Diminished heart rate complexity in adolescent girls: a sign of vulnerability to anxiety disorders?

Background and Objectives: Diminished heart rate variability has been found to be associated with high anxiety symptomatology. Since adolescence is the period of onset for many anxiety disorders, this study aimed to determine sex- and anxiety-related differences in heart rate variability and complexity in adolescents.

Methods: We created four groups according to sex and anxiety symptomatology: high-anxiety girls (n?=?24) and boys (n?=?25), and low-anxiety girls (n?=?22) and boys (n?=?24) and recorded their cardiac function while they performed regular school activities. A series of two-way (sex and anxiety) MANOVAs were performed on time domain variability, frequency domain variability, and non-linear complexity.

Results: We obtained no multivariate interaction effects between sex and anxiety, but highly anxious participants had lower heart rate variability than the low-anxiety group. Regarding sex, girls showed lower heart rate variability and complexity than boys.

Conclusions: The results suggest that adolescent girls have a less flexible cardiac system that could be a marker of the girls’ vulnerability to developing anxiety disorders.     

Effect of electronic device use while driving on cardiovascular reactivity

Motor vehicle collisions are the leading cause of death in people ages 5–34 in the US, and secondary task engagement, such as talking on a cell phone, is a leading contributor to motor vehicle collisions. The negative effects of secondary task engagement on driving performance has become a prominent recent topic of study given the increasing amount of time drivers engage in distracted driving. However, few studies have examined the effects of secondary task engagement while driving on health related outcomes such as cardiovascular reactivity. Cardiovascular reactivity, as measured by heart rate and blood pressure, has been used in previous studies as a means of measuring effort in task engagement as well as a means to predict cardiovascular disease and stroke. This study investigates the effect of secondary task (talking on a cell phone, texting, and driving with no task) while driving in a simulator on cardiovascular reactivity. Using difference scores between baseline (a period of inactivity) and stimulus (driving with no task and driving with secondary tasks), a repeated measures analysis of variance using a mixed model approach was used to determine the effect of secondary task on cardiovascular reactivity. Findings indicated that talking on a cell phone while driving significantly increased cardiovascular reactivity via heart rate and blood pressure compared to driving with no task. Texting while driving did not differ significantly from driving with no task. This study demonstrates the need for more research on the long term effects of secondary tasks while driving on cardiovascular reactivity and for assessing the risks associated with secondary task use while driving on developing cardiovascular disease or stroke.     

Baseline reinforcement rate and resurgence of destructive behavior

Concepts from behavioral momentum theory, along with some empirical findings, suggest that the rate of baseline reinforcement may contribute to the relapse of severe destructive behavior. With seven children who engaged in destructive behavior, we tested this hypothesis in the context of functional communication training by comparing the effects of different baseline reinforcement rates on resurgence during a treatment challenge (i.e., extinction). We observed convincing resurgence of destructive behavior in four of seven participants, and we observed more resurgence in the condition associated with high‐rate baseline reinforcement (i.e., variable‐interval 2 s in Experiment 1 or fixed‐ratio 1 in Experiment 2) compared to a low‐rate baseline reinforcement condition. We discuss the implications of these results relative to schedules of reinforcement in the treatment of destructive behavior and strategies to mitigate resurgence in clinical settings.     

A Systematic Review of Online Response Rates in Four Counseling Journals

This systematic review of articles published in 4 counseling journals found 207 articles that used online recruitment, of which 98 (47.3%) reported a response rate. These 98 studies collectively contained 22,466 individual participants. Results showed that nearly one third of all empirical articles used online recruitment, and the average response rate was 34.2% (SD = 22.6). Response rates are further described by journal, population, research methodology, and recruitment strategy. Researcher‐reported issues with online recruitment and data collection were also analyzed qualitatively, and recommendations for researchers are discussed.     

Getting to the heart of personality in early childhood: Cardiac electrophysiology and stability of temperament

Can detection of highly stable individual differences in temperament in early childhood be enhanced using measures of resting heart rate (HR) and respiratory sinus arrhythmia (RSA)? The current longitudinal study (N = 216, 50% female; two to four years old) tested the statistical moderating effects of longitudinal change in resting HR and RSA on stability of mother-rated temperament. Children with the smallest decreases in resting HR and smallest increases in resting RSA had the most stable individual differences in effortful control. In contrast, those with the largest increases in resting RSA had the most stable individual differences in surgency. Including information on HR and RSA can be useful, though the effects depend on the trait and physiological indicator in question.     

Priors in perception: Top-down modulation,Bayesian perceptual learning rate,and prediction error minimization

I discuss top-down modulation of perception in terms of a variable Bayesian learning rate, revealing a wide range of prior hierarchical expectations that can modulate perception. I then switch to the prediction error minimization framework and seek to conceive cognitive penetration specifically as prediction error minimization deviations from a variable Bayesian learning rate. This approach retains cognitive penetration as a category somewhat distinct from other top-down effects, and carves a reasonable route between penetrability and impenetrability. It prevents rampant, relativistic cognitive penetration of perception and yet is consistent with the continuity of cognition and perception.     

对膝下段股-腘动脉人工血管移植术后患者疗效影响的比较分析

观察苏合香丸对膝下段股一胭动脉人工血管移植术后患者疗效的影响。共34例患者,随机分为苏合香丸组及对照组,两组均采用常规术后处理,苏合香丸组加用苏合香丸口服。观察术后第1、2年的疗效评价、踝／肱指数及彩超检查通畅率。两组患者术后第l、2年总有效率中药组较对照组均明显提高（P〈0．05）,中药组ABI显著高于对照组（P〈0...     

贝叶斯推理中的“自击中率参照抑制”

本文旨在研究贝叶斯推理中基础比率、击中率起作用的机制。通过设置肝炎情境、中彩情境的贝叶斯推理问题,同时操作基础比率和击中率的水平,考察449名大学生被试的概率估计情况。结果表明,总体上,贝叶斯推理中的基础比率和击中率均起作用,表现为后验概率估计值随基础比率水平的提高而增加,随击中率水平的提高而增加。然而,在低基础比率的中彩情境中,后验概率估计值先随击中率的增加而增加;之后却随击中率水平的继续提高而显著降低,出现自击中率参照抑制。这似乎说明,击中率在贝叶斯推理中并非一致地起作用,而可能与推理者的知识经验对击中率加工的调节有关。     

鼻咽癌治疗方法的比较

鼻咽癌是我国南方省市最常见的头颈恶性肿瘤,放疗为其首选治疗方案,但患者五年生存率仍然不高。本文阅读国内外对鼻咽癌多种治疗方案的报道,结合湘雅医院、湘雅二医院对鼻咽癌某些治疗方案,通过分析对比不同治疗方案的疗效、患者生存质量及费用,讨论该病的最佳治疗方案,以期能在目前条件下提高鼻咽癌患者的治疗效果及生存质量。     

Frequency, determinants, and consequences of different drivers’ emotions: An on-the-road study using self-reports, (observed) behaviour, and physiology

In the present study, the frequency, determinants and consequences of three relevant emotions in traffic were investigated. Based on appraisal theory, it was predicted that the combination of three appraisal components (goal congruence, blame and threat) affects the occurrence of anger, anxiety and happiness. Participants (n = 44) filled in a questionnaire containing background and personality variables, and performed a test drive in an instrumented car. During the drive, speed and heart rate were registered and the traffic environment was recorded on video. Participants verbally reported scores for emotions and perceived risk. The most frequently occurring emotion was anxiety, followed by anger and happiness. Emotions while driving were related to emotional traits. Emotions while driving were also related to traffic events: anger and anxiety were both associated with goal incongruent events, and happiness with goal congruent events. Anger was mostly associated with other-blame and anxiety with situation-blame. Anger was mostly associated with events affecting impeded progress, and anxiety with events affecting safety. Anxiety, but not anger or happiness, was associated with increased perceived risk and with increased heart rate. Participants who reported anger drove faster and exceeded the speed limit more often on a 100 km/road section than participants who did not report anger. These and other results are discussed in terms of appraisal theory and state-trait differences in emotion.