认知疲劳效应对内隐记忆与外显记忆的影响

本研究通过比较内隐记忆与外显记忆受到认知疲劳影响的情况,以了解内隐记忆的自动化加工机制。实验采用被试内设计,使用词汇判断与词汇再认任务测量内隐记忆与外显记忆。实验结果发现,相对于控制组,疲劳组的被试在完成疲劳任务后内隐记忆成绩显著下降,而外显记忆没有受到影响。结果说明相对于外显记忆,内隐记忆更容易受到认知疲劳影响。内隐记忆虽然是无意识的认知加工,但是与其他自动化加工具有不同的特征。     

Phenotypes of sleeplessness: stressing the need for psychodiagnostics in the assessment of insomnia

Insomnia is a too general term for various subtypes that might have different etiologies and therefore require different types of treatment. In this explorative study we used cluster analysis to distinguish different phenotypes in 218 patients with insomnia, taking into account several factors including sleep variables and characteristics related to personality and psychiatric comorbidity. Three clusters emerged from the analysis. The ‘moderate insomnia with low psychopathology’-cluster was characterized by relatively normal personality traits, as well as normal levels of anxiety and depressive symptoms in the presence of moderate insomnia severity. The ‘severe insomnia with moderate psychopathology’-cluster showed relatively high scores on the Insomnia Severity Index and scores on the sleep log that were indicative for severe insomnia. Anxiety and depressive symptoms were slightly above the cut-off and they were characterized by below average self-sufficiency and less goal-directed behavior. The ‘early onset insomnia with high psychopathology’-cluster showed a much younger age and earlier insomnia onset than the other two groups. Anxiety and depressive symptoms were well above the cut-off score and the group consisted of a higher percentage of subjects with comorbid psychiatric disorders. This cluster showed a ‘typical psychiatric’ personality profile. Our findings stress the need for psychodiagnostic procedures next to a sleep-related diagnostic approach, especially in the younger insomnia patients. Specific treatment suggestions are given based on the three phenotypes.     

Men’s experience of a guided self-help intervention for hot flushes associated with prostate cancer treatment

Up to 80% of men who receive androgen deprivation therapy report hot flushes and for many these are associated with reduced quality of life. However it is recognised that there are a number of barriers to men’s engagement with support to manage symptoms and improve quality of life. This qualitative study was embedded within a larger randomised controlled trial (MANCAN) of a guided self-help cognitive behavioural intervention to manage hot flushes resulting among men receiving androgen deprivation therapy. The study aimed to explore the engagement and experiences with the guided self-help intervention. Twenty men recruited from the treatment arm of the MANCAN trial participated in a semi-structured interview exploring acceptability of the intervention, factors affecting engagement and perceived usefulness of the intervention. Interviews were audio-recorded, transcribed verbatim and analysed using a Framework approach. Over two thirds of respondents (69%) reported reading the intervention booklet in full and over 90% reporting practising the relaxation CD at least once a week. Analysis of the interviews identified three super-ordinate themes and these related to changes in hot flush symptomatology (learned to cope with hot flushes in new ways), the skills that participants had derived from the intervention (promoting relaxation and reducing stressors), and to a broader usefulness of the intervention (broader impact of the intervention and skills). The present study identified positive engagement with a guided self-help intervention and that men applied the skills developed through the intervention to help them undertake general lifestyle changes. Psycho-educational interventions (e.g. cognitive behaviour therapy, relaxation, and positive lifestyle elements) offer the potential to be both effective and well received by male cancer survivors.     

Self‐efficacy or perceived behavioural control: Which influences consumers' physical activity and healthful eating behaviour maintenance?

This research investigated the role of a commercial program, Michelle Bridges 12 Week Body Transformation (MB12WBT), that uses a variety of tools including social support to influence weight management behaviours such as exercising and eating healthfully. The need for research into weight management remains current given obesity rates have continued to increase in recent decades. Weight management is a complex behaviour that for many consumers involves barriers that influence their commitment to continue exercising and eating healthily. The Theory of Planned Behaviour is frequently used to explain, and to a lesser extent predict, behaviours such as physical activity and healthy eating; however, there is much debate as to whether a perceived behavioural control variable or self‐efficacy is the best predictor of behaviour. Structural equation modelling was used to analyse data from a sample of 724 respondents who answered a baseline and three month follow‐up survey. The analysis revealed self‐efficacy and perceived behavioural control were two distinct constructs. Self‐efficacy was a better predictor of behaviour than perceived behavioural control variables as suggested in the original Theory of Planned Behaviour. Furthermore, self‐efficacy had a significant impact on exercising and eating healthfully behaviour. The findings and implications for both behaviour change theory and practice are discussed.     

自我损耗对工作场所安全的影响及缓解途径

员工安全行为是工作场所安全的重要保障,而自我控制资源损耗会对安全行为产生负面影响。研究拟借鉴自我控制资源有限模型,结合行为和生理指标,探讨工作要求和辱虐管理通过损耗个体自我控制资源对安全行为的影响,并从特质自我控制和自动化安全趋近倾向两个角度探索上述效应的缓解机制。此外,研究拟采用心率变异性作为自我损耗的生理测量。研究有助于从自我控制资源的角度理解员工不安全行为的影响因素、发生机制和缓解方法。     

奖赏对海洛因成瘾者执行功能的影响机制

一些研究发现海洛因成瘾者奖赏失调表现为:对海洛因相关线索的注意偏向、渴求感增加,对金钱奖赏表现出"即时收益优先"的高风险决策模式和对长时收益的敏感性降低。另一些研究发现海洛因成瘾者的执行功能存在障碍。奖赏失调和执行功能障碍在成瘾物质使用的维持和复吸中起着重要作用。双重竞争模型认为奖赏和执行功能的交互作用决定着行为的结果,但是奖赏对海洛因成瘾者执行功能的影响机制还不清楚。因此,拟使用事件相关电位技术来考察海洛因相关线索和金钱奖赏对不同戒断期成瘾者执行功能的影响机制,短期(1~3个月)、长期(18个月以上)海洛因戒断者和健康对照组被比较。这不仅有助于构建完善的成瘾理论体系,还有助于确定临床戒断后复吸的风险因素和不同戒断期的治疗目标。     

Executive dysfunction affects word list recall performance: Evidence from amyotrophic lateral sclerosis and other neurodegenerative diseases

The Rey Auditory Verbal Learning Test (RAVLT) is widely used in clinical practice to evaluate verbal episodic memory. While there is evidence that RAVLT performance can be influenced by executive dysfunction, the way executive disorders affect the serial position curve (SPC) has not been yet explored. To this aim, we analysed immediate and delayed recall performances of 13 non‐demented amyotrophic lateral sclerosis (ALS) patients with a specific mild executive dysfunction (ALSci) and compared their performances to those of 48 healthy controls (HC) and 13 cognitively normal patients with ALS. Moreover, to control for the impact of a severe dysexecutive syndrome and a genuine episodic memory deficit on the SPC, we enrolled 15 patients with a diagnosis of behavioural variant of frontotemporal dementia (bvFTD) and 18 patients with probable Alzheimer's disease (AD). Results documented that, compared to cognitively normal subjects, ALSci patients had a selective mid‐list impairment for immediate recall scores. The bvFTD group obtained low performances with a selectively increased forgetting rate for terminal items, whereas the AD group showed a disproportionately large memory loss on the primary and middle part of the SPC for immediate recall scores and were severely impaired in the delayed recall trial. These results suggested that subtle executive dysfunctions might influence the recall of mid‐list items, possibly reflecting deficiency in control strategies at retrieval of word lists, whereas severer dysexecutive syndrome might also affect the recall of terminal items possibly due to attention deficit or retroactive interference.     

Study of behavioural and neural bases of visuo‐spatial working memory with an fMRI paradigm based on an n‐back task

The goal of this study was to propose a new functional magnetic resonance imaging (fMRI) paradigm using a language‐free adaptation of a 2‐back working memory task to avoid cultural and educational bias. We additionally provide an index of the validity of the proposed paradigm and test whether the experimental task discriminates the behavioural performances of healthy participants from those of individuals with working memory deficits. Ten healthy participants and nine patients presenting working memory (WM) deficits due to acquired brain injury (ABI) performed the developed task. To inspect whether the paradigm activates brain areas typically involved in visual working memory (VWM), brain activation of the healthy participants was assessed with fMRIs. To examine the task's capacity to discriminate behavioural data, performances of the healthy participants in the task were compared with those of ABI patients. Data were analysed with GLM‐based random effects procedures and t‐tests. We found an increase of the BOLD signal in the specialized areas of VWM. Concerning behavioural performances, healthy participants showed the predicted pattern of more hits, less omissions and a tendency for fewer false alarms, more self‐corrected responses, and faster reaction times, when compared with subjects presenting WM impairments. The results suggest that this task activates brain areas involved in VWM and discriminates behavioural performances of clinical and non‐clinical groups. It can thus be used as a research methodology for behavioural and neuroimaging studies of VWM in block‐design paradigms.     

Persistence during and resurgence following noncontingent reinforcement implemented with and without extinction

Noncontingent reinforcement (NCR) is typically implemented with extinction (EXT) for destructive behavior reinforced by social consequences and without EXT for destructive behavior reinforced by sensory consequences. Behavioral momentum theory (BMT) predicts that responding will be more persistent, and treatment relapse in the form of response resurgence more likely, when NCR is implemented without EXT due to the greater overall rate of reinforcement associated with this intervention. We used an analogue arrangement to test these predictions of BMT by comparing NCR implemented with and without EXT. For two of three participants, we observed more immediate reductions in responding during NCR without EXT. However, for all participants, NCR without EXT produced greater resurgence than NCR with EXT when we discontinued all reinforcers during an EXT Only phase, although there was variability in response patterns across and within participants. Implications for treatment of destructive behavior using NCR are discussed.     

Further analysis of subtypes of automatically reinforced SIB: A replication and quantitative analysis of published datasets

Hagopian, Rooker, and Zarcone (2015) evaluated a model for subtyping automatically reinforced self‐injurious behavior (SIB) based on its sensitivity to changes in functional analysis conditions and the presence of self‐restraint. The current study tested the generality of the model by applying it to all datasets of automatically reinforced SIB published from 1982 to 2015. We identified 49 datasets that included sufficient data to permit subtyping. Similar to the original study, Subtype‐1 SIB was generally amenable to treatment using reinforcement alone, whereas Subtype‐2 SIB was not. Conclusions could not be drawn about Subtype‐3 SIB due to the small number of datasets. Nevertheless, the findings support the generality of the model and suggest that sensitivity of SIB to disruption by alternative reinforcement is an important dimension of automatically reinforced SIB. Findings also suggest that automatically reinforced SIB should no longer be considered a single category and that additional research is needed to better understand and treat Subtype‐2 SIB.