Compassionate reappraisal and emotion suppression as alternatives to offense-focused rumination: Implications for forgiveness and psychophysiological well-being

This within subjects experiment (28 females, 26 males) examined three responses to a past interpersonal offender. We contrasted offense-focused rumination with two subsequent, counterbalanced coping strategies: compassionate reappraisal and emotion suppression. Compassionate reappraisal emphasized the offender's human qualities and need for positive change. Emotion suppression inhibited the experience and expression of negative offense-related emotions. Offense rumination was associated with negative emotion, faster heartbeats (i.e., shortened electrocardiogram R-R intervals), and lower heart rate variability (HRV; i.e., the high-frequency component of the R-R power spectrum). By contrast, both compassionate reappraisal and emotion suppression decreased negative emotion in ratings and linguistic analyses, calmed eye muscle tension (orbicularis oculi EMG, electromyography), and maintained HRV at baseline levels. Suppression inhibited negative emotion expression at the brow (corrugator EMG) and slowed cardiac R-R intervals, but without forgiveness effects. Only compassionate reappraisal significantly increased positive emotions, smiling (zygomatic EMG), and social language along with forgiveness.     

Compassion-focused reappraisal,benefit-focused reappraisal,and rumination after an interpersonal offense: Emotion-regulation implications for subjective emotion,linguistic responses,and physiology

This repeated measures psychophysiology experiment studied three responses to a past interpersonal offense (38 females and 33 males). We compared rumination with two offense reappraisal strategies. Compassion-focused reappraisal emphasized the offender's humanity, and interpreted the transgression as evidence of the offender's need for positive transformation. Benefit-focused reappraisal emphasized insights gained or strengths shown in facing the offense. Supporting the manipulations, compassion-focused reappraisal stimulated the most empathy and forgiveness, whereas benefit-focused reappraisal prompted the most benefit language and gratitude. Both reappraisals decreased aroused, negative emotion, and related facial muscle tension at the brow (corrugator). Both reappraisals increased happiness and positive emotion in ratings and linguistic analyses. Compassion stimulated the greatest social language, calmed tension under the eye (orbicularis oculi), and slowed heart beats (R–R intervals). A focus on benefits prompted the greatest joy, stimulated smiling (zygomatic) activity, and buffered the parasympathetic nervous system against rumination's adverse effects on heart rate variability (HRV).     

The value of stress-management interventions in life-threatening medical conditions

Emotional stress has been associated with the development and progression of several chronic medical conditions. Recently, researchers have assessed the impact of stress-management interventions on patients' psychological functioning, quality of life, and various disease outcomes, including survival. This review summarizes the value of stress-management techniques in the treatment of two important, life-threatening conditions: coronary heart disease and cancer. Results from randomized clinical trials indicate that psychological interventions can improve patients' psychological functioning and quality of life. However, there is limited evidence to suggest that these interventions significantly reduce morbidity and mortality.     

Blood pressure and heart rate responses to an intrusion on personal space

Abstract: Yaezawa and Yoshida's (1981 ) findings on the effects of an intrusion on personal space were reinvestigated. Thirty-five female students were confronted with the approach of a male stranger, and blood pressure (BP) and heart rate (HR) were monitored. Throughout the model's approach, HR showed a significant triphasic change (an initial decrease, a subsequent increase, and then a secondary decrease), whereas subjective feelings of anxiety and tension showed significant, gradual increases. These trends were similar to those of Yaezawa and Yoshida's . Nonetheless, their explanation that the triphasic change in HR reflected once hightened and then relieved tension, which was incongruent with the subjective ratings, seemed questionable. As the BP elevated to a moderate degree in spite of the modest HR changes, total peripheral resistance must have been increasing during the model's approach. Blood pressure elevations via this sort of hemodynamic pressor mechanisms have often been reported when a person can only tolerate passively during exposure to stress. This seems to be the case in an intrusion on personal space.     

The effects of stimulus movement and attention on peripheral stimulus localization by 8- to 26-week-old infants

This study examined the effect of stimulus movement on localization probability and latency during attention and inattention. Forty infants, 10 each at 8, 14, 20, and 26 weeks of age were presented with a central stimulus. Then, a peripheral stimulus was presented (static or dynamic checkerboard). Stimulus movement did not affect localization probability. Infants localized the dynamic peripheral stimulus more quickly than the static peripheral stimulus when there was no focal stimulus. Focal stimulus attention attenuated this difference in localization latency between static and dynamic stimuli. Signal detection analysis showed that sensitivity to the peripheral stimulus increased over this age range along with a decrease in the bias against responding. The effects of attention were on response bias rather than stimulus sensitivity. These results imply attention affected the localization response to the peripheral stimulus but did not affect the sensitivity of the sensory and perceptual pathways to peripheral stimuli.     

运动员情绪调节心率变异性的影响因素

以183名运动员为被试,以心率变异性为指标,考察不同情绪状态、不同情绪调节策略下运动员自主神经反应的性别、运动年限、运动等级特点。结果发现：（1）快乐情绪状态下的心率变异性显著高于悲伤情绪状态下;表达抑制的心率变异性显著高于认知重评;短运动年限运动员的心率变异性显著高于长运动年限运动员;男性运动员的心率变异性显著高于女性运动员。（2）在快乐情绪状态下采用表达抑制策略时,低运动等级运动员的心率变异性显著高于高运动等级运动员;在悲伤情绪状态下,高运动等级运动员采用表达抑制策略比认知重评策略产生更高的心率变异性     

Meaning in life and violations of beliefs and goals: reciprocal relations among individuals with congestive heart failure

Background and objectives: In the context of highly stressful experiences, violations of beliefs and goals and meaning in life may have a reciprocal relationship over time. More violations may lead to lowered meaning, whereas higher meaning may lead to lowered violations. The present study examines this relationship among congestive heart failure (CHF) patients.

Design: A cross-lagged panel design was used.

Methods: CHF patients (N?=?142) reported twice, six months apart, on their meaning in life and the extent to which CHF violates their beliefs and goals.

Results: Overall, results were consistent with a reciprocal relationship, showing that greater goal violations led to negative subsequent changes in meaning, whereas greater meaning led to favorable subsequent changes in violations of beliefs and goals.

Conclusions: Meaning in life and violations may contribute to one another, and therefore, in understanding the adjustment process, it is important to consider their interrelationship. The results are also broadly informative regarding the experience of meaning, showing that disruption of beliefs and goals may undermine meaning.     

Enhancing treatment effectiveness through social modelling: A pilot study

Objective: Medical treatments take place in social contexts; however, little research has investigated how social modelling might influence treatment outcomes. This experimental pilot study investigated social modelling of treatment effectiveness and placebo treatment outcomes.

Design: Fifty-nine participants took part in the study, ostensibly examining the use of beta-blockers (actually placebos) for examination anxiety. Participants were randomly assigned to observe a female confederate report positive treatment effects (reduced heart rate, relaxed, calm) or feeling no different.

Main outcome measures: Heart rate, anxiety and blood pressure were assessed, as were symptoms and attributed side effects.

Results: Heart rate decreased significantly more in the social modelling compared to control condition, p = .027 (d = .63), and there were trends towards effects in the same direction for both anxiety, p = .097 (d = .46), and systolic blood pressure, p = .077 (d = .51). Significant pre-post placebo differences in heart rate, anxiety and diastolic blood pressure were found in the social modelling group, ps < .007 (ds = .77–1.37), but not the control condition, ps > .28 (ds = .09–.59).

Conclusions: Social observation of medication effectiveness enhanced placebo effectiveness in heart rate, and showed a trend towards enhancing treatment effectiveness in both anxiety and systolic blood pressure. Social modelling may have utility in enhancing the effectiveness of many active medical treatments.     

Cognitive and attentional functioning in adolescents and young adults with Tetralogy of Fallot and d-transposition of the great arteries

The objective of this study is to investigate cognitive and attentional function in adolescents and young adults with operated congenital heart disease. Previous research has indicated that children with congenital heart disease have deficits in broad areas of cognitive function. However, less attention has been given to survivors as they grow into adolescence and early adulthood. The participants were 18 non-syndromic adolescents and young adults with tetralogy of Fallot and d-transposition of the great arteries that required cardiac surgery before the age of 5 years, and 18 healthy, unaffected siblings (11–22 years of age for both groups). Cases with congenital heart disease and their siblings were administered Wechsler Intelligence scales and reported attention problems using the Achenbach System of Empirically Based Assessments. Cases were compared to both healthy siblings and established norms. Cases performed significantly lower than siblings on full scale IQ and processing speed, and significantly lower than norms on perceptual reasoning. Cases also reported more attention problems compared to both siblings and norms. Effect sizes varied with medium-to-large effects for processing speed, perceptual reasoning, working memory, and attention problems. Findings suggest that neurocognitive function may continue to be affected for congenital heart disease survivors in adolescence and young adulthood, and that comparisons to established norms may underestimate neurocognitive vulnerabilities.     

构建科学的冠心病介入治疗临床决策

临床决策已成为临床医学的重要内容,但目前还为许多冠心病介入医生所忽视。阐述了临床决策的概念,分析了冠心病介入治疗决策中存在的问题及原因,探讨了如何构建科学的冠心病介入治疗决策,为冠心病介入治疗合理应用提供科学的决策方法。