Marital intimacy,family support,and secondary traumatization: A study of wives of veterans with combat stress reaction

Abstract

The main aim of the study was to assess the role of family variables in the process of secondary traumatization among wives of post-traumatic veterans. We compared a sample of 49 wives of Israeli veterans with combat stress reaction (CSR) from the 1982 Lebanon War with a sample of 31 wives of Israeli veterans who fought in the war without developing CSR. We assessed their psychological reactions to the war, their health status six years later, and their reported levels of marital intimacy and family support after the war. When compared with controls, wives of veterans with CSR reported more negative emotions and lower perceived intimacy after the war, and greater severity of psychiatric and somatic symptoms six years later. Results also indicate that the greater the perceived marital intimacy, the less the negative emotions wives of veterans with CSR felt after the war and the better their health status six years later. In addition, wives of veterans with CSR who reported having received more support from their families after the war reported more anxiety and hostility than wives who received less support. The roles of marital intimacy and family support in the process of secondary traumatization were discussed.     

A new look at the relationship between perceptual and motor responses

A visual stimulus may affect a motor response although its visibility is prevented by a mask. This implies that the sensorimotor system is more susceptible to stimulation than the perceptual system. We report data that are contrary to this intuition. Experiments where both the observer's perceptual state related to the presence/absence of a masked stimulus and the motor behaviour elicited by the same stimulus were jointly assessed on a trial-by-trial basis show that masked visual stimulation at constant visibility (d′) has two types of effect on the motor system. When the physical energy of the masked stimulus is weak, it affects the motor response only if it exceeds the observer's perceptual response criterion. It is only when the physical energy of the masked stimulus is relatively strong that its impact on the motor response is independent of the state of the perceptual system. This indicates that reflex, “nonconscious” behaviour has a high energy threshold.     

The expertise reversal effect: cognitive load and motivational explanations

The expertise reversal effect occurs when a learner's expertise moderates design principles such as the redundancy principle (i.e., redundant information should be excluded rather than included) derived from the cognitive load theory. Although this effect is supported by numerous experiments, indicating an overall large effect size, a variety of explanations have been proposed. The present experiment tested a cognitive load and a motivational explanation with 104 students, who reported a lack of experience in the presented instructional contents. They spent about 30 min with the instructional material to learn fundamental concepts about the gradient descent (a mathematical optimization algorithm), and with a retention and transfer test used as dependent measures. Each learner was randomly assigned to one cell of a 2 (either novices or experts introduced to through the instructional design presented previously) × 2 (either with or without additional text explaining the animations) between-subjects factorial design. The expertise reversal effect concerning the redundancy principle was replicated. Novices receiving additional text scored higher on retention and transfer than did novices without additional text, while this result was reversed for experts. Results suggest that this effect can be explained by the learner's cognitive load differences rather than overall motivation differences. Furthermore, a partial overlap was found between the motivational subdimension, "probability of success," and a cognitive load measure. On the practical side, instructional designers should consider the learner's level of expertise and their cognitive load when applying design principles. Further implications for adaptive learning environments are discussed.     

Is seeking bad mood cognitively demanding? Contra-hedonic orientation and working-memory capacity in everyday life

Hedonism, or wanting to feel good, is central to human motivation. At times, however, people also seek to maintain or enhance negative affect or to dampen positive affect, and this can be instrumental for the later attainment of their goals. Here, we investigate the assumption that such contra-hedonic orientation is cognitively more demanding than prohedonic orientation, above and beyond the effects of momentary affective experience. We provided 378 participants with mobile phones that they carried with them for 3 weeks while pursuing their daily routines. The phones prompted participants at least 54 times to report their current affect-regulation orientation and to work on two trials of a cognitively demanding working memory task. As expected, contra-hedonic orientation was substantially less prevalent than prohedonic orientation. It was reported in 15% of the measurement occasions. Participants who reported on average more contra-hedonic orientation showed lower average working memory performance throughout the study interval. Further, controlling for the effects of accompanying affective experiences, momentary occurrences of contra-hedonic orientation were associated with temporary declines in working memory performance within individuals, and this could neither be explained by lacking task compliance nor by other characteristics of the individual or the situation. Prohedonic orientation showed a considerably smaller association with working memory performance. These findings are consistent with the view that contra-hedonic orientation is accompanied by momentarily more diminished cognitive resources than is prohedonic orientation.     

A robust classic

In the present research, we argue for the robustness of illusory correlations (ICs, Hamilton & Gifford, 1976) regarding two boundary conditions suggested in previous research. First, we argue that ICs are maintained under extended experience. Using simulations, we derive conflicting predictions. Whereas noise-based accounts predict ICs to be maintained (Fielder, 2000; Smith, 1991), a prominent account based on discrepancy-reducing feedback learning predicts ICs to disappear (Van Rooy et al., 2003). An experiment involving 320 observations with majority and minority members supports the claim that ICs are maintained. Second, we show that actively using the stereotype to make predictions that are met with reward and punishment does not eliminate the bias. In addition, participants' operant reactions afford a novel online measure of ICs. In sum, our findings highlight the robustness of ICs that can be explained as a result of unbiased but noisy learning.     

Skill level and graphical detail shape perceptual judgments in tennis

Reducing the representation of human actions from normal video to biological motion animation in perceptual tasks means removing a number of visual features from the scenery, thereby eliminating potentially useful information for successfully performing the task. To determine the impact of selected visual features on perceptual judgments in tennis, we invited skilled players and novices to predict baseline shot direction under four different display conditions (PL: point-light display; PL_TC: PL plus an animated tennis court; NV_NB: normal video without ball; NV: normal video). Skilled players clearly outperformed novices and prediction performance increased with more realistic display content. Both groups were similarly affected by display conditions and across groups significant differences between conditions were only found for PL vs NV, and PL_TC vs NV, respectively. Application of signal detection theory on response data revealed that, unlike novices, skilled players showed a bias towards preferentially expecting cross-court shots and this bias increased with enhancement in graphical detail. Results confirm previous research in that biological motion appears to provide the minimal essential information necessary for correctly predicting an opponent's intent, particularly in skilled players. In addition, findings indicate that a combination of player and scenery-related visual information is likely to facilitate visual anticipation; however, such information seems to impact skilled players' and novices' response behaviour differently.     

Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder

Several studies have demonstrated a positive relationship between competence and outcome in CBT for depression but studies of CBT for anxiety disorders are lacking. The present study explores the relationship between competence and outcome in cognitive therapy (CT) for social anxiety disorder, using hierarchical linear modeling analyses (HLM). Data were drawn from a multicenter randomized controlled trial. Five trained raters evaluated videotapes of two therapy sessions per patient using the Cognitive Therapy Competence Scale for Social Phobia (CTCS-SP). Overall adherence to the treatment manual and patient difficulty were also assessed. Patient outcome was rated by other assessors using the Clinical Global Impression Improvement Scale (CGI-I) and the Liebowitz Social Anxiety Scale (LSAS). Results indicated that competence significantly predicted patient outcome on the CGI-I (β = .79) and LSAS (β = .59). Patient difficulty and adherence did not further improve prediction. The findings support the view that competence influences outcome and should be a focus of training programs. Further research is needed to compare different ways of assessing competence and to understand the complex relationships between competence and other therapy factors that are likely to influence outcome.     

Why Bayesians Needn’t Be Afraid of Observing Many Non-black Non-ravens

According to Hempel??s raven paradox, the observation of one non-black non-raven confirms the hypothesis that all ravens are black. Bayesians such as Howson and Urbach (Scientific reasoning: the Bayesian approach, 2nd edn. Open Court, Chicago, 1993) claim that the raven paradox can be solved by spelling out the concept of confirmation in the sense of the relevance criterion. Siebel (J Gen Philos Sci 35:313?C329, 2004) disputes the adequacy of this Bayesian solution. He claims that spelling out the concept of confirmation in the relevance sense lets the raven paradox reappear as soon as numerous non-black non-ravens are observed. It is shown in this paper that Siebel??s objection to the Bayesian solution is flawed. Nevertheless, the objection made by Siebel may give us an idea of how Bayesians can successfully handle situations in which we observe more than one non-black non-raven.     

Chronic psychosocial stress increases the risk for inflammation-related colon carcinogenesis in male mice

Patients with inflammatory bowel diseases (IBDs) have a higher risk of developing colorectal cancer (CRC) than the general population. Furthermore, chronic psychosocial stress increases the likelihood of developing IBD and multiple types of malignant neoplasms, including CRC. Here, for the first time, we investigate the effects of chronic psychosocial stress in male mice on an artificially induced CRC, by employing the chronic subordinate colony (CSC) housing paradigm in combination with the reliable azoxymethane (AOM)/dextran sodium sulfate (DSS) CRC model. Colonoscopy revealed that CSC mice showed accelerated macroscopic suspect lesions. In addition, more CSC mice developed low-grade dysplasia (LGD) and/or high-grade dysplasia (HGD) in the colonic tissue compared to the single-housed control mice (SHC). CSC mice showed an increased number of Ki67+ and a decreased number of terminal deoxynucleotidyl transferase dUTP nick end labeling epithelial cells in colonic tissue. Colonic liver receptor homolog-1 (LRH-1), cyclooxygenase II (COXII), tumor necrosis factor, forkhead box P3 (FoxP3) mRNA as well as colonic ?-catenin, COXII, and LRH-1 protein expression were also increased in CSC compared with SHC mice. Although the number of CD4+ Th cells was increased, a tendency toward a decreased colonic interferon-γ (IFN-γ) mRNA expression was observed. Furthermore, despite an increased percentage of CD3+ cells and CD3+/FoxP3+ double-positive cells within mesenteric lymph node cells of CSC mice, IFN-γ secretion from these cells was unaffected. Altogether, our results suggest that chronic psychosocial stress increases the risk for AOM/DSS-induced and, thus, inflammation-related CRC. Finally, assessment of additional time points may test whether the shift from tumor-protective Th1 cell to regulatory T-cell immunity represents a consequence of increased carcinogenesis or a causal factor involved in its development.