Modeling population heterogeneity in appearance- and performance-enhancing drug (APED) use: applications of mixture modeling in 400 regular APED users

Appearance- and performance-enhancing drugs (APEDs) constitute a wide range of substances, including anabolic-androgenic steroids, nonsteroidal anabolics, and licit and illicit ergo/thermogenics. A great deal of heterogeneity exists in APED use patterns among weight-lifting men, and, consequently, little is known about how these patterns are related to side effect profiles or risk potential. In the current study, a sample of 400 adult men who were regular APED users completed an interactive Web-based instrument detailing information about APED use, side effects, and related indicators of risk. To explore the heterogeneity of APED use patterns, the authors subjected data on use patterns to (a) latent class analysis (LCA), (b) latent trait analysis (LTA), and (c) factor mixture analysis to determine the best model of APED use. Results indicated that a 4-class factor mixture model provided a better fit than LCA and LTA models. The authors also found that severity and latent class were uniquely associated with negative outcomes. Each of the 4 classes was associated with unique side effects, motivations, and participant use patterns. Implications for identifying pathological forms of APED use are discussed.     

Ignored visual context does not induce latent learning

Psychonomic Bulletin & Review - People usually become faster at finding a visual target after repeated exposure to the same search display. This effect, known as contextual cueing, is often...     

Speaking of privilege: family therapy educators' journeys toward awareness and compassionate action

This study explores how family therapy educators from privileged social locations understand issues of privilege and the process by which they integrate their personal and professional journeys to create and model equity in family therapy training and professional development. These educators developed awareness about issues of privilege and oppression and owned their privilege. Increased awareness involved personal struggles with guilt and managing internalized voices of prejudice that are constantly reinforced in society. These educators adopted a stance of action and accountability for equity. We hypothesize that the process leading to owning one's privilege involves the ability to be compassionate for others' suffering and one's own limitations.     

Understanding the relationship between attachment style, pain appraisal and illness behavior in women

Insecure attachment has been hypothesized to be an important factor for understanding the experience of pain. Considering the Attachment-Diathesis Model of Chronic Pain developed by Meredith, Ownsworth, and Strong (2008), this cross-sectional study examines the relationship between attachment style, pain appraisal, and illness behavior. Two hundred healthy women recruited from community contexts completed a battery of self-report measures including the Short-form McGill Pain Questionnaire, Pain Catastrophizing Scale, Pain Anxiety Symptoms Scale-20, Pain Vigilance and Awareness Questionnaire, Illness Attitude Scales, Beck Anxiety Inventory, Beck Depression Inventory, and the Experiences in Close Relationships Questionnaire-Revised. The results showed that attachment anxiety was significantly correlated with pain catastrophizing, pain-related fear, depression, and illness behavior. However, attachment anxiety and avoidance were not associated with pain intensity. Attachment anxiety moderated the relationship between pain catastrophizing and illness behavior, and between pain hypervigilance and illness behavior. Pain catastrophizing and pain-related fear partially mediated the effect of attachment anxiety on illness behavior. The findings highlight potential contributions of attachment style and pain appraisal for explaining illness behavior. This study supports earlier reports and suggests the usefulness of assessing attachment style for early identification of people who might exhibit a high risk of dysfunctional responses to pain. Our findings also suggest that increasing people's insight about their attachment style and modifying some associated dysfunctional responses may be important in the treatment of chronic pain.     

Discrimination and categorization of emotional facial expressions and faces in Parkinson's disease

Our objective was to compare the ability to discriminate and categorize emotional facial expressions (EFEs) and facial identity characteristics (age and/or gender) in a group of 53 individuals with Parkinson's disease (PD) and another group of 53 healthy subjects. On the one hand, by means of discrimination and identification tasks, we compared two stages in the visual recognition process that could be selectively affected in individuals with PD. On the other hand, facial expression versus gender and age comparison permits us to contrast whether the emotional or non‐emotional content influences the configural perception of faces. In Experiment I, we did not find differences between groups, either with facial expression or age, in discrimination tasks. Conversely, in Experiment II, we found differences between the groups, but only in the EFE identification task. Taken together, our results indicate that configural perception of faces does not seem to be globally impaired in PD. However, this ability is selectively altered when the categorization of emotional faces is required. A deeper assessment of the PD group indicated that decline in facial expression categorization is more evident in a subgroup of patients with higher global impairment (motor and cognitive). Taken together, these results suggest that the problems found in facial expression recognition may be associated with the progressive neuronal loss in frontostriatal and mesolimbic circuits, which characterizes PD.     

Relationships Between Physical Symptoms,Emotional Distress,and Pain Appraisal in Fibromyalgia: The Moderator Effect of Alexithymia

Alexithymia is a personality construct that is frequently identified in fibromyalgia (FM). Previous studies have explored the relationship between alexithymia and emotional distress in this disease. Yet, the additional link with factors of pain appraisal is unknown. This study examined the moderating effect of alexithymia in the relationship between emotional distress and pain appraisal in 97 FM women. A control group of 100 healthy women also participated in the study. All participants completed several self-reports about pain experience, sleep quality, impairment, emotional distress, pain appraisal, and alexithymia. FM women showed significantly more difficulty in identifying and describing feelings, but less externally oriented thinking than healthy women. In the clinical group, difficulty in identifying feelings and difficulty in describing feelings significantly correlated with lower sleep quality, higher anxiety and depression, and increased pain catastrophizing and fear of pain. Difficulty in describing feelings significantly correlated with higher pain experience and vigilance to pain. Externally oriented thinking was not correlated with any of the clinical variables. Difficulty in identifying feelings moderated the relationship between anxiety and pain catastrophizing, and difficulty in describing feelings moderated the relationship between anxiety and fear of pain. Implications of the findings for the optimization of care of FM patients are discussed.     

Conditional or Unconditional Forgiveness? An Instrument to Measure the Conditionality of Forgiveness

Among the beliefs and concepts people hold about the nature of forgiveness, their notions of conditionality and unconditionality have not received sufficient study. The concept of conditional forgiveness posits that before forgiveness can be granted, the offender must take certain steps and meet specific conditions. From an unconditional forgiveness concept, the victim can forgive independently of the behavior of the wrongdoer. Hence, the aim of our study has been to develop a strong psychometric instrument to measure the beliefs people hold about the conditionality of forgiveness. This article presents the development and validation of a tool to measure these beliefs. Study 1 comprised 181 participants, whereas 492 conformed Study 2 and 109 took part in Study 3. Internal consistency and validity were analyzed. Exploratory factor analysis and confirmatory factor analysis were conducted, along with correlational analysis to test convergent validity, stability, and prediction capability. Results show a two-dimensional structure of the Conditional–Unconditional Forgiveness Scale, indicating the appropriateness of this tool to assess beliefs about the conditionality of forgiveness. The belief in the unconditional nature of forgiveness showed positive and significant correlations with all the measurements of offense-specific forgiveness. On the other hand, the belief that forgiveness should be conditional showed lower correlations with all the forgiveness measurements. Not only the ultimate level of forgiveness the subjects experienced but also their emotional experience of the process can be very different depending on their views of forgiveness, among them their beliefs about conditionality.     

Exercise Improves Cognitive Control: Evidence from the Stop Signal Task

The aim of this study was to test the hypothesis that exercise improves executive control. We compared the performance of physically active and passive young participants in two versions of the stop signal task: a strategic (more executive) and a standard version. The results showed that active participants were more efficient than passive at inhibiting a response in the strategic version, suggesting that (1) physical exercise appears positively associated with improved cognitive control in healthy young participants, adding to evidence gathered in children, aging and clinical populations; and that (2) the strategic version of the stop signal task constitutes a more sensitive task than executive tasks previously used. Although the data point out a link between physical activity and executive control, they also have potential practical implications for health authorities and the general public by strengthening the view that exercise, beyond its physical health benefits, also has positive effects on cognitive functioning. Copyright © 2013 John Wiley & Sons, Ltd.     

Emotional processing in people with obsessive-compulsive symptomatology

The present study was aimed at assessing obsessive-compulsive symptomatology based on visualization of affective pictures, elaborated following Peter Lang's dimensional model of emotion. Participants were 370 psychology students at Malaga University, selecting those with high and low scores in obsessive-compulsive symptomatology. All participants assessed a set of pictures containing obsessive-compulsive cues using the three scales of the Self-Assessment Manikin: affective valence, arousal, and control/dominance. The results show that participants with high scores in obsessive-compulsive symptomatology experience reduced control over the affective pictures and rate as more unpleasant the neutral and obsessive-compulsive pictures.