Cognitive Correlates of Social Phobia Among Children and Adolescents

We examined different cognitive phenomena in relation to social phobia among children (aged 7 to 11) and adolescents (aged 12–16) separately. Fifty socially phobic youths were compared to 30 normal control children on measures of social anxiety, social expectation as well as self- and observer-rated performance during two social tasks involving a same-aged peer. Additionally, a video-mediated recall procedure was conducted immediately following the two behavioral tasks to examine specific types of self-talk. Results indicated that socially phobic youths had lower expectations of their performance and rated their actual performance worse than controls during a social interaction task, but not a read-aloud task. Self-ratings of decreased performance among socially phobic youths were corroborated by blind observers. Although differences in specific types of self-talk were found between the two groups, these findings were generally moderated by age. Furthermore, certain cognitive symptoms associated with the disorder were more commonly found among older socially phobic youths. The current findings highlight the importance of considering developmental factors in the presentation and treatment of social phobia in youths.     

Translating multiple assessment techniques into an intervention selection model for classrooms

Translating current research to school-based clinical practice highlights issues not often encountered in laboratory settings. With the assistance of a consultant, teachers conducted functional analyses, brief multielement treatment comparisons, and controlled treatment evaluations under naturalistic conditions in the classroom. Teachers also provided input on treatment selection. Treatment integrity data collected throughout the study suggested that teachers implemented analyses and treatments with high integrity. The functional analysis outcomes combined with effectiveness and acceptability data led to the selection of interventions that reduced problem behavior in the classrooms for each of 3 children.     

Use of the high-probability instructional sequence and escape extinction in a child with food refusal

We used the high-probability (high-p) instructional sequence with and without escape extinction in the treatment of food refusal. Acceptance increased and refusal decreased only with the introduction of escape extinction. These results raise important questions about the high-p sequence in the treatment of food refusal.     

Differential reinforcement with and without instructional fading

We evaluated a differential-reinforcement-based treatment package for the reduction of problem behavior during instructional situations. Differential reinforcement of alternative behavior (DRA; compliance) was implemented across two conditions. During one condition, instructions were presented approximately once every other minute. This condition was considered the terminal goal for treatment. During the second condition, the rate of instructions was gradually increased (beginning at zero and ending when instruction rate was similar to the first condition). Results indicated that DRA with instructional fading resulted in less problem behavior than DRA without instructional fading. These results are similar to previous studies regarding the utility of instructional fading.     

Concurrent reinforcement schedules: behavior change and maintenance without extinction

We evaluated the effects of concurrent schedules of reinforcement on negatively reinforced problem behavior and task completion with 3 children with autism. Results indicated that problem behavior occurred at high levels and relatively few tasks were completed when problem behavior produced a break (from tasks) and task completion produced either no consequence or a break. By contrast, problem behavior was eliminated and tasks were completed when problem behavior produced a break and task completion produced a break with access to preferred activities. Treatment gains were maintained without the use of extinction when the response requirement was increased and the schedule of reinforcement was thinned.     

Counterfactual thinking may attenuate polarization of COVID-19 prevention behavior

Data from two U.S. online samples (N = 613) indicated that conservatives consistently perceived face mask use as less important than did liberals. This difference was attenuated with high counterfactual engagement. Both studies provide correlational evidence of this robust moderation. Study 2 provides further insight into differences between liberals' and conservatives' emotional responses to COVID-19 information, and suggests that during on-going negative events, downward counterfactuals may not provide relief. Overall, these studies document the politicization of public health behavior, and find that emphasizing the causal links between behavior and COVID-19 prevention may improve conservatives' attitudes toward CDC guidelines.     

Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders

Despite striking empirical support, exposure-based treatments for anxiety disorders are underutilized. This is partially due to clinicians’ concerns that patients may reject exposure or experience severe side effects, particularly in intensive forms of exposure. We examined acceptance and side effects of two randomly assigned variants of prediction error-based exposure treatment differing in temporal density (1 vs. 3 sessions/week) in 681 patients with panic disorder, agoraphobia, social anxiety disorder, and multiple specific phobias. Treatment acceptance included treatment satisfaction and credibility, engagement (i.e., homework completion), and tolerability (i.e., side effects, dropout, and perceived treatment burden). Side effects were measured with the Inventory for the Balanced Assessment of Negative Effects of Psychotherapy (INEP). We found treatment satisfaction, credibility, and engagement to be equally high in both variants of exposure-based treatment, despite higher treatment burden (β = 0.25) and stronger side effects (β = 0.15) in intensified treatment. 94.1% of patients reported positive effects in the INEP. 42.2% reported side effects, with treatment stigma (16.6%), low mood (14.8%) and the experience to depend on the therapist (10.9%) being the most frequently reported. The mean intensity of side effects was low. We conclude that prediction error-based exposure treatment is well accepted by patients with different anxiety disorders and that patients also tolerate temporally intensified treatment, despite higher perceived treatment burden and stronger side effects. Clinicians should be aware of the most frequent side effects to take appropriate countermeasures. In sum, temporal intensification appears to be an acceptable strategy to achieve faster symptom reduction, given patients’ well-informed consent.     

Talking to a (Segregation) Wall: Intergroup Contact and Attitudes Toward Normalization Among Palestinians From the Occupied Territories

This article examines how Palestinians' intergroup contact experiences relate to their attitudes towards interactions with Israelis (i.e., normalization). We draw on four recent advances in intergroup contact literature. First, recent research indicates that positive contact can impede disadvantaged groups' motivation to challenge inequalities. Second, increased endorsement of normalization mediates this sedative effect of positive contact on motivation to resist in the West Bank. Third, negative contact has been related to increased motivation for social change. Fourth, institutions and societal norms shape the meaning of intergroup contact and its effect on intergroup relations. We hypothesize that negative experiences at checkpoints can act as reminders of institutionalized inequalities and thus attenuate sedative effects. Furthermore, we explore the contextual boundary conditions of such reminder effects. Analyses of cross-sectional survey conducted among a representative sample (N = 1,000) in the West Bank including Jerusalem showed that (1) positive intergroup contact related to normalization endorsement (sedative effect), (2) negative intergroup contact related to decreased normalization endorsement (mobilizing effect), and (3) negative contact experiences (at checkpoints) canceled out the effect of positive contact (reminder effect), but only in Jerusalem. Results suggest that the impacts of intergroup contact need to be interpreted in light of institutionalized forms of group inequality and segregation.     

Comparing an interdependent and dependent group contingency to increase physical activity in students during recess

Physical activity produces important physiological, mental health, academic, and cognitive benefits in children and youth. Despite these advantages, a large proportion of this population does not meet the recommended amount of physical activity. Recent studies have shown that the interdependent (IGC) and dependent (DGC) group contingencies improve physical activity; however, no comparison of the effects of these contingencies on physical activity has been conducted. We used a multielement within a concurrent multiple baseline design across three classes to compare the effectiveness of group contingencies on physical activity. Both group contingencies increased physical activity, with the IGC producing slightly higher overall levels of physical activity at the classwide and individual levels of analyses. We also compared participants' positive and negative statements and found that, regardless of the group contingency in effect, participants emitted higher levels of positive statements about the contingency when they earned the reward than when they did not, suggesting that reward delivery influenced statements more so than the group contingency arrangement. Results are discussed within the context of treatment decisions and future research.     

负性情绪调节中认知重评和分心策略的作用:ERPs研究

采用事件相关电位技术,考察了认知重评和分心两种情绪调节策略对负性情绪体验和脑电活动的影响。结果发现,认知重评后被试的负性情绪体验强度和LPP波幅(300~1300ms)比简单注视条件下低;分心后被试的负性情绪体验强度比简单注视条件下低,但LPP波幅显示比简单注视条件下高。这说明认知重评和分心对负性情绪体验和脑电活动的影响不同,负性刺激再次呈现时认知重评优于分心策略的调节。该研究为认知重评和分心的比较研究提供了神经电生理学方面的证据。