认知训练对不同类型考试焦虑的作用

以163名高中一年级学生为被试,采用现场实验法考察了认知训练对认知主导型考试焦虑(C型)、生理唤醒主导型考试焦虑(P型)和学习技能缺乏型考试焦虑(S型)的作用效果.结果表明:认知训练能显著地降低三种考试焦虑类型的状态考试焦虑,提高C型和P型的考试成绩.认知训练在降低考试焦虑和提高考试成绩两方面对C型考试焦虑者作用尤为明显.认知训练没有表明对S型考试焦虑者有提高考试成绩的作用.     

Sexuality and Christian Tradition

This essay aims to clarify the debate over same‐sex unions by comparing it to the fourth‐century conflict concerning the nature of Jesus Christ. Although some suppose that the council of Nicaea reiterated what Christians had always believed, the Nicene theology championed by Athanasius was a dramatic innovation that only won out through protracted struggle. Similarly, despite the widespread assumption that Christian tradition univocally condemns homosexuality, the concept of sexuality is a nineteenth‐century invention with no exact analogue in the ancient world. Neither heterosexuality nor homosexuality is addressed directly in Christian tradition; for this reason, the significance of older authorities for the modern debate is necessarily indirect. The dichotomy between progressive and conservative positions is therefore misguided: it is necessary neither to abandon tradition for the sake of progress nor to oppose innovation for the sake of fidelity.     

The Emotional Christ: Bonaventure and Deep Incarnation1

This article has the twofold aim of bringing the Christology of St. Bonaventure into dialogue with contemporary attempts to formulate an informational worldview, and with the recent theological proposal of deep incarnation. It is argued that even though Bonaventure is a pre‐modern theologian, he anticipates central aspects of a contemporary informational worldview based on differential information, structural information, and semantic information. Moreover, the article explores Bonaventure's unique combination of a “high” exemplarist Christology with a “low” Franciscan view of the humility of Christ. While Bonaventure shares seminal concerns of deep incarnation, his strong view of divine perfection prohibits him from assuming that the divinity of Christ embraces the full gamut of human emotions and anxieties related to the future.     

Health anxiety and hypochondriasis in the light of DSM-5

Background: In the DSM-5, the diagnosis of hypochondriasis was replaced by two new diagnositic entities: somatic symptom disorder (SSD) and illness anxiety disorder (IAD). Both diagnoses share high health anxiety as a common criterion, but additonal somatic symptoms are only required for SSD but not IAD. Design: Our aim was to provide empirical evidence for the validity of these new diagnoses using data from a case–control study of highly health-anxious (n = 96), depressed (n = 52), and healthy (n = 52) individuals. Results: The individuals originally diagnosed as DSM-IV hypochondriasis predominantly met criteria for SSD (74%) and rarely for IAD (26%). Individuals with SSD were more impaired, had more often comorbid panic and generalized anxiety disorders, and had more medical consultations as those with IAD. Yet, no significant differences were found between SSD and IAD with regard to levels of health anxiety, other hypochondriacial characteristics, illness behavior, somatic symptom attributions, and physical concerns, whereas both groups differed significantly from clinical and healthy controls in all of these variables. Conclusion: These results do not support the proposed splitting of health anxiety/hypochondriasis into two diagnoses. Further validation studies with larger samples and additional control groups are warranted to prove the validity of the new diagnoses.     

Detention conditions’ impact on anxiety and depression levels of prisoners

IntroductionThe mortality rate in Portuguese prisons is the highest of the European Community. Two thirds of these deaths concern individuals in preventive detention, who have not yet faced trial.ObjectiveOur objective is to examine the impact of different detention conditions on the anxiety and depression rates of inmates. We predict that the anxiety and depression rates would be higher for inmates in preventive detention.ResultsResults have shown that the depression rates of inmates in open detention were the lowest. Depression rates were highest among inmates in preventive detention.DiscussionThe results do not allow us to confirm our hypothesis regarding anxiety rates. Considering our results, inmates in preventive detention seem to represent the most vulnerable population of the prison in relation to the two other groups.     

The Hospital Anxiety and Depression Scale: a pilot study to examine its latent structure and the link between psychological state and symptom severity in transient ischaemic attack patients

Transient ischaemic attack (TIA) is often associated with anxiety and depression, which may precipitate secondary stroke and interfere with treatment. The Hospital Anxiety and Depression Scale (HADS) is widely used to assess these states and to inform the management of any associated psychological problems, but there is considerable debate about what it actually measures. The HADS scores from a range of different clinical groups have been reviewed in order to assess its psychometric properties, but so far, no research has examined either its latent structure when used with TIA patients, or the association between symptom severity and the test’s validity. The aims of this study, therefore, were to investigate: (a) the underlying structure of the HADS when used with TIA patients; and (b) the impact of symptom severity on the validity of the HADS. The HADS and a functional capacity measure were administered by post to a sample of 542 confirmed TIA patients. Exploratory factor analysis was conducted on the HADS scores to establish its underlying structure for this clinical group, and then, sub-sample correlations were undertaken between the anxiety/depression scores for different levels of functional capacity. Two factors emerged, with 13 of the 14 HADS items loading significantly on both, suggesting there is a common affective state underlying the standard anxiety and depression scales. Further data-exploration indicated that convergence between these affective states increased as functional capacity deteriorated. The results suggest firstly that the HADS measures general subjective distress when used with TIA patients, and secondly that the higher reported symptom severity in this clinical group may be associated with reduced affective differentiation. As the ability to retain clear affective discrimination is associated with health and well-being, this could provide a focus for post-TIA rehabilitation.     

Anxiety and motor performance: More evidence for the effectiveness of holistic process goals as a solution to the process goal paradox

ObjectivesRecent research has reported the benefits of using holistic rather than part process goals to avoid the negative effects associated with the conscious processing of task relevant information by skilled but anxious athletes. This experiment compared the efficacy of these two goal focus strategies in a neutral condition and a competitive condition in which cognitive state anxiety was elevated.DesignLaboratory-based experimental design using a mixed model with between (process goal groups) and within-subjects (neutral and competitive) conditions.MethodThirty male and female undergraduate students aged between 19 and 44 years of age completed 896 practice repetitions of a race car driving simulation using discovery learning. Participants were then placed in either a holistic or part process goal group using stratified random assignment. The practice phase was followed by neutral and competitive conditions, during which driving performance and psychophysiological measures were collected.ResultsAnalysis of variance of lap times and driving errors revealed that the holistic process goal group outperformed the part process goal group in the competition condition. Analysis of psychophysiological measures suggested that the performance of both process goal groups in the competitive condition was associated with the investment of compensatory effort.ConclusionsCompared to part process goals, holistic process goals confer performance benefits for skilled athletes who perform under competitive pressure.     

Visuospatial and mathematical dysfunction in major depressive disorder and/or panic disorder: A study of parietal functioning

The parietal cortex is critical for several different cognitive functions, including visuospatial processing and mathematical abilities. There is strong evidence indicating parietal dysfunction in depression. However, it is less clear whether anxiety is associated with parietal dysfunction and whether comorbid depression and anxiety are associated with greater impairment. The present study compared participants with major depression (MDD), panic disorder (PD), comorbid MDD/PD and controls on neuropsychological measures of visuospatial processing, Judgement of Line Orientation (JLO), and mathematical abilities, Wide Range Achievement Test (WRAT) Arithmetic. Only comorbid MDD/PD was associated with decreased performance on JLO, whereas all psychopathological groups exhibited comparably decreased performance on WRAT Arithmetic. Furthermore, the results were not accounted for by other comorbid disorders, medication use or psychopathology severity. The present study suggests comorbid depression and anxious arousal are associated with impairment in visuospatial processing and provides novel evidence indicating mathematical deficits across depression and/or anxiety. Implications for understanding parietal dysfunction in internalising psychopathology are discussed.     

The Role of Avoidance in Complicated Grief: A Detailed Examination of the Grief-Related Avoidance Questionnaire (GRAQ) in a Large Sample of Individuals with Complicated Grief

Grief-related avoidance is a significant component of complicated grief, yet has rarely been formally measured in a validated fashion. Further, more work is needed to understand the impact of grief-related avoidance on symptom severity and functional impairment among individuals with complicated grief (CG). The Grief-Related Avoidance Questionnaire (GRAQ; Shear, Monk et al. 2007) was created to assess grief-related avoidance and the present analysis aimed to further develop this measure and construct by confirming the GRAQ’s psychometric properties and examining loss-related predictors of avoidance. In a sample of 393 adults with CG, we found the GRAQ had high internal consistency, with a Cronbach’s alpha of 0.89 and good convergent validity. While the EFA results suggest that the GRAQ may be unidimensional, a 3-factor model generally corresponded with the findings by (Shear, Monk et al. 2007), which suggested the presence of 3 subscales. Loss-related variables age, relationship to the deceased, and cause of death were all significant predictors of GRAQ scores. Our findings support that among individuals with complicated grief, avoidance is common, measurable and an important contributor to impairment.