Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial

Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n = 31) or wait-list control (n = 30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly – S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7). Linear mixed effects regression analysis using the full intention-to-treat sample demonstrated that the treatment had superior outcomes on the main outcome measure as compared with the control group, Cohen’s d = 0.93, 95% CI [0.24, 1.63]. The benefits of treatment over control were also evident in scores of depression, Cohen’s d = 0.61, 95% CI [0.04, 1.19], and quality of life, Cohen’s d = 0.88, 95% CI [0.14, 1.61]. The results provide preliminary support for Internet-delivered acceptance and commitment therapy as a potentially effective treatment of psychological symptoms associated with hearing problems.     

Designing Pareto-optimal selection systems: formalizing the decisions required for selection system development

The article presents an analytic method for designing Pareto-optimal selection systems where the applicants belong to a mixture of candidate populations. The method is useful in both applied and research settings. In an applied context, the present method is the first to assist the selection practitioner when deciding on 6 major selection design issues: (1) the predictor subset, (2) the selection rule, (3) the selection staging, (4) the predictor sequencing, (5) the predictor weighting, and (6) the stage retention decision issue. From a research perspective, the method offers a unique opportunity for studying the impact and relative importance of different strategies for reducing adverse impact.     

Unconscious activation of task sets

Using an explicit task cuing paradigm, we tested whether masked cues can trigger task-set activation, which would suggest that unconsciously presented stimuli can impact cognitive control processes. Based on a critical assessment of previous findings on the priming of task-set activation, we present two experiments with a new method to approach this subject. Instead of using a prime, we varied the visibility of the cue. These cues either directly signaled particular tasks in Experiment 1, or certain task transitions (i.e., task repetitions or switches) in Experiment 2. While both masked task and transition cues affected task choice, only task cues affected the speed of task performance. This observation suggests that task-specific stimulus–response rules can be activated only by masked cues that are uniquely associated with a particular task. Taken together, these results demonstrate that unconsciously presented stimuli have the power to activate corresponding task sets.     

Hitting ability and perception of object’s size: evidence for a negative relation

We examined the relation between motor performance and perception of object’s size in near space. The general task was to repeatedly hit a target by means of pointing movements and to estimate target’s size. In contrast to the results of previous studies, Experiment 1 and Experiment 2 revealed a negative relation between action ability and perceived target size: Participants who hit the target relatively often and whose motor variability was relatively low judged targets to be smaller than did participants whose motor performance was relatively poor. In Experiment 3, the size judgments were made in the presence of the target before, as well as after, pointing movements. The target was judged as smaller when it was easy, rather than difficult, to hit before as well as after the movement. Altogether, these results indicate that under certain conditions, an increased action ability reduces the apparent size of the actions’ target objects.     

Failure mechanism in porous materials under compression: crackling noise in mesoporous SiO2

The failure mechanism of porous materials under uniaxial stress has been investigated experimentally. Microporous SiO₂, Vycor, has been subjected to slowly increasing compressive uniaxial stress with stress rates between 0.2 and 12.2?kPa/s. With increasing stress the strain changes stepwise with acoustic emission correlated with each volume collapse. The acoustic emission followed the characteristics of ‘crackling noise’ with a power law distribution over an exceptionally large interval of 6 decades at the slowest stress rate. The power law exponent is ?1.39. Possible applications in mining industry and others are discussed.     

Mediators in psychological treatment of social anxiety disorder: Individual cognitive therapy compared to cognitive behavioral group therapy

According to cognitive-behavioral models of social anxiety disorder (SAD), four of the important maintaining mechanisms are avoidance, self-focused attention, anticipatory processing and post-event cognitive processing. Individual cognitive therapy (ICT) and cognitive behavioral group therapy (CBGT) both have substantial empirical support. However, it is unclear whether they achieve their effects by similar or different mechanisms. The aim of this study was to investigate whether changes in the four maintenance processes mediate clinical improvement in ICT and CBGT for SAD. We analyzed data from participants (N = 94) who received either ICT or CBGT in two separate RCTs. The results showed that ICT had larger effects than CBGT on social anxiety and each of the four potential mediators. More pertinently, moderated mediation analyses revealed significant between-treatment differences. Whereas improvement in ICT was mainly mediated by reductions in avoidance and self-focused attention, improvement in CBGT was mediated by changes in self-focused attention and in anticipatory and post-event processing. These results support the importance of the putative mediators, but suggest that their relative weights are moderated by treatment type.     

Unconscious manipulation of free choice in humans

Previous research has shown that subliminally presented stimuli accelerate or delay responses afforded by supraliminally presented stimuli. Our experiments extend these findings by showing that unconscious stimuli even affect free choices between responses. Thus, actions that are phenomenally experienced as freely chosen are influenced without the actor becoming aware of the manipulation. However, the unconscious influence is limited to a response bias, as participants chose the primed response only in up to 60% of the trials. LRP data in free choice trials indicate that the prime was not ineffective in trials in which participants chose the non-primed response as then it delayed performance of the incongruently primed response.     

The impact of anticipated action effects on action planning

Three experiments with a total of 72 participants investigated the assumption that motor actions are planned in terms of their sensorial effects. Participants had to prepare a certain action A that consistently led to a sensorial effect (a tone of certain pitch). Instead of (in Experiment 1) or before (in Experiments 2 and 3) the execution of the prepared action, another response B had to be carried out, which either resulted in the same or in a different auditory effect (a tone of same or different pitch). It was found that a to-be-executed response B was in general initiated more quickly when it resulted in the same effect as a concurrently prepared response A. The results are considered as evidence for the basic notion that the preparation and initiation even of very simple actions is mediated by an anticipation of their reafferences.     

Temporal response-effect compatibility

Ohne Zusammenfassung