Attention Modification in Persons with Fibromyalgia: A Double Blind,Randomized Clinical Trial

Contemporary models of chronic musculoskeletal pain emphasize the critical roles of fear, anxiety, and avoidance as well as biases in attention in the development and maintenance of chronic pain disability. Evidence supports the influence of individual difference variables such as anxiety sensitivity, pain-related anxiety, and catastrophizing on the pain experience and on pain-related attentional biases. Changes in attentional biases have been associated with treatment gains in patients with clinically significant anxiety. The Attentional Modification Paradigm (AMP) is a modification of the dot-probe paradigm used to facilitate such changes in attentional biases. Given the relationship between chronic musculoskeletal pain and anxiety, AMP may be effective in reducing pain as well. Participants included persons (n = 17) with fibromyalgia and were randomly assigned to either an AMP condition or a control condition. The participants completed two 15-minute AMP sessions per week for 4 weeks. Those in the AMP condition reported statistically significant and substantial reductions on several individual difference variables relative to those in the control condition, and a greater proportion experienced clinically significant reductions in pain. These preliminary results offer a promising new avenue for treating chronic musculoskeletal pain that warrants additional research. Comprehensive results, limitations, and future directions are discussed.     

儿童早期情绪性对学步期父母养育方式的影响

运用追踪设计和分层回归分析, 探究了281名儿童6个月和14个月时的受限后沮丧、恐惧和微笑大笑如何影响24个月时父母养育方式, 以及这种影响是否随儿童年龄增长而变化。研究结果显示:(1)6个月时, 仅受限后沮丧能正向预测24个月时母亲严厉的养育方式, 14个月时受限后沮丧仍能正向预测母亲的严厉, 恐惧也能正向预测母亲的保护担忧, 而微笑大笑能正向预测母亲的接受, 负向预测母亲的严厉和保护担忧;(2)6个月时, 儿童的受限后沮丧能正向预测24个月时父亲的严厉和保护担忧, 14个月儿童的受限后沮丧仍能正向预测24个月时父亲的严厉。     

Cognitive risk factors explain the relations between neuroticism and social anxiety for males and females

The hierarchical model of vulnerabilities to emotional distress contextualizes the relation between neuroticism and social anxiety as occurring indirectly through cognitive risk factors. In particular, inhibitory intolerance of uncertainty (IU; difficulty in uncertain circumstances), fear of negative evaluation (FNE; fear of being judged negatively), and anxiety sensitivity (AS) social concerns (fear of outwardly observable anxiety) are related to social anxiety. It is unclear whether these risk factors uniquely relate to social anxiety, and whether they account for the relations between neuroticism and social anxiety. The indirect relations between neuroticism and social anxiety through these and other risk factors were examined using structural equation modeling in a sample of 462 individuals (M age = 36.56, SD = 12.93; 64.3% female). Results indicated that the relations between neuroticism and social anxiety could be explained through inhibitory IU, FNE, and AS social concerns. No gender differences were found. These findings provide support for the hierarchical model of vulnerabilities to emotional distress disorders, although the cognitive risk factors accounted for variance beyond their contribution to the relation between neuroticism and social anxiety, suggesting a more complex model than that expressed in the hierarchical model of vulnerabilities.     

The role of fear in predicting sexually transmitted infection screening

Objective: This study assessed the extent to which social-cognitive factors (attitude, subjective norm and perceived control) and the fear of a positive test result predict sexually transmitted infection (STI) screening intentions and subsequent behaviour.

Design: Study 1 (N = 85) used a longitudinal design to assess the factors that predict STI screening intention and future screening behaviour measured one month later at Time 2. Study 2 (N = 102) used an experimental design to determine whether the relationship between fear and screening varied depending on whether STI or HIV screening was being assessed both before and after controlling for social-cognitive factors.

Main Outcome Measures: Across the studies the outcome measures were sexual health screening.

Results: In both studies, the fear of having an STI positively predicted STI screening intention. In Study 1, fear, but not the social-cognitive factors, also predicted subsequent STI screening behaviour. In Study 2, the fear of having HIV did not predict HIV screening intention, but attitude negatively and response efficacy positively predicted screening intention.

Conclusion: This study highlights the importance of considering the nature of the health condition when assessing the role of fear on health promotion.     

Recalcitrant Fears of Death

According to what I will refer to as judgmentalist approaches to the fear of death (JFD), the fear of death conforms to the structure implied by judgmentalist theories of emotion. JFD holds that fears of death are constituted in part by evaluative judgments or beliefs about one’s own death. Although many philosophers endorse JFD (explicitly or implicitly), there is good reason to believe that it may be problematic. For, there is a troubling (and, for the purposes of this discussion, rather interesting) objection to judgmentalist theories of emotion; if judgmentalism is false, then so too is JFD. In brief, the worry with judgmentalist theories is this: it is sometimes the case that one has an emotion, but holds a belief (or beliefs) that is in tension with the emotion. For example, I sometimes fear flying despite the fact that I believe flying is not dangerous. Emotions of this sort are often referred to as recalcitrant emotions, and they are widely thought to pose a serious challenge to judgmentalist theories. In this paper, I consider an objection to JFD based on the existence of recalcitrant bouts of the fear of death. I include in this discussion an Epicurean-inspired solution to the problem of emotional recalcitrance. Although I argue this solution may be ultimately unsuccessful, I believe it is still worth considering. For, in most discussions of the problem of emotional recalcitrance, philosophers abandon judgmentalism in favour of some other theory of emotion. The Epicurean-inspired solution I discuss in this paper, however, may allow one to retain one’s commitment to judgmentalism.     

Fear of crime and community concerns: Mediating effect of risk and pragmatic fear

This study investigates the relationship between community concerns (i.e., perceived crime, incivilities, and infrastructure) and fear of crime (FOC) while examining the mediating role of risk of victimisation and pragmatic fear. Gender and ethnic differences were also explored. Data were collected using a proportionate multistage random sample of 3,003 participants from a southern Caribbean island in 2015. The following self‐reported measures were used: risk of victimisation and FOC scales, a general (noncrime) fear scale measuring pragmatic fear, and a community concern scale. Data were analysed using path analysis, Sobel tests, and multiple group analysis. Findings revealed that perceived crime and incivilities significantly predicted FOC, whereas infrastructure was insignificant as a direct predictor. Females had higher FOC, and among ethnic groups, Indo‐Trinidadians had the highest FOC than Afro‐Trinidadians and Mixed participants. Risk of victimisation and pragmatic fear had significant mediating effects on community concerns and FOC. Findings are discussed in the context of the social psychology of social disorganisation and previous research.     

Thinking styles and risky decision‐making: Further exploration of the affect–probability weighting link

People usually overweight small probabilities and underweight large probabilities leading to the familiar inverse S‐shaped weighting function. This research explores the link between affect and the structure of probability weighting from the perspective of thinking dispositions, a concept central to dual system theories of reasoning. The effects of affective priming and cognitive load on both probability weighting and the value function are also examined. The evidence suggests that thinking styles do have predictive implications for risky decision‐making. Participants with a more affective thinking style tend to be more risk‐seeking in small probability gambles. However, increasing access to the affective system by affective priming or cognitive load manipulations tend to reduce risk‐seeking behavior in small probability gambles as well as reduce risk averse behavior in large probability gambles. Previous research, manipulating the affective nature of lottery outcomes, found evidence for an increase in curvature (more overweighting of small probabilities and more underweighting of large probabilities) of the weighting function for affect‐rich outcomes, lending support to a hope‐and‐fear deconstruction of probability weighting. The present research suggests that increased anticipatory emotions characterized by the elevation of the weighting function (more overweighting at all probabilities) is also important and could sometimes be more significant than hope‐and‐fear in decision‐making under risk. An integrated approach incorporating the impact of affect on all three, the elevation and curvature of probability weighting as well as the curvature of the value function explains the empirical findings. Copyright © 2010 John Wiley & Sons, Ltd.     

Skin-transmitted pathogens and the heebie jeebies: evidence for a subclass of disgust stimuli that evoke a qualitatively unique emotional response

Skin-transmitted pathogens have threatened humans since ancient times. We investigated whether skin-transmitted pathogens were a subclass of disgust stimuli that evoked an emotional response that was related to, but distinct from, disgust and fear. We labelled this response “the heebie jeebies”. In Study 1, coding of 76 participants’ experiences of disgust, fear, and the heebie jeebies showed that the heebie jeebies was elicited by unique stimuli which produced skin-crawling sensations and an urge to protect the skin. In Experiment 2,350 participants’ responses to skin-transmitted pathogen, fear-inducing, and disgust-inducing vignettes showed that the vignettes elicited sensations and urges which loaded onto heebie jeebies, fear, and disgust factors, respectively. Experiment 3 largely replicated findings from Experiment 2 using video stimuli (178 participants). Results are consistent with the notion that skin-transmitted pathogens are a subclass of disgust stimuli which motivate behaviours that are functionally consistent with disgust yet qualitatively distinct.     

Thinking high but feeling low: An exploratory cluster analysis investigating how implicit and explicit spider fear co-vary

Research has demonstrated large differences in the degree to which direct and indirect measures predict each other and variables including behavioural approach and attentional bias. We investigated whether individual differences in the co-variance of “implicit” and “explicit” spider fear exist, and whether this covariation exerts an effect on spider fear-related outcomes. One hundred and thirty-two undergraduate students completed direct and indirect measures of spider fear/avoidance, self-report questionnaires of psychopathology, an attentional bias task, and a proxy Behavioural Approach Task. TwoStep cluster analysis using implicit and explicit spider fear as criterion variables resulted in three clusters: (1) low explicit/low implicit; (2) average explicit/high implicit; and (3) high explicit/low implicit. Clusters with higher explicit fear demonstrated greater disgust propensity and sensitivity and less willingness to approach a spider. No differences between clusters emerged on anticipatory approach anxiety or attentional bias. We discuss results in terms of dual-systems and cognitive–behavioural models of fear.     

Emotion regulation of fear and disgust: differential effects of reappraisal and suppression

Although excessive fear has been central to traditional conceptualisations of the anxiety disorders, recent research suggests that disgust may also play a role in the development of some anxiety disorders. While dysregulation of emotion may confer risk for the development of anxiety disorders, it remains unclear if there are differences in the extent to which fear and disgust can be effectively regulated. To fill this important gap in the literature, unselected participants (N?=?95) experienced fear or disgust via video exposure, and they were instructed to employ either reappraisal or suppression to regulate their emotional experience while viewing the videos. For those exposed to fear-relevant content, change in emotional distress did not significantly differ between those that suppressed and those that reappraised. However, significantly less emotional distress was observed for those that reappraised compared to those that suppressed when exposed to disgust-relevant content. Although physiological arousal varied over time as a function of the emotional content of the videos, it did not vary as a function of emotion regulation strategy employed. These findings suggest that reappraisal may be especially effective in regulating verbal distress when exposed to disgusting cues in the environment. The implications of these findings for the treatment of anxiety disorders that are characterised by excessive disgust reactions will be discussed.