Cognitive Factors in the Maintenance of PTSD

Abstract

Cognitive behavioural therapies have the strongest empirical support as the treatments of choice for Post-traumatic Stress Disorder (PTSD). Despite the relative efficacy of these treatments compared to other psychological treatments, and no treatment, a large proportion of PTSD patients retain their diagnosis after treatment. In this article, a review of cognitive factors that are suggested to be responsible for the maintenance of PTSD in unimproved patients is presented. Among these factors are: anger and rage, guilt and shame, attentional bias and memory bias, negative attributional style, low self-efficacy, cognitive avoidance, dysfunctional schemas, catastrophic interpretations of intrusive recollections and pathological trauma memory structures. In the discussion section, suggestions about how therapy programmes might be modified in order to maximize cognitive change are provided.     

Retention of Quiet Eye in Older Skilled Basketball Players

There is mounting research to suggest that cognitive and motor expertise is more resistant to age-related decline than more general capacities. The authors investigated the retention of skills in medium-aged skilled (n = 14) and older-aged skilled (n = 7) athletes by comparing them with medium-aged less skilled (n = 15) and older-aged less skilled (n = 15) participants. Participants performed basketball free throws and dart throws as a transfer task under standardized conditions. Motor performance (accuracy) and perceptual performance (quiet eye) were examined across the four groups. There were significant differences between skill groups and age groups in throwing accuracy on both throwing tasks. Skilled players outperformed less skilled and medium-aged players outperformed older-aged players in basketball and dart throws. There were no significant differences in quiet eye duration across the skill or age groups in either task. These results indicate expertise in a perceptual motor task such as the basketball free throw can be retained in older athletes and that present models of skill maintenance should be re-evaluated to consider the issue of transfer.     

Perceived Work Competency and Sex Role Conflict: An Empirical Study

The present study examined sex role conflict, perceived work competency, and motivational needs among a broad sample of 298 working women and men (135 men, 163 women) at different hierarchical levels to see what possible gender differences existed in relationships among the variables. Correlation analysis and analysis of variance indicated that the female subjects had significantly higher levels of sex role conflict than the men, but a similar sense of work competency. Sex role conflict and perceived work competency were found to be negatively linked for the women but not for the men. Significant relationships were found between certain motivational needs and both sex role conflict and sense of work competency.     

Wait a second: Brief delays in responding reduce focality effects in event-based prospective memory

Remembering to perform deferred actions when an event is encountered in the future is referred to as event-based prospective memory (PM). We examined whether the failure of individuals to allocate sufficient attentional resources to nonfocal PM tasks can be linked to the response demands inherent in PM paradigms that require the PM task to race for response selection with the speeded ongoing task. In three experiments, participants performed a lexical decision task while being required to make a separate PM response to a specific word (focal), an exemplar of a category (nonfocal), or a syllable (nonfocal). We manipulated the earliest time participants could make task responses by presenting a tone at varying onsets (0–1,600 ms) following stimulus presentation. Improvements in focal PM and nonfocal PM were observed at response delays as brief as 200 ms and 400 ms, respectively. Nonfocal PM accuracy was comparable to focal PM accuracy at delays of 600 ms and 1,600 ms for categorical targets and syllable targets, respectively. Delaying task responses freed the resource-demanding processing operations used on the ongoing task for use on the nonfocal PM task, increasing the probability that the nonfocal PM features of ongoing task stimuli were adequately assessed prior to the ongoing task response.     

Delays in seeking cancer diagnosis in relation to beliefs about the curability of cancer in patients with different disease locations

This study is aimed at investigating factors leading to delayed oncologic examinations versus immediate consultation with a physician in patients with various cancers. We analysed the results of a study of patients (n?=?291) reporting for their first oncologic examinations. We conducted structured interviews containing social, demographic and clinical data, the Spielberger State-Trait Anxiety Inventory, the Beck Depression Inventory and Harris and Guten's health appraisal scores. Based on an analysis of decision-making trees, the results indicate that it is possible to predict beliefs regarding the curability of cancer and immediate versus delayed reporting to a physician. Delayed reports may be predicted on the basis of two factors: (1) a belief that cancer is incurable combined with increased state anxiety, ‘good’ or ‘very good’ self-appraisal of health and low depression; and (2) a belief that cancer is incurable accompanied by increased anxiety and depression. The characteristics of patients delaying a visit to the oncologist suggest the existence of three independent factors leading to both considerable (longer than nine months) and minor (up to one month) delays in seeking treatment.     

Maintenance of Self-Imposed Delay of Gratification by Four Chimpanzees (Pan troglodytes) and an Orangutan (Pongo pygmaeus)

Delay maintenance, which is the continuance over time of the choice to forgo an immediate, less preferred reward for a future, more preferred reward, was examined in 4 chimpanzees (Pan troglodytes) and 1 orangutan (Pongo pygmaeus). In the 1st experiment, the apes were presented with 20 chocolate pieces that were placed, one at a time, into a bowl that was within their reach. The apes could consume the available chocolate pieces at any time during a trial, but no additional pieces would be given. The total length of time taken to place the 20 items into the bowl ranged from 60 s to 180 s. All 5 apes delayed gratification on a majority of trials until all 20 chocolate pieces were presented. Unlike in most experiments with human children using this test situation, attention by the apes to the reward was not detrimental to delay maintenance. In a 2nd experiment with the chimpanzees only, 4 foods of differing incentive value were presented in different trials in the same manner as in Experiment 1. The chimpanzees were highly successful in obtaining all food pieces, and there was no difference in performance as a function of food type.