Eating disorder examination questionnaire and clinical impairment assessment questionnaire: general population and clinical norms for young adult women in Sweden

Optimal use of assessment instruments for the detection and diagnosis of eating disorders (ED) depends on the availability of normative data. The aim of this work was to, for the first time, collect norms for both the Eating Disorder Examination Questionnaire (EDE-Q) and the newly developed Clinical Impairment Assessment (CIA) Scale from a general population of young women in Sweden, as well as from a clinical population of ED patients in Sweden. Participants were composed of both a randomized sample from the general population of women aged 18–30 years (N = 760) as well as from a clinical population aged 18–66 years (N = 2383). Data for the clinical population was extracted from the Stepwise database. Mean scores, standard deviations and percentile ranks for the global for the EDE-Q (as well as its subscales) and the CIA are presented. Prevalence figures of key eating disorder behaviors are also reported. Comparisons are made between the results in the present study with other existing normative studies on the EDE-Q and the CIA. The present study contributes to improving the accuracy of the interpretation of scores of the widely used self-report measure of ED, the EDE-Q, and the CIA, both of which play important roles in for diagnosis, prevention and intervention of ED.     

The effects of risk-glorifying media exposure on risk-positive cognitions, emotions, and behaviors: a meta-analytic review

In recent years, there has been a surge in the quantity of media content that glorifies risk-taking behavior, such as risky driving, extreme sports, or binge drinking. The authors conducted a meta-analysis involving more than 80,000 participants and 105 independent effect sizes to examine whether exposure to such media depictions increased their recipients' risk-taking inclinations. A positive connection was found for overall, combined risk taking (g=.41); as well as its underlying dimensions: risk-taking behaviors (g=.41), risk-positive cognitions and attitudes (g=.35), and risk-positive emotions (g=.56). This effect was observed across varying research methods (experimental, correlational, longitudinal); types of media (video games, movies, advertising, TV, music); and differing risk-related outcome measures (e.g., smoking, drinking, risky driving, sexual behavior). Multiple moderator analyses revealed 2 theoretically new boundary conditions for sociocognitive models. First, the effect was stronger for active (i.e., video games) than for passive (e.g., film, music) exposure to risk-glorifying media content. Second, the effect was stronger when there was a high degree of contextual fit between the media content and type of risk-taking measure. The theoretical, practical, and societal implications of the present research synthesis are discussed.     

A psychometric study of the Drug Use Disorders Identification Test-Extended in a Norwegian sample

Motivation is a widely used concept in substance use treatment, and is commonly seen as a premise for change during treatment. Different measures of motivation have been suggested. A relatively new instrument is the Drug Use Disorders Identification Test-Extended (DUDIT-E), developed in Sweden. This instrument has recently been introduced in Norway. The present study examined the Motivational Index of the Norwegian version of the Drug Use Disorders Identification Test-Extended (DUDIT-E). We tested whether the three-factor model ("Positive aspects of substance abuse"; "Negative aspects of substance abuse"; and "Treatment readiness") suggested by previous studies could be replicated in a sample of Norwegian inpatients. Responses to the DUDIT-E were obtained from 105 patients admitted to inpatient substance abuse treatment in Northern Norway. Exploratory common factor analyses were used to compare the factor structure from the current sample with the Swedish sample of mainly detoxification patients and prison inmates. The current sample did not include prison inmates, and it consisted of more women than the Swedish sample. The samples did not differ according to age or substance dependency. The analyses suggested that six primary factors was the most efficient way of combining the item scores, and not 11 as in the Swedish sample. A second-order factor analysis found best support for a two-factor solution, and hence, did not replicate the previously suggested three-factor model either. Several regression analyses comparing the efficiency of the different ways of combining the DUDIT scores in primary or secondary factor scores indicated that the model involving six sum scores had best merit and should be explored further.     

A new method to evaluate order and accuracy of inaccurately and incompletely reproduced movement sequences

Studying imitation learning of long sequences requires the evaluation of inaccurately and incompletely reproduced movement sequences. In order to evaluate the movement reproduction, it has to be assigned to the original stimulus. We developed an assignment algorithm that considers the Spatial Neighborhood and Order of reproduction (SNOA). To evaluate the features of this analysis it was applied to human performance during learning of long pointing sequences under two conditions: stimulus-guided reproduction with high spatial accuracy and imitation learning with low spatial accuracy. The results were compared with a simple assignment considering Spatial Neighborhood only (SNA) and with a Manual Assignment (MA). In the stimulus-guided reproduction the error measures did not differ between the algorithms. In contrast, with imitation learning, SNOA and MA generated higher estimates of order and omission errors than SNA. The results show that SNOA can be used to automatically quantify the similarity of both movement structure and metric information between long target sequences and inaccurate and incomplete movement reproductions.     

BOLD response to motion verbs in left posterior middle temporal gyrus during story comprehension

A primary focus within neuroimaging research on language comprehension is on the distribution of semantic knowledge in the brain. Studies have shown that the left posterior middle temporal gyrus (LPMT), a region just anterior to area MT/V5, is important for the processing of complex action knowledge. It has also been found that motion verbs cause activation in LPMT. In this experiment we investigated whether this effect could be replicated in a setting resembling real life language comprehension, i.e. without any overt behavioral task during passive listening to a story. During fMRI participants listened to a recording of the story “The Ugly Duckling”. We incorporated a nuisance elimination regression approach for factoring out known nuisance variables both in terms of physiological noise, sound intensity, linguistic variables and emotional content. Compared to the remaining text, clauses containing motion verbs were accompanied by a robust activation of LPMT with no other significant effects, consistent with the hypothesis that this brain region is important for processing motion knowledge, even during naturalistic language comprehension conditions.     

Allusive thinking (cognitive looseness) and the propensity to perceive “meaningful” coincidences

This study aimed at evaluating relations between the disposition to make “meaningful” associations between random events and potentially predisposing factors related to a more “loose” cognitive control, that is, loose associative processing (allusive thinking) and poorer inhibition of irrelevant memory content. As the findings of this study suggest, individuals with a higher disposition to perceive coincidences produced a higher rate of unusual associations in the Bridge-the-Associative-Gap test than low scorers, and showed poorer inhibition of no longer relevant memory content in the Recent Probes Task. These relationships were independent from individual differences in paranormal belief. Performance in a random generation task (Mittenecker Pointing Test) yielded no support for an important role of a biased concept of randomness in the perception of coincidences. The findings suggest that common mechanisms may underlie the propensity to perceive meaningful coincidences, cognitive looseness, and positive schizotypy.     

Eye movement suppression interferes with construction of object-centered spatial reference frames in working memory

The brain’s frontal eye fields (FEF), responsible for eye movement control, are known to be involved in spatial working memory (WM).In a previous fMRI experiment (Wallentin, Roepstorff & Burgess, Neuropsychologia, 2008) it was found that FEF activation was primarily related to the formation of an object-centered, rather than egocentric, spatial reference frame. In this behavioral experiment we wanted to demonstrate a causal relationship between eye movement control and manipulation of spatial reference frames. Sixty-two participants recalled either spatial (“Was X in front of Y?”) or non-spatial (“Was X darker than Y?”) relations in a previously shown image containing two to four objects, each with an intrinsic orientation and unique luminance. During half of all recall trials a moving visual stimulus was presented, which participants had to ignore, thus suppressing eye movement. Response times were significantly slower for spatial relations with distraction while there was no effect on non-spatial relations. There was no effect on accuracy, i.e. WM maintenance. This is consistent with the hypothesis that in spatial representations the FEFs are involved in WM content manipulation, such as establishing an object-centered spatial frame of reference.