Cognitive Influences on the Perception of Somatic Change During a Feigned Chemical Release1

The role of psychological processes in the perception of bodily symptoms was investigated during a feigned chemical release. Somatic change was manipulated through exercise, while chemical pollutant cues were used to provide explanatory frameworks for illness perceptions. Experimental participants were informed that they would be exposed to a common urban chemical pollutant while they exercised or rested in an atmosphere‐controlled chamber. In actuality, no pollutant was released. Control participants were informed correctly that they would be exposed only to room air in the chamber. Results showed that the presence of a chemical cue resulted in more attributions of symptoms to a chemical cause, in addition to the report of a greater number of symptoms. However, only during states of arousal induced by the exercise did the chemical cue have an effect on symptom intensity reporting. Participants who exercised in the context of salient chemical pollutant cues reported heightened levels of chemical‐exposure‐type symptoms (e.g., dizziness, dry throat) as compared to control participants and participants whose exercise arousal had diminished. Findings show that individuals will use a chemical explanatory framework for symptoms when conditions suggest toxic exposure, and that adoption of these explanatory frameworks modifies the experience of somatic change.     

Enhanced recognition of words previously presented in a task with nonfocal prospective memory requirements

Remembering to perform deferred actions when events are encountered in the future is referred to as event-based prospective memory. Individuals can be slower to respond to ongoing tasks when they have prospective memory task requirements. These costs are interpreted as evidence for cognitive control processes allocated to the prospective memory task, but we know little about these processes. In the present article, the recognition of nontargets previously presented in an ongoing task with prospective memory task requirements provided evidence for the differential processing of individual ongoing task items. Participants performed a lexical decision task, where some participants were required to make an alternative prospective memory response either to a specific word (focal) or to exemplars of a category (nonfocal). Participants were slower to respond to the ongoing task in the nonfocal conditions than in the control condition (costs), regardless of whether or not prospective memory task importance was emphasized. Participants were also slower to respond to the ongoing task in the focal conditions than in the control condition, but only when prospective memory task importance was emphasized. This task was followed by a surprise recognition memory test in which nontarget words from the lexical decision task were intermixed with new words. Focal conditions, but not nonfocal conditions, showed better discrimination on the recognition task, as compared with the control condition. Participants in nonfocal conditions mapped the semantic features of the ongoing task letter strings onto the semantic features of their prospective memory category, and this elaboration in the processing of individual nontargets increased incidental learning and produced the recognition benefit.     

How did I remember to do that? Self-reported strategy use for laboratory prospective memory tasks

ABSTRACT

The role of metacognition in prospective memory (PM) has received relatively little attention. This study combined data from several experiments to identify the strategy repertoire employed during a classic laboratory PM task and to determine whether self-reported strategy was related to performance. Participants (N?=?668) completed either a focal or nonfocal PM task embedded in an ongoing lexical decision task. The results indicated that participants reported the same strategy repertoire regardless of PM task focality. Participants who reported using a strategy performed better than those who did not report using one, and this was especially true under nonfocal conditions. Self-reported strategy use was also associated with more cost to the ongoing task when the opportunity to complete the PM task was present. These findings add to what is known about the metacognitive components of PM and underscore the need for additional research in this area.     

Valuing intervention and observation

Understanding causal relations is fundamental to effective action but causal data can be confounded. We examined the value that participants placed on data derived from a hypothetical intervention or observation. Our materials involved a possible cause ("bottled water"), a possible confound ("food"), and a context ("a restaurant"). We supposed that participants seek to draw as specific a causal inference as possible from presented data and value information sources more highly that allow them to do so. On this basis, we predicted that in circumstances where an intervention removed the confounding causal factor but observation did not, participants would prefer data derived from an intervention when the possible cause was present (the bottled water was drunk) but show the reverse preference when the possible cause was absent (the bottled water was not drunk). Experiment 1 confirmed this prediction. Using a between-subjects design, Experiment 2 tested for a difference in confidence in causal judgements given identical data, including data on the confound, as a function of method of data collection (intervention or observation). There was no significant difference in confidence ratings between the two methods but confidence ratings were sensitive to the probability of an effect (illness) given the cause. Using a within-subjects design, Experiment 3 revealed systematic individual differences in preference for the two methods. Participants were divided between those who considered intervention more confounded and those who considered observation more confounded. Our experiments point to the subtleties of participants' evaluation of data from studies of human beings.     

Valuing intervention and observation

Understanding causal relations is fundamental to effective action but causal data can be confounded. We examined the value that participants placed on data derived from a hypothetical intervention or observation. Our materials involved a possible cause (“bottled water”), a possible confound (“food”), and a context (“a restaurant”). We supposed that participants seek to draw as specific a causal inference as possible from presented data and value information sources more highly that allow them to do so. On this basis, we predicted that in circumstances where an intervention removed the confounding causal factor but observation did not, participants would prefer data derived from an intervention when the possible cause was present (the bottled water was drunk) but show the reverse preference when the possible cause was absent (the bottled water was not drunk). Experiment 1 confirmed this prediction. Using a between-subjects design, Experiment 2 tested for a difference in confidence in causal judgements given identical data, including data on the confound, as a function of method of data collection (intervention or observation). There was no significant difference in confidence ratings between the two methods but confidence ratings were sensitive to the probability of an effect (illness) given the cause. Using a within-subjects design, Experiment 3 revealed systematic individual differences in preference for the two methods. Participants were divided between those who considered intervention more confounded and those who considered observation more confounded. Our experiments point to the subtleties of participants' evaluation of data from studies of human beings.     

Prior task experience and comparable stimulus exposure nullify focal and nonfocal prospective memory retrieval differences

We explored the nature of focal versus nonfocal event-based prospective memory retrieval. In the context of a lexical decision task, people received an intention to respond to a single word (focal) in one condition and to a category label (nonfocal) for the other condition. Participants experienced both conditions, and their order was manipulated. The focal instruction condition was a single word presented multiple times. In Experiment 1, the stimuli in the nonfocal condition were different exemplars from a category, each presented once. In the nonfocal condition retrieval was poorer and reaction times were slower during the ongoing task as compared to the focal condition, replicating prior findings. In Experiment 2, the stimulus in the nonfocal condition was a single category exemplar repeated multiple times. When this single-exemplar nonfocal condition followed in time the single-item focal condition, focal versus nonfocal performance was virtually indistinguishable. These results demonstrate that people can modify their stimulus processing and expectations in event-based prospective memory tasks based on experience with the nature of prospective cues and with the ongoing task.     

说明文阅读中因果序列的表征

结合自定步调阅读与句子启动再认范式, 探讨说明文阅读过程中因果序列的表征问题。研究包括3个实验, 实验1的文本提供一个包括4个概念的因果链(如, A－B－C－D), 文本最后设置包含概念A或概念B或概念C的句子, 对概念D进行探测, 结果发现, 对于概念D的再认启动作用, 概念C＞概念B＞概念A; 实验2改变因果链的说明顺序, 使之与因果链本身次序不一致, 结果与实验1一致; 实验3的文本分别介绍两条独立的因果链(如A－B－C; D－E－F), 最后呈现包含概念A或概念D的句子, 对概念C进行探测, 结果发现, 包含概念A的句子理解启动了相关因果链, 使读者对随后呈现的概念C的再认反应加快。基于本研究结果, 结合相关研究, 本文尝试提出说明文文本表征的建构模式。     

Manipulation of thinness and restricting expectancies: further evidence for a causal role of thinness and restricting expectancies in the etiology of eating disorders.

To test the eating disorder expectancy theory contention that expectancies for reinforcement from thinness play a causal role in body dissatisfaction and eating disorder symptoms, the authors manipulated expectancies in 2 studies. Participants were exposed to either a psychoeducational intervention or an experimental manipulation of thinness and restricting expectancies. Study 1 participants were symptomatic college women who attended 3 experimental sessions and 1 follow-up session, each 1 week apart. Study 2 participants were high school girls who received the 3 experimental sessions clustered into 2 meetings; they completed symptom measures at baseline and at follow-up. In both samples, the thinness expectancy manipulation produced greater declines in thinness expectancies and body dissatisfaction than did the psychoeducational intervention. For high school girls, the thinness expectancy manipulation also produced a greater decline in overall eating-disordered attitudes. These results provide further support for the role of expectancies in the etiology of eating-disordered behaviors.     

Impact of symptoms and aging attribution on emotions and coping

Two experimental studies and a large field study were designed to examine how symptom severity, symptom duration, symptom ambiguity, and the association of symptoms with aging affected emotional responses and coping with illness threats. In Study 1, 280 respondents from the surrounding community reported the emotional and coping responses they would manifest to scenarios that varied the severity, duration, and ambiguity (i.e., labeled vs. unlabeled) of a common set of symptoms. Severity had more of an impact on coping strategies than did duration or illness label; severe symptoms elicited stronger emotional upset and a higher incidence of both self-care behaviors and seeking of medical care. Symptoms of longer duration also resulted in increased seeking of medical care. Responses of the 334 adults participating in Study 2 replicated and extended these findings: A closed-ended item asking participants whether the symptoms could be attributed to aging showed that attribution of symptoms to aging increased with age, was more frequent for mild symptoms, and was associated with reduced emotional response to symptoms and a tendency to delay seeking treatment. Participants in the field study (168 patients seeking medical care for a variety of symptoms) completed interviews tracing symptom processing and emotional and coping reactions. The results provided evidence for the external validity of the scenario studies, as the attribution of symptoms to aging was greater for older than younger patients and resulted in a significant tendency to delay seeking medical care. Results of these studies suggest that symptom experience and symptom interpretation must be considered in the study of coping responses to illness threats.     

The dark side of cognitive illusions: When an illusory belief interferes with the acquisition of evidence‐based knowledge

Cognitive illusions are often associated with mental health and well‐being. However, they are not without risk. This research shows they can interfere with the acquisition of evidence‐based knowledge. During the first phase of the experiment, one group of participants was induced to develop a strong illusion that a placebo medicine was effective to treat a fictitious disease, whereas another group was induced to develop a weak illusion. Then, in Phase 2, both groups observed fictitious patients who always took the bogus treatment simultaneously with a second treatment which was effective. Our results showed that the group who developed the strong illusion about the effectiveness of the bogus treatment during Phase 1 had more difficulties in learning during Phase 2 that the added treatment was effective.     

Psychological distance and judgments of causal impact

When assessing causal impact, individuals have to consider two pieces of information: the magnitude of the cause that resulted in an effect, and the magnitude of the resulting effect. In the present research, participants judged the causal impact of cause–effect relationships in which the magnitude of causes and effects varied independently. Participants mainly relied on effect magnitude, rating causal impact to be much higher when strong (vs. weak) effects emerged. When participants took cause magnitude into account (which they did, but to a lesser extent), their judgments reflected a covariation rule (i.e., causal impact being maximal for strong causes generating strong effects) rather than a ratio rule (i.e., causal impact being maximal for weak causes generating strong effects). These distinct views on causal impact were moderated by psychological distance: Effect magnitude dominated judgments of proximal events, whereas cause magnitude had relatively more impact on causal judgments of distal events.     

Inferring hidden causal structure

We used a new method to assess how people can infer unobserved causal structure from patterns of observed events. Participants were taught to draw causal graphs, and then shown a pattern of associations and interventions on a novel causal system. Given minimal training and no feedback, participants in Experiment 1 used causal graph notation to spontaneously draw structures containing one observed cause, one unobserved common cause, and two unobserved independent causes, depending on the pattern of associations and interventions they saw. We replicated these findings with less-informative training (Experiments 2 and 3) and a new apparatus (Experiment 3) to show that the pattern of data leads to hidden causal inferences across a range of prior constraints on causal knowledge.     

Clinical Experiences in Using Cognitive-Behavior Therapy to Treat Panic Disorder

Although there is a growing body of research to support the use of psychological treatments for specific disorders, there has been no way for practitioners to provide feedback to researchers on the barriers they encounter in implementing these treatments in their day-to-day clinical work. In order to provide practitioners a means to give researchers information about their clinical experience, the Society of Clinical Psychology and the Division of Psychotherapy of the American Psychological Association collaborated on an initiative to build a two-way bridge between practice and research. A questionnaire was developed on the therapist, patient, and contextual variables that undermine the effective use of CBT in reducing the symptoms of panic disorder, a clinical problem that occurs frequently in clinical practice and has an extensive research base. An Internet-based survey was advertised internationally in listservs and professional newsletters, asking clinicians to indicate all aspects of CBT that they used in treating panic disorder, and to respond to a series of questions with variables that presumably limited successful symptom reduction in clinical work using CBT to treat panic disorder. The final database included responses from 338 participants who varied in experience in applying CBT to the treatment of panic disorders. Participants identified a wide range of patient factors that were barriers to symptom reduction, including symptoms related to panic, motivation, social system, and the psychotherapy relationship, in addition to specific problems with implementing CBT for the treatment of panic disorder.     

Exposing Worry’s Deceit: Percentage of Untrue Worries in Generalized Anxiety Disorder Treatment

Theories of cognitive therapy have long proposed that those with generalized anxiety disorder (GAD) have inaccurate expectations. By challenging them with objective evidence, symptoms are thought to decrease. To test these premises, this study used ecological momentary assessment (EMA) during the Worry Outcome Journal (WOJ) treatment to determine the percentage of GAD worries that did not come true. We then analyzed the association between participants’ untrue worry percentages and GAD symptom change across treatment. Twenty-nine participants with GAD recorded worries when prompted for 10 days, reviewed them online nightly, and tracked their worry outcomes across 30 days. These recordings were then coded by independent raters. Analyses applied bias-correct bootstrapping path analysis on slopes extracted from longitudinal linear mixed models. Primary results revealed that 91.4% of worry predictions did not come true. Higher percentages of untrue worries significantly predicted lower GAD symptoms after treatment, as well as a greater slope of symptom reduction from pre- to post-trial. Participants’ average expected likelihoods of worries coming true were much greater than actual observed likelihoods. The most common percentage of untrue worries per person was 100%. Thus, worries in those with GAD were mostly inaccurate. Greater evidence of this inaccuracy predicted greater improvement in treatment. As theorized, disconfirming false expectations may significantly contribute to treatment’s effect.     

Fast thought speed induces risk taking

In two experiments, we tested for a causal link between thought speed and risk taking. In Experiment 1, we manipulated thought speed by presenting neutral-content text at either a fast or a slow pace and having participants read the text aloud. In Experiment 2, we manipulated thought speed by presenting fast-, medium-, or slow-paced movie clips that contained similar content. Participants who were induced to think more quickly took more risks with actual money in Experiment 1 and reported greater intentions to engage in real-world risky behaviors, such as unprotected sex and illegal drug use, in Experiment 2. These experiments provide evidence that faster thinking induces greater risk taking.     

Wait a second: Brief delays in responding reduce focality effects in event-based prospective memory

Remembering to perform deferred actions when an event is encountered in the future is referred to as event-based prospective memory (PM). We examined whether the failure of individuals to allocate sufficient attentional resources to nonfocal PM tasks can be linked to the response demands inherent in PM paradigms that require the PM task to race for response selection with the speeded ongoing task. In three experiments, participants performed a lexical decision task while being required to make a separate PM response to a specific word (focal), an exemplar of a category (nonfocal), or a syllable (nonfocal). We manipulated the earliest time participants could make task responses by presenting a tone at varying onsets (0–1,600 ms) following stimulus presentation. Improvements in focal PM and nonfocal PM were observed at response delays as brief as 200 ms and 400 ms, respectively. Nonfocal PM accuracy was comparable to focal PM accuracy at delays of 600 ms and 1,600 ms for categorical targets and syllable targets, respectively. Delaying task responses freed the resource-demanding processing operations used on the ongoing task for use on the nonfocal PM task, increasing the probability that the nonfocal PM features of ongoing task stimuli were adequately assessed prior to the ongoing task response.     

Performance predictions affect attentional processes of event-based prospective memory

To investigate whether making performance predictions affects prospective memory (PM) processing, we asked one group of participants to predict their performance in a PM task embedded in an ongoing task and compared their performance with a control group that made no predictions. A third group gave not only PM predictions but also ongoing-task predictions. Exclusive PM predictions resulted in slower ongoing-task responding both in a nonfocal (Experiment 1) and in a focal (Experiment 2) PM task. Only in the nonfocal task was the additional slowing accompanied by improved PM performance. Even in the nonfocal task, however, was the correlation between ongoing-task speed and PM performance reduced after predictions, suggesting that the slowing was not completely functional for PM. Prediction-induced changes could be avoided by asking participants to additionally predict their performance in the ongoing task. In sum, the present findings substantiate a role of metamemory for attention-allocation strategies of PM.     

Suicide Ideation and Acceptability Toward Online Help‐Seeking

Suicidal individuals are unlikely to engage in face‐to‐face treatment. The Internet is emerging as an innovative approach for intervention delivery, particularly for those unable or unwilling to attend traditional treatment. Participants (N  = 459) were recruited to fill out online questionnaires on suicide ideation and help‐seeking modality preference. The majority of participants endorsed preferring face‐to‐face help over web‐based help. Results from multinominal logistic regression indicated that suicide ideation was significantly related to preferring online methods versus face‐to‐face methods. This study highlights that the Internet can provide a novel platform to treat individuals at risk of suicide.     

Postpartum mood disorders: Results of an online survey

Purpose: Postpartum mood disorders (PMDs), the distressing mental and emotional symptoms experienced by women after childbirth, are just now receiving the attention they warrant. Given the serious and sometimes life‐threatening nature of PMDs, we used a qualitative research design to examine more closely the nature of symptoms experienced and the effective strategies women used to cope with PMD. Participants: The respondents were 252 members of PMD and breast‐feeding (La Leche League) support groups throughout the United States. Method: Participants responded anonymously to open‐ended questions in an online survey. The data were reviewed by the research team to determine common themes and prevailing issues. Results: Participants reported myriad different symptoms and used a host of various strategies to alleviate problematic thoughts, feelings, and behaviours following childbirth. Postpartum symptoms affected participants’ plans to have future children. For some women, symptoms became more intense during subsequent births. Despite the problematic nature of PMD, more than half of the participants reported receiving little or no information from healthcare providers about PMDs. Implications for counsellors and other healthcare providers are discussed in detail.     

Intolerance of uncertainty,causal uncertainty,causal importance,self-concept clarity and their relations to generalized anxiety disorder

Although numerous studies have provided support for the notion that intolerance of uncertainty plays a key role in pathological worry (the hallmark feature of generalized anxiety disorder (GAD)), other uncertainty-related constructs may also have relevance for the understanding of individuals who engage in pathological worry. Three constructs from the social cognition literature, causal uncertainty, causal importance, and self-concept clarity, were examined in the present study to assess the degree to which these explain unique variance in GAD, over and above intolerance of uncertainty. N = 235 participants completed self-report measures of trait worry, GAD symptoms, and uncertainty-relevant constructs. A subgroup was subsequently classified as low in GAD symptoms (n = 69) or high in GAD symptoms (n = 54) based on validated cut scores on measures of trait worry and GAD symptoms. In logistic regressions, only elevated intolerance of uncertainty and lower self-concept clarity emerged as unique correlates of high (vs. low) GAD symptoms. The possible role of self-concept uncertainty in GAD and the utility of integrating social cognition theories and constructs into clinical research on intolerance of uncertainty are discussed.