The Caregivers' Attachment and Relationship Education Class: A New and Promising Group Therapy for Caregivers of Individuals with Parkinson's Disease

The authors examined whether a newly developed group therapy, based on principles of attachment theory and emotionally focused couples therapy, can potentially address the unique mental health and relationship difficulties in caregivers of individuals with Parkinson's disease. A comprehensive outreach effort, involving a review of 251 military veterans' medical records, yielded enrollment of seven spousal caregivers in the group therapy. At 1-month follow-up, caregivers who initially reported mild or greater levels of caregiver burden demonstrated statistically reliable declines in psychological distress, relationship distress, or both. Posttreatment surveys indicated positive perceptions in overall helpfulness of treatment goals, as well as positive changes in insight (e.g., greater understanding of the patient's attachment needs) and behaviors (e.g., greater social contact and self-care of the caregiver). Results are considered in the context of inadequate access to treatment for caregivers of spouses with Parkinson's disease or other major medical issues.     

Negation as a means for emotion regulation? Startle reflex modulation during processing of negated emotional words

This study investigated startle reflex modulation in 33 healthy student participants during the processing of negated emotional items. To build upon previous research, our particular interest was to find out whether processing of negated emotional items modulates emotional responding in line with the logical meaning of the negated expression, or instead leads to paradox emotional effects that point in the direction opposite the one logically implied by the negation. Startle reflex modulation was assessed during silent reading of pleasant and unpleasant nouns. The nouns were either paired with the possessive pronoun my or with the negation word no. The startle eyeblink amplitude was enhanced during processing of the unpleasant pronoun–noun phrases and attenuated during processing of the pleasant phrases. Negation attenuated the startle eyeblink for negated unpleasant nouns and enhanced it for negated pleasant nouns. In line with this finding, negation decreased arousal ratings for unpleasant nouns and reversed the valence ratings for pleasant nouns. Our results are the first to show an effect of negation on both peripheral physiological and subjective indices of affective responding. Our results suggest that negation may be an effective strategy for spontaneous down-regulation of emotional responses to unpleasant, but not to pleasant, stimuli.     

Response specific temporal expectancy: Evidence from a variable foreperiod paradigm

When a stimulus-response event is frequently paired with a specific foreperiod, response performance for this event is improved after this foreperiod. This phenomenon is referred to as specific temporal expectancy. In four experiments, we investigated whether stimulus- or response-related processing benefits from specific temporal expectancy. In a speeded choice reaction task, different features of the imperative stimuli were frequently paired with foreperiods in such a way that only in some experiments were the responses also frequently paired with foreperiods. Participants revealed evidence for specific temporal expectancy when responses were frequently paired with foreperiods, but not when only the stimuli were frequently paired with foreperiods. We concluded that specific temporal expectancy affects response-related processing.     

Episodic autobiographical memory in depression: Specificity, autonoetic consciousness, and self-perspective

Autobiographical memory (AM) and the self are closely linked. AM retrieval in depression is characterized by a lack of specificity, suggesting an impairment of episodic AM. Autonoetic consciousness and self-perspective, which are critical to episodic AM, have never been addressed in depression. Twenty-one depressed inpatients and 21 matched controls were given an episodic AM task designed to assess positive and negative memories regarding specificity, autonoetic consciousness (remember/know procedure), and self-perspective (field/observer procedure). For specificity, "remember", and "field" responses, ANOVAs revealed a main group effect and a group x valence interaction. Between groups, patients showed lower scores than controls for positive memories. Within groups, patients showed greater scores for negative memories, and controls showed greater scores for positive memories. There is a global episodic AM impairment of positive memories in depression regarding specificity, autonoetic consciousness, and self-perspective. Our results suggest new cognitive interventions to improve the self-relevance of positive memories in depression.     

The selective disruption of spatial working memory by eye movements

In the late 1970s/early 1980s, Baddeley and colleagues conducted a series of experiments investigating the role of eye movements in visual working memory. Although only described briefly in a book (Baddeley, 1986), these studies have influenced a remarkable number of empirical and theoretical developments in fields ranging from experimental psychology to human neuropsychology to nonhuman primate electrophysiology. This paper presents, in full detail, three critical studies from this series, together with a recently performed study that includes a level of eye movement measurement and control that was not available for the older studies. Together, the results demonstrate several facts about the sensitivity of visuospatial working memory to eye movements. First, it is eye movement control, not movement per se, that produces the disruptive effects. Second, these effects are limited to working memory for locations and do not generalize to visual working memory for shapes. Third, they can be isolated to the storage/maintenance components of working memory (e.g., to the delay period of the delayed-recognition task). These facts have important implications for models of visual working memory.     

Intelligence and individual differences in becoming neurally efficient

Physiological approaches to human psychometric intelligence have shown a higher neural efficiency (i.e. less cortical activation) during cognitive performance in brighter subjects. The main aim of this study was to explore the relationship between intelligence and cortical activation patterns in the framework of the learning test concept. In 27 participants we assessed the topography and extent of cortical activation by means of event-related desynchronization (ERD) during reasoning tests in a pre-test--training--post-test design and related it to psychometric intelligence (measured by the German Leistungs-Prüf-System, LPS). Significant associations between intelligence and cortical activation patterns were exclusively found at anterior (frontal) recording sites, which corroborates the central role of the frontal lobe for higher-order cognitive functions. The hypothesized negative intelligence-activation correlation was observed only after the training, i.e. in the post-test, but not in the pre-test. More important, the decrease in cortical investment from pre-test to post-test correlated negatively with intelligence, indicating that the higher the subjects' general mental ability the larger the decrease in the amount of cortical activation. These findings suggest intelligence-related individual differences in becoming neurally efficient.     

Stressful work, psychological job strain, and turnover: a 2-year prospective cohort study of truck drivers

Based on a model that combines existing organizational stress theory and job transition theory, this 2-year longitudinal study examined antecedents and consequences of turnover among Dutch truck drivers. For this purpose, self-reported data on stressful work (job demands and control), psychological strain (need for recovery after work and fatigue), and turnover were obtained from 820 drivers in 1998 and 2000. In agreement with the model, the results showed that strain mediates the influence of stressful work on voluntary turnover. Also in conformity with the model, job movement to any job outside the trucking industry (i.e., interoccupational turnover) resulted in a larger strain reduction as compared to job movement within the trucking industry (intraoccupational turnover). Finally, strain was found to stimulate interoccupational turnover more strongly than it stimulated intraoccupational turnover. These findings provide a thorough validation of existing turnover theory and give new insights into the turnover (decision) process.     

The antecedents of aggressive behavior among men with schizophrenia: a prospective investigation of patients in community treatment

The association between psychotic symptoms and violence is unclear, due in part to methodological features of investigations that have examined this question, and in part to the fact that the association likely differs by disorder and treatment conditions. Using data from The Comparative Study of the Prevention of Crime and Violence by Mentally Ill Persons, we examined 128 men with schizophrenia or schizoaffective disorder discharged from general and forensic psychiatric hospitals in Canada, Finland, Germany, and Sweden. The association between symptoms and aggressive behavior was studied during two 6 month periods when the patients lived in the community. Severe positive and negative symptoms of psychosis, depression, and anxiety were measured at the beginning of each of the 6 month periods. In addition, at the beginning of the second 6 month period changes in symptoms in the previous period were indexed. Aggressive behavior was measured in each 6 month period by reports from patients and from collaterals. During the first 6 months post-discharge, after controlling for the presence of antisocial personality disorder or PCL score and past diagnoses of alcohol/drug abuse/dependence, the presence of a severe positive symptom significantly increased the risk of aggressive behavior. During the second 6 month period, after controlling for antisocial personality disorder or PCL score and self-reported alcohol/drug use, the presence of a severe positive symptom, a TCO symptom, and an increase in TCO symptoms significantly increased the risk of aggressive behavior. Neither depot medications nor obligatory community treatment reduced the risk of aggressive behavior after controlling for the presence of a severe positive symptom and/or TCO symptoms. These findings suggest that, among men with schizophrenia being treated in the community, the presence of severe psychotic symptoms and the development of TCO symptoms are antecedents of aggressive behavior.     

The complexities of complex span: explaining individual differences in working memory in children and adults

Two studies are presented that investigated the constraints underlying working memory performance in children and adults. In each case, independent measures of processing efficiency and storage capacity are assessed to determine their relative importance in predicting performance on complex span tasks,which measure working memory capacity. Results show that complex span performance was independently constrained by individual differences in domain-general processing efficiency and domain-specific storage capacity. Residual variance, which may reflect the ability to coordinate storage and processing, also predicted academic achievement. These results challenge the view that complex span taps a limited-capacity resource pool shared between processing and storage operations. Rather, they are consistent with a multiple-component model in which separate resource pools support the processing and storage functions of working memory.