Abstract 1. Smokers with past major depressive disorder participating in a smoking cessation trea... more Abstract 1. Smokers with past major depressive disorder participating in a smoking cessation treatment study were interviewed at 6, 26, and 29 weeks postquit to retrospectively assess their smoking behavior using the timeline follow-back (TLFB) method. Participants ...
Journal of Consulting and Clinical Psychology, 1998
Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Invento... more Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Inventory (A.T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) received 8 individual sessions of cognitive-behavioral treatment for depression (CBT-D, n = 19) or a relaxation training control (RTC; n = 16) plus standard alcohol treatment. CBT-D patients had greater reductions in somatic depressive symptoms and depressed and anxious mood than RTC patients during treatment. Patients receiving CBT-D had a greater percentage of days abstinent but not greater overall abstinence or fewer drinks per day during the first 3-month follow-up. However, between the 3- and 6-month follow-ups, CBT-D patients had significantly better alcohol use outcomes on total abstinence (47% vs. 13%), percent days abstinent (90.5% vs. 68.3%), and drinks per day (0.46 vs. 5.71). Theoretical and clinical implications of using CBT-D in alcohol treatment are discussed.
Body-focused attention is regarded as an important maintaining factor for somatoform illness, alt... more Body-focused attention is regarded as an important maintaining factor for somatoform illness, although there is limited empirical evidence pertaining to this hypothesis. This study was conducted to assess whether individual differences in somatoform dissociation and somatosensory amplification were associated with biased attention towards the tactile modality, particularly following exposure to threatening body-related stimuli. Forty-eight nonclinical participants completed the Somatoform Dissociation Questionnaire (SDQ-20; a proxy measure of somatoform symptomatology), the Somatosensory Amplification Scale (SSAS), and a modality bias task. The task consisted of a series of body-relevant or body-irrelevant (scene) picture stimuli, half of which were threatening and half were neutral, followed by target stimuli in either the visual or the tactile modality. Participants judged the location of each target stimulus, and performance data were used to calculate the degree to which participants were biased towards the tactile modality following each of the picture types. Participants in the high SDQ-20 group (defined by median split) showed a significant increase in tactile bias when responding to targets occurring 250 ms after the presentation of threatening body-relevant stimuli only. This effect was not observed for the low SDQ-20 group. Scores on the SSAS correlated negatively with tactile bias for both threatening and neutral body-relevant stimuli at 250 ms. Individuals with a tendency to experience somatoform symptoms focus more on stimuli in the tactile modality immediately following exposure to threatening body-relevant information. In contrast, self-reported somatosensory amplification appears to be associated with attention away from the tactile modality rather than with increased tactile focus.
This study aimed to develop an experimental paradigm, using healthy controls, to measure change i... more This study aimed to develop an experimental paradigm, using healthy controls, to measure change in tactile sensitivity and response bias for subsequent testing of patients with medically unexplained symptoms (MUS). Participants judged whether or not they detected a weak tactile pulse (presented in 50% of trials). Performance in two conditions (tactile pulses presented with or without a concomitant light) was compared using signal detection analysis to assess whether a task-irrelevant light can invoke the sensation of touch, even in its absence. The results showed that the presence of a concurrent light significantly improved participants' detection of the tactile stimulus by 13.7% [t(18)=4.24, P<.001]. Also, more false alarms (perceiving that the touch was present when it was not) were made when the light was present [t(18)=2.10, P=.05]. Although differences in sensitivity between the light conditions were not significant [t(18)=1.14, P=.268], participants were more likely to report a touch, regardless of whether a touch was presented or not, in the light-present condition [t(18)=-3.84, P=.001]. When discriminating weak vibration pulses on the finger from no stimulation, a simultaneous light was capable of creating the sensation of touch, even when it was not present. The findings of this research will be of interest to those studying psychosomatic disorders or MUS, where patients experience physical symptoms without an identifiable organic cause. This paradigm provides an experimental measure of such distortions in perception, which may elucidate underlying mechanisms of action.
Research suggests that attention has a significant effect on somatic perception in both healthy p... more Research suggests that attention has a significant effect on somatic perception in both healthy people and those who suffer from somatic disturbance. The current study investigates the effects of attending to the body on somatic awareness and a particular type of somatic disturbance: erroneous reports of touch sensation, as measured by the Somatic Signal Detection Task (SSDT). During the SSDT, participants are required to detect near-threshold tactile stimulation at their fingertip. Previous research has found that healthy participants erroneously report touch sensations in the absence of a stimulus on this task and that such false alarms are increased when a simultaneous light flash is presented next to their fingertip. Thirty-seven participants completed the SSDT under two conditions: noninformative vision of the hand and no vision of the hand. False alarms were significantly higher in light trials in the non-informative vision condition compared to light trials in the no-vision condition. However, hit rates, sensitivity (d') and response criterion (c) were not affected by noninformative vision of the hand. Using the SSDT, we found that viewing the body increased somatic interference, possibly due to raised awareness of internal bodily sensations. This work provides evidence that viewing the body can have a detrimental effect on simple detection of nearthreshold tactile stimulation.
Abstract 1. Smokers with past major depressive disorder participating in a smoking cessation trea... more Abstract 1. Smokers with past major depressive disorder participating in a smoking cessation treatment study were interviewed at 6, 26, and 29 weeks postquit to retrospectively assess their smoking behavior using the timeline follow-back (TLFB) method. Participants ...
Journal of Consulting and Clinical Psychology, 1998
Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Invento... more Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Inventory (A.T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) received 8 individual sessions of cognitive-behavioral treatment for depression (CBT-D, n = 19) or a relaxation training control (RTC; n = 16) plus standard alcohol treatment. CBT-D patients had greater reductions in somatic depressive symptoms and depressed and anxious mood than RTC patients during treatment. Patients receiving CBT-D had a greater percentage of days abstinent but not greater overall abstinence or fewer drinks per day during the first 3-month follow-up. However, between the 3- and 6-month follow-ups, CBT-D patients had significantly better alcohol use outcomes on total abstinence (47% vs. 13%), percent days abstinent (90.5% vs. 68.3%), and drinks per day (0.46 vs. 5.71). Theoretical and clinical implications of using CBT-D in alcohol treatment are discussed.
Body-focused attention is regarded as an important maintaining factor for somatoform illness, alt... more Body-focused attention is regarded as an important maintaining factor for somatoform illness, although there is limited empirical evidence pertaining to this hypothesis. This study was conducted to assess whether individual differences in somatoform dissociation and somatosensory amplification were associated with biased attention towards the tactile modality, particularly following exposure to threatening body-related stimuli. Forty-eight nonclinical participants completed the Somatoform Dissociation Questionnaire (SDQ-20; a proxy measure of somatoform symptomatology), the Somatosensory Amplification Scale (SSAS), and a modality bias task. The task consisted of a series of body-relevant or body-irrelevant (scene) picture stimuli, half of which were threatening and half were neutral, followed by target stimuli in either the visual or the tactile modality. Participants judged the location of each target stimulus, and performance data were used to calculate the degree to which participants were biased towards the tactile modality following each of the picture types. Participants in the high SDQ-20 group (defined by median split) showed a significant increase in tactile bias when responding to targets occurring 250 ms after the presentation of threatening body-relevant stimuli only. This effect was not observed for the low SDQ-20 group. Scores on the SSAS correlated negatively with tactile bias for both threatening and neutral body-relevant stimuli at 250 ms. Individuals with a tendency to experience somatoform symptoms focus more on stimuli in the tactile modality immediately following exposure to threatening body-relevant information. In contrast, self-reported somatosensory amplification appears to be associated with attention away from the tactile modality rather than with increased tactile focus.
This study aimed to develop an experimental paradigm, using healthy controls, to measure change i... more This study aimed to develop an experimental paradigm, using healthy controls, to measure change in tactile sensitivity and response bias for subsequent testing of patients with medically unexplained symptoms (MUS). Participants judged whether or not they detected a weak tactile pulse (presented in 50% of trials). Performance in two conditions (tactile pulses presented with or without a concomitant light) was compared using signal detection analysis to assess whether a task-irrelevant light can invoke the sensation of touch, even in its absence. The results showed that the presence of a concurrent light significantly improved participants' detection of the tactile stimulus by 13.7% [t(18)=4.24, P<.001]. Also, more false alarms (perceiving that the touch was present when it was not) were made when the light was present [t(18)=2.10, P=.05]. Although differences in sensitivity between the light conditions were not significant [t(18)=1.14, P=.268], participants were more likely to report a touch, regardless of whether a touch was presented or not, in the light-present condition [t(18)=-3.84, P=.001]. When discriminating weak vibration pulses on the finger from no stimulation, a simultaneous light was capable of creating the sensation of touch, even when it was not present. The findings of this research will be of interest to those studying psychosomatic disorders or MUS, where patients experience physical symptoms without an identifiable organic cause. This paradigm provides an experimental measure of such distortions in perception, which may elucidate underlying mechanisms of action.
Research suggests that attention has a significant effect on somatic perception in both healthy p... more Research suggests that attention has a significant effect on somatic perception in both healthy people and those who suffer from somatic disturbance. The current study investigates the effects of attending to the body on somatic awareness and a particular type of somatic disturbance: erroneous reports of touch sensation, as measured by the Somatic Signal Detection Task (SSDT). During the SSDT, participants are required to detect near-threshold tactile stimulation at their fingertip. Previous research has found that healthy participants erroneously report touch sensations in the absence of a stimulus on this task and that such false alarms are increased when a simultaneous light flash is presented next to their fingertip. Thirty-seven participants completed the SSDT under two conditions: noninformative vision of the hand and no vision of the hand. False alarms were significantly higher in light trials in the non-informative vision condition compared to light trials in the no-vision condition. However, hit rates, sensitivity (d') and response criterion (c) were not affected by noninformative vision of the hand. Using the SSDT, we found that viewing the body increased somatic interference, possibly due to raised awareness of internal bodily sensations. This work provides evidence that viewing the body can have a detrimental effect on simple detection of nearthreshold tactile stimulation.
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