Catastrophic associations predict level of change in anxiety sensitivity in response to cognitive-behavioural treatment for panic

The aim of the present study was to elucidate one of the factors that might be responsible for the maintenance of panic patients' harmful beliefs about anxiety. Specifically, it was hypothesized that harmful beliefs about anxiety, i.e. anxiety sensitivity, is maintained in panic patients by automatic activation of idiographic catastrophic cognitions. To test this prediction, panic patients participated in a one-session cognitive-behavioural treatment of 4-8h to reduce anxiety sensitivity. The strength of automatic catastrophic cognitions in response to idiographic anxiety symptoms, measured with a modified semantic priming task, as well as the strength of the consciously accessible catastrophic meaning of these symptoms were assessed before treatment. In accordance with the hypothesis, stronger automatic catastrophic cognitions predicted a smaller reduction of anxiety sensitivity independently of the strength of conscious catastrophic cognitions. Moreover, in a first exploration, the strength of catastrophic associations was also shown to have an incremental predictive value for change in anxiety sensitivity beyond that of a number of demographic, clinical, treatment and assessment variables. The theoretical and clinical implications are discussed.     

Cognitive factors in panic disorder, agoraphobic avoidance and agoraphobia

There remains a lack of consensus regarding the possibility that especially high levels of panic-related cognitions characterise panic disorder with agoraphobia. We administered the Anxiety Sensitivity Index, the Agoraphobic Cognitions Questionnaire and the Anxious Thoughts and Tendencies Scale as well as measures of agoraphobic avoidance to patients diagnosed with panic disorder with agoraphobia (n=75) and without agoraphobia (n=26). Patients with panic disorder with agoraphobia did not score significantly higher on any of the cognitive variables than did panic disorder patients without agoraphobia. However, most of the cognitive variables showed small to moderate-strength correlations with self-report measures of agoraphobic avoidance. Our findings suggest that anxiety sensitivity, catastrophising of the consequences of panic and a general anxiety-prone cognitive style, although to some extent associated with agoraphobic avoidance, do not discriminate panic disorder with agoraphobia from panic disorder without agoraphobia.     

Rejection Sensitivity and Executive Control: Joint predictors of Borderline Personality features

Two studies tested the hypothesis that rejection sensitivity (RS) and executive control (EC) jointly predict borderline personality (BP) features. We expected high RS to be related to increased vulnerability for BP features specifically in people who also had difficulties in executive control (EC). Study 1 tested this hypothesis using a sample of college students (N = 379) whereas Study 2 (N = 104) was conducted using a community sample of adults. Both studies operationalized EC by a self-report measure. For a subsample in Study 2 (N = 80), ability to delay gratification at age 4 was also used as an early behavioral precursor of EC in adulthood. In both studies, high RS was associated with increased BP features among people low in self-reported EC. Among those high in self-reported EC, the relationship between RS and BP features was attenuated. Study 2 found parallel findings using preschool delay ability as a behavioral index of EC. These findings suggest that EC may protect high RS people against BP features.     

功能性胃肠病的病因和发病机制研究进展

功能性胃肠病（FGIDs）是一组常见的消化科疾病,其病因和发病机制复杂繁多,与遗传和心理社会因素具有一定的关系,胃肠动力、内脏感觉、脑肠肽等在FGIDs发病中的作用已得到肯定,近年来关于炎症和肠道茵群在FGIDs中作用的研究较多,对FGIDs病因机制的阐明将使其诊断和治疗提高到一个新的水平。     

Why and when justice sensitivity leads to pro- and antisocial behavior

People differ in how injustice-sensitive they are either as victims or as observers. Whereas observer sensitivity is positively related to cooperative behavior, victim sensitivity promotes antisocial and egoistic behavior. The present article investigates the dynamics underlying these effects. Participants played an online-based public goods game and were informed about the number of people who violated a fairness rule in previous rounds of the game (no, some, or many violators). High victim-sensitive participants contributed less to the public good even in the “some violators” condition. High observer-sensitive participants contributed more to the public good even in the “many violators” condition. The findings correspond with the sensitivity to mean intentions model and cannot be explained by individual differences in general trust.     

Rejection sensitivity and disruption of attention by social threat cues

Two studies tested the hypothesis that Rejection Sensitivity (RS) increases vulnerability to disruption of attention by social threat cues, as would be consistent with prior evidence that it motivates individuals to prioritize detecting and managing potential rejection at a cost to other personal and interpersonal goals. In Study 1, RS predicted disruption of ongoing goal-directed attention by social threat but not negative words in an Emotional Stroop task. In Study 2, RS predicted attentional avoidance of threatening but not pleasant faces in a Visual Probe task. Threat-avoidant attention was also associated with features of borderline personality disorder. This research extends understanding of processes by which RS contributes to a self-perpetuating cycle of interpersonal problems and distress.     

Why do narcissists take more risks? Testing the roles of perceived risks and benefits of risky behaviors

Much prior research demonstrates that narcissists take more risks than others, but almost no research has examined what motivates this behavior. The present study tested two potential driving mechanisms of risk-taking by narcissists (i.e., heightened perceptions of benefits and diminished perceptions of risks stemming from risky behaviors) by administering survey measures of narcissism and risk-taking to a sample of 605 undergraduate college students. Contrary to what might be expected, the results suggest that narcissists appreciate the risks associated with risky behaviors just as much as do less narcissistic individuals. Their risk-taking appears to instead be fueled by heightened perceptions of benefits stemming from risky behaviors. These results are consistent with a growing body of evidence suggesting that narcissists engage in some forms of potentially problematic behaviors, such as risk-taking, because of a surplus of eagerness rather than a deficit of inhibition.     

Brief cognitive-behavioral internet therapy for irritable bowel syndrome

While cognitive-behavioral therapy for IBS is quite effective, the limited availability of competent therapists and lack of access to treatment remain problematic. This paper reports on a small, randomized, controlled trial of a five week internet based cognitive-behavioral intervention for IBS with limited therapist feedback via e-mail. Fifty-four IBS patients were recruited via the internet and randomly assigned to either immediate treatment or a wait-list control group. Thirty-one subjects completed the post-treatment assessment. 77% of treatment completers also completed a 3-month follow-up assessment. Treatment completers experienced statistically and clinically significant declines in IBS symptoms and improvements in quality of life. Those gains were substantially maintained at follow-up. Treatment efficacy was partially mediated by reductions in the tendency to catastrophize the social and occupational implications of symptoms, suggesting that catastrophizing may be an important target for treatment.     

患者集中大医院就医的行为经济学分析

认为患者的行为心理因素是造成就医集中现象的重要原因,其中,关于参照点的选择是影响患者就医行为的重要因素,风险规避、损失厌恶、心理账户、敏感度递减等因素也是重要的影响因素。通过提高社区医院的力量、改革医疗保险的支付方式、对技术的理性追求等措施,可以缓解这一反常现象。     

Multi‐criteria minisum facility location problems

This paper deals with the multi‐criteria Weber (minisum) problem. Several new solution concepts are introduced, related to ideas of equilibrium between the different aspects covered by the objectives. Structural results are presented characterizing the proposed solution sets and showing the relationships existing with the efficient sets in the point objective location problem. Also, algorithms to solve this problem for the polyhedral norm case are developed. The proposed approach is more general than previously studied on multi‐criteria location problems and is particularly applicable in the real world when different scenarios must be compared. Copyright © 1999 John Wiley & Sons, Ltd.