Social Support and Subjective Health in Fibromyalgia: Self-Compassion as a Mediator

Individuals with fibromyalgia report lower levels of health-related quality of life (HRQL) compared to other chronically ill populations and interpersonal factors (i.e., social support) may influence risk. What is less understood is how intrapersonal factors (i.e., self-compassion) may impact the social support-HRQL linkage. We examined the association between social support and HRQL in a sample of persons with fibromyalgia and tested the potential mediating role of self-compassion. Self-identified adults in the United States with fibromyalgia (N?=?508) were recruited from state, regional, and national organizations and support groups and completed an online battery of self-report questionnaires including: Multidimensional Health Profile—Psychosocial Functioning Index, Short-Form 36 Health Survey, and Self-Compassion Scale-Short Form. Individuals with greater subjective social support reported higher levels of self-compassion and, in turn, higher mental HRQL. These findings provide greater information about psychosocial constructs and HRQL and extend our understanding of self-compassion among individuals living with fibromyalgia.

     

Efficiency and interactions of alerting,orienting and executive networks: The impact of imperative stimulus type

The Attention Network Test (ANT) generates measures of three attention networks: alerting, orienting and executive control. Arrows have been generally used as imperative stimuli in the different versions of this paradigm. However, it is unknown whether the directional nature of these stimuli can modulate the efficiency of the executive control and its interaction with alerting and orienting. We developed three ANT variants to examine attentional effects in response to directional and non-directional stimuli. Arrows (ANTI-A), colored fruits (ANTI-F) and black geometrical-shape (ANTI-G) were used as imperative stimuli (i.e., flanker stimuli). Data collected from fifty-two university students, in two experiments, showed that arrows stimuli produced a greater interference effect and a greater orienting effect as compared to the other stimuli. Moreover, only arrows modulated the interaction between executive control and orienting: a reduced flanker effect in spatially cued trials was only observed in ANTI-A. These results suggest that the directional value of the stimuli increases the conflict and modulates the efficiency of executive control and its interaction with orienting network.     

Crossmodal attention switching: Auditory dominance in temporal discrimination tasks

Visual stimuli are often processed more efficiently than accompanying stimuli in another modality. In line with this “visual dominance”, earlier studies on attentional switching showed a clear benefit for visual stimuli in a bimodal visual–auditory modality-switch paradigm that required spatial stimulus localization in the relevant modality. The present study aimed to examine the generality of this visual dominance effect. The modality appropriateness hypothesis proposes that stimuli in different modalities are differentially effectively processed depending on the task dimension, so that processing of visual stimuli is favored in the dimension of space, whereas processing auditory stimuli is favored in the dimension of time. In the present study, we examined this proposition by using a temporal duration judgment in a bimodal visual–auditory switching paradigm. Two experiments demonstrated that crossmodal interference (i.e., temporal stimulus congruence) was larger for visual stimuli than for auditory stimuli, suggesting auditory dominance when performing temporal judgment tasks. However, attention switch costs were larger for the auditory modality than for visual modality, indicating a dissociation of the mechanisms underlying crossmodal competition in stimulus processing and modality-specific biasing of attentional set.     

The temporal dynamics of the perceptual consequences of action-effect prediction

An essential aspect of voluntary action control is the ability to predict the perceptual effects of our actions. Although the influence of action-effect prediction on humans’ behavior and perception is unequivocal, it remains unclear when action-effect prediction is generated by the brain. The present study investigates the dynamics of action effect anticipation by tracing the time course of its perceptual consequences. Participants completed an acquisition phase during which specific actions (left and right key-presses) were associated with specific visual effects (upward and downward dots motion). In the test phase they performed a 2 AFC identification task in which they were required to indicate whether the dots moved upward or downward. To isolate any effects of action-effect prediction on perception, participants were presented with congruent and incongruent dot motion in which the association participants learned in the previous acquisition phase was respected and violated, respectively. Crucially, to assess the temporal dynamics of action prediction, congruent and incongruent stimuli were presented at different intervals before or after action execution. We observed higher sensitivity (d′) to motion discrimination in congruent vs. incongruent trials only when stimuli were presented from about 220 ms before the action to 280 ms after the action. The temporal dynamics of our effect suggest that action-effect prediction modulates perception at later stages of motor preparation.     

The Partners for Life Program: A Couples Approach to Cardiac Risk Reduction

Morbidity and mortality are reliably lower for the married compared with the unmarried across a variety of illnesses. What is less well understood is how a couple uses their relationship for recommended lifestyle changes associated with decreased risk for illness. Partners for Life compared a patient and partner approach to behavior change with a patient only approach on such factors as exercise, nutrition, and medication adherence. Ninety‐three patients and their spouses/partners consented to participate (26% of those eligible) and were randomized into either the individual or couples condition. However, only 80 couples, distributed across conditions, contributed data to the analyses, due to missing data and missing data points. For exercise, there was a significant effect of couples treatment on the increase in activity and a significant effect of couples treatment on the acceleration of treatment over time. In addition, there was an interaction between marital satisfaction and treatment condition such that patients who reported higher levels of marital distress in the individuals condition did not maintain their physical activity gains by the end of treatment, while both distressed and nondistressed patients in the couples treatment exhibited accelerating gains throughout treatment. In terms of medication adherence, patients in the couples treatment exhibited virtually no change in medication adherence over time, while patients in the individuals treatment showed a 9% relative decrease across time. There were no condition or time effects for nutritional outcomes. Finally, there was an interaction between baseline marital satisfaction and treatment condition such that patients in the individuals condition who reported lower levels of initial marital satisfaction showed deterioration in marital satisfaction, while non satisfied patients in the couples treatment showed improvement over time.     

Shooting the Messenger: The Case of ADHD

Medicating ADHD is a controversial subject that was acutely inflamed in 1995 when high rates of ADHD diagnosis and treatment were documented in southeastern Virginia. Psychologists in southeastern Virginia formed a regional school health coalition to implement and evaluate interventions to address the problem. Other professionals with strong ties to the pharmaceutical industry launched ad hominem attacks on the coalition’s research and work. These attacks contributed to the work being terminated in 2005. In the ensuing years, ADHD drug treatment continued to escalate. Today, the national rate of ADHD diagnosis exceeds all reasonable estimates of the disorder’s true prevalence, with 14 % of American children being diagnosed before reaching young adulthood. Notable key opinion leaders continue to claim that there is no cause for concern, but with a message shift from “the prevalence is not too high” to “high prevalence is not too concerning.” This paper provides an object lesson about how innovative research can be derailed to the detriment of sound medical and mental health care of children when industry interests are threatened. Tenure may be the only option for protecting innovative research from specious attacks. The authors offer a summary of the data on ADHD drug treatments, suggest judicious use of such treatments, and add their voices to others who are once again sounding a cautionary alarm.     

Gender Hierarchy in the Space: The Role of Gender Status in Shaping the Spatial Agency Bias

According to the Spatial Agency Bias (SAB), more agentic groups (men) are envisioned to the left of less agentic groups (women). This research investigated the role of social status in shaping the spatial representation of gender couples. Participants were presented pairs consisting of one male and one female target who confirmed gender stereotypes. The status of the targets in each pair was systematically varied (high-status vs. low-status job). Participants chose the target order (female/male vs. male/female) they preferred. In line with gender-status expectations (male: high-status, female: low-status), a male in a high-status job led to a spatial arrangement that favored the male/female order, regardless of the status of the female target. The female/male order was favored only when the female had a high-status job and the male a low-status job. No SAB occurred for pairs in which both targets displayed low-status jobs. The implications of status for the SAB are discussed.     

Teaching letter sounds to kindergarten English language learners using incremental rehearsal

Proficiency in letter–sound correspondence is important for decoding connected text. This study examined the effects of an evidence-based intervention, incremental rehearsal (IR), on the letter–sound expression of three kindergarten English language learners (ELLs) performing below the district benchmark for letter–sound fluency. Participants were native speakers of Hmong, Spanish, and Polish. A multiple-baseline design across sets of unknown letter sounds was used to evaluate the effects of IR on letter–sound expression. Visual analysis of the data showed an increase in level and trend when IR was introduced in each phase. Percentage of all non-overlapping data (PAND) ranged from 95% to 100%. All participants exceeded expected growth and reached the spring district benchmark for letter–sound fluency. Results suggest that IR is a promising intervention for increasing letter–sound expression for ELLs who evidence delays in acquiring letter sounds.     

Cutting it (too) fine

It is widely held that propositions are structured entities. In The Nature and Structure of Content (2007), Jeff King argues that the structure of propositions is none other than the syntactic structure deployed by the speaker/hearers who linguistically produce and consume the sentences that express the propositions. The present paper generalises from King’s position and claims that syntax provides the best in-principle account of propositional structure. It further seeks to show, however, that the account faces serve problems pertaining to the fine individuation of propositions that the account entails. The ‘fineness of cut’ problem has been raised by Collins (The unity of linguistic meaning, 2007) and others. King (Philos Stud 163(3):763–781, 2013) responds to these complaints in ways this paper rebuts. Thus, the very idea of structured propositions is brought into doubt, for the best in-principle account of such structure appears to fail.