150 Psychologie
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Objective: Attunement is a novel measure of nonverbal synchrony reflecting the duration of the present moment shared by two interaction partners. This study examined its association with early change in outpatient psychotherapy.
Methods: Automated video analysis based on motion energy analysis (MEA) and cross-correlation of the movement time-series of patient and therapist was conducted to calculate movement synchrony for N = 161 outpatients. Movement-based attunement was defined as the range of connected time lags with significant synchrony. Latent change classes in the HSCL-11 were identified with growth mixture modeling (GMM) and predicted by pre-treatment covariates and attunement using multilevel multinomial regression.
Results: GMM identified four latent classes: high impairment, no change (Class 1); high impairment, early response (Class 2); moderate impairment (Class 3); and low impairment (Class 4). Class 2 showed the strongest attunement, the largest early response, and the best outcome. Stronger attunement was associated with a higher likelihood of membership in Class 2 (b = 0.313, p = .007), Class 3 (b = 0.251, p = .033), and Class 4 (b = 0.275, p = .043) compared to Class 1. For highly impaired patients, the probability of no early change (Class 1) decreased and the probability of early response (Class 2) increased as a function of attunement.
Conclusions: Among patients with high impairment, stronger patient-therapist attunement was associated with early response, which predicted a better treatment outcome. Video-based assessment of attunement might provide new information for therapists not available from self-report questionnaires and support therapists in their clinical decision-making.
Background: Hyperhidrosis (excessive sweating, OMIM %114110) is a complex disorder with multifactorial causes. Emotional strains and social stress increase symptoms and lead to a vicious circle. Previously, we showed significantly higher depression scores, and normal cortisol awakening responses in patients with primary focal hyperhidrosis (PFH). Stress reactivity in response to a (virtual) Trier Social Stress Test (TSST-VR) has not been studied so far. Therefore, we measured sweat secretion, salivary cortisol and alpha amylase (sAA) concentrations, and subjective stress ratings in affected and non-affected subjects in response to a TSST-VR.
Method: In this pilot study, we conducted TSST-VRs and performed general linear models with repeated measurements for salivary cortisol and sAA levels, heart rate, axillary sweat and subjective stress ratings for two groups (diagnosed PFH (n = 11), healthy controls (n = 16)).
Results: PFH patients showed significantly heightened sweat secretion over time compared to controls (p = 0.006), with highest quantities during the TSST-VR. In both groups, sweating (p < 0.001), maximum cortisol levels (p = 0.002), feelings of stress (p < 0.001), and heart rate (p < 0.001) but not sAA (p = 0.068) increased significantly in response to the TSST-VR. However, no differences were detected in subjective ratings, cortisol concentrations and heart rate between PFH patients and controls (pall > 0.131).
Conclusion: Patients with diagnosed PFH showed stress-induced higher sweat secretion compared to healthy controls but did not differ in the stress reactivity with regard to endocrine or subjective markers. This pilot study is in need of replication to elucidate the role of the sympathetic nervous system as a potential pathway involved in the stress-induced emotional sweating of PFH patients.
List-method directed forgetting (LMDF) is the demonstration that people can intentionally forget previously studied information when they are asked to forget what they have previously learned and remember new information instead. In addition, recent research demonstrated that people can selectively forget when cued to forget only a subset of the previously studied information. Both forms of forgetting are typically observed in recall tests, in which the to-be-forgotten and to-be-remembered information is tested independent of original cuing. Thereby, both LMDF and selective directed forgetting (SDF) have been studied mostly with unrelated item materials (e.g., word lists). The present study examined whether LMDF and SDF generalize to prose material. Participants learned three prose passages, which they were cued to remember or forget after the study of each passage. At the time of testing, participants were asked to recall the three prose passages regardless of original cuing. The results showed no significant differences in recall of the three lists as a function of cuing condition. The findings suggest that LMDF and SDF do not occur with prose material. Future research is needed to replicate and extend these findings with (other) complex and meaningful materials before drawing firm conclusions. If the null effect proves to be robust, this would have implications regarding the ecological validity and generalizability of current LMDF and SDF findings.
The present dissertation was developed to emphasize the importance of self-regulatory abilities and to derive novel opportunities to empower self-regulation. From the perspective of PSI (Personality Systems Interactions) theory (Kuhl, 2001), interindividual differences in self-regulation (action vs. state orientation) and their underlying mechanisms are examined in detail. Based on these insights, target-oriented interventions are derived, developed, and scientifically evaluated. The present work comprises a total of four studies which, on the one hand, highlight the advantages of a good self-regulation (e.g., enacting difficult intentions under demands; relation with prosocial power motive enactment and well-being). On the other hand, mental contrasting (Oettingen et al., 2001), an established self-regulation method, is examined from a PSI perspective and evaluated as a method to support individuals that struggle with self-regulatory deficits. Further, derived from PSI theory`s assumptions, I developed and evaluated a novel method (affective shifting) that aims to support individuals in overcoming self-regulatory deficits. Thereby affective shifting supports the decisive changes in positive affect for successful intention enactment (Baumann & Scheffer, 2010). The results of the present dissertation show that self-regulated changes between high and low positive affect are crucial for efficient intention enactment and that methods such as mental contrasting and affective shifting can empower self-regulation to support individuals to successfully close the gap between intention and action.
Die Effekte diverser Hormone auf das Sozialverhalten von Männern und Frauen sind nicht vollständig geklärt, da eine genaue Messung dieser, sowie eine Ableitung kausaler Zusammenhänge, die Forschung seither vor Herausforderungen stellt. Umso wichtiger sind Studien, welche versuchen für konfundierende Aspekte zu kontrollieren und die hormonellen oder endokrinen Effekte auf das Sozialverhalten und die soziale Kognition zu untersuchen. Während Studien bereits Effekte von akutem Stress auf Sozialverhalten zeigten, sind die zugrundeliegenden neurobiologischen Mechanismen nicht vollständig bekannt, da hierfür ein rein pharmakologischer Ansatz von Nöten wäre. Die wenigen Studien, die einen solchen wählten, zeigen konträre Befunde. Bisherige Untersuchungen mit psychosozialen Stressoren lassen jedoch prosoziale Tendenzen nach Stress sowohl für Männer als auch für Frauen vermuten. Darüber hinaus sind auch Untersuchungen zu weiblichen Geschlechtshormonen und ihrem Einfluss auf Sozialverhalten sowie die soziale Kognition bei Frauen besonders herausfordernd durch die hormonellen Schwankungen während des Menstruationszyklus oder auch Veränderungen durch die Einnahme oraler Kontrazeptiva. Studien die sowohl Zyklusphasen als auch die Effekte von oralen Kontrazeptiva untersuchten, deuten aber bereits auf Unterschiede zwischen den verschiedenen Phasen, sowie Frauen mit natürlichem Zyklus und Einnahme oraler Kontrazeptiva hin.
Der theoretische Teil beschreibt die Grundlagen zur Stressreaktion des Menschen und die hormonellen Veränderungen weiblicher Geschlechtshormone. Folgend, soll ein Kapitel zur aktuellen Forschungslage zu Effekten von akutem Stress auf Sozialverhalten und die soziale Kognition einen Überblick über die bisherige Befundlage schaffen. Die erste empirische Studie, welche die Effekte von Hydrocortison auf das Sozialverhalten und die Emotionserkennung untersucht, soll anschließend in diese aktuelle Befundlage eingeordnet werden und zu der weniger erforschten Sparte der pharmakologischen Studien beitragen. Die zweite empirische Studie befasst sich folgend mit den Effekten weiblicher Geschlechtshormone auf Sozialverhalten und Empathie, genauer wie auch Zyklusphasen und orale Kontrazeptiva (über Hormone vermittelt) einen Einfluss bei Frauen nehmen. Abschließend sollen die Effekte von Stresshormonen bei Männern, und modulierende Eigenschaften weiblicher Geschlechtshormone, Zyklusphasen und oraler Kontrazeptiva bei Frauen, jeweils in Hinblick auf Sozialverhalten und die soziale Kognition diskutiert werden.
The forward testing effect is an indirect benefit of retrieval practice. It refers to the finding that retrieval practice of previously studied information enhances learning and retention of subsequently studied other information in episodic memory tasks. Here, two experiments were conducted that investigated whether retrieval practice influences participants’ performance in other tasks, i.e., arithmetic tasks. Participants studied three lists of words in anticipation of a final recall test. In the testing condition, participants were immediately tested on lists 1 and 2 after study of each list, whereas in the restudy condition, they restudied lists 1 and 2 after initial study. Before and after study of list 3, participants did an arithmetic task. Finally, participants were tested on list 3, list 2, and list 1. Different arithmetic tasks were used in the two experiments. Participants did a modular arithmetic task in Experiment 1a and a single-digit multiplication task in Experiment 1b. The results of both experiments showed a forward testing effect with interim testing of lists 1 and 2 enhancing list 3 recall in the list 3 recall test, but no effects of recall testing of lists 1 and 2 for participants’ performance in the arithmetic tasks. The findings are discussed with respect to cognitive load theory and current theories of the forward testing effect.
Advances in eye tracking technology have enabled the development of interactive experimental setups to study social attention. Since these setups differ substantially from the eye tracker manufacturer’s test conditions, validation is essential with regard to the quality of gaze data and other factors potentially threatening the validity of this signal. In this study, we evaluated the impact of accuracy and areas of interest (AOIs) size on the classification of simulated gaze (fixation) data. We defined AOIs of different sizes using the Limited-Radius Voronoi-Tessellation (LRVT) method, and simulated gaze data for facial target points with varying accuracy. As hypothesized, we found that accuracy and AOI size had strong effects on gaze classification. In addition, these effects were not independent and differed in falsely classified gaze inside AOIs (Type I errors; false alarms) and falsely classified gaze outside the predefined AOIs (Type II errors; misses). Our results indicate that smaller AOIs generally minimize false classifications as long as accuracy is good enough. For studies with lower accuracy, Type II errors can still be compensated to some extent by using larger AOIs, but at the cost of more probable Type I errors. Proper estimation of accuracy is therefore essential for making informed decisions regarding the size of AOIs in eye tracking research.
The ability to acquire knowledge helps humans to cope with the demands of the environment. Supporting knowledge acquisition processes is among the main goals of education. Empirical research in educational psychology has identified several processes mediated through that prior knowledge affects learning. However, the majority of studies investigated cognitive mechanisms mediating between prior knowledge and learning and neglected that motivational processes might also mediate the influence. In addition, the impact of successful knowledge acquisition on patients’ health has not been comprehensively studied. This dissertation aims at closing knowledge gaps on these topics with the use of three studies. The first study is a meta-analysis that examined motivation as a mediator of individual differences in knowledge before and after learning. The second study investigated in greater detail the extent to which motivation mediated the influence of prior knowledge on knowledge gains in a sample of university students. The third study is a second-order meta-analysis synthesizing the results of previous meta-analyses on the effects of patient education on several health outcomes. The findings of this dissertation show that (a) motivation mediates individual differences in knowledge before and after learning; (b) interest and academic self-concept stabilize individual differences in knowledge more than academic self-efficacy, intrinsic motivation, and extrinsic motivation; (c) test-oriented instruction closes knowledge gaps between students; (d) students’ motivation can be independent of prior knowledge in high aptitude students; (e) knowledge acquisition affects motivational and health-related outcomes; and (f) evidence on prior knowledge and motivation can help develop effective interventions in patient education. The results of the dissertation provide insights into prerequisites, processes, and outcomes of knowledge acquisition. Future research should address covariates of learning and environmental impacts for a better understanding of knowledge acquisition processes.