Development of a Measure of Coping with Multiple Sclerosis Caregiving

Development of a self-report measure of coping specific to multiple sclerosis (MS) caregiving is needed to advance our understanding of the role of coping in adaptation to caring for a person with MS and to contribute to a lack of empirical data on MS caregiving. A total of 213 MS caregivers and their care recipients completed a Coping with MS Caregiving Inventory (CMSCI) and measures of adjustment (psychological distress), appraisal and illness. A subsample ( n = 64) also completed the Ways of Coping Checklist (WCC) and additional adjustment measures (depression, caregiving impact, dyadic adjustment, and relationship conflict and reciprocity). Factor analyses revealed 5 factors: Supportive Engagement, Criticism and Coercion, Practical Assistance, Avoidance, and Positive Reframing. Subscales had internal reliabilities comparable to similar scales and were empirically distinct. Preliminary construct validation data are consistent with recent MS caregiving research that links passive avoidant emotion-focused coping with poorer adjustment, and relationship-focused coping caregiving research that links greater reliance on positive relationship-focused coping and less reliance on criticism with better adjustment. Results extend this research by revealing new relations between coping and adaptation to MS caregiving. Convergent validation data suggest that although the inventory differs from the WCC, it does share certain conceptual similarities with this scale.     

Eye movements across viewpoint changes in multiple object tracking

Observers can visually track multiple objects that move independently even if the scene containing the moving objects is rotated in a smooth way. Abrupt scene rotations yield tracking more difficult but not impossible. For nonrotated, stable dynamic displays, the strategy of looking at the targets' centroid has been shown to be of importance for visual tracking. But which factors determine successful visual tracking in a nonstable dynamic display? We report two eye tracking experiments that present evidence for centroid looking. Across abrupt viewpoint changes, gaze on the centroid is more stable than gaze on targets indicating a process of realigning targets as a group. Further, we show that the relative importance of centroid looking increases with object speed.     

Psychometric properties of a revised Spanish 20-item Toronto Alexithymia Scale adaptation in multiple sclerosis patients

There have been a small number of investigations of alexithymia in multiple sclerosis (MS) using the 20-item Toronto Alexithymia Scale (TAS-20). However, the TAS-20 factor structure has not yet been evaluated in a MS patient sample, and earlier Spanish translations of this instrument require some improvement. We aimed to evaluate the factorial validity and reliability of an improved Spanish translation of the TAS-20 (the TAS-20-S). The TAS-20-S was completed by 221 MS patients. Confirmatory factor analysis was used to compare the fit of six different factor models. Internal consistency and retest reliability coefficients were also computed. The correlated three-factor model and the higher-order factor model made up of Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally Oriented Thinking achieved the best fit. Alpha coefficients ranged between .87 and .67; mean inter-item correlations ranged between .48 and .20; and retest correlations after 6 months ranged between .61 and .52. A high degree of alexithymia was present in 18.1% of the sample. Reliability and the traditional three-factor structure were demonstrated for the TAS-20-S, which can now be recommended for assessing an aspect of emotional processing in MS patients.     

Spatial distinctiveness effect in categorisation

The aim of the present study was to show that the probability of an item being retrieved is proportional to its spatial distinctiveness, and that this distinctiveness effect can be obtained in an implicit memory task. The participants were presented with two phases in which they had to categorise pictures of objects as either “kitchen utensils” or “do-it-yourself tools”. In our encoding phase, the pictures were successively presented in different positions on the screen. The positions were arranged in one of two different configurations: a “distinctive condition” in which the pictures were placed in two circles, one central and one peripheral, such that the distance between the pictures was greater when they were in a peripheral position than in a central position, and a “nondistinctive” condition, in which the distance between the pictures was constant irrespective of their central or peripheral position. In the test phase, the same pictures were presented for categorisation, mixed with new pictures at the centre of the screen. The results clearly confirmed our expectations.     

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.     

影响儿童至老年人“位置法”记忆训练效果的因素探析

１１８名儿童、少年、青年、中年和老年被试参加＂位置法＂记忆训练,在训练前后对被试进行了一些认知功能的测查,以探讨被试的年龄及认知能力诸因素对记忆训练效果的影响及其预测性。结果表明：①训练前字词和图形记忆成绩、＂数字符号＂测验成绩与训练后记忆成绩相关极其显著,＂词汇＂测验成绩和想象力与训练后记忆成绩的相关也达到显著性水平;②年龄与训练后记忆效果的关系是非线性的;③除＂词汇＂成绩外,各项认知成绩均可预测训练后字词记忆成绩,训练后的图形记忆迁移效果可由＂数字符号＂测验成绩预测。     

Exposure therapy for social anxiety disorder in people who stutter: An exploratory multiple baseline design

Background & objectives: Social anxiety disorder (SAD) is a debilitating condition, and approximately half of adults who stutter have SAD. Cognitive-behavioral therapy (CBT) has shown promise in decreasing social anxiety symptoms among adults who stutter, but exposure, arguably the essential component for successful CBT for SAD, has been understudied and underemphasized. Aims of this study were to develop an exposure therapy protocol designed specifically for people who stutter and have SAD and evaluate its potential efficacy in reducing social anxiety and stuttering severity using a multiple baseline design.Methods: Six participants received ten sessions of exposure therapy. Participants reported daily social anxiety, and social distress and stuttering severity were evaluated at major assessment points.Results: There were substantial reductions in social anxiety and considerable improvements in affective, behavioral, and cognitive experiences of stuttering. No consistent change was observed for stuttering frequency. Gains were mostly maintained after six-months.Conclusions: Results suggest that the novel exposure approach may decrease social distress, but not necessarily influence speech fluency. These findings underscore the importance of the assessment and treatment of SAD among adults who stutter and suggest that the integration of care between clinical psychologists and speech-language pathologists may prove beneficial for this population.     

多目标追踪在各类人群评价与训练中的应用

多目标追踪范式主要用来探讨动态情景下对多个目标的视觉注意和记忆加工过程, 早期研究侧重于追踪过程中的影响因素及加工机制。近年来, 越来越多的研究应用多目标追踪范式对各类人群进行评价与训练, 包括儿童、老年人、神经发育障碍患者、驾驶员、运动员、电子游戏玩家以及一些其他职业群体。总体来看, 多目标追踪表现越好, 在复杂快速的动态情境中的专业表现越好; 反之, 多目标追踪表现差, 标志着认知功能可能发育不成熟或出现衰退。并且, 多目标追踪还可作为认知训练的手段, 改善老年人和神经发育障碍患者的认知功能, 提高各职业人群的专业表现。未来, 多目标追踪作为评价和训练的方法还有很大的发展空间, 包括加强特殊职业人群的模拟训练, 扩展目标人群, 结合立体视觉和真实场景, 结合身体活动, 探索多人合作的多目标追踪, 拓展用于进行情绪和社会功能的评价与训练等。     

Longitudinal associations between mindfulness and well-being in people with multiple sclerosis

Background/Objective: Depression, anxiety, fatigue, and sleep problems are typical conditions reported in people with multiple sclerosis (MS), often resulting in a reduction of their quality of life (QOL) and well-being. Mindfulness is a multifaceted and complex construct that has been increasingly explored for its correlated to well-being. Despite preliminary evidence, longitudinal data about the impact of mindfulness on QOL in MS remain limited. In addition, Langerian mindfulness, one of the prominent approaches to mindfulness, is yet unexplored in this field. The study aims to examine the longitudinal relationships between two forms of mindfulness (Langerian and contemplative) and QOL, anxiety, depression, fatigue, and sleep. Method: Within a larger randomized controlled trial of an online mindfulness-based stress reduction intervention, a cohort of 156 people with MS was recruited and assessed for both mindfulness constructs, QOL, anxiety, depression, fatigue, and sleep problems. Assessments were repeated after 2 and after another 6 months. Results: Both mindfulness constructs were highly correlated with all investigated outcomes. Both Langerian and contemplative mindfulness predicted higher QOL, lower anxiety, depression, fatigue, and sleep, over time. Conclusions: In both approaches dispositional mindfulness is a protective factor against depression, anxiety, fatigue, and sleep in people with MS.     

Personality in multiple sclerosis (MS): impact on health,psychological well-being,coping, and overall quality of life

Personality has long been considered a factor that can account for differences in health, well-being, and overall quality of life (QOL). A ‘Distressed or Type D Personality’ has been studied in medical populations as a predictor of several outcomes. The purpose of the present investigation was to determine the presence of Type D Personality in multiple sclerosis (MS) and its role on disease symptoms, disease management, health-related behaviors, coping, psychological well-being, and overall QOL and functioning. Two hundred and thirty (230) individuals with MS completed a survey assessing personality, disease symptoms, disease management, coping, self-efficacy, locus of control (LOC), psychological well-being, and QOL. Thirty-seven (16%) individuals were found to be ‘Type D+.’ Such individuals reported greater fatigue, pain, depression, and anxiety and worse disease management and adherence. They also reported engaging in maladaptive means of coping. Compared to ‘Type D?’ they reported lower self-efficacy, LOC, QOL and greater perceived stress. Finally, ‘Type D+’ individuals were more likely to be considering leaving the workforce. Findings suggest that ‘Type D’ Personality is associated with various negative outcomes in MS. Consideration of the routine assessment of personality in MS seems warranted and may better inform interventions and ward off poor outcomes.