Multimedia Field Test: Digitalizing Better Sleep Using the Sleepio Program

The promise of online cognitive behavioral therapy for insomnia (CBT-I) and other sleep-related problems as an alternative to traditional face-to-face treatment rests upon the accessibility, ease-of-use, and effectiveness of these approaches. Here we provide a review of Sleepio, a digitalized, state-of-the-art CBT-I program for adults, informed by our personal experience with the program, available research, and information provided at the Sleepio website. The 6-week treatment program can be completed flexibly via web-based or mobile platform. Initial assessment of individual goals and baseline sleep patterns is used to build a personalized account comprised of four sections: Sleep Diary, Case File, Library, and Community. Sleepio uses evidence-based principles and practices, engaging content, and an easy-to-follow format. Unique features of the program including synchronization with compatible sleep tracking devices, multiple built-in user supports, and a 14-day money-back guarantee. Both statistical and clinically meaningful sleep improvements have been found in a large randomized controlled trial. Overall, Sleepio represents a model program for online CBT-I delivery.     

糖尿病与睡眠的相互关系

人一生中有1／3的时间在睡眠中度过,睡眠质量直接关系到一个人的身体健康。睡眠时间过少或过多的人糖尿病患病率大大增加。糖尿病本身的病理、生理特点,严重影响患者的睡眠质量,睡眠质量又可以反过来影响糖尿病患者的血糖水平。有研究显示,糖尿病患者最佳睡眠时间为8小时。同时糖尿病患者中睡眠呼吸暂停综合征（OSAS）患病率高,0SA...     

先“自我中心”再“调整”:成人推理他人心理状态的加工过程

成人在某些情况下推理他人心理状态时也会像较小的儿童一样出现自我中心化。本研究通过控制完成心理理论任务的反应时间,比较成人被试在有/无时间压力情况下推理他人心理状态时行为表现上的差异。其中,实验1选取24名大学生被试进行指示交流任务(考察视觉观点采择),实验2选取76名大学生被试进行成人版意外地点任务(考察错误信念理解)。结果发现,在限制反应时间的条件下,被试会更加自我中心化。两个实验的结果支持了成人推理他人心理状态可能是一个两阶段的加工过程的假设,即先自我中心再调整:首先以自我心理状态进行自我中心锚定,然后(若自我和他人心理状态存在差异)克服自我中心,理解他人的心理状态。     

Obstructive Sleep Apnea Syndrome in Prader-Willi Syndrome: An Unrecognized and Untreated Cause of Cognitive and Behavioral Deficits?

Prader-Willi Syndrome (PWS) is a rare genetic disorder characterized by a range of physical, psychological, and physiological abnormalities. It is also distinguished by the high prevalence of obstructive sleep apnea syndrome (OSAS), i.e., repetitive upper airway collapse during sleep resulting in hypoxia and sleep fragmentation. In non-PWS populations, OSAS is associated with a range of neurocognitive and psychosocial deficits. Importantly, these deficits are at least partly reversible following treatment. Given the findings in non-PWS populations, it is possible that OSAS may contribute to neurocognitive and psychosocial deficits in PWS. The present review examines this possibility. While acknowledging a primary contribution from the primary genetic abnormality to central neural dysfunction in PWS, we conclude that OSAS may be an important secondary contributing factor to reduced neurocognitive and psychosocial performance. Treatment of OSAS may have potential benefits in improving neurocognitive performance and behavior in PWS, but this awaits confirmatory investigation.     

Obstructive sleep apnea syndrome: autobiographical memory predicts the course of depressive affect after nCPAP therapy

Although nCPAP therapy has proven to be efficient at removing symptoms of obstructive sleep apnea syndrome (OSAS), recovery from depression frequently remains unsatisfactory. Other studies have shown that recall of autobiographical memories (AM) is a psychological vulnerability marker for depression, and also have shown its predictive power for the course of depression. It is therefore hypothesized that AM also predict the course of depressive affect in OSAS patients. Fifty-four consecutively admitted OSAS patients received standard nCPAP therapy. Specificity of AM assessed at the beginning of treatment was used as a predictor in a regression analysis, and the extent of recovery from depression over a follow-up period of between six to nine weeks served as the criterion variable. The results supported the hypothesis that patients who were able to recall more specific AM in response to positively valenced cue words showed a more substantial recovery from depression. This has important treatment implications.     

任务难度对基于位置返回抑制时间进程的影响

在返回抑制的实验范式下,采用线索一靶子模式进行了视觉字母觉察实验、实验发现,返回抑制在线索与靶子之间的时间间隔（ＳＯＡ）为７００ｍｓ时出现,且在９００ｍｓ时消退。这与先前许多实验发现的返回抑制在ＳＯＡ为３００ｍｓ左右时出现的结果不一致。作者认为,实验任务的难度是影响返回抑制时间进程的一个重要因素。     

视空间定位的短时记忆的超广度研究

采用视空间定位的短时记忆任务研究记忆负载的增加对空间位置信息和时间顺序信息的记忆成绩的影响。结果表明,在记忆负载较低时,位置记忆和顺序记忆的成绩相同;当记忆负载逐渐增大时,位置记忆的成绩逐渐上升,而顺序记忆的成绩先上升后下降,两者出现显著性的差异。在这个过程中,短时记忆的加工发生相应的变化,体现了短时记忆加工资源的有限性。     

多个非线索化位置易代的一项实验研究

现在采用返回抑制范式所进行的空间非信息线索作用的研究,大多以非线索化位置反应时为参照,发现线索化位置的反应先易化后抑制。后者即返回抑制。本研究采用在返回抑制范式上增设中性线索化条件的方法,发现当靶子可以出现的位置为四个时,相对于中性线索化条件,非线索化位置反应快。这种非线索化位置的易化作用是独立存在的,它能使生物体尽快地对出现在多个非线索化位置的靶子作出反应。     

对分心物特性抑制中位置因素的排除

本研究以汉语单字词为材料,使用反应时技术,考察在归类住条中分心物的位置因素是否也与分心物特性因素一样,影响被试对探测显示中目标的反应时间（RTDT）。结果表明,RTDT不随分心物位置数目变化而变化,只随着分心物特性数目变化而变化．由此得出,象归类这种属于语义表征的、与位置无关的任务中被试并不抑制分心物出现的位置,并可进一步推论,分心物抑制可能是一种灵活机制。     

The role of intermittent food in the induction of attack in pigeons

The present experiments evaluated whether transitions in reinforcer probability are necessary to induce attack in pigeons. In Experiment I, three of six pigeons exposed to response-contingent constant-probability food schedules and a photograph of a conspecific as a target exhibited sustained postreinforcement attack on the target. The postreinforcement pattern of attack developed over the course of the experiment and was accompanied by a reduction in the rate of postreinforcement key pecking and an increase in the postreinforcement pause in key pecking. These effects on key pecking resulted in unprogrammed variations in the probability of reinforcement which may have been responsible for the induction of attack. In Experiment II, the attack-inducing properties of a constant-probability response-independent food schedule were compared to a periodic food schedule matched for overall rate of food delivery and to a no-food condition. In addition to attack, the spatial location of the subjects was monitored during each interfood interval. The periodic and aperiodic food schedules generated very different patterns of spatial location. Postfood attack was induced by both food schedules, although the constant-probability schedule induced attack in fewer birds. The no-food condition was not effective in inducing attack in any birds. These experiments indicate that intermittent food schedules without reductions in reinforcer probability are sufficient to induce attack in some pigeons, although not as effective as schedules with transitions in reinforcer probability.