When wanting to change is not enough: automatic appetitive processes moderate the effects of a brief alcohol intervention in hazardous-drinking college students.

BACKGROUND: Research indicates that brief motivational interventions are efficacious treatments for hazardous drinking. Little is known, however, about the psychological processes that may moderate intervention success. Based on growing evidence that drinking behavior may be influenced by automatic (nonvolitional) mental processes, the current study examined whether automatic alcohol-approach associations moderated the effect of a brief motivational intervention. Specifically, we examined whether the efficacy of a single-session intervention designed to increase motivation to reduce alcohol consumption would be moderated by the strength of participants' automatic alcohol-approach associations. METHODS: Eighty-seven undergraduate hazardous drinkers participated for course credit. Participants completed an Implicit Association Test to measure automatic alcohol-approach associations, a baseline measure of readiness to change drinking behavior, and measures of alcohol involvement. Participants were then randomly assigned to either a brief (15-minute) motivational intervention or a control condition. Participants completed a measure of readiness to change drinking at the end of the first session and returned for a follow-up session six weeks later in which they reported on their drinking over the previous month. RESULTS: Compared with the control group, those in the intervention condition showed higher readiness to change drinking at the end of the baseline session but did not show decreased drinking quantity at follow-up. Automatic alcohol-approach associations moderated the effects of the intervention on change in drinking quantity. Among participants in the intervention group, those with weak automatic alcohol-approach associations showed greater reductions in the amount of alcohol consumed per occasion at follow-up compared with those with strong automatic alcohol-approach associations. Automatic appetitive associations with alcohol were not related with change in amount of alcohol consumed per occasion in control participants. Furthermore, among participants who showed higher readiness to change, those who exhibited weaker alcohol-approach associations showed greater reductions in drinking quantity compared with those who exhibited stronger alcohol-approach associations. CONCLUSIONS: The results support the idea that automatic mental processes may moderate the influence of brief motivational interventions on quantity of alcohol consumed per drinking occasion. The findings suggest that intervention efficacy may be improved by utilizing implicit measures to identify those who may be responsive to brief interventions and by developing intervention elements to address the influence of automatic processes on drinking behavior.Published versio

Meaning in life and resilience to stressors

Background and Objectives: This research examined whether life meaning promotes resilience to stressor-related psychological distress and repetitive negative thinking. Design and Methods: Three studies (total N= 273) used cross-sectional (Study 1) and prospective (Studies 2 and 3) designs to assess the relation between life meaning and response to various stressors. Results: Results showed that in Study 1, greater life meaning was inversely related with repetitive negative thinking and psychological distress. Further, distress partially mediated the life meaning-repetitive negative thinking relation. In Study 2, baseline life meaning predicted less repetitive negative thinking about a subsequent city-wide flood. In Study 3, baseline life meaning was inversely related to distress and repetitive negative thinking after writing about an aversive memory. Mediation analyses showed an indirect effect for the life meaning-repetitive negative thinking relation through distress. Conclusions: In all studies, life meaning predicted outcomes when controlling for other positive well-being variables. Overall, the findings suggest that individuals with greater trait life meaning experience less stressor-related distress and repetitive negative thinking and that the life meaning-repetitive negative thinking relation may be mediated by distress

Fear of the unknown as a mechanism of the inverse relation between life meaning and psychological distress

Background and Objectives: Although there is accumulating evidence for an inverse relation between life meaning and psychological distress, little is known about the mechanisms of this relation. Using cross-sectional, observational methods, this research examined fear of uncertainty as one potential mechanism. Design and Methods: Study 1 (N = 141) was completed with a convenience sample, a unidimensional measure of life meaning, and general measures of anxiety and depression. Study 2 (N = 152) was completed with a sample prescreened for anxiety, a multidimensional measure of life meaning, and clinical measures of anxiety and depression. Results: The results from both studies generally showed an inverse relation between life meaning and psychological distress. Study 2 further indicated that these relations were stronger for the meaning subscale of perceiving life as coherent/comprehensible than the subscales assessing whether participants’ lives are perceived as purposeful or significant. Mediation analyses in both studies showed indirect effects of life meaning on psychological distress through fear of uncertainty. Conclusions: These findings support and extend previous research by showing that (i) meaning-as-comprehension may be particularly important in regards to psychological distress, and (ii) fear of uncertainty may mediate the inverse relation between meaning and measures of anxiety and depression

Visual attention to food cues and the course of anorexia nervosa

Previously, adolescents with anorexia nervosa (AN) showed reduced attentional engagement with food cues compared to adolescents without eating disorder (Jonker, Glashouwer, Hoekzema, Ostafin, & De Jong, 2019). This study tested whether (i) improvement in eating disorder symptoms and BMI are related to an increase in attentional engagement with food, and whether (ii) relatively low attentional engagement is related to persistent AN symptomatology, in the same sample of adolescents with AN (N = 69) from the study of Jonker et al. (2019). Eating disorder symptoms, BMI, and attention for food cues were measured during baseline and at one year follow-up. Adolescents with AN showed a substantial improvement in symptoms and BMI. However, their low attentional engagement with food cues remained unchanged. Change in attentional engagement with food was not related to change in symptoms, nor was low baseline attentional engagement with food predictive of symptom persistence. These findings indicate that improvement in AN symptoms does not seem to require an increase in attentional engagement with food

Automatic approach tendencies toward high and low caloric food in restrained eaters:Influence of task-relevance and mood

Objective: Although restrained eaters are motivated to control their weight by dieting, they are often unsuccessful in these attempts. Dual process models emphasize the importance of differentiating between controlled and automatic tendencies to approach food. This study investigated the hypothesis that heightened automatic approach tendencies in restrained eaters would be especially prominent in contexts where food is irrelevant for their current tasks. Additionally, we examined the influence of mood on the automatic tendency to approach food as a function of dietary restraint. Methods: An Affective Simon Task-manikin was administered to measure automatic approach tendencies where food is task-irrelevant, and a Stimulus Response Compatibility task (SRC) to measure automatic approach in contexts where food is task-relevant, in 92 female participants varying in dietary restraint. Prior to the task, sad, stressed, neutral, or positive mood was induced. Food intake was measured during a bogus taste task after the computer tasks. Results: Consistent with their diet goals, participants with a strong tendency to restrain their food intake showed a relatively weak approach bias toward food when food was task-relevant (SRC) and this effect was independent of mood. Restrained eaters showed a relatively strong approach bias toward food when food was task-irrelevant in the positive condition and a relatively weak approach in the sad mood. Conclusion: The weak approach bias in contexts where food is task-relevant may help high-restrained eaters to comply with their diet goal. However, the strong approach bias in contexts where food is task-irrelevant and when being in a positive mood may interfere with restrained eaters' goal of restricting food-intake

Responding to uncertain threat:A potential mediator for the effect of mindfulness on anxiety

Mindfulness-based interventions have gained extensive support for their application in the treatment of anxiety. However, their mechanisms remain largely unexplored. Excessive reactivity to uncertainty plays a central role in anxiety, and may represent a mechanism for the effect of mindfulness on anxiety, as mindfulness training fosters an open and accepting stance towards all aspects of experience. The present study sought to investigate both (i) self-reported intolerance of uncertainty (IU) as well as (ii) physiological and subjective responding to uncertain threat in a threat-of-shock paradigm, the NPU-threat test, as mediators for the relationship between mindfulness and anxiety in a cross-sectional study of healthy participants (N = 53). The results indicated that IU mediated the effect of mindfulness on some anxiety symptoms. In contrast, scores of physiological as well as subjective responses to uncertain threat from the NPU-threat test were largely unrelated to mindfulness, anxiety, or the IU self-report measure. The results provide initial evidence that reactions to uncertainty may play a role in the mindfulness-anxiety relationship and suggest that studies are needed to address how methodological variations of the NPU-threat test affect perceived levels of uncertainty and uncertainty-related anxiety

Empathic Accuracy, Mindfulness, and Facial Emotion Recognition:An Experimental Study

Background and Objectives: Empathic accuracy, i.e., the degree to which one is able to accurately infer the emotions of others, may be acutely malleable. We examined this idea by testing the immediate effect of a brief mindfulness intervention or facial emotion recognition training. Methods: Participants were English- or Dutch-speaking psychology students who were assigned to one of three brief intervention conditions (all instructions given in English): (1) verbal instructions for practicing awareness of their body (mindfulness, n = 23); (2) verbal and visual instructions regarding the detection of visual cues for anger, fear, sadness, and happiness (facial emotion recognition training, n = 23); or (3) a verbal, neutral didactic lecture on mindfulness (control, n = 23). Subsequently, participants completed a Dutch-language empathic accuracy task. Results: There was no significant overall difference in empathic accuracy between the three participant subgroups, suggesting no effect of the two target interventions. Nonetheless, even though empathic accuracy appeared unaltered by facial emotion recognition training among participants who understood Dutch well, it was better after this intervention than after the control intervention among participants with a relatively limited understanding of Dutch. Limitations: The study used a small convenience sample. The control condition was listening to a lecture on mindfulness. Empathic accuracy was not assessed at baseline. Moreover, we did not formally assess language understanding, as we did not predict its presumed impact a priori. Conclusions: A better study design is needed to find out whether facial emotion recognition training can help improve empathic accuracy when the understanding of verbal cues is limited