A multi-modal investigation of the roles of distress tolerance and emotional reactivity in obsessive-compulsive symptoms

Emerging evidence implicates important roles of poor distress tolerance and heightened emotional reactivity in obsessive-compulsive disorder. To date, investigations have relied mostly on self-report measures, and we sought to extend the literature by examining the relationship between OC symptoms and distress tolerance, as well as emotional reactivity, using three laboratory assessments. Nonclinical participants (N=167) viewed emotional films associated with four different negative emotions and also completed mirror tracing and handgrip persistence tasks. Greater obsessions scores were predictive of poorer emotional tolerance for a sad film and shorter persistence on the mirror tracing task. Among men only, obsessions were negatively correlated with persistence on the handgrip task. Associations between increased emotional reactivity and washing symptoms also emerged. These findings provide further evidence for the role of poor distress tolerance in obsessions and suggest heightened emotional reactivity may play a role in compulsive washing.     

Harry and Sally Revisited: The Influence of Spirituality and Education on Sexual Tension in Cross-Sex Friendships in Secular and Christian Universities

A sample of 406 subjects completed a questionnaire testing the influence of personal spirituality, education and several other factors on sexual tension in cross-sex friendships (CSF Tension). The subjects included 143 students from a Christian university (CU), 137 from a secular junior college (JC), and 127 non-students (NS). The primary criterion variable was the amount of CSF Tension experienced: Each subject rated to what extent sexual tension made friendship difficult due to different characteristics (e.g., he/she is physically attractive, dressed seductively) of 16 hypothetical friendships. A measure of sexuality—a composite of 12 questions adapted from the Self-Assessment Survey—assessed sexual activity, values, and ideation. Other predictors included neuroticism, openness to experience, extraversion, and demographics. JC students rated significantly more liberal than CU students on all 12 of the sexuality questions but no CSF-Tension differences were found for 15 of the 16 hypothetical CSF comparisons. JC students also rated two standard deviations lower on spirituality than CU students. Also, NS differed from students by being older, more spiritual, more educated, less involved in sexual activities, and experienced less CSF Tension. For the entire sample, spirituality was associated with sharply lower levels of sexual activities and ideation (r = ?.601) and significantly lower levels of CSF Tension. The influence of education was similar to that of spirituality but not as robust.     

A Longitudinal Investigation of Posttraumatic Growth in Adult Patients Undergoing Treatment for Acute Leukemia

An acute leukemia diagnosis can be an extremely stressful experience for most patients. Posttraumatic growth (PTG) is positive psychological change experienced following a struggle with highly challenging life circumstances. The current study is the first longitudinal investigation of predictors of PTG and distress in adult acute leukemia patients undergoing induction chemotherapy. Findings suggest that these patients report PTG, and levels of PTG appear to increase over the weeks following leukemia diagnosis and induction chemotherapy. Variables associated with higher total PTG scores over time included greater number of days from baseline, younger age, and greater challenge to core beliefs. Variables associated with higher distress included greater number of days from baseline, greater perceived cancer threat, higher symptom severity, and lower spiritual well-being. Results underscore the critical role that examination of one’s core beliefs may play in the development of PTG over time.     

Technology-based versus in-person deposit contract treatments for promoting physical activity

Deposit contracts involve participants depositing their own money and earning it back contingent on behavior change. Deposit contracts are empirically supported treatments for promoting health behavior, but they have a history of poor uptake. We compared the effectiveness and acceptability of technology-based versus in-person deposit contracts for promoting physical activity with 12 individuals. Participants' daily step counts were monitored using Fitbits across 6 weeks, and treatment preferences were assessed at the end of the study. The 2 types of treatments were equally effective in increasing physical activity, but the technology-based deposit contracts were preferred by most participants. Most participants also reported that their preference was related to convenience. Technology-based implementation may be one way to improve deposit contract uptake, while maintaining similar effectiveness compared to in-person procedures.     

A Deposit Contract Method to Deliver Abstinence Reinforcement for Cigarette Smoking

Eight smokers were randomly assigned to a deposit contract ($50.00) or to a no-deposit group. Using a reversal design, participants could recoup their deposit (deposit group) or earn vouchers (no-deposit group) for smoking reductions and abstinence (breath carbon monoxide [CO] ≤ 4 parts per million) during treatment phases. Treatment was delivered via a novel Internet-based method to monitor smoking status. Although equivalent decreases in breath CO and abstinence were observed during treatment in both groups, $178.50 in vouchers were distributed to participants in the no-deposit group, whereas a small surplus remained in the deposit group. A deposit contract method may represent a cost-effective model to deliver abstinence reinforcement for cigarette smoking.     

A Web-Based Contingency Management Program With Adolescent Smokers

The present study evaluated a new 30-day Web-based contingency management program for smoking abstinence with 4 daily-smoking adolescents. Participants made 3 daily video recordings of themselves giving breath carbon monoxide (CO) samples at home that were sent electronically to study personnel. Using a reversal design, participants could earn money for continued abstinence during the treatment phases (CO ≤ 5 ppm). All participants were compliant with the treatment (submitting 97.2% of samples), and all achieved prolonged abstinence from smoking.     

The cost of question concealment: eye-tracking and MEG evidence

Although natural language appears to be largely compositional, the meanings of certain expressions cannot be straightforwardly recovered from the meanings of their parts. This study examined the online processing of one such class of expressions: concealed questions, in which the meaning of a complex noun phrase (the proof of the theorem) shifts to a covert question (what the proof of the theorem is) when mandated by a sub-class of question-selecting verbs (e.g., guess). Previous behavioral and magnetoencephalographic (MEG) studies have reported a cost associated with converting an entity denotation to an event. Our study tested whether both types of meaning-shift affect the same computational resources by examining the effects elicited by concealed questions in eye-tracking and MEG. Experiment 1 found evidence from eye-movements that verbs requiring the concealed question interpretation require more processing time than verbs that do not support a shift in meaning. Experiment 2 localized the cost of the concealed question interpretation in the left posterior temporal region, an area distinct from that affected by complement coercion. Experiment 3 presented the critical verbs in isolation and found no posterior temporal effect, confirming that the effect of Experiment 2 reflected sentential, and not lexical-level, processing.     

A Comparison of Constant Time Delay and Simultaneous Prompting Within Embedded Instruction in General Education Classes with Students with Moderate to Severe Disabilities

An adapted alternating treatment design was used to measure the effectiveness of constant time delay and simultaneous prompting procedures within an embedded instruction format on the acquisition of academic skills. Four middle school students with moderate to severe disabilities and the paraprofessionals who supported these students in their general education classes participated in the study. The results of the study indicated that both procedures were effective in promoting the acquisition of the target skills. However, the constant time delay procedure was more effective for two of the students and the simultaneous prompting procedure was more effective for the remaining students. Results are discussed in terms of future research and implications for supporting the inclusion of students with moderate and severe disabilities in general education classes.