MBSR; d = ?3.52 for CBT). CBT outperformed adapted MBSR on anxious arousal outcomes at follow up (p < .01, d = .49) whereas adapted MBSR reduced worry at a greater rate than CBT (p < .05, d = .64) and resulted in greater reduction of comorbid emotional disorders (p < .05, d = .49). The adapted MBSR group evidenced greater mood disorders and worry at Pre, however. Groups showed equivalent treatment credibility, therapist adherence and competency, and reliable improvement.ConclusionsCBT and adapted MBSR were both effective at reducing principal diagnosis severity and somewhat effective at reducing self-reported anxiety symptoms within a complex sample. CBT was more effective at reducing anxious arousal, whereas adapted MBSR may be more effective at reducing worry and comorbid disorders.     

Too much of a good thing? Examining the relationship between passion for exercise and exercise dependence

ObjectivesTo examine the relationship between passion (i.e., love for an activity that is valued for which and a great deal of time is invested) for exercise and exercise dependence symptoms.DesignA cross-sectional correlational survey design was utilised.MethodA total of 480 participants (n = 275 females, n = 205 males; M_age = 18.58, SD = 1.66) completed the Leisure Time Exercise Questionnaire (Godin, Jobin, & Bouillon, 1986), the Passion Scale (Vallerand et al., 2003), and the Exercise Dependence Scale-Revised (Hausenblas, Symons-Downs, & Nigg, 2004). Path analysis using structural equation modelling was used to assess the relationships between passion and exercise dependence.ResultsPath analysis using structural equation modelling via AMOS 20.0 (Arbuckle, 2011) revealed that harmonious passion (i.e., being in control of the activity and deciding when and when not to engage in it) was positively related to the exercise dependence dimensions of time and tolerance. On the other hand, obsessive passion (i.e., an internal compulsion to engage in the activity even when not appropriate to do so) was positively related to all seven exercise dependence dimensions: time, tolerance, withdrawal, continuance, intention effects, lack of control, and reduction in other activities (CFI = .91, RMSEA = .05, SRMR = .06).ConclusionAn empirical relationship has been established to support the proposed theoretical link between passion (harmonious and obsessive) for exercise and exercise dependence dimensions.     

Sleep disturbance and emotion dysregulation as transdiagnostic processes in a comorbid sample

Sleep disturbance and emotion dysregulation have been identified as etiologic and maintaining factors for a range of psychopathology and separate literatures support their relationships to anxiety, depression, PTSD, and alcohol dependence (AD) symptom severity. Previous studies have examined these relationships in isolation, failing to account for the high rates of comorbidity among disorders. It is not yet known whether these processes uniquely predict symptom severity in each of these domains. Participants were 220 patients in residential substance abuse treatment, who had experienced a potentially traumatic event and exceeded screening cutoffs for probable PTSD and problematic alcohol use. Controlling for emotion dysregulation and the interrelationships among the outcome variables, insomnia was uniquely associated with anxiety (B = .27, p < .001), depression (B = .25, p < .001), PTSD (B = .22, p < .001), and AD (B = .17, p = .01) symptom severity. Similarly, controlling for insomnia, emotion dysregulation was uniquely associated with anxiety (B = .40, p < .001), depression (B = .47, p < .001), PTSD (B = .38, p < .001), and AD (B = .26, p < .001) symptom severity. Insomnia and emotion dysregulation appear to be transdiagnostic processes uniquely associated with symptom severity across a number of different domains and might be important treatment targets for individuals with PTSD and AD.     

Acute Stress,Depression, and Anxiety Symptoms Among English and Spanish Speaking Children with Recent Trauma Exposure

A growing literature suggests the clinical importance of acute stress disorder symptoms in youth following potentially traumatic events. A multisite sample of English and Spanish speaking children and adolescents (N = 479) between the ages of 8–17, along with their caregivers completed interviews and self-report questionnaires between 2 days and 1 month following the event. The results indicate that children with greater total acute stress symptoms reported greater depressive (r = .41, p < .01) and anxiety symptoms (r = .53, p < .01). Examining specific acute stress subscales, reexperiencing was correlated with anxiety (r = .47, p < .01) and arousal was correlated with depression (r = .50, p < .01) and anxiety (r = .55, p < .01). Age was inversely associated with total acute stress symptoms (r = ?.24, p < .01), reexperiencing (r = ?.17, p < .01), avoidance (r = ?.27, p < .01), and arousal (r = ?.19, p < .01) and gender was related to total anxiety symptoms (Spearman’s ρ = .17, p < .01). The current study supports the importance of screening acute stress symptoms and other mental health outcomes following a potentially traumatic event in children and adolescents. Early screening may enable clinicians to identify and acutely intervene to support children’s psychological and physical recovery.     

Positive affectivity predicts successful and unsuccessful adaptation to stress

This study examined adaptation to work stress among public school teachers (n = 267). Regression analyses tested whether positive affect predicted successful and unsuccessful adaptation to stress (viz., resilience and burnout, respectively) after controlling for demographic characteristics and work stress. Positive affect was largely correlated with resilience (r = .65, p < .001) and burnout (r = ?.57, p < .001). The regression of resilience showed that positive affect had a direct effect (β = .66, p < .001) and the total model explained 44 % of the variance (R ² Change = 37 %). In the regression of burnout, positive affect also had a direct effect (β = ?.41, p < .001) and the total model explained 52 % of the variance (R ² Change = 14 %). Further analyses found no significant interaction between work stress and positive affect, but revealed that positive affect completely mediated the effect of work stress on resilience. Results provide support for the broaden-and-build theory of positive emotions, particularly the theory’s building and undoing effects.     

The effects of goal types on psychological outcomes in active and insufficiently active adults in a walking task: Further evidence for open goals

ObjectivesThis study aimed to extend recent work on the effects of goal types in physical activity (PA; Swann, Hooper et al., 2020) by comparing the effects of SMART, open, and do-your-best (DYB) goals on performance and psychological responses in active and insufficiently active adults in a walking task.Design4 (goal condition) x 3 (attempt) x 2 (group) mixed design.MethodsActive (n = 18) and insufficiently active (n = 18) participants completed baseline and two experimental attempts of a 6-minute walking test in four conditions: SMART goal; open goal; DYB goal; and control. A range of measures were taken during and following each attempt, and after each session. A series of mixed ANOVA’s were conducted for all measures assessed between groups.ResultsInsufficiently active participants achieved greater distances in the open condition compared to the SMART condition (p < .001), whereas active participants achieved greater distances in the SMART condition compared to the open condition (p < .001). Additionally, exploratory analyses revealed that insufficiently active participants reported greater pleasure and enjoyment (p < .05) in the open condition compared to active participants, who conversely reported more pleasure and enjoyment (p < .05) in the SMART condition than insufficiently active participants.ConclusionsFindings provide initial evidence that PA and psychological responses differ between active and insufficiently active individuals depending on goal type. This work has potential implications for goal setting strategies in PA promotion and raises further questions about current practices of setting SMART goals for insufficiently active participants.     

Acute exercise and children’s cognitive functioning: What is the optimal dose of cognitive challenge?

Acute bouts of exercise have the potential to benefit children’s cognition. Inconsistent evidence on the role of qualitative exercise task characteristics calls for further investigation of the cognitive challenge level in exercise. Thus, the study aim was to investigate which “dose” of cognitive challenge in acute exercise benefits children’s cognition, also exploring the moderating role of individual characteristics. In a within-subject experimental design, 103 children (M_age = 11.1, SD = 0.9, 48% female) participated weekly in one of three 15-min exergames followed by an Attention Network task. Exergame sessions were designed to keep physical intensity constant (65% HR_max) and to have different cognitive challenge levels (low, mid, high; adapted to the ongoing individual performance). ANOVAs performed on variables that reflect the individual functioning of attention networks revealed a significant effect of cognitive challenge on executive control efficiency (reaction time performances; p = .014, ƞ²_p = .08), with better performances after the high-challenge condition compared to lower ones (ps < .015), whereas alerting and orienting were unaffected by cognitive challenge (ps > .05). ANOVAs performed on variables that reflect the interactive functioning of attention networks revealed that biological sex moderated cognitive challenge effects. For males only, the cognitive challenge level influenced the interactive functioning of executive control and orienting networks (p = .004; ƞ²_p = .07). Results suggest that an individualized and adaptive cognitively high-challenging bout of exercise is more beneficial to children’s executive control than less challenging ones. For males, the cognitive challenge in an acute bout seems beneficial to maintain executive control efficiency also when spatial attention resources cannot be validly allocated in advance. Results are interpreted referring to the cognitive stimulation hypothesis and arousal theory.     

Associations among bullying role behaviors and academic performance over the course of an academic year for boys and girls

Although some research has evidenced a negative association between involvement in bullying and academic performance, more work is needed to understand the associations between academic performance and involvement in a more comprehensive range of bully role behaviors. The goals of the current study were to determine (a) the associations among a broader range of bully role behaviors (i.e., bullying, assisting, victimization, defending, and outsider behavior) and academic performance (i.e., grade point average; GPA), and (b) gender differences within these associations. The current study investigated these issues over the course of an academic year with 7794 students in middle through high school. Bullying behaviors were assessed in the fall and GPA data were gathered from school records from the spring of the same academic year. The results identified significant negative associations between bullying (b = −0.07, p = .001), assisting (b = −0.16, p < .001), victimization (b = −0.06, p < .001), and defending (b = −0.04, p < .001) with student GPA, whereas no significant association emerged for outsider behavior and GPA (b = −0.02, p = .13). In addition, several gender differences were found in these associations, including a stronger negative association between assisting and GPA for girls (b = −0.23, p = .001) than for boys (b = −0.08, p = .014) and a significant negative association between victimization and GPA for girls (b = −0.09, p < .001), but not boys (b = −0.02, p = .117). Differences in results across schools were also examined in an exploratory manner. The educational impact associated with bullying behaviors, limitations of the current study, and suggestions for future research are discussed.     

False memory,attentional bias and future thinking among people living with HIV with posttraumatic stress disorder

People living with HIV can experience posttraumatic stress disorder (PTSD). Complex relationships exist between HIV, PTSD and cognitive impairments. This cross-sectional study compared three cognitive impairments (false memory, attentional bias, deficits in future thinking) among people living with HIV with and without PTSD in Iran. People living with HIV with PTSD (n = 20) and without PTSD (n = 20) completed measures of psychological symptomatology, dot-probe task, Deese Roediger McDermott paradigm and future thinking task at Razavi Khorasan Health Center. The PTSD group, when compared to the non-PTSD group, recognised a significantly greater number of false memories (p < .001; η² = .58), had an attentional bias toward threat-related words (p < .001; η² = .35) and imagined fewer specific future events (p < .001; η² = .31). People living with HIV with PTSD may have difficulties with false memory, attentional biases, and generating future events. Since psychological treatments are limited in Iran, this research highlighted some potential cognitive targets for people living with HIV.     

Psychological need satisfaction and thwarting: A test of Basic Psychological Needs Theory in physical activity contexts

ObjectivesTo test Basic Psychological Needs Theory (BPNT; Deci & Ryan, 2002) to determine if psychological need thwarting experienced when physically active contributes to the understanding of well-being and ill-being.Design/methodParticipants (N = 155, 67.70% female, M_age = 37.46 years; SD_age = 19.89 years) completed assessments of psychological need satisfaction and thwarting, subjective vitality and positive/negative affect during separate testing sessions separated by 6 months.ResultsScores from the modified version of the Psychological Need Thwarting Scale (PNTS-PA; Bartholomew, Ntoumanis, Ryan, & Thøgersen-Ntoumani, 2011) demonstrated discriminant evidence of validity, evidence of internal structure and minimal error variance. Changes in psychological need satisfaction positively predicted positive affect (R² = .16, p < .05), subjective vitality (R² = .13, p < .05) and negatively predicted negative affect (R² = .12, p < .05). Additional regression analyses revealed that changes in psychological need thwarting predicted negative affect (ΔR² = .11, p < .05), but not positive affect (ΔR² = .01, p > .05) or subjective vitality (ΔR² = .04, p > .05) beyond contributions made by psychological need satisfaction.ConclusionsOverall, these results extend the potential utility of the PNTS-PA as an instrument for use with BPNT beyond sport and support Deci and Ryan's (2002) contentions regarding the critical role of psychological need thwarting.     

More efficient,perhaps, but at what price? Pleasure and enjoyment responses to high-intensity interval exercise in low-active women with obesity

ObjectivesFewer than 1.5% of women with obesity in the USA are physically active at recommended levels. High-intensity interval exercise (HIIE) has been proposed as a possible solution to the problem of low activity, based on the dual promise of accelerating the accrual of benefits while reducing the time commitment. However, concerns have been raised about the appeal and sustainability of HIIE. The purpose of this study was to compare during-exercise affective valence and post-exercise enjoyment in response to a bout of HIIE and a longer, isocaloric bout of moderate-intensity continuous exercise (MICE).DesignWithin-subjects experiment.MethodsLow-active women with obesity (N = 24) completed one bout of HIIE (3-min warm-up, four 3-min intervals of recumbent cycling at 115% of Watts at the ventilatory threshold, four 2-min periods of active recovery at 85% of Watts at the ventilatory threshold, 5-min cool-down) and one bout of MICE (3-min warm-up, 25 min of recumbent cycling at 90% of Watts at the ventilatory threshold, 5-min cool-down) in counterbalanced order. The Feeling Scale (FS) was administered during exercise and the Physical Activity Enjoyment Scale (PACES) was administered after cool-down.ResultsDifferences were found for both FS (condition by time interaction: p < 0.001, η² = 0.27) and PACES (p = 0.04, d = −0.38), with both outcomes favoring MICE.ConclusionsThe lower pleasure and enjoyment associated with HIIE compared to MICE underscore the importance of considering not only physiological adaptations but also the appeal and sustainability of HIIE for low-active women with obesity.     

L’impact de la reconnaissance organisationnelle sur la santé psychologique au travail des répartiteurs d’urgence

The purpose of this research is to measure the relationships between organizational recognition and workplace psychological health for emergency dispatchers by a predictif correlational design. Data collected from a secure online questionnaire sent to dispatchers via four emergency call centers (n = 155) measured psychological health at work (Gilbert et al., 2011) and organizational recognition (Brun and Dugas, 2005). The results of multiple linear regression analyses partially confirmed the hypothesized links between the two variables: they attested that organizational and co-worker recognition partially explained psychological well-being at work (R² = .25, p < .001) and psychological distress at work (R² = .30, p < .001) among emergency dispatchers.     

Everyday tasks impair spatiotemporal variables of gait in older adults with Parkinson's disease

IntroductionAlthough it is known that individuals with Parkinson's disease (PD) have difficulties performing dual-task activities, most of the studies have verified the effect of dual tasks on gait using tasks that are uncommon to perform while walking. However, the realization of tasks involving gait that really represents the daily activities carried out by the participants, allow us to detect real fall risk situations of individuals with PD during their gait.ObjectiveOur aim was to verify the influence of daily-life dual-tasks on gait spatiotemporal variables of the older adults with PD.Methods20 older adults without PD and 20 older adults with PD participated in the study. Gait kinematic was analyzed under three different conditions: walking without dual task, walking carrying bags with weight, and walking talking on the cell phone.ResultsOlder adults with PD presented lower speed (p = .001), cadence (p = .039), and shorter step length (p = .028) than older adults without PD during walking without dual tasks. When walking while carrying bags with weight, older adults with PD had a lower speed (p < .001), cadence (p = .015), shorter step length (p = .008), and greater double support time (p = .021) compared with older adults without PD. During walking while talking on the cell phone, older adults with PD walked with lower speed (p < .001), cadence (p = .013), shorter step length (p = .001) and swing time (p = .013), and increased double support time (p = .008) and support time (p = .014) in relation to older adults without PD.ConclusionDaily-life dual tasks impair the spatiotemporal variables of gait in the older adults with PD, which was most evident during walking talking on the cell phone.     

Predictors of aerobic physical activity and resistance training among Canadian adults with type 2 diabetes: An application of the Protection Motivation Theory

BackgroundIt is well established that both aerobic physical activity (PA) and resistance training are essential in the treatment and management of type 2 diabetes (T2D), but few studies have examined the determinants of both modes of PA in the same sample.PurposeThe main objective was to investigate the utility of the Protection Motivation Theory (PMT) in predicting aerobic PA and resistance training in a population sample of T2D adults.MethodsA total of 244 individuals completed self-report PMT constructs of vulnerability, severity, fear, response efficacy, self-efficacy and intention, and a 3-month follow-up that assessed aerobic PA and resistance training.ResultsPMT explained 19% (p < .001) and 20% (p < .001) of the variance respectively for aerobic PA and resistance training behaviour. Significant associations were found between self-efficacy (β = 0.45, p < .001) and gender (β = 0.15, p < .05) for aerobic PA, and self-efficacy (β = 0.48, p < .001) and age (β = 0.17, p < .05) for resistance training. PMT accounted for 43% (p < .001) and 56% (p < .001) of the variance respectively for aerobic PA and resistance training intentions. For aerobic PA, response efficacy (β = 0.14, p < .05) and self-efficacy (β = 0.59, p < .001) were significantly associated with intention, while response efficacy (β = 0.23, p < .001), self-efficacy (β = 0.64, p < .001) and age (β = 0.10, p < .05) were significantly related with resistance training intention.ConclusionsNone of the unique constructs of the PMT (i.e., perceived vulnerability, severity and fear) were significant with either aerobic and resistance training intention. These results may guide the development of effective PA interventions in people with T2D.     

Influence of step-surface visual properties on confidence,anxiety, dynamic stability,and gaze behaviour in young and older adults

BackgroundStep-surface visual properties are often associated with stair falls. However, evidence for decorating stairs typically concerns the application of step-edge highlighters rather than the entire step-surface. Here we examine the influence of step-surface visual properties on stair descent safety, with a view to generating preliminary evidence for safe stair décor.MethodsFourteen young (YA: 23.1 ± 3.7 years), 13 higher (HAOA: 67 ± 3.5) and 14 lower (LAOA: 73.4 ± 5.7) ability older adults descended a seven-step staircase. Older adults were stratified based on physiological/cognitive function. Step-surface décor patterns assessed were: Black and white (Busy); fine grey (Plain); and striped multicolour (Striped); each implemented with/without black edge-highlighters (5.5 cm width) totalling six conditions. Participants descended three times per condition. Confidence was assessed prior to, and anxiety following, the first descent in each condition. 3D kinematics (Vicon) quantified descent speed, margin of stability, and foot clearances with respect to step-edges. Eye tracking (Pupil-labs) recorded gaze. Data from three phases of descent (entry, middle, exit) were analysed. Linear mixed-effects models assessed within-subject effects of décor (×3) and edge highlighters (×2), between-subject effects of age (×3), and interactions between terms (α = p < .05).ResultsDécor: Plain décor reduced anxiety in all ages and abilities (p = .032, effect size: g_av = 0.3), and increased foot clearances in YA and HAOA in the middle phase (p < .001, g_av = 0.53), thus improving safety. In contrast, LAOA exhibited no change in foot clearance with Plain décor. Patterned décor slowed descent (Busy: p < .001, g_av = 0.2), increased margins of stability (Busy: p < .001, g_av = 0.41; Striped: p < .001, gav = 0.25) and reduced steps looked ahead (Busy: p = .053, gav = 0.25; Striped: p = .039, gav = 0.28) in all ages and abilities. This reflects cautious descent, likely due to more challenging conditions for visually extracting information about the spatial characteristics of the steps useful to guide descent.Edge highlighters: Step-edge highlighters increased confidence (p < .001, g_av = 0.53) and reduced anxiety (p < .001, g_av = 0.45) in all ages and abilities and for all décor, whilst removing them slowed descent in HAOA (p = .01, g_av = 0.26) and LAOA (p = .003, g_av = 0.25). Step-edge highlighters also increased foot clearance in YA and HAOA (p = .003, g_av = 0.14), whilst LAOA older adults showed no adaptation. No change in foot clearances with décor or step-edge highlighters in LAOA suggests an inability to adapt to step-surface visual properties.ConclusionPatterned step surfaces can lead to more cautious and demanding stair negotiation from the perspective of visually extracting spatial information about the steps. In contrast, plain décor with step edge highlighters improves safety. We therefore suggest plain décor with edge highlighters is preferable for use on stairs.