Collaboration matters: A randomized controlled trial of patient-clinician collaboration in suicide risk assessment and intervention.

BACKGROUND: Clinician collaboration can help high-risk individuals to manage their suicidal crises. However, limited research has directly examined how higher patient-clinician collaboration during assessment and intervention can effectively reduce suicidal ideation. This novel randomized clinical trial compared a high vs. low level of patient-clinician collaboration by pairing commonly used assessment (Structured Interview vs. Narrative Assessment) and intervention approaches (Safety Planning Intervention vs. Crisis Response Planning). We hypothesized that the interventions involving higher (than lower) patient-clinician collaboration during assessment (Narrative Assessment) or intervention (Crisis Response Planning) would lead to larger reductions in suicidal ideation. METHODS: Eighty-two participants with a history of suicide ideation and/or attempts were randomly assigned to one of the four interventions varying in patient-clinician collaboration. After attrition, sixty-six participants completed the study. Suicidal ideation via ecological momentary assessment was measured 14 days before and 14 days after treatment. RESULTS: Although the severity of suicidal ideation decreased in all groups, the two groups that included highly collaborative assessment had larger pre-post reductions in suicidal ideation (Narrative Assessment+Safety Plan; dwithin = 0.26, and Narrative Assessment+Crisis Response Plan; dwithin = 0.19) than the groups that included a checklist-based assessment (Structured Interview). LIMITATIONS: Longer follow-up periods with a larger sample would have provided an understanding of the durability of intervention effects. CONCLUSION: Results suggest that the inclusion of higher patient-clinician collaboration techniques during suicide risk assessment can effectively reduce suicidal thoughts. Thus, clinician-led collaborative risk assessment approaches can enhance the effects of safety planning-type interventions among patients with elevated risk for suicide versus checklist-based assessment approaches.

This Is Your Brain on Autopilot: Neural Indices of Driver Workload and Engagement During Partial Vehicle Automation.

OBJECTIVE: This research explores the effect of partial vehicle automation on neural indices of mental workload and visual engagement during on-road driving. BACKGROUND: There is concern that the introduction of automated technology in vehicles may lead to low driver stimulation and subsequent disengagement from the driving environment. Simulator-based studies have examined the effect of automation on a driver's cognitive state, but it is unknown how the conclusions translate to on-road driving. Electroencephalographic (EEG) measures of frontal theta and parietal alpha can provide insight into a driver's mental workload and visual engagement while driving under various conditions. METHOD: EEG was recorded from 71 participants while driving on the roadway. We examined two age cohorts, on two different highway configurations, in four different vehicles, with partial vehicle automation both engaged and disengaged. RESULTS: Analysis of frontal theta and parietal alpha power revealed that there was no change in mental workload or visual engagement when driving manually compared with driving under partial vehicle automation. CONCLUSION: Drivers new to the technology remained engaged with the driving environment when operating under partial vehicle automation. These findings suggest that the concern surrounding driver disengagement under vehicle automation may need to be tempered, at least for drivers new to the experience. APPLICATION: These findings expand our understanding of the effects of partial vehicle automation on drivers' cognitive states.

Starting school with purpose: Self-regulatory strategies of first-semester university students.

Purposefulness may facilitate self-regulation; however, little is known about the self-regulatory strategies that are implemented by purposeful individuals. Given the multiple regulatory challenges students face in their social and academic lives, a central aim of the current work was to consider how purposefulness and self-regulation are linked during the first semester of university. This 13-week-long study was conducted with first-semester college students (N = 256) in the United States of America to examine whether weekly fluctuations in purposefulness may be connected to the use of traditionally adaptive (problem-solving) and maladaptive (rumination and experiential avoidance) self-regulation strategies. Consistent with our hypothesis, at the within- and between-person level, higher purposefulness was associated with greater use of problem-solving, lower rumination, and lower experiential avoidance at the weekly level. The findings imply purposefulness is an important individual difference that may explain better or worse self-regulatory abilities.

The Effects of Captioning Errors, Background Noise, and Hearing Loss on Memory for Text-Captioned Speech.

PURPOSE: Previous studies have suggested that the negative effects of acoustic challenge on speech memory can be attenuated with assistive text captions, particularly among older adults with hearing impairment. However, no studies have systematically examined the effects of text-captioning errors, which are common in automated speech recognition (ASR) systems. METHOD: In two experiments, we examined memory for text-captioned speech (with and without background noise) when captions had no errors (control) or had one of three common ASR errors: substitution, deletion, or insertion errors. RESULTS: In both Experiment 1 (young adults with normal hearing) and Experiment 2 (older adults with varying hearing acuity), we observed similar additive effects of caption errors and background noise, such that increased background noise and the presence of captioning errors negatively impacted memory outcomes. Notably, the negative effects of captioning errors were largest among older adults with increased hearing thresholds, suggesting that older adults with hearing loss may show an increased reliance on text captions compared to adults with normal hearing. CONCLUSION: Our findings show that even a single-word error can be deleterious to memory for text-captioned speech, especially in older adults with hearing loss. Therefore, to produce the greatest benefit to memory, it is crucial that text captions are accurate.

A day in the life of a college student during the COVID-19 pandemic: An experience sampling approach to emotion regulation.

COVID-19 has contributed to unexpected stressors in daily life, and emotion regulation is an important area of research during and post-pandemic to gain knowledge of the effect of the pandemic on emotion regulatory processes. We adopted an ecologically valid approach to collect 10 experience sampling events within the same day to examine how college students regulated their emotions on a typical weekday during the pandemic and the simultaneous hedonic association of these strategies on their affective experience. Several emotion regulation strategies (including acceptance, calming, reappraisal, problem solving, and social sharing) were associated with increased positivity or reduced negativity that may be better for psychological health. In contrast, other emotion regulation strategies (including rumination, experiential avoidance, catastrophizing, lack of clarity, self-blaming, and other-blaming) were associated with increased negativity or reduced positivity that may worsen psychological health. In these findings, self-reported stress was a crucial contextual moderator to consider while understanding the relationship between emotion regulation strategies and experienced affect. The current study documents variability in affect in response to stressors experienced by college students even within a single day and provides a real-world perspective on the emotion regulation strategies that were adaptive and maladaptive in the context of the COVID-19 pandemic.

Text Captioning Buffers Against the Effects of Background Noise and Hearing Loss on Memory for Speech.

OBJECTIVE: Everyday speech understanding frequently occurs in perceptually demanding environments, for example, due to background noise and normal age-related hearing loss. The resulting degraded speech signals increase listening effort, which gives rise to negative downstream effects on subsequent memory and comprehension, even when speech is intelligible. In two experiments, we explored whether the presentation of realistic assistive text captioned speech offsets the negative effects of background noise and hearing impairment on multiple measures of speech memory. DESIGN: In Experiment 1, young normal-hearing adults (N = 48) listened to sentences for immediate recall and delayed recognition memory. Speech was presented in quiet or in two levels of background noise. Sentences were either presented as speech only or as text captioned speech. Thus, the experiment followed a 2 (caption vs no caption) × 3 (no noise, +7 dB signal-to-noise ratio, +3 dB signal-to-noise ratio) within-subjects design. In Experiment 2, a group of older adults (age range: 61 to 80, N = 31), with varying levels of hearing acuity completed the same experimental task as in Experiment 1. For both experiments, immediate recall, recognition memory accuracy, and recognition memory confidence were analyzed via general(ized) linear mixed-effects models. In addition, we examined individual differences as a function of hearing acuity in Experiment 2. RESULTS: In Experiment 1, we found that the presentation of realistic text-captioned speech in young normal-hearing listeners showed improved immediate recall and delayed recognition memory accuracy and confidence compared with speech alone. Moreover, text captions attenuated the negative effects of background noise on all speech memory outcomes. In Experiment 2, we replicated the same pattern of results in a sample of older adults with varying levels of hearing acuity. Moreover, we showed that the negative effects of hearing loss on speech memory in older adulthood were attenuated by the presentation of text captions. CONCLUSIONS: Collectively, these findings strongly suggest that the simultaneous presentation of text can offset the negative effects of effortful listening on speech memory. Critically, captioning benefits extended from immediate word recall to long-term sentence recognition memory, a benefit that was observed not only for older adults with hearing loss but also young normal-hearing listeners. These findings suggest that the text captioning benefit to memory is robust and has potentially wide applications for supporting speech listening in acoustically challenging environments.

No Difference in Arousal or Cognitive Demands Between Manual and Partially Automated Driving: A Multi-Method On-Road Study.

INTRODUCTION: Partial driving automation is not always reliable and requires that drivers maintain readiness to take over control and manually operate the vehicle. Little is known about differences in drivers' arousal and cognitive demands under partial automation and how it may make it difficult for drivers to transition from automated to manual modes. This research examined whether there are differences in drivers' arousal and cognitive demands during manual versus partial automation driving. METHOD: We compared arousal (using heart rate) and cognitive demands (using the root mean square of successive differences in normal heartbeats; RMSSD, and Detection Response Task; DRT) while 39 younger (M = 28.82 years) and 32 late-middle-aged (M = 52.72 years) participants drove four partially automated vehicles (Cadillac, Nissan Rogue, Tesla, and Volvo) on interstate highways. If compared to manual driving, drivers' arousal and cognitive demands were different under partial automation, then corresponding differences in heart rate, RMSSD, and DRT would be expected. Alternatively, if drivers' arousal and cognitive demands were similar in manual and partially automated driving, no difference in the two driving modes would be expected. RESULTS: Results suggest no significant differences in heart rate, RMSSD, or DRT reaction time performance between manual and partially automated modes of driving for either younger or late-middle-aged adults across the four test vehicles. A Bayes Factor analysis suggested that heart rate, RMSSD, and DRT data showed extreme evidence in favor of the null hypothesis. CONCLUSION: This novel study conducted on real roads with a representative sample provides important evidence of no difference in arousal and cognitive demands. Younger and late-middle-aged motorists who are new to partial automation are able to maintain arousal and cognitive demands comparable to manual driving while using the partially automated technology. Drivers who are more experienced with partially automated technology may respond differently than those with limited prior experience.

A Longitudinal Training Study to Delineate the Specific Causal Effects of Open Monitoring Versus Focused Attention Techniques on Emotional Health.

BACKGROUND: Emotional dysregulation is a core mechanism of mood disorders. Meditation-based interventions can ameliorate a wide range of psychological problems. However, in order to develop structured treatment and preventative protocols for emotional disorders, it is crucial to understand how different types of specific meditation practices improve emotion regulation abilities. Mindfulness-based techniques are broadly separated into two practices - open monitoring (OM) and focused attention (FA). This study directly investigated the potential practice-specific benefits of OM versus FA techniques as tools for improving emotion regulation skills from pre-to-post training. METHOD: Novice participants were randomized into an 8-week long OM or FA intervention that was previously developed through a science of behavior change approach. Healthy emotional skills were assessed using experience sampling methodology and inventories. Participants were assessed before, during, and after the interventions to investigate if the type of training may explain longitudinal changes in emotional skills. RESULTS: Both OM and FA attentional training practices improved acceptance of stressors and reduced distress and rumination. We also found divergent effects of OM versus FA training: Compared to OM, FA training improved abilities to use reappraisal strategy to regulate emotions in naturalistic settings at the end of 8-weeks training. FA training (versus OM) also led to greater self-regulation abilities. CONCLUSION: Our findings suggest that a FA training has specific causal impacts on emotion regulatory skills, and it can be selectively implemented in interventions to target emotional disorders.

A Review of Psychophysiological Measures to Assess Cognitive States in Real-World Driving.

As driving functions become increasingly automated, motorists run the risk of becoming cognitively removed from the driving process. Psychophysiological measures may provide added value not captured through behavioral or self-report measures alone. This paper provides a selective review of the psychophysiological measures that can be utilized to assess cognitive states in real-world driving environments. First, the importance of psychophysiological measures within the context of traffic safety is discussed. Next, the most commonly used physiology-based indices of cognitive states are considered as potential candidates relevant for driving research. These include: electroencephalography and event-related potentials, optical imaging, heart rate and heart rate variability, blood pressure, skin conductance, electromyography, thermal imaging, and pupillometry. For each of these measures, an overview is provided, followed by a discussion of the methods for measuring it in a driving context. Drawing from recent empirical driving and psychophysiology research, the relative strengths and limitations of each measure are discussed to highlight each measures' unique value. Challenges and recommendations for valid and reliable quantification from lab to (less predictable) real-world driving settings are considered. Finally, we discuss measures that may be better candidates for a near real-time assessment of motorists' cognitive states that can be utilized in applied settings outside the lab. This review synthesizes the literature on in-vehicle psychophysiological measures to advance the development of effective human-machine driving interfaces and driver support systems.

Lack of emotional gaze preferences using eye-tracking in remitted bipolar I disorder.

BACKGROUND: Bipolar disorder is associated with heightened and persistent positive emotion (Gruber in Curr Dir Psychol Sci 20:217-221, 2011; Johnson in Clin Psychol Rev 25:241-262, 2005). Yet little is known about information processing biases that may influence these patterns of emotion responding. METHODS: The current study adopted eye-tracking methodology as a continuous measure of sustained overt attention to monitor gaze preferences during passive viewing of positive, negative, and neutral standardized photo stimuli among remitted bipolar adults and healthy controls. Percentage fixation durations were recorded for predetermined areas of interest across the entire image presentation, and exploratory analyses were conducted to examine early versus late temporal phases of image processing. RESULTS: Results suggest that the bipolar and healthy control groups did not differ in patterns of attention bias. CONCLUSIONS: Findings provide insight into apparently intact attention processing despite disrupted emotional responding in bipolar disorder.

Emotional coherence in early and later adulthood during sadness reactivity and regulation.

The current study reports the first investigation of age-related changes in emotional coherence across multiple response systems (experiential, physiological, and expressive) in sadness reactivity and regulation. Some accounts indirectly suggest that blunted physiological responses to emotional stimuli (e.g., Mendes, 2010) may lead to an age-related decline in emotional coherence, whereas a conflicting account suggests that age-relevant content can modulate responses across multiple systems (e.g., Kunzmann & Grühn, 2005), which has the potential to increase emotional coherence in older adults. We therefore examined emotional coherence in 60 younger (Mage = 20) and 60 older adults (Mage = 71) during emotional reactivity and regulation (suppression and acceptance) while participants watched sadness-eliciting videos. Emotional experience (sadness intensity self-report), physiological (heart period) responses, and behavioral facial expression (corrugator supercilii muscle activity) were assessed while participants viewed these videos. Importantly, older adults showed greater emotional coherence between experience and heart period and maintained coherence between experience and expression responses compared to younger adults. These findings are consistent with the idea that, because of motivational relevance and life experiences, sadness-eliciting content may lead to a greater coupling between sadness experience and physiology in older than in younger adults. Age is therefore an important individual difference factor to consider when examining within-individual associations between emotion systems. (PsycINFO Database Record

Age-related differences in judgments of inappropriate behavior are related to humor style preferences.

Identifying social gaffes is important for maintaining relationships. Older adults are less able than young to discriminate between socially appropriate and inappropriate behavior in video clips. One open question is how these social appropriateness ratings relate to potential age differences in the perception of what is actually funny or not. In the present study, young, middle-aged, and older adults were equally able to discriminate between appropriate and inappropriate social behavior in a diverse set of clips relevant across age groups. However, young and middle-aged adults rated the gaffe clips as funnier than control clips and young adults smiled more during the inappropriate clips than the control clips. Older adults did not show this pattern, suggesting that they did not find the inappropriate clips funny. Additionally, young adults endorsed a more aggressive humor style than middle-aged and older adults and aggressive humor style endorsement mediated age differences in social appropriateness ratings. Results are discussed in terms of possible mechanisms such as cohort differences in humor and developmental prioritization of certain humor styles, as well as the importance of investigating age differences in both abilities and preferences.

Age differences in managing response to sadness elicitors using attentional deployment, positive reappraisal and suppression.

The current study investigated age differences in the use of attentional deployment, positive reappraisal and suppression while regulating responses to sadness-eliciting content. We also tested to what extent these emotion regulation strategies were useful for each age group in managing response to age-relevant sad information. Forty-two young participants (M(age) = 18.5, SE = .15) and 48 older participants (M(age) = 71.42, SE = 1.15) watched four sadness-eliciting videos (about death/illness, four to five minutes long) under four conditions--no-regulation (no regulation instructions), attentional deployment (divert attention away), positive reappraisal (focus on positive outcomes) and suppression (conceal emotional expressions). We assessed negative emotional experience, expression, skin conductance level (SCL) and visual fixation duration while participants watched the emotional clips and followed the instructions for each condition. Results suggest that older adults were more successful than younger adults at implementing both attentional deployment and positive reappraisal. Ability to suppress emotions appears to remain stable with age. Within age-group comparisons suggested that for the older adults, positive reappraisal was a more useful emotion regulation strategy than the others, while the pattern among younger adults was less conclusive. Age-relevant differences in motivation and successful emotion regulatory efforts based on theoretical and empirical literatures are discussed.

Deliberate real-time mood regulation in adulthood: the importance of age, fixation and attentional functioning.

While previous research has linked executive attention to emotion regulation, the current study investigated the role of attentional alerting (i.e., efficient use of external warning cues) on younger (N=39) and older (N=44) adults' use of gaze to regulate their mood in real time. Participants viewed highly arousing unpleasant images while reporting their mood and were instructed to deliberately manage how they felt and to minimise the effect of those stimuli on their mood. Fixations toward the most negative areas of the images were recorded with eye tracking. We examined whether looking less at the most negative regions, compared to each individual's own tendency, was a beneficial mood regulatory strategy and how it interacted with age and alerting ability. High alerting older adults, who rely more on external cues to guide their attention, experienced a smaller decline in mood over time by activating a less-negative-looking approach (compared to their own average tendency), effectively looking away from the most negative areas of the images. More negative gaze patterns predicted better mood for younger adults, though this effect decreased over time. Alerting did not moderate gaze-mood links in younger adults. Successful mood regulation may thus depend on particular combinations of age, fixation, and attention.

Focused and distributed attention.

Recent studies on attention have emphasized distinctions between focused and distributed attention. Distributed attention has been shown to play a key role in obtaining statistical information or processing global aspects of a scene. In addition to differences in information processing, focused and distributed attention differ in terms of the way they interact with emotions. We review findings that indicate close relationship between focused attention and sad emotions as well as distributed attention and happy emotions. Given the potentially close relationship between attention and consciousness, these two types of attention may differ in terms of processes leading to awareness. We review different positions on the relationship between attention and consciousness and arguments for the existence of opposition between attention and awareness that have been made based on findings with color afterimages. We discuss our studies on attention and afterimages indicating the close linkage between different types of attention and awareness as indicated by differences in the strength of afterimages based on the type of attention deployed.