Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia

Cognitive behavioral therapy (CBT) is a well-established treatment for anxiety disorders, and evidence is accruing for the effectiveness of acceptance and commitment therapy (ACT). Little is known about factors that relate to treatment outcome overall (predictors), or who will thrive in each treatment (moderators). The goal of the current project was to test attentional bias and negative emotional reactivity as moderators and predictors of treatment outcome in a randomized controlled trial comparing CBT and ACT for social phobia. Forty-six patients received 12 sessions of CBT or ACT and were assessed for self-reported and clinician-rated symptoms at baseline, post treatment, 6, and 12 months. Attentional bias significantly moderated the relationship between treatment group and outcome with patients slow to disengage from threatening stimuli showing greater clinician-rated symptom reduction in CBT than in ACT. Negative emotional reactivity, but not positive emotional reactivity, was a significant overall predictor with patients high in negative emotional reactivity showing the greatest self-reported symptom reduction.     

Maternal attitudes towards pre-natal substance abuse,medical care,and treatment in a historically disadvantaged South African community

This study explored maternal substance abuse and the access to pre-natal medical care and treatment for substance abuse during pregnancy. Respondent mothers (n?=?102; mean age?=?27.8 years, SD?=?10.9 years) were from Mitchell’s Plain, a historically disadvantaged South African community. The mothers completed a mixed methods interview on the context and influences of their substance abuse during their pregnancy. Findings suggest that these mothers adopt the drug taking behaviour in their social environment. Women with prior histories of substance abuse were active consumers and dependent on drugs while childbearing. These findings may be important for possible intervention strategies among this particular group of vulnerable women.     

Exploring the Factor Structure of the Proactive Coping Inventory: A Southern African Study

This study explored the factor structure of the Proactive Coping Inventory (PCI) to determine whether its six-factor structure holds within the Southern African context. Data on proactive coping were collected from students attending three universities, one each in Botswana (n=88, females=45.5%, mean age=21.31 years, SD=2.04), Namibia (n=38, females=47.4%, mean age=24.21 years, SD=3.47) and South Africa (n=496, females=56.9%; mean age=22.27 years, SD=2.60). Exploratory factor analysis was used to determine the factor structure of the PCI. Findings suggest that the PCI is comprised of two factors: Future-Oriented Coping (comprised of Proactive Coping, Reflective Coping, Strategic Planning and Preventive Coping) and Support Seeking (comprised of Instrumental Support Seeking and Emotional Support Seeking). This is in line with theory that suggests that individuals cope by means of persisting towards goal attainment.     

Cognitive reappraisal and secondary control coping: associations with working memory,positive and negative affect,and symptoms of anxiety/depression

Abstract

The current study examined the relations of measures of cognitive reappraisal and secondary control coping with working memory abilities, positive and negative affect, and symptoms of anxiety and depression in young adults (N=124). Results indicate significant relations between working memory abilities and reports of secondary control coping and between reports of secondary control coping and cognitive reappraisal. Associations were also found between measures of secondary control coping and cognitive reappraisal and positive and negative affect and symptoms of depression and anxiety. Further, the findings suggest that reports of cognitive reappraisal may be more strongly predictive of positive affect whereas secondary control coping may be more strongly predictive of negative affect and symptoms of depression and anxiety. Overall, the results suggest that current measures of secondary control coping and cognitive reappraisal capture related but distinct constructs and suggest that the assessment of working memory may be more strongly related to secondary control coping in predicting individual differences in distress.     

The Treatment of Mental Contamination: A Case Series

The recommended treatment for obsessive-compulsive disorder (OCD) is cognitive behavior therapy (CBT) incorporating exposure and response prevention (ERP), which is effective for approximately 50% of patients. However, there has been little advance in treatment outcomes since the introduction of ERP in 1979. It has been suggested that some progress can be made in treating contamination obsessions and washing compulsions by addressing feelings of dirtiness and contamination that arise without physical contact with a tangible contaminant. To date, the treatment of these “mental contamination” fears in OCD has not been systematically explored. This paper reports on a case series of 12 participants with OCD who received 10 to 20 sessions of a CBT-based treatment for mental contamination. At the end of treatment, 7 participants no longer met the diagnostic criteria for OCD and mental contamination and these gains were maintained at 6-month follow-up. The clinical implications of these findings are discussed.     

Testing Posttraumatic Stress as a Mediator of Childhood Trauma and Adult Intimate Partner Violence Victimization

This study examined whether potential posttraumatic stress disorder (PTSD) mediated the relationships between different forms of childhood trauma (sexual abuse, physical abuse, violence between caregivers) and intimate partner violence (IPV) victimization (psychological, physical, sexual). Participants were 1,150 female nurses and nursing personnel. Path analytic findings revealed potential PTSD partially mediated the relationships between childhood sexual abuse and psychological IPV and childhood sexual abuse and sexual IPV. Potential PTSD did not mediate the relationship between other types of childhood trauma and IPV. This study adds to the literature indicating PTSD as a risk factor for revictimization in the form of adult IPV among women. Screening for and treatment of PTSD among female child sexual abuse survivors could prevent future IPV victimization.     

Walking Speed and Global Cognition: Results from the OKLAHOMA Study

ABSTRACT

Executive functioning and processing speed have been related to physical functioning in non-demented, elderly samples; however, the relationship between walking speed and global cognition has not been examined. Six hundred and seventy-five community dwelling older adults were enrolled through their primary care physicians. Walking speed was assessed on a 50-foot course at usual pace. Global cognition was assessed with the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Scale score. After adjusting for age, gender, and education, there was a strong inverse relationship between walking speed and global cognition, with slower walkers performing worse on the cognitive measures, faster walkers performing better on the cognitive measures, and the intermediate walkers performing in the middle. In these older adults, global cognition was related to walking speed.     

Age-related effects in inter-trial inhibition of attention

ABSTRACT

Young and older adults indentified the shape of a color oddball in a visual search task, and both showed faster and more accurate responses when the distractor color was passively viewed in the preceding target-absent trial than when the target color was previewed. This inter-trial effect, known as the distractor previewing effect (DPE), reflects an attentional bias that prevents attention from focusing on recently inspected features that failed to produce a target. The results showed that the DPE pattern was preserved across the lifespan, and that the age-related increase in the magnitude of the DPE appeared rooted in age-related slowing, suggesting substantial sparing of this inhibitory effect in old age.     

Acknowledging One's Stigma in the Interview Setting: Effective Strategy or Liability?1

The current research examines how members of stigmatized groups remediate hiring biases by adopting the strategy of directly acknowledging their stigmatizing condition within the interview context. In the first study, 123 participants responded to a videotaped interview involving an obese or physically disabled job applicant who either did or did not acknowledge a stigma. In the second study, 87 participants responded to scenarios that manipulated type of stigma, controllability of its onset, and acknowledgment. Results across both experiments reveal that applicants who did not acknowledge their obesity or physical disability in an employment context were not viewed differently from each other. However, if applicants did acknowledge, the perceived controllability of the stigmas strongly influenced how they would be perceived.