Differences in high and low anxiety sensitive women's responses to a laboratory-based cold pressor task

Anxiety sensitivity (AS) has been linked to a variety of disabling chronic health conditions, including pain-related conditions. A recent study has found that healthy women with high AS reported significantly higher levels of sensory and affective pain on an experimental cold pressor task compared to women with low AS. However, this study found no differences between AS groups for pain tolerance or pain threshold. In the present study, which was designed to replicate and extend these findings, 90 undergraduate university women were selected for inclusion in 1 of 2 AS groups (high or low) based on their screening scores on a 16-item measure of AS. Participants were tested individually on a lab-based cold pressor task using a variety of self-report and observer-measured variables. Data analyses revealed that, as expected, the high AS participants reported significantly more fear in response to the cold pressor on a relevant item of the McGill Pain Questionnaire-Short Form (SF-MPQ) than did the low AS participants. Also as expected, the high AS participants reported more pain in response to the cold pressor on the Present Pain Index (PPI) of the SF-MPQ than did the low AS participants. High AS participants did not differ from low AS participants on other aspects of the cold pressor response (e.g. pain threshold, pain tolerance, pain recovery). These results support the role of pain-related fear as a mediating variable between AS and increased perceived pain intensity.     

Adapting Cognitive Processing Therapy to Treat Co-Occurring Posttraumatic Stress Disorder and Mild Traumatic Brain Injury: A Case Study

This case study aims to provide evidence for the effectiveness of adapting a particular manualized cognitive behavioral therapy intervention to treat co-occurring posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). This study presents the treatment of a woman who experienced co-occurring mTBI and PTSD following a motor vehicle accident, a dual diagnosis that was established through a flexible assessment approach involving interviews as well as standardized psychological, neuropsychological, and neurobehavioral testing. Treatment planning led to a-priori adaptation of Cognitive Processing Therapy (CPT) to treat both her PTSD symptoms and the sequelae associated with her mTBI. The therapist maintained fidelity to the manualized structure and content of CPT protocol, adapting portions of the treatment to add specific emphasis on issues of identity confusion and role loss in service of addressing these common functional impairments that can accompany mTBI. Discussion focuses on application of CPT for future treatment of comorbid PTSD and TBI amidst complicating factors, including role losses and medical and safety issues. This case study is especially relevant due to the prevalence of co-occurring PTSD and TBI across a variety of populations.     

Spelling HUMBLE with U and ME: The role of perceived humility in intimate partner relationships

Humility predicts relationship satisfaction, partially mediated by commitment, in college students. The present study tested this mediation in a non-college sample of participants who have been in exclusive relationships for at least three months (N = 349). We supported a partial mediation model in predicting relationship satisfaction (Hypothesis 1). After controlling for commitment, accurate view of self was the most important factor in predicting relational satisfaction (Hypothesis 2). A simultaneous meditational analysis revealed that perceived humility predicted relationship satisfaction, mediated by gratitude in relationships (Hypothesis 3). A multiple regression analysis revealed that after controlling for personal virtues, perceiving humility in one’s partner predicted additional variance in relational satisfaction (Hypothesis 4). Our study provided support for a mediational model, but do not allow causal inferences because of cross-sectional design. Thus, we recommend that future studies include longitudinal studies to investigate the meditational models we observed.     

Assessing decision making in young adult romantic relationships

Romantic relationships among young adults are rich with ambiguity and without a clear, universal progression emphasizing the need for active decision making. Lack of active decision making in romantic relationships can lead to increases in constraints (e.g. pregnancy, shared living space or finances) that promote the continuation of relationships that would have otherwise ended, leading to increased risk of relationship distress. Because there is no available assessment of thoughtfulness regarding relationship decisions, the authors of the present studies report data on the development of one such scale, the Relationship Deciding Scale (RDS). Study 1 (N = 995) reveals the factor structure of the RDS and provides reliability data for the emergent subscales. In Study 2 (N = 963), the obtained three-factor structure (Relationship Confidence, Knowledge of Warning Signs, and Deciding) is tested via confirmatory factor analysis, demonstrates convergent and discriminant validity, and is shown to predict relationship characteristics 14 weeks later. Study 3 (N = 805) shows the sensitivity of the three factors to change through examination of the influence of a semester-long intervention targeted at increasing decision making in relationships. Use of this scale for identifying and intervening with couples or individuals who lack active decision making in relationships may decrease their risk for future relationship distress.     

Sampling the process of autobiographical memory construction

In three autobiographical memory retrieval experiments participants reported the contents of consciousness to a probe presented at early and late points during retrieval. Classification of the protocols according to the specificity of the reported knowledge found that early in retrieval abstract knowledge predominated whereas at the later point, close to generation or formation of a memory, knowledge related to specific events was more frequent. For some memories very fast and full retrieval was observed at the early point and this was independent of other concurrent processing demands. These findings show that generative retrieval entails iterative access of autobiographical knowledge but this is not observed in direct retrieval.     

Marital Conflict as a Mediator of the Longitudinal Connections between Maternal Emotional Distress and Early Adolescent Maladjustment

In this study, we examined the longitudinal relations among maternal emotional distress, marital conflict, and early adolescent externalizing behaviors and internalizing symptoms during the transition to adolescence. 3 years of self-report data were collected from 136 married mothers and their children, beginning when the children were in 5th grade. Structural equations modeling with latent variables were conducted to examine the nature and directionality of paths between constructs. For mothers, results indicated that marital conflict mediated the relation between prior maternal emotional distress and subsequent early adolescent externalizing behaviors and internalizing symptoms. For early adolescents, a mediating pattern was seen only for externalizing behaviors. In testing the reverse pattern of effects for mothers, marital conflict mediated the relation between prior early adolescent externalizing behaviors and subsequent maternal emotional distress whereas only an indirect pattern of effects existed for internalizing symptoms. Thus, we identified dynamic patterns of familial relations that accounted for the diminished well-being of both early adolescents and their mothers, suggesting that prevention and intervention work during the transition to adolescence should focus on multiple components of family functioning.     

Neural Correlates of Reward Processing in Adolescents With a History of Inhibited Temperament

ABSTRACT— Functional imaging data were acquired during performance of a reward-contingency task in a unique cohort of adolescents (ages 14–18 years) who were characterized since infancy on measures of temperamental behavioral inhibition. Neural activation was examined in striatal structures (nucleus accumbens, putamen, caudate) with a known role in facilitating response to salient reward-related cues. Adolescents with a history of behavioral inhibition, relative to noninhibited adolescents, showed increased activation in the nucleus accumbens when they believed their selection of an action would affect reward outcome. Neural responses did not differ between the two groups when participants made a prespecified response that they knew would result in reward or when they produced random motor responses that they knew would not be rewarded. These results link inhibited temperament and perturbed neural responses to reward-contingency cues.     

Contribution of Peer Deviancy Training to the Early Development of Conduct Problems: Mediators and Moderators

Three variables were tested as moderators of the relationship between peer deviancy training and child antisocial behavior in a longitudinal study of 267 boys and girls from ages 5.3 to 9.3 years. Deviancy training was directly measured by observation of the discourse and play of children with same-gender classmates. Peer deviancy training was significantly related to multi-setting child antisocial behavior from ages 5.3 to 9.3 years. Child impulsivity, poor parental discipline, and peer rejection were all significant moderators of that relationship, even in the context of their direct association with trajectories of antisocial behavior and after controlling for deviant peer affiliation. These moderator effects appeared to be associated with children's increased sensitivity to peer modeling and reinforcement of deviant discourse and play. Not all children are equally affected by peer deviancy training, and an array of intervention strategies are described that may serve to protect children from deviant peer influence.     

Childhood Emotional Abuse and Young Adulthood Dating Violence: The Moderating Role of Stress Reactivity

Dating violence has been linked to past experiences of childhood emotional abuse; however, little research has explored how stress reactivity functions within interpersonal relationships to amplify or attenuate these associations. The present study investigated the moderating effects of cortisol stress reactivity on associations between retrospective self-reported childhood emotional abuse and later self-reported interpersonal violence in young adult dating relationships. The current sample consisted of 57 young adult heterosexual dating partners (46 females, 11 males) between the ages of 18 and 24. Salivary cortisol samples were collected before and after a stress task to measure stress reactivity. Moderation analyses were conducted through the PROCESS macro in SPSS version 22. The relation between childhood emotional abuse and dating violence varied depending on cortisol reactivity, such that the association between childhood emotional abuse and young adult dating violence was stronger for those who demonstrated low levels of cortisol reactivity. The association between childhood emotional abuse and dating violence was not significant for those who demonstrated high cortisol reactivity. Findings underscore the importance of studying physiological mechanisms that may confer risk in the relationship between child emotional abuse and later interpersonal consequences.