Remember that? A comparison of real-time versus retrospective recall of smoking lapses.

Research and treatment assessments often rely on retrospective recall of events. The accuracy of recall was tested using accounts of smoking relapse episodes from 127 participants who had quit smoking, and lapses and temptations were recorded in near-real time using a hand-held computer. These computer records were compared with retrospective accounts elicited 12 weeks later, with a focus on recall of lapses in 4 content domains: mood, activity, episode Triggers, and abstinence violation effects. Recall of lapses was quite poor: Average kappas for items ranged from 0.18 to 0.27. Mean profile rs assessing recall for the overall pattern of behavior were .36, .30, .33, and .44 for these domains, respectively. In recall, participants overestimated their negative affect and the number of cigarettes they had smoked during the lapse, and their recall was influenced by current smoking status. The findings suggest caution in the use of recall in research and intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative Affect and Smoking Lapses: A Prospective Analysis.

Relapse is a central problem in smoking treatment. Data collected at the time of relapse episodes indicate that stress and negative affect (NA) promote relapse, but retrospective data are potentially biased. The authors performed a prospective analysis of stress and NA prior to initial lapses in smokers (N = 215). Day-to-day changes in stress (daily negative and positive events and Perceived Stress Scale scores) and NA (multiple momentary affect ratings) did not predict lapse risk on the following day. However, within the lapse day itself, NA was already significantly increasing hours before lapses, but only for episodes attributed to stress or bad mood. Thus, rapid increases in NA, but not slow-changing shifts in stress and NA, were associated with relapse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Updating the contents of working memory in depression: Interference from irrelevant negative material.

This study was designed to assess the effects of irrelevant emotional material on the ability to update the contents of working memory in depression. For each trial, participants were required to memorize 2 lists of emotional words and subsequently to ignore 1 of the lists. The impact of irrelevant emotional material on the ability to update the contents of working memory was indexed by response latencies on a recognition task in which the participants decided whether or not a probe was a member of the relevant list. The authors compared response latencies to probes from the irrelevant list to response latencies to novel probes of the same valence (intrusion effect). The results indicate that, compared to control participants in both neutral and sad mood states, depressed participants showed greater intrusion effects when presented with negative words. In an important finding, intrusion effects for negative words were correlated with self-reported rumination. These findings indicate that depression is associated with difficulties removing irrelevant negative material from working memory. Results also indicate that the increased interference from irrelevant negative material is associated with rumination. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Distinguishing between automaticity and attention in the processing of emotionally significant stimuli.

There is contradicting evidence as to whether irrelevant but significant emotional stimuli can be processed outside the focus of attention. In the current study, participants were asked to ignore emotional and neutral pictures while performing a competing task. In Experiment 1, orienting of attention to distracting pictures was manipulated via a peripheral cue. In Experiment 2, attentional load was varied, either leaving spare attention to process the distracting pictures or, alternatively, depleting attentional resources. Although all pictures were task irrelevant, negative pictures were found to interfere more with performance in comparison to neutral pictures. This finding suggests that processing of negative stimuli is automatic in the sense that it does not require execution of conscious monitoring. However, interference occurred only when sufficient attention was available for picture processing. Hence, processing of negative pictures was dependent on sufficient attentional resources. This suggests that processing of emotionally significant stimuli is automatic yet requires attention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inhibition of return to negative emotion: Evidence from an emotional expression detection task.

After the presentation of an uninformative spatial cue, it usually takes participants more time to respond to a target that appears at the cued location when the interval between the cue and target is long. This phenomenon is named inhibition of return (IOR), implying that returning attention to the cued location is inhibited because of attentional disengagement. The present study investigated whether irrelevant emotional information is processed by the attentional system in a similar manner. Uninformative positive and negative emotional cues were presented at the center of the screen, and faces were presented as the target. An emotional expression detection task was used to reveal the inhibitory and facilitatory aftereffects of the attentional processing of the emotional cues. An emotion-based IOR effect on reaction time was observed only after the presence of a negative emotional cue, implying that the attentional system tends to inhibit irrelevant negative emotion but not inhibit irrelevant positive emotion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Responses to hypothetical high risk situations: Do they predict weight loss in a behavioral treatment program or the context of dietary lapses?

Before starting a behavioral weight control program and after 6 months of treatment, 93 participants were asked to listen to 4 scenarios describing typical high risk situations for dieters (family celebration, watching TV, tension at work, argument). The number of coping responses generated, latency of responses, and perceived risk of lapsing were assessed; participants also identified which situation would be most difficult for them. Telephone interviews were conducted during the weight loss program to assess situations surrounding actual dietary lapses. Participants who rated the negative affect situations as most difficult were more likely to lapse in situations involving negative affect; 87% of these participants lapsed in association with negative affect. Moreover, participants who generated coping responses to more of the situations subsequently lost more weight. Thus, baseline performance on a hypothetical high risk task predicts subsequent performances in a behavioral weight loss program. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

First lapses to smoking: Within-subjects analysis of real-time reports.

Studies of smoking relapse and temptation episodes have relied on retrospective recall and confounded between- and within-subject variability. Real-time data on temptations and lapses to smoke were gathered using palm-top computers. We made within-subject comparisons of the initial lapse, a temptation episode, and base rate data obtained through randomly scheduled assessments. Negative affect discriminated all three situations, with lapses worse than temptations, and temptations worse than random situations. Participants attributed lapses to negative mood and smoking cues, whereas temptations were more often attributed to behavioral transitions. Participants were 12 times more likely to report coping in temptations than in lapses. However, only cognitive ( vs. behavioral ) coping strategies were effective. Lapses (vs. the other situations) were more likely to occur when smoking was permitted, when cigarettes were easily available, and in the presence of other smokers. The results have clinical implications, and the computerized monitoring methods may be applicable to an array of clinical research problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Locus of control as a modifier of the relationship between stressors and moods.

In the search for moderators of negative life events, locus of control (LOC) has been thought to be one of the more potentially important personality variables. Recent research has substantiated this hypothesis to a limited degree. The present 3 experiments with 216 undergraduates presents stronger indications for the utility of variables. LOC measures (Rotter's Internal–External LOC Scale) interacted with recalled negative life events in predicting mood states that were assessed weekly over a period of several weeks. Multiple regression analyses indicated that negative life events that had occurred during the high school years had a lingering effect on the current mood states of the more external Ss. On the other hand, more recent negative life events resulted in mood disturbances for all Ss regardless of LOC scores, although externals were equally distraught in the absence of negative events. Multiple correlations between negative life events, LOC, and mood scores attained sizable magnitudes. Positive life events, on the other hand, had relatively slight effects on subsequent mood disturbance. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are moods motivational states? A study on effort-related cardiovascular response.

Based on the mood-behavior-model (Gendolla, 2000), this study tested the idea that moods only have effects on effort mobilization in settings that directly call for this and in which people can thus use their moods as task-relevant information. Fifty university students were randomly assigned to a 2 (Mood: negative vs. positive) × 2 (Memorizing: intentional vs. incidental) × 2 (Time: mood induction vs. task performance) mixed model design. Effort mobilization was operationalized as systolic blood pressure (SBP) reactivity. As expected, in the intentional-memorizing condition, SBP reactivity was stronger in a negative mood than in a positive mood. Mood had no impact in the incidental-memorizing condition, which did not call for effort mobilization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of high-dose nicotine patch on the characteristics of lapse episodes.

Objective: Nicotine patch improves treatment outcomes, but lapses are still common. To understand the process of relapse on patch, we investigated differences in the antecedents (withdrawal, setting, triggers) of lapse episodes experienced on high-dose (35 mg) nicotine patches versus placebo. Design: Participants were smokers who lapsed during a randomized, double-blind trial of active patches (n = 100) versus placebo (n = 85). Participants used electronic diaries to monitor their smoking, affect, and activities in real time for 5 weeks during their cessation attempt. Results: We analyzed 490 lapse episodes (active: 266; placebo: 224). Lapses on nicotine patch were characterized by significantly lower positive affect and higher negative affect than placebo lapses. Participants treated with high-dose patch were also significantly more likely to lapse in situations involving little or no craving. Situational antecedents of lapses on patch resembled those on placebo. Conclusion: The results suggest that treatment with patch may set a higher threshold for affective stimuli to provoke lapses, but does not change the proximal cues that trigger lapses. This suggests that behavioral relapse-prevention strategies developed for unmedicated smokers should also apply to those treated with nicotine patch. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Progression from a smoking lapse to relapse: Prediction from abstinence violation effects, nicotine dependence, and lapse characteristics.

Determinants of progression from an initial smoking lapse to relapse, using prospective data from 133 participants were examined. Participants used palm-top computers to record their first lapse, and their reaction to it, within minutes of the event, and were followed for 3 months to assess subsequent smoking. Indicators of the Abstinence Violation Effect—self-efficacy, attributions, and affective reactions to the lapse—generally failed to predict progression to relapse, but participants who felt like giving up after the first lapse progressed more rapidly to a second lapse. Participants who attempted restorative coping were less likely to progress to another lapse on the same day. Those whose lapses were triggered by stress progressed more quickly, whereas those triggered by eating and drinking or accompanied by alcohol consumption progressed more slowly. More nicotine-dependent participants progressed more rapidly toward relapse, but neither the amount smoked in the first lapse nor its subjective reinforcement predicted progression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of learned irrelevance in attentional set-shifting impairments in Parkinson's disease.

In this study, the cognitive and neurochemical factors underlying learned irrelevance, one of the mechanisms thought to be responsible for attentional set-shifting deficits in Parkinson's disease (PD), were investigated. In a visual discrimination learning task, the extent to which a target dimension was irrelevant prior to an extra-dimensional shift was varied. Twenty patients with PD and 22 healthy participants performed the task twice, with patients tested on and off L-dopa. The patients made more errors than control participants in the condition in which the target dimension was completely irrelevant prior to the extradimensional shift, but not when it was partially reinforced. Moreover, L-dopa had no effect on the patients' task performance, despite improving their working memory. These results confirm that learned irrelevance is a significant factor in accounting for attentional set-shifting deficits in patients with PD, although unlike other executive impairments in this group, the phenomenon appears to be unrelated to their central dopaminergic deficit. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do people with low self-esteem really want to feel better? Self-esteem differences in motivation to repair negative moods.

This research examined the hypothesis that people with low self-esteem (LSE) are less motivated than people with high self-esteem (HSE) to repair their negative moods. In Study 1, participants completed diaries in response to either a success or a failure in their everyday lives. Participants described what they intended to do next and the reasons behind those plans. After failure, fewer LSE than HSE participants expressed a goal to improve their mood. A follow-up investigation (Study 2) suggested that this difference was not due to a self-esteem difference in knowledge of mood repair strategies. In Study 3, after undergoing a negative mood induction, fewer LSE than HSE participants chose to watch a comedy video, even though both groups believed the comedy video would make them happy. Studies 4 and 5 explored possible reasons why LSE people are less motivated than HSE people to repair their negative moods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory and control of attention in persons with Alzheimer's disease and mild cognitive impairment.

The goal of the present study was to assess 3 attentional control processes--divided attention, manipulation capacities, and inhibition--in persons with mild cognitive impairment (MCI) and with mild Alzheimer's disease (AD). Manipulation capacities were tested by comparing immediate serial recall with alphabetical-order recall of words. Divided attention was tested with the Brown-Peterson procedure, in which participants divide their attention between simple addition tasks and consonant trigrams over delays. Inhibition was tested with the Hayling procedure, in which participants complete sentences with words irrelevant to their context. Persons with AD showed severe impairment on the 3 attentional control components. Persons with MCI exhibited impaired performance on the Brown-Peterson procedure but normal performance on the other 2 tasks. With AD and MCI participants, there was a negative correlation between general cognitive deficits and impairment on attentional control tasks, indicating that attentional control deficits increase in the MCI/AD continuum. When separating MCI with and without significant subsequent decline, those with subsequent decline showed impaired performance on both the Brown-Peterson procedure and manipulation task. These data suggest that control of attention tasks can track AD at a preclinical stage and that impairment increases gradually during the preclinical phase of AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The restless mind.

This article reviews the hypothesis that mind wandering can be integrated into executive models of attention. Evidence suggests that mind wandering shares many similarities with traditional notions of executive control. When mind wandering occurs, the executive components of attention appear to shift away from the primary task, leading to failures in task performance and superficial representations of the external environment. One challenge for incorporating mind wandering into standard executive models is that it often occurs in the absence of explicit intention--a hallmark of controlled processing. However, mind wandering, like other goal-related processes, can be engaged without explicit awareness; thus, mind wandering can be seen as a goal-driven process, albeit one that is not directed toward the primary task. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A day at a time: Predicting smoking lapse from daily urge.

Smokers who recently quit (N?=?214) monitored smoking urges for up to 26 days after quitting. Computers administered 4–5 assessments daily at random times; participants rated urges on waking and when they experienced temptation episodes. Urge intensity after cessation did not generally exceed urges reported during baseline ad lib smoking. Urge intensity and temptation frequency consistently declined over the quit period. Controlling for urge intensity at baseline, all daily urge intensity measures predicted lapse the following day in proportional hazards survival analyses. Average duration of temptation episodes also predicted lapses; frequency of temptation did not. To isolate the effect of day-to-day variations in urges, participants' nicotine dependence and urge intensity on quit day were controlled for. Only urge intensity at waking still predicted lapse risk; this was not because of this measure being closer in time to the day's lapses. Among lapsers, urge intensity at waking and in temptations rose preceding a lapse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do induced moods really influence health perceptions?

Objective. To determine whether induced mood alters health reports. Design. Randomized experiments testing a) mood influence on two global self-rated health (SRH) assessments (Study 1; N = 168) and b) testing whether illness relevant thinking moderates the influence of induced negative mood on SRH and physical symptom reports (Study 2; N = 143). Main Outcome Measures. Two global SRH items. Results. Effect sizes for induced mood were near zero across both studies (r's = 0.00-0.07). Aggregate analyses of induced mood studies showed a small adverse effect of induced negative mood on SRH, but these analyses masked roughly equal instances of better SRH among groups with worse mood. Conclusion. Published experimental research shows no consistent pattern of poorer SRH following negative mood induction in college-aged samples. Sample size and gender may account for variation in health ratings among induced mood groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Informational mood impact on effort-related cardiovascular reponse: The diagnostic value of mood counts.

Drawing on the mood-behavior model (G. H. E. Gendolla, 2000), 2 experiments examined moods' informational impact on effort-related cardiovascular response. After being induced into positive versus negative moods, participants performed a memory task (Experiment 1) or a letter-cancellation task (Experiment 2). Half the participants received a cue that their mood could have been manipulated. As expected, both studies found stronger reactivity of systolic blood pressure in a negative mood than in a positive mood when no cue was provided. This effect diminished in the cue conditions. Additionally, achievement corresponded to systolic blood pressure reactivity (Experiment 1), the cue manipulation had no effect on mood, and mood had a congruency effect on subjective task difficulty in the no-cue conditions (Experiment 2). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relapse as a model of nonadherence to dietary treatment of diabetes.

Tested the generality of G. A. Marlatt and J. R. Gordon's (1980, 1985) model of dietary lapse. 46 adults with insulin-dependent diabetes mellitus (IDDM) and 43 obese adults with non-IDDM were interviewed regarding dietary violations. Most episodes occurred in a limited range of high-risk situations. Although the 2 groups lapsed in similar situations, there was a tendency for the IDDM Ss to report a larger proportion of lapses in situations characterized by negative emotions. Approximately 27% of the lapses occurred when the S was busy with a competing activity or had no choice, and these lapses did not fit into Marlatt and Gordon's coding schema. Violations usually were errors of omission rather than errors of commission. Results suggest that most instances of nonadherence were intermittent lapses that did not develop into full-blown relapses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An Ecological Momentary Assessment of Relapse Crises in Dieting.

Much of the research on relapse crises in dieting has focused on isolated lapse events and relied heavily on retrospective self-report data. The present study sought to overcome these limitations by using ecological momentary assessment (EMA) techniques to examine situations of dietary temptation and lapse with a sample of obese, formerly sedentary, postmenopausal women (N = 37) during the final week of a weight-loss intervention. Mood was associated with reports of dietary lapse. Abstinence-violation effects were more strongly associated with dietary lapses than temptations. Finally, coping responses distinguished dietary temptations from lapses. Education on the factors associated with relapse crises in dieting may be imperative for weight loss success and maintenance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)