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Safren SA Otto MW Sprich S Winett CL Wilens TE Biederman J 《Behaviour research and therapy》2005,43(7):831-842
The purpose of the present study was to examine the potential efficacy, patient acceptability, and feasibility of a novel, cognitive-behavioral therapy (CBT) for adults with attention-deficit hyperactivity disorder (ADHD) who have been stabilized on medications but still show clinically significant symptoms. Thirty-one adults with ADHD and stable psychopharmacology for ADHD were randomized to CBT plus continued psychopharmacology or continued psychopharmacology alone. Assessments included ADHD severity and associated anxiety and depression rated by an independent evaluator (IE) and by self-report. At the outcome assessment, those who were randomized to CBT had lower IE-rated ADHD symptoms (p < .01) and global severity (p < .002), as well as self-reported ADHD symptoms (p < .0001) than those randomized to continued psychopharmacology alone. Those in the CBT group also had lower IE-rated and self-report anxiety (p's < .04), lower IE-rated depression (p < .01), and a trend to have lower self-reported depression (p = .06). CBT continued to show superiority over continued psychopharmacology alone when statistically controlling levels of depression in analyses of core ADHD symptoms. There were significantly more treatment responders among patients who received CBT (56%) compared to those who did not (13%) (p < .02). These data support the hypothesis that CBT for adults with ADHD with residual symptoms is a feasible, acceptable, and potentially efficacious next-step treatment approach, worthy of further testing. 相似文献
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A large orthographic neighborhood (N) facilitates lexical decision for central and left visual field/right hemisphere (LVF/RH) presentation, but not for right visual field/left hemisphere (RVF/LH) presentation. Based on the SERIOL model of letter-position encoding, this asymmetric N effect is explained by differential activation patterns at the orthographic level. This analysis implies that it should be possible to negate the LVF/RH N effect and create an RVF/LH N effect by manipulating contrast levels in specific ways. In Experiment 1, these predictions were confirmed. In Experiment 2, we eliminated the N effect for both LVF/RH and central presentation. These results indicate that the letter level is the primary locus of the N effect under lexical decision, and that the hemispheric specificity of the N effect does not reflect differential processing at the lexical level. 相似文献
85.
What you see is what you set: sustained inattentional blindness and the capture of awareness 总被引:9,自引:0,他引:9
This article reports a theoretical and experimental attempt to relate and contrast 2 traditionally separate research programs: inattentional blindness and attention capture. Inattentional blindness refers to failures to notice unexpected objects and events when attention is otherwise engaged. Attention capture research has traditionally used implicit indices (e.g., response times) to investigate automatic shifts of attention. Because attention capture usually measures performance whereas inattentional blindness measures awareness, the 2 fields have existed side by side with no shared theoretical framework. Here, the authors propose a theoretical unification, adapting several important effects from the attention capture literature to the context of sustained inattentional blindness. Although some stimulus properties can influence noticing of unexpected objects, the most influential factor affecting noticing is a person's own attentional goals. The authors conclude that many--but not all--aspects of attention capture apply to inattentional blindness but that these 2 classes of phenomena remain importantly distinct. 相似文献
86.
According to betrayal trauma theory, adult survivors of childhood sexual abuse (CSA) who were molested by their caretakers (e.g., a father) are especially likely to dissociate ("repress") their memories of abuse. Testing college students, some reporting CSA, DePrince and Freyd (2004) found that those scoring high on a dissociation questionnaire exhibited memory deficits for trauma words when they viewed these words under divided-attention conditions. Replicating DePrince and Freyd's procedure, we tested for memory deficits for trauma words relative to neutral words in adults reporting either continuous or recovered memories of CSA versus adults denying a history of CSA. A memory deficit for trauma words under divided attention was expected in the recovered-memory group. Results were inconsistent with this prediction, as all three groups exhibited better recall of trauma words than neutral words, irrespective of encoding conditions. 相似文献
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Real-world situations involve attending to spatially extended objects, often under conditions of motion and high processing load. The present experiments investigated such processing by requiring observers to attentionally track a number of long, moving lines. Concurrently, observers responded to sporadic probes as a measure of the distribution of attention across the lines. The results revealed that attention is concentrated at the centers of lines during tracking, despite their uniformity, and that this center advantage grew as the lines became longer: Not only did observers get worse near the endpoints, but they became better at the lines' centers, as if attention became more concentrated as the objects became more extended. These results begin to show how attention is flexibly allocated in online visual processing to extended dynamic objects. 相似文献
89.
The authors hypothesized that the effectiveness of role models varies across the adult life span because of differences in health-related regulatory orientations. Because young adults have strong health-related promotion orientations, they should be motivated by positive models who illustrate the benefits of good health. Because older adults have more balanced health-related promotion and prevention orientations, they should be motivated not only by positive models but also by negative models who illustrate the costs of poor health. Results indicated that both young and older adults perceived positive models to be motivating, but older adults found negative models to be more motivating than did young adults. Age differences in responses to negative models were partially mediated by differences in health-related prevention orientation. 相似文献
90.
When an object A moves toward an object B until they are adjacent, at which point A stops and B starts moving, we often see a collision--ie we see A as the cause of B's motion. The spatiotemporal parameters which mediate the perception of causality have been explored in many studies, but this work is seldom related to other aspects of perception. Here we report a novel illusion, wherein the perception of causality affects the perceived spatial relations among two objects involved in a collision event: observers systematically underestimate the amount of overlap between two items in an event which is seen as a causal collision. This occurs even when the causal nature of the event is induced by a surrounding context, such that estimates of the amount of overlap in the very same event are much improved when the event is displayed in isolation, without a 'causal' interpretation. This illusion implies that the perception of causality does not proceed completely independently of other visual processes, but can affect the perception of other spatial properties. 相似文献