Emotional processes in risky and multiattribute health decisions

Objective: Here, we develop an integrative account of the roles of emotion in decision-making. In Part I, we illustrate how emotional inputs into decisions may rely on physiological signals from emotions experienced while making the decision, and we review evidence suggesting that the failure to represent the emotional meaning of options can often reduce decision quality. We propose that health-related decrements in the ability to generate emotional reactions lead people to inaccurately represent emotional responses and compromise decisions, particularly about risk. Part II explores complex decisions in which choice options involve trade-offs between positive and negative attributes. We first review evidence showing that difficult trade-off decisions generate negative affect and physiological arousal. Next, we propose that medical decision-making will be linked to short- and long-term stress and health outcomes.

Conclusion: In sum, this article proposes and reviews initial evidence supporting the effective use and management of emotional inputs as important to both clinical and non-clinical populations. Our approach will contribute to the understanding of patient-centred emotional decision-making and will inform medical decision aids.     

Reducing behavioural risk factors for cancer: An affect regulation perspective

Nearly half of all cancer deaths are attributable to preventable causes, primarily unhealthy behaviours such as tobacco use, alcohol use and overeating. In this review, we argue that people engage in these behaviours, at least in part, as a means of regulating their affective states. To better understand why people engage in these behaviours and how researchers might design interventions to promote the selection of healthier methods for regulating affect, we propose a conceptual model of affect regulation. We synthesise research from both the stress and coping tradition as well as the emotion and emotion regulation tradition, two literatures that are not typically integrated. In so doing, we indicate where researchers have made headway in understanding these behaviours as affect regulation and note how our model could be used to structure future work in a way that would be particularly advantageous to cancer control efforts.     

父母情绪表达与青少年问题行为:亲子依恋、孤独感的多重中介效应

本研究以西安市两所中学的211名初一学生和477名高一学生共计688名学生为被试,探讨了父母情绪表达对青少年问题行为的影响,以及亲子依恋和孤独感在父母情绪表达与青少年问题行为间的中介作用,采用《父母情绪表达问卷》、《亲密关系体验量表》、《孤独感量表》、《青少年自评量表》进行测量研究。结果表明：父母情绪表达、亲子依恋、孤独感和青少年内、外化问题两两间存在显著相关;亲子依恋与孤独感在父母情绪表达与青少年问题行为间起多重中介作用,父母情绪表达既可直接影响青少年问题行为,也可以通过不安全依恋、孤独感各自独立的中介作用和不安全依恋、孤独感的链式中介作用影响青少年问题行为。本研究揭示了父母情绪表达与青少年问题行为的关系及其作用机制,拓展了父母情绪社会化对个体心理社会适应的研究。     

La gestion des émotions et ses déficits,chez les personnes atteintes de douleur chronique : une revue systématisée des études relatives à l’alexithymie, à l’intelligence émotionnelle, à la régulation émotionnelle et au coping

The goal of this review is to synthesize the data of scientific literature on emotional management and its deficits in chronic pain. We used terms referenced in databases and MesH terms (of the United States National Library of Medicine) to perform a literature search in a powerful online search engine (EBSCOhost research databases). Four hundred and forty-nine papers, taken from international reviews and published of 1994 (because it is in the middle of the 1990s that this theme begins to be handle) to the end of January, 2015, are identified by a total 5 electronic databases with predefined keywords about emotions and chronic pain. Forty-six of which met the inclusion criteria, according to their title, their summary and their complete text. The findings suggest that some emotional management strategies and its deficits can maintain a vicious circle of negative emotional states with physiological and psychopathological consequences. Several studies show that alexithymia, emotional ambivalence and emotional suppression have a deleterious impact on pain, emotional distress (depression, anxiety) and disability. In spite of some contradictions concerning the nature of this effect (sensory or affective pain intensity or even duration of pain), it seems that alexithymia is a major variable implied in chronic pain. Inversely, experiential acceptance has a beneficial effect on psychological distress (depression, anxiety and stress). Emotional disclosure (of stressful or traumatic events) can decrease pain intensity but not disability and mental health. Likewise, emotional expression in daily life seems beneficial, but when the expression of the positive and negative feelings are distinguished, emotional expression of negative feelings increases pain, disability and distress. The whole of these findings emphasize the need to further research about emotional management in chronic non-cancer pain. It is necessary to identify and control the source of potential bias. Some hypotheses have been proposed to explain these findings. In the future, it would be interesting to use a multifactorial approach to investigate the interactions between various processes of emotional management in chronic pain patients.     

Our Followers Are Lions,Theirs Are Sheep: How Social Identity Shapes Theories About Followership and Social Influence

Two studies examine how self‐categorization theory can be used to refine our understanding of people's implicit theories about followership and social influence. Results from Study 1 show that perceivers regard followers of a group they themselves identify strongly with (rather than not at all) to be more representative of the prototype of effective followers (displaying enthusiasm, industry, good citizenship) and to be less representative of the antiprototype of effective followers (displaying conformity, incompetence, and insubordination). Results are replicated in a second experiment in which we compare the views of those self‐categorizing as either Republican or Democrat responding to followers of the Republican and Democratic Party. Results of Study 2 replicate those of Study 1 and also reveal qualitative differences in the preferred influence strategy for dealing with followers. Specifically, respondents seek to engage in persuasion when trying to change the behavior of ingroup followers, while resorting to coercion when trying to change the behavior of outgroup followers. Our results are the first to provide evidence that perceivers' theories about what followers are like and how they are influenced most effectively are structured by perceivers' identification (and dis‐identification) with the particular groups that leaders are championing.     

Modeling effects of risk and social distance on vaccination choice

Despite vaccines' consistently demonstrated effectiveness, vaccination rates remain suboptimal due to vaccine refusal. Low vaccination rates are particularly problematic for individuals who cannot be vaccinated for medical reasons and thus must rely on herd immunity (i.e., protection of vulnerable individuals due to the high rate of vaccination of other—often socially distant—individuals). The current study uses a novel decision‐making task to examine how three variables impacted participants' highest acceptable probability of side effects to their children: 1) the severity of the side effects their children experience, 2) the social distance to the beneficiary of the vaccination, and 3) the probability that the vaccine will prevent disease for that designated beneficiary. Participants' willingness to risk potential side effects of vaccination systematically decreased as the 1) effectiveness of the vaccination decreased, 2) the beneficiary of the vaccination became more socially distant, and 3) the severity of side effects increased. These data were well‐described by behavioral economic models used to examine the discounting of other health behavior.     

Impulsive choice and pre‐exposure to delays: iv. effects of delay‐ and immediacy‐exposure training relative to maturational changes in impulsivity

Impulsive choice describes preference for smaller, sooner rewards over larger, later rewards. Excessive delay discounting (i.e., rapid devaluation of delayed rewards) underlies some impulsive choices, and is observed in many maladaptive behaviors (e.g., substance abuse, gambling). Interventions designed to reduce delay discounting may provide therapeutic gains. One such intervention provides rats with extended training with delayed reinforcers. When compared to a group given extended training with immediate reinforcers, delay‐exposed rats make significantly fewer impulsive choices. To what extent is this difference due to delay‐exposure training shifting preference toward self‐control or immediacy‐exposure training (the putative control group) shifting preference toward impulsivity? The current study compared the effects of delay‐ and immediacy‐exposure training to a no‐training control group and evaluated within‐subject changes in impulsive choice across 51 male Wistar rats. Delay‐exposed rats made significantly fewer impulsive choices than immediacy‐exposed and control rats. Between‐group differences in impulsive choice were not observed in the latter two groups. While delay‐exposed rats showed large, significant pre‐ to posttraining reductions in impulsive choice, immediacy‐exposed and control rats showed small reductions in impulsive choice. These results suggest that extended training with delayed reinforcers reduces impulsive choice, and that extended training with immediate reinforcers does not increase impulsive choice.     

选择与坚持:跨期选择与延迟满足之比较

做出选择与坚持选择是决策活动的两个重要阶段。跨期选择源于经济学领域对成人对发生在不同时间点的结果"做出选择"过程的研究;延迟满足则源于心理学领域对儿童为获得未来较大收益而抵制当前诱惑的"坚持选择"过程的研究。二者均致力于研究与时间相关的决策活动,从不同视角关注个体的冲动性与自我控制,但鲜见学者对二者异同的系统比较。本文着重从研究方法、认知机制与神经基础入手探讨了二者的异同,冀为两个研究领域协同发展、共同促进人类远见的培养与实践提供科学的理论支持。     

前瞻记忆的情绪一致性反转效应

采用经典双任务实验范式,探讨前瞻记忆的情绪一致性效应及其理论模型。情绪电影片段诱发被试高兴或悲伤情绪后,观察被试在高兴、悲伤和自然情绪状态下的前瞻记忆任务和当前任务的成绩。结果发现,情绪一致性前瞻记忆出现反转效应,即在高兴背景下前瞻记忆负性词比正性词成绩好,在悲伤背景下前瞻记忆正性词比负性词成绩好。实验结果支持前瞻记忆的注意—搜索模型,不支持自动激活模型。     

负性情绪词语在外显和内隐记忆测验中的定向遗忘效应

以两类具有不同负性情绪强度值的高频汉语双字词为材料,采用项目法定向遗忘范式,探究负性情绪词语在外显和内隐记忆测验中是否存在定向遗忘效应。结果显示,(1)在外显记忆测验中,强、弱负性词均出现了显著的定向遗忘并且弱负性词的定向遗忘效应大于强负性词;(2)在内隐记忆测验中,只有弱负性词出现了显著的定向遗忘,而强负性词则无。可见,内隐记忆测验中的定向遗忘效应对负性信息比外显记忆测验更加敏感。