The assessment of surgery-related coping: The coping with surgical stress scale (COSS)

Abstract

Surgery can be regarded as a major stressor for any patient. High preoperative emotional arousal may negatively influence adjustment during surgery as well as the postoperative recovery rate. Consequently, the strategies individuals employ for coping with this stress are of prime importance for the quality of their adaptation. This paper reports the construction and empirical assessment of a new instrument for measuring strategies employed to cope with surgical stress. Factor analysis of this instrument, the Coping with Surgical Stress Scale (COSS), yielded five factors: Rumination, Optimism and Trust, Turning to Social and Religious Resources, Threat Avoidance, and Information Seeking. Internal consistencies of the corresponding subscales were satisfactory. Results concerning external relationships of the COSS with dispositional coping, state and trait anxiety, and indicators of perioperative adjustment showed that the COSS is a useful instrument for measuring surgery-related coping.     

Bridging the Theory-Practice Gap by Getting Even Bolder With the Boulder Model

Cognitive behavioral therapy is an effective treatment for virtually all psychiatric disorders. However, very few patients have access to it and few therapists are trained in the theory and practice of cognitive behavioral therapy. Based on the existing evidence and the articles of this series, the following recommendations are made: (a) all mental health care providers (including Psy.D. and social workers) need to be trained in the practice and theories of empirically supported treatments, specifically cognitive behavioral therapy; (b) clinical practice also needs to be based on theory, not just treatment manuals; and (c) psychological treatments have to move beyond the DSM boundaries.     

Is the Motor or the Garage More Important to the Car? The Difference Between Semantic Associations in Single Word and Sentence Production

The aim of the present study was to investigate the impact of part-whole (e.g., car-motor) and functional associations (e.g., car-garage) on single word (Experiment 1) and sentence production (Experiment 2). In Experiment 1, a classical picture-word task was used. In Experiment 2, the same stimuli and distractors were embedded into a sentence. The relation between target and distractor was either part-whole, functional or unrelated. At single word level, part-whole and functional relations facilitate naming. Additionally, the facilitation effect was stronger for part-whole in comparison to functional associations. During sentence production, facilitation shifted to interference. The difference between both relations disappeared. The findings of the different effects between functional and part-whole associations depend on the length of utterances and highlight the divergent impact of associations. The differences between part-whole and functional associations in single word production might reflect a differential organization of associative links at the conceptual level. In contrast, during sentence production the syntactic processing at the lexical level seem to be more important than types of semantic associations at the conceptual level.     

Warning: You are being primed! The effect of a warning on the impact of subliminal ads

As it has been demonstrated that subliminal advertising can affect consumers' decisions – if the ad is goal relevant – the question rises whether consumers are able to shield themselves from subliminal influences. In the present research it was examined whether warning people of the presence of subliminal ads could decrease subliminal advertising effects. In Study 1, it was demonstrated that warning people of subliminal ads indeed diminished priming effects on consumer choice, whereas subliminal advertising effects were replicated for people who were not warned (i.e., people for whom the primed brand was goal relevant were more likely to select it when primed). Study 2 extended these findings, revealing that both participants warned before and after the priming manipulation were less influenced by subliminal brand primes than controls. This suggests that the warning does not decrease participants' sensitivity to the prime, but instead affects the influence of the prime at the behavioral level. Several explanations and implications are discussed.     

Heartbeat detection and the experience of emotions

Although many theories of emotion hypothesise a crucial role for the self-perception of visceral activity, there has been little empirical investigation of the relationship between visceral self-perception and emotion. In this study, 52 undergraduates (19 males, 33 females) performed a heartbeat detection task and were classified as good (n=9) or poor (n=43) heartbeat detectors. Subjects were then presented with sets of two film clips, each targeting one of three different emotional valences (amusement, anger, fear). Subjects reported their affective responses to the clips on 9-point scales indicating intensity and pleasantness. Good detectors reported more intense emotions than poor detectors across all three emotional valences, but no differences were found on pleasantness ratings between the groups. These results suggest that visceral perception plays a role in the experience of the intensity of emotions.     

Self-Concepts and Psychological Well-Being Assessed By Beck Youth Inventory Among Pupils with Reading Difficulties

This study investigated the self-image and psychological well-being in 67 children and adolescents age 10–16 years with severe reading difficulties and/or dyslexia. The participants were assessed with Beck Youth Inventory regarding symptoms of depression, anxiety, and negative self-image. The results showed that the participants do not depict negative self-image and showed few symptoms of depression or anxiety at group level in comparison to a norm group. These results could be seen as contradictory to previous research. A questionnaire regarding self-efficacy was also distributed and showed that the participants had low self-knowledge about their reading impairments. The results were interpreted as a possible increase in knowledge among teachers and subsequent change in pedagogical strategies. In addition, technological advances may have improved the academic situation for dyslexic children. This study was a partial study in a larger project that aimed to evaluate the efficiency of assistive technologies for dyslexic children.     

Mining event-related brain dynamics

This article provides a new, more comprehensive view of event-related brain dynamics founded on an information-based approach to modeling electroencephalographic (EEG) dynamics. Most EEG research focuses either on peaks 'evoked' in average event-related potentials (ERPs) or on changes 'induced' in the EEG power spectrum by experimental events. Although these measures are nearly complementary, they do not fully model the event-related dynamics in the data, and cannot isolate the signals of the contributing cortical areas. We propose that many ERPs and other EEG features are better viewed as time/frequency perturbations of underlying field potential processes. The new approach combines independent component analysis (ICA), time/frequency analysis, and trial-by-trial visualization that measures EEG source dynamics without requiring an explicit head model.     

The cognitive and neural basis of option generation and subsequent choice

Decision-making research has thoroughly investigated how people choose from a set of externally provided options. However, in ill-structured real-world environments, possible options for action are not defined by the situation but have to be generated by the agent. Here, we apply behavioral analysis (Study 1) and functional magnetic resonance imaging (Study 2) to investigate option generation and subsequent choice. For this purpose, we employ a new experimental task that requires participants to generate options for simple real-world scenarios and to subsequently decide among the generated options. Correlational analysis with a cognitive test battery suggests that retrieval of options from long-term memory is a relevant process during option generation. The results of the fMRI study demonstrate that option generation in simple real-world scenarios recruits the anterior prefrontal cortex. Furthermore, we show that choice behavior and its neural correlates differ between self-generated and externally provided options. Specifically, choice between self-generated options is associated with stronger recruitment of the dorsal anterior cingulate cortex. This impact of option generation on subsequent choice underlines the need for an expanded model of decision making to accommodate choice between self-generated options.     

Effect of affect on social cost bias in social anxiety disorder

Abstract

The cognitive model of social anxiety disorder (SAD) assumes that cognitive biases are important maintaining factors of the disorder. Research and theory have highlighted the impact of cognitive self-regulatory processes on affect, but have not sufficiently focused on the influence of affect on self-regulatory cognitions. The present study examined the influence of affect on cognitive self-regulatory mechanisms in SAD by focusing on one critical cognitive bias, estimated social cost. Individuals with SAD (N=48) and non-anxious controls (N=48) were randomly assigned to one of three experimental, affect induction conditions (negative, positive, or neutral) before giving a 10-minute impromptu, videotaped speech. As expected, the affect manipulation resulted in changes in estimated social cost. However, this effect was not specific to individuals with SAD. Participants in the positive affect condition in both groups had the highest social cost estimates post-speech challenge. These results suggest that social cost bias is dependent on the affective state in both individuals with SAD and controls.