Perceived Health: A Test of Incremental Validity in Relation to Smoking Outcome Expectancies,Motivation to Smoke and Desire to Quit Smoking

This study examined the role of perceived health in predicting theoretically‐relevant aspects of smoking behavior among 161 young adult regular smokers (67 females; mean age = 21.9 years (SD = 7.2), cigarettes per day (M) = 12.2 (SD = 5.7)) recruited from the general community. Consistent with prediction, results indicated that relative to anxiety sensitivity, gender, number of cigarettes smoked per day and nicotine dependence, perceived physical health uniquely and significantly predicted expectancies for negative affect reduction and expectancies that smoking would lead to negative personal consequences. Additionally, perceived health incrementally predicted motivation to smoke to reduce negative affect. In contrast to expectation, perceived health was unrelated to motivation to quit smoking. Results are discussed in relation to the role of perceived health as a cognitive vulnerability factor for specific types of smoking patterns.     

The distinctive moral personality of care exemplars

Positive emotion following bereavement was examined in a prospective longitudinal study. Participants lost a spouse (n?=?250) and were interviewed prior to the death, 6 months after the death, and in some cases 18 and 48 months after the death. Early theorists suggested that positive emotion during times of distress may indicate pathology. In contrast, more recent theorists suggest that positive emotion is desirable even during times of distress. In this analysis, positive emotion was associated with desirable outcomes (less depressed mood, more social support received, more social provision to others) and this effect was not diminished among people reporting elevated levels of distress. Also, the simultaneous occurrence of positive emotion and distress was not associated with pre-existing emotional instability. Those experiencing positive emotion reported lower levels of grief, but not qualitatively different grief. The findings suggest that positive emotion tends to be associated with desirable outcomes even among people reporting elevated distress.     

On the capacity to suffer one's self

Problems in the establishment of the sense of a ‘psychic’ skin, in the ways described by Bick and Meltzer for example, commonly give rise to distortions in the capacity for self‐experiences as a consequence of difficulties in relation to projective and identificatory processes. These latter may acquire a markedly adhesive character as a defence against the anxieties that arise. This makes for considerable technical difficulties in an analysis. This essay addresses the nature of these problems and considers some of the ways in which they may be approached clinically.     

Attention-Affect Check List: A self-report measure of acute mental stress

Given a hint from Lang, Bradley, and Cutbert's (1997) defense cascade, two cognitive processes, instead of passive versus active behavioral coping, which seem to have differential effects on the provocation of vascular- versus cardiac-dominant reaction pattern during mental stress were advocated: attention (Attent) versus unpleasant affect (UnplAff). Based on this notion the Attention-Affect Check List (AACL) was developed as a self-report measure. In addition, items on uncontrollability (Uncontr) were prepared for the purpose of checking whether heightened Attent and UnplAff are accompanied by alterations in Uncontr. Two hundred and eighty-four students underwent two kinds of mental stress, which seemed to specifically heighten Attent and UnplAff. Four factors with four items each were extracted from the AACL item pool: concentrated and allocated Attent, UnplAff, and pleasant affect. Also, one factor with four items was extracted from the Uncontr item pool. For both the mental stresses, each scale, although very brief, had quite reasonable alpha reliability. Accountability of each scale for the total variance was reasonably high. Some problems are discussed in relation to the validity of AACL.     

Effects of self-complexity on mood-incongruent recall

Some people cope with negative moods by retrieving positive memories, which is mood-incongruent recall. Though mood-incongruent recall is helpful for mood-regulation, the factors that influence people's ability to utilize mood-incongruent recall are not well understood. This study investigated whether complex knowledge structure is a factor for the ability of mood-incongruent recall, based on self-complexity. In the experiment, 50 participants were requested to recall positive memories in both neutral and negative moods. The results of this study indicated that self-complexity was an important factor associated with participants' ability to recall positive memories while they were in negative moods. Participants who rated high in self-complexity were those whose knowledge is structured in a complex way, recalled more highly positive memories in negative moods than in neutral moods. On the other hand, participants who were rated low in self-complexity with simple knowledge structures recalled memories with a lower extent of positivity in negative moods than those in neutral moods.     

Evidence that baroreflex feedback influences long-term incidental visual memory in men

Sympathetic nervous system (SNS) activity at the time of acquisition is associated with human memory. However, rather than SNS activity per se, it may be afferent baroreflex feedback that is responsible for this effect. A pharmacological design was employed to unload (SNP, sodium nitro-prusside) and load (norepinephrine) baroreceptors. In addition to two placebo periods, epinephrine and esmolol (a peripherally acting beta1-blocker) served as control conditions for altered cardiac perception. During drug infusion blood pressure, heart rate, and perception of heartbeat were tested. Twenty-four healthy men were participated. The participants viewed emotional slides while their electromyographic eye blink responses to random noise bursts were measured (affective startle modulation paradigm) to determine potential drug impact on emotional processing. Subjects were not informed that memory testing would take place after 4 weeks. Drugs did not impact startle, thus indicating unbiased emotional processing at the time of acquisition. Norepinephrine had no effect on heartbeat perception, but improved (p = .002) recognition memory. SNP (p = .0001) increased heartbeat perception but impaired (p = .038) recognition memory. Epinephrine, on the other hand, increased heartbeat perception (p = .0001) yet did not impair but partially improve memory (effect on high arousing pictures only: p = .05). Heartbeat perception in the placebo condition did not correlate with recognition memory (p's > .5). We suggest that baroreflex unloading, with subsequent feedback activation of the SNS, impairs long-term incidental visual recognition memory in humans while baroreflex loading enhances it. Further, we propose that these memory effects are neither secondary to cardiac sensations that accompany SNS activation nor to altered emotional picture processing at the time of acquisition.     

Models-of-self and models-of-others as related to facial muscle reactions at different levels of cognitive control

The hypotheses of this investigation were based on attachment theory and Bowlby's conception of "internal working models", supposed to consist of one mainly emotional (model-of-self) and one more conscious cognitive structure (model-of-others), which are assumed to operate at different temporal stages of information processing. Facial muscle reactions in individuals with positive versus negative internal working models were compared at different stages of information processing. The Relationship Scale Questionnaire (RSQ) was used to categorize subjects into positive or negative model-of-self and model-of-others and the State-Trait Anxiety Inventory was used to measure trait anxiety (STAI-T). Pictures of happy and angry faces followed by backward masking stimuli were exposed to 61 subjects at three different exposure times (17 ms, 56 ms, 2,350 ms) in order to elicit reactions first at an automatic level and then consecutively at more cognitively elaborated levels. Facial muscle reactions were recorded by electromyography (EMG), a higher corrugator activity representing more negative emotions and a higher zygomaticus activity more positive emotions. In line with the hypothesis, subjects with a negative model-of-self scored significantly higher on STAI-T than subjects with a positive model-of-self. They also showed an overall stronger corrugator than zygomatic activity, giving further evidence of a negative tonic affective state. At the longest exposure time (2,350 ms), representing emotionally regulated responses, negative model-of-self subjects showed a significantly stronger corrugator response and reported more negative feelings than subjects with a positive model-of-self. These results supported the hypothesis that subjects with a negative model-of-self would show difficulties in self-regulation of negative affect. In line with expectations, model-of-others, assumed to represent mainly knowledge structures, did not interact with the physiological emotional measures employed, facial muscle reactions or tonic affective state.     

Positive Affect: A Neglected Group Treatment Outcome Measure in Assessing Efficacy of Psychosocial Group Interventions in Individuals with Heart Failure

Positive affect has been neglected in evaluation of group treatment efficacy. This pilot study for individuals with heart failure illustrates the contribution of positive affect to change processes. Assessment of positive affect pre- and post-group intervention can yield a better understanding of individuals' adjustment to heart failure, and provide additional information for selection of specific treatments for each individual. In an era characterized by standardized measures of outcome, inclusion of positive affect provides additional opportunity to document contributions in improving health related quality of life (psychosocial and physical functioning) of clients with heart failure.     

Responding to distressed infants: Does mothers’ positive versus negative affect matter for infants' behavior and physiology?

How mothers respond to infants’ distress has implications for infants’ development of self-regulation and social competence. In a sample of 35 mothers and their 4- to 8-month-old infants, we induced infant distress using an arm restraint task and compared infants’ observed affect and physiological responses under two conditions, when mothers were instructed to respond with: 1) positive affect and 2) negative affect. Based on theoretical and empirical support, we empirically evaluated two opposing hypotheses. Based on the Mutual Regulation Model and work on affect matching, we predicted that when mothers respond with negative affect versus positive affect, distressed infants’ duration of negative affect would be smaller, negative affect would be less intense, and respiratory sinus arrythmia (RSA) withdrawal would be lower. Based on social referencing theory and research, we expected that when mothers respond with positive affect versus negative affect, distressed infants’ duration of negative affect would be smaller, negative affect would be less intense, and RSA withdrawal would be lower. We found that when mothers responded to their distressed infants with negative affect versus positive affect, infants spent significantly more time in negative affect, their intensity of expressed negative affect was greater, and their RSA withdrawal was greater, suggesting that mothers’ display of mild positive affect when infants are distressed may be helpful for infants. The current findings add to accumulating evidence that mothers’ positive relative to negative affective response to their infants’ distress can produce observable differences in infants’ duration and intensity of negative affect, as well as their physiology. Findings have the potential to inform future research that investigates how mothers can most effectively reduce their infants’ distress and intervention that targets the moment-to-moment behaviors in mother-infant reciprocal interactions.