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211.
Kristen G. Benito Jason Machan Jennifer B. Freeman Abbe M. Garcia Michael Walther Hannah Frank Brianna Wellen Elyse Stewart Julie Edmunds Jeffrey Sapyta Martin E. Franklin 《Behavior Therapy》2021,52(3):523-538
This study measured therapist behaviors in relation to subsequent habituation within exposure tasks, and also tested their direct and indirect relationships (via habituation) with clinical outcomes of exposure therapy. We observed 459 videotaped exposure tasks with 111 participants in three clinical trials for pediatric obsessive-compulsive disorder (POTS trials). Within exposure tasks, therapist behaviors and patient fear were coded continuously. Outcomes were habituation and posttreatment change in symptom severity, global improvement, and treatment response. More therapist behaviors that encourage approach—and less use of accommodation, unrelated talk, and externalizing language—predicted greater subsequent habituation during individual exposure tasks (exposure-level), and also predicted improved patient clinical outcomes via higher “total dose” of habituation across treatment (patient-level indirect effect). For six of seven therapist behaviors analyzed, the relationship with subsequent habituation within exposure differed by patient fear (low, moderate, or high) at the time the behavior was used. Two therapist behaviors had direct effects in the opposite direction expected; more unrelated talk and less intensifying were associated with greater patient symptom reduction. Results shed light on the “black box” of in-session exposure activities and point to specific therapist behaviors that may be important for clinical outcomes. These behaviors might be best understood in the context of changing patient fear during exposure tasks. Future studies should test whether therapist behaviors can be experimentally manipulated to produce improvement in clinical outcomes. 相似文献
212.
Allison K. Wilkerson Thomas W. Uhde Kimberly Leslie W. Connor Freeman Steven D. LaRowe Aicko Y. Schumann 《Military psychology》2018,30(2):120-130
Stress- and trauma-related disorders, including posttraumatic stress disorder (PTSD), are characterized by an increased sensitivity to threat cues. Given that threat detection is a critical function of olfaction and that combat trauma is commonly associated with burning odors, we sought a better understanding of general olfactory function as well as response to specific trauma-related (i.e. burning) odors in combat-related PTSD. Trauma-exposed combat Veterans with (n = 22) and without (n = 25) PTSD were assessed for general and specific odor sensitivities using a variety of tools. Both groups had similar general odor detection thresholds. However, the combat Veterans with PTSD, compared to combat Veterans with comparable trauma exposure but without PTSD, had increased ratings of odor intensity, negative valence, and odor-triggered PTSD symptoms, along with a blunted heart rate in response to burning rubber odor. These findings are discussed within the context of healthy versus pathological changes in olfactory processing that occur over time after psychological trauma. 相似文献
213.
Georgina L. Fenton Amelia K. Smit Lucinda Freeman Caro Badcock Kate Dunlop Phyllis N. Butow Judy Kirk Anne E. Cust 《Journal of genetic counseling》2018,27(2):370-380
Communicating personalized genomic risk results for common diseases to the general population as a form of tailored prevention is novel and may require alternative genetic counseling service delivery models. We describe the development and evaluation of a communication protocol for disclosing melanoma genomic risk information to the asymptomatic general population and assess participants’ satisfaction and acceptability. Participants (n?=?117) were aged 22–69 years, living in New South Wales, Australia and unselected for family history. They provided a saliva sample and had genomic testing for melanoma for low to moderate penetrant melanoma susceptibility variants in 21 genes. Participants could choose to receive their results from a genetic counselor via telephone, followed by a mailed booklet or to receive their risk result via mailed booklet only with a follow-up call for those at high risk. A follow-up questionnaire was completed by 85% of participants 3-months later. Most participants (80%) elected to receive their result via telephone. Participants were highly satisfied with the delivery of results (mean 3.4 out of 4, standard deviation 0.5), and this did not differ by delivery mode, risk category, age or sex. On follow-up, 75% accurately recalled their risk category, 6% indicated a preference for a different delivery mode, either electronic or face-to-face. The process of disclosing genomic risk results to the general population over the telephone with accompanying written material was feasible and acceptable, and may be useful for communicating polygenic risk for common diseases in the context of increasing demands for genomic testing. 相似文献
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217.
Rosemary S. L. Mills Wendy S. Freeman Ian P. Clara Frank J. Elgar Bobbi R. Walling Leanne Mak 《Journal of child and family studies》2007,16(3):359-374
We examined the link between parent proneness to shame and two forms of psychological control, overprotection and critical/rejecting
behavior, in parents of preschoolers. Because shame is self-condemning, proneness to shame affects intrapersonal and interpersonal
functioning. We hypothesized that parents’ emotion-regulatory responses to shame would increase the likelihood of psychological
control: anxiety by leading to overprotection mediated by a worrisome approach to the child, and anger/hostility by leading
to critical/rejecting parenting mediated by negative reactivity to the child. Participants were 198 mother-father pairs with
a child 3.6 to 4.5 years of age. Overprotective and critical/rejecting parenting were assessed using both self and spouse
reports of parenting practices. In addition, parents completed measures of proneness to shame, worrisome overconcern about
the child, and negative reactivity to the child. Structural equation modeling yielded results that supported mediation by
negative approach to the child for mothers’ and fathers’ critical/rejecting behavior. For fathers but not mothers, shame was
indirectly associated with overprotective parenting through worrisome approach to the child. Parents’ proneness to shame may
be an important factor leading to the use of psychological control. 相似文献
218.
ABSTRACT— Perceivers spontaneously sort other people's faces into social categories and activate the stereotype knowledge associated with those categories. In the work described here, participants, presented with sex-typical and sex-atypical faces (i.e., faces containing a mixture of male and female features), identified which of two gender stereotypes (one masculine and one feminine) was appropriate for the face. Meanwhile, their hand movements were measured by recording the streaming x, y coordinates of the computer mouse. As participants stereotyped sex-atypical faces, real-time motor responses exhibited a continuous spatial attraction toward the opposite-gender stereotype. These data provide evidence for the partial and parallel activation of stereotypes belonging to alternate social categories. Thus, perceptual cues of the face can trigger a graded mixture of simultaneously active stereotype knowledge tied to alternate social categories, and this mixture settles over time onto ultimate judgments. 相似文献
219.
When the two eyes are presented with incompatible stimuli, the two monocular stimuli are seen alternately in a never-ending cycle. It is now widely accepted that the neural processes underlying this phenomenon, binocular rivalry, are distributed across a number of cortical stages. It is not clear, however, where binocular rivalry is initiated. We performed two experiments whose aim was to clarify this issue. In the first experiment, rivalry was induced, and brief test stimuli were delivered to an eye while its inducing stimulus was either dominant or suppressed. Sensitivity to a test stimulus with features similar to those of the suppressed inducing stimulus was reduced only when the test was presented to the eye whose inducing stimulus was suppressed. This indicates that suppression of a monocular channel is a prerequisite for binocular rivalry suppression. The second experiment showed that to induce rivalry, local interocular stimulus incompatibilities were necessary and that conflicting global percepts were not sufficient. These results suggest that low-level visual processes are required for the initiation of binocular rivalry. 相似文献
220.
Anna C. Wilson Wendy M. DeCourcey Kurt A. Freeman 《Journal of clinical psychology in medical settings》2009,16(3):216-222
Models of diabetes management in children emphasize family relationships, particularly parent–child interactions. In adolescents,
parental involvement in disease-specific management relates to better health and adherence. However, information about parental
involvement in disease management for young children is limited and mixed. This study investigated behavior problems of school-aged
children with Type 1 Diabetes Mellitus (T1DM) in association with parent discipline strategies and parents’ perceptions of
(1) time spent managing diabetes and (2) the impact their child’s diabetes has on their discipline strategies. Parents of
children ages 5–12 with T1DM completed standardized measures of child misbehavior, parent discipline strategies, and responded
to questions regarding perceived time spent managing diabetes, and perceived impact of diabetes on ability to discipline.
Results showed child mealtime misbehavior was common and associated with overreactive parental discipline. Further, overreactive
discipline was also associated with reports of less time spent managing child’s illness. Child misbehavior was positively
associated with parents’ perceived amount of time spent managing diabetes and with the impact of child diabetes on discipline.
Findings suggest the importance of considering parent discipline strategies and child misbehavior when working with young
children with diabetes. 相似文献