The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

Somatic symptom disorder (SSD) and illness anxiety disorder (IAD) are two new diagnoses introduced in the DSM-5. There is a need for reliable instruments to facilitate the assessment of these disorders. We therefore developed a structured diagnostic interview, the Health Preoccupation Diagnostic Interview (HPDI), which we hypothesized would reliably differentiate between SSD, IAD, and no diagnosis. Persons with clinically significant health anxiety (n = 52) and healthy controls (n = 52) were interviewed using the HPDI. Diagnoses were then compared with those made by an independent assessor, who listened to audio recordings of the interviews. Ratings generally indicated moderate to almost perfect inter-rater agreement, as illustrated by an overall Cohen’s κ of .85. Disagreements primarily concerned (a) the severity of somatic symptoms, (b) the differential diagnosis of panic disorder, and (c) SSD specifiers. We conclude that the HPDI can be used to reliably diagnose DSM-5 SSD and IAD.     

Euthyphro and Moral Realism: A Reply to Harrison

Gerald Harrison identifies two Euthyphro-related concerns for divine command theories and makes the case that to the extent that these concerns make trouble for divine command theories they also make trouble for non-naturalistic moral realism and naturalistic moral realism (call this the parity thesis). He also offers responses to the two concerns on behalf of divine command theorists. I show here that the parity thesis does not hold for the most commonly discussed version of divine command theory. I further argue that his responses to the two concerns fail. Finally, I draw on some of Harrison’s ideas to identify an advantage that non-naturalistic moral realism has over divine command theories and naturalistic moral realism.     

Development and Validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16

The Difficulties in Emotion Regulation Scale (DERS) is a widely-used, theoretically-driven, and psychometrically-sound self-report measure of emotion regulation difficulties. However, at 36-items, the DERS may be challenging to administer in some situations or settings (e.g., in the course of patient care or large-scale epidemiological studies). Consequently, there is a need for a briefer version of the DERS. The goal of the present studies was to develop and evaluate a 16-item version of the DERS – the DERS-16. The reliability and validity of the DERS-16 were examined in a clinical sample (N = 96) and two large community samples (Ns = 102 and 482). The validity of the DERS-16 was evaluated comparing the relative strength of the association of the two versions of the DERS with measures of emotion regulation and related constructs, psychopathology, and clinically-relevant behaviors theorized to stem from emotion regulation deficits. Results demonstrate that the DERS-16 has retained excellent internal consistency, good test-retest reliability, and good convergent and discriminant validity. Further, the DERS-16 showed minimal differences in its convergent and discriminant validity with relevant measures when compared to the original DERS. In conclusion, the DERS-16 offers a valid and brief method for the assessment of overall emotion regulation difficulties.     

A new perspective on human reward research: How consciously and unconsciously perceived reward information influences performance

The question of how human performance can be improved through rewards is a recurrent topic of interest in psychology and neuroscience. Traditional, cognitive approaches to this topic have focused solely on consciously communicated rewards. Recently, a largely neuroscience-inspired perspective has emerged to examine the potential role of conscious awareness of reward information in effective reward pursuit. The present article reviews research employing a newly developed monetary-reward-priming paradigm that allows for a systematic investigation of this perspective. We analyze this research to identify similarities and differences in how consciously and unconsciously perceived rewards impact three distinct aspects relevant to performance: decision making, task preparation, and task execution. We further discuss whether conscious awareness, in modulating the effects of reward information, plays a role similar to its role in modulating the effects of other affective information. Implications of these insights for understanding the role of consciousness in modulating goal-directed behavior more generally are discussed.     

A longitudinal study of the effects of coping motives,negative affect and drinking level on drinking problems among college students

We examined among college students the interactive effects of drinking to cope (DTC) motivation, anxiety and depression symptoms, and drinking level in predicting drinking-related problems (DRPs). Using an Internet-based survey, participants (N = 844, 53% women) first reported on their drinking motives and monthly for up to three months, they reported on their drinking level, anxiety, depression, and DRPs. We found a three-way interaction between DTC motivation and average levels of drinking and anxiety (but not depression) in predicting DRPs. Specifically, among individuals with stronger DTC motives, higher mean levels of anxiety were associated with a stronger positive association between mean drinking levels and DRPs. We did not find three-way interactions in the models examining monthly changes in anxiety, depression, and drinking in predicting monthly DRPs. However, individuals high in DTC motivation showed a stronger positive association between changes in drinking level and DRPs. The results are discussed in terms of mechanisms related to attention-allocation and self-control resource depletion.     

A matter of perspective: why past moral behavior can sometimes encourage and other times discourage future moral striving

In this paper, we investigate the role of different perspectives people take on their past moral and nonmoral behavior. Across two experiments, we show that when people focus on progress toward personal goals, past moral behavior leads to less future moral striving compared to past nonmoral behavior. However, when people focus on commitment toward personal goals, past moral behavior tends to lead to more future moral striving compared to past nonmoral behavior. Our results integrate seemingly contradictive empirical evidence from past research, relying on the overarching theoretical framework of goal regulation theory.     

A DDL Approach to Pluralistic Ignorance and Collective Belief

A group is in a state of pluralistic ignorance (PI) if, roughly speaking, every member of the group thinks that his or her belief or desire is different from the beliefs or desires of the other members of the group. PI has been invoked to explain many otherwise puzzling phenomena in social psychology. The main purpose of this article is to shed light on the nature of PI states – their structure, internal consistency and opacity – using the formal apparatus of Dynamic Doxastic Logic, and also to study the sense in which such states are “fragile”, i.e. to identify plausible conditions under which a PI state cascades into a state of shared belief as the result of announcement.