Mindfulness-based cognitive therapy to treat multiple chemical sensitivities: a randomized pilot trial

Skovbjerg, S., Hauge, C. R., Rasmussen, A., Winkel, P. & Elberling, J. (2012). Mindfulness‐based cognitive therapy to treat multiple chemical sensitivities: A randomized pilot trial. Scandinavian Journal of Psychology 53, 233–238. Multiple chemical sensitivities (MCS) is a medically unexplained and socially disabling disorder characterized by negative health effects attributed to exposure to common airborne chemicals. Currently, there is no evidence‐based treatment. The objectives of the study were to assess the feasibility of an 8‐week mindfulness‐based cognitive therapy program (MBCT) for adults with MCS and to evaluate possible effects on psychological distress and illness perception. The study design was a randomized clinical trial. The MBCT programme comprised 8 weekly sessions of 2½ hours. Forty‐two adults were screened for eligibility and 37 were included. Mean age of the participants was 51.6 years, 35 (94.6%) were female and 21 (56.8%) were unemployed. Measures of psychological distress and illness perceptions were assessed at baseline, 4 weeks, 8 weeks and at 3 months follow‐up. No significant differences in effect measures were found between the groups. However, those who completed the MBCT program generally reported benefiting in terms of improved coping strategies and sleep quality. The positive verbal feedback from the participants in the MBCT group suggests that a larger randomized clinical trial on the effect of MBCT for MCS could be considered.     

Behaviorally inhibited temperament is associated with severity of post-traumatic stress disorder symptoms and faster eyeblink conditioning in veterans

Prior studies have sometimes demonstrated facilitated acquisition of classically conditioned responses and/or resistance to extinction in post-traumatic stress disorder (PTSD). However, it is unclear whether these behaviors are acquired as a result of PTSD or exposure to trauma, or reflect preexisting risk factors that confer vulnerability for PTSD. Here, we examined classical eyeblink conditioning and extinction in veterans self-assessed for current PTSD symptoms, exposure to combat, and the personality trait of behavioral inhibition (BI), a risk factor for PTSD. A total of 128 veterans were recruited (mean age 51.2 years; 13.3% female); 126 completed self-assessment, with 25.4% reporting a history of exposure to combat and 30.9% reporting current, severe PTSD symptoms (PTSS). The severity of PTSS was correlated with current BI (R(2) = 0.497) and PTSS status could be predicted based on current BI and combat history (80.2% correct classification). A subset of the veterans (n = 87) also completed the eyeblink conditioning study. Among veterans without PTSS, childhood BI was associated with faster acquisition; veterans with PTSS showed delayed extinction, under some conditions. These data demonstrate a relationship between current BI and PTSS, and indicate that the facilitated conditioning sometimes observed in patients with PTSD may partially reflect personality traits such as childhood BI that pre-date and contribute to vulnerability for PTSD.     

Paths to community empowerment: Organizing at home

This study examines how low-income minority communities build on their strengths to improve material conditions and how these actions lead to further empowerment at the individual and group level, and increase engagement with civic life. Based on earlier qualitative research, low-income limited equity housing co-ops were chosen as research. Using quantitative questionnaire data, a path model was tested in which variables were organized into four levels.Level One: Attributes of the person and the context were conceptualized asexogenous variables leading to activities first at the co-op level.Level Two:co-op activities were thought to affect living conditions in the building and evaluations of co-op ownership, which comprisedLevel Three,quality of life in the building. All preceding levels were thought to influenceempowerment, as measured atLevel Four through an attitudinal measure of empowerment, and reported participation in civic activities in the broader community. The model, which emphasizes the collective and material nature of empowerment in addition to the psychological, seems justified by the data. It is especially significant that the aggregate measure of perceived participation of others predicted building quality, and that the aggregate measure of building quality went on to influence empowerment and voting behavior. Personal participation in building activities also proved a good predictor of empowerment, indicating that empowerment operates at both the individual and the group level. Furthermore, increased empowerment at the level of attitude did influence civic activities, in conjunction with personal characteristics and perceived neighborhood qualities. (Tests of causality in the opposite direction were not significant.) Our findings confirm the importance of all three components of empowerment, as articulated by Zimmerman and his colleagues (1992), that is, empowerment at the psychological, interactional, and behavioral level. It extends the conceptualization by introducing the group level of analysis. We thank the Robert F. Wagner Sr. Center for Urban Public Policy at the City University of New York Graduate School and University Center and the Fund for the City of New York for early support and the Edna McConnell Clark Foundation for current support. We acknowledge the invaluable participation in the original project of Heléne Clark, Eric Glunt, Bill Roane, and April Tyler. We also thank the anonymous reviewers and the editor for their helpful and extremely thorough comments and suggestions.     

Evidence for the persistence of visual guidance information

An earlier study from our laboratory provided initial support for the hypothesis that information facilitating visual guidance persists in the absence of retinal stimulation. The present study supports and extends this hypothesis with three experiments in which visually occluded subjects positioned a point of light at the location of a previously viewed target and also walked in the direction of a previously viewed path. In both tasks, performance was possible following occlusion, and in all cases, performance slowly and significantly decreased with longer durations of occlusion. This decay in performance was gradual and had a “half-life” of greater than 15 sec. Absolute performance was correlated across tasks. The effect of occlusion on absolute error in the localization performance was relatively stable within individuals over a 3-week period. The biological utility of guidance information persistence is discussed along with implications for space constancy, illusions of motion, and problems of disorientation.     

Contact,configural coding and the other‐race effect in face recognition

The other‐race effect (ORE) in face recognition describes a well‐established finding of better recognition for own‐race than other‐race faces. Although widely thought to reflect differences in contact between own‐ and other‐race faces, little is known about how different contact levels relate to changes in processing of those faces. This study investigated how contact affects the size of the ORE and the use of expert configural face‐coding mechanisms. Using inversion decrements as an index of configural coding, we predicted that increased self‐reported contact would be associated with greater use of configural‐coding mechanisms. Chinese and Caucasian participants varying in contact with other‐race faces were recruited. The Chinese participants also varied in their length of residence in a Western country. Results showed that higher levels of contact were associated with a reduction in the ORE in both face recognition and configural coding. Importantly, smaller cross‐race differences in configural coding were also associated with a smaller ORE in face recognition.     

The development of language and abstract concepts: the case of natural number

What are the origins of abstract concepts such as "seven," and what role does language play in their development? These experiments probed the natural number words and concepts of 3-year-old children who can recite number words to ten but who can comprehend only one or two. Children correctly judged that a set labeled eight retains this label if it is unchanged, that it is not also four, and that eight is more than two. In contrast, children failed to judge that a set of 8 objects is better labeled by eight than by four, that eight is more than four, that eight continues to apply to a set whose members are rearranged, or that eight ceases to apply if the set is increased by 1, doubled, or halved. The latter errors contrast with children's correct application of words for the smallest numbers. These findings suggest that children interpret number words by relating them to 2 distinct preverbal systems that capture only limited numerical information. Children construct the system of abstract, natural number concepts from these foundations.     

Emotion elicitor or emotion messenger? Subliminal priming reveals two faces of facial expressions

Facial emotional expressions can serve both as emotional stimuli and as communicative signals. The research reported here was conducted to illustrate how responses to both roles of facial emotional expressions unfold over time. As an emotion elicitor, a facial emotional expression (e.g., a disgusted face) activates a response that is similar to responses to other emotional stimuli of the same valence (e.g., a dirty, nonflushed toilet). As an emotion messenger, the same facial expression (e.g., a disgusted face) serves as a communicative signal by also activating the knowledge that the sender is experiencing a specific emotion (e.g., the sender feels disgusted). By varying the duration of exposure to disgusted, fearful, angry, and neutral faces in two subliminal-priming studies, we demonstrated that responses to faces as emotion elicitors occur prior to responses to faces as emotion messengers, and that both types of responses may unfold unconsciously.     

Young German children's early syntactic competence: a preferential looking study

Using a preferential looking methodology with novel verbs, Gertner, Fisher and Eisengart (2006) found that 21-month-old English children seemed to understand the syntactic marking of transitive word order in an abstract, verb-general way. In the current study we tested whether young German children of this same age have this same understanding. Following Gertner et al. (2006), one group of German children was tested only after they had received a training/practice phase containing transitive sentences with familiar verbs and the exact same nouns as those used at test. A second group was tested after a training/practice phase consisting only of familiar verbs, without the nouns used at test. Only the group of children with the training on full transitive sentences was successful in the test. These findings suggest that for children this young to succeed in this test of syntactic understanding, they must first have some kind of relevant linguistic experience immediately prior to testing--which raises the question of the nature of children's linguistic representations at this early point in development.     

On the (mis)categorization of unattractive brides and attractive prostitutes: extending evaluative congruency effects to social category activation

Numerous studies have shown that social categorization is a flexible process that partly depends on contextual variables. However, little is known about the role of affect in people's access to categorical dimensions. We investigated the hypothesis that social category activation is facilitated on evaluatively congruent dimensions. Two studies provide support for this evaluative-matching hypothesis, in which social categorization was found to be faster and more accurate for evaluatively congruent categories (i.e., unattractive foreigners, unattractive prostitutes, attractive fellow-citizens and attractive brides) than for evaluatively incongruent categories (i.e., attractive foreigners, attractive prostitutes, unattractive fellow-citizens and unattractive brides). We discuss the theoretical and practical implications of these findings.     

Working memory impairment in people with Williams syndrome: Effects of delay, task and stimuli

Williams syndrome (WS) is a neurodevelopmental disorder associated with impaired visuospatial representations subserved by the dorsal stream and relatively strong object recognition abilities subserved by the ventral stream. There is conflicting evidence on whether this uneven pattern in WS extends to working memory (WM). The present studies provide a new perspective, testing WM for a single stimulus using a delayed recognition paradigm in individuals with WS and typically developing children matched for mental age (MA matches). In three experiments, participants judged whether a second stimulus ‘matched’ an initial sample, either in location or identity. We first examined memory for faces, houses and locations using a 5 s delay (Experiment 1) and a 2 s delay (Experiment 2). We then tested memory for human faces, houses, cat faces, and shoes with a 2 s delay using a new set of stimuli that were better controlled for expression, hairline and orientation (Experiment 3). With the 5 s delay (Experiment 1), the WS group was impaired overall compared to MA matches. While participants with WS tended to perform more poorly than MA matches with the 2 s delay, they also exhibited an uneven profile compared to MA matches. Face recognition was relatively preserved in WS with friendly faces (Experiment 2) but not when the faces had a neutral expression and were less natural looking (Experiment 3). Experiment 3 indicated that memory for object identity was relatively stronger than memory for location in WS. These findings reveal an overall WM impairment in WS that can be overcome under some conditions. Abnormalities in the parietal lobe/dorsal stream in WS may damage not only the representation of spatial location but may also impact WM for visual stimuli more generally.