Individual differences and propensity to engage with in-vehicle distractions - A self-report survey

Ratings of severity and frequency of engagement with distracting driver behaviours are reported in this paper. Survey data were collected using an anonymous online questionnaire. Four hundred eighty-two respondents contributed to the survey during a 2 month data collection period. Results indicate that the three behaviours rated as most distracting when driving were (i) writing text messages (41%), (ii) reading text messages (62%), and (iii) using a cellular telephone hand-held (52%). The three most frequently reported distracting behaviours that resulted in accidents were (i) ‘interaction with child passengers’ 2.1% (near misses = 7.5%), (ii) both, route guidance destination entry with 2% (near misses = 2.8%) and use of an ‘… add-on media device, e.g., an iPod’ with 2% (near misses = 3.9%), and (iii) the three items ‘reading a text message’, ‘following advice from a route guidance system’, and ‘interaction with pets’, all with 1.7% of respondents reporting an accident when undertaking the activity (with 6.5%, 3%, and 2.2% respectively for near misses). Two hierarchical regression models were explored. The first introducing personal factors, i.e., age, extraversion, agreeableness, conscientiousness, emotional stability and intellect (R² = 0.131, p < 0.001). The second controlled for variables in the first model and introduced driver-related variables, mileage, penalty points, and frequency of accidents with assumed responsibility (R² = 0.253, p < 0.001). This model identified age, extraversion, mileage, penalty points and accidents all to be significant predictors of engagement with unnecessary distractions. The data presents a picture of widespread awareness of, and engagement with, distracting behaviours by drivers in the United Kingdom. Findings from the hierarchical regressions suggest scope may exist to mediate the levels of distracting behaviours by exploring individual differences and driving styles.     

An all‐or‐nothing thinking turns into darkness: Relations between dichotomous thinking and personality disorders1

Dichotomous thinking is an individual's propensity to think in terms of binary opposition. While this thinking style may be useful for quick decision‐making, some clinical psychologists have indicated that such a style is related to personality disorders. Oshio (2009 ) revealed that the Dichotomous Thinking Inventory (DTI) has significant positive correlations with borderline personality and narcissism. This study examines whether dichotomous thinking is associated with cluster A, B, and C personality disorders. The participants comprised 152 Japanese undergraduates (84 male and 68 female). They completed the DTI and Ten Personality Styles scale (10 PesT; Nakazawa (2006 )), developed from the definitions of personality disorders in the DSM‐IV. Structural equation modeling supported the hierarchical factor structure of personality disorders. The dichotomous thinking effects “cluster” level of disorders more than other levels. The results indicated that thinking dichotomously may lead to wide‐ranging personality disorders.     

Is there evidence for the use of art therapy in treatment of psychosomatic disorders,eating disorders and crisis? A comparative study of two different systems for evaluation

A comparative study of two different systems for evaluation. Scandinavian Journal of Psychology 53, 47-53. As with any type of treatment the requirement for evidence based practice (EBP) has also affected art therapy (AT) when used as an intervention. This review evaluates the available evidence for using AT for psychosomatic disorders, eating disorders and crisis. The search in Cochrane, Best Practice, AMED, CINAHL, PION, PsycINFO and PubMed from 1987 until now resulted in a huge number of articles but only 32 articles met our criteria for evaluations. The articles were assessed with two evaluation systems, the GRADE system used by the Swedish Council on Health Technology Assessment (SBU) and the US Preventive Services Task Force (USPSTF/Task Force). When comparing the results we found that the GRADE evaluation system rejected the quality in 84% of the 32 studies and the USPSTF/Task Force 41% of these studies. An evidence base for AT was found only according to the criteria of USPSTF/Task Force. Hence, the evidence concept is not explicit, which means that effective treatments run a risk of not being implemented in health care. We suggest a broader view of what constitutes evidence in order to make it possible to include different types of research designs and methods.     

Mental health problems and post-migration stress among multi-traumatized refugees attending outpatient clinics upon resettlement to Norway

Refugees have often been exposed to multiple traumas making them prone to mental health problems later. The aim of this study is to describe the prevalence and symptom load of psychiatric disorders in refugees admitted to psychiatric outpatient clinics and to investigate the relationship between multiple exposure to traumatic events, the severity of traumatic symptoms and post-migration stressors. A clinical sample of 61 refugee outpatients from psychiatric clinics in Southern Norway was cross-sectionally examined using three structured clinical interviews (SCID-PTSD, SIDES and MINI) and self-report psychometric instruments (HSCL-25, IES-R). Post-traumatic Stress Disorder (PTSD) was diagnosed in 82% of the patients, while Disorders of Extreme Stress Not Otherwise Specified (DESNOS) was present in 16% of them. Comorbidity was considerable; 64% of the patients had both PTSD and major depression disorder (MDD) and 80% of those who had PTSD had three or more additional diagnoses. Multi-traumatized refugees in outpatient clinics have high prevalence of PTSD, DESNOS, comorbid depression and anxiety disorders. A more severe symptomatology was found in patients diagnosed with both PTSD and DESNOS, than in those diagnosed with only PTSD. Higher rates of unemployment, weak social network and weak social integration were also prevalent in these outpatients, and related to increased psychiatric comorbidity and severity of symptoms. Further research may clarify the existence of a cumulative relationship between pre-resettlement traumas and post-resettlement stressors in the mental health of refugees, which in turn may help to improve therapeutic interventions.     

Attentional bias towards angry faces in trait-reappraisal

Emotion regulation (ER) strategies differ in when and how they influence emotion experience, expression, and concomitant cognition. However, no study to date has directly compared cognition in individuals who have a clear disposition for either cognitive or behavioural ER strategies. The present study compared selective attention to angry faces in groups of high trait-suppressors (people who are hiding emotional reactions in response to emotional challenge) and high trait-reappraisers (people who cognitively reinterpret emotional events). Since reappraisers are also low trait-anxious and suppressors are high trait-anxious, high and low anxious control groups, both being low in trait-ER, were also included. Attention to angry faces was assessed using an emotional dot-probe task. Trait-reappraisers and high-anxious individuals both showed attentional biases towards angry faces. Trait-reappraisers’ vigilance for angry faces was significantly more pronounced compared to both trait-suppressors and low anxious controls. We suggest that threat prioritization in high trait-reappraisal may allow deeper cognitive processing of threat information without being associated with psychological maladjustment.     

The cost of action miscues: hemispheric asymmetries

Adaptive behaviors require preparation and when necessary inhibition or alteration of actions. The right hemisphere has been posited to be dominant for preparatory motor activation. This experiment was designed to learn if there are hemispheric asymmetries in the control of altered plans of actions. Cues, both valid and invalid, which indicate the hand most likely to be called onto respond, as well as the imperative stimuli that indicate the actual response hand, were presented to either the right or left visual fields of 14 normal right handed participants. The delay after a miscue is dependent on the time taken to inhibit the premotor and motor systems of the incorrectly activated hemisphere, as well as to activate the motor systems of the opposite hemisphere, which might have been interhemispherically inhibited by this miscue. Analyses of reaction times revealed that miscues presented in left hemispace (right hemisphere) cost more time than those miscues presented in right hemispace (left hemisphere), suggesting that activation of the preparatory systems controlled by the right hemisphere may take longer to reverse than those controlled by the left hemisphere. This asymmetry may be related to asymmetries in the strength of hemispheric activation with contralateral inhibition.     

Cognitive Processing Therapy Versus Supportive Counseling for Acute Stress Disorder Following Assault: A Randomized Pilot Trial

The study tested the efficacy and tolerability of cognitive processing therapy (CPT) for survivors of assault with acute stress disorder. Participants (N = 30) were randomly allocated to CPT or supportive counseling. Therapy comprised six individual weekly sessions of 90-min duration. Independent diagnostic assessment for PTSD was conducted at posttreatment. Participants completed self-report measures of posttraumatic stress, depression, and negative trauma-related beliefs at pre-, posttreatment, and 6-month follow-up. Results indicated that both interventions were successful in reducing symptoms at posttreatment with no statistical difference between the two; within and between-group effect sizes and the proportion of participants not meeting PTSD criteria was greater in CPT. Treatment gains were maintained for both groups at 6-month follow-up.     

惊反射在创伤后应激障碍研究中的应用:高唤醒与恐惧抑制

创伤后应激障碍(PTSD)是唯一在诊断标准中包含惊反射改变的精神疾病.相比自我报告法,对惊反射的实验室测量与总体症状关联更紧密,并已积累了较多神经机制研究成果,可作为连接前临床与临床研究的桥梁.在惊反射应用于PTSD研究的初期,它主要作为PTSD患者高唤醒症状的客观指标,但是尚未发现惊反射强度的变化与总体症状的明确关系.近年来,惊反射与情境性焦虑、恐惧抑制等新范式结合,发现特定情境下惊反射改变是PTSD患者特有的表现.惊反射在创伤应激障碍研究中所取得的新进展对PTSD病理机制的探索和临床诊断都有所启发和推进.     

The psychological neuroscience of depression: implications for understanding effects of deep brain stimulation

In this article it is suggested that current psychological theories of depression presuppose that this condition will develop as a result of a vicious circle involving negatively biased communication between systems of emotional stress-/alarm-signaling, executive functions and mood regulation. These systems may from a neuroanatomical point of view be located in the limbic system, the orbitofrontal and lateral prefrontal cortex and the hypothalamus-pituitary-adrenal (HPA-) axis respectively. The theoretical and practical implications of this model for the understanding of pharmacological treatments of depression are briefly discussed and this theory is related to the catecholamine hypothesis of depression. The model is furthermore discussed in relation to deep brain stimulation (DBS) of treatment resistant major depression. Similarities and differences between this perspective and the one advocated by the "homeostatic theory" of depression are discussed. It is concluded that a topographical psychological theory may offer a useful heuristic in thinking about depression and that it offers several testable predictions about treatments of the disorder.     

The Impact of Neighborhood Factors on the Well-Being of Survivors of Intimate Partner Violence Over Time

Intimate partner violence (IPV) is a pervasive social problem impacting the psychological well-being of millions of US women annually. The extant literature draws our attention to the devastating mental health effects of IPV, but largely overlooks how ecological factors may further explain survivors' well-being. This study examined how neighborhood disadvantage may contribute to survivors' compromised well-being, in addition to the abuse women experienced. Neighborhood disorder and fear of victimization significantly impacted survivors' well-being, over and above abuse. Although between-women effects of neighborhood disorder and fear were unrelated to change in women's depression or quality of life (QOL), significant within-woman effects were detected. Change in neighborhood disorder was negatively associated with change in QOL, and this relationship was fully mediated by fear. While no direct relationship between change in neighborhood disorder and depression was detected, an indirect effect through survivors' fear was revealed. Implications for future research and practice are discussed.