A dual-process model of affective and instrumental attitudes in predicting physical activity

IntroductionA novel dual-process model based upon the affective-reflective theory which distinguishes between affective attitude and instrumental attitude at an explicit and implicit level was used to predict physical activity.MethodUndergraduate students (N = 114) completed a lab-based study at two time-points, spaced two weeks apart. Participants completed self-report measures of the theory of planned behavior constructs, including explicit affective attitude and explicit instrumental attitude. Implicit affective attitude and implicit instrumental attitude were measured using single category implicit association tests.ResultsExplicit affective attitude and perceived behavioral control indirectly predicted physical activity through intention, and explicit affective attitude, implicit affective attitude, and intention predicted physical activity directly with a modest effect size (R² = 0.24).DiscussionFindings suggest explicitly and implicitly held evaluative information are conceptually distinct, and affective evaluations are key in guiding physical activity behavior regardless of whether such evaluations are implicit or consciously accessible.     

Constructing We‐ness: A Communal Coping Intervention for Couples Facing Chronic Illness

Communal coping occurs when relationship partners view a stressful health problem as “ours,” rather than yours or mine, and take collaborative action to deal with it. Although research employing linguistic (we‐talk) and other measures of communal coping demonstrates relevance to a variety of chronic illnesses, the literature offers little about how clinicians can actively promote we‐ness and teamwork to help patients and their partners achieve the health benefits this appears to confer. This paper highlights clinical and supporting scientific features of a narrative intervention designed to foster communal coping by couples in which one partner has a chronic illness. The illustrative illness is diabetes, but with modification the protocol is suitable for other chronic conditions as well. Grounded in systemic and narrative models of problem maintenance and change, the communal coping intervention represents a distillation of research and clinical experience with family consultation over several decades. In contrast to more directive and educational approaches, the intervention consists entirely of questions, with no direct suggestions or instruction about how patients, partners, or couples should change. These questions comprise 8 sequential modules (Coping Challenges, Trajectory and Focus, Illness as External Invader, You as a Couple, Past Teamwork in Overcoming Adversity, Present and Future Teamwork, Obstacles to Teamwork, and Wrap‐Up), described here in manual‐like detail.     

Measurement Error-Corrected Estimation of Clinically Significant Change Trajectories for Interventions Targeting Comorbid PTSD and Substance Use Disorders in OEF/OIF Veterans

In randomized control trials (RCTs), a focus on average differences between treatment arms often limits our understanding of whether individuals show clinically significant improvement or deterioration. The present study examined differences in individual-level clinical significance trajectories between Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) and Relapse Prevention (RP). Eighty-one treatment-seeking veterans with a comorbid PTSD/SUD diagnosis were randomized to COPE or RP; data from an additional n = 48 patients who did not meet criteria for both disorders was used to establish a normative threshold. A newly developed, modernized approach to the Jacobson and Truax (1991) clinically significant change framework, using (a) moderated nonlinear factor analysis (MNLFA) scale scoring and (b) measurement error-corrected multilevel modeling (MEC-MLM) was used; this approach was compared to other approaches using conventional total scores and/or assuming no measurement error. Using a conventional approach to estimating the Reliable Change Index (RCI) yielded no differences between COPE and RP in the percentage of patients achieving statistically significant improvement (SSI; 88.9% for both groups). However, under MNLFA/MEC-MLM, higher percentages of patients receiving COPE (75.0%) achieved SSI compared to RP (40.7%). Findings suggest that, even though COPE and RP appear to reduce the same number of PTSD symptoms, MNLFA scoring of outcome measures gives greater weight to interventions that target and reduce “hallmark” PTSD symptoms.     

Applying sampling theories to attitude learning in a virtual school class environment

According to sampling theories of attitude formation, evaluative learning depends on the sampling in the environment. We investigated teachers’ student evaluations in a simulated school class. Two experiments were designed to test distinct implications of experience-sampling models. While the model advanced by Fazio, Eiser, and Shook (2004) and Denrell (2005) led to the prediction of a negativity effect through asymmetric depolarization, another model (Fiedler, 1996) suggested a positivity effect through asymmetric polarization. Findings supported the latter contention. The selective tendency to oversample good students while neglecting weaker students was not radical enough to prevent the correction of negative impressions, precluding a negativity effect. Instead, extended selective sampling led to gradually increasing polarization of positive impressions, and facilitated detection of positive performance changes. While these findings can be reconciled with the Fazio–Denrell model, they highlight the crucial role of auxiliary psychological assumptions about attitude learning, as distinguished from the formal model itself.     

Bottom-up and top-down dynamics in young children's executive function: Labels aid 3-year-olds’ performance on the Dimensional Change Card Sort

Executive function (EF) improves between the ages of 3 and 5 and has been assessed reliably using the Dimensional Change Card Sort (DCCS), a task in which children first sort bivalent cards by one dimension (e.g., shape) and then are instructed to sort by a different dimension (e.g., color). Three-year-olds typically perseverate on the pre-switch dimension, whereas 5-year-olds switch flexibly. Labeling task stimuli can facilitate EF performance (0110 and 0060), but the nature of this effect is unclear. In 3 experiments we examined 2 hypotheses deriving from different theoretical perspectives: first, that labels facilitate performance in a more bottom-up fashion, by biasing attention to relevant task rules (Kirkham et al., 2003); and second, that labels aid performance in a more top-down fashion by prompting reflection and an understanding of the hierarchical nature of the task (Zelazo, 2004). Children performed better on the DCCS when labels referred to the relevant sorting dimension (Experiment 1). This was a function of the content of the labels rather than the change in auditory signal across phases (Experiment 2). Furthermore, labeling the opposite dimension only did not have a symmetrically negative effect on performance (Experiment 3). Together, these results suggest external, verbal labels bias children to attend to task-relevant information, likely through interaction with emerging top-down, endogenous control.     

Psychological aspects of orthognathic surgery

Abstract

With the dramatic growth in the number of adults undergoing orthodontics to correct malocclusion, and those undergoing surgical orthodontics or orthognathic surgery to correct skeletal discrepancies in the orofacial region, it is important to examine the psychological characteristics of these patients before and after treatment is completed. This paper serves as a general review and summarizes the findings of two major longitudinal studies of patients seeking surgical correction and compares them with people who underwent conventional orthodontics, those who rejected any treatment, and those who sought cosmetic surgery. Both studies revealed that most women seeking surgical orthodontics focused on aesthetic improvement as a motive, whereas men sought to improve their appearance and mastication. Women were also more likely to report problems with the temporomandibular joint as a motive. Men and women scored similarly on a measure of body image, although women reported lower facial image presurgically and higher postsurgically than did men. The greatest gains following surgery were in facial and profile image for both men and women. Orthodontic patients showed less improvement, while those rejecting treatment experienced a decline in body image. Many functional improvements did not occur until 24 months postoperatively; lingering paraesthesia was described by 49% of the sample. Emotional reactions included anxiety preoperatively, and depression postoperatively, especially among patients scoring high on neuroticism and those experiencing other major life events. These studies reveal that people seeking surgical orthodontics are within the normal range of most personality measures and experience greater gains psychologically than do conventional orthodontic patients.     

The Spiral Template: The Revolution in the Evolution From Simple to Complex Systems

Change is an inborn trait of all organisms at every level of existence. This article proposes that the evolution of all life follows a course as if bound by a guiding principle or template. Overcoming disorder and entropy through diversity, this template has the properties of a spiral force, which acts to maintain continuity during change and transitions, and operates at all levels, from the simplest of forms to the most complex. Drawing from Chaos Theory, biology, depth psychology, and Buddhism, the spiral template is presented as a new vision of reality guiding scientific and spiritual perspectives toward evolutionary wholeness.     

Changing likes and dislikes through the back door: The US-revaluation effect

US-revaluation refers to the observation that subsequent changes in the valence of an unconditioned stimulus (US) after pairing it with a neutral, conditioned stimulus (CS) also changes the valence of the associated CS. Experiment 1 found evidence for the US-revaluation effect using an unobtrusive measure of evaluation. However, US-revaluation effects were more pronounced for positive-to-negative compared to negative-to-positive revaluations. Experiment 2 replicated this finding for self-reported evaluations, further showing that US-revaluation effects are stable over time and independent of explicit memory for the revaluating information. Using a modified paradigm, Experiment 3 ruled out method-related explanations for these findings and showed that changes in CS evaluations are correlated with parallel changes in US evaluations. These findings encourage the view of evaluative conditioning as an instance of stimulus–stimulus (S–S) rather than stimulus-response (S–R) learning. Implications for basic and applied research are discussed.     

Hating the cute kitten or loving the aggressive pit-bull: EC effects depend on CS–US relations

Evaluative conditioning (EC) refers to valence changes of initially neutral stimuli (CSs) through repeated pairings with positive or negative stimuli (USs). The current study is about the moderating role of qualifiers that specify the CS–US relation during these pairings. We show successful EC with pictures of men (CSs) and of liked/disliked animals or landscapes (USs). More importantly, the same pairings resulted in standard and reversed EC effects depending on semantic qualifier of the CS–US relation. CSs loving positive (negative) USs became more positive (negative), while CSs loathing positive (negative) USs became more negative (positive). These data favour a propositional EC account (De Houwer, 2009) over a purely associative account, as they show that it is not only relevant that CS and US are related, but how they are related.