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The influence of high-level beliefs on self-regulatory engagement: evidence from thermal pain stimulation.

ABSTRACT: Determinist beliefs have been shown to impact basic motor preparation, prosocial behavior, performance monitoring, and voluntary inhibition, presumably by diminishing the recruitment of cognitive resources for self-regulation. We sought to support and extend previous findings by applying a belief manipulation to a novel inhibition paradigm that requires participants to either execute or suppress a prepotent withdrawal reaction from a strong aversive stimulus (thermal pain). Action and inhibition responses could be determined by either external signals or voluntary choices. Our results suggest that the reduction of free will beliefs corresponds with a reduction in effort investment that influences voluntary action selection and inhibition, most directly indicated by increased time required to initiate a withdrawal response internally (but not externally). It is likely that disbelief in free will encourages participants to be more passive, to exhibit a reduction in intentional engagement, and to be disinclined to adapt their behavior to contextual needs.

SUBMITTER: Lynn MT

PROVIDER: S-EPMC3779819 | biostudies-other | 2013

REPOSITORIES: biostudies-other

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The influence of high-level beliefs on self-regulatory engagement: evidence from thermal pain stimulation.

Lynn Margaret T MT Van Dessel Pieter P Brass Marcel M

Frontiers in psychology 20130923

Determinist beliefs have been shown to impact basic motor preparation, prosocial behavior, performance monitoring, and voluntary inhibition, presumably by diminishing the recruitment of cognitive resources for self-regulation. We sought to support and extend previous findings by applying a belief manipulation to a novel inhibition paradigm that requires participants to either execute or suppress a prepotent withdrawal reaction from a strong aversive stimulus (thermal pain). Action and inhibition ...[more]

PMID: 24065932

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Project description:Personality psychodynamics have been shown to influence individual responses to psychiatric treatments, including medication. Increasingly, neuromodulation therapies have become available for severe and treatment-resistant depression. This study aims to evaluate patient response to an implanted neurostimulator battery within the framework of relational versus self-definitional personality traits. Relational development is interpersonally oriented and disruptions along this pathway lead to dependency on others for a sense of security and self-worth. Self-definitional development is characterized by autonomy strivings and disruptions lead to self-critical feelings of failing to meet expectations. Patients drawn from a larger study of deep brain stimulation (DBS) for treatment-resistant depression were switched from a non-rechargeable to a rechargeable battery type to maintain stimulation therapy. This switch entailed taking greater personal responsibility for device maintenance and allowed for fewer battery replacement surgeries. Twenty-six patients completed the Depressive Experiences Questionnaire (DEQ) and a questionnaire surveying their preference for DBS battery type. Results show that the DEQ dependency subscale, and more specifically the neediness component of the subscale, is associated with patient preference for the non-rechargeable battery. This suggests that individuals with higher relational needs prefer treatment options that increase contact with and need for medical caregivers and may prioritize this aspect of an intervention over alternative considerations. In contrast, individuals with more self-critical personality traits did not have a battery type preference, indicating that self-definitional needs were not predictive of battery preference. The link between an individual's personality psychodynamics and response to biomedical interventions, including neuromodulation and treatments that incorporate medical devices, deserves further attention.

Project description:OBJECTIVE:To describe the current evidence related to the self-management of cardiac pain in women using the process and methodology of evidence mapping. DESIGN AND SETTING:Literature search for studies that describe the self-management of cardiac pain in women greater than 18 years of age, managed in community, primary care or outpatient settings, published in English or a Scandinavian language between 1 January 1990 and 24 June 2016 using AMED, CINAHL, ERIC, EMBASE, MEDLINE, Proquest, PsychInfo, the Cochrane Library, Scopus, Swemed+, Web of Science, the Clinical Trials Registry, International Register of Controlled Trials, MetaRegister of Controlled Trials, theses and dissertations, published conference abstracts and relevant websites using GreyNet International, ISI proceedings, BIOSIS and Conference papers index. Two independent reviewers screened using predefined eligibility criteria. Included articles were classified according to study design, pain category, publication year, sample size, per cent women and mean age. INTERVENTIONS:Self-management interventions for cardiac pain or non-intervention studies that described views and perspectives of women who self-managed cardiac pain. PRIMARY AND SECONDARY OUTCOMES MEASURES:Outcomes included those related to knowledge, self-efficacy, function and health-related quality of life. RESULTS:The literature search identified 5940 unique articles, of which 220 were included in the evidence map. Only 22% (n=49) were intervention studies. Sixty-nine per cent (n=151) of the studies described cardiac pain related to obstructive coronary artery disease (CAD), 2% (n=5) non-obstructive CAD and 15% (n=34) postpercutaneous coronary intervention/cardiac surgery. Most were published after 2000, the median sample size was 90 with 25%-100% women and the mean age was 63 years. CONCLUSIONS:Our evidence map suggests that while much is known about the differing presentations of obstructive cardiac pain in middle-aged women, little research focused on young and old women, non-obstructive cardiac pain or self-management interventions to assist women to manage cardiac pain. PROSPERO REGISTRATION NUMBER:CRD42016042806.

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The influence of high-level beliefs on self-regulatory engagement: evidence from thermal pain stimulation.

Publications

The influence of high-level beliefs on self-regulatory engagement: evidence from thermal pain stimulation.

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