Establishing a trait anxiety threshold that signals likelihood of anxiety disorders

Abstract

Evidence suggests that the State Trait Inventory for Cognitive and Somatic Anxiety (STICSA) may be a more pure measure of anxiety than other commonly used scales. Further, the STICSA has excellent psychometric properties in both clinical and nonclinical samples. The present study aimed to extend the utility of the STICSA – Trait version by identifying a cut-off score that could differentiate a group of clinically diagnosed anxiety disorder patients (n=398) from a group of student controls (n =439). Two receiver operating characteristic curve analyses indicated cut-off scores of 43 (sensitivity=.73, specificity=.74, classification accuracy=.74) and 40 (sensitivity=.80, specificity=.67, classification accuracy=.73), respectively. In a large community sample (n =6685), a score of 43 identified 11.5% of individuals as probable cases of clinical anxiety, while a score of 40 identified 17.0% of individuals as probable cases of clinical anxiety. As a result of differences in sensitivity and specificity, the present findings suggest a cut-off score of 43 is optimal to identify probable cases of clinical anxiety, while a cut-off score of 40 is optimal to screen for the possible presence of anxiety disorders.     

Treating Survivors of Terrorism While Adversity Continues

Abstract

The current situation in Israel of continuous terrorist attacks poses unique challenges to the treatment of Posttraumatic Stress Disorder (PTSD). This article addresses issues that arise when treating survivors of ongoing terrorism. These include: (a) Is PTSD treatable during ongoing adversity? (b) When should treatment be offered? (c) Is avoidance maladaptive or adaptive? (d) How does one deal with re-exposure? (e) How to define the end of treatment? and (f) What are the effects on the therapist when conducting treatment during ongoing adversity? Case studies are provided to illustrate these issues when treating clients with PTSD during ongoing terror.     

Event Centrality,Posttraumatic Cognitions,and the Experience of Posttraumatic Growth

This study tested the extent to which negative appraisals following traumatic events and the centrality of traumatic events predicted posttraumatic growth (PTG; Tedeschi &; Calhoun, 1996 Tedeschi, R. G. and Calhoun, L. G. 1996. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9: 76–80. [Crossref] , [Google Scholar]). Participants were 405 undergraduates at a Midwestern university who reported experiencing at least one traumatic event. Regression analyses indicated that the centrality of the event was a significant predictor for all five domains of PTG. Negative appraisals of the world were related to some domains of growth, but neither negative cognitions about the self nor self-blame was a significant predictor of any of the growth domains. Interpretation of these results is considered in light of the consistencies with Janoff-Bulman's (2004) Janoff-Bulman, R. 2004. Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15: 30–34. [Crossref], [Web of Science ®] , [Google Scholar] explanatory models of development of PTG.     

When do ratings implicate perception versus judgment? The “overgeneralization test” for top-down effects

ABSTRACT

When looking at an object—say, a banana—we can both directly perceive its visual qualities (e.g., its size) and also make higher-level judgments about its visual and non-visual properties (e.g., not only its size, but also its cost). Suppose you obtain a rating of a property such as size. Does that rating implicate seeing or merely higher-level judgment? The answer often matters a great deal -- e.g., determining whether such ratings imply “top-down” effects of cognition on perception. Too often, however, this distinction is ignored in empirical investigations of such effects. Here we suggest a simple test for when such ratings can be used to implicate perception: whenever the very same experiment “overgeneralizes” to an unambiguously non-perceptual factor, the results cannot be used to draw implications about perception, per se. As a case study, we investigate an empirical report alleging that conservatives perceive Barack Obama as darker skinned than liberals do. Two simple experiments show that the very same effects, measured via the same “representativeness” ratings, obtain with unambiguously non-perceptual and even silly factors (involving bright red horns vs. halos, rather than brightness differences). We suggest that this renders such methods unable to implicate visual processing and we recommend that “overgeneralization tests” of this type always be conducted in such contexts.     

From a fixation on sports to an exploration of mechanism: The past,present, and future of hot hand research

We review the literature on the hot hand fallacy by highlighting the positive and negative aspects of hot hand research over the past 20 years, and suggesting new avenues of research. Many researchers have focused on criticising Gilovich et al.'s claim that the hot hand fallacy exists in basketball and other sports, instead of exploring the general implications of the hot hand fallacy for human cognition and probabilistic reasoning. Noting that researchers have shown that people perceive hot streaks in a gambling domain in which systematic streaks cannot possibly exist, we suggest that researchers have paid too much attention to investigating the independence of outcomes in various sporting domains. Instead, we advocate a domain-general mechanistic approach to understanding the hot hand fallacy, and conclude by suggesting approaches that might refocus the literature on the important general implications of the hot hand fallacy for human probabilistic reasoning.     

Follower need for cognitive closure as moderator of the effectiveness of leader procedural fairness

Leader procedural fairness is an important factor in leadership effectiveness, but the study of the contingencies of its influence is still in its infancy. Addressing this issue we focus on the moderating role of follower need for cognitive closure, the disposition to reduce uncertainty and swiftly reach closure in judgement and decision. We propose that need for closure captures followers sensitivity to the uncertainty-reducing influence of leader procedural fairness. Across three studies designed to yield complementary evidence (two surveys and a scenario experiment), we find support for the hypothesis that perceived leader procedural fairness has a stronger (positive) relationship with leadership effectiveness for followers higher in need for closure. This support is found across a variety of indicators reflecting different aspects of leadership effectiveness: effort and performance, social identification, job satisfaction, and leader evaluations. We discuss how these findings advance our understanding of the uncertainty-reducing role of leader fairness.     

Book reviews

This paper begins with a critical evaluation of British counselling psychology's aspirations for a scientific basis and considers some of the consequences in terms of theoretical assumptions and research practice. Through identifying certain empirical, theoretical and ideological problems inherent in the dominant tradition of quantifying inferred cognitive constructs (using the example of trainee self-talk), an alternative framework of discursive psychology is simultaneously introduced. the argument is made for a discursive study of storied meanings by trainee counselling psychologists about themselves and their work. This would potentially address two pivotal research areas. First, it affords both a personal and yet socially embedded framework for an increased understanding and more sensitive evaluation of the training process (with its acquisition of skills, knowledge, experience, competencies, etc.). Second, it offers an alternative approach to the problematic area of understanding unique and generic interactions between practitioners and their preferred psychological model(s) of therapy, thus challenging the theoretical and research cul-de-sac of competing modernist visions of purism, eclecticism and integration. Extending from these observations two research possibilities are suggested.     

Effects of age on attention level: changes in performance between the ages of 12 and 90

ABSTRACT

The purpose of the present study was to assess the changes in attention level among individuals between the ages of 12 and 90 years. A cross-sectional design was used, with each participant tested once by means of the Mathematics Continuous Performance Test (MATH-CPT). Participants were 496 males and females who were divided into eight age-groups, with each group spanning a period of ten years. Attention level was assessed through comparison with nine variables assessing attention. As people aged, significant reductions in the quality of performance emerged on the five main measures of the MATH-CPT: Two of the four sustained attention variables showed an improvement with age. The peak attention level was in the 30 to a 40-age range, after that, there was a constant decline in the level of attention. The study offers encouraging results with respect to the effect of aging on cognitive functioning and specifically sustained attention.     

Everyday Cognitive Functioning in Cardiac Patients: Relationships Between Self-report,Report of a Significant Other and Cognitive Test Performance

ABSTRACT

Candidates for cardiac bypass surgery often experience cognitive decline. Such decline is likely to affect their everyday cognitive functioning. The aim of the present study was to compare cardiac patients' ratings of their everyday cognitive functioning against significant others' ratings and selected neuropsychological tests. Sixty-nine patients completed a battery of standardised cognitive tests. Patients and significant others also completed the Everyday Function Questionnaire independently of each other. Patient and significant other ratings of patients' everyday cognitive difficulties were found to be similar. Despite the similarities in ratings of difficulties, some everyday cognitive tasks were attributed to different processes. Patients' and significant others' ratings were most closely associated with the neuropsychological test of visual memory. Tests of the patients' verbal memory and fluency were only related to significant others' ratings. Test scores of attention and planning were largely unrelated to ratings by either patients or their significant others.