The identification of premorbid markers of risk for psychopathology is one of the most important challenges for present-day psychiatric research. This study focuses on behavioral vulnerability factors that contribute to the development of anxiety. Little is known about the role of aversive learning and generalization in the development of pathological anxiety. In this study, a large student sample (N = 375) completed a differential aversive learning task followed by a test of generalization. Anxiety was assessed at that moment and after a six-month follow-up. Results showed that both predictors (discrimination learning and generalization) added significantly to the explained variance in anxiety symptomatology at follow-up. These results highlight the importance of longitudinal designs and indicate that screening for individual differences in aversive learning and generalization may foster prediction of anxiety disorders, paving the way for targeted prevention.
The experience sampling method (ESM) is a structured diary method with high ecological validity, in that it accurately captures the everyday context of individuals through repeated measurements in naturalistic environments. Our main objective was to investigate the feasibility of using ESM in individuals with acquired brain injury (ABI). A second goal was to explore the usability of ESM data on a clinical level, by illustrating the interactions between person, environment, and affect. The PsyMate device provided ABI patients (N = 17) with ten signals (beeps) per day during six consecutive days. Each beep was followed by a digital questionnaire assessing mood, location, activities, social context, and physical well-being. Results demonstrated high feasibility with a 71% response rate and a 99% completion rate of the questionnaires. There were no dropouts and the method was experienced as user-friendly. Time-lagged multilevel analysis showed that higher levels of physical activity and fatigue predicted higher levels of negative affect at the same point in time, but not at later time points. This study illustrates the potential of ESM to identify complex person-environment dynamics after ABI, while generating understandable and easy to use graphical feedback.
Cognitive models of emotional disorders suggest that reduced autobiographical memory specificity that results from exposure to traumatic events may play an important role in the aetiology and maintenance of these disorders. However, there has yet to be a comprehensive meta-analysis of the association between trauma exposure and memory specificity, and the role of posttraumatic stress symptoms on this association. We searched PsycINFO and MEDLINE databases and extracted data from studies regarding the mean number or proportion of specific memories that participants with and without trauma exposure recalled on the Autobiographical Memory Test. We also extracted data on differences between groups in terms of posttraumatic stress and depressive symptoms, along with data on trauma timing and participants' ages at the time of assessment. The effect size of memory specificity between participants with and without exposure to trauma was large, d = 0.77, and differed significantly from zero, p < .001. In metaregression, trauma timing was a significant predictor of the heterogeneity in trauma-exposure specificity effect sizes, but posttraumatic stress and depressive symptoms were not. Compromised memory specificity represents an important cognitive consequence of trauma exposure that might have an important influence on risk for, and maintenance of, subsequent emotional pathologies.
Generalization of acquired responses appears to be a crucial, yet under investigated process in emotional disorders. Generalization occurs when a conditioned response is elicited by a stimulus different from the original conditioned stimulus. The expansion of complaints, often seen in emotional disorders, is at least in part due to processes of generalization. In the present study, generalization is approached from a memory perspective. It is hypothesized that generalization of conditioned responding is associated with autobiographical memory specificity. Higher levels of generalization are predicted for people who are characterized by limited memory specificity. In a human contingency-learning procedure, participants learned the association between two pictures of female faces and a schematic drawing of a lightning bolt. Subsequently, six morphed pictures functioning as generalization stimuli (GSs) were introduced and conditioned responses to these GSs were measured. The results showed that memory specificity was significantly associated with the extent of generalization. Participants low in autobiographical memory specificity exhibited significantly stronger conditioned responses to GSs as compared to participants high in autobiographical memory specificity.
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