Face-name memory training in subjective memory decline: how does office-based training translate to everyday situations?

This study aimed to examine whether people with subjective memory decline (SMD) benefit from face-name memory training (single session) as much as older adult controls in an office-based setting. Approximately 2 months later, groups were reassessed for translation to a naturalistic setting. In the office setting, there was a significant interaction between stimulus type (cued name; uncued name) and training condition (spaced retrieval, semantic association, no training), but no group differences nor interactions. Semantic association was only beneficial for cued names, whereas spaced retrieval was beneficial in cued and uncued conditions. In the naturalistic setting, however, there were no training effects. Naturalistic performance was predicted by demographics, cognition, and motivation. All groups reported improved memory control beliefs and contentment. Our study demonstrates the benefit of simple memory strategies for older adults, including those with SMD, in office-based settings. Translation to everyday settings is complex and may require prior intervention to increase motivation.     

The use of diabetes-specific perceived control and health belief measures to predict treatment choice and efficacy in a feasibility study of continuous subcutaneous insulin infusion pumps

Abstract

In the course of a feasibility study of continuous subcutaneous insulin infusion pumps, 382 insulin-requiring diabetic patients were offered a choice of CSII, intensified conventional treatment or conventional treatment. Two hundred and eighty-six (75%) patients completed newly developed diabetes-specific measures of health beliefs and attributions before any change of treatment regimen. The scales were useful predictors of patients' choice of treatment. Furthermore, they were useful in predicting efficacy of treatment in terms of glycosylated haemoglobin measures of diabetes control after one year of treatment in the study. The implications of the findings for introducing patients to new forms of treatment are discussed.     

Caregivers’ beliefs about dementia: findings from the IDEAL study

Abstract

Objective: Informal caregivers of people with dementia develop their own beliefs about the condition, referred to as Dementia Representations (DRs), as they try to make sense of the changes they are observing. The first aim of this study was to provide a profile of the types of DRs held by caregivers. The second aim was to examine the impact of caregivers’ DRs on their well-being, satisfaction with life (SwL) and caregiving stress.

Methods: Participants were 1264 informal caregivers of people in the mild-to-moderate stages of dementia from time-point 1 of the IDEAL cohort study.

Measures: DRs were measured using questionnaire items covering: Identity, Cause, Control, and Timeline.

Results: Almost half (49.2%) of caregivers used a diagnostic term to describe the person’s condition, although 93.4% of caregivers stated they were aware of the diagnosis. Higher well-being, SwL, and lower caregiving stress were associated with the use of an identity term relating to specific symptoms of dementia, attributing the cause to ageing or not knowing the cause, and believing the condition would stay the same. Lower well-being, SwL, and higher caregiving stress were associated with believing there was little that could be done to control the effects of the condition.

Conclusion: Healthcare professionals should assess and gain an understanding of caregivers’ DRs in order to provide more tailored information and support.     

Predicting hopelessness: The interaction between optimism/pessimism and specific future expectancies

Improving our understanding of hopelessness is central to suicide prevention. This is the first study to investigate whether generalised expectancies for the future (optimism/pessimism) and specific future-oriented cognitions (future thinking) interact to predict hopelessness and dysphoria. To this end, participants completed measures of future thinking, optimism/pessimism and affect at Time 1 and measures of affect and stress at Time 2, 10–12 weeks later. Results indicated that changes in hopelessness but not dysphoria were predicted by the interaction between positive future thinking (but not negative future thinking), optimism/pessimism and stress beyond initial levels of hopelessness and dysphoria. Additional moderating analyses are also reported. These findings point to the fruits of integrating personality and cognitive processes, to better understand hopelessness.     

Fantasy proneness and counterfactual thinking

Counterfactual thinking (CFT; mentally simulating alternatives to reality) is central to learning and motivation. Two studies explored the relationship between CFT and fantasy proneness, a personality trait typified by excessive fantasies hard to distinguish from reality. In study1, participants completed a fictional diary entry which was used to measure spontaneous CFT and the Creative Experiences Questionnaire measure of fantasy proneness. Fantasy proneness was significantly correlated with the generation of counterfactual thoughts. Both CFT and fantasy proneness have been independently associated with low mood and study2 included a measure of negative emotional state (the Depression, Anxiety and Stress scale) in addition to the CEQ and CFT. Fantasy proneness and negative emotion both predicted CFT, but no interaction between them was observed. The results suggest that individuals high in fantasy proneness have a general tendency to think counterfactually.     

Authoritarianism and arranged marriage in Bangladesh and Korea

The relationships between authoritarianism and attitudes about arranged marriage were studied in Bangladesh and Korea. According to regression analyses (N = 417), authoritarianism was positively related to support for arranged marriages in closed-ended and open-ended responses. Authoritarianism was also negatively related to open-ended discussions about the importance of love in selecting a partner and in the importance of emotional connection in establishing a relationship. Replicating prior results from the US on women, authoritarianism was related to desires to marry individuals who were gender-typed, traditional, and with narrow interests. Despite some differences in patterns of relationships due to gender and country of origin, the findings support the general hypothesis that authoritarians are invested in maintaining the traditions of their culture.     

Remembering and imagining: the role of the self

This study investigated whether temporal clustering of autobiographical memories (AMs) around periods of self-development ( [Rathbone et al., 2008] and [Rathbone et al., 2009] ) would also occur when imagining future events associated with the self. Participants completed an AM task and future thinking task. In both tasks, memories and future events were cued using participant-generated identity statements (e.g., I am a student; I will be a mother). Participants then dated their memories and future events, and finally gave an age at which each identity statement was judged to emerge. Dates of memories and future events were recoded as temporal distance from the identity statement used to cue them. AMs and future events both clustered robustly around periods of self-development, indicating the powerful organisational effect of the self. We suggest that life narrative structures are used to organise future events as well as memories.     

Changing exercise through targeting affective or cognitive attitudes

Two studies investigated the impact of affective and cognitive messages compared to a no-message control on self-reported exercise. Students (Study 1, N = 383 and Study 2, N = 197) were randomly allocated to one of the three conditions (control - no message, affective message or cognitive message). Participants completed questionnaire measures tapping components of the theory of planned behaviour in relation to exercise and reported their level of exercise (3 weeks later). In Study 2, measures of need for affect (NFA) and need for cognition (NFC) were also completed. Results showed that affective messages consistently produced greater increases in self-reported level of exercise than the other conditions. In both studies, this effect was partly mediated by affective attitude change. Study 2 indicated these effects to be significantly stronger among those high in NFA or low in NFC. These findings indicate the value of affective messages that target affective attitudes in changing exercise behaviour.     

Cross-lagged relationships between career aspirations and goal orientation in early adolescents

We surveyed 217 students (145 girls; average age = 14.6 years) on two occasions, twelve months apart, on measures of career aspirations (job aspirations, job expectations, educational aspirations) and goal orientation (learning, performance-prove, performance-avoid), and tested the causal relationship between goal orientation and aspirations. We assessed five plausible cross-lagged models (a baseline model testing stability and synchronous effects only, a standard causal model with added cross-lagged paths from goal orientation at T1 to the outcome variables at T2, a reverse-causation model, a reciprocal-causation model, and a model of best fit). We found significant, synchronous associations at T1 and T2 between goal orientation and career aspiration, significant stability coefficients for all variables, and support for a standard causal model, with changes in performance-prove and performance-avoid orientations, but not learning orientation, associated with changes in career aspirations over time. We discuss the outcomes in relation to theory and the implications for practitioners.     

Listening to your heart. How interoception shapes emotion experience and intuitive decision making

Theories proposing that how one thinks and feels is influenced by feedback from the body remain controversial. A central but untested prediction of many of these proposals is that how well individuals can perceive subtle bodily changes (interoception) determines the strength of the relationship between bodily reactions and cognitive-affective processing. In Study 1, we demonstrated that the more accurately participants could track their heartbeat, the stronger the observed link between their heart rate reactions and their subjective arousal (but not valence) ratings of emotional images. In Study 2, we found that increasing interoception ability either helped or hindered adaptive intuitive decision making, depending on whether the anticipatory bodily signals generated favored advantageous or disadvantageous choices. These findings identify both the generation and the perception of bodily responses as pivotal sources of variability in emotion experience and intuition, and offer strong supporting evidence for bodily feedback theories, suggesting that cognitive-affective processing does in significant part relate to "following the heart."