Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Background: Acceptance and commitment therapy (ACT) is a promising treatment option for fibromyalgia (FM). Studies have shown that many cognitive behavioral protocols can be transferred to the Internet with sustained efficacy. However, no study has investigated the effect on an Internet-delivered ACT-based protocol for FM. This study evaluated the efficacy, acceptability, and the health economic effects of an Internet-delivered acceptance and values-based exposure treatment for FM. Methods: This open pilot trial included 41 self-referred women with a FM diagnosis. The 10-week Internet-delivered treatment included acceptance, mindfulness, work with life-values, and systematic exposure to FM symptoms and FM-related situations. Participants also had regular contact with an assigned online therapist. Assessments were made at pretreatment, post-treatment, and 6-month follow-up. Results: The treatment was completed by 70% of the participants. Attrition rates were low, with 98% completing the post-treatment assessment and 90% completing the 6-month follow-up assessment. Multiple imputations were used to replace missing values. Pre- to post-treatment within-group effect sizes were in the moderate to large range (Cohen's d = 0.62–1.56) on measures of FM symptoms and impact, disability, quality of life, depression, anxiety, fatigue, and psychological flexibility. All improvements were maintained at follow-up. Economical analyses revealed significant societal cost reductions that offset the treatment costs within 2 months of treatment completion. Conclusions: An Internet-delivered psychological treatment based on acceptance and exposure principles seems to be an efficacious, acceptable, and cost-effective treatment for FM. Randomized controlled trials are needed to confirm these results.     

具有类属知识性的思维:群体区别判断过程中的复杂性、有效性、有用性和实质性

类属性思维(stereotypes)在一定的程度上是对群体区别正确反映的类属信仰.类属性思维比我们一般假想的更为复杂.首先,我们在本论文中探讨了在立体性的类属性思维EPA理论框架之下的多维度,即类属性思维的三维度:评估、激活和准确度.同时还特别讨论了类属性思维与具体集体共识的表征特点的图腾信仰之间的密切关系.其次,对于作为人类信仰一部分的类属性思维准确性莫衷一是的研究,我们进行了全面综述,并且本文还仔细考查文化类属性思维,个体类属性思维,个体与群体的判断,准确性评判的标准,和原分析的数据等等,同时进一步表明类属性思维和客观现实性有密不可分的关系.最后,我们指出类属性思维对解释群体和民族的区别非常重要,特别是人的感知的实质性寓于实在的客观群体本身(“感知的同一性”).我们认为,类属性思维的过程,对于高度的实体性和感知的实质性的群体来说,具有深刻影响,况且群体或部落(民族)的图腾也是其群体或民族的实体性的外在表现.尽管我们不可能解决同类属性思维的过程有关的所有争论,但我们所强调的观点是:类属性思维是人类相互影响和生存的有效类属性识别.     

通货膨胀知觉的认知机制和影响因素

通货膨胀知觉是个体对通货膨胀的主观体验.通货膨胀知觉的认知机制主要体现在体验阶段和整合阶段.体验阶段主要涉及到个体对物价的感受性和记忆,整合阶段主要涉及到个体利用可得性启发式以及锚定和调整启发式完成对通货膨胀的最终估计.通货膨胀知觉的影响因素主要包括通货膨胀预期、框架效应、对价格公平性的认知、社会放大效应以及货币改革等.未来可以从通货膨胀知觉的信息加工方式、认知神经机制、跨文化研究以及具有较高生态效度的测量指标等方面进一步探讨.     

The effect of performance setting and individual differences on the anxiety-performance relationship for elite cyclists

Fifty-three national level cyclists completed competitive rides under both laboratory and field conditions to investigate the relationship between pre-competition anxiety and performance. A total of 39 males and 14 females participated in the study, ranging in age from 19 to 26. The objectives of the study were to, (a) measure the relationship between state anxiety and performance, (b) investigate differences in the anxiety-performance relationship under laboratory versus field conditions, and (c) examine the effect of trait anxiety on the state anxiety-performance relationship. State anxiety was measured using the Competitive State Anxiety Inventory-2 (CSAI-2; Martens, Vealey, & Burton, 1990), and trait anxiety with the State-Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, & Lushene, 1970). Results indicated that anxiety was strongly correlated with performance on the field test, but that the anxiety-performance relationship was weaker under laboratory conditions. Results also showed that trait anxiety interacted with the relationship, as low and high trait-anxious subjects had differential response patterns to pre-competition anxiety. The findings are discussed in terms of their relevance for both practitioners and researchers.     

Assessment of dental anxiety: A facet approach

Dental anxiety is a complicated phenomenon, and its multicomponent nature is often not acknowledged in existing measurement instruments. Using a facet design, a new Dental Anxiety Inventory (DAI) was constructed. Facets chosen were: time (made up of four elements: at home, on your way to the denstist, in the denstist's waiting room, in the dental chair), situation (three elements: introductory aspects, dentist-patient interaction, actual dental treatment), and reaction (three elements: subjective feelings, physical reactions, cognitive reactions). Psychometric qualities of the DAI are good. The internal structure of the DAI was studied by linear and nonlinear techniques, and was partially recovered from the data. The construct and criterion validity of the DAI was supported in several studies.     

Perception of threat and safety at work among employees in the Norwegian ministries after the 2011 Oslo bombing

Background and objectives: Terrorism can heighten fears and undermine the feeling of safety. Little is known, however, about the factors that influence threat and safety perception after terrorism. The aim of the present study was to explore how proximity to terror and posttraumatic stress reactions are associated with perceived threat and safety after a workplace terrorist attack. Design and methods: A cross-sectional questionnaire survey was administered to employees in 14 of 17 Norwegian ministries 9–10 months after the 2011 bombing of the government headquarters in Oslo (n = 3520). Results: About 198 of 1881 employees completing the survey were at work when the bomb exploded. Regression analysis showed that this high-exposed group had elevated perceived threat (β = 0.36; 95% CI = 0.19 to 0.53) and reduced perceived safety (β = ?0.42; 95% CI = ?0.62 to ?0.23) compared to a reference group of employees not at work. After adjusting for posttraumatic stress reactions, however, proximity to the explosion no longer mattered, whereas posttraumatic stress was associated with both high perceived threat (β = 0.55; 95% CI = 0.48 to 0.63) and low perceived safety (β = ?0.71; 95% CI, ?0.80 to ?0.63). Conclusion: Terror-exposed employees feel more threatened and less safe after a workplace terrorist attack, and this is closely linked to elevated levels of posttraumatic stress reactions.     

Directions for judgment and decision making research based on comparison selection: Reply to Arkes,Johnson, and Kardes

Our target article proposed an alternative perspective for studying consumer judgment and decision making, focusing on the types and weights of comparisons consumers select. In this response we consider the major points made by each of the commentators and examine their implications for future work addressing our comparison-focused approach.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

Abstract

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15–16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Ethnic Differences in Parents' Attitudes toward Girls' Use of Aggression

Few studies have attempted to explain ethnic differences in female aggression. The degree to which ethnic differences exist in the influence of parents' approval of aggression on their preadolescent daughters' use of physical, verbal, and relational aggression was explored in a sample of 97 parent-child dyads. Results indicate that European American parents were more disapproving of their daughters' aggressive behavior than were African American parents. Parents' attitude toward aggression was predictive of European American girls' use of physical and verbal aggression and African American girls' use of relational aggression. Implications for aggression prevention and intervention for girls are discussed.