Brief psychological treatments for emotional disorders in Primary and Specialized Care: A randomized controlled trial

Background/Objective Brief transdiagnostic psychotherapies are a possible treatment for emotional disorders. We aimed to determine their efficacy on mild/moderate emotional disorders compared with treatment as usual (TAU) based on pharmacological interventions. Method: This study was a single-blinded randomized controlled trial with parallel design of three groups. Patients (N = 102) were assigned to brief individual psychotherapy (n = 34), brief group psychotherapy (n = 34) or TAU (n = 34). Participants were assessed before and after the interventions with the following measures: PHQ-15, PHQ-9, PHQ-PD, GAD-7, STAI, BDI-II, BSI-18, and SCID. We conducted per protocol and intention-to-treat analyses. Results: Brief psychotherapies were more effective than TAU for the reduction of emotional disorders symptoms and diagnoses with moderate/high effect sizes. TAU was only effective in reducing depressive symptoms. Conclusions: Brief transdiagnostic psychotherapies might be the treatment of choice for mild/moderate emotional disorders and they seem suitable to be implemented within health care systems.     

Fear of negative evaluation and attentional bias for facial expressions: An event-related study

Numerous studies have shown an exacerbation of attentional bias towards threat in anxiety states. However, the cognitive mechanisms responsible for these attentional biases remain largely unknown. Further, the authors outline the need to consider the nature of the attentional processes in operation (hypervigilance, avoidance, or disengagement). We adapted a dot-probe paradigm to record behavioral and electrophysiological responses in 26 participants reporting high or low fear of evaluation, a major component of social anxiety. Pairs of faces including a neutral and an emotional face (displaying anger, fear, disgust, or happiness) were presented during 200 ms and then replaced by a neutral target to discriminate. Results show that anxious participants were characterized by an increased P1 in response to pairs of faces, irrespective of the emotional expression included in the pair. They also showed an increased P2 in response to angry–neutral pairs selectively. Finally, in anxious participants, the P1 response to targets was enhanced when replacing emotional faces, whereas non-anxious subjects showed no difference between the two conditions. These results indicate an early hypervigilance to face stimuli in social anxiety, coupled with difficulty in disengaging from threat and sustained attention to emotional stimuli. They are discussed within the framework of current models of anxiety and psychopathology.     

Content‐specific gender differences in emotion ratings from early to late adulthood

The investigation of gender differences in emotion has attracted much attention given the potential ramifications on our understanding of sexual differences in disorders involving emotion dysregulation. Yet, research on content‐specific gender differences across adulthood in emotional responding is lacking. The aims of the present study were twofold. First, we sought to investigate to what extent gender differences in the self‐reported emotional experience are content specific. Second, we sought to determine whether gender differences are stable across the adult lifespan. We assessed valence and arousal ratings of 14 picture series, each of a different content, in 94 men and 118 women aged 20 to 81. Compared to women, men reacted more positively to erotic images, whereas women rated low‐arousing pleasant family scenes and landscapes as particularly positive. Women displayed a disposition to respond with greater defensive activation (i.e., more negative valence and higher arousal), in particular to the most arousing unpleasant contents. Importantly, significant interactions between gender and age were not found for any single content. This study makes a novel contribution by showing that gender differences in the affective experiences in response to different contents persist across the adult lifespan. These findings support the “stability hypothesis” of gender differences across age.     

The Effects of Emotional (Non-)Expression in (Chronic) Disease: A Meta-Analytic Review

Research on emotional (non-)expression is characterized by two facets; it has mainly focused on healthy individuals and it has failed to explore the relationships between the different concepts describing expression and non-expression. A meta-analysis was conducted in order to identify the differential effects of emotional expression and non-expression in patient samples. Results showed that neither expression, nor non-expression of emotions was related to perception of disease severity. Psychological distress increased in relation to emotional non-expression, but no effect was shown for emotional expression. Emotional non-expression was also related to adopting a helpless attitude towards the disease. The conceptual and methodological disparities identified in the retrieved studies undermined the validity of the emerged relationships. Reported changes in physical and psychological outcomes were related to the kind of research design, operationalization of (non-)expression and the clinical and psychological condition of the recruited samples. Implications for improving future research are discussed.     

Perceived Emotional Intelligence,Stress Reactivity,and Symptom Reports: Further Explorations Using the Trait Meta-Mood Scale

We examined the relationship between perceived emotional intelligence (PEI), measured by the Trait Meta-Mood Scale (TMMS), and psychophysiological measures of adaptive coping. The TMMS assesses perceived ability to (a) attend to moods (Attention), (b) discriminate clearly among moods (Clarity), and (c) regulate moods (Repair). Study 1 showed significant positive associations between PEI and psychological and interpersonal functioning. In Study 2, skill at mood Repair was associated with less passive coping and perceptions of repeated laboratory stressors as less threatening; Clarity was related to greater increases in negative mood, but lower cortisol release during repeated stress. In Study 3, Repair was associated with active coping and lower levels of rumination; Attention was associated with lowered cortisol and blood pressure responses to acute laboratory challenges. These findings suggest that psychophysiological responses to stress may be one potential mechanism underlying the relationship between emotional functioning and health.     

The impact of vacation and job stress on burnout and absenteeism

Abstract

The purpose of the present study was to test the hypothesis that vacation relief decreases psychological and behavioral strains caused by job stressors. We examined the impact of job stress and vacation on strain on 87 blue-collar employees in an industrial enterprise in central Israel. Whereas former respite research focused on the impact of vacation only on psychological strains such as burnout and job and life satisfaction, the current study also examined a behavioral strain, absenteeism. The employees completed questionnaires before and after vacation and again four weeks later. Our findings show that vacation alleviated perceived job stress and bumout as predicted, replicating findings that a respite from work diminishes levels of strain to lower than chronic, on-the-job levels. We found declines in burnout immediately after the vacation and a return to prevacation levels four weeks later, and a similar pattern with regard to absenteeism.     

Children's appraisal of their relationship with the teacher: Preliminary evidence for construct validity

Teacher–child relationships are increasingly considered as contexts for children's development. While teacher reports are mostly used to study the developmental consequences of the three attachment-based dimensions of closeness, conflict and dependency, children's perceptions are important too. This study evaluated the construct validity of the newly developed Child Appraisal of Relationship with Teacher Scale (CARTS). To this end, data from a special education sample of children with emotional and behavioural disorders (N = 82; M_age = 8.75) and from a general education sample (N = 145; M_age = 8.15) were used. Results supported the reliability and construct validity of the CARTS scales and showed that children's relationship perceptions as assessed with the CARTS were uniquely associated with their feelings about their teacher as measured with the Feelings About School. In addition, child-perceived closeness and conflict converged in expected directions with teacher-perceived closeness and especially conflict in the relationship, as measured with a questionnaire and a diary.     

Facial attractiveness biases the perception of eye contact

Attractive faces are appealing: We like to look at them, and we like to be looked at by them. We presented attractive and unattractive smiling and neutral faces containing identical eye regions with different gaze directions. Participants judged whether or not a face looked directly at them. Overall, attractive faces increased participants' tendency to perceive eye contact, consistent with a self-referential positivity bias. However, attractiveness effects were modulated by facial expression and gender: For female faces, observers more likely perceived eye contact in attractive than unattractive faces, independent of expression. For male faces, attractiveness effects were limited to neutral expressions and were absent in smiling faces. A signal detection analysis elucidated a systematic pattern in which (a) smiling faces, but not highly attractive faces, reduced sensitivity in gaze perception overall, and (b) attractiveness had a more consistent impact on bias than sensitivity measures. We conclude that combined influences of attractiveness, expression, and gender determine the formation of an overall impression when deciding which individual's interest in oneself may be beneficial and should be reciprocated.     

Affective valence of words impacts recall from auditory working memory

Abstract

There is limited evidence on the influence of affective stimuli on auditory working memory. The reported study investigated whether emotional auditory words interfere with ongoing auditory processing of words in auditory working memory. On each trial, words with negative, neutral, and positive affective valence were simultaneously presented on three different speakers. Participants recalled the word presented from the centre speaker first and then recalled the words presented from the side speakers. More negative and positive words compared to neutral words were recalled from the centre speaker. After recall of negative and positive words from the centre speaker, the subsequent first recall of words from the side speakers was reduced, regardless of anxiety level of the participant. The emotional interference effect suggests that emotional words interfere with ongoing central processing due to the attentional dwell on the information in auditory working memory.     

Recognition of emotional pictures: Behavioural and electrophysiological measures

The effects of emotional content of images on recognition memory were studied, bringing together electrophysiological (Event-Related brain Potentials, ERPs) and behavioural (accuracy and speed of recognition, and remember/know judgements) indices. In the study phase, participants assessed 120 images on the scales of valence and arousal. In the test phase, ERPs were recorded while participants viewed again the images, put together with 120 new, and were asked to make old/new decisions and remember/know judgements on them. A clear arousal bias was obtained for remember/know judgements, which revealed that correctly recognised arousing images (negative and positive) received more remember judgements than nonarousing images (neutral and relaxing). Moreover, a Late Positive Component (LPC) activation revealed an old/new effect enhanced by arousing images. The LPC activation was located in parietal areas (precuneus), which appears to be mostly related to successful retrieval based on recollection. The results obtained through different indices supported the emotional bias found in previous studies for arousing material, but do not clarify the effect of the emotional valence on recognition.