Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder

Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change—including moderate and low decreasing—as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (≥ 10% reduction in binge eating at week 1, ≥ 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.     

注意范围分布对视觉工作记忆巩固过程的影响

以往研究发现个体能够同时巩固一定数量的项目信息进入视觉工作记忆系统。本研究将考察视觉工作记忆的巩固容量是否会受到分配到记忆项目上的注意资源量的影响。实验1在同时序列掩蔽范式的基础上, 用控制记忆项目呈现区域的大小的方法操纵被试的注意范围, 从而达到操纵分配到单个项目上的注意资源量的目的。研究结果显示, 被试的记忆成绩随着注意范围的扩大显著降低, 但在并行和序列呈现条件之间不存在显著差异; 实验2则证实实验1中对注意资源量分配的控制不会影响对项目的知觉编码效率。本研究结果表明, 分配在记忆项目上的注意资源量能够影响记忆巩固的效率, 但不会影响巩固容量。     

Chaos,danger, and maternal parenting in families: Links with adolescent adjustment in low‐ and middle‐income countries

The current longitudinal study is the first comparative investigation across low‐ and middle‐income countries (LMICs) to test the hypothesis that harsher and less affectionate maternal parenting (child age 14 years, on average) statistically mediates the prediction from prior household chaos and neighborhood danger (at 13 years) to subsequent adolescent maladjustment (externalizing, internalizing, and school performance problems at 15 years). The sample included 511 urban families in six LMICs: China, Colombia, Jordan, Kenya, the Philippines, and Thailand. Multigroup structural equation modeling showed consistent associations between chaos, danger, affectionate and harsh parenting, and adolescent adjustment problems. There was some support for the hypothesis, with nearly all countries showing a modest indirect effect of maternal hostility (but not affection) for adolescent externalizing, internalizing, and scholastic problems. Results provide further evidence that chaotic home and dangerous neighborhood environments increase risk for adolescent maladjustment in LMIC contexts, via harsher maternal parenting.     

Inhibition in motor imagery: a novel action mode switching paradigm

Motor imagery requires that actual movements are prevented (i.e., inhibited) from execution. To investigate at what level inhibition takes place in motor imagery, we developed a novel action mode switching paradigm. Participants imagined (indicating only start and end) and executed movements from start buttons to target buttons, and we analyzed trial sequence effects. Trial sequences depended on current action mode (imagination or execution), previous action mode (pure blocks/same mode, mixed blocks/same mode, or mixed blocks/other mode), and movement sequence (action repetition, hand repetition, or hand alternation). Results provided evidence for global inhibition (indicated by switch benefits in execution-imagination (E-I)-sequences in comparison to I-I-sequences), effector-specific inhibition (indicated by hand repetition costs after an imagination trial), and target inhibition (indicated by target repetition benefits in I-I-sequences). No evidence for subthreshold motor activation or action-specific inhibition (inhibition of the movement of an effector to a specific target) was obtained. Two (global inhibition and effector-specific inhibition) of the three observed mechanisms are active inhibition mechanisms. In conclusion, motor imagery is not simply a weaker form of execution, which often is implied in views focusing on similarities between imagination and execution.     

Perfectionism mediated the relationship between brain structure variation and negative emotion in a nonclinical sample

In maladaptive respects, perfectionism reflects an individual’s concern over making mistakes and doubting the quality of his or her own actions excessively, which would affect one’s emotion. However, little is known about the neural mechanisms associated with the perfectionism and negative affect. In this study, voxel-based morphometry was performed to identify the brain regions underlying individual differences in perfectionism, which was measured by the Chinese Frost Multidimensional Perfectionism Scale (CFMPS), in a large sample of nonclinical young adults. Our results showed that the two subdimensions of the perfectionism, concern over mistakes (CM) and doubts about actions (DA), were both positively correlated with the self-reported anxiety and depression as well as the gray matter volume (GMV) in the anterior cingulate cortex (ACC), a pivotal brain region in cognitive control, affective state, and regulation. Moreover, CM, DA, and organization scores were respectively correlated with distributed brain regions involved in multiple cognitive and emotion processes. Our results furthermore revealed that the score of DA acted a mediational mechanism underlying the relationship between the GMV of ACC and self-rating negative affect (anxiety and depression). Taken together, these results might suggest the neuroanatomical basis of perfectionism and the association among the perfectionism, negative emotion, and brain architecture. This study emphasized that perfectionism could play a crucial role in the arousal of negative affect.     

The gender effect in 3D-Mental-rotation performance with familiar and gender-stereotyped objects – a study with elementary school children

The study examined the influence of gender-stereotyped stimuli rotated in depth on children’s mental-rotation performance. Participants included 321 elementary school children who completed three-dimensional mental-rotation tasks with either male- or female-stereotyped stimuli (M-MRT-3D/F-MRT-3D). Results suggest that in-depth tasks are very difficult for second graders. No gender effect was found in the mental-rotation performance of 7- to 9-year-old children; however, task understanding indicates gender differences. For fourth graders, a significant interaction of gender and stimulus type could be demonstrated. Furthermore, results indicate that fourth-grade boys tend to guess more often in tasks with stimuli consistent to the respective own gender. In addition, regression analyses showed that next to grade and perceptual speed, the perceived level of stimulus familiarity predicted performance. Considering a possible link between dimensionality and familiarity, the influence of the gender-stereotyped stimuli on children’s confidence and task understanding as well as on transformational processes and strategy efficiency is discussed.