Fibromyalgie und Leistungseinschränkung

Interdisciplinary guidelines allowed for new quality standards in pain appraisal. Simultaneously, the scientific notion of fibromyalgia changed from a subjectively overvalued malaise to a central disturbance of coping with stress, which is neurobiologically determined. Therefore, in this article a psychosomatics-based guide is given for the socio-medical appraisal of fibromyalgia with reference to the new International Classification for Functioning and Disability (ICF) of the World Health Organization (WHO). As illustration a case study is presented.     

Symbolic control of visual attention: Semantic constraints on the spatial distribution of attention

Humans routinely use spatial language to control the spatial distribution of attention. In so doing, spatial information may be communicated from one individual to another across opposing frames of reference, which in turn can lead to inconsistent mappings between symbols and directions (or locations). These inconsistencies may have important implications for the symbolic control of attention because they can be translated into differences in cue validity, a manipulation that is known to influence the focus of attention. This differential validity hypothesis was tested in Experiment 1 by comparing spatial word cues that were predicted to have high learned spatial validity (“above/below”) and low learned spatial validity (“left/right”). Consistent with this prediction, when two measures of selective attention were used, the results indicated that attention was less focused in response to “left/right” cues than in response to “above/below” cues, even when the actual validity of each of the cues was equal. In addition, Experiment 2 predicted that spatial words such as “left/right” would have lower spatial validity than would other directional symbols that specify direction along the horizontal axis, such as “←/→” cues. The results were also consistent with this hypothesis. Altogether, the present findings demonstrate important semantic-based constraints on the spatial distribution of attention.     

PALME

Background

Single mothers and their children are exposed to increased psychosocial burdens and risks. Nevertheless, in Germany offers of help especially designed for the needs of this group are lacking.

Method

An emotion-oriented parental training program (PALME, http://www.palme-elterntraining.de) based on the attachment theory was developed particularly for single mothers with preschool children. The training is guided by trained kindergarten nurses. The effectiveness of the parental training program on the measure of maternal psychological impairment, emotional competence and child problem behavior was investigated within a randomized, controlled study with 61 single mothers suffering from medium grade psychosocial impairment.

Results

Analyses of variance revealed significant group×time interaction effects in favor of the intervention group compared to controls. After the training the mothers showed improvement in their psychological impairment, depression and emotional competence. In addition, evidence suggests that behavioral problems of the children were reduced.

Conclusion

In view of the benefits of this parental training and its low costs it should be recommended as a regular offer of support for single mothers within community settings.     

The impact of experiential avoidance on the reduction of depression in treatment for borderline personality disorder

Background

Reducing symptoms of depression is an important target in the treatment of borderline personality disorder (BPD). Although current treatments for BPD are effective in reducing depression, the average post-treatment level of depression remains high.

Aim

To test whether experiential avoidance (EA) impedes the reduction of depression during treatment for BPD.

Method

EA and depression were assessed in 81 clients at baseline and 4-month intervals during 1 year of therapy. Simple correlations, hierarchical linear modeling, and latent difference score models were used to investigate the association between self-reports of EA and both self-reports and observer-based ratings of depression.

Results

EA was positively associated with greater severity of depression at all points of assessment, and changes in EA were positively associated with changes in depression. Moreover, EA significantly predicted less subsequent reduction in depression whereas no such effect was found for depression on subsequent EA.

Conclusion

The findings are consistent with the hypothesis that EA impedes the reduction of depression in the treatment of BPD and should thus be considered an important treatment target.     

When failing feels good—Relative prototypicality for a high-status group can counteract ego-threat after individual failure

Two studies demonstrate that members of high-status groups (i.e., men and students of business administration) but not members of low-status groups (i.e., women and education students) react with an increase in state self-esteem after an alleged poor performance on a fictitious intelligence test. This Failure-as-an-Asset (FA) effect is only observed when the high-status ingroup (i.e., men) is outperformed by a low-status outgroup (i.e., women). In this case, a poor performance will lead to a strong identification with the ingroup due to high ingroup prototypicality. As predicted, the effects of experiencing success or failure on self-esteem were mediated by identification with the ingroup.     

Goal congruency without stimulus congruency in bimanual coordination

Two experiments explored the role of stimulus congruency and goal congruency for the generation of object-oriented actions with two hands. Participants had to place two objects into either parallel or opposite orientations by carrying out either symmetrical or asymmetrical forearm rotations. Performance was superior when the required object orientations were identical rather than different, almost independent of the symmetry of the required arm movements. In extending previous research, goal congruency effects ensued even under conditions in which congruency of imperative response signals could not have contributed to goal congruency effects, either because only a single stimulus was used to indicate the required goals in an individual trial (Experiment 1) or such stimuli were absent at all (Experiment 2). The results thus confirm the importance of goal codes for the reconcilableness of bimanual actions, and rule out accounts in terms of stimulus-related processes.     

Storage and non-storage components of working memory predicting reasoning: A simultaneous examination of a wide range of ability factors

The current study examined basic cognitive abilities that are related to or included in the concept of working memory (WM): different WM components, three executive functions, simple short-term storage (STM), and sustained attention. Tasks were selected from well-established models and balanced in terms of content. The predictive power of storage and non-storage components of WM was examined. The same analyses were conducted with mental speed as an additional predictor of reasoning. Finally, we investigated whether the identified predictors of reasoning remain relevant when a general factor is considered in the analysis. The analyses revealed that short-term memory accounted for the relationship between complex span measures of WM and reasoning but not for the relationship between coordination and reasoning. These findings remained stable in the context of a mental speed and a general factor. The mental speed factor did not add an incremental contribution to the prediction of reasoning above and beyond short-term memory and coordination. The general factor was mainly built by mental speed tasks and acted as an additional predictor of reasoning besides STM and coordination. Thus, we concluded that reasoning ability can be explained by coordination, STM, and mental speed.     

„Da wirst du ja auch bekloppt bei“

Given a growing demand of psychotherapeutic care the interest of students in a psychotherapeutic occupation is gaining relevance. At the same time psychoanalytic training institutions and societies have been confronted with a continuous decrease of candidates over the last decades. Psychology students, medical students and students of educational sciences (the latter only in the child and adolescent treatment sector) are admitted for a psychotherapeutic training approved by the health care insurances in Germany and have the possibility to choose between a behavioral or a psychodynamic oriented training. In the present multimethodological cross-sectional study those student groups (N?=?679) were questioned about their interest in a psychotherapeutic training in general and, if they proved to be interested, about their specific choice of training. Amongst psychology students the largest group of those interested in a psychotherapeutic training would opt for a behavioral education. Amongst medical students and students of pedagogy and social pedagogy a psychotherapeutic training is less frequently an option for their future career plans. Amongst the students of educational sciences, for those interested in training, psychodynamic methods are more often of interest. Possible reasons for the students' decisions in the context of the specific German legal situation are discussed.     

Base rate effects on the IAT

We investigated the influence of stimulus base rates on the Implicit Association Test (IAT). Using an East/West-German attitude-IAT, we demonstrated that both overall response speed and differential response speed underlying IAT effects depend on the relative frequencies of the stimulus categories. First, when those stimuli that are more common in reality also occurred more frequently in the stimulus list, response speed generally increased. Second, IAT effects increased when congruent blocks profited from the compatibility of frequency-based response biases (i.e., frequent target stimuli and frequent valence stimuli mapped onto the same response key), whereas IAT effects decreased when incongruent trial blocks profited from response compatibility. These findings demonstrate that the stimulus context moderates the magnitude of the IAT effect. Simultaneously, they highlight the need to explore the extent to which implicit measures reflect properties of the task or the environment rather than attributes of test-takers.     

Go no-go performance under psychosocial stress: beneficial effects of implementation intentions

Acute stress has been found to have negative and implementation intentions (IIs) to have positive effects on cognitive performance. This study was the first to examine the effects of IIs on executive action control under acute psychosocial stress. Forty-two male subjects aged 21-39 years were randomly assigned to the Trier Social Stress Test (TSST) versus a rest condition. In addition, the instruction to the executive task (a go no-go task) was manipulated (IIs versus standard instruction). After the stress test, a dual-task procedure including a go no-go task was conducted. The TSST resulted in increases in cortisol response, heart rate and state anxiety compared to the rest condition. Acute stress significantly impaired go no-go performance, but only in the group without IIs. We conclude that under acute stress conditions executive functioning is reduced, but the use of IIs can be an effective strategy to overcome this negative effect.