Co-Authoring “We-ness” and Stories of Intimacy

Drawing from narrative ideas and practices, we consider how individuals, couples, and couples with therapists co-author and co-edit stories of “we-ness,” a kind of relational consciousness, and intimacy in the context of research interviews. Adapting the “small story” narrative approach of Michael Bamberg, and recognizing researcher reflexivity, we present details from two separate studies into: (1) how cohabitating couples co-authored stories of “we-ness” in and beyond a research interview; and (2) how young married couples co-authored stories of “we-ness” by describing how they made significant decisions together through difficult yet successful conversations. Inviting such stories of “we-ness” can talk this intimacy into being. We relate the processes and outcomes of these studies to using a narrative approach to help individuals and couples with concerns about intimacy within the context of therapy.     

Employee Behavioral Activation and Behavioral Inhibition Systems,Manager Ratings of Employee Job Performance,and Employee Withdrawal

Employee behavioral activation system (BAS) and behavioral inhibition system (BIS) sensitivities have potential to add value to understanding employee personality, job performance ratings, and withdrawal. After controlling for three Big Five personality trait dimensions (Conscientiousness, Neuroticism, and Extraversion), structural equations modeling results from 102 employees and their managers indicated that employee BAS sensitivity was negatively related to manager ratings of employee job performance and that employee self-defeating behavior partially accounted for the hypothesized negative relations. BAS sensitivity was also indirectly and positively related to employee turnover intentions by failure to delay gratification. BIS sensitivity was positively related to employee self-defeating behavior but was not related to manager ratings of job performance or withdrawal. Theoretical and practical implications of the findings and future research are discussed.     

Working Memory and Motor Activity: A Comparison Across Attention-Deficit/Hyperactivity Disorder,Generalized Anxiety Disorder,and Healthy Control Groups

Converging findings from recent research suggest a functional relationship between attention-deficit/hyperactivity disorder (ADHD)-related hyperactivity and demands on working memory (WM) in both children and adults. Excessive motor activity such as restlessness and fidgeting are not pathognomonic symptoms of ADHD, however, and are often associated with other diagnoses such as generalized anxiety disorder (GAD). Further, previous research indicates that anticipatory processing associated with anxiety can directly interfere with storage and rehearsal processes of WM. The topographical similarity of excessive motor activity seen in both ADHD and anxiety disorders, as well as similar WM deficits, may indicate a common relationship between WM deficits and increased motor activity. The relationship between objectively measured motor activity (actigraphy) and PH and visuospatial WM demands in adults with ADHD (n = 21), adults with GAD (n = 21), and healthy control adults (n = 20) was examined. Although all groups exhibited significant increases in activity from control to WM conditions, the ADHD group exhibited a disproportionate increase in activity, while activity exhibited by the GAD and healthy control groups was not different. Findings indicate that ADHD-related hyperactivity is uniquely related to WM demands, and appear to suggest that adults with GAD are no more active relative to healthy control adults during a cognitively demanding laboratory task.     

Psychometric Properties of the Response to Anxiety Questionnaire

Recent research highlights the importance of transdiagnostic factors of psychopathology, particularly in understanding comorbidity. Repetitive negative thinking (RNT) is one such factor, which may elucidate anxiety-depression comorbidity. The Response to Anxiety Questionnaire (RAQ) aims to evaluate repetitive negative thinking (RNT) related to anxiety-depression comorbidity, specifically hopelessness and rumination about anxiety symptoms. Anxious hopelessness is negative thoughts about the future due to anxiety symptoms, and anxious rumination includes negative evaluations of the meaning of anxiety symptoms, therefore the current study assessed the RAQ in three studies. We used exploratory and confirmatory factor analysis methodologies to examine the factor structure of the RAQ. In addition, we tested indirect effects of the two factors of RAQ (Rumination and Hopelessness) between anxiety and depression, and tested measure convergent validity. Results of the current study provide additional support for the psychometric properties of the RAQ, suggesting a two factor makeup (hopelessness, rumination), as well as its use in predicting anxiety and depressive symptoms.     

Validating Sizing Them Up: A parent-proxy weight-related quality-of-life measure,with community-based children

Background/Objective: A weight-related Quality of Life (QoL) questionnaire elicits parents’ perceptions to understand the impacts of weight on children's QoL. Sizing Them Up, a parent-proxy of a weight-related instrument, is a proper measure for the purpose, but its psychometric properties have not been validated on a non-clinical child population. This study aimed to thoroughly examine the psychometric properties of the Sizing Them Up on a non-clinical child population. Methods: Children from Taiwan (M_age = 11; SD = 1.02; N = 236) filled out a weight-related QoL instrument (Sizing Me Up) while their parents completed Sizing Them Up and two generic QoL instruments. Confirmatory factor analysis (CFA), concurrent validity, and known-group validity were conducted. Results: CFA supported the factor structure of Sizing Them Up. The concurrent validity of the Sizing Them Up total score was satisfactory: r = .46 to .53 with other QoL instruments. Known-group validity was supported as obese children had significantly lower Sizing Them Up total score than did normal-weight and underweight children. Conclusions: We extended the use of Sizing Them Up from clinically obese children to a community-based sample of underweight as well as overweight children. Healthcare providers may use Sizing Them Up to measure the weight-related QoL for children.     

Environmental sound priming: Does negation modify N400 cross-modal priming effects?

Human information processing is incredibly fast and flexible. In order to survive, the human brain has to integrate information from various sources and to derive a coherent interpretation, ideally leading to adequate behavior. In experimental setups, such integration phenomena are often investigated in terms of cross-modal association effects. Interestingly, to date, most of these cross-modal association effects using linguistic stimuli have shown that single words can influence the processing of non-linguistic stimuli, and vice versa. In the present study, we were particularly interested in how far linguistic input beyond single words influences the processing of non-linguistic stimuli; in our case, environmental sounds. Participants read sentences either in an affirmative or negated version: for example: “The dog does (not) bark”. Subsequently, participants listened to a sound either matching or mismatching the affirmative version of the sentence (‘woof’ vs. ‘meow’, respectively). In line with previous studies, we found a clear N400-like effect during sound perception following affirmative sentences. Interestingly, this effect was identically present following negated sentences, and the negation operator did not modulate the cross-modal association effect observed between the content words of the sentence and the sound. In summary, these results suggest that negation is not incorporated during information processing in a manner that word–sound association effects would be influenced.     

病人、医生与知情同意

医务人员应当视病人为治疗疾病过程中的参与者.知情同意的目的是,使病人充分理解他的困境后做出理性的决定.医生与病人分享信息、分担责任与做出决定,以保持良好的医患关系.     

Maternal sensitivity moderates the impact of prenatal anxiety disorder on infant responses to the still-face procedure

Animal studies have demonstrated the interactive effects of prenatal stress exposure and postnatal rearing style on offspring capacity to manage stress. However, little is known about how parenting quality impacts the association between maternal prenatal anxiety and stress reactivity in human infants. This prospective study examined the impact of prenatal anxiety disorder and maternal caregiving sensitivity on infants’ responses to a standardised interactive stressor (still-face procedure). Eighty-four women completed a clinical interview during pregnancy to assess anxiety symptoms meeting DSM-IV diagnostic criteria. At infant age 7 months, maternal sensitivity to infant distress and infant negative affect were observed and coded during the still-face procedure. Maternal postnatal (concurrent) anxiety and depression were also assessed at this time. Results indicated a negative association between maternal sensitivity to infant distress and infant negative affect responses to the still-face procedure. An unexpected finding was a positive association between parity and infant reactivity. The main effect for sensitivity was qualified by a significant interaction, p < .05, suggesting that the impact of sensitivity was particularly marked among infants of women who experienced an anxiety disorder during pregnancy. This finding is consistent with a cumulative risk model suggesting that maternal prenatal anxiety and quality of maternal care act in concert to shape infant outcomes.     

Doing good buffers against feeling bad: Prosocial impact compensates for negative task and self-evaluations

Although evidence suggests that negative task and self-evaluations are associated with emotional exhaustion, little research has examined factors that buffer against these effects. We propose that perceived prosocial impact, the experience of helping others, compensates for negative task and self-evaluations by focusing attention on positive outcomes for others. In Study 1, perceived prosocial impact attenuated the associations of low intrinsic motivation and core self-evaluations with emotional exhaustion among professional fundraisers. Study 2 replicated these results among public sanitation employees and extended them to supervisor performance ratings. Mediated moderation analyses indicated that by protecting against emotional exhaustion, perceived prosocial impact compensated for low intrinsic motivation and core self-evaluations to predict higher performance ratings. Our studies extend theory and research on burnout, helping, and citizenship.