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The psychology of eating
(2013)
Renewal of fear is one form of relapse that occurs after successful therapy, resulting from an encounter with a feared object in a context different from the context of the exposure therapy. According to Bouton (1994), the return of fear, provoked by context change, indicates that the fear was not erased in the first place. More importantly, the return of fear indicates that during the exposure session a new association was learned that connected the feared object with “no fear”; yet, as Bouton further argues, this association is context dependent. Such dependence could explain effects like renewal. In a new context, the therapeutic association will not be expressed and thus will no longer inhibit the fear. The assumption that an association is context dependent has been tested and showed robust results (Balooch & Neumann, 2011; Siavash Bandarian Balooch, Neumann, & Boschen, 2012; Culver, Stoyanova, & Craske, 2011; Kim & Richardson, 2009; Neumann & Kitlertsirivatana, 2010). Research for the treatment of anxiety disorders, aiming to reduce fear and, more importantly, prevent relapse, is flourishing. There are several exposure protocols currently under investigation: multiple contexts exposure (MCE), which aims at reducing the return of fear due to renewal (e.g., Balooch & Neumann, 2011); prolonged exposure (PE), which aims at strengthening the inhibitory association during the extinction learning (e.g., Thomas, Vurbic, & Novak, 2009); and reconsolidation update (RU), which aims at “updating” the reconsolidation process by briefly exposing the CS+ before the actual extinction takes place (Schiller et al., 2010). So far, however, few clinical studies conducted on humans have investigated these novel treatment protocols, and as far as I know none has investigated the mechanisms of action behind these protocols with a human clinical sample. The present thesis has three main goals. The first is to demonstrate that exposure therapy in multiple contexts reduces the likelihood of renewal. The second is to examine the mechanisms contributing to the effect of MCE and the third is to shed light on the concept of context in the framework of the conditioning and extinction paradigm. To this end, three studies were conducted. The first study investigated the effect of MCE on renewal, the second and third studies examined working mechanisms of MCE. In the first study thirty spider-phobic participants were exposed four times to a virtual spider. The exposure trials were conducted either in one single context or in four different contexts. Finally, all participants completed both a virtual renewal test, with the virtual spider presented in a novel virtual context, and an in vivo behavioral avoidance test with a real spider. This study successfully demonstrated the efficacy of MCE on reducing renewal. Study 2 investigated the working mechanisms behind MCE by utilizing a differential conditioning paradigm and conducting the extinction in multiple contexts, targeting similar renewal attenuation as achieved in study 1. This was followed by two tests that attempted to reveal extinction-relevant associations like ones causing context inhibitory effects. This study had three main hypotheses: (1) The extinction context is associated with the exposure, and thus operates as a safety signal at some point during the extinction; it will therefore compete with the safety learning of the CS, leading to a decreased extinction effect on the CS if the extinction is conducted in only one context. (2) The elements (e.g., room color, furniture) of the extinction context are connected to the therapeutic association and therefore should serve as reminders of the extinction, causing a stronger fear inhibition when presented during a test. (3) Therapy process factors, according to emotional processing theory, determine the renewal effect (e.g., initial fear activation, and within-session and between-session activation are correlated with the strength of renewal). In this study, however, no differences between the groups at the renewal phase were observed, presumably because the extinction was too strong to enable a renewal of fear at the test phase conducted immediately following the extinction. This hence rendered the two inhibitory tests useless. Study 3 aimed at defining the concept of context in the conditioning and exposure framework. Study 3 utilized the phenomenon known as generalization decrement, whereby a conditioned response is reduced due to change in the environment. This allowed context similarity to be quantified. After an acquisition phase in one context, participants were tested in one of three contexts, two of which differed in only one dimension (configuration of objects vs. features). The third group was tested in the same context and served as control group. The goal was to show that both configuration and features play an important role in the definition of context. There was, however, no significant statistical difference between the groups at the test phases, likely because of context novelty effects (participants exposed to a new context following extinction in another context expected a second extinction phase, and thus demonstrated greater fear than expected in all three groups).
The aim of this study was both to investigate the influence of cognitive control on unconscious processing, and to investigate the influence of unconscious processing on cognitive control. At first, different mechanisms and accounts to explain unconscious priming are presented. Here, perceptual and motor processes, as well as stimulus-response learning, semantic categorization, and the action trigger account as theories to explain motor priming are discussed. Then, the issue of the potential limits of unconscious processing is presented. Findings that indicate that active current intentions and expertise modulate unconscious processing are illustrated. Subsequently, results that imply an influence of unconsciously presented stimuli that goes beyond motor processes are discussed, with a special focus on inhibition processes, orienting of attention, task set activation, and conflict adaptation. Then I present the results of my own empirical work. Experiment 1 shows that the effective processing of unconsciously presented stimuli depends on expertise, even when potentially confounding difference between the expert and novice groups are controlled. The results of Experiments 2 and 3 indicate that the intention to use particular stimuli is a crucial factor for the effectiveness of these stimuli when they are presented unconsciously. Additionally, these findings show that shifts of attention can be triggered by centrally presented masked arrow cues. Experiments 4 and 5 broaden these results to cue stimuli that are not inherently associated with a spatial meaning. The finding corroborate that typically endogenously controlled shifts of attention can also be induced by unconscious stimuli. Experiments 6 and 7 demonstrate that even a central cognitive control process like task set activation is not contingent on conscious awareness, but can in contrast be triggered through unconscious stimulation. Finally, these results are integrated and I discuss how the concept of cognitive control and the limits of unconscious processing may have to be reconsidered. Furthermore, potential future research possibilities in this field are presented.
In our current obesogenic environment, exposure to visual food-cues can easily lead to craving and overeating because short-term, pleasurable effects of food intake dominate over the anticipated long-term adverse effects such as weight gain and associated health problems. Here we contrasted these two conditions during food-cue presentation while acquiring event-related potentials (ERPs) and subjective craving ratings. Female participants (n = 25) were presented with either high-calorie (HC) or low-calorie (LC) food images under instructions to imagine either immediate (NOW) or long-term effects (LATER) of consumption. On subjective ratings for HC foods, the LATER perspective reduced cravings as compared to the NOW perspective. For LC foods, by contrast, craving increased under the LATER perspective. Early ERPs (occipital N1, 150-200 ms) were sensitive to food type but not to perspective. Late ERPs (late positive potential, LPP, 350-550 ms) were larger in the HC-LATER condition than in all other conditions, possibly indicating that a cognitive focus on negative long-term consequences induced negative arousal. This enhancement for HC-LATER attenuated to the level of the LC conditions during the later slow wave (550-3000 ms), but amplitude in the HC-NOW condition was larger than in all other conditions, possibly due to a delayed appetitive response. Across all conditions, LPP amplitudes were positively correlated with self-reported emotional eating. In sum, results reveal that regulation effects are secondary to an early attentional analysis of food type and dynamically evolve over time. Adopting a long-term perspective on eating might promote a healthier food choice across a range of food types.
Alerting signals often serve to reduce temporal uncertainty by predicting the time of stimulus onset. The resulting response time benefits have often been explained by facilitated translation of stimulus codes into response codes on the basis of established stimulus-response (S-R) links. In paradigms of masked S-R priming alerting signals also modulate response activation processes triggered by subliminally presented prime stimuli. In the present study we tested whether facilitation of visuo-motor translation processes due to alerting signals critically depends on established S-R links. Alerting signals resulted in significantly enhanced masked priming effects for masked prime stimuli that included and that did not include established S-R links fi.e., target vs. novel primes). Yet, the alerting-priming interaction was more pronounced for target than for novel primes. These results suggest that effects of alerting signals on masked priming are especially evident when S-R links between prime and target exist. At the same time, an alerting-priming interaction also for novel primes suggests that alerting signals also facilitate stimulus-response translation processes when masked prime stimuli provide action-trigger conditions in terms of programmed S-R links.
This paper addresses the question of how the brain maintains a probabilistic body state estimate over time from a modeling perspective. The neural Modular Modality Frame (nMMF) model simulates such a body state estimation process by continuously integrating redundant, multimodal body state information sources. The body state estimate itself is distributed over separate, but bidirectionally interacting modules. nMMF compares the incoming sensory and present body state information across the interacting modules and fuses the information sources accordingly. At the same time, nMMF enforces body state estimation consistency across the modules. nMMF is able to detect conflicting sensory information and to consequently decrease the influence of implausible sensor sources on the fly. In contrast to the previously published Modular Modality Frame (MMF) model, nMMF offers a biologically plausible neural implementation based on distributed, probabilistic population codes. Besides its neural plausibility, the neural encoding has the advantage of enabling (a) additional probabilistic information flow across the separate body state estimation modules and (b) the representation of arbitrary probability distributions of a body state. The results show that the neural estimates can detect and decrease the impact of false sensory information, can propagate conflicting information across modules, and can improve overall estimation accuracy due to additional module interactions. Even bodily illusions, such as the rubber hand illusion, can be simulated with nMMF. We conclude with an outlook on the potential of modeling human data and of invoking goal-directed behavioral control.
Why are you looking like that? How the context influences evaluation and processing of human faces
(2013)
Perception and evaluation of facial expressions are known to be heavily modulated by emotional features of contextual information. Such contextual effects, however, might also be driven by non-emotional aspects of contextual information, an interaction of emotional and non-emotional factors, and by the observers’ inherent traits. Therefore, we sought to assess whether contextual information about self-reference in addition to information about valence influences the evaluation and neural processing of neutral faces. Furthermore, we investigated whether social anxiety moderates these effects. In the present functional magnetic resonance imaging (fMRI) study, participants viewed neutral facial expressions preceded by a contextual sentence conveying either positive or negative evaluations about the participant or about somebody else. Contextual influences were reflected in rating and fMRI measures, with strong effects of self-reference on brain activity in the medial prefrontal cortex and right fusiform gyrus. Additionally, social anxiety strongly affected the response to faces conveying negative, self-related evaluations as revealed by the participants’ rating patterns and brain activity in cortical midline structures and regions of interest in the left and right middle frontal gyrus. These results suggest that face perception and processing are highly individual processes influenced by emotional and non-emotional aspects of contextual information and further modulated by individual personality traits.
Objective
Brain-computer interfaces (BCIs) provide a non-muscular communication channel for patients with late-stage motoneuron disease (e.g., amyotrophic lateral sclerosis (ALS)) or otherwise motor impaired people and are also used for motor rehabilitation in chronic stroke. Differences in the ability to use a BCI vary from person to person and from session to session. A reliable predictor of aptitude would allow for the selection of suitable BCI paradigms. For this reason, we investigated whether P300 BCI aptitude could be predicted from a short experiment with a standard auditory oddball.
Methods
Forty healthy participants performed an electroencephalography (EEG) based visual and auditory P300-BCI spelling task in a single session. In addition, prior to each session an auditory oddball was presented. Features extracted from the auditory oddball were analyzed with respect to predictive power for BCI aptitude.
Results
Correlation between auditory oddball response and P300 BCI accuracy revealed a strong relationship between accuracy and N2 amplitude and the amplitude of a late ERP component between 400 and 600 ms. Interestingly, the P3 amplitude of the auditory oddball response was not correlated with accuracy.
Conclusions
Event-related potentials recorded during a standard auditory oddball session moderately predict aptitude in an audiory and highly in a visual P300 BCI. The predictor will allow for faster paradigm selection.
Significance
Our method will reduce strain on patients because unsuccessful training may be avoided, provided the results can be generalized to the patient population.
Motivation moderately influences brain–computer interface (BCI) performance in healthy subjects when monetary reward is used to manipulate extrinsic motivation. However, the motivation of severely paralyzed patients, who are potentially in need for BCI, could mainly be internal and thus, an intrinsic motivator may be more powerful. Also healthy subjects who participate in BCI studies could be internally motivated as they may wish to contribute to research and thus extrinsic motivation by monetary reward would be less important than the content of the study. In this respect, motivation could be defined as “motivation-to-help.” The aim of this study was to investigate, whether subjects with high motivation for helping and who are highly empathic would perform better with a BCI controlled by event-related potentials (P300-BCI). We included N = 20 healthy young participants naïve to BCI and grouped them according to their motivation for participating in a BCI study in a low and highly motivated group. Motivation was further manipulated with interesting or boring presentations about BCI and the possibility to help patients. Motivation for helping did neither influence BCI performance nor the P300 amplitude. Post hoc, subjects were re-grouped according to their ability for perspective taking. We found significantly higher P300 amplitudes on parietal electrodes in participants with a low ability for perspective taking and therefore, lower empathy, as compared to participants with higher empathy. The lack of an effect of motivation on BCI performance contradicts previous findings and thus, requires further investigation. We speculate that subjects with higher empathy who are good perspective takers with regards to patients in potential need of BCI, may be more emotionally involved and therefore, less able to allocate attention on the BCI task at hand.
In social interaction, the facial expression of an opponent contains information that may influence the interaction. We asked whether facial expression affects decision-making in the ultimatum game. In this two-person game, the proposer divides a sum of money into two parts, one for each player, and then the responder decides whether to accept the offer or reject it. Rejection means that neither player gets any money. Results of a large-sample study support our hypothesis that offers from proposers with a smiling facial expression are more often accepted, compared to a neutral facial expression. Moreover, we found lower acceptance rates for offers from proposers with an angry facial expression.
We examined whether a voluntary response becomes associated with the (affective) meaning of intended response effects. Four experiments revealed that coupling a keypress with positive or negative consequences produces affective compatibility effects when the keypress has to be executed in response to positively or negatively evaluated stimulus categories. In Experiment 1, positive words were evaluated faster with a keypress that turned the words ON (versus OFF), whereas negative words were evaluated faster with a keypress that turned the words OFF (versus ON). Experiment 2 showed that this compatibility effect is reversed if an aversive tone is turned ON and OFF with keypresses. Experiment 3 revealed that keypresses acquire an affective meaning even when the association between the responses and their effects is variable and intentionally reconfigured before each trial. Experiment 4 used affective response effects to assess implicit ingroup favoritism, showing that the measure is sensitive to the valence of categories and not to the valence of exemplars. Results support the hypothesis that behavioral reactions become associated with the affective meaning of the intended response goal, which has important implications for the understanding and construction of implicit attitude measures.
Relief from pain is positively valenced and entails reward-like properties. Notably, stimuli that became associated with pain relief elicit reward-like implicit responses too, but are explicitly evaluated by humans as aversive. Since the unpredictability of pain makes pain more aversive, this study examined the hypotheses that the predictability of pain also modulates the valence of relief-associated stimuli. In two studies, we presented one conditioned stimulus \((_{FORWARD}CS+)\) before a painful unconditioned stimulus (US), another stimulus \((_{BACKWARD}CS+)\) after the painful US, and a third stimulus (CS−) was never associated with the US. In Study 1, \(_{FORWARD}CS+\) predicted half of the USs while the other half was delivered unwarned and followed by \(_{BACKWARD}CS+\). In Study 2, all USs were predicted by \(_{FORWARD}CS+\) and followed by \(_{BACKWARD}CS+\). In Study 1 both \(_{FORWARD}CS+\) and \(_{BACKWARD}CS+\) were rated as negatively valenced and high arousing after conditioning, while \(_{BACKWARD}CS+\) in Study 2 acquired positive valence and low arousal. Startle amplitude was significantly attenuated to \(_{BACKWARD}CS+\) compared to \(_{FORWARD}CS+\) in Study 2, but did not differ among CSs in Study 1. In summary, predictability of aversive events reverses the explicit valence of a relief-associated stimulus.
Introduction
There is mounting evidence for the influence of emotional content on working memory performance. This is particularly important in light of the emotion processing that needs to take place when emotional content interferes with executive functions. In this study, we used emotional words of different valence but with similar arousal levels in an n-back task.
Methods
We examined the effects on activation in the prefrontal cortex by means of functional near-infrared spectroscopy (fNIRS) and on the late positive potential (LPP). FNIRS and LPP data were examined in 30 healthy subjects.
Results
Behavioral results show an influence of valence on the error rate depending on the difficulty of the task: more errors were made when the valence was negative and the task difficult. Brain activation was dependent both on the difficulty of the task and on the valence: negative valence of a word diminished the increase in activation, whereas positive valence did not influence the increase in activation, while difficulty levels increased. The LPP also differentiated between the different valences, and in addition was influenced by the task difficulty, the more difficult the task, the less differentiation could be observed.
Conclusions
Summarized, this study shows the influence of valence on a verbal working memory task. When a word contained a negative valence, the emotional content seemed to take precedence in contrast to words containing a positive valence. Working memory and emotion processing sites seemed to overlap and compete for resources even when words are carriers of the emotional content.
This study examined the impact of three clinical psychological variables (non-pathological levels of depression and anxiety, as well as experimentally manipulated mood) on fat and taste perception in healthy subjects. After a baseline orosensory evaluation, ‘sad’, ‘happy’ and ‘neutral’ video clips were presented to induce corresponding moods in eighty participants. Following mood manipulation, subjects rated five different oral stimuli, appearing sweet, umami, sour, bitter, fatty, which were delivered at five different concentrations each. Depression levels were assessed with Beck’s Depression Inventory (BDI) and anxiety levels were assessed via the Spielberger’s STAI-trait and state questionnaire. Overall, subjects were able to track the concentrations of the stimuli correctly, yet depression level affected taste ratings. First, depression scores were positively correlated with sucrose ratings. Second, subjects with depression scores above the sample median rated sucrose and quinine as more intense after mood induction (positive, negative and neutral). Third and most important, the group with enhanced depression scores did not rate low and high fat stimuli differently after positive or negative mood induction, whereas, during baseline or during the non-emotional neutral condition they rated the fat intensity as increasing with concentration. Consistent with others’ prior observations we also found that sweet and bitter stimuli at baseline were rated as more intense by participants with higher anxiety scores and that after positive and negative mood induction, citric acid was rated as stronger tasting compared to baseline. The observation that subjects with mild subclinical depression rated low and high fat stimuli similarly when in positive or negative mood is novel and likely has potential implications for unhealthy eating patterns. This deficit may foster unconscious eating of fatty foods in sub-clinical mildly depressed populations.
The serotonin (5-HT) and neuropeptide S (NPS) systems are discussed as important genetic modulators of fear and sustained anxiety contributing to the etiology of anxiety disorders. Sustained anxiety is a crucial characteristic of most anxiety disorders which likely develops through contextual fear conditioning. This study investigated if and how genetic alterations of the 5-HT and the NPS systems as well as their interaction modulate contextual fear conditioning; specifically, function polymorphic variants in the genes coding for the 5-HT transporter (5HTT) and the NPS receptor (NPSR1) were studied. A large group of healthy volunteers was therefore stratified for 5HTTLPR (S+ vs. LL carriers) and NPSR1 rs324981 (T+ vs. AA carriers) polymorphisms resulting in four genotype groups (S+/T+, S+/AA, LL/T+, LL/AA) of 20 participants each. All participants underwent contextual fear conditioning and extinction using a virtual reality (VR) paradigm. During acquisition, one virtual office room (anxiety context, CXT+) was paired with an unpredictable electric stimulus (unconditioned stimulus, US), whereas another virtual office room was not paired with any US (safety context, CXT−). During extinction no US was administered. Anxiety responses were quantified by fear-potentiated startle and ratings. Most importantly, we found a gene × gene interaction on fear-potentiated startle. Only carriers of both risk alleles (S+/T+) exhibited higher startle responses in CXT+ compared to CXT−. In contrast, anxiety ratings were only influenced by the NPSR1 polymorphism with AA carriers showing higher anxiety ratings in CXT+ as compared to CXT−. Our results speak in favor of a two level account of fear conditioning with diverging effects on implicit vs. explicit fear responses. Enhanced contextual fear conditioning as reflected in potentiated startle responses may be an endophenotype for anxiety disorders.
Empirical evidence suggests that words are powerful regulators of emotion processing. Although a number of studies have used words as contextual cues for emotion processing, the role of what is being labeled by the words (i.e., one's own emotion as compared to the emotion expressed by the sender) is poorly understood. The present study reports results from two experiments which used ERP methodology to evaluate the impact of emotional faces and self- vs. sender-related emotional pronoun-noun pairs (e.g., my fear vs. his fear) as cues for emotional face processing. The influence of self- and sender-related cues on the processing of fearful, angry and happy faces was investigated in two contexts: an automatic (experiment 1) and intentional affect labeling task (experiment 2), along with control conditions of passive face processing. ERP patterns varied as a function of the label's reference (self vs. sender) and the intentionality of the labeling task (experiment 1 vs. experiment 2). In experiment 1, self-related labels increased the motivational relevance of the emotional faces in the time-window of the EPN component. Processing of sender-related labels improved emotion recognition specifically for fearful faces in the N170 time-window. Spontaneous processing of affective labels modulated later stages of face processing as well. Amplitudes of the late positive potential (LPP) were reduced for fearful, happy, and angry faces relative to the control condition of passive viewing. During intentional regulation (experiment 2) amplitudes of the LPP were enhanced for emotional faces when subjects used the self-related emotion labels to label their own emotion during face processing, and they rated the faces as higher in arousal than the emotional faces that had been presented in the “label sender's emotion” condition or the passive viewing condition. The present results argue in favor of a differentiated view of language-as-context for emotion processing.
This paper describes a case study with a patient in the classic locked-in state, who currently has no means of independent communication. Following a user-centered approach, we investigated event-related potentials (ERP) elicited in different modalities for use in brain-computer interface (BCI) systems. Such systems could provide her with an alternative communication channel. To investigate the most viable modality for achieving BCI based communication, classic oddball paradigms (1 rare and 1 frequent stimulus, ratio 1:5) in the visual, auditory and tactile modality were conducted (2 runs per modality). Classifiers were built on one run and tested offline on another run (and vice versa). In these paradigms, the tactile modality was clearly superior to other modalities, displaying high offline accuracy even when classification was performed on single trials only. Consequently, we tested the tactile paradigm online and the patient successfully selected targets without any error. Furthermore, we investigated use of the visual or tactile modality for different BCI systems with more than two selection options. In the visual modality, several BCI paradigms were tested offline. Neither matrix-based nor so-called gaze-independent paradigms constituted a means of control. These results may thus question the gaze-independence of current gaze-independent approaches to BCI. A tactile four-choice BCI resulted in high offline classification accuracies. Yet, online use raised various issues. Although performance was clearly above chance, practical daily life use appeared unlikely when compared to other communication approaches (e.g., partner scanning). Our results emphasize the need for user-centered design in BCI development including identification of the best stimulus modality for a particular user. Finally, the paper discusses feasibility of EEG-based BCI systems for patients in classic locked-in state and compares BCI to other AT solutions that we also tested during the study.
Brain-computer interfaces (BCIs) provide a non-muscular communication channel for persons with severe motor impairments. Previous studies have shown that the aptitude with which a BCI can be controlled varies from person to person. A reliable predictor of performance could facilitate selection of a suitable BCI paradigm. Eleven severely motor impaired participants performed three sessions of a P300 BCI web browsing task. Before each session auditory oddball data were collected to predict the BCI aptitude of the participants exhibited in the current session. We found a strong relationship of early positive and negative potentials around 200 ms (elicited with the auditory oddball task) with performance. The amplitude of the P2 (r = −0.77) and of the N2 (r = −0.86) had the strongest correlations. Aptitude prediction using an auditory oddball was successful. The finding that the N2 amplitude is a stronger predictor of performance than P3 amplitude was reproduced after initially showing this effect with a healthy sample of BCI users. This will reduce strain on the end-users by minimizing the time needed to find suitable paradigms and inspire new approaches to improve performance.
Background
The impact of task relevance on event-related potential amplitudes of early visual processing was previously demonstrated. Study designs, however, differ greatly, not allowing simultaneous investigation of how both degree of distraction and task relevance influence processing variations. In our study, we combined different features of previous tasks. We used a modified 1-back task in which task relevant and task irrelevant stimuli were alternately presented. The task irrelevant stimuli could be from the same or from a different category as the task relevant stimuli, thereby producing high and low distracting task irrelevant stimuli. In addition, the paradigm comprised a passive viewing condition. Thus, our paradigm enabled us to compare the processing of task relevant stimuli, task irrelevant stimuli with differing degrees of distraction, and passively viewed stimuli. EEG data from twenty participants was collected and mean P100 and N170 amplitudes were analyzed. Furthermore, a potential connection of stimulus processing and symptoms of attention deficit hyperactivity disorder (ADHD) was investigated.
Results
Our results show a modulation of peak N170 amplitudes by task relevance. N170 amplitudes to task relevant stimuli were significantly higher than to high distracting task irrelevant or passively viewed stimuli. In addition, amplitudes to low distracting task irrelevant stimuli were significantly higher than to high distracting stimuli. N170 amplitudes to passively viewed stimuli were not significantly different from either kind of task irrelevant stimuli. Participants with more symptoms of hyperactivity and impulsivity showed decreased N170 amplitudes across all task conditions. On a behavioral level, lower N170 enhancement efficiency was significantly correlated with false alarm responses.
Conclusions
Our results point to a processing enhancement of task relevant stimuli. Unlike P100 amplitudes, N170 amplitudes were strongly influenced by enhancement and enhancement efficiency seemed to have direct behavioral consequences. These findings have potential implications for models of clinical disorders affecting selective attention, especially ADHD.
Objective: Brain-computer interface (BCI) provide a non-muscular communication channel for patients with impairments of the motor system. A significant number of BCI users is unable to obtain voluntary control of a BCI-system in proper time. This makes methods that can be used to determine the aptitude of a user necessary.
Methods: We hypothesized that integrity and connectivity of involved white matter connections may serve as a predictor of individual BCI-performance. Therefore, we analyzed structural data from anatomical scans and DTI of motor imagery BCI-users differentiated into high and low BCI-aptitude groups based on their overall performance.
Results: Using a machine learning classification method we identified discriminating structural brain trait features and correlated the best features with a continuous measure of individual BCI-performance. Prediction of the aptitude group of each participant was possible with near perfect accuracy (one error).
Conclusions: Tissue volumetric analysis yielded only poor classification results. In contrast, the structural integrity and myelination quality of deep white matter structures such as the Corpus Callosum, Cingulum, and Superior Fronto-Occipital Fascicle were positively correlated with individual BCI-performance.
Significance: This confirms that structural brain traits contribute to individual performance in BCI use.
Objective: Brain-computer interfaces (BCIs) provide a non-muscular communication channel for patients with late-stage motoneuron disease (e.g., amyotrophic lateral sclerosis (ALS)) or otherwise motor impaired people and are also used for motor rehabilitation in chronic stroke. Differences in the ability to use a BCI vary from person to person and from session to session. A reliable predictor of aptitude would allow for the selection of suitable BCI paradigms. For this reason, we investigated whether P300 BCI aptitude could be predicted from a short experiment with a standard auditory oddball. Methods: Forty healthy participants performed an electroencephalography (EEG) based visual and auditory P300-BCI spelling task in a single session. In addition, prior to each session an auditory oddball was presented. Features extracted from the auditory oddball were analyzed with respect to predictive power for BCI aptitude. Results: Correlation between auditory oddball response and P300 BCI accuracy revealed a strong relationship between accuracy and N2 amplitude and the amplitude of a late ERP component between 400 and 600 ms. Interestingly, the P3 amplitude of the auditory oddball response was not correlated with accuracy. Conclusions: Event-related potentials recorded during a standard auditory oddball session moderately predict aptitude in an audiory and highly in a visual P300 BCI. The predictor will allow for faster paradigm selection. Significance: Our method will reduce strain on patients because unsuccessful training may be avoided, provided the results can be generalized to the patient population.
Body image disturbances are core symptoms of eating disorders (EDs). Recent evidence suggests that changes in body image may occur prior to ED onset and are not restricted to in-vivo exposure (e.g. mirror image), but also evident during presentation of abstract cues such as body shape and weight-related words. In the present study startle modulation, heart rate and subjective evaluations were examined during reading of body words and neutral words in 41 student female volunteers screened for risk of EDs. The aim was to determine if responses to body words are attributable to a general negativity bias regardless of ED risk or if activated, ED relevant negative body schemas facilitate priming of defensive responses. Heart rate and word ratings differed between body words and neutral words in the whole female sample, supporting a general processing bias for body weight and shape-related concepts in young women regardless of ED risk. Startle modulation was specifically related to eating disorder symptoms, as was indicated by significant positive correlations with self-reported body dissatisfaction. These results emphasize the relevance of examining body schema representations as a function of ED risk across different levels of responding. Peripheral-physiological measures such as the startle reflex could possibly be used as predictors of females’ risk for developing EDs in the future.
Background: Nicotine addiction is the most prevalent type of drug addiction that has been described as a cycle of spiraling dysregulation of the brain reward systems. Imaging studies have shown that nicotine addiction is associated with abnormal function in prefrontal brain regions that are important for cognitive emotion regulation. It was assumed that addicts may perform less well than healthy nonsmokers in cognitive emotion regulation tasks. The primary aims of this thesis were to investigate emotional responses to natural rewards among smokers and nonsmokers and to determine whether smokers differ from nonsmokers in cognitive regulation of positive and negative emotions. To address these aims, two forms of appraisal paradigms (i.e., appraisal frame and reappraisal) were applied to compare changes in emotional responses of smokers with that of nonsmokers as a function of appraisal strategies. Experiment 1: The aim of the first experiment was to evaluate whether and how appraisal frames preceding positive and negative picture stimuli affect emotional experience and facial expression of individuals. Twenty participants were exposed to 125 pairs of auditory appraisal frames (either neutral or emotional) followed by picture stimuli reflecting five conditions: unpleasant-negative, unpleasant-neutral, pleasant-positive, pleasant-neutral and neutral-neutral. Ratings of valence and arousal as well as facial EMG activity over the corrugator supercilii and the zygomaticus major were measured simultaneously. The results indicated that appraisal frames could alter both subjective emotional experience and facial expressions, irrespective of the valence of the pictorial stimuli. These results suggest and support that appraisal frame is an efficient paradigm in regulation of multi-level emotional responses. 8 Experiment 2: The second experiment applied the appraisal frame paradigm to investigate how smokers differ from nonsmokers on cognitive emotion regulation. Sixty participants (22 nonsmokers, 19 nondeprived smokers and 19 12-h deprived smokers) completed emotion regulation tasks as described in Experiment 1 while emotional responses were concurrently recorded as reflected by self-ratings and psychophysiological measures (i.e., facial EMG and EEG). The results indicated that there was no group difference on emotional responses to natural rewards. Moreover, nondeprived smokers and deprived smokers performed as well as nonsmokers on the emotion regulation task. The lack of group differences in multiple emotional responses (i.e., self-reports, facial EMG activity and brain EEG activity) suggests that nicotine addicts have no deficit in cognitive emotion regulation of natural rewards via appraisal frames. Experiment 3: The third experiment aimed to further evaluate smokers’ emotion regulation ability by comparing performances of smokers and nonsmokers in a more challenging cognitive task (i.e., reappraisal task). Sixty-five participants (23 nonsmokers, 22 nondeprived smokers and 20 12-h deprived smokers) were instructed to regulate emotions by imagining that the depicted negative or positive scenario would become less negative or less positive over time, respectively. The results showed that nondeprived smokers and deprived smokers responded similarly to emotional pictures and performed as well as nonsmokers in down-regulating positive and negative emotions via the reappraisal strategy. These results indicated that nicotine addicts do not have deficit in emotion regulation using cognitive appraisal strategies. In sum, the three studies consistently revealed that addicted smokers were capable to regulate emotions via appraisal strategies. This thesis establishes the groundwork for therapeutic use of appraisal instructions to cope with potential self-regulation failures in nicotine addicts.
The perception of pain can be modulated by a variety of factors such as biological/pharmacological treatments as well as potent cognitive and emotional manipulations. Placebo and nocebo effects are among the most prominent examples for such manipulations. Placebo and nocebo manipulations cause reliable psychological and physiological changes, although the administered agent or treatment is inert. The present dissertation aimed at investigating the role of cognitive and emotional influences in the generation of placebo and nocebo effects on pain perception. In addition, the feasibility of solely psychological placebo manipulations to alter the perception of pain was tested.
Two commonly discussed preconditions for the generation of placebo and nocebo effects are prior experiences (i.e., past encounter of drug effects) and expectations (i.e., positive or negative attitudes towards an intervention). So far, research on placebo and nocebo effects relied on the administration of sham interventions, which resembled medical treatments like inert pills, creams or injections. However, such experimental procedures deal with confounds due to earlier experiences and expectations resulting from the individual’s history with medical interventions. Accordingly, the implementation of a placebo manipulation that is completely new to an individual, seems necessary to disentangle the contribution of experience and expectation for the induction of placebo and nocebo effects.
To this end, in Experiment 1 the level of experience and expectation regarding a placebo-nocebo treatment was stepwise manipulated across three different experimental groups. To avoid any resemblances to earlier experiences and individual expectations, a mere psychological placebo-nocebo treatment was chosen that was new to all participants. They were instructed that visual black and white stripe patterns had been found to reliably alter the perception of pain. One group of participants received only the placebo-nocebo instruction (expectation), a second group experienced a placebo-nocebo treatment within a conditioning phase (experience) but no instruction, and a third group received the combination of both that is a placebo-nocebo instruction and a placebo-nocebo conditioning (experience + expectation).
It was shown that only the experience + expectation group revealed significantly higher pain ratings and physiological responses during nocebo, compared to placebo trials of the succeeding test phase. These findings demonstrate that the induction of a mere psychological placebo-nocebo effect on pain is in principle possible. Most important, results indicate that such effects most likely rely on both, a positive treatment experience, due to the encounter of an effective intervention (placebo conditioning), and a positive expectation about the intervention (placebo instruction).Besides experience and expectation, the current mood state has been shown to modulate pain and to impact the induction of placebo and nocebo effects. In this vein it has been demonstrated that placebo effects come along with positive affect, while nocebo effects often occur together with elevated feelings of anxiety. To clarify the interaction of emotions and placebo-nocebo manipulations on pain perception, in Experiment 2 the paradigm of Experiment 1 was modified. Instead of black and white stripe patterns, positive and negative emotional pictures were presented, which either cued pain increase (nocebo) or pain decrease (placebo). Two experimental groups were compared, which differed with regard to the instructed contingency of positive pictures serving as placebo and negative pictures serving as nocebo cues or vice versa (congruent vs. incongruent). Results indicate that the differentiation of placebo and nocebo trials (behaviorally and physiologically) was more pronounced for the congruent compared to the incongruent group. However, in the incongruent group, affective pain ratings were also significantly higher for nocebo (positive pictures) than placebo (negative pictures) trials, similar to the congruent group. These findings demonstrate that a placebo-nocebo manipulation is capable to dampen and even reverse the originally pain augmenting effect of negative emotions.
The results of Experiment 2 were further corroborated in Experiment 3, when the design was adapted to the fMRI scanner, and again a congruent and an incongruent experimental group were compared. Behavioral, physiological and neurophysiological markers of pain processing revealed a differentiation between nocebo and placebo conditions that was present irrespective of the experimental group. In addition, the fMRI analysis revealed an increased engagement of prefrontal areas for the incongruent group only, supposedly reflecting the reinterpretation or appraisal process when positive pictures were cueing negative outcomes.
Taken together, the results of the present studies showed (a) that it is possible to induce a placebo-nocebo effect on pain solely by a psychological manipulation, (b) that both, prior experiences and positive expectation, are necessary preconditions for this placebo-nocebo effect, (c) that the impact of negative emotion on pain can be dampened and even reversed by placebo-nocebo manipulations, and (d) that most likely a cognitive top-down process is crucial for the induction of (psychological) placebo-nocebo effects.
These results significantly enhance our understanding of psychological mechanisms involved in the induction of placebo-nocebo effects. Further, a fruitful foundation for future studies is provided, which will need to determine the contributions of primarily nocebo or placebo responses mediating the effects as demonstrated in the present studies. In a long-term perspective, the present findings may also help to exploit placebo effects and prevent from nocebo effect in clinical contexts by further elucidating crucial psychological factors that contribute to the placebo and nocebo response.
Angstverhalten bei der Panikstörung mit Agoraphobie wird hauptsächlich unter dem Aspekt des „safety seekings“ betrachtet. Kontrovers diskutiert wird, ob diese Verhaltensweisen für eine erfolgreiche Behandlung abgebaut werden sollen. Es wurde bisher kaum nach der ethologischen Bedeutung bestimmter Verhaltensweisen unter Angst gefragt. Dies ist erstaunlich, weil die Panikstörung mit Agoraphobie häufig als gesteigerte Form extraterritorialer Angst gesehen wird. Extraterritoriale Angst tritt typischerweise bei Tieren auf, wenn sie ihr vertrautes Gebiet verlassen. Im Tiermodell liegen zahlreiche ethoexperimentelle Paradigmen vor, mit denen man das natürliche Angstverhalten von Tieren untersucht. Letztlich klärt man am Tiermodell aber Fragestellungen, die am Menschen nicht umsetzbar sind. Die experimentelle Untersuchung menschlichen Angstverhaltens unter ethologischer Perspektive erfordert eine Situation, die solches Verhalten ethisch unbedenklich auslöst und geeignete messbare Parameter liefert. Der Open-Field Test als bekanntes Paradigma aus der Tierforschung erfüllt diese Voraussetzungen. Es war Ziel des Promotionsvorhabens, in einem realen Open-Field Test bei Agoraphobiepatien-ten und hochängstlichen Probanden Thigmotaxis als ethologisches Angstverhalten nachzuweisen und mit dem Verhalten einer Kontrollgruppe bzw. niedrigängstlichen Personen zu vergleichen (Studie I). Thigmotaxis ist eine Bewegungstendenz entlang des Randes und wird im Tiermodell als Index für Angst benutzt. Es sollte die Frage geklärt werden, ob agoraphobes Verhalten evolutionär verankert werden kann. Ziel von Studie II war die Untersuchung der Wege in einer typischen Alltagstopographie. Dazu wurden Unterschiede im Raum-Zeit-Verhalten von Agora-phobiepatienten vs. Kontrollgruppe, sowie hoch- vs. niedrigängstlichen Probanden beim Gehen durch die Stadt verglichen. Die Aufzeichnung des Raum-Zeit-Verhaltens erfolgte in beiden Studien per GPS-Tracking. Studie I zeigte an insgesamt 69 Studienteilnehmern, dass Angstverhalten mit ethologischer Bedeutung bei Menschen im Open-Field Test eindeutig messbar ist. Agoraphobiepatienten zeigten während der Exploration eines ungefährlichen freien Fußballfeldes deutlich mehr Thigmotaxis und Vermeidung der Mitte als die Kontrollgruppe. Hochängstliche im Vergleich zu niedrigängstlichen gesunden Probanden zeigten dies ebenfalls. So konnte die Vermutung unterstützt werden, dass die Agoraphobie möglicherweise eine evolutionäre Entsprechung in der tierischen Extraterritorialangst hat. Die Befunde sprechen auch für eine gemeinsame Prädisposition zu Sicherheitsverhalten bei pathologischer Angst und hoher Ängstlichkeit. Die Bedeutung gemeinsamer Verhaltensdispositionen bei klinischen und nicht-klinischen Gruppen kann im Hinblick auf gemeinsame Endophänotypen für die neuronale Angstverarbeitung diskutiert werden. Zuletzt konnte mit dem Open-Field Test ein aus der Tierforschung bekanntes ethoexperimentelles Paradigma auf den Menschen übertragen werden, was die Gültigkeit des Tiermodells unterstützt. Studie II lieferte Unterschiede in den Wegen der Agoraphobiepatienten vs. Kontrollpersonen bei der Passage des Marktplatzes. Die Patienten überquerten den Marktplatz seltener als die Kon-trollgruppe, und tangierten ihn häufiger am Rand. Die Daten konnten in korrelativen Zusammenhang mit der Vermeidung der Mitte im Open-Field Test gebracht werden. Dies deutet auf eine starke Auswirkung der agoraphoben Symptomatik auf das Raum-Zeit-Verhalten in unterschiedlichen Situationen hin. Im Weiteren zeigte Studie II, dass sich GPS Tracking als Assessment-Methode in der klinischen Psychologie eignet. Bei den hoch-und niedrigängstlichen Probanden fand sich bei der Passage des Marktplatzes kein Unterschied, aber der weitere Streckenverlauf lieferte Hinweise darauf, dass bei hoher Ängstlichkeit die Navigation entlang häufig zurückgelegter Strecken bevorzugt werden könnte. Schlussfolgerung des explorativen Vorgehens bei Studie II ist, dass es sich lohnt, den Zusammenhang zwischen Emotion und Navigation in komplexer Umgebung weiter zu untersuchen
Objective: Brain Computer Interfaces (BCI) provide a muscle independent interaction channel making them particularly valuable for individuals with severe motor impairment. Thus, different BCI systems and applications have been proposed as assistive technology (AT) solutions for such patients. The most prominent system for communication utilizes event-related potentials (ERP) obtained from the electroencephalogram (EEG) to allow for communication on a character-by-character basis. Yet in their current state of technology, daily life use cases of such systems are rare. In addition to the high EEG preparation effort, one of the main reasons is the low information throughput compared to other existing AT solutions. Furthermore, when testing BCI systems in patients, a performance drop is usually observed compared to healthy users. Patients often display a low signal-to-noise ratio of the recorded EEG and detection of brain responses may be aggravated due to internally (e.g. spasm) or externally induced artifacts (e.g. from ventilation devices). Consequently, practical BCI systems need to cope with mani-fold inter-individual differences. Whilst these high demands lead to increasing complexity of the technology, daily life use of BCI systems requires straightforward setup including an easy-to-use graphical user interface that nonprofessionals can handle without expert support. Research questions of this thesis: This dissertation project aimed at bringing forward BCI technology toward a possible integration into end-users' daily life. Four basic research questions were addressed: (1) Can we identify performance predictors so that we can provide users with individual BCI solutions without the need of multiple, demanding testing sessions? (2) Can we provide complex BCI technology in an automated, user-friendly and easy-to-use manner, so that BCIs can be used without expert support at end-users' homes? (3) How can we account for and improve the low information transfer rates as compared to other existing assistive technology solutions? (4) How can we prevent the performance drop often seen when bringing BCI technology that was tested in healthy users to those with severe motor impairment? Results and discussion: (1) Heart rate variability (HRV) as an index of inhibitory control (i.e. the ability to allocate attention resources and inhibit distracting stimuli) was significantly related to ERP-BCI performance and accounted for almost 26% of variance. HRV is easy to assess from short heartbeat recordings and may thus serve as a performance predictor for ERP-BCIs. Due to missing software solutions for appropriate processing of artifacts in heartbeat data (electrocardiogram and inter-beat interval data), our own tool was developed that is available free of charge. To date, more than 100 researchers worldwide have requested the tool. Recently, a new version was developed and released together with a website (www.artiifact.de). (2) Furthermore, a study of this thesis demonstrated that BCI technology can be incorporated into easy-to-use software, including auto-calibration and predictive text entry. Naïve, healthy nonprofessionals were able to control the software without expert support and successfully spelled words using the auto-calibrated BCI. They reported that software handling was straightforward and that they would be able to explain the system to others. However, future research is required to study transfer of the results to patient samples. (3) The commonly used ERP-BCI paradigm was significantly improved. Instead of simply highlighting visually displayed characters as is usually done, pictures of famous faces were used as stimulus material. As a result, specific brain potentials involved in face recognition and face processing were elicited. The event-related EEG thus displayed an increased signal-to-noise ratio, which facilitated the detection of ERPs extremely well. Consequently, BCI performance was significantly increased. (4) The good results of this new face-flashing paradigm achieved with healthy participants transferred well to users with neurodegenerative disease. Using a face paradigm boosted information throughput. Importantly, two users who were highly inefficient with the commonly used paradigm displayed high accuracy when exposed to the face paradigm. The increased signal-to-noise ratio of the recorded EEG thus helped them to overcome their BCI inefficiency. Significance: The presented work at hand (1) successfully identified a physiological predictor of ERP-BCI performance, (2) proved the technology ready to be operated by naïve nonprofessionals without expert support, (3) significantly improved the commonly used spelling paradigm and (4) thereby displayed a way to effectively prevent BCI inefficiency in patients with neurodegenerative disease. Additionally, missing software solutions for appropriate handling of artifacts in heartbeat data encouraged development of our own software tool that is available to the research community free of charge. In sum, this thesis significantly improved current BCI technology and enhanced our understanding of physiological correlates of BCI performance.
In der vorliegenden Arbeit wurde untersucht, inwiefern die Angstaktivierung Einfluss auf den Therapieprozess und den Therapieerfolg bei der Behandlung spezifischer Phobien hat. Obwohl expositionsbasierte Therapieverfahren nachweislich effektiv sind und vor allem bei der Behandlung spezifischer Phobien als die Methode der Wahl gelten, sind deren genauen Wirkmechanismen doch noch nicht völlig geklärt. In zwei empirischen Studien wurde hier die von Foa und Kozak (1986, 1991) in der „Emotional Processing Theory“ als notwendig postulierte Rolle der Angstaktivierung während der Exposition untersucht. In der ersten Studie wurde auf Grundlage tier- und humanexperimenteller Befunde untersucht, ob durch eine Reaktivierung der Angst und darauffolgende Exposition innerhalb eines bestimmten Zeitfensters (= Rekonsolidierungsfenster) die Rückkehr der Angst verhindert werden kann. Ziel dieser Untersuchung war die Übertragung bisheriger Ergebnisse aus Konditionierungsstudien auf eine klinische Stichprobe. Die spinnenphobischen Untersuchungsteilnehmer (N = 36) wurden randomisiert entweder der Reaktivierungsgruppe (RG) oder einer Standardexpositionsgruppe (SEG) zugewiesen. Die RG bekam vor der Exposition in virtueller Realität (VRET) fünf Sekunden lang einen Reaktivierungsstimulus - eine virtuelle Spinne - dargeboten, woraufhin zehn Minuten standardisierte Wartezeit folgte. In der SEG wurde die Angst vor der Exposition nicht reaktiviert. 24 Stunden nach der VRET wurde in einem Test die spontane Rückkehr der Angst erfasst. Entgegen der Annahmen führte die Reaktivierung vor der VRET nicht zu einer geringeren Rückkehr der Angst in der Testsitzung 24 Stunden später. Die Angst kehrte in keiner der beiden Versuchsgruppen zurück, was sich bezüglich subjektiver Angstratings, für Verhaltensdaten und auch für physiologische Maße zeigte. Auch zeigte sich ein grundsätzlich positiver Effekt der Behandlung, bei der im Anschluss noch eine Exposition in vivo stattfand. Ein Follow-Up nach sechs Monaten ergab eine weitere Reduktion der Spinnenangst. Die Ergebnisse legen nahe, dass sich die experimentellen Befunde zu Rekonsolidierungsprozessen aus Konditionierungsstudien nicht einfach auf ein Therapiesetting und die Behandlung spezifischer Phobien übertragen lassen. Die zweite Studie befasste sich mit der Frage, ob Koffein die initiale Angstaktivierung erhöhen kann und ob sich dies positiv auf den Therapieerfolg auswirkt. Die spinnenphobischen Studienteilnehmer (N = 35) wurden in einem doppelblinden Versuchsdesign entweder der Koffeingruppe (KOFG) oder der Placebogruppe (PG) zugeordnet. Die KOFG erhielt eine Stunde vor Beginn der VRET eine Koffeintablette mit 200 mg Koffein, die PG erhielt als Äquivalent zur gleichen Zeit eine Placebotablette. Eine Analyse der Speichelproben der Probanden ergab, dass sich die Koffeinkonzentration durch die Koffeintablette signifikant erhöhte. Dies führte jedoch nicht, wie erwartet, zu einer höheren Angstaktivierung während der VRET, weshalb unter anderem diskutiert wird, ob evtl. die Koffeinkonzentration zu niedrig war, um anxiogen zu wirken. Dennoch profitierten die Teilnehmer beider Versuchsgruppen von unserem Behandlungsangebot. Die Spinnenangst reduzierte sich signifikant über vier Sitzungen hinweg. Diese Reduktion blieb stabil bis zum Follow-Up drei Monate nach Studienende. Zusammengefasst lässt sich zur optimalen Höhe der Angstaktivierung aufgrund der hier durchgeführten beiden Studien keine exakte Aussage machen, da sich die Versuchsgruppen in beiden Studien hinsichtlich der Höhe der Angstaktivierung zu Beginn (und auch während) der Exposition nicht unterschieden. Es lässt sich aber festhalten, dass die VRET und auch die in vivo Exposition in beiden Studien effektiv Angst auslösten und dass sich die Angst in beiden Gruppen signifikant bis zu den Follow-Ups (sechs bzw. drei Monate nach Studienende) signifikant reduzierte. Die Behandlung kann also als erfolgreich angesehen werden. Mögliche andere Wirkfaktoren der Expositionstherapie, wie z.B. die Rolle der wahrgenommenen Kontrolle werden neben der Höhe der Angstaktivierung diskutiert.
Diese Arbeit beschreibt die Entwicklung und Anwendung einer simulationsgestützten Methode zur Kompetenzfeststellung von Triebfahrzeugführern (Tf) der Deutschen Bahn AG unter Anwendung eines Verhaltensmarkersystems. Diese Methode wurde als ein erweitertes Konzept zur Bewertung eines Tf im Rahmen einer jährlich stattfindenden Überwachungsfahrt entwickelt. Diese Überwachungsfahrt besteht aus einer etwa 45-minütigen Prüfungsfahrt, mit deren Hilfe die Handlungssicherheit eines Tf erhöht sowie dessen Leistung und Leistungsfähigkeit beschrieben und bewertet wird. Die Überwachungsfahrt wird von geschulten Instruktoren durchgeführt. Während der Simulatorfahrt werden unregelmäßige Ereignisse eingespielt, die der Tf unter Anwendung der vorgeschriebenen Sollverhaltensweisen bewältigen muss. Ziel ist es, keinen sicherheitsrelevanten Mangel zu verursachen. Grundlage des eingeführten Verhaltensmarkersystems ist ein Datenkonzept, das auf den in den Regelwerken beschriebenen Fahrtereignissen und den entsprechenden Sollverhaltensweisen beruht. Die Überwachungsfahrt wird aus diesen Einzelereignissen zusammengestellt und somit entspricht auch das während der Überwachung zu zeigende Verhalten dem in den Regelwerken beschriebenen Sollverhalten. Um Abweichungen vom vorgeschriebenen Verhalten besser erkennen und bewerten zu können, werden sog. Verhaltensmarker eingeführt. Hierbei handelt es sich um objektive und nachprüfbare Indikatoren, die etwas über den Grad der Erfüllung des Sollverhaltens Auskunft geben. Zentral für die Bewertung sind somit die Erfassung möglicher Sollverhaltensabweichungen und die Frage nach der Festlegung der Schwere dieser Abweichung im Sinne eines Fehlers. Um Art und Stärke der Abweichungen vom Sollverhalten wurden objektive Fahrdaten aus dem Simulator herangezogen. Zusätzlich wurde ein standardisiertes Beobachtungsverfahren für die Instruktoren entwickelt. In einem zweiten Schritt wurden die über beide Verfahren erfassten Abweichungen vom Sollverhalten auf der Basis von Expertenurteilen entsprechend der potentiellen Auswirkungen gewichtet. Diese Gewichtung reicht in drei Stufen von leichten Fehlern bis hin zu sicherheitsrelevanten Mängeln. Für alle in den Überwachungsfahrten vorkommenden Sollverhaltensweisen wurden mögliche Abweichungen erhoben und in einer Fehlertabelle den Fehlerkategorien „gering“, „mittelschwer“ und „sicherheitsrelevant“ zugeordnet. Die so gewichtete Fehlerbetrachtung führt zu einer Gesamtbewertung des Tf und zu einer detaillierten Analyse seiner Stärken und Schwächen. Insgesamt wurden 1033 Überwachungsfahrten von den Instruktoren auf einem projektspezifischen Bogen protokolliert. Über die an den Simulatoren vorhandenen Datenschnittstellen wurden 1314 Überwachungsfahrten aufgezeichnet. Diese Datenquellen wurden integriert und ausgewertet. Als übergeordnetes Ergebnis lässt sich festhalten, dass die Anwendung der in dieser Arbeit entwickelten Methode nachweislich die Qualität und Genauigkeit der Bewertung verbessern konnte. Die Verhaltensmarker ermöglichen eine differenziertere Bewertung des Leistungsstands eines Tf. So ist es nicht nur möglich, sicherheitskritisches Verhalten („roter Bereich“) und ein optimales, fehlerfreies Verhalten („grüner Bereich“) festzustellen, sondern auch Aussagen über den „gelben Bereich“ dazwischen zu treffen (z.B. Mängel, die in anderen Situationen sicherheitskritisch sein können).
Das Wissen über Kognition oder metakognitives Wissen ist seit den 1970er Jahren Gegenstand der entwicklungspsychologischen Forschung. Besonders umfangreich wurde Entwicklung und Bedeutung des metakognitiven Wissens im Kontext der Gedächtnisentwicklung vom Vorschul- bis ins Grundschulalter untersucht. Das metakognitive Wissen im Inhaltsbereich der mathematischen Informationsverarbeitung ist – trotz elaborierter theoretischer Modelle über Struktur und Inhalt – empirisch weitgehend unerschlossen. Die vorliegende Studie wurde durchgeführt, um systematisch zu untersuchen, wie sich das mathematische metakognitive Wissen in der Sekundarstufe entwickelt, welche Faktoren für individuelle Unterschiede in der Entwicklung verantwortlich sind und in welchem Zusammenhang die metakognitive Wissensentwicklung mit der parallel verlaufenden Entwicklung mathematischer Kompetenzen steht. Zur Klärung der Fragestellungen wurden vier Messzeitpunkte einer breiter angelegten Längsschnittuntersuchung ausgewertet. Der dabei beobachtete Zeitraum umfasste die fünfte und sechste Jahrgangsstufe. Die Stichprobe bestand aus 928 Schülern der Schularten Gymnasium, Realschule und Hauptschule. Die Messinstrumente zur Erfassung der Entwicklungsveränderungen im mathematischen metakognitiven Wissen und der Mathematikleistung wurden auf Grundlage der item response theory konstruiert und mittels vertikalem linking fortlaufend an den Entwicklungsstand der Stichprobe angepasst. Zusätzlich wurden kognitive (Intelligenz und Arbeitsgedächtniskapazität), motivationale (mathematisches Interesse und Selbstkonzept) und sozioökonomische Merkmale (sozioökonomischer Status der Herkunftsfamilie) der Schüler erhoben. Die Lesekompetenz wurde als Methodenfaktor kontrolliert. Entwicklungsunterschiede und -veränderungen im metakognitiven Wissen wurde mit Hilfe von latenten Wachstumskurvenmodellen untersucht. Im beobachteten Zeitraum zeigte sich eine stetige Zunahme des metakognitiven Wissens. Allerdings verlief die Entwicklungsveränderung nicht linear, sondern verlangsamte sich im Verlauf der sechsten Jahrgangsstufe. Individuelle Unterschiede in Ausprägung und Veränderung des metakognitiven Wissens wurden durch kognitive und sozioökonomische Schülermerkmale vorhergesagt. Die motivationalen Merkmale wirkten sich demgegenüber nicht auf den Entwicklungsprozess aus. Geschlechtsunterschiede zeigten sich im Entwicklungsverlauf als Schereneffekt zugunsten der Mädchen. Unterschiede zwischen den Schülern der drei Schularten erreichten bereits zum Eintritt in die Sekundarstufe Signifikanz. Zudem gewannen Gymnasiasten und Hauptschüler im Entwicklungsverlauf stärker an metakognitivem Wissen hinzu als Realschüler. Explorative Mischverteilungsanalysen in der Stichprobe ergaben drei latente Entwicklungsklassen mit jeweils charakteristischem Veränderungsverlauf. Die Klassenzuweisung wurde von der besuchten Schulart sowie kognitiven und sozioökonomischen Schülermerkmalen vorhergesagt. Die Entwicklungsprozesse im mathematischen metakognitiven Wissen und der mathematischen Leistung standen in einem substanziellen, wechselseitigen Zusammenhang. Geschlechts- und Schulartunterschiede blieben ebenso wie die korrelativen Zusammenhänge zwischen den Entwicklungsprozessen auch nach Kontrolle der individuellen Unterschiede in kognitiven, motivationalen und sozioökonomischen Merkmalen erhalten. Die Befunde bestätigen die konstruktivistischen Entwicklungsannahmen der gedächtnispsychologisch geprägten Grundlagenforschung zum metakognitiven Wissen. Zudem wird mit der Untersuchung des mathematischen metakognitiven Wissens in der Sekundarstufe der traditionelle Forschungsfokus inhaltlich erweitert. Das im Rahmen der Studie konstruierte Instrument zur Erfassung des mathematischen metakognitiven Wissens ermöglicht die Untersuchung weiterer, bislang offener Fragen auf dem Gebiet der metakognitiven Entwicklung.
Fahr- und Verkehrssimulation sind neben Studien mit realen Fahrzeugen die gängigen Methoden der empirischen Verkehrswissenschaft. Während sich die Fahrsimulation mit dem Erleben und Verhalten von Fahrern beschäftigt, untersucht die Verkehrssimulation das gesamte Verkehrssystem. Der Bereich zwischen diesen Polen „Fahrer“ und „Verkehr“, in dem Fahrer aufeinander treffen und miteinander interagieren, ist angesichts der Bedeutung sozialer Prozesse für das Erleben und Verhalten ein wichtiger Aspekt. Allerdings wurde dieser Bereich in der Verkehrswissenschaft bisher nur unzureichend abgebildet. Auch in der Fahr- und Verkehrssimulation wurde dieser Aspekt bislang weitgehend vernachlässigt.
Um diese Lücke zu schließen, wurde mit der Pulksimulation eine neue Versuchsumgebung entwickelt. Sie besteht aus miteinander vernetzten Fahrsimulatoren und ermöglicht es, Interaktionsfragestellungen zu untersuchen. Jedoch bringt die Anwendung der Pulksimulation neue Anforderungen an den Untersucher mit sich, die bei der Fahr- bzw. Verkehrssimulation nicht notwendig sind und für die Pulksimulation neu entwickelt werden müssen. Das Ziel der vorliegenden Arbeit ist, diese Methode zur Untersuchung verkehrspsychologischer Fragestellungen weiterzuentwickeln, zu prüfen und zu etablieren.
In ersten Untersuchungsansätzen werden in acht Teilstudien die grundlegenden methodischen Besonderheiten der Pulksimulation am Beispiel des Folgefahrens und des Kreuzens betrachtet. Hierbei wird auch stets der Vergleich zu den bisher genutzten Versuchsumgebungen Einzelfahrsimulation und Verkehrssimulation gezogen. Folgende Fragstellungen wurden im Rahmen dessen beantwortet:
(1) Wie unterscheidet sich eine Pulkfahrt von einer Einzelfahrt?
(2) Welchen Einfluss haben nachfolgende Fahrzeuge im Pulk?
(3) Welche Effekte haben Positionierungen im Pulk?
(4) Wie unterscheiden sich reale Fahrer und Modelle im Pulk?
(5) Wie wirkt sich die Einführung einer Nebenaufgabe auf den Pulk aus?
(6) Wie wirken sich verschiedene Abstandsinstruktionen aus?
(7) Mit welchen Parametern kann der Pulk beschrieben werden?
(8) Wie kann das Verhalten des Pulks an Kreuzungen untersucht werden?
Schließlich werden zwei Anwendungsbeispiele der Pulksimulation zu aktuell relevanten Themen aufgezeigt. In der ersten Untersuchung wird ein Gefahrenwarner evaluiert, der vor Bremsungen vorausfahrender Fahrzeuge warnt. Während Fahrer direkt hinter dem bremsenden Fahrzeug vom System nicht profitieren, steigt der Nutzen des Systems mit zunehmender Positionierung im Pulk an.
In einer zweiten Studie wird ein Ampelphasenassistent untersucht. Dieser informiert den Fahrer während der Annäherung an eine Ampel über die optimale Geschwindigkeit, mit der diese Ampel ohne Halt bei Grün durchfahren werden kann. Um die Auswirkungen des Systems auf den nicht-assistierten Umgebungsverkehr bestimmen zu können, werden verschiedene Ausstattungsraten innerhalb des Pulks eingeführt. Mit diesem Untersuchungsansatz können gleichzeitig Effekte des Systems auf die assistierten Fahrer (z. B. Befolgungsverhalten), die nicht-assistierten Fahrer (z. B. Ärger) sowie das Verkehrssystem (z. B. Verkehrsfluss) bestimmt werden. Der Ampelphasenassistent resultiert in einem ökonomischeren Fahrverhalten der assistierten Fahrer, erhöht aber gleichzeitig in gemischten Ausstattungsraten den Ärger der nicht-assistierten Fahrer im Verkehrssystem. Erst bei Vollausstattung entwickelt sich dieser negative Effekt zurück.
Die in den Anwendungsbeispielen berichteten Phänomene sind durch Untersuchungen in einer Einzelfahrsimulation oder Verkehrssimulation nicht beobachtbar. Insbesondere für die Untersuchung von Fragen, in denen soziale Interaktionen mit anderen Fahrern eine Rolle spielen, zeichnet sich die Pulksimulation in besonderer Weise aus. Hierfür liefert die Anwendung in der Pulksimulation zusätzliche Informationen und zeigt somit, dass die Pulksimulation das Methodeninventar in der Verkehrswissenschaft effektiv ergänzt. Sie stellt zum einen eine Erweiterung der Fahrsimulation um den Faktor „Verkehr“ und zum anderen eine Erweiterung der Verkehrssimulation um den Faktor „Mensch“ dar und wird so zu einem zentralen Bindeglied beider Versuchsumgebungen.
Darüber hinaus erlaubt die Pulksimulation die Modellierung von Interaktionsverhalten im Straßenverkehr, was bisher nicht bzw. nur unter größtem Aufwand realisierbar war. Hierdurch können die Modelle der Fahr- und Verkehrssimulation weiterentwickelt werden.
Mit den in dieser Arbeit neu entworfenen Parametern werden Kenngrößen zur Verfügung gestellt, die Variationen bezüglich Quer- und Längsführung auch auf Ebene des Pulks abbilden können. Weitere neu entwickelte Parameter sind in der Lage, Interaktionen über den Zeitverlauf zu beschreiben. Diese Parameter sind notwendig für den Einsatz der Pulksimulation in zukünftigen Untersuchungen.
Zusammenfassend wurde in der vorliegenden Arbeit die Methodik der Pulksimulation für den gesamten Anwendungsprozess von der Fragestellung bis hin zur Interpretation der Ergebnisse weiterentwickelt. Der Mehrwert dieser Methode wurde an aktuellen und bisher nicht untersuchbaren Fragestellungen belegt und somit die Validität der Pulksimulation gestärkt. Die vorgestellten Untersuchungen zeigen das große Potenzial der Pulksimulation zur Bearbeitung von Fragen, die auf der Interaktion verschiedener Verkehrsteilnehmer basieren. Hierdurch wird erstmals die Möglichkeit geschaffen, soziale Interaktionen über den Zeitverlauf in die Fahrermodelle der Verkehrssimulation zu integrieren. Damit ist der Brückenschlag von der Fahr- zur Verkehrssimulation gelungen.
Ziele. Die Zielsetzung der vorliegenden Arbeit war eine Bewertung der Versorgungslage von Personen mit glücksspielbezogenen Problemen in Deutschland. Dabei wurden 1) der Zugang zum Versorgungssystem, nämlich 1.1) Problembewusstsein bzgl. glücksspielbezogener Probleme und Erreichbarkeit von Glücksspielern über das Internet und 1.2) Faktoren der Inanspruchnahme von Hilfsangeboten untersucht sowie 1.3) eine Charakterisierung der Klientel in ambulanten Suchthilfeeinrichtungen und deren Zugang zum Hilfesystem vorgenommen. Zudem wurden in ambulanten Suchthilfeeinrichtungen 2) die erbrachten Leistungen für Personen mit glücksspielbezogenen Problemen und Einflussfaktoren auf die Versorgungsnutzung bzw. den Behandlungsverlauf sowie 3) das Behandlungsergebnis einer Analyse unterzogen.
Methodik. Die Arbeit basiert auf drei Studien: einer Onlinestudie (OS), einer Versorgungsstudie (VS) und einer Bevölkerungsstudie (BS). In der OS wurde eine Gelegenheitsstichprobe von Personen, die einen im Internet bereitgestellten Selbsttest zu pathologischem Glücksspielen (PG) vollständig ausfüllten (n=277) und bei Erfüllen der Einschlusskriterien anschließend an einer vertiefenden Studie teilnahmen (n=52), hinsichtlich soziodemographischer Charakteristika, Spielverhalten und spielbezogener Motive, PG inklusive Folgen, Beratungserfahrungen sowie psychopathologischen Variablen untersucht. In den anderen Studien wurden weitestgehend dieselben Instrumente verwendet. Die VS war eine Verlaufsstudie (Messzeitpunkte: Behandlungsbeginn und -ende), bei der konsekutiv Klienten aus n=36 ambulanten Suchthilfeeinrichtungen in Bayern aufgenommen wurden, die sich zwischen April 2009 und August 2010 vorstellten (n=461). Für die BS wurden Daten aus dem Epidemiologi-schen Suchtsurvey 2006 und 2009 herangezogen, einer Deutschland weiten repräsentativen Querschnittbefragung 18- bis 64-Jähriger Erwachsener (2006: n=7.810; 2009: n=8.002).
Ergebnisse. Zum Zugang zur Versorgung sind 1.1) über das Internet erreichbare Glücksspieler hauptsächlich junge, ledige Männer, von denen ungefähr die Hälfte die Diagnose PG erfüllen. Anhand der Spielmotive lassen sich drei Spielerklassen abbilden, die sich hinsichtlich ihres Schweregrads von PG unterschieden. Die Bereitschaft zur Teilnahme an einem Online-Präventionsprogramm hängt hauptsächlich mit der Anzahl erfüllter DSM-IV-Kriterien für PG zusammen. Im Gegensatz zur VS sind die online erreichten Glücksspieler jünger und zu einem höheren Anteil subklinisch pathologische Glücksspieler (SPG, ein bis vier erfüllte DSM-IV-Kriterien für PG). 1.2) Hinsichtlich der Faktoren der Inanspruchnahme bestätigen sich systematische Unterschiede zwischen Glücksspielern in Behandlung und nicht in Behandlung. Ebenso zeigen sich Unterschiede zwischen SPGr und pathologischen Glücksspielern (PGr). Dabei ist die Anzahl erfüllter DSM-IV-Kriterien für PG der wichtigste Prädiktor für einen positiven Behandlungsstatus. Auch soziodemographische Merkmale, insbesondere Alter und Staatsangehörigkeit, spielen eine Rolle. 1.3) Die Mehrheit der Klienten in ambulanten Suchthilfeeinrichtungen ist männlich, durchschnittlich 37 Jahre alt, ledig und kinderlos und hat häufig eine ausländische Staatsbürgerschaft. Die am häufigsten gespielte und bevorzugte Spielform ist das Spielen an Geldspielautomaten. Viele der Klienten haben bereits im Vorfeld Hilfe in Anspruch genommen und Gründe für die Vorstellung in der Beratungsstelle waren in ungefähr drei Viertel der Fällen finanzielle Probleme und bei ungefähr der Hälfte Probleme in der Partnerschaft. In der ambulanten Suchthilfe sind 2) Prädiktoren für eine längere Kontaktdauer u.a. der Einbezug der Familie und Gruppengespräche. Behandlungsabbrüche werden u.a. durch eine nicht-deutsche Staatsbürgerschaft und höhere Spielfrequenz vorhergesagt. 3) Reguläre Beendigung und höhere Kontaktzahl sind u.a. Prädiktoren für eine Verbesserung der Glücksspielsymptomatik.
Schlussfolgerungen. Vor dem Hintergrund der Ergebnisse werden Implikationen für die Weiterentwicklung des Versorgungssystems zum einen im Sinne einer Erweiterung und Anpassung der Versorgungsstrukturen abgeleitet, wobei auf Information und Aufklärung, Früherkennung und Frühintervention mit einem Fokus auf Online-Angeboten sowie zielgruppen-spezifische Angebote unter anderem für Angehörige eingegangen wird. Auch die Wichtigkeit der Vernetzung verschiedener an der Beratung/Behandlung von PGr beteiligten Einrichtungen wird herausgestellt. Zum anderen beziehen sich die diskutierten möglichen Weiterentwicklungen auf das Versorgungsangebot und Behandlungsmerkmale, was Therapieumfeld/-voraussetzungen, Therapieplanung sowie therapeutische Maßnahmen beinhaltet.
Background
Positive associations have been found between quality of life, emotion regulation strategies, and heart rate variability (HRV) in people without intellectual disabilities. However, emotion regulation and HRV have rarely been investigated in people with intellectual disabilities. Assessment of subjectively reported quality of life and emotion regulation strategies in this population is even more difficult when participants are also visually impaired.
Methods
Subjective and objective quality of life, emotion regulation strategies, and HRV at rest were measured in a sample of people with intellectual disabilities and concomitant impaired vision (N = 35). Heart rate was recorded during a 10 min resting period. For the assessment of quality of life and emotion regulation, custom made tactile versions of questionnaire-based instruments were used that enabled participants to grasp response categories.
Results
The combined use of reappraisal and suppression as emotion regulation strategies was associated with higher HRV and quality of life. HRV was associated with objective quality of life only. Emotion regulation strategies partially mediated the relationship between HRV and quality of life.
Conclusions
Results replicate findings about associations between quality of life, emotion regulation, and HRV and extend them to individuals with intellectual disabilities. Furthermore, this study demonstrated that quality of life and emotion regulation could be assessed in such populations even with concomitant impaired vision with modified tactile versions of established questionnaires. HRV may be used as a physiological index to evaluate physical and affective conditions in this population.