Psychosocial consequences of recurrent vertigo

Abstract

Chronic vertigo is known to be associated with anxiety and depression in a significant proportion of patients, but there have been no systematic investigations into beliefs and behaviour related to recurrent vertigo. Twenty-three individuals with vertigo of various types were interviewed, generating over two thousand statements about vertigo and its psychosocial consequences. By means of progressive categorisation these were condensed into four tables of summary statements representing prevalent reactions to and effects of vertigo. Vertigo is viewed as intrinsically frightening and potentially stigmatising. In an attempt to avoid provoking attacks, particularly in public, subjects tended to impose restrictions on their activities and lifestyle which generated further feelings of helplessness and frustration. The statements obtained in this study provide an empirical basis for the development of a model that may be used to formulate predictions about the relationship between vertigo, handicap and distress, and the benefits of intervention.     

The Relationship Between Blood Lead,Bone Lead and Child Intelligence

We report associations between serial measures of blood lead and intelligence in children age 10–12 years, half heavily exposed to lead from the prenatal period onward, and half relatively unexposed. For a subsample, we examine bone lead-IQ associations, comparing them with blood lead associations. Both blood and bone lead levels were associated with intelligence decrements, small relative to the contribution of social factors. For each doubling of Tib-Pb, Full Scale, Performance, and Verbal IQ decreased by an estimated 5.5, 6.2, and 4.1 points, respectively. Bone lead-IQ associations were stronger than those for blood lead, which nonetheless provide robust analogues. Current BPb, easy to obtain, provides a useful means for assessing Pb exposure/IQ associations.     

Egocentric framing — One way people may fail in a switch dilemma: Evidence from excessive lane switching

To study switching behavior, an experiment mimicking the state of a driver on the road was conducted. In each trial participants were given a chance to switch lanes. Despite the fact that lane switching had no sound rational basis, participants often switched lanes when the speed of driving in their lane on the previous trial was relatively slow. That tendency was discerned even when switching behavior had been sparsely reinforced, and was especially marked in almost a third of the participants, who manifested it consistently. The findings illustrate a type of behavior occurring in various contexts (e.g., stocks held in a portfolio, conduct pertinent for residual life expectancy, supermarket queues). We argue that this behavior may be due to a fallacy reminiscent of that arising in the well-known “envelopes problem”, in which each of two players holds a sum of money of which she knows nothing about except that it is either half or twice the amount held by the other player. Players may be paradoxically tempted to exchange assets, since an exchange fallaciously appears to always yield an expected value greater than whatever is regarded as the player's present assets. We argue that the fallacy is due to egocentrically framing the problem as if the “amount I have” is definite, albeit unspecified, and shows that framing the paradox acentrically instead eliminates the incentive to exchange assets. A possible psychological source for the human disposition to frame problems in a way that inflates expected gain is discussed. Finally, a heuristic meant to avert the source of the fallacy is proposed.     

Ten years of career success in relation to individual and situational variables from the employee development literature

Individual, situational, and socio-demographic variables from the employee development literature were combined with theory and research on career success in a ten-year study of 289 workers from across many jobs and industries in the workforce. Support for employee development by one's employer ten years prior and a trend of increasing/accumulating support contributed to career success, providing the first long-term confirmation of the value to careers from support for development by employers. Proactive personality had unique effects on success not accounted for by a broad array of other variables, strengthening conclusions from prior research about the predictive value of proactive personality which were based on data not controlling for these variables. Finally, achievement goal orientation influenced success in a unique way via “profile effects:” Goal orientation dimensions interacted to predict success, suggesting simple linear effects (e.g. being more learning-oriented) may be inadequate in explaining career success. Implications for future research and practice are discussed.     

Anxiety Sensitivity and Interoceptive Exposure: A Transdiagnostic Construct and Change Strategy

Recent findings support the relevance of anxiety sensitivity (AS) and interoceptive exposure (IE) across emotional disorders. This study (a) evaluated levels of AS across different anxiety disorders, (b) examined change in AS over the course of transdiagnostic psychological intervention, and its relationship with outcome, and (c) described the implementation of IE to address AS with patients with different anxiety disorders. Participants (N = 54) were patients who received treatment with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) in two consecutive treatment trials. Participants completed a measure of AS at pre- and posttreatment, and multiple occasions during treatment. Symptom severity was assessed at pre- and posttreatment, and clinical information related to physical symptoms and IE were collected as part of routine clinical practice. Elevated AS was observed at pretreatment across diagnoses and decreases in AS were observed from pre- to posttreatment. Similar changes occurred across the diagnostic categories, notably coinciding with the introduction of IE. Change in AS was correlated with reduced symptom levels at posttreatment and 6-month follow-up. Patients with different anxiety disorders endorsed similar physical symptoms and practiced similar IE exercises with similar effects. Results provide preliminary support for the usefulness of IE as a treatment strategy across the spectrum of anxiety disorders, and additional support for the transdiagnostic relevance of AS.     

A unified approach to multiple‐set canonical correlation analysis and principal components analysis

Multiple‐set canonical correlation analysis and principal components analysis are popular data reduction techniques in various fields, including psychology. Both techniques aim to extract a series of weighted composites or components of observed variables for the purpose of data reduction. However, their objectives of performing data reduction are different. Multiple‐set canonical correlation analysis focuses on describing the association among several sets of variables through data reduction, whereas principal components analysis concentrates on explaining the maximum variance of a single set of variables. In this paper, we provide a unified framework that combines these seemingly incompatible techniques. The proposed approach embraces the two techniques as special cases. More importantly, it permits a compromise between the techniques in yielding solutions. For instance, we may obtain components in such a way that they maximize the association among multiple data sets, while also accounting for the variance of each data set. We develop a single optimization function for parameter estimation, which is a weighted sum of two criteria for multiple‐set canonical correlation analysis and principal components analysis. We minimize this function analytically. We conduct simulation studies to investigate the performance of the proposed approach based on synthetic data. We also apply the approach for the analysis of functional neuroimaging data to illustrate its empirical usefulness.     

Does category labeling lead to forgetting?

What effect does labeling an object as a member of a familiar category have on memory for that object? Recent studies suggest that recognition memory can be negatively impacted by categorizing objects during encoding. This paper examines the “representational shift hypothesis” which argues that categorizing an object impairs recognition memory by altering the trace of the encoded memory to be more similar to the category prototype. Previous evidence for this idea comes from experiments in which a basic-level category labeling task was compared to a non-category labeling incidental encoding task, usually a preference judgment (e.g., “Do you like this item?”). In two experiments, we examine alternative tasks that attempt to control for processing demands and the degree to which category information is explicitly recruited at the time of study. Contrary to the predictions of the representational shift hypothesis, we find no evidence that memory is selectively impaired by category labeling. Overall, the pattern of results across both studies appears consistent with well-established variables known to influence memory such as encoding specificity and distinctiveness effects.     

Contextual cueing based on specific and categorical properties of the environment

Theories of visual search have generally assumed that rejected distractors are marked so as to avoid further processing of these items (memory-driven search). To test this assumption, Horowitz and Wolfe (1998) developed the randomized search paradigm, in which standard static search is compared to dynamic search where items are randomly replotted at new locations throughout a trial. Memory-driven search predicts that search slopes should double in the dynamic condition. After reviewing earlier findings that slopes were similar in the two conditions, we present two new experiments. Experiment 1 replicated and extended our previous findings using a larger range of set sizes, a slower rate of change, and adding a fixed location dynamic condition. Experiment 2 employed stimuli that required overt fixation. Neither experiment showed evidence for memory-driven search. We conclude that visual search is best understood as a series of successive judgements of the momentary probability of target presence.     

The Effect of Age on Rule-Based Category Learning

ABSTRACT

An explicit, rule-based, category-learning task with abstract visual stimuli was administered to 50 healthy older adults and 48 younger adults. Accuracy and reaction time (RT) were examined for the effects of age, perceptual abilities, rule memory, rule complexity, stimulus novelty, and response competition. Older adults performed at equivalent levels to younger adults when applying a simple rule, but showed performance decrements when applying a more complex rule. The age effect interacted with both stimulus novelty and response competition, and was not eliminated after controlling for basic perceptual abilities and rule memory. The authors suggest that older adults show category learning deficits in conditions that require enhanced cognitive control. These results are discussed in reference to the growing body of literature regarding age-related change in executive abilities and frontal lobe function.