Within compound Associations Mediate the Retrospective Revaluation of Causality Judgements

The role of within-compound associations in the retrospective revaluation of causality judgements was investigated in a two-stage procedure in which the subjects were asked to learn whether or not different food stimuli caused an allergic reaction in hypothetical patients. In the compound-cue stage a number of compound cues, each consisting of a competing stimulus and a target stimulus, were associated with the reaction across a series of trials, whereas in the single-cue stage the subjects had the opportunity to learn which of the competing cues, when presented alone, caused the reaction. Each target stimulus was presented with the same competing cue across all compound trials in the consistent condition, but with a different competing cue on each trial in the varied condition. In a forward procedure, in which the single-cue stage preceded compound cue training, judgements of the causal effectiveness of the target stimuli were reduced or blocked by training them in compound with a competing cue that had been previously paired with the reaction. Moreover, the magnitude of this reduction was comparable in the consistent and varied conditions. This was not true, however, when the single- and compound-cue stages were reversed in the backward procedure. Judgements for target cues compounded with competing cues that were subsequently paired with the reaction were reduced only in the consistent condition. If it is assumed that stronger associations were formed between the competing and target stimuli during the compound-cue stage in the consistent condition than in the varied condition, this pattern suggests that the retrospective revaluation of causality judgements can be mediated by the formation of within-compound associations.     

Meta-analysis of psychological interventions for chronic low back pain.

The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.