A Natural Approach in Mental Health Practice: Occupational Adaptation Revealed

A single case study of the stories told by one occupational therapist about her clients in mental health settings is presented in this article. Qualitative analysis revealed key concepts of the role of the occupational therapist as defined by occupational adaptation theory, along with unique perspectives of occupational therapy in mental health settings. The outcome of this study is a demonstration of the unique insight occupational therapy brings to addressing client recovery in mental health settings, specifically from an occupational adaptation perspective. This insight should enlighten others as to the necessity of skilled occupational therapy in mental health settings.     

A validation of a computerised task of risk-taking and moral decision-making and its association with sensation-seeking,impulsivity and sociomoral reasoning

The aim of this study was to investigate the reliability and validity of the computer based application of the Secret Agent (SA) task of risk-taking and moral decision-making. The participants were 100 male patients in a maximum security hospital (50 with severe mental illness and 50 with personality disorder) and 50 community based healthy controls. All participants completed the SA task, the Iowa Gambling Task (IGT), and measures of IQ, antisocial personality traits, sensation-seeking, impulsivity and sociomoral reasoning. The SA risk-taking and moral decision-making scales had satisfactory levels of reliability (Cronbach’s alpha). Risk-taking correlated significantly with sensation-seeking across all three participant groups. In contrast, risk-taking only correlated with impulsivity among the severe mental illness group. Moral decision-making correlated with sociomoral reasoning among the personality disorder group. No correlation was found between the SA scores and the IGT score and the IGT did not correlate with sensation-seeking or impulsivity. IQ and antisocial personality traits did not correlate with the SA or IGT scales. The study highlights the importance of context, the nature of the risk-taking task, and ‘problem framing’ of the instructions in their relationship with individual differences.     

Does it help to feel your body? Evidence is inconclusive that interoceptive accuracy and sensibility help cope with negative experiences

ABSTRACT

In four studies (total N?=?534), we examined the moderating impact of Interoceptive Accuracy (i.e. IAcc, as measured with the heartbeat counting task) and Interoceptive Sensibility (IS, assessed via questionnaire) on negative affect, following social exclusion or after receiving negative feedback. Results from an integrative data analysis combining the four studies confirmed that the manipulations were successful at inducing negative affect. However, no significant interaction between mood induction (control versus negative affect induction) and interoception on mood measures was observed, and this was true both for objective (i.e. IAcc) and subjective (i.e. IS) measures of interoception. Hence, previous conclusions on the moderating impact of interoception in the relationship between mood induction and self-reported mood were neither replicated nor generalised to this larger sample. We discuss these findings in light of theories of emotion regulation as well as recent concerns raised about the validity of the heartbeat counting task.     

Effects of 7.5% CO2 inhalation on allocation of spatial attention to facial cues of emotional expression

Increased vigilance to threat-related stimuli is thought to be a core cognitive feature of anxiety. We sought to investigate the cognitive impact of experimentally induced anxiety, by means of a 7.5% CO₂ challenge, which acts as an unconditioned anxiogenic stimulus, on attentional bias for positive and negative facial cues of emotional expression in the dot-probe task. In two experiments we found robust physiological and subjective effects of the CO₂ inhalation consistent with the claim that the procedure reliably induces anxiety. Data from the dot-probe task demonstrated an attentional bias to emotional facial expressions compared with neutral faces regardless of valence (happy, angry, and fearful). These attentional effects, however, were entirely inconsistent in terms of their relationship with induced anxiety. We conclude that the previously reported poor reliability of this task is the most parsimonious explanation for our conflicting findings and that future research should develop a more reliable paradigm for measuring attentional bias in this field.     

Seeing through the eyes of anxious individuals: An investigation of anxiety-related interpretations of emotional expressions

The interpretation of emotional states is necessary for successful social communication. Often individuals interpret emotional expressions intuitively and without full cognitive awareness. The aim of the present study was to test whether anxiety would influence affect interpretation in the manner suggested by interpretation bias—the tendency to interpret ambiguous cues in a threatening way. Interpretation of social cues was assessed with the similarity rating task (simtask) in two studies (n₁ = 116, n₂ = 76). The similarity ratings were analysed with a multidimensional scaling (MDS) approach, and the effects of anxiety on the interpretation of emotional expressions were analysed with multilevel modelling. The results of both studies showed evidence for an anxiety-related interpretation bias. High-anxious individuals tended to interpret milder threats as more negative than low-anxious individuals did. The consequences for anxiety research are discussed.     

Lack of habituation to shocking words: The attentional bias to their spatial origin is context free

Following a suggestion made by Aquino and Arnell (2007), we assumed that the processing of emotional words is influenced by their context of presentation. Supporting this idea, previous studies using the emotional Stroop task in its visual or auditory variant revealed different results depending on the mixed versus blocked presentation of the stimuli (Bertels, Kolinsky, Pietrons, & Morais, 2011; Richards, French, Johnson, Naparstek, & Williams, 1992). In the present study, we investigated the impact of these presentation designs on the occurrence of spatial attentional biases in a modified version of the beep-probe task (Bertels, Kolinsky, & Morais, 2010). Attentional vigilance to taboo words as well as non-spatial slowing effects of these words were observed whatever the mixed or blocked design, whereas attentional vigilance to positive words was only observed in the mixed design. Together with the results from our previous study (Bertels et al., 2010), the present data support the reliability of the effects of shocking stimuli, while vigilance to positive words would only be observed in a threatening context.     

Interference Effects in a Numerical Stroop Paradigm in 9- to 12-year-old Children with ADHD-C

Attention deficit hyperactivity disorder (ADHD) is characterized by deficient self-regulation, poor attentional control, and poor response inhibition. To date, however, the extent to which these deficits affect basic interference control remains a matter of controversy. Secondly, ADHD has been reported to be associated with arithmetic deficits. It remains unclear whether such deficits are a secondary consequence of the above-mentioned characteristics of ADHD or whether basic numerical magnitude representations are also affected. In the present study we attempted to investigate these issues using a basic numerical interference paradigm.

Nine- to twelve-year-old children with ADHD-C (attention-deficit hyperactivity-disorder combined type) and control children without ADHD (each n = 16) were presented with two digits of possibly different physical sizes (e.g., 3 7). This numerical Stroop task requires subjects to make a magnitude classification concerning either the physical or the numerical stimulus dimension. The irrelevant dimension can be congruent (same response), incongruent (different response), or neutral (no response association).

Children with ADHD-C performed worse than control children in most analyses. The most important finding was a significant interaction of congruity effects with group in the numerical comparison task. Children with ADHD-C tended to show larger congruity and interference effects than controls, and these were not attributable to a speed-accuracy trade-off.

The results might reflect differential processing speeds, or a different degree of automatic activation of physical and numerical magnitudes in children with and without ADHD-C. Alternative explanations, such as insufficient inhibition of selective (domain-specific) attention are also discussed.     

EDITORIAL

The aim of the present study was to evaluate the usefulness of Barkley’s (1997a) model of inhibition and executive functioning in describing the deficits associated with Attention Deficit Hyperactivity Disorder (ADHD). Besides group differences, the present study addressed the question of independent effects of inhibition and the other executive functions in discriminating between children with ADHD and controls and how well, in terms of sensitivity and specificity, these measures can classify the children into the correct group. The results showed that children with ADHD differed significantly from controls with regard to measures of inhibition as well as all other executive function measures, except repetition of hand movements. In logistic regression models, three different measures tapping inhibition, working memory and emotion regulation were shown to be significant independent predictors of group membership. The sensitivity for these three variables as a set was 76.2, the specificity was 90.5, with a total of 86% of the sample correctly classified. When excluding the parental rating of emotion regulation, the overall classification rate decreased some, but was still relatively high in comparison with previous studies within this area of research.     

The Mechanisms of Space‐Time Association: Comparing Motor and Perceptual Contributions in Time Reproduction

The spatial‐temporal association indicates that time is represented spatially along a left‐to‐right line. It is unclear whether the spatial‐temporal association is mainly related to a perceptual or a motor component. In addition, the spatial‐temporal association is not consistently found using a time reproduction task. Our rationale for this finding is that, classically, a non‐lateralized button for performing the task has been used. Using two lateralized response buttons, the aim of the study was to find a spatial‐temporal association in a time reproduction task. To account for the perceptual component, reference and target stimuli were presented in different spaces through four experiments. In all experiments, a Spatial‐Temporal Association of Response Codes (STEARC) effect was found and this effect was not modulated by the spatial position of both reference and target stimuli. The results suggested that the spatial‐temporal association was mainly derived from the spatial information provided by response buttons, reflecting a motor but not visuospatial influence.     

不同趋近动机强度积极情绪对认知控制的影响

情绪的动机维度模型认为, 积极情绪对认知加工的影响受其趋近动机强度的调节, 高、低趋近动机积极情绪对认知加工的影响不同。本研究运用情绪图片诱发被试高、低趋近动机积极情绪, 采用停止信号任务和任务转换作业考察了不同趋近动机强度积极情绪对认知控制的影响。结果发现：(1)与中性条件相比, 高趋近动机积极情绪促进了停止信号任务中Go任务和任务转换作业中重复任务的反应执行。(2)在停止信号任务中, 相对于中性条件, 低趋近动机积极情绪条件下的停止信号反应时显著缩短; 在任务转换作业中, 低趋近动机积极情绪条件下的反应时转换损失和错误率转换损失均显著降低, 而高趋近动机积极情绪条件下的反应时转换损失显著增加。因此, 积极情绪对认知控制的影响受其趋近动机强度的调节, 即低趋近动机积极情绪增强认知灵活性, 提高停止反应与任务转换的速度; 而高趋近动机积极情绪增强认知稳定性, 加快停止信号任务中Go任务和任务转换作业中重复任务的反应执行, 增加了反应时转换损失。