Clinical events in coronary patients who report low distress: adverse effect of repressive coping

OBJECTIVE: Coronary artery disease (CAD) patients who report low distress are considered to be at low psychological risk for clinical events. However, patients with a repressive coping style may fail to detect and report signals of emotional distress. The authors hypothesized that repressive CAD patients are at risk for clinical events, despite low self-rated distress. DESIGN: This was a prospective 5- to 10-year follow-up study, with a mean follow-up of 6.6 years. At baseline, 731 CAD patients filled out Trait-Anxiety (distress), Marlowe-Crowne (defensiveness), and Type D scales; 159 patients were classified as "repressive," 360 as "nonrepressive," and 212 as "Type D." MAIN OUTCOME MEASURES: The primary endpoint was a composite of total mortality or myocardial infarction (MI); the secondary endpoint was cardiac mortality/MI. RESULTS: No patients were lost to follow-up; 91 patients had a clinical event (including 35 cardiac death and 32 MI). Repressive patients reported low levels of anxiety, anger and depression at baseline, but were at increased risk for death/MI (21/159 = 13%) compared with nonrepressive patients (22/360 = 6%), p = .009. Poor systolic function, poor exercise tolerance, 3-vessel disease, index MI and Type-D personality--but not depression, anxiety or anger--also independently predicted clinical events. After controlling for these variables, repressive patients still had a twofold increased risk of death/MI, OR = 2.17, 95% CI = 1.10-4.08, p = .025). These findings were replicated for cardiac mortality/MI. CONCLUSION: CAD patients who use a repressive coping style are at increased risk for clinical events, despite their claims of low emotional distress. This phenomenon may cause an underestimation of the effect of stress on the heart. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

Self-esteem and autonomic physiology: parallels between self-esteem and cardiac vagal tone as buffers of threat

In this article a potential physiological connection to self-esteem is suggested: cardiac vagal tone, the degree of influence on the heart by the vagus, a primary nerve of the parasympathetic nervous system. This hypothesis emerges from parallels between the two literatures that suggest both self-esteem and cardiac vagal tone function to provide protection from threat responding. This article reviews these literatures and evidence and preliminary findings that suggest in some contexts self-esteem and cardiac vagal tone may exert an influence on each other. Last, the article discusses theoretical and applied health implications of this potential physiological connection to self-esteem.     

Trusted strangers: social affordances for social cohesion

Phenomenology and the Cognitive Sciences - How could the paradigm shift towards enactive embodied cognitive science have implications for society and politics? Translating insights form enactive...     

Cross-task repetition amnesia: Impaired recall of RSVP targets held in memory for a secondary task

People often fail to select and encode the second of two targets presented within less than 500ms in rapid serial visual presentation (RSVP), an effect known as the attentional blink. We investigated how report of the two targets is affected when one of them is maintained in working memory for a secondary, memory-search task. The results showed that report of either target was impaired when it was a member of the memory set relative to when it was not. This effect was independent of both the temporal interval separating the RSVP target from the presentation of the memory set and the interval separating the targets. We propose that the deficit in recall occurs because the association between a target and the memory-search task interferes with the formation of a new association between that target and the following RSVP task, with the result that observers may be biased to ascribe the target only to the memory set.     

Dutch plural inflection: the exception that proves the analogy

We develop the view that inflection is driven partly by non-phonological analogy and that non-phonological information is of particular importance to the inflection of non-canonical roots, which in the view of [Marcus, G. F., Brinkmann, U., Clahsen, H., Wiese, R., & Pinker, S. (1995). German inflection: the exception that proves the rule. Cognitive Psychology, 29, 189-256.] are inflected by a symbolic rule process. We used the Dutch plural to evaluate these claims. An analysis of corpus data shows that a model using non-phonological information (orthography) produces significantly fewer errors on plurals of non-canonical Dutch nouns, in particular borrowings, than a model that includes only phonological information. Moreover, we show that a double default system, as proposed by Pinker [Pinker, S. (1999). Words and rules. London: Phoenix.], does not offer an advantage over the latter model. A second study, examining the use of orthography in an online plural production task, shows that, in Dutch, the chosen pseudoword plural is significantly affected by non-phonological information. A final simulation study confirms that these results are in line with a model of inflectional morphology that explains the inflection of non-canonical roots by non-phonological analogy instead of by a default rule process.     

An experimental analysis of reading interventions: generalization across instructional strategies, time, and passages

This study examined the generalized effects of three treatment conditions (performance based, skill based, and a combination of the two) on oral reading fluency by an elementary school student. Results indicated equal effectiveness of all treatments, maintenance, and possible evidence of generalization across passages.     

Ageism and death: effects of mortality salience and perceived similarity to elders on reactions to elderly people

The present research investigated the hypotheses that elderly people can be reminders of our mortality and that concerns about our own mortality can therefore instigate ageism. In Study 1, college-age participants who saw photos of two elderly people subsequently showed more death accessibility than participants who saw photos of only younger people. In Study 2, making mortality salient for participants increased distancing from the average elderly person and decreased perceptions that the average elderly person possesses favorable attitudes. Mortality salience did not affect ratings of teenagers. In Study 3, these mortality salience effects were moderated by prior reported similarity to elderly people. Distancing from, and derogation of, elderly people after mortality salience occurred only in participants who, weeks before the study, rated their personalities as relatively similar to the average elderly person's. Discussion addresses distinguishing ageism from other forms of prejudice, as well as possibilities for reducing ageism.     

The effect of word length on lexical decision in dyslexic and normal reading children

In the present study, the effect of word length on lexical decision in dyslexic and normal reading children was investigated. Dyslexics of 10-years old, chronological age controls, and reading age controls read words and pseudowords consisting of 3 to 6 letters in a lexical decision task. Length effects were much stronger in dyslexics and reading age controls than in chronological age controls. These results support the contention that dyslexics continue to rely on a predominantly sub-lexical reading procedure, whereas for normal readers the contribution of a lexical reading procedure increases. The relevance of the findings for current computational models of reading is discussed.     

Evidence that projection of a feared trait can serve a defensive function

Two experiments tested the notion that allowing people to project a feared trait onto another individual would facilitate denial of the trait. In Study 1, participants were given feedback that they were high or low in repressed anger and were allowed to rate an ambiguous target on anger or not. Participants who received high (vs. low) anger feedback rated the target especially high on anger. In addition, participants who received high anger feedback and who were allowed to project their anger had the lowest anger accessibility on a word completion exercise. Study 2 replicated these basic findings using a different trait dimension (dishonesty) and a direct measure of denial (self-attributions of dishonesty). Specifically, in Study 2, participants who received high dishonesty feedback and who were allowed to project dishonesty reported having an especially low level of dishonesty. Discussion focused on the relationship between classic projection and other forms of psychological defense.