Intrusive thoughts mediate the association between neuroticism and cognitive function

Although research has established a negative association between trait neuroticism and cognition, little is known about the mechanisms that underlie this relationship. We examined the tendency to experience intrusive thoughts and negative affect as potential mediators of the relationship between neuroticism and cognitive performance. We hypothesized that the tendency to experience intrusive thoughts reflects ineffective attentional control and would account for the relationship between neuroticism and cognitive performance over and above the mediating effect of negative affect. Three hundred seventeen adults (M_age = 49.43) completed a series of attention-demanding cognitive tasks as well as self-report measures of intrusive thoughts, negative affect, and neuroticism. Intrusive thoughts mediated the association between trait neuroticism and cognitive performance beyond negative affect. These findings are consistent with the hypothesis that the tendency to experience intrusive thoughts is a mechanism through which trait neuroticism influences cognitive performance.     

Emotional inertia contributes to depressive symptoms beyond perseverative thinking

The autocorrelation or inertia of negative affect reflects how much negative emotions carry over from moment to moment and has been associated with increased depressive symptoms. In this study, we posed three challenges to this association by examining: (1) whether emotional inertia is relevant for depressive symptoms when assessed on a longer timescale than usual; (2) whether inertia is uniquely related to depressive symptoms after controlling for perseverative thoughts; and (3) whether inertia is related to depressive symptoms over and above the within-person association between affect and perseverative thoughts. Participants (N = 101) provided ratings of affect and perseverative thoughts for 100 days; depressive symptoms were reported before and after the study, and again after 2.5 years. Day-to-day emotional inertia was related to depressive symptoms over and above trait and state perseverative thoughts. Moreover, inertia predicted depressive symptoms when adjusting for its association with perseverative thoughts. These findings establish the relevance of emotional inertia in depressive symptoms independent of perseverative thoughts.     

Functional Neuroimaging and the Law: Trends and Directions for Future Scholarship

Under the umbrella of the burgeoning neurotransdisciplines, scholars are using the principles and research methodologies of their primary and secondary fields to examine developments in neuroimaging, neuromodulation and psychopharmacology. The path for advanced scholarship at the intersection of law and neuroscience may clear if work across the disciplines is collected and reviewed and outstanding and debated issues are identified and clarified. In this article, I organize, examine and refine a narrow class of the burgeoning neurotransdiscipline scholarship; that is, scholarship at the interface of law and functional magnetic resonance imaging (fMRI).     

Meta-analysis of CBT for Bulimia Nervosa: Investigating the Effects Using DSM-III-R and DSM-IV Criteria

This meta-analysis reports the effects of cognitive-behavioural treatment (CBT) on bulimia nervosa as defined by the DSM-III-R or DSM-IV criteria. In a previous meta-analysis, 26 studies were included using less strict diagnostic criteria for inclusion. The present meta-analysis only included randomized controlled studies fulfilling the DSM-III-R or DSM-IV criteria. Computer searches in MedLine, PsychLIT and references cited herein resulted in a large number articles, of which only seven fulfilled the criteria for inclusion. Effect sizes for binge eating and purging frequency were estimated using both between-group (treatment vs control) and within-group (pre- vs post-treatment) comparisons. The combined within-group effect size for binge eating was r = 0.55 ( d = 1.32) and for purging r = 0.61 ( d = 1.54). The corresponding combined effects for the between-group comparisons were r = 0.23 ( d = 0.47) and r = 0.28 ( d = 0.58), respectively. The combined probabilities for frequency of purging in between- and within-group comparisons were p = 0.00001 and p = 0.00000001, respectively. Although the number of studies included in the meta-analysis was limited, the obtained results are in line with the findings of the previous meta-analysis, and support the efficacy of CBT for the treatment of bulimia nervosa. This suggestion is also supported by the fact that in all the studies except one, comparison groups had received other active treatments.     

Characteristics of inner reading voices

This study examined the phenomenological characteristics of inner speech during silent reading (inner reading voices or IRVs), a type of inner speech that may be particularly amenable to empirical study. A survey was conducted in the general population to assess IRV frequency, location, number, identity, and controllability, and auditory qualities of IRVs. Of 570 survey respondents, 80.7% reported sometimes or always hearing an inner voice during silent reading, and the remaining 19.3% reported always understanding words being read without hearing an inner voice. Results indicated that IRVs are a routine experience for many, with 34.2% of respondents with IRVs hearing an IRV every time something was read, and 45% reporting an IRV often. Most respondents reported IRVs with specific auditory qualities such as gender, accent, pitch, loudness, and emotional tone. IRVs were reported in participants' own voices, as well as in the voices of other people. Some respondents reported being unable to control any aspect of their IRVs, while others could control one or several aspects. These results indicate that there is considerable individual variation in inner speech during silent reading.     

Automatic thoughts as a predictor of internalizing and externalizing problems in Chinese adolescents: A test of the cognitive content‐specificity hypothesis with age effects

The main aim of the current study was to test the cognitive content‐specificity hypothesis across internalizing and externalizing problems in Chinese adolescents. The participants consisted of 2,158 adolescents aged 11–19 years from three middle schools, and they completed a number of measures assessing a wide range of automatic thoughts and syndromes related to internalizing and externalizing problems. Multivariate regression analyses demonstrated that thoughts about social threats, personal failure and hostility were the strongest predictors of anxiety, depression, and externalizing problems, respectively. Age was a statistically significant, albeit modest, moderator of the relationship between automatic thoughts about social threat and anxiety. The current study provides support for the cognitive content‐specificity hypothesis in internalizing and externalizing problems in a Chinese sample.     

做一个大写的人:我们在阅读中与《孟子》相逢

如果我们愿意在阅读中与《孟子》相逢,我们就应该立志去做一个大写的人。从道德理想主义层面看,《孟子》要求我们“证性善”,确立人之为人的性善之本;期盼我们“恶乡愿”,拒斥八面玲珑的伪善之方。从文化守成主义层面看,《孟子》呼唤我们“友古人”,经由对优秀文化传统的回想而求证本根之源;促使我们“辟邪说”,通过对异端邪说的批驳而澄清智慧之旅。有理想有文化的人,才会是一个大写的人。无论对于针砭欲望横流的当下世态,还是对于建构人皆尧舜的未来愿景,这种人格的理论意义和现实作用都是不可低估的。     

Perfectionism, and Cognitions, Affect, Self-esteem, and Physiological Reactions in a Performance Situation

The current paper describes the results of an experiment in which 200 students who varied in levels of trait perfectionism performed a laboratory task and then were assessed in terms of levels of state affect, state self-esteem, and state automatic thoughts. Independent variables included task difficulty (high versus moderate level of difficulty) and performance feedback independent of their actual level of performance (positive or negative). Analyses also examined objective levels of performance (i.e., the number of errors on the task) and initial confidence in performance. Analyses showed that the experience of state automatic thoughts involving perfectionism was associated with negative automatic thoughts, negative affective reactions, and lower state self-esteem. Analyses of changes in mood and self-esteem showed generally that participants high in socially prescribed perfectionism had increased levels of dysphoria and anxiety and lower levels of state self-esteem following the experience of negative performance feedback or after having a relatively poor performance. Analyses of the physiological measures found increased systolic blood pressure among self-oriented perfectionists who had poorer performance and among socially prescribed perfectionists who had received negative feedback about their performance. The results for heart-rate changes yielded a less clear pattern, though there was evidence that participants with high socially prescribed perfectionism had increased heart rate if they received negative feedback and were relatively low in confidence. Collectively, these findings illustrate that how perfectionists react in challenging situations varies as a function of actual performance, performance feedback, and feelings of personal efficacy.

让决策科学化成为当代临床的强音——走访专家名流 广泛听取进一步办好“临床决策论坛版”的意见

为了更好地办好《医学与哲学》“临床决策论坛版”,使之更加贴近临床,为广大临床医生提供更加科学、合理的决策思路,2008年1月5日至14日,本刊常务副主编赵明杰、编辑王德顺调研和走访了七大城市（北京、太原、西安、武汉、长沙、济南、沈阳）,与这些城市的17家大型医院的174名临床专家进行了座谈、交流和讨论。本次调研的行程如下：     

肠易激综合征：罗马III标准与我国共识意见解读

肠易激综合征在我国的发病率逐年升高,2003年我国制定的IBS的共识意见已不适用,因此2007年我国肠易激综合征共识意见进行了重新修订,称为长沙共识意见。长沙共识意见借鉴了国际公认的罗马III标准,在IBS的诊断所需的时间,IBS的亚型分型等方面做了较大的修订。并强调了随诊在IBS诊断中的重要性。长沙共识意见同时指出罗马III标准是基于西方国家的研究资料制定的,并不完全适用于我国。我国在IBS的诊断中应结合国人的发病特点进行诊断。长沙共识意见在IBS的治疗方面就我国现状提出了治疗流程。