The relative role of nicotine dependence and smoking-related cognitions in adolescents' process of smoking cessation

The present study evaluates the role of distinct components of nicotine dependence (craving, withdrawal, behavioural dependence) in comparison to smoking-related cognitions (attitudes, perceived social approval, self-efficacy) in adolescent smoking cessation. In the process towards smoking cessation, we distinguish between distinct behavioural transitions, respectively, short-term abstinence, reduction in smoking behaviour and prolonged cessation, to evaluate differences in cessation-related antecedents as a function of varying behavioural outcomes. A total of 850 adolescent smokers (age 14-16) participated in the present study. Smoking behaviour was assessed 1 year after baseline. Results showed that all dependence components had a distinct role in the prediction of behavioural change towards cessation. Furthermore, each behavioural transition was predicted by a distinct set of variables, indicating that contributions of cessation-related factors vary across the course towards cessation. Overall, our findings suggest that smoking-related cognitions are particularly relevant in the initiation of behavioural change, such as short-term abstinence, whereas nicotine dependence, craving in particular, becomes increasingly important in the prediction of maintained behavioural change, such as prolonged cessation. Implications encompass enhanced attention to the multidimensional nature of nicotine dependence and the value of comparing different behavioural outcomes in a comprehensive understanding of cessation-related factors.     

Perceived Overqualification, Emotional Support, and Health

In the present study, we examined the effects of perceived overqualification on health and the moderating effect of emotional support. Exploratory and confirmatory factor analyses found 2 indicators of perceived overqualification: "mismatch" and "no-grow." Perceived mismatch had a significant negative effect on health but perceived no-grow did not. The main effect revealed that the greater the perceived emotional support, the greater the health. The significant interaction of perceived emotional support and mismatch, and perceived emotional support and no-grow on health indicates that the negative effects of overqualification on health was greater for those perceiving low emotional support than for those perceiving high emotional support. The significance of social support in illuminating the relationship between perceived overqualification and health are discussed.     

Automatic emotion regulation after social exclusion: tuning to positivity

Nine experiments tested competing hypotheses regarding nonconscious affective responses to acute social exclusion and how such responses may relate to positive mental health. The results strongly and consistently indicated that acute social exclusion increased nonconscious positive affect. Compared to nonexcluded participants, excluded participants recalled more positive memories from childhood than did accepted participants (Experiment 1), gave greater weight to positive emotion in their judgments of word similarity (Experiments 2 and 3), and completed more ambiguous word stems with happy words (Experiments 4a and 4b). This process was apparently automatic, as participants asked to imagine exclusion overestimated explicit distress and underestimated implicit positivity (Experiment 3). Four final experiments showed that this automatic emotion regulation process was found among participants low (but not high) in depressive symptoms (Experiments 5 and 6) and among participants high (but not low) in self-esteem (Experiments 7 and 8). These findings suggest that acute exclusion sets in motion an automatic emotion regulation process in which positive emotions become highly accessible, which relates to positive mental health.     

The precuneus and the insula in self-attributional processes

Attributions are constantly assigned in everyday life. A well-known phenomenon is the self-serving bias: that is, people’s tendency to attribute positive events to internal causes (themselves) and negative events to external causes (other persons/circumstances). Here, we investigated the neural correlates of the cognitive processes implicated in self-serving attributions using social situations that differed in their emotional saliences. We administered an attributional bias task during fMRI scanning in a large sample of healthy subjects (n = 71). Eighty sentences describing positive or negative social situations were presented, and subjects decided via buttonpress whether the situation had been caused by themselves or by the other person involved. Comparing positive with negative sentences revealed activations of the bilateral posterior cingulate cortex (PCC). Self-attribution correlated with activation of the posterior portion of the precuneus. However, self-attributed positive versus negative sentences showed activation of the anterior portion of the precuneus, and self-attributed negative versus positive sentences demonstrated activation of the bilateral insular cortex. All significant activations were reported with a statistical threshold of p ≤ .001, uncorrected. In addition, a comparison of our fMRI task with data from the Internal, Personal and Situational Attributions Questionnaire, Revised German Version, demonstrated convergent validity. Our findings suggest that the precuneus and the PCC are involved in the evaluation of social events with particular regional specificities: The PCC is activated during emotional evaluation, the posterior precuneus during attributional evaluation, and the anterior precuneus during self-serving processes. Furthermore, we assume that insula activation is a correlate of awareness of personal agency in negative situations.     

Correlates of Dispositional and State Flow in Tennis Competition

The purpose of this study was to investigate the relationship between psychological correlates and flow in tennis competition. Using a cross-sectional design, the sample of 261 junior tennis athletes showed moderate-to-strong correlations between flow (dispositional and state) and confidence (r _disp = .59; r _state = .35), imagery use (r _disp = .58; r _state = .32), and action control (r _disp = .41; r _state = .40), whereas absorption was orthogonal to flow. Commonality analysis revealed that imagery and confidence accounted for 34.2% of the variance in dispositional flow. The results are discussed for the development of intervention studies in order to enhance flow in competition.     

Patterns of Daily Time Use of Young Adults With or Without First-Episode Psychosis

This study compared patterns of daily activities and satisfaction with time use of young adults with first-episode psychosis and healthy volunteers. Fifty young adults participated in retrospective structured interviews on time use. Young adults with first-episode psychosis spend more time in sleep, passive leisure, and personal care activities, and less in total productive activities and education. No difference appeared for leisure, paid work, and household work, or satisfaction with daily time use. Reasons underlying dissatisfaction with daily time use differed between the groups. Clinical and research implications are discussed.     

Treatment of bipolar depression

Bipolar disorder is underdiagnosed and often mistaken for unipolar depression. Bipolar patients spend 33% of their time in a state of depression compared to 11% of time spent in a manic state. Duration of time depressed and severity of depression are associated with increased risk for suicide, which occurs in 10% to 20% of bipolar patients. Antidepressants are increasingly being used as adjuncts in the depressed phase of bipolar disorder, although they provide a moderate risk for switch into mania. Lithium and some antiepileptics and atypical antipsychotics have shown antidepressant effects in the treatment of bipolar disorder. Other adjuncts for treatment-refractory patients include monoamine oxidase inhibitors and electroconvulsive therapy.     

Evidence for preserved emotional memory in normal older persons

Emotion has been shown to have a modulatory effect on declarative memory. Normal aging is associated with a decline in declarative memory, but whether aging might affect the influence of emotion on memory has not been established. To investigate this, we administered a task that provides a detailed assessment of emotional memory to 80 neurologically normal adults ranging in age from 35 to 85 years. Across ages, memory performance was found to be modulated by the emotional significance of stimuli in a comparable manner (improved memory for gist, compromised memory for visual detail), despite an overall decline in memory performance with increasing age. The results raise the interesting possibility that aging has a differential effect on hippocampal versus amygdala function.