Cognitive processes in psychological adaptation to miscarriage: A preliminary report

Abstract

Twenty-two women who wished to continue their pregnancies were interviewed several months after their first miscarriage. Levels of anxiety and depression showed an extremely high degree of variability. Cognitive processes in the form of a search for meaning, mastery and self-enhancement hypothesised to be important in adaptation to negative events were assessed. Having an explanation for the miscarriage and the experience leading to a general reappraisal of values were associated with lower levels of intrusive thoughts. A belief in a medical cause was linked to lower anxiety. Women believed that neither they themselves nor their doctors could exert much influence over the outcome of future pregnancies. Stronger belief in personal control was associated with higher anxiety levels. There is a need to consider not only the emotional consequences of miscarriage but also the cognitive mediators influencing such responses and although based upon a small sample this study initiates that process.     

A systematic review and meta-analysis of the Brief Illness Perception Questionnaire

Objective: This paper aims to systematically review the use and performance of the Brief Illness Perception Questionnaire (Brief IPQ).

Design: Electronic databases were searched for papers administering the Brief IPQ published in peer-reviewed journals. Data were extracted from the results for meta-analysis.

Main outcome measures: Use by illness population, country, language and study design. The questionnaire’s concurrent validity, predictive validity, sensitivity to change, discriminant validity and mean scores for different populations were summarised.

Results: The review included 188 papers. The Brief IPQ has been administered to patients from age 8 to over 80, with a wide range of illnesses, in 26 languages from 36 countries. Pooled correlations between illness perceptions and depression, anxiety, blood glucose levels and quality of life were consistent with previous research and theory (range .25–.49 for consequences, identity and emotional representations; ?.12 to ?.27 for personal control). All items were able to predict some outcomes up to one-year follow-up. Each subscale demonstrated sensitivity to change after intervention in randomised controlled trials with the personal control and causal items showing most frequent change.

Conclusions: The Brief IPQ is widely used and has good psychometric properties. More studies should include and analyse the causal item.     

How people make decisions about predictive genetic testing: An analogue study

Abstract

Persons scoring high on negative affectivity (NA) have more subjective health complaints. In this study, we tested the hypothesis that high NA persons are more likely to experience internal sensations as threatening signs of health problems. Low and high NA participants (N=44) were given four breathing trials: one room air trial followed by three trials containing 5.5% CO₂ which induced transient low intensity somatic sensations. Prior to each CO₂ trial, participants received either positive, negative or uncertain labelings of the sensations that might occur. Participants rated the (un)pleasantness of the experienced somatic sensations and the perceived intensity. Also respiratory responses were measured. During CO₂ trials, reliable main effects of information were found but no effects involving NA were observed, neither on pleasantness ratings nor on respiratory responses. However, during room air breathing, high NA participants reported more intense somatic sensations than low NA participants. Post-experimental data suggested that high NA participants had more negative meanings and worries about the consequences of the physical sensations. It is concluded that interpretational biases in high NA is situated at the level of attributional processes.     

The relative role of nicotine dependence and smoking-related cognitions in adolescents’ process of smoking cessation

The present study evaluates the role of distinct components of nicotine dependence (craving, withdrawal, behavioural dependence) in comparison to smoking-related cognitions (attitudes, perceived social approval, self-efficacy) in adolescent smoking cessation. In the process towards smoking cessation, we distinguish between distinct behavioural transitions, respectively, short-term abstinence, reduction in smoking behaviour and prolonged cessation, to evaluate differences in cessation-related antecedents as a function of varying behavioural outcomes. A total of 850 adolescent smokers (age 14–16) participated in the present study. Smoking behaviour was assessed 1 year after baseline. Results showed that all dependence components had a distinct role in the prediction of behavioural change towards cessation. Furthermore, each behavioural transition was predicted by a distinct set of variables, indicating that contributions of cessation-related factors vary across the course towards cessation. Overall, our findings suggest that smoking-related cognitions are particularly relevant in the initiation of behavioural change, such as short-term abstinence, whereas nicotine dependence, craving in particular, becomes increasingly important in the prediction of maintained behavioural change, such as prolonged cessation. Implications encompass enhanced attention to the multidimensional nature of nicotine dependence and the value of comparing different behavioural outcomes in a comprehensive understanding of cessation-related factors.     

Temperament and negative semantic priming in children 7 to 12 years old

The present research assessed whether children with high and low scores on temperament traits differed in their ability to inhibit irrelevant task information in a lexical decision task. Children from 7 to 12 years old were classified based on temperament dimensions measured using a version of the Temperament in Middle Childhood Questionnaire. The participants were instructed to either attend to (and remember) or to ignore a masked prime word followed by a central probe target on which they made a lexical decision. The results revealed several notable outcomes. First of all, recognition memory was better for attended than ignored words, providing further evidence that attention instructions influenced the processing of the primes.

Secondly, although no negative priming effect was obtained in the “ignore” condition, 43% of children showed this effect. Thirdly, children scoring high on Inhibitory Control and Impulsivity showed ignored negative priming, whereas children scoring high on Inhibitory Control and low on Impulsivity ignored facilitation. Data are discussed within the framework of negative priming as a complex phenomenon that involves the interaction of different factors such as age, type of task, and certain temperament traits.     

Negative,zero and positive stiffness in extended Eshelby plates

Structures under loading can show positive and negative stiffness (during buckling) with zero stiffness just being one point of transition. Material structures with extended zero stiffness regimes have also been reported. Using the example of an extended Eshelby plate with a positive and negative edge dislocation, we show the existence of finite regimes of positive, zero and negative stiffness in a single system. Given that stable states/configurations of negative stiffness cannot exist in an isolated system; we show the existence of metastable states of negative stiffness along with unstable states of positive stiffness. The system also exhibits one point of unstable equilibrium.     

Positive affectivity and attentional control moderate the link between negative affectivity and depressed mood

Research and theory suggest that deficits in trait positive affectivity (PA) and in capacity for executive control of attention (i.e., attentional control or AC) may each intensify risk for depressive symptoms associated with high trait negative affectivity (NA). In contrast, high levels of PA and AC should protect against that risk. However, prospective tests of such predictions are rare. Furthermore, if PA and AC both modulate NA-related risk, it remains to be seen if those effects are independent and complementary or if they operate in an overlapping manner. This study assessed baseline temperament and change in depressed mood across one month in a sample of 125 adolescents. Results supported both PA and AC as modulators of NA’s association with changes in depressed mood. Furthermore, results suggested that these modulating effects are largely non-overlapping and complementary, such that when both PA and AC are low, high NA predicts increases in depressed mood. In contrast, high NA predicts decreases in depressed mood when both PA and AC are high. Limitations of these findings, directions for future research, and implications for prevention are discussed.     

Intrusive thoughts mediate the association between neuroticism and cognitive function

Although research has established a negative association between trait neuroticism and cognition, little is known about the mechanisms that underlie this relationship. We examined the tendency to experience intrusive thoughts and negative affect as potential mediators of the relationship between neuroticism and cognitive performance. We hypothesized that the tendency to experience intrusive thoughts reflects ineffective attentional control and would account for the relationship between neuroticism and cognitive performance over and above the mediating effect of negative affect. Three hundred seventeen adults (M_age = 49.43) completed a series of attention-demanding cognitive tasks as well as self-report measures of intrusive thoughts, negative affect, and neuroticism. Intrusive thoughts mediated the association between trait neuroticism and cognitive performance beyond negative affect. These findings are consistent with the hypothesis that the tendency to experience intrusive thoughts is a mechanism through which trait neuroticism influences cognitive performance.     

Character profiles and adolescents’ self-reported affect

Cognitive and behavioral changes during adolescence might be understood from the perspective of increased executive functioning that is expressed as gradual maturing character. Character profiles (combinations of low and high scores in three character traits: Self-directedness, Cooperativeness, and Self-transcendence) of 439 Swedish adolescents were used to evaluate the linear and non-linear relationship between character traits and self-reported positive and negative affect. Linear analysis showed that all three character traits were associated to positive and negative affect. Non-linear analysis showed that Self-directedness was associated with high positive affect and low negative affect when Cooperativeness was high. No association of higher Cooperativeness with positive and negative affect was found. Higher Self-transcendence was associated with higher negative affect when both Self-directedness and Cooperativeness were high. Although, Self-directedness, Cooperativeness, and Self-transcendence are associated to adolescents’ affective experience, these character traits are not associated to positive and negative affect in the same manner or linearly. Self-directedness’s positive relationship to high positive affect and low negative affect was present only when Cooperativeness was high. In other words, an autonomous adolescent (i.e., high Self-directedness) might experience more positive and less negative emotions as long as she/he feels as an integral part of society (i.e., high Cooperativeness).     

Memory for emotional words: The role of semantic relatedness,encoding task and affective valence

Emotional stimuli have been repeatedly demonstrated to be better remembered than neutral ones. The aim of the present study was to test whether this advantage in memory is mainly produced by the affective content of the stimuli or it can be rather accounted for by factors such as semantic relatedness or type of encoding task. The valence of the stimuli (positive, negative and neutral words that could be either semantically related or unrelated) as well as the type of encoding task (focused on either familiarity or emotionality) was manipulated. The results revealed an advantage in memory for emotional words (either positive or negative) regardless of semantic relatedness. Importantly, this advantage was modulated by the encoding task, as it was reliable only in the task which focused on emotionality. These findings suggest that congruity with the dimension attended at encoding might contribute to the superiority in memory for emotional words, thus offering us a more complex picture of the underlying mechanisms behind the advantage for emotional information in memory.