Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms

Journal of Clinical Psychology in Medical Settings - Depressive symptoms after coronary events are associated with a worse prognosis. When changing the focus from psychopathology towards a...     

Between uncertainty and certainty

In this study, 10 hematologists and 10 lung oncologists were interviewed regarding the information they provide to patients in four situations of uncertainty: determining the treatment that is in the patient's best interest; recurrence or progression of the patient's disease; determining when to withdraw life-prolonging treatment; discussing death, addressing questions such as whether the patient will die from the disease, and when. The primary finding is that delivery of information to patients with low survival rates can be improved by more and better disclosure by physicians at an earlier stage. The crucial point for physicians is to ascertain the wishes of patients, to learn what to reveal about what patients should expect, short term and long term, as death approaches.     

Cognitive processes in implicit attitude tasks: An experimental validation of the Trip Model

Implicit attitude tasks have become very popular in various areas of psychology. However, little is known about the cognitive processes they involve. To address this issue, we investigated the underlying processes of the Go/No‐go Association Task (GNAT), a go/no‐go variant of the well‐known Implicit Association Test (IAT). More precisely, we tested two alternative multinomial processing tree (MPT) models of GNAT performance, the Trip Model and the generalized Quad Model. Both models assume that GNAT performance is influenced not only by automatic associations but also by response biases and a controlled discrimination process. However, the two models differ with respect to an additional overcoming bias process. In contrast to the Quad Model, the Trip Model assumes that overcoming bias does not play a major role in GNAT performance. Instead, the Trip Model emphasizes the role of response biases. We report three experiments that demonstrate the validity of the Trip Model for GNAT data. Copyright © 2010 John Wiley & Sons, Ltd.     

Does personality disorder co-morbidity impact treatment outcome for patients with major depression? A multi-level analysis

In literature, there exists disagreement regarding the impact of comorbid personality disorder(s) (PD[s]) on treatment outcome for patients with major depressive disorder (MDD). The aim of this paper was to investigate whether statistical heterogeneity and inter-dependency are potential moderators of the effect of co-morbid PDs on outcome for patients with MDD. Clinician-rated MADRS scores and DSM-IV Axis II personality disorder diagnoses were obtained from 562 outpatients with MDD who received 6 months of combined psycho- and pharmacotherapy. Single-level regression showed significantly worse treatment outcome among patients with co-morbid PD, as compared to patients with no PD. After controlling for statistical heterogeneity and interdependency, treatment outcome was no longer significantly worse for patients with co-morbid PD. In conclusion, heteroscedasticity and inter-dependency should be considered as potentially compelling explanations for inconsistencies in findings on treatment outcome for depressed patients with co-morbid PDs.     

The Illness/Injury Sensitivity Index: Validation of a German Version of the ISI-R

Three fundamental fears-anxiety sensitivity, fear of negative evaluation, and illness/injury sensitivity-are considered integral components of anxiety-related psychopathology and also bear connections with chronic pain. Scales measuring the first two fears, the Anxiety Sensitivity Index and the Fear of Negative Evaluation Scale, have been translated into German; however, the nine-item Illness/Injury Sensitivity Index-Revised (ISI-R) that measures fears of injury and illness has not been available in German language yet. The aim of this study therefore was a translation of the ISI-R into German language and an initial validation of the translated scale in two different samples. The German ISI-R was translated by both professionals and laypersons, and a final version was decided on by consensus. In Study 1, participants included 96 undergraduate students (85% women) who completed the German version of the ISI as part of a larger study. An exploratory factor analysis with oblique rotation was conducted and suggested a two-factor-solution with one factor representing fears of illness and the other fears of injury. This factor structure was confirmed via a confirmatory factor analysis (CFA) in Study 2. Participants included 117 community members (79% women). Convergent validity was supported using a visual analogue scale for fear of illness in both samples and the German translation of the Whiteley Index in Study. Overall, the results supported the German translation of the ISI-R. Comprehensive results, limitations, and directions for future research are discussed.     

Associations between acute lipid stress responses and fasting lipid levels 3 years later.

The authors assessed the association between lipid responses to acute mental stress and fasting serum lipid levels 3 years later in 199 middle-aged men and women. Total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) cholesterol increased following moderately stressful behavioral tasks. LDL cholesterol, HDL cholesterol, and total:HDL ratio measured 3 years later were predicted by acute stress responses independent of gender, age, socioeconomic position, change in body mass, smoking, alcohol consumption, or hormone replacement therapy baseline lipid levels. The odds of clinically elevated cholesterol were significantly greater in the highest compared with the lowest stress tertile, independent of baseline levels and covariates. Acute lipid stress responsivity may reflect processes that contribute to the development of elevated blood cholesterol concentration.     

Cognitive Processes Underlying Observational Learning of Motor Skills

There is evidence indicating that an individual can learn a motor skill by observing a model practising it. In the present study we wanted to determine whether observation would permit one to learn the relative timing pattern required to perform a new motor skill. Also, we wanted to determine the joint effects of observation and of physical practice on the learning of that relative timing pattern. Finally, we were interested in finding whether there was an optimal type of model, advanced or beginner, which would lead better to observational learning. Data from two experiments indicated that observation of either a beginner or an advanced model resulted in modest learning of a constrained relative timing pattern. Observation also resulted in significant parameterization learning. However, a combination of observation followed by physical practice resulted in significant learning of the constrained relative timing pattern. These results suggest that observation engages one in cognitive processes similar to those occurring during physical practice.