Striving Towards Empowerment and Medication Adherence (STEP-AD): A Tailored Cognitive Behavioral Treatment Approach for Black Women Living With HIV

In the U.S. Black women with HIV face numerous psychosocial challenges, particularly trauma, racism, HIV-related discrimination, and gender role expectations, that are associated with negative HIV health outcomes and low medical treatment adherence. Yet many of these factors are unaddressed in traditional cognitive behavioral approaches. This study presents a case series of a tailored cognitive behavioral treatment approach for Black women living with HIV. Striving Towards EmPowerment and Medication Adherence (STEP-AD) is a 10-session treatment aimed at improving medication adherence for Black women with HIV by combining established cognitive behavioral strategies for trauma symptom reduction, strategies for coping with race- and HIV-related discrimination, gender empowerment, problem-solving techniques for medication adherence, and resilient coping. A case series study of five Black women with HIV was conducted to evaluate the preliminary acceptability and feasibility of the treatment and illustrate the approach. Findings support the potential promise of this treatment in helping to improve HIV medication adherence and decrease trauma symptoms. Areas for refinement in the treatment as well as structural barriers (e.g., housing) in the lives of the women that impacted their ability to fully benefit from the treatment are also noted.     

Differences in performance in CAMCOG-R domains between old and oldest old patients with Alzheimer’s disease

The purpose of this study is to evaluate the neuropsychological performance in a ≥90-year-old population with Alzheimer disease (AD) in comparison with younger elderly patients. We retrospectively studied all patients with AD attended in a specialized clinic between 1999 and 2011. Age, sex, educational level, and sensory loss data were collected. Neuropsychological evaluation included Mini-Mental State Examination and Global Deterioration Scale. We used the eight Cambridge Cognitive Assessment (CAMCOG-R) domains to evaluate and compare the neuropsychological performance in the younger than 90 years old (<90) and older than 90 years old (≥90) groups. We selected 2931 patients, 2897 <90 (98.83%) and 34 ≥90 years old (1.17%). The ≥90 group had significant lower punctuations in memory, praxis, and abstract thinking CAMOCG-R domains with 1.49, 0.75, and 0.58 less points, respectively, (p < 0.05). Neuropsychological characteristics of cognitive decline seem to be different in ≥90 compared to <90 years old patients. According to age, the biggest differences in the CAMCOG-R performance are in the memory, praxis, and abstract thinking domains.     

心理虐待对儿童认知情绪调节策略的影响：人格特质的中介作用

采用儿童认知情绪调节问卷、儿童版艾森克人格问卷、儿童心理虐待量表对405名8～12岁儿童进行研究,考察人格特质在心理虐待对认知情绪调节策略关系中的中介作用。结果发现：(1)儿童心理虐待与不适应性认知情绪调节策略呈显著正相关;儿童神经质与不适应性认知情绪调节策略呈显著正相关儿童内外倾与适应性认知情绪调节策略呈显著正相关(2)儿童神经质在心理虐待与儿童不适应性认知情绪调节策略关系间起到完全中介作用（3）该中介模型具有性别和年龄的测量等值性。研究结果显示,儿童心理虐待可以通过神经质的中介作用影响不适应性认知情绪调节策略。     

Science‐based interviewing: Information elicitation

This article describes an ethical and effective science‐based model of interviewing. An initial planning phase assists the investigative team in separating facts from inferences, decreases the likelihood of errors based on cognitive biases, and prompts careful preparation of the environment. The interview begins with an explanation of why the subject is being questioned. The interviewer then metaphorically hands the interview over to the subject, making him the talker and the interviewer the listener. The interviewer engages in active listening, soliciting as much information from the subject as possible by deploying tactics that enhance memory based on science, including elements of the cognitive interview. Cues to deception are found in the details of the story, rather than in signs of anxiety or nonverbal behaviours, and by deploying Strategic Use of Evidence. This model has been shown to increase cooperation, decrease resistance, and provoke useful information in real‐world criminal interviews.     

Positive memory enhancement training for individuals with major depressive disorder

When in a negative mood state, individuals with major depressive disorder (MDD) may have difficulties recalling positive autobiographical memories in a manner that repairs that negative mood. Using cognitive bias modification techniques, investigators have successfully altered different aspects of cognition among individuals with MDD. However, little has been done to investigate the modification of positive autobiographical memory recall. This study examined the impact of a novel positive memory enhancement training (PMET) on the memories and subjective affective experiences of individuals with MDD (N = 27). Across a series of trials, participants first recalled a sad memory to elicit a negative mood state. They then recalled a happy memory and completed procedures to elicit a vivid, here-and-now quality of the memory. PMET procedures were hypothesized to promote mood repair via the recall of increasingly vivid and specific positive memories. PMET participants demonstrated improved memory specificity and greater perceived ability to “relive” positive memories. The procedures also repaired mood; PMET participants’ affect following recall of positive memories did not differ from control participants’ affect following recall of neutral memories. Results provide preliminary support for PMET as a method to improve the quality of positive memories and facilitate emotion regulation in MDD.     

谣言传播的情境、内容、传播者与受众特征及相关认知神经科学研究

什么样的谣言更容易获取信任、得到传播？面对谣言,为何有人理性批判,有人则毫不犹豫地点“赞”、转发？这是大众和研究者们共同关注的问题。本文主要从情境、内容特征、传播者与受众特征这三个维度论述了影响谣言传播的因素。从情境特征来看,谣言在模糊且具有潜在威胁的情境中更易传播,封闭的舆论场也助长了谣言传播;从内容特征来看,包含适当情绪内容、针对特定对象的谣言更易得到传播;从传播者与受众特征来看,一方面,可靠消息源会增强人们的传播意愿;另一方面,受众的认知局限、人格特质、动机、价值观等,均可能造成认知偏差或歪曲,助长谣言传播。以往研究多采用问卷调查法,今后需要更多严格控制变量的实验研究,从行为和神经层面深入探讨谣言传播的机制。最后,社交媒体数据采集与分析技术的发展,尤其是计算传播学等交叉学科的发展,为谣言传播研究提供了新的思路和方法。     

情绪性记忆的定向遗忘效应

刺激的情绪性具有增强记忆的效果,那么,带有情绪信息的刺激对遗忘又会产生怎样的影响？已有研究从行为及认知神经机制层面探讨了情绪性刺激对定向遗忘效应的影响,但结果并不一致。总结已有文献发现,以情绪性刺激的材料类型、情绪效价、唤醒度和熟悉度为主的客观因素和以被试的情绪状态为主的主观因素均为影响定向遗忘效应产生及其稳定性的重要原因。这类研究是对有意遗忘研究领域的重要补充,也加深了人们对有意遗忘机制的理解。