Bridging the Gap Between Hospital and Community-Based Mental Health Services

Depression and anxiety affect a person’s ability to move from hospital to community and engage in valued occupations. The purpose of this study was to understand the effectiveness of an occupational therapist-led transitional service for people with mood and anxiety disorders. Using a mixed-method design consisting of retrospective pre-post analysis of outcome measures and qualitative analysis of interviews with key stakeholders, statistically and clinically significant improvements were seen in depression and anxiety symptoms as well as occupational engagement after completion of the service. This study highlights the unique contributions of occupational therapist-led programing in mental health recovery.     

Orienting to guilty knowledge

The Guilty Knowledge Test (GKT; Lykken, 1959) assesses whether suspects conceal information about a crime ( “guilty knowledge”). Previous studies have demonstrated larger physiological reactions to guilty knowledge compared to unknown information. In three experiments, we investigated whether guilty knowledge also demands attention. During an alleged polygraph examination, participants were presented with to‐be‐detected pictures ( “guilty knowledge”), nonsignificant, familiar pictures ( “mere knowledge”), and previously unseen pictures ( “neutral information”) for 250 ms in a modified dot probe task. In all three experiments, probe responses were slower on guilty knowledge trials as compared to the neutral trials. Results are discussed in terms of an information‐processing view on orienting to guilty knowledge.     

Brief report Effects of spinal cord injuries on the subjective component of emotions

Responses to a structured interview by 19 patients with spinal cord injuries (SCI) (7 women and 12 men) concerning their past (pre‐injury) and present emotions were analysed and compared with responses by 19 SCI‐free controls matched for sex, age, and education. In addition, subjects assessed the valence and arousal of 10 pleasant, 10 neutral, and 10 unpleasant pictures selected from the International Affective Picture System. The results indicate that there is no decrease in emotional experience among individuals with SCI compared with those without. For all the emotional scales (joy, love, sentimentalism, positive emotions as a whole, fear, anger, sadness, and negative emotions as a whole) the SCI group always showed either no change or an increase; this increase was significantly higher in SCI than in control subjects for sadness. No differences were observed between the two groups in the subjective assessment of the pictures. The implications of the results for the James versus Cannon controversy on the theory of emotions are discussed.     

The mediating role of mood in the relationship between perseverative cognition,sleep and subjective health complaints in music students

Objective: Subjective health complaints (SHC) are frequent in musicians. These complaints may be particularly distressing in this population because they are performance relevant. This paper aims at testing a model positing that (a) perseverative cognition (PC) predicts sleep duration/quality, (b) sleep duration/quality predicts SHC and (c) mood is a mediator of these associations.

Design: Participants were 72 music students (mean age (SD): 22.7 (3.0) years), and the assessment period consisted of seven consecutive days, with a solo performance on the fifth day.

Main outcome measures: Self-reported total sleep time (TST) and sleep quality were assessed 30?min after wake-up, and objective TST/sleep quality were assessed with an actigraphy watch. PC and mood were measured five times a day. Daily SHC were assessed at 9 p.m.

Results: PC did not significantly predict sleep duration/quality. Self-reported and objective TST and sleep quality were all significantly associated with SHC. Mood played a mediating role in each of these relationships with the exception of objective sleep quality.

Conclusion: The tested model on the association among PC, sleep and SHC and the mediating role of mood received partial support, highlighting the importance of sleep and mood in the emergence of SHC among university music students.     

Sad mood,emotion regulation,and response inhibition

ABSTRACT

Affect-as-information models, resource allocation models, and arousal biased competition theory predict different effects of mood on cognition. To test these theories, this study examines the effect of sad mood on response inhibition (RI) and whether emotion dysregulation impacts this potential relationship. Participants were 273 undergraduates who wrote about either a typical day or a sad event from their life. They self-reported mood and emotion regulation difficulties, and RI was a composite score of Colour-Word Stroop, Stop-Signal, and go/no-go computerised tasks. The intensity of self-reported sad mood did not affect RI as predicted, but those who wrote about sad events had worse RI. Worse emotion regulation also predicted worse RI. Cognitive loads, rumination, and mind-wandering are discussed as possible mechanisms. Findings are extended from well-established areas such as working memory to the less-established area of RI.     

A daily diary study of internalised weight bias and its psychological,eating and exercise correlates

Objective: The current investigation extends ecological momentary assessment (EMA) and daily diary weight stigma research in internalised weight bias (IWB). This investigation used daily diaries to examine the relationship between IWB, mood, coping, body appreciation, exercise behaviours and eating behaviours. Design: The study sample consisted of individuals who were overweight or obese (85% female) with M_BMI?=?36.0, SD_BMI?=?6.2. Participants completed a daily diary each evening and wore a Fitbit for 30 days. Main Outcome Measures: Participants reported on IWB, mood, coping, body appreciation, exercise behaviours and eating behaviours.

Results: Both within- and between-subjects IWB were significantly related to positive affect, negative affect, several coping responses, body appreciation, eating behaviours and the urge to avoid exercise. Exploratory analyses indicated that positive and negative affect mediated many of the associations between IWB and coping responses, body appreciation, and eating and exercise behaviours.

Conclusion: This investigation provides evidence that IWB experiences have daily impacts on psychological well-being, body appreciation, coping, eating and exercise behaviours. Also, this study raises awareness about IWB and its potential impact on psychological well-being and health behaviours.