The attentional processes underlying impaired inhibition of threat in anxiety: The remote distractor effect

The current study explored the proposition that anxiety is associated with impaired inhibition of threat. Using a modified version of the remote distractor paradigm, we considered whether this impairment is related to attentional capture by threat, difficulties disengaging from threat presented within foveal vision, or difficulties orienting to task-relevant stimuli when threat is present in central, parafoveal and peripheral locations in the visual field. Participants were asked to direct their eyes towards and identify a target in the presence and absence of a distractor (an angry, happy or neutral face). Trait anxiety was associated with a delay in initiating eye movements to the target in the presence of central, parafoveal and peripheral threatening distractors. These findings suggest that elevated anxiety is linked to difficulties inhibiting task-irrelevant threat presented across a broad region of the visual field.     

Elucidating satisfaction with physical activity: An examination of the day-to-day associations between experiences with physical activity and satisfaction during physical activity initiation

Satisfaction with physical activity is known to be an important factor in physical activity maintenance, but the factors that influence satisfaction are not well understood. The purpose of this study was to elucidate how ongoing experiences with recently initiated physical activity are associated with satisfaction. Participants (n?=?116) included insufficiently active volunteers who initiated a self-directed physical activity regimen and completed daily diaries about their experiences for 28?days. We used multilevel models to examine the associations between experiences with physical activity and satisfaction. Significant between-person effects demonstrated that people reporting higher average levels of positive experiences and lower levels of thinking about the negative aspects of exercise were more likely to report higher levels of satisfaction (ps?<?.05). Positive experiences and perceived progress toward goals had significant within-person effects (ps?<?.01), suggesting that day-to-day fluctuations in these experiences were associated with changes in satisfaction. These findings elucidate a process through which people may determine their satisfaction with physical activity.     

Role of HIV serostatus,relationship status of the patient,homophobia, and social desirability of the psychologist on decisions regarding confidentiality

Abstract

What factors influence a psychologist's decision to maintain or break confidentiality of an HIV-positive patient? Dangerousness (serostatus), identifiability (relationship status of patient and third party), homophobia, and impression management were the major factors examined. The sample was composed of 236 psychologists and psychologists in training attending the 1994 American Psychological Association (APA) convention in Los Angeles, California. They were given 16 scenarios depicting four different situations with patients at various HIV risk levels, and measures determining levels of impression management and homophobia. A majority (51% to 92.2%, depending on the scenario) of the respondents chose to maintain confidentiality in all scenarios. Participants were least likely to maintain confidentiality in scenarios describing a high level of dangerousness and identifiability.     

Understanding responses to predictive genetic testing: A grounded theory approach

Abstract

In view of the absence of data concerning the understanding and experience of families in which one or more members have undergone predictive genetic testing, a pilot study using a qualitative methodology was conducted with members of families at risk for the late-onset genetic disease, familial adenomatous polyposis (FAP). Semistructured interviews were conducted to elicit illness representations, with responses tape-recorded and analysed using a grounded theory approach. Several themes emerged. The most striking was that when genetic testing indicated an extremely low risk of developing the disease, there was a desire to continue regular bowel screening, even though it was experienced as extremely aversive. Possible explanations draw upon both other themes of the interviews, and psychological models. The role of “functional pessimism” and “uncertain wellness” in maintaining a high threat from the disease, and the role of reinforcement and the nature of tests in providing bowel screening with a high value are discussed.     

Predictors of distress following an acute stroke: Disability,control cognitions,and satisfaction with care

Abstract

Whilst clinical predictors of distress following acute stroke have been identified (e.g., lesion site), this study hypothesised that greater prediction would be achieved by addressing individual differences in patients' cognitions (e.g., perceived control, satisfaction with care, recovery confidence) and coping responses. We examined these relationships in a longitudinal study of 71 survivors of acute stroke. Measures were collected at three time points: 10-20 days after the stroke, and one month and six months after hospital discharge. Stepwise multiple regression analyses were performed using only significant bivariate correlates and where the dependent variables were residualised scores which controlled for baseline levels of anxiety and depression. Satisfaction with treatment and confidence in recovery at one month predicted anxiety outcome at six months, and satisfaction with advice and confidence in recovery at one month predicted depression outcome at six months. These results offer tentative suggestions for interventions targeting patient cognitions and improving patient satisfaction.     

RECENT STUDIES ON FEEDING PROBLEMS IN CHILDREN WITH AUTISM

This paper reviews recent studies on behavioral interventions for children with autism and feeding problems. The applicability of interventions that have been tested with other populations of children with feeding problems is discussed, as well as directions for future research.     

Enfreindre sans craindre : tolérance à la dissonance dans le paradigme de l’hypocrisie induite

Induced-hypocrisy is directly derived from cognitive dissonance theory. This paradigm involves the combination of two factors: commitment factor, in which the individual advocates a pro-normative position and mindful factor in which the past transgressions are made salient. This combination arouses dissonance, which is usually reduced by changing the behavior in line with the normative advocacy. We used the induced-hypocrisy paradigm to test one of the original hypotheses of dissonance: it exists a tolerance towards dissonance. This tolerance was operationalized via the frequency of self-reported transgressions (e.g. familiarization with transgressions). Participants were made hypocritical; then they were given the opportunity to reduce dissonance through trivialization scale. According to the hypothesis, less frequent were the transgressions and higher was their trivialization.     

Variables Influencing Pregnancy Termination Following Prenatal Diagnosis of Fetal Chromosome Abnormalities

The objective of this study was to identify variables that may influence the decision to terminate or continue a pregnancy affected by a chromosome abnormality. We performed a retrospective cohort analysis of 286 pregnancies diagnosed with a chromosome abnormality following genetic counseling and prenatal diagnosis. Data obtained included procedure type, chromosome results, ethnicity, maternal age, use of fertility treatments, and uptake of genetic counseling after results, among other factors. Wilcoxon rank sum test, Fisher’s exact test, and univariate and multivariate logistic regression models were used for data analysis. The overall termination rate in this study was 82.9 %. A lower likelihood to terminate was found in pregnancies with a diagnosis of a sex chromosome abnormality (OR 0.05, p?<?.0001), Filipina race (OR 0.10, p?=?.03), and uptake of second genetic counseling session (OR 0.05, p?<?.0001). Prior history of termination was associated with increased likelihood to terminate (OR 8.6, p?=?.02). Factors revealing no statistically significant association with termination included maternal age, gestational age, clinic site, fetal gender, ultrasound anomalies, reason for referral and who informed the patient. Our data affirm the complexity of the decision making process and reinforce that providers should refrain from making assumptions regarding a patient’s likelihood to terminate based on factors such as maternal age, gestational age, type of procedure, or ultrasound.     

Examining the Relationship Between Female Parents with Low Perceived Control and Adolescent Child Stress

Adolescence is a stressful time for many children. Changes in their environment or changes in social situations are some typical stressors that an adolescent child might encounter. Interactions with parents can also be stressors for a child. Previous research has shown that a risk factor for a parent using harsh parenting techniques is perceived control. Parents who have low perceived control are at a higher risk to engage in physical parenting techniques or child abuse. This study included 198 middle school students and their female parent or guardian pairs (296 total participants), with the adolescent participants ranging in age from 10- to 14-years-old. The adult participants were evaluated for their level of perceived control and the adolescent participants were evaluated for their level of perceived stress. Parents who perceived themselves as having a low amount of control over their child’s behavior (low ACF), were linked with their child having a high level of perceived stress. This effect was found only for the 14-year-old participants. Implications of results and areas of further research are suggested. It is possible that as a child gets older and enters puberty, the parent of the child feels as if they are losing control over their child and, as a result, resort to more forceful parenting techniques to regain control.     

A Pilot Study of the Effects of Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder on Parenting

Parental posttraumatic stress disorder (PTSD) is associated with parenting difficulties. Cognitive-behavioral conjoint therapy for PTSD (CBCT for PTSD) improves PTSD symptoms, relationship adjustment, and partners’ mental health functioning. However, the impact of CBCT for PTSD on parenting competency is unknown. In this pilot study, the effects of CBCT for PTSD on parenting competency were investigated in 14 individuals (6 patients with PTSD and 8 partners) who had children under age 18. Results suggested that most participants perceived themselves as competent in their parenting prior to treatment, and some enhancements in competency occurred following CBCT for PTSD. Moreover, changes in parenting competency were associated with improvements in patient-rated PTSD. Adjunctive interventions targeting parenting and goals for future research are discussed.