Priming associations between bodily sensations and catastrophic misinterpretations: Specific for panic disorder?

Cognitive models assume that panic disorder is characterised by a tendency to misinterpret benign bodily symptoms (e.g. breathlessness) in a catastrophic fashion (e.g. suffocation). This is a central part of the cognitive model which presents a core focus for treatment. Several studies have supported this hypothesis. These studies have, however, almost always relied on self-report. In addition to susceptibility to biases (e.g. distortions of memory), a limitation of research based on verbal report is its inability to capture the spontaneous/automatic nature that is attributed to these catastrophic interpretations. The present paper reports on two experiments in which a priming procedure was used to test the hypothesis that panic disorder is characterised by spontaneous catastrophic interpretations and whether this effect is ‘specific’ to panic disorder. In line with predictions from the cognitive model, it was observed in the first experiment that the panic group demonstrated facilitated responses to trials consisting of a ‘symptom’ prime and a ‘catastrophic outcome’ target (e.g. breathlessness - suffocate). Similar effects were not observed for an anxious control group and a nonclinical control group, supporting the specificity of this effect. Interestingly, however, significant priming effects were observed for a group of mental health professionals (part of the healthy control group) who had no history of panic disorder. Subsequently, this unexpected observation was explicitly addressed in a second experiment, which confirmed the findings of Experiment 1. Together, these results suggest that associations between mental representations of benign bodily symptoms and catastrophic outcomes might develop as part of professional knowledge and experience, and should not necessarily be viewed as pathogenic. Theoretical and clinical implications are discussed.     

Anxiety and Depression in Children with HFASDs: Symptom Levels and Source Differences

The purpose of this study was to: (1) examine symptom levels of anxiety and depression in children with high-functioning autism spectrum disorders (HFASDs) compared with matched control children using child self-reports and parent ratings; and (2) examine source differences within the two condition groups. An overall multivariate effect indicated significantly elevated depression and anxiety symptoms for children with HFASDs based on parent reports; however no significant between-group differences based on child self-reports. Within-condition source comparisons (parent vs. child) revealed a significant multivariate effect indicating a significant difference in symptoms of depression and anxiety for the HFASD group but none for the control. Correlations between parent and child reports for the HFASD group suggested some positive association between child-reports and parent-reports for depressive symptoms only; however, the difference in average scores reflected a substantial discrepancy in the magnitude of symptoms by rater. Implications for clinical assessment and future research are provided.     

Construing in Action: Experiencing Embodiment

Construing anticipation as an embodied process implies including experience and action within personal construct theorization and application. This has led many authors to read somatic disorders in psychological terms and to consider psychotherapy as an experiential process. This article exemplifies a possible transposition of personal construct psychology in action through experimenting with ways of construing. Some simple body movement experiences are presented as means for exploring our personal anticipations in relation to others. This may represent a starting point for the elaboration of our personal theories and practices.     

Deficits in acquisition and extinction of conditioned responses in mGluR7 knockout mice

Metabotropic glutamate receptor 7 (mGluR7) is expressed in brain regions implicated in emotional learning and working memory, and previous behavioral experiments indicated contributions of mGluR7 to various complex behaviors. In the present study, we investigated the specific effects of mGluR7 deletion on a variety of conditioning paradigms that model crucial neurocognitive and psychopathological behavioral phenomena. Null-mutant mGluR7^−/− mice displayed defects during scheduled appetitive conditioning, acquisition and extinction of appetitive odor conditioning, extinction of response suppression-based conditioned emotional responding (CER), acquisition of discriminative CER, and contextual fear conditioning. mGluR7^−/− animals were slower to acquire the association between a conditioned stimulus and a positive or negative reinforcer, but eventually reached similar performance levels to their wildtype littermates. Notably, extinction learning of conditioned responses was slower in mGluR7^−/− compared to wildtype animals. The observed delays in the acquisition of complicated stimulus associations across conditioning procedures may suggest a critical role for mGluR7 in neurocognitive functions and psychopathology.     

Non-ruminative processing reduces overgeneral autobiographical memory retrieval in students

It has been suggested that overgeneral memory (OGM) represents a vulnerability marker for depression [Williams, J. M. G., Barnhofer, T., Crane, C., Hermans, D., Raes, F., Watkins, E., et al. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133, 122-148]. One important underlying mechanism involved is rumination [e.g., Watkins, E., & Teasdale, J. D. (2001). Rumination and overgeneral memory in depression: Effects of self-focus and analytic thinking. Journal of Abnormal Psychology, 110, 353-357; Watkins, E., & Teasdale, J. D. (2004). Adaptive and maladaptive self-focus in depression. Journal of Affective Disorders, 82, 1-8]. It is as yet unclear to what extent the relationship between rumination and OGM also applies to nonclinical groups. The present study investigated this relationship in a nonclinical student sample, using an innovative sentence completion procedure to assess OGM. As hypothesized, the experimental induction of a concrete, process-focused (or non-ruminative) thinking style (n=102) led to less OGMs as compared to the experimental induction of an abstract, evaluative (or ruminative) thinking style (n=93). The present results add to the accumulating body of evidence that abstract, evaluative (or ruminative) thinking is a crucial underlying process of OGM, and expand prior literature by extending this idea to nonclinical individuals and by using a new procedure to assess OGM.     

Cognitive confidence in obsessive-compulsive disorder: distrusting perception, attention and memory

Previous studies have established that obsessive-compulsive disorder (OCD) is characterised by significant levels of distrust in memory (e.g. for actions). Ironically, this lowered confidence is at least in part due to repeated checking, which is assumed to lower perceptual processing and thereby reduces vividness and detail of the recollections. In a previous study, Hermans, D., Martens, K., De Cort, K., Pieters, G., and Eelen, P. [(2003). Reality monitoring and metacognitive beliefs related to cognitive confidence in OCD. Behaviour Research and Therapy, 41, 383-401] observed that OCD is not only characterised by reduced confidence in memory, but also by a similar distrust in attention (Hermans et al., 2003). The present study aimed at replicating and extending this finding. It was observed (a) that patients suffering from OCD showed less confidence in attention and memory than a clinical and a nonclinical control group; (b) that confidence in attention was uniquely related to checking behaviour, and (c) that repeated checking caused increased levels of distrust in attention. In addition, it was observed that cognitive distrust while performing OCD-related actions not only extends to attention, but also to perception. It is argued that research on metacognition in OCD should move beyond the study of memory.     

Individual differences in the perception of similarity and difference

Thematically related concepts like coffee and milk are judged to be more similar than thematically unrelated concepts like coffee and lemonade. We investigated whether thematic relations exert a small effect that occurs consistently across participants (i.e., a generalized model), or a large effect that occurs inconsistently across participants (i.e., an individualized model). We also examined whether difference judgments mirrored similarity or whether these judgments were, in fact, non-inverse. Five studies demonstrated the necessity of an individualized model for both perceived similarity and difference, and additionally provided evidence that thematic relations affect similarity more than difference. Results suggest that models of similarity and difference must be attuned to large and consistent individual variability in the weighting of thematic relations.     

Trust that binds: the impact of collective felt trust on organizational performance

The impact of employees' collective perceptions of being trusted by management was examined with a longitudinal study involving 88 retail stores. Drawing on the appropriateness framework (March, 1994; Weber, Kopelman, & Messick, 2004), the authors develop and test a model showing that when employees in an organization perceive they are trusted by management, increases in the presence of responsibility norms, as well as in the sales performance and customer service performance of the organization, are observed. Moreover, the relationship between perceptions of being trusted and sales performance is fully mediated by responsibility norms.