Anxiety symptom focus in sessions of cognitive therapy for depression

The comorbid patient presents an especially difficult problem to a therapist who is attempting to implement a short-term, focused therapy. The current study investigates the effect of comorbid anxiety on cognitive therapy for depression. Participants were a subset of patients (N=24) assigned to the cognitive therapy arm of a large, randomized, controlled trial of treatment for depression. From intake assessments, patients were classified as having low or high levels of comorbid anxiety. Two videotapes of each patient's therapy sessions were coded. Irrespective of intake anxiety level, more time and effort spent addressing anxiety in session was found to predict less improvement in both depression and anxiety symptoms over the course of treatment.     

Pathological laughter as a symptom of midbrain infarction

Pathological laughter is an uncommon symptom usually caused by bilateral, diffuse cerebral lesions. It has rarely been reported in association with isolated cerebral lesions. Midbrain involvement causing pathological laughter is extremely unusual. We describe three patients who developed pathological laughter after midbrain and pontine-midbrain infarction. In two patients a small infarction in the left paramedian midbrain was detected, whereas the third one sustained a massive bilateral pontine infarction extending to the midbrain. Laughter heralded stroke by one day in one patient and occurred as a delayed phenomenon three months after stroke in another. Pathological laughter ceased within a few days in two patients and was still present at a two year follow-up in the patient with delayed-onset laughter. Pathological laughter can herald midbrain infarction or follow stroke either shortly after onset of symptoms or as a delayed phenomenon. Furthermore, small unilateral midbrain infarctions can cause this rare complication.     

Parental Beliefs about Anxiety as a Mediator of Parental Overcontrol and Adolescent Anxiety

Journal of Child and Family Studies - Parental negative beliefs about child anxiety (PBA; e.g., thoughts that experiencing anxiety is harmful for the child) are significantly associated with child...     

Self-control as a correlate of an Internalizing-Externalizing symptom dimension

The construct of self-control was explored as a correlate of the Internalizing-Externalizing symptom dimension.Ss were 11–13-year-old boys including 26 Internalizers with neurotic-like behavior problems, 40 Externalizers with acting-out behavior problems, and 26 normals. Each group was equally divided on the basis of social-class status. Results of measures on delay of gratification, reflection-impuisivity, and foresight and planning indicated that the normals exhibited the greatest degree of self-control and the Externalizers the least, while the Internalizes maintained an intermediate position. Consistent social-class differences were not found, but the factor of social class did heighten the differences within the Internalizers and Externalizers.This study is based on a doctoral dissertation submitted to the Department of Psychology, University of Minnesota. Norman Garmezy gave invaluable advice and guidance at every stage of the project. The research was supported by National Institute of Mental Health Grants MH-06170 and MH-14914 to N. Garmezy, and MH-21154 to S. Weintraub.     

Anxiety symptom interpretation in high-anxious,defensive high-anxious,low-anxious and repressor sport performers

Abstract

For the first time in a sport setting this study examined the intensity and direction of the competitive state anxiety response in collegiate athletes as a function of four different coping styles: high-anxious, defensive high-anxious, low-anxious and repressors. Specifically, the study predicted that repressors would interpret competitive state anxiety symptoms as more facilitative compared to high-anxious, defensive high-anxious, and low-anxious performers. Separate Multivariate Analyses of Variance (MANOVA) were performed on the intensity and direction subscales of the modified Competitive State Anxiety Inventory-2 (CSAI-2). A significant main effect was identified for trait worry revealing that low trait anxious athletes reported lower intensities of cognitive and somatic anxiety and higher self-confidence and interpreted these as more facilitative than high trait anxious athletes. The prediction that performers with a repressive coping style would interpret state anxiety symptoms as more facilitative than performers with non-repressive coping styles was not supported.     

Anxiety symptom interpretation in high-anxious, defensive high-anxious, low-anxious and repressor sport performers

For the first time in a sport setting this study examined the intensity and direction of the competitive state anxiety response in collegiate athletes as a function of four different coping styles: high-anxious, defensive high-anxious, low-anxious and repressors. Specifically, the study predicted that repressors would interpret competitive state anxiety symptoms as more facilitative compared to high-anxious, defensive high-anxious, and low-anxious performers. Separate Multivariate Analyses of Variance (MANOVA) were performed on the intensity and direction subscales of the modified Competitive State Anxiety Inventory-2 (CSAI-2). A significant main effect was identified for trait worry revealing that low trait anxious athletes reported lower intensities of cognitive and somatic anxiety and higher self-confidence and interpreted these as more facilitative than high trait anxious athletes. The prediction that performers with a repressive coping style would interpret state anxiety symptoms as more facilitative than performers with non-repressive coping styles was not supported.     

Science Anxiety as a Function of Gender and Experience

This study examined the influence of gender and various background factors on science anxiety. Students (50 women, 37 men) took the Science Anxiety Scale (Mallow, 1994), provided information about high school and college academic accomplishments, described gender-role stereotyping in the home, and evaluated their science teachers and science experiences. Most participants were Caucasian and from an upper-middle class background. Women were not uniformly more science anxious and had a relatively similar science background to men, although they had higher science grades in high school and did report less stringent sex-role socialization in the home. However, students with high science anxiety took fewer science courses in college, had lower SAT-Q scores, and reported that their high school science teachers were not helpful. The findings regarding gender- and anxiety-linked differences are discussed in terms of women's and men's differential interpretations of their abilities, the influence of parental gender typing on pursuit of science, and the gender-appropriateness of studying science.     

Discrepant Achievement in College as a Function of Anxiety and Repression

An entering freshman class was divided into 9 subgroups based on conjoint anxiety and repression scores (high, medium, and low) after being dichotomized by sex. Predictions of first-semester achievement (GPA) were based on SAT verbal and mathematical scores. A discrepancy score was calculated for each student by relating predicted to actual achievement. Repression (Welsh R) was found to be significantly and positively related to achievement for males. A moderate level of anxiety (Welsh A) was observed to be related to achievement for female students.     

Disruption in Pavlovian-Instrumental Transfer as a Function of Depression and Anxiety

The Pavlovian-Instrumental Transfer (PIT) paradigm examines probabilistic and reinforcement learning. Disruptions in mechanisms that mediate PIT (i.e., cues not triggering adaptive behaviors) are thought to be contributors to psychopathology, making the study of probabilistic and reinforcement learning clinically relevant. The current study evaluated an appetitive PIT effect and its relationship with symptom dimensions spanning depression and anxiety, with a particular focus on anhedonia. Forty young adults ranging in scores across dimensions of depression and anxiety symptoms completed the PIT paradigm and self-report symptom measures. The PIT paradigm consisted of three phases. The instrumental phase consisted of a contingent association in which participants squeezed a handgrip for monetary reward. The Pavlovian phase established a purely predictive association between three visual stimuli (CS?+?, CS-, baseline) and presence or absence of monetary reward. In the transfer phase, participants’ responses allowed for examination of whether motivational characteristics of Pavlovian predictors influenced the vigor of their handgrip squeezes (instrumental action), which were formerly independent of Pavlovian associations. Analyses revealed a baseline-reward PIT effect, whereby a reward-associated Pavlovian cue enhanced instrumental responding in the transfer phase. However, there were no significant differences between CS?+?and CS- or CS- and baseline cues, suggesting a disrupted interaction of Pavlovian and instrumental learning. Further, the appetitive PIT effect captured in this paradigm was not associated with anhedonia, fears, or general distress. Future work should investigate the influence of mood states using more specific appetitive PIT paradigms to further understanding of the implications of disrupted reflexive and instrumental responding.

     

The status of hoarding as a symptom of obsessive-compulsive disorder

Hoarding is considered by many to be a symptom of obsessive-compulsive disorder (OCD). Yet although it is observed in people with OCD, hoarding symptoms also appear in a number of other psychological and psychiatric conditions. The present studies were conducted using samples of OCD patients, patients with other anxiety disorders, and a non-clinical sample to further elucidate the relationship between hoarding and OCD. Across two investigations, we found that (a) whereas OCD patients had higher scores than the other groups on non-hoarding symptoms, this was not the case for hoarding symptoms; (b) hoarding tended to correlate more weakly with other OCD symptoms (e.g., washing, checking) than these other symptoms intercorrelated; (c) items measuring hoarding had the weakest factor loadings when a measure of OCD symptoms was submitted to factor analysis; (d) hoarding symptoms were not correlated with global OCD or anxiety severity, whereas other OCD symptoms were; and (e) hoarding did not show consistent relationships with OCD-related cognitive variables. These results do not support a specific relationship between hoarding and OCD; and they call into question hoarding's status as a specific symptom of OCD. Results are also discussed in terms of the importance of functional assessment of hoarding and OCD symptoms.     

Anxiety as a Barrier to Information Processing in the Event of a Cyberattack

As postindustrial societies become more dependent on technology, they also become encumbered by greater risk. With the mounting news reports of cyberattacks, a common reaction to these technology‐based hazards is anxiety. Whether anxiety enhances or erodes information processing is a topic of debate in previous literature, and equally uncertain is whether mass anxiety facilitates or hobbles the public's ability to contemplate current events. In light of three theoretical models in the basic research of anxiety, we hypothesized that (1) anxious participants are less able to recall the information in a news report of cyberattack than their nonanxious counterparts, (2) they become increasingly inept at recalling the details as the storyline unfolds, and (3) this impairment is unique to anxiety. Participants in Study 1 (130 college students) and Study 2 (392 American adults) viewed a news story of a cyberattack and then reported their emotional states and their levels of understanding of the various parts of the report—except that the anxiety in Study 1 was naturalistic, and in Study 2, experimentally manipulated. Results from both studies showed that anxiety undermined recall performance. In addition, Study 1 found that the recall was worse towards the middle and the end of the news story and that other emotions were not significantly associated with memory deficit. Anxiety is discussed as a barrier for the public to stay informed about cyberattacks.     

Incontinentia pigmenti as the leading symptom

It is reported on four girls aged 8 to 20 with Incontinentia pigmenti (Ip) The ectodermal dysplasia was associated with oligophrenia, therapy resistant epilepsy with severe psychorganic syndromes and dementia, Lennox syndrome, lability of emotion with severe disorders of social adaptations, spasticity, hypo- and areflexia, hemiathetosis, choreiform unrest, pathological EEG findings, including spike-potentials; relations to cleidocranial dysostosis, dysraphia, Poland's, Greig's and Chotzen's syndrome were found. Ip means unfavourable prognosis and progression of neuropsychiatric disorders.