A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety

Anxiety sensitivity (AS; fear of anxiety-related sensations) is a known risk factor for anxiety disorders and recently has been linked to pain disorders. The present study was guided by the hypothesis that a program designed to reduce AS levels might also result in a decrease in anxiety related to pain sensations. Female undergraduates, selected as either high or low in AS according to screening scores on the Anxiety Sensitivity Index (ASI), were randomly assigned to participate in 3 1-hour, small group sessions of either cognitive behavioral therapy (CBT; psycho-education, cognitive restructuring, and interoceptive exposure) or a non-specific treatment (NST). Immediately prior to and following the intervention, participants completed the 20-item Pain Anxiety Symptoms Scale (PASS-20). Consistent with hypothesis, results revealed a 3-way interaction between AS group, intervention condition, and time on PASS-20 total scores. Only participants with high pre-morbid levels of AS assigned to the CBT condition showed a significant reduction in scores on the PASS-20 from pre- to post-treatment. Implications for improving CBT approaches for pain disorders are discussed.     

Children's emotions and memory for affective narrative content

The present study was an investigation of effects of emotional states on children's learning and memory for a short narrative. Happy, sad, or neutral moods were induced in 72 second-grade boys and girls by a standard affect induction procedure. This mood induction was accomplished either before or after they heard a story in which two protagonists encountered a variety of experiences having an affective character. For half of the subjects, the initial story event had a positive affective valence, and for half it was negative. Children's memory for events in the narrative was assessed immediately afterward, using measures offo free recall, cued recall, and recognition. Children recalled more affective content than neutral content, and boys recalled more than girls. Valence of the initial story item and sex of subject influenced the relationship between mood state and memory for story events. Under some conditions, positive moods reduced recognition accuracy for positive material. The findings suggest that simple patterns of mood-influenced memory found in previous studies are modified by factors such as characteristics of the learner and the organization of the material to be learned. The relationship between mood and memory thus appears to be more complex than previously recognized.This experiment was supported in part by a grant from the National Science Foundation (BNS-8308147) to John C. Masters. The authors wish to thank Bill Harris, Suzanne Chabaud, and Saneya Hassan for assistance in data collection and coding.     

Spontaneous skepticism: the interplay of motivation and expectation in responses to favorable and unfavorable medical diagnoses

The quantity of processing view of motivated reasoning predicts that individuals are more likely to spontaneously question the validity of unfavorable than favorable feedback even when the objective likelihood of the feedback is equivalent. Participants were videotaped self-administering a bogus medical test revealing either a favorable or an unfavorable result. In Studies 1 and 2, unfavorable result participants required more time to accept the validity of the test result and were more likely to spontaneously recheck its validity than were favorable result participants. However, unfavorable results also were perceived as less expected than were favorable results, even though the information supplied about their objective likelihood was identical. Study 3 showed that participants evaluating another student's results perceived favorable and unfavorable outcomes as equally likely, suggesting that the subjective likelihood of positive and negative feedback is also subject to motivational influence.     

Interrater reliability and coding guide for nonpsychotic formal thought disorder

Reliable and valid assessment of abnormal speech patterns may enable earlier recognition of nonpsychotic disorders through characteristic speech patterns. This study sought to establish interrater reliability using a standardized guide for scoring. A scoring guide defining 27 elements (e.g., inappropriate self-reference, simple loss of goal, circumstantiality) of disordered thought was developed. The seminal work of Andreasen's and Holzman's groups provided 12 elements, and 15 new elements were suggested by clinical literature. Audiotaped interviews with 12 psychiatric inpatients, adults of both sexes and various ages hospitalized for acute management of nonpsychotic psychiatric disorders, provided speech samples for observation of disordered thought by two independent raters. Using the guide's definitions and accompanying examples of elements of disordered thought, reliability in scoring was high (kappa of .85 for agreement on the presence of any abnormal speech element and kappa values from .66 to 1.00 for agreement on the presence of individual elements).