Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships

Smoking is highly prevalent across most anxiety disorders. Tobacco use increases risk for the later development of certain anxiety disorders, and smokers with anxiety disorders have more severe withdrawal symptoms during smoking cessation than smokers without anxiety disorders. The authors critically examined the relationships among anxiety, anxiety disorders, tobacco use, and nicotine dependence and reviewed the existing empirical literature. Future research is needed to better understand the interrelationships among these variables, including predictors, moderators, and mechanisms of action. Increased knowledge in these areas should inform prevention efforts as well as the development and improvement of smoking cessation programs for those with anxiety and other psychiatric disorders.     

Concurrent task performance enhances low-level visuomotor learning

Visuomotor association learning involves learning to make a motor response to an arbitrary visual stimulus. This learning is essential for visual search and discrimination performance and is reliant upon a well-defined neural circuit in the brain that includes the prefrontal cortex and the hippocampal formation. In the present study, we investigated the possible role of attentional processes during such learning using dual-task interference. A motor, verbal, or perceptual concurrent task was performed during the learning/training block of a simple visual discrimination task. Contrary to expectation, the dual-task groups showed improved learning and learning-dependent performance compared with untrained control and non-dual-task trained groups. A second experiment revealed that this effect did not appear to be due to increased arousal level; the inclusion of alerting tones during learning did not result in facilitation. These findings suggest that the engagement of attention, but not arousal, during the acquisition of a visuomotor association can facilitate this learning and its expression.     

Word acquisition, retention, and transfer: findings from contextual and isolated word training

Successful reading instruction entails not only acquiring new words but also remembering them after training has finished and accessing their word-specific representations when they are encountered in new text. We report two studies demonstrating that acquisition, retention, and transfer of unfamiliar words were affected differentially by isolated word and context training. Materials were individualized to include only those words that average readers in second grade were unable to name in context. Different words were trained in each condition; context training presented words in stories, and isolated word training presented words on flashcards. Together, the studies show that context training promotes word acquisition beyond that experienced from reading words in isolation. Contrary to the prevailing opinion, memory performance for words trained in context and in isolation did not differ; children demonstrated excellent retention over an 8-day interval in both conditions. Finally, transfer was maximized when the congruency between training and testing was high. Therefore, when reading trained words in novel circumstances, the best method of training was mediated by the transfer task employed at test.     

Beyond the forest and the trees: local and global interference in hierarchical visual stimuli containing three levels

Our visual world can be thought of as organised in a hierarchical manner. Studies on hierarchical letter stimuli (a large letter composed of smaller letters) suggest that processing of a visual scene is global to local, a phenomenon known as the global-precedence effect. Elaborating on this global-to-local hypothesis we tested whether global interference will increase with increasing level of globality. For this, we used three-level hierarchical letter stimuli with a global, middle, and local level. When attending to the local level of the stimulus, only the middle level showed an interference effect, whereas the global level did not interfere at all. We argue that, considering the perceptual and attentional contributions to this effect, the hypothesis of global-to-local processing of a visual scene may only hold within a limited spatial attentional window.     

A cluster analysis of the circumstances of death in suicides in Hong Kong

Classification of suicides is essential for clinicians to better identify self-harm patients with future suicidal risks. This study examined potential subtypes of suicide in a psychological autopsy sample (N = 148) in Hong Kong. Hierarchical cluster analysis extracted two subgroups of subjects in terms of expressed deliberation assessed by the Beck Suicide Intent Scale (SIS). The first group was associated with charcoal burning suicide, no psychiatric illness, indebtedness, better problem-solving ability, chronic stress, and higher overall SIS scores. The second group was associated with jumping from a height, psychotic disorders, psychiatric treatment, acute stress, and lower overall SIS score. The existence of a substantial cluster of subjects with lower expressed intent and preparation has important implications for the performance of the SIS as a predictive tool. Suicide prevention strategy may have to target potential subgroups with specific approaches.     

Predicting the size of individual and

An a priori test of the difference engine model (Myerson, Hale, Zheng, Jenkins, & Widaman, 2003) was conducted using a large, diverse sample of individuals who performed three speeded verbal tasks and three speeded visuospatial tasks. Results demonstrated that, as predicted by the model, the group standard deviation (SD) on any task was proportional to the amount of processing required by that task. Both individual performances as well as those of fast and slow subgroups could be accurately predicted by the model using no free parameters, just an individual or subgroup’s mean z-score and the values of theoretical constructs estimated from fits to the group SDs. Taken together, these results are consistent with post hoc analyses reported by Myerson et al. and provide even stronger supporting evidence. In particular, the ability to make quantitative predictions without using any free parameters provides the clearest demonstration to date of the power of an analytic approach on the basis of the difference engine.     

The efficacy of cue exposure with response prevention in extinguishing drug and alcohol cue reactivity

It has been suggested that drug cue‐elicited urges and psychophysiological reactions are the results of Pavlovian conditioning processes and that it should be possible to extinguish these responses with cue exposure with response prevention. It has already been shown that subjective cue‐elicited urges can be extinguished, but it is unclear whether this is also true for cue‐elicited psychophysiological arousal. This was tested in the present study in a heterogeneous sample of drug and alcohol dependent patients. It was found that cue‐elicited urges can indeed be extinguished. However, such a clear pattern of extinguished cue reactivity was not found for the psychophysiological measures. Furthermore, the extinction of drug urges was not specific for cue exposure treatment. It is concluded that cue‐elicited psychophysiological arousal does not underlie subjective cue reactivity and may not reflect Pavlovian conditioned drug responding. Copyright © 2006 John Wiley & Sons, Ltd.     

Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: a meta-analysis

A meta-analysis of the group intervention research for parents of children with developmental disabilities was conducted in order to characterize the efficacy of treatments in reducing depressive symptoms and other forms of psychological distress associated with stress in parents of children with developmental disabilities. An extensive search led to the identification of 17 studies which were divided into three categories for comparative purposes: parenting education studies usually based on behavioral parent training, coping skills education studies based primarily on cognitive behavioral training, and studies that combined these methods along with other support services. Studies were rated for the quality of the research designs and of the reports. Consistent positive benefits were found in the form of reductions in parents' distress, and these effects were comparable to those reported in other syntheses of parenting interventions for parents of children without disabilities. The studies were evaluated in order to assess whether or not they met standards for established evidence-based practices. On the basis of the quality and number of the randomized trials, we present evidence to support the claim that there are established evidence-based interventions for reducing psychological distress at least in middle-class mothers in the short term. The interventions for fathers are promising as are the data on somewhat longer-term effects. The need for replications with a more diverse group of parents and longer-term follow-up were discussed. Multiple component interventions addressing both parent well-being and behavioral parent training were significantly more effective than either behavioral parent training or cognitive behavioral training along.     

Children's memory of events: effects of stress,age, time delay and location of interview

To examine the ability of children aged between 4 and 12 years to recall a stressful event (venipuncture) compared with a non-stressful event (demonstration of venipuncture), recall was tested after 6–8 weeks. Half also had recall tested after 2–7 days. Testing took place where the stressful event occurred (n=122) or at a neutral location (n=127). Children who experienced the stressful event were less likely to give inaccurate responses in free recall or to acquiesce to suggestive misleading questions. Apart from incorrect responses in free recall, correct responses increased and incorrect responses decreased with increasing age. Recall after 2–7 days was superior to recall after 6–8 weeks. Those who had an early and a late interview had better recall at the late interview than those who had a late interview only. The location of interview showed no effects on recall. © 1998 John Wiley & Sons, Ltd.