Pain anxiety among chronic pain patients: specific phobia or manifestation of anxiety sensitivity?

Rather than viewing anxiety among chronic pain patients as simply a component of negative affectivity, investigators have developed a model of "pain anxiety" in which patients develop fear and avoidance of activity linked to pain. We examined whether pain anxiety can be conceptualized as a specific phobia, or whether evidence supported the notion that pain anxiety is better understood as a manifestation of anxiety sensitivity in the context of chronic pain. Chronic musculoskeletal pain patients (N=70) underwent cold pressor and mental arithmetic tasks while cardiovascular, self-report, and behavior indexes were recorded. They completed measures of pain anxiety, anxiety sensitivity, fear of negative evaluation, depression and trait anxiety. Correlation analyses showed pain anxiety was related to pain-relevant responses during cold pressor, but it was also related to evaluation-relevant responses during cold pressor, and to pain- and evaluation-relevant responses (including subtraction accuracy) during mental arithmetic. Regression analyses showed that almost all effects of pain anxiety on task responses were accounted for by anxiety sensitivity. Fear of negative evaluation, in contrast, correlated only with evaluation-relevant responses, and mostly during mental arithmetic. These effects remained significant when depression, trait anxiety, or anxiety sensitivity were statistically controlled. Pain anxiety may be an expression of anxiety sensitivity rather than a circumscribed phobia; a distinction that could profitably guide treatment strategies.     

Model comparison of nonlinear structural equation models with fixed covariates

Recently, it has been recognized that the commonly used linear structural equation model is inadequate to deal with some complicated substantive theory. A new nonlinear structural equation model with fixed covariates is proposed in this article. A procedure, which utilizes the powerful path sampling for computing the Bayes factor, is developed for model comparison. In the implementation, the required random observations are simulated via a hybrid algorithm that combines the Gibbs sampler and the Metropolis-Hastings algorithm. It is shown that the proposed procedure is efficient and flexible; and it produces Bayesian estimates of the parameters, latent variables, and their highest posterior density intervals as by-products. Empirical performances of the proposed procedure such as sensitivity to prior inputs are illustrated by a simulation study and a real example.This research is fully supported by a grant from the Research Grant Council of the Hong Kong Special Administrative Region, China (Project No. CUHK 4346/01H). The authors are thankful to the Editor, the Associate Editor, and anonymous reviewers for valuable comments which improve the paper significantly, and grateful to ICPSR and the relevant funding agency for allowing use of the data in the example. The assistance of Michael K.H. Leung and Esther L.S. Tam is gratefully acknowledged.     

The Relation Between Coordinated Interpersonal Timing and Maternal Sensitivity in Four-Month-Old Infants

The relation between mother–infant coordinated interpersonal timing, an automated microanalytic measure of dyadic vocal coordination, and maternal sensitivity was explored. Thirty-five mothers and their developmentally normal 4-month-old infants were audio-recorded during a 20-min laboratory vocal interaction session, that was later analyzed for degree of vocal coordination. Maternal Sensitivity ratings (Ainsworth & Bell, 1969) were based on a video-taped 45-min unstructured laboratory interaction period. A significant curvilinear relation between the degree to which mother coordinated her noninterruptive co-occurring speech to that of her infant was found and revealed that mothers highest in sensitivity were characterized by moderate levels of coordination. Examining mother-infant interaction at the specific behavioral level, while incorporating tests of nonlinear trends, may provide important information about the nature of sensitive parenting.     

Reinventing the University: From Institutions to Communities of Higher Education

This article responds to three questions: What if the primary mission of the university is to (i) nourish the intellect, (ii) commit to the sacredness of all life, and (iii) foster spirituality? Responses examine multiple forms of literacy, instruction that is ecologically valid and thus oriented toward the unity of knowledge, and teaching as a moral activity. The suggestion here is that meaningful reform will emphasize education of the whole person in relation to the physical, symbolic, and social environments. Curricula focused on forms of representation, modes of treatment, and syntactic structure, adaptive understandings, constructed meanings, critical thinking, real problems, connected knowing, creativity, inspiration, service learning, and the development of declarative procedural and poetic knowledge are discussed.     

Training requirements and retention characteristics of serial list organization by macaque monkeys

This work evaluated the prospect that organizational accounts of the retention of list information by monkeys might be an artifact of familiarity with conditional relationships. Seven sophisticated macaques were trained on four five-item lists. Each acquisition selectively excluded one of the internal conditional pairs of the typical four-problem sequence (AB,BC,CD,DE) that defines a five-item serially ordered list. Then, all possible novel pairings and the trained pairs appeared together in a test. After this, the previously omitted pair was trained and animals were retested. On all tasks, initial tests revealed little organization and much intersubject variability of characteristic choice strategies, but subsequent inclusion of all four conditional pairs always yielded organized serial choice. On both the four-problem tests and in a later retention, errors were directly related to interitem distance between the objects paired on test trials. These results helped to specify the conditions required for demonstration of non-human primate analogs of transitivity, and showed that even sophisticated monkeys organize information in retention only if they know all interitem relationships. Received: 7 October 1998 / Accepted after revision: 10 October 1999     

Predictors of Self-Reported Anxiety and Panic Symptoms: An Evaluation of Anxiety Sensitivity, Suffocation Fear, Heart-Focused Anxiety, and Breath-Holding Duration

The purpose of this study was to examine the extent to which anxiety-related individual difference variables predict anxious responding when individuals experience aversive bodily sensations. Thus, we explore several psychological and behavioral predictors of response to a single 25-sec inhalation of 20% carbon dioxide-enriched air in 70 nonclinical participants. Predictor variables included anxiety sensitivity, suffocation fear, heart-focused anxiety, and breath-holding duration. Multiple regression analyses indicated that only anxiety sensitivity significantly predicted postchallenge panic symptoms, whereas both anxiety sensitivity and suffocation fear predicted postchallenge anxiety. These data are in accord with current models of panic disorder that emphasize the role of fear of fear in producing heightened anxiety and panic symptoms and help clarify specific predictors of anxiety-related responding to biological challenge.     

母亲积极养育行为对儿童顺从行为的早期预测与双向作用:从婴儿到学步儿

顺从是儿童早期重要的社会化成就。传统理论关注父母控制策略对顺从的作用,但实证结果表明其解释率有限;当前理论更加关注积极养育行为在顺从发展中具有发展适宜性的作用机制。本研究采用追踪设计考察了84个家庭从儿童6个月到3岁时母亲的敏感性和鼓励自主两种积极养育行为与学步儿顺从发展的关系。结果表明:(1)1岁前母亲敏感性对学步儿2岁时的合作性顺从有正向预测作用,对2岁到3岁合作性顺从的变化没有预测作用;(2)1岁前母亲敏感性对学步儿2岁时的情境性顺从和2岁到3岁的情境性顺从的变化均有负向预测作用;(3)在2岁到3岁期间,母亲的鼓励自主与学步儿的合作性顺从水平有双向正向预测作用,但与情境性顺从不存在双向预测关系。     

Adapting the Unique Minds Program: Exploring the Feasibility of a Multiple Family Intervention for Children with Learning Disabilities in the Context of Spain

The Unique Minds Program (Stern, Unique Minds Program, 1999) addresses the socio‐emotional needs of children with learning disabilities (LD) and their families. Children and their parents work together in a multiple family group to learn more about LD and themselves as people with the capacity to solve problems in a collaborative way, including problems in family school relationships. This article reports the cultural adaptation of the program for use in Spain and findings from a feasibility study involving three multiple family groups and a total of 15 children and 15 mothers, using a pre‐post design. This Spanish adaptation of the program is called “Mentes Únicas”. Standardized outcome measures indicated an overall statistically significant decrease in children's self‐rated maladjustment and relationship difficulties by the end of the program. Improvements were endorsed by most mothers, although they were not always recognized by the children's teachers. The program had a high level of acceptability: Mothers and children felt safe, understood, and helped throughout the sessions. The efficacy of the adapted intervention for the context of Spain remains to be tested in a more rigorous study.     

The role of ecological validity in hazard perception assessment

Hazard perception is one of the few quantifiable components of driving competency that can explain the high crash risk of novice drivers (see Horswill & McKenna, 2004). Some studies focused on investigating the stimulus part of hazard perception items by comparing several design features of the displayed traffic scenarios (e.g. Malone et al., 2012; Scialfa et al., 2013). Other empirical studies have been conducted to address the reaction part of hazard perception items (e.g. Vlakveld, 2014). Among others, existing hazard perception tests differ with respect to the ecological validity – the similarity to real-world demands – of the task that has to be completed by the participants (simple reaction, hazard localization, simulated driving, etc.). Based on the findings of general expertise research (see Glaser & Chi, 1988), the hypothesis of the present experiment was that an increased ecological validity of a hazard perception task has a positive effect on the magnitude of performance differences between more and less experienced drivers. 104 learner drivers and 51 experienced drivers were randomly assigned either to a less ecological valid version (multiple choice task) or a higher ecological valid version (reaction task) of a hazard perception test. In both conditions, the same 20 animated hazardous or non-hazardous traffic scenarios were presented. Overall, the experienced drivers outperformed the learner drivers. Principally, both of the applied versions of the test provided a criterion valid measure of driving expertise. However, increasing the ecological validity of the test by using a reaction task was especially beneficial for certain types of scenarios, leading to higher expertise-related differences. In addition, the reaction task provides response time measure as a further valid performance indicator. This allows the identification of those participants who are indeed able to detect a hazard in a certain scenario, but still have deficits in response time, compared to more experienced drivers. According to the present study, it is recommended to choose the reaction task over the multiple choice task to test hazard perception. Whether a further increase in ecological validity of the task would be useful, should be tested empirically in future research.     

Righteous or self‐righteous anger? Justice sensitivity moderates defensive outrage at a third‐party harm‐doer

While bystanders' outrage over moral transgressions may represent a genuine desire to restore justice, such expressions can also be self‐serving—alleviating guilt and bolstering one's moral status. Four studies examined whether individual differences in observer justice sensitivity (JS_O) moderate the degree to which outrage at third‐party harm‐doing reflects concerns about one's own moral identity rather than justice per se. Among participants low (vs. high) in JS_O, feelings of guilt predicted greater outrage and desire to punish a corporation's sweatshop labor practices (Studies 1 & 2). Furthermore, affirming one's personal moral identity reduced outrage and support for punishing a corporate harm‐doer among those low, but not high in JS_O (Studies 3 & 4). Similar moderation was absent for other forms of justice sensitivity and just world beliefs. Effects were not explained by negative affect, empathy, personal harm, or political orientation. Results suggest that JS_O uniquely differentiates defensive and justice‐driven moral outrage (150/150).