How does mindfulness-based cognitive therapy work?

Mindfulness-based cognitive therapy (MBCT) is an efficacious psychosocial intervention for recurrent depression ( [Kuyken et?al., 2008], [Ma and Teasdale, 2004] and [Teasdale et?al., 2000]). To date, no compelling research addresses MBCT’s mechanisms of change. This study determines whether MBCT’s treatment effects are mediated by enhancement of mindfulness and self-compassion across treatment, and/or by alterations in post-treatment cognitive reactivity. The study was embedded in a randomized controlled trial comparing MBCT with maintenance antidepressants (mADM) with 15-month follow-up (Kuyken et al., 2008). Mindfulness and self-compassion were assessed before and after MBCT treatment (or at equivalent time points in the mADM group). Post-treatment reactivity was assessed one month after the MBCT group sessions or at the equivalent time point in the mADM group. One hundred and twenty-three patients with ≥3 prior depressive episodes, and successfully treated with antidepressants, were randomized either to mADM or MBCT. The MBCT arm involved participation in MBCT, a group-based psychosocial intervention that teaches mindfulness skills, and discontinuation of ADM. The mADM arm involved maintenance on a therapeutic ADM dose for the duration of follow-up. Interviewer-administered outcome measures assessed depressive symptoms and relapse/recurrence across 15-month follow-up. Mindfulness and self-compassion were measured using self-report questionnaire. Cognitive reactivity was operationalized as change in depressive thinking during a laboratory mood induction.MBCT’s effects were mediated by enhancement of mindfulness and self-compassion across treatment. MBCT also changed the nature of the relationship between post-treatment cognitive reactivity and outcome. Greater reactivity predicted worse outcome for mADM participants but this relationship was not evident in the MBCT group.MBCT’s treatment effects are mediated by augmented self-compassion and mindfulness, along with a decoupling of the relationship between reactivity of depressive thinking and poor outcome. This decoupling is associated with the cultivation of self-compassion across treatment.     

The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study

Depression is characterized by a large risk of relapse/recurrence. Mindfulness-based cognitive therapy (MBCT) is a recent non-drug psychotherapeutic intervention to prevent future depressive relapse/recurrence in remitted/recovered depressed patients. In this randomized controlled trial, the authors investigated the effects of MBCT on the relapse in depression and the time to first relapse since study participation, as well as on several mood states and the quality of life of the patients. 106 recovered depressed patients with a history of at least 3 depressive episodes continued either with their treatment as usual (TAU) or received MBCT in addition to TAU. The efficacy of MBCT was assessed over a study period of 56 weeks. At the end of the study period relapse/recurrence was significantly reduced and the time until first relapse increased in the MBCT plus TAU condition in comparison with TAU alone. The MBCT plus TAU group also showed a significant reduction in both short and longer-term depressive mood and better mood states and quality of the life. For patients with a history of at least three depressive episodes who are not acutely depressed, MBCT, added to TAU, may play an important role in the domain of relapse prevention in depression.     

FEELING WITHOUT THINKING: LESSONS FROM THE ANCIENTS ON EMOTION AND VIRTUE-ACQUISITION

Abstract: By briefly sketching some important ancient accounts of the connections between psychology and moral education, I hope to illuminate the significance of the contemporary debate on the nature of emotion and to reveal its stakes. I begin the essay with a brief discussion of intellectualism in Socrates and the Stoics, and Plato's and Posidonius's respective attacks against it. Next, I examine the two current leading philosophical accounts of emotion: the cognitive theory and the noncognitive theory. I maintain that the noncognitive theory better explains human behavior and experience and has more empirical support than the cognitive theory. In the third section of the essay I argue that recent empirical research on emotional contagion and mirroring processes provides important new evidence for the noncognitive theory. In the final section, I draw some preliminary conclusions about moral education and the acquisition of virtue.     

Modeling and estimating recall processing capacity: Sensitivity and diagnostic utility in application to mild cognitive impairment

We investigate the potential for using latency-based measures of retrieval processing capacity to assess changes in performance specific to individuals with mild cognitive impairment (MCI), a reliable precursor state to Alzheimer’s Disease. Use of these capacity measures is motivated in part by exploration of the effects of atrophy on a computational model of a basic hippocampal circuit. We use this model to suggest that capacity may be a more sensitive indicator of the underlying atrophy than speed of processing, and test this hypothesis by adapting a standard behavioral measure of memory (the free and cued selective reminding test, FCSRT) to allow for the collection of cued recall latencies. Participants were drawn from five groups: college-aged, middle-aged, healthy elderly, those with a diagnosis of MCI, and a sample of MCI control participants. The measure of capacity is shown to offer increased classificatory sensitivity relative to the standard behavioral measures, and is also shown to be the behavioral measure that correlated most strongly with hippocampal volume.     

Chess as a Behavioral Model for Cognitive Skill Research: Review of Blindfold Chess by Eliot Hearst and John Knott

This multifaceted work on chess played without sight of the pieces is a sophisticated psychologist's examination of this topic and of chess skill in general, including a detailed and comprehensive historical account. This review builds on Hearst and Knott's assertion that chess can provide a uniquely useful model for research on several issues in the area of cognitive skill and imagery. A key issue is the relationship between viewing a stimulus and mental imagery in the light of blindfold chess masters' consistent reports that they do not use or have images. This review also proposes a methodology for measuring and quantifying an individual's skill shortfall from a theoretical maximum. This methodology, based on a 1951 proposal by Claude Shannon, is applicable to any choice situation in which all the available choices are known. The proposed “Proficiency” measure reflects the equivalent number of “yes—no” questions that would have been required to arrive at a best choice, considering also the time consumed. As the measure provides a valid and nonarbitrary way to compare different skills and the effects of different independent variables on a given skill, it may have a wide range of applications in cognitive skill research, skill training, and education.     

当前阅读研究中眼动指标述评

文章重点介绍了阅读研究中常用的眼动指标,它们包括注视时间、眼跳、回视和瞳孔直径等,从字和区域这两个方面探讨了这些眼动指标所反映的认知加工过程,以及选择这些指标时应该注意的问题。最后对眼动指标的选择和使用等问题提出了几点看法。     

认知心理学视角下的医师告知义务探析

Ellis的ABC理论和Schachter的情绪认知理论及试验说明,个体的认知信念影响情绪和行为反应.也就是说,患者对疾病事件的认知评价直接影响着情绪和行为表现.因此,在认知心理学相关理论指导下,医师对患者履行告知义务时必须遵循准确性原则、个性化原则及艺术性原则等,让患者对疾病事件有充分的知情与信息掌握,帮助患者改变观察问题的角度,正确认知与评价疾病事件,进而以积极、健康的情绪和行为表现来配合医务人员的诊治.     

轻度认知功能障碍与颈动脉狭窄的相关性研究

为了探讨颈动脉狭窄与轻度认知功能障碍(MCI)的关系,选取轻度认知功能障碍病例89例,健康对照组100例,全部行颈动脉彩超检查及简易智能状态量表(MMSE),蒙特利尔认知量表(MoCA),临床痴呆量表(CDR),日常生活能力量表(ADL),汉密尔顿抑郁量表(HAMD)测评.结果发现轻度认知功能障碍组颈动脉狭窄发生率明显高于对照组,左侧发生率明显高于右侧.其中随着狭窄的严重程度增加,患者在延迟回忆、视空间与执行功能、计算力与注意力、语言能力方面评分显著下降.从这一结果可以看出轻度认知功能障碍与颈动脉狭窄密切相关.     

宗教研究的认知科学新取向

宗教认知科学是新近出现的从认知和进化的角度研究宗教的分支学科。主要有认知副产物和社会适应两种理论。认知副产物理论认为宗教信仰是人类认知倾向的副产物;社会适应理论认为宗教信仰促进群体的团结合作,是一个精巧的社会适应机制,有助于群体的自然选择。两种理论引发了系列的实验研究,由于宗教认知科学仍处于理论研究向实证研究的过渡阶段,未来需统一概念,加强实验范式的建立,更多地借助认知科学的方法和工具开展实证研究。     

一种多级评分的广义认知诊断模型

认知诊断是近些年教育测量研究中的热点,大多数的认知诊断模型仅适用于0～1评分的情况.本文提出一种有多个潜变量多个滑动参数的多级评分认知诊断模型——GP-D1NA,只要由评分标准和知识状态能确定理想反应模式,就可以利用此方法进行认知诊断分析.在该方法中,我们给出项目滑动矩阵的概念,将被试的观测得分均看成由某个理想得分的滑动,并采用EM算法估计滑动矩阵.在模拟研究中,采用每掌握一个属性得1分的评分标准,结果表明线性型、收敛型、发散型、无结构型和独立型五种属性层级结构均有较高的判准率.