Development and Preliminary Feasibility Testing of a Decision Support Tool for Childhood Anxiety Treatment

In this practical application, we describe the steps to build a decision-support tool using GeNIe 2.1 software. The method incorporates principles of decision analyses and allows for a systematic strategy to balance treatment efficacy data with patient preferences. We illustrate the utility for helping clinicians and patients choose between two or more efficacious treatment options (CBT, medication, or their combination). Preliminary pilot data from families (n = 5) seeking services at a specialty clinic for childhood anxiety disorders support the usability of the tool and high patient satisfaction. We use case examples and sample graphical output to illustrate how the decision-support system can be used to integrate data on (a) baseline symptom severity, (b) the relative effectiveness of two or more treatment options, and (c) patient preferences and values, to arrive at a personalized treatment recommendation. The decision-support tool enabled child and parent preferences to be explicitly stated and facilitated discussions about how best to incorporate their preferences into an evidence-based treatment strategy.     

Gender Differences in Escapist Uses of Sexually Explicit Internet Material: Results from a German Probability Sample

The intensity of using sexually explicit internet material (SEIM) is contingent on users’ gender. However, gender differences in the motivations for watching SEIM have not yet been comprehensively explored. Drawing on a representative survey of German internet users, we therefore analyze how women and men use SEIM to satisfy escapist needs. Lower life satisfaction, the lack of a committed relationship, and feelings of loneliness contribute to predicting the frequency of using SEIM among men. Loneliness likewise fosters the consumption of SEIM among women, yet the effect is less pronounced. For female internet users, consumption of SEIM even increases in committed relationships and rather indicates a comparably high level of life satisfaction than dissatisfaction with life circumstances. Gender hence substantially moderates the connection between need structures and the consumption of SEIM.     

Perceptual scaling of voice identity: common dimensions for different vowels and speakers

The aims of our study were: (1) to determine if the acoustical parameters used by normal subjects to discriminate between different speakers vary when comparisons are made between pairs of two of the same or different vowels, and if they are different for male and female voices; (2) to ask whether individual voices can reasonably be represented as points in a low-dimensional perceptual space such that similarly sounding voices are located close to one another. Subjects were presented with pairs of voices from 16 male and 16 female speakers uttering the three French vowels “a”, “i” and “u” and asked to give speaker similarity judgments. Multidimensional analyses of the similarity matrices were performed separately for male and female voices and for three types of comparisons: same vowels, different vowels and overall average. The resulting dimensions were then interpreted a posteriori in terms of relevant acoustical measures. For both male and female voices, a two-dimensional perceptual space was found to be most appropriate, with axes largely corresponding to contributions of the larynx (pitch) and supra-laryngeal vocal tract (formants), mirroring the two largely independent components of source and filter in voice production. These perceptual spaces of male and female voices and their corresponding voice samples are available at: section Resources.     

A new look at sensory attenuation. Action-effect anticipation affects sensitivity, not response bias

The systematic association of an action that a person performs with its sensory effects is thought to attenuate that person's perception of the effect of the action. However, whether learned sensorimotor contingencies truly affect perception, rather than just inducing a response bias, has yet to be determined. The experiment presented in this article comprised two parts: an action-effect association phase and a test phase, during which the actions' perceptual effects were tested. During the association phase, specific actions (left-key and right-key presses) were associated with specific visual effects (tilted Gabor patches). In the test phase, participants' left-key presses and right-key presses triggered the onset of a low-contrast tilted Gabor patch in 50% of trials (no stimulus was presented on the remaining 50% of trials). Participants were required to report the presence or absence of this tilted Gabor patch. Our results showed that participants' sensitivity (d') to the Gabor patches was reduced by 10% when the patches were triggered by the action they had previously been associated with. This finding indicates that a person's action does not induce a response bias (c), but changes the perception (d') of the learned action effect.     

Krankheitsbelastung bei chronisch entzündlichen Darmerkrankungen

Background

Psychosocial distress is considerable in inflammatory bowel disease (IBD). The aim of this study was to assess the association of illness perceptions with disease-specific distress in patients with IBD in the context of various medical and psychological parameters.

Method

A total of 62 patients suffering from IBD were examined for illness perceptions using the illness perception questionnaire revised (IPQ-R), medical parameters and affective parameters using the hospital anxiety and depression scale (HADS) in a cross-sectional study. Associations with disease-specific distress were assessed.

Results

In multiple regression analyses illness perceptions and also physical well-being were identified as significant predictors of disease-specific distress and showed significant effects on the explanation for the amount of variance (R²=0.70).

Conclusion

Even in the context of various medical and psychological parameters illness perceptions showed significant associations with disease-specific distress in patients with IBD.     

Minimizing motor mimicry by myself: Self-focus enhances online action-control mechanisms during motor contagion

Ideomotor theory of human action control proposes that activation of a motor representation can occur either through internally-intended or externally-perceived actions. Critically, sometimes these alternatives of eliciting a motor response may be conflicting, for example, when intending one action and perceiving another, necessitating the recruitment of enhanced action-control to avoid motor mimicry. Based on previous neuroimaging evidence, suggesting that reduced mimicry is associated with self-related processing, we aimed to experimentally enhance these action-control mechanisms during motor contagion by inducing self-focus. In two within-subjects experiments, participants had to enforce their action intention against an external motor contagion tendency under heightened and normal self-focus. During high self-focus participants showed reduced motor mimicry, induced either by mirror self-observation or self-referential judgments. This indicates that a self-focus provoking situation can enhance online action-control mechanisms, needed to resist unintentional motor contagion tendencies and thereby enables a modulation of automatic mirroring responses.     

Effects of textual response prompts for adolescents in a substance abuse treatment program

Adolescents in a drug and alcohol treatment facility had behavioral deficits in having essential items ready for organized group adventure activities. Checklists (i.e., textual response prompts) were introduced. The data from five participants showed increases in the percentage of required items ready. Generalization was demonstrated across checklists for different activities, across staff and peer leaders, and a different day of the week. Performance was also maintained when the checklist was removed. It was concluded that the use of checklists can be a reliable and efficient strategy to improve performance in adolescents with a substance abuse history. Copyright © 2010 John Wiley & Sons, Ltd.     

Two models of unawareness: comparing the object-based and the subjective-state-space approaches

This article attempts to motivate a new approach to anti-realism (or nominalism) in the philosophy of mathematics. I will explore the strongest challenges to anti-realism, based on sympathetic interpretations of our intuitions that appear to support realism. I will argue that the current anti-realistic philosophies have not yet met these challenges, and that is why they cannot convince realists. Then, I will introduce a research project for a new, truly naturalistic, and completely scientific approach to philosophy of mathematics. It belongs to anti-realism, but can meet those challenges and can perhaps convince some realists, at least those who are also naturalists.