Trust in the medical profession and patient attachment style

Attachment style is a person’s approach to interpersonal relationships, which develops from early experiences with primary caregivers and can remain stable into adulthood. Depending on a person’s attachment style, the amount of trust one has in others can vary when forming relationships, and trust is important in formation of the patient–physician relationship. The purpose of this study was to see if there is an association between attachment style and trust in physicians in general. Participants were recruited from an emergency department (ED) and an online university participant pool, and completed short questionnaires assessing attachment style and trust in the medical profession. Results revealed that individuals with a fearful attachment style reported significantly lower levels of trust in the medical profession than those with a secure attachment style. ED participants also reported higher levels of trust in the medical profession in comparison to student participants. This study provides a better understanding of trust in the medical profession, and insight into future care for patients who have low trust.     

The Temporal Relations of PTSD Symptoms Among Treatment-Seeking Victims of Sexual Assault: A Longitudinal Study

This prospective study assessed the temporal relationships between the symptom clusters of PTSD in two nonprobability samples of treatment-seeking victims of sexual abuse: rape victims and adult survivors of childhood sexual abuse. Both groups were assessed at three time periods using self-report measures of PTSD symptomology. Findings from two cross-lagged panel analyses indicated weak temporal relationships between the symptom clusters of PTSD; however, avoidance and emotional numbing symptoms were found to exert the strongest cross-lagged effects. Avoidance and emotional numbing symptoms were also found to be the strongest predictor of subsequently meeting caseness for PTSD in both samples. Results suggest that there are minimal cross-lagged effects between the PTSD symptom clusters after three months from traumatic exposure.     

Suicide Bereavement and Complicated Grief: Experiential Avoidance as a Mediating Mechanism

In the wake of increased interest in the specific features of suicide bereavement, the current study examines (a) the association between suicide bereavement and complicated grief and (b) the mediating effect of experiential avoidance on the association between suicide bereavement and complicated grief. The tests revealed a significant indirect effect of suicide bereavement on complicated grief through experiential avoidance. This finding suggests that traumatic characteristics of suicide bereavement may inhibit the grieving process by increasing experiential avoidance and emphasizing a cognitive approach for complicated grief of people who have lost their loved one to death by suicide.     

风险回避行为中的“红色图形效应”

以往研究发现,风险回避领域存在着一种经典的"图形效应"(即图形会比数字激发出个体更强的风险回避行为)。但以往研究通常只采用灰色或黑色来呈现风险信息。基于近来关于红色效应的探讨,本研究试图将颜色因素引入到图形效应中以探讨不同颜色下的图形效应特点。结果发现,相比于蓝色,红色能激发出个体更强的风险回避行为,且颜色对图形效应具有调节作用,即与蓝色相比,红色条件下出现了增强的图形效应,即"红色图形效应"。有关结果说明,红色作为一种危险警示颜色可以激发出个体更强的风险回避行为,且会诱发更大的图形效应。     

A comparison of experienced and novice drivers’ rear-end collision avoidance maneuvers under urgent decelerating events

A leading vehicle’s sudden deceleration can lead to a rear-end collision. Due to a lack of driving experience, novice drivers have a greater tendency to be involved in these accidents. Most previous studies have examined driver response time and braking behaviors, but few researchers have focused on what experienced and novice drivers did after their feet touched the braking pedal and their hands turned the steering wheel. These braking and steering parameters are essential in understanding driver avoidance behavior during emergencies. We programmed rear-end crash risk scenarios to examine experienced and novice drivers’ behaviors thoroughly using a driving simulator. Twenty experienced and twenty five novice subjects participated in our experiments, and their braking and steering maneuvers were recorded when leading vehicles ran at 60 km/h, 80 km/h and 100 km/h. The results showed that the two groups of subjects tended to execute two kinds of maneuvers to avoid crashes: braking only (novice 33%, experienced 19%) and the combination of braking with steering (novice 22%, experienced 26%). When the novice drivers executed braking with steering, their response time and steering duration were significantly longer than those of the experienced drivers who executed braking with steering. As the speed increased, the novice drivers’ response time, maximum braking force and maximum steering angle were significantly affected. These results showed that novice drivers should brake only when the leading vehicle suddenly decelerates. The experienced drivers executed steadier maneuvers. Their risk perception time was shorter, and their maximum braking force and the maximum steering angles were smaller. The response time, braking intensity and steering wheel angle should be considered when developing rear-end collision warning systems.     

Non-verbal and verbal parental mentalization as predictors of infant attachment security: Contributions of parental embodied mentalizing and mind-mindedness and the mediating role of maternal sensitivity

Interest in studying the relative contributions of verbal (e.g., maternal mind-mindedness [MM]) and non-verbal dimensions (i.e., parental embodied mentalizing [PEM]) of parental mentalization to child socio-emotional development is relatively recent. To date, only one study has addressed this issue in relation to child attachment security, suggesting a complementary and unique contribution of each one. The purpose of the present study was to further examine the specific contribution of PEM to infant attachment security by considering MM. In addition, this study aimed to explore the mediating role of maternal sensitivity linking PEM, MM to infant attachment security within 110 mother-infant dyads at moderate psychosocial risk. The two dimensions of parental mentalization (PEM and MM) were assessed on the basis of observations made during a videorecorded sequence of mother-child interactions in a context of free play with and without toys when the infants were 8 months old. The Maternal Behavior Q-Sort was used to measure the mothers’ sensitivity in a natural setting based on observations of daily mother-child interactions, also when the infants were about 8 months old. Attachment security was measured using The Strange Situation Procedure at infant age 16 months. The results showed positive correlations between maternal sensitivity and both verbal and non-verbal measures of parental mentalization. The mediation analyses first revealed that PEM had a significant indirect effect on attachment security, with sensitivity being identified as a mediator in this association. No indirect effect linking MM and attachment security via sensitivity was observed. These results highlight the contribution of PEM to maternal sensitivity and show maternal sensitivity to be a factor that partly explains the influence of PEM on attachment security in children.     

Citations of Murray Sidman's work in JEAB: Evidence of a long and large contribution

We examined citations of Murray Sidman's publications in the Journal of the Experimental Analysis of Behavior from the journal's inception in 1958 through May 2020. On average, he was cited 35.6 times per year. The rate of citation did not change substantially across time and the cumulative citation count was 2,212. His 10 publications cited most often deal with behavior-analytic research methods, stimulus equivalence, and unsignaled free-operant (or Sidman) avoidance. Our data provide clear evidence of the breadth and depth of Sidman's influence on the experimental analysis of behavior across 7 decades. His contributions were both exceptional and praiseworthy and his legacy will long endure.     

共情可控?以自上而下视角考察共情的可调节性

以往研究表明共情的特点包括自动化与情境依赖性。但是, 有关共情的理论模型与潜在神经机制仍存有争议。为更好地适应现实需求, 研究重点从共情的结构和功能角度逐渐向塑造和调节共情发展。近年来, 有研究者提出自上而下的心理过程与共情调节有关, 特别是共情的目标表征形式, 以及目标的价值权衡。因此, 考虑到共情的目标导向性对于共情的内部构建与外部表现形式的影响, 建议未来研究考虑从自上而下视角考察共情的可调节性。     

Cognitive Behavior Therapy for Women With Generalized Anxiety Disorder in the Perinatal Period: Impact on Problematic Behaviors

Generalized anxiety disorder (GAD) is the most frequently diagnosed anxiety disorder among women in the perinatal period (pregnancy to one year postpartum). Recent studies have examined the relationship between problematic behaviors and GAD symptoms. Studies in nonperinatal samples indicate that adults with GAD engage in avoidance and safety behaviors and these behaviors are associated with greater symptom severity. Little research has examined the use of problematic behaviors among pregnant or postpartum women. However, preliminary research suggests that these behaviors may have a negative impact on both anxious women and their children. Our aim was to examine the extent to which women with GAD in pregnancy or the postpartum engage in problematic behaviors and whether cognitive behavioral therapy is effective in reducing these behaviors. Fifty-eight women with GAD in pregnancy or postpartum were recruited from a larger clinical trial (Clinicaltrials.gov ID NCT02850523) evaluating the effectiveness of group-based cognitive behavioral therapy (CBGT) for perinatal anxiety disorders. The results indicated that women with perinatal GAD reported high levels of avoidance and safety behaviors and greater engagement in these behaviors was associated with higher levels of worry and related symptoms. CBGT was effective in reducing GAD symptoms and problematic behaviors and a bidirectional relationship was found between changes in worry and problematic behaviors during treatment. Limitations and future directions are discussed.     

The Association between Attachment Styles and Physical Intimate Partner Violence Perpetration and Victimization: A Meta‐Analysis

In this meta‐analysis, we examine attachment styles—something commonly incorporated into couples therapy—and their association with physical intimate partner violence (IPV) perpetration and victimization among men and women. This meta‐analysis incorporated 33 studies that looked at the association between four different attachment styles and IPV. This study examined the strength of the correlation among different attachment styles and IPV perpetration and victimization, examined gender differences in the strength of the association among attachment styles and IPV, and compared the strength of the association with IPV among different attachment styles. We found that anxious attachment, avoidant attachment, and disorganized attachment styles were all significantly associated with physical IPV perpetration and victimization. Secure attachment was significantly negatively related to IPV perpetration and victimization. There was a significantly stronger association between avoidant attachment and IPV victimization for women compared to men. Clinical implications related to the importance of fostering secure attachments when working with couples or individuals who have experienced IPV are addressed.