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281.
The authors examined the influence of positive aspects of caregiving (PAC) as a moderator of treatment outcome across 12 months in 1 of the original sites of the Resources for Enhancing Alzheimer's Caregiver Health I project. They used multilevel random coefficients regression analysis to predict time-varying PAC, depression, behavioral bother, and daily care burden in Alzheimer's caregivers (N = 243; mean age = 60.89, SD = 14.19). They found that time-varying PAC was predicted by time-varying daily care burden. They also found significant effects of time-varying PAC for depression, behavioral bother, and daily care burden. Notably, a PAC x Phase x Treatment effect was found for daily care burden, such that individuals who endorsed less PAC benefited most from the intervention across 12 months. The tendency to positively appraise the caregiving experience (i.e., PAC) in response to chronic stressors such as Alzheimer's caregiving may affect individuals' responsiveness to, and benefit from, interventions, whereas only daily care burden affected the tendency to find enjoyment in caregiving across 12 months. Future intervention research should assess individual PAC in order to better tailor interventions to caregiving needs. 相似文献
282.
Sarah W Whitton P Antonio Olmos-Gallo Scott M Stanley Lydia M Prado Galena H Kline Michelle St Peters Howard J Markman 《Journal of family psychology》2007,21(2):297-306
The authors proposed a model of depressive symptoms in early marriage in which relationship confidence, defined as perceived couple-level efficacy to manage conflicts and maintain a healthy relationship, mediates the effect of negative marital interactions on depressive symptoms. The model was tested in a sample of 139 couples assessed prior to marriage and 1 year later. As predicted, relationship confidence demonstrated simple negative associations with negative marital interaction and depressive symptoms for all participants. Longitudinal path analyses supported the mediational model for women only. In women but not men, negative marital interaction indirectly had an impact on depressive symptoms through the mediator of relationship confidence. Findings suggest that relationship confidence may be important to understanding links between marital distress and depressive symptoms, especially in women. 相似文献
283.
This article presents the first systematic test of the attention-allocation model for alcohol-related aggression. According to this model, alcohol has a "myopic" effect on attentional capacity that presumably facilitates aggression by focusing attention on more salient provocative, rather than less salient inhibitory, cues in hostile situations. Aggression was assessed using a laboratory task in which mild electric shocks were received from, and administered to, a fictitious opponent. Study 1 demonstrated that a moderate-load cognitive distractor suppressed aggression in intoxicated subjects (to levels even lower than those exhibited by a placebo control group). Study 2 assessed how varying the magnitude of a distracting cognitive load affected aggression in the alcohol and placebo conditions. Results indicated that the moderate-load distraction used in Study 1 (i.e., holding four elements in sequential order in working memory) suppressed aggression best. Cognitive loads of larger and smaller magnitudes were not successful in attenuating aggression. 相似文献
284.
The tendency to perceive anxious states as aversive and harmful is hypothesized to confer vulnerability to the development of anxiety disorders. The most commonly used measure of anxiety sensitivity, the Anxiety Sensitivity Index [ASI; Reiss, S., Peterson, R.A., Gursky, D.M., & McNally R.J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behavior Research and Therapy, 24, 1-8], is composed of multiple lower-order factors, assessing fear of physical symptoms, fear of publicly observable anxious symptoms, and fear of cognitive dyscontrol. This study examined the convergent validity of the lower-order anxiety sensitivity dimensions in DSM-IV diagnosed anxiety disorders. Participants with primary diagnoses of panic disorder with agoraphobia, social phobia, and generalized anxiety disorder (GAD) completed the ASI and measures of anxiety and depression severity. Support was found for the convergent validity of all ASI dimensions in reference to thematically related anxiety disorders and in the identification of patients presenting with and without secondary major depressive disorder (MDD). The ASI-fear of cognitive dyscontrol dimension displayed strong and nonredundant associations with GAD, dimensional depression scores, and secondary diagnoses of MDD. The conceptual implications of the shared importance of fear of cognitive dyscontrol in GAD and MDD are discussed. 相似文献
285.
Watkins E Scott J Wingrove J Rimes K Bathurst N Steiner H Kennell-Webb S Moulds M Malliaris Y 《Behaviour research and therapy》2007,45(9):2144-2154
The treatment of chronic and recurrent depression is a priority for the development of new interventions. The maintenance of residual symptoms following acute treatment for depression is a risk factor for both chronic depression and further relapse/recurrence. This open case series provides the first data on a cognitive-behavioural treatment for residual depression that explicitly targets depressive rumination. Rumination has been identified as a key factor in the onset and maintenance of depression, which is found to remain elevated following remission from depression. Fourteen consecutively recruited participants meeting criteria for medication--refractory residual depression [Paykel, E.S., Scott, J., Teasdale, J.D., Johnson, A.L., Garland, A., Moore, R. et al., 1999. Prevention of relapse in residual depression by cognitive therapy--a controlled trial. Archives of General Psychiatry 56, 829-835] were treated individually for up to 12 weekly 60-min sessions. Treatment specifically focused on switching patients from less helpful to more helpful styles of thinking through the use of functional analysis, experiential/imagery exercises and behavioural experiments. Treatment produced significant improvements in depressive symptoms, rumination and co-morbid disorders: 71% responded (50% reduction on Hamilton Depression Rating Scale) and 50% achieved full remission. Treating depressive rumination appears to yield generalised improvement in depression and co-morbidity. This study provides preliminary evidence that rumination-focused CBT may be an efficacious treatment for medication--refractory residual depression. 相似文献
286.
Michelle A. Swain Pamela. Joy Kathleen. Bakker E. Arthur. Shores Carolyn. West 《Journal of Neuropsychology》2009,3(2):229-244
The aim of the study was to use cognitive neuropsychological analysis to investigate object‐based visual processing skills in children with spina bifida myelomeningocele and hydrocephalus (SBH). Fourteen children with SBH (aged 8–12) and 21 age‐, socio‐economic status‐, and Verbal IQ‐matched healthy controls were assessed using the Birmingham Object Recognition Battery. Overall, the performance of the children with SBH on the object‐processing tasks was intact, indicating normal development of the ventral visual processing pathway. While the initial results indicated that the children with SBH performed statistically significantly less accurately on some tasks, these group differences no longer met significance criteria after capacity for sustained attention was statistically controlled. 相似文献
287.
ABSTRACT— What information is available from a brief glance at a novel scene? Although previous efforts to answer this question have focused on scene categorization or object detection, real-world scenes contain a wealth of information whose perceptual availability has yet to be explored. We compared image exposure thresholds in several tasks involving basic-level categorization or global-property classification. All thresholds were remarkably short: Observers achieved 75%-correct performance with presentations ranging from 19 to 67 ms, reaching maximum performance at about 100 ms. Global-property categorization was performed with significantly less presentation time than basic-level categorization, which suggests that there exists a time during early visual processing when a scene may be classified as, for example, a large space or navigable, but not yet as a mountain or lake. Comparing the relative availability of visual information reveals bottlenecks in the accumulation of meaning. Understanding these bottlenecks provides critical insight into the computations underlying rapid visual understanding. 相似文献
288.
Michelle G. Craske Peter P. Roy-Byrne Greer Sullivan Alexander Bystritsky 《Behaviour research and therapy》2009,47(11):931-937
Anxiety disorders are common, costly and debilitating, and yet often unrecognized or inadequately treated in real world, primary care settings. Our group has been researching ways of delivering evidence-based treatment for anxiety in primary care settings, with special interest to preserving the fidelity of the treatment while at the same time promoting its sustainability once the research is over. In this paper, we describe the programs we have developed and our directions for future research. Our first study evaluated the efficacy of CBT and expert pharmacotherapy recommendations for panic disorder in primary care, using a collaborative care model of service delivery (CCAP). Symptom, disability and mental health functioning measures were superior for the intervention group compared to treatment as usual both in the short term and the long term, although also more costly. In our ongoing CALM study, we have extended our population to include panic disorder, social anxiety disorder, generalized anxiety disorder and posttraumatic disorder, while at the same time utilizing clinicians with limited mental health care experience. In addition to pharmacotherapy management, we developed a computer-assisted CBT that guides both novice clinician and patient, thereby contributing to sustainability once the research is over. We have also incorporated a measurement based approach to treatment planning, using a web-based tracking system of patient status. To date, the computer-assisted CBT program has been shown to be acceptable to clinicians and patients. Clinicians rated the program highly, and patients engaged in the program. Future directions for our research include dissemination and implementation of the CALM program, testing potential alternations to the CALM program, and distance delivery of CALM. 相似文献
289.
Michelle Montague 《Philosophical Studies》2009,145(2):171-192
My concern in this paper is with the intentionality of emotions. Desires and cognitions are the traditional paradigm cases
of intentional attitudes, and one very direct approach to the question of the intentionality of emotions is to treat it as
sui generis—as on a par with the intentionality of desires and cognitions but in no way reducible to it. A more common approach seeks
to reduce the intentionality of emotions to the intentionality of familiar intentional attitudes like desires and cognitions. In this
paper, I argue for the sui generis approach.
相似文献
Michelle MontagueEmail: |
290.
Theories of Attention-Deficit/Hyperactivity Disorder (ADHD) implicate dysfunctional regulation mechanisms that have been conceptually
grouped into “top-down” control and “bottom-up” affective/reactive processes. This dual-process account can be invoked in
relation to temperament or personality traits and may clarify how traits relate to ADHD. Two samples were examined to illuminate
developmental effects. The younger sample was 179 youngsters aged 7 to 12 years (113 boys; 107 with ADHD). The older sample
was 184 adolescents (109 boys; 87 with ADHD) aged 13 to 18 years. Structural equation models included parent-rated traits,
teacher-rated ADHD symptoms, and laboratory-obtained executive functions. A control or “top-down” factor included cognitive
control and conscientiousness/effortful control. A second factor labeled affective or “bottom-up” included neuroticism/negative
emotionality, agreeableness, and reactive control. In the younger sample, these two factors were differentially and specifically
related to inattention and hyperactivity, respectively. However, in the older sample, the first factor was related to inattention
and hyperactivity, whereas the second factor was related to hyperactivity. Personality traits appear to map onto ADHD symptoms
in a meaningful manner consistent with a dual-process model of temperament and ADHD.
This research was supported by NIH National Institute of Mental Health Grant R01-MH63146, MH59105, and MH70542 to Joel Nigg.
Martel was supported by NIH F31 MH075533. We are indebted to the families and staff who made this study possible. 相似文献