Time-series analysis of the relationship between dizziness and stress

Ten individuals with dizziness participated in a longitudinal study on the relationship between stress and dizziness. The participants rated dizziness and stress on visual analogue scales twice daily for a period of 28 days (in all 56 data points). The ratings of stress included physical stress, mental stress, emotional stress, and the presence of stressful events. The data was analysed by means of time-series analysis (ARIMA), and the temporal associations investigated by lagged correlations. Results showed concurrent associations between dizziness and mental and emotional stress. However, individual differences were observed indicating complex and diverse patterns of association between different forms of stress and dizziness.     

What people believe about memory

Two representative samples of adult Norwegians (n=2000) were asked a set of general and specific questions regarding their beliefs and opinions about human memory. The results indicate that on many questions, such as time of the earliest memories, inhibiting effects of collaboration, and memory for dramatic versus ordinary events, the views of the general public concurred with current research findings, and people in general had realistic views about their own memory performance. On other questions, such as the reliability of olfactory as compared with visual and auditory memory, the memory of small children in comparison with that of adults, the likelihood of repression of adult traumatic memories, and on more general questions such as the possibility of training memory and the capacity limitations of long-term memory, a large proportion of the participants expressed views that are less supported by scientific evidence. Implications of these findings are briefly discussed.     

Tinnitus Stages of Change Questionnaire: psychometric development and validation

This study describes the development of the Tinnitus Stages of Change Questionnaire (TSOCQ), which aims to assess the readiness of tinnitus patients to change their behaviors and attitudes in relation to tinnitus. Its ability to predict treatment outcome was also investigated. One hundred and fifty-one patients with tinnitus completed the questionnaire. Through repeated principal component analyses, together with judgments of the factors' theoretical relevance, empirically and clinically meaningful scales were derived. A factor solution in accordance with the transtheoretical model (TTM) and with acceptable psychometric properties was found with the five scales of the TSOCQ labeled Precontemplation (Medical Solution), Precontemplation (Helplessness), Contemplation, Preparation and Action/Maintenance. Participants scoring high on Precontemplation (Helplessness) and low on Action/Maintenance had better treatment outcomes. In conclusion, the TSOCQ had some ability to predict treatment success, but further research is required into the utility of the TTM for understanding the rehabilitation process in tinnitus patients.     

Structural equation modeling of paired-comparison and ranking data

L. L. Thurstone's (1927) model provides a powerful framework for modeling individual differences in choice behavior. An overview of Thurstonian models for comparative data is provided, including the classical Case V and Case III models as well as more general choice models with unrestricted and factor-analytic covariance structures. A flow chart summarizes the model selection process. The authors show how to embed these models within a more familiar structural equation modeling (SEM) framework. The different special cases of Thurstone's model can be estimated with a popular SEM statistical package, including factor analysis models for paired comparisons and rankings. Only minor modifications are needed to accommodate both types of data. As a result, complex models for comparative judgments can be both estimated and tested efficiently.     

Treatment of panic disorder: live therapy vs. self-help via the Internet

A randomized trial was conducted comparing 10 individual weekly sessions of cognitive behaviour therapy for panic disorder (PD) with or without agoraphobia with a 10-module self-help program on the Internet. After confirming the PD diagnosis with an in-person structured clinical interview (SCID) 49 participants were randomized. Overall, the results suggest that Internet-administered self-help plus minimal therapist contact via e-mail can be equally effective as traditional individual cognitive behaviour therapy. Composite within-group effect sizes were high in both groups, while the between-group effect size was small (Cohen's d=16). One-year follow-up confirmed the results, with a within-group effect size of Cohen's d=0.80 for the Internet group and d=0.93 for the live group. The results from this study generally provide evidence to support the continued use and development of Internet-distributed self-help programs.     

Randomized controlled trial of internet-based stress management

This study investigated the effects of an internet-based self-help stress management program with a randomized controlled design. Of 85 participants, 26% dropped out, leaving a final sample of 63 participants with 23 in the treatment group and 40 in the waiting list control group. Treatment included applied relaxation, problem solving, time management and cognitive restructuring. All information and treatment interventions were provided via the internet. Results were evaluated with the Perceived Stress Scale and the Hospital Anxiety and Depression Scale. Improvements were seen in both groups, with greater improvements in the self-help treatment group. It is concluded that the internet can be used to provide stress management techniques and result in stress relief. However, spontaneous improvement, differential dropout rate and compliance need to be monitored in future studies.     

Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia.

Thirty patients with phobia for blood, wounds and injuries were treated individually with applied tension (AT), exposure in vivo (E), or tension-only (T) for 5 sessions. They were assessed on self-report, behavioral and physiological measures before and after treatment, and at a 1 yr follow-up. All groups improved significantly, and the improvements were maintained at follow-up. Applying stringent criteria, 90% of the AT-, 80% of the T-, and 40% of the E-patients were clinically improved at the end of treatment. The corresponding figures at follow-up were 100, 90 and 50%, respectively. AT differed significantly, and T marginally from E at both assessments. Applied tension, or tension-only should, from a clinical point of view, be considered the treatment of choice for blood phobia.     

In defence of the Defence Mechanism Test (DMT)—a reply.

A paper by I. Zuber and B. Ekehammar in this Journal (38, 1997) is reviewed. The paper advocates that the non-veridical contents in the series of reports in the DMT should preferably be referred, not to psychoanalytic defence mechanisms, but to factors of stimulus order. The methods and the arguments of this investigation are critically examined.     

Motion structure in five-dot patterns as a determinant of perceptual grouping

The effect of basic motion structures on perceptual grouping was studied with five-dot motion patterns. Four basic motion structures were identified in terms of proximal common and relative motion vectors. In a forced-choice situation, the observers had to decide to which of two pairs of dots a fifth critical dot seemed to belong. Thus, one of two possible three-dot units was chosen by the observers. The two possible three-dot units defined different motion structures, and the chosen motion structure was considered to have stronger grouping power than the alternative structure had. It was found that parallel common motions (perceived translation in the plane) had the strongest grouping power; these were followed by circular common motions (perceived rotation in the plane), concurrent relative motions (perceived translation in depth), and, finally, parallel relative motions (perceived rotation in depth). The results also suggested effects of proximity and orientation of axis of rotation. It is further argued that the relative grouping power of the motion structures could not solely be interpreted in terms of changes of directions and distances between the dots. Instead it is suggested that vector analysis is a fundamental perceptual activity and that basic motion structures determine grouping power.