Action Tendencies Research Articles

Patient delay prior to care-seeking in acute myocardial infarction during the outbreak of the coronavirus SARS-CoV2 pandemic

To examine patient delay in seeking medical care when afflicted by an acute myocardial infarction during March-June 2020. This was a cross-sectional study in a region in Sweden during the first wave of the COVID-19 pandemic examining patients selected from the national registry (SWEDEHEART). Eligible patients were those with acute myocardial infarction, and a total of 602 patients were invited. A self-administered psychometric evaluated questionnaire, 'Patients' appraisal, emotions, and action tendencies preceding care-seeking in acute myocardial infarction' (AMI), was sent to the patients, and questions regarding COVID-19 were added. A total of 326 patients answered the questionnaire. Of these, 19% hesitated to seek medical care because of the pandemic, which was related to a fear that the healthcare services were already overcrowded with patients with COVID-19, followed by a fear of becoming infected with COVID-19 in hospital. Characteristics of this cohort were significantly higher prevalences of women, immigrants, smokers, and patients with type 2 diabetes. During the outbreak and first wave of the COVID-19 pandemic, women and immigrants delayed seeking medical care for AMI because of fears about overcrowded hospitals and about becoming infected themselves. Therefore, during the COVID-19 pandemic, it is especially important to convey information about how and when to seek medical care. A collaboration involving the healthcare professionals, patient organizations, and the media would be desirable.

In the "Shadow of Shame": A Phenomenological Exploration of the Nature of Shame Experiences in Medical Students.

Shame occurs when an individual blames a globally flawed self for a negative outcome. Much of the focus on shame in medical education has been directed toward graduate medical education with less recognition paid to shame occurring in medical school. In particular, while research has explored the triggers of medical students' shame, little is known about what shame feels like, what it makes an individual want to do, and what perceived effects it causes. Thus, this study asks: After shame has been triggered in medical students, how is it experienced? The authors selected hermeneutic phenomenology to provide a rich description of the structures and meaning of medical students' lived experiences of shame. Sixteen medical students from a private medical school in the United States were recruited for the study. Data were collected using one-on-one semistructured interviews and analyzed in accordance with Ajjawi and Higgs' 6 steps of hermeneutic analysis. Data analysis yielded component parts of participants' shame experiences, including affective feelings, physical manifestations, cognitive processes, action tendencies, and effects. Analysis of the relationships among these component parts yielded specific phenomenological structures, including patterns of shame (e.g., chronic shame, flashbacks), self-evaluative processes (e.g., battling voices, skewed frames of reference), and perceived effects of shame (e.g., isolation, psychological distress). An overarching theme of shame as a destabilizing emotion emerged across the dataset. Shame is a complex emotion in medical students that, through its destabilizing effects, can lead to withdrawal, isolation, psychological distress, altered professional identity formation, and identity dissonance. The authors highlight the possibility that shame may be occurring as a response to educational trauma, present a metaphor of dominoes to conceptualize the destabilizing nature of shame, and outline the implications for individuals and institutions in medical education.

Neural Changes in Reward Processing Following Approach Avoidance Training for Depression.

Altered approach motivation is hypothesized to be critical for the maintenance of depression. Computer-administered approach-avoidance training programs to increase approach action tendencies toward positive stimuli produce beneficial outcomes. However, there have been few studies examining neural changes following approach-avoidance training. Participants with Major Depressive Disorder were randomized to an Approach Avoidance Training (AAT) manipulation intended to increase approach tendencies for positive social cues (n=13) or a control procedure (n=15). We examined changes in neural activation (primary outcome) and connectivity patterns using Group Iterative Multiple Model Estimation during a social reward anticipation task (exploratory). A laboratory-based social affiliation task was also administered following the manipulation to measure affect during anticipation of real-world social activity. Individuals in the AAT group demonstrated increased activation in reward processing regions during social reward anticipation relative to the control group from pre to post-training. Following training, connectivity patterns across reward regions were observed in the full sample and connectivity between the medial PFC and caudate was associated with anticipatory positive affect before the social interaction; preliminary evidence of differential connectivity patterns between the two groups also emerged. Results support models whereby modifying approach-oriented behavioral tendencies with computerized training leads to alterations in reward circuitry. (NCT02330744).

"Health Comes First": Action Tendencies to Health-Related Stimuli in People with Health-Anxiety as Revealed by an Emotional Go/No-Go Task.

The processing of health-related stimuli can be biased by health anxiety and anxiety sensitivity but, at the moment, it is far from clear whether health-related stimuli can affect motor readiness or the ability to inhibit action. In this preliminary study, we assessed whether different levels of health anxiety and anxiety sensitivity affect disposition to action in response to positive and negative health-related stimuli in non-clinical individuals. An emotional go/no-go task was devised to test action disposition in response to positive (wellness-related), and negative (disease-related) stimuli in non-clinical participants who also underwent well-validated self-report measures of health anxiety and anxiety sensitivity. The main results showed that both health anxiety and anxiety sensitivity biased participants’ responses. Importantly, safety-seeking and avoidance behaviors differently affected action disposition in response to positive and negative stimuli. These preliminary results support the idea that health anxiety and anxiety sensitivity could determine a hypervigilance for health-related information with a different perturbation of response control depending on the valence of the stimuli. Health anxiety and health anxiety disorder do form a continuum; thus, capturing different action tendencies to health-related stimuli could represent a valuable complementary tool to detect processing biases in persons who might develop a clinical condition.

Associations between positively valenced affect and health behaviors vary by arousal.

Evidence is mixed with regard to whether positively valanced affect (PA) is associated with engagement in health behaviors. Both affective arousal (activated/deactivated) and level of analysis (between and within-person) may influence such associations. Adults (N = 121; 25-65 years) completed ambulatory assessments of affect and daily reports of sleep, diet, and physical/sedentary activity. Patterns of association were generally consistent at between and within-person levels, although associations varied by arousal. Activated PA was positively associated with action tendencies (i.e., higher physical activity, lower sedentary activities) and riskier behaviors (such as poor diet) whereas deactivated PA was positively associated with engaging in satiety and rest (i.e., better diet, better sleep quality, and more sedentary activity). Results were maintained when covarying for indicators of relative socioeconomic advantage and neuroticism. Overall, arousal appears to be related to the nature of the associations between PA and health behaviors, highlighting the importance of assessing and evaluating a range of arousal states.

Effects of go/no-go training on food-related action tendencies, liking and choice.

Inhibitory control training effects on behaviour (e.g. ‘healthier’ food choices) can be driven by changes in affective evaluations of trained stimuli, and theoretical models indicate that changes in action tendencies may be a complementary mechanism. In this preregistered study, we investigated the effects of food-specific go/no-go training on action tendencies, liking and impulsive choices in healthy participants. In the training task, energy-dense foods were assigned to one of three conditions: 100% inhibition (no-go), 0% inhibition (go) or 50% inhibition (control). Automatic action tendencies and liking were measured pre- and post-training for each condition. We found that training did not lead to changes in approach bias towards trained foods (go and no-go relative to control), but we warrant caution in interpreting this finding as there are important limitations to consider for the employed approach–avoidance task. There was only anecdotal evidence for an effect on food liking, but there was evidence for contingency learning during training, and participants were on average less likely to choose a no-go food compared to a control food after training. We discuss these findings from both a methodological and theoretical standpoint and propose that the mechanisms of action behind training effects be investigated further.

Examining Gratitude’s Role in Moral Partiality for Divergent Help Within Leader-Follower Dyads

Building on research on gratitude, prosocial behavior, and caring and ethical leadership, we examine the role of gratitude in motivating leader-follower help that diverges from organizational goals (e.g., rule lenience). Drawing from moral self-regulation theory, we present a conceptual model on the role of gratitude as a moral emotion, whereby its prosocial action tendency focuses on moral partiality toward referent targets prompting the prioritization of targets’ welfare. We propose two power moderators specific to leaders and referent followers, strengthening the proposed associations between gratitude and divergent help; these are the leader’s power to diverge from rules and the follower’s perceptions of their power relative to the leader’s. We also examine the role of follower attributions in predicting gratitude feelings, and divergent help directed toward leaders.

Legitimacy of Authority and Protest Actions in Response to Collective Disadvantages

A wealth of evidence has demonstrated that individuals’ participation in collective actions largely derives from perceived group disadvantages. In the present research, we hypothesized that engagement in protest activities can be attenuated if the disadvantages originate from legitimate figures of authority. Across three experiments based on vignettes describing a hypothetical work setting (total N = 670), we found consistent support for this prediction. In Study 1, we showed that intention to participate in a protest movement in reaction to an unfavourable distribution of outcomes was lower when legitimacy of the group’s authority was high (vs. low). In addition, a reduction in anger was found to play a mediating role. Studies 2 and 3 further demonstrated that these effects only occurred when participants were confronted with a relatively low disadvantage (as opposed to a high disadvantage). In an attempt to identify underlying mechanisms, Study 3 emphasized the moral implications that lie behind responses to high (vs. low) disadvantageous decisions and that shape resistance processes. Taken together, these findings call for more consideration for the role of group authorities in the comprehension of collective action tendencies and give insights to better understand how and when authority legitimacy can serve to perpetuate social disparities and hinders the fight against injustices.

Stopping a Response When You Really Care about the Action: Considerations from a Clinical Perspective.

Response inhibition, whether reactive or proactive, is mostly investigated in a narrow cognitive framework. We argue that it be viewed within a broader frame than the action being inhibited, i.e., in the context of emotion and motivation of the individual at large. This is particularly important in the clinical domain, where the motivational strength of an action can be driven by threat avoidance or reward seeking. The cognitive response inhibition literature has focused on stopping reactively with responses in anticipation of clearly delineated external signals, or proactively in limited contexts, largely independent of clinical phenomena. Moreover, the focus has often been on stopping efficiency and its correlates rather than on inhibition failures. Currently, the cognitive and clinical perspectives are incommensurable. A broader context may explain the apparent paradox where individuals with disorders characterised by maladaptive action control have difficulty inhibiting their actions only in specific circumstances. Using Obsessive Compulsive Disorder as a case study, clinical theorising has focused largely on compulsions as failures of inhibition in relation to specific internal or external triggers. We propose that the concept of action tendencies may constitute a useful common denominator bridging research into motor, emotional, motivational, and contextual aspects of action control failure. The success of action control may depend on the interaction between the strength of action tendencies, the ability to withhold urges, and contextual factors.

The nationalist movements in Spain, today: a Catalonian and Basque comparison

Pro-independence movements in the Basque Country and in Catalonia have old historical roots. Whereas in Catalonia the pro-independence social mobilization has recently gained energy, in the Basque Country it seems less prominent nowadays. We explore the psychosocial predictors associated with individuals’ involvement in collective efforts towards independence in both these contexts. We distributed an online questionnaire among Basque (n=132) and Catalonian (n=152) independence supporters. Among the Basque independence supporters, pro-independence collective action tendencies were negatively predicted by perceived social status and identification with Spain, and positively predicted by patriotism and collective efficacy. Among the pro-independence Catalonians, only identification with Catalonia and collective efficacy beliefs predicted pro-independence collective action tendencies. These results are discussed considering historical, political, and socioeconomic factors.

Functional role of dorsolateral prefrontal cortex in the modulation of cognitive bias.

Human cognition is often biased. It is a fundamental question in psychology how cognitive bias is modulated in the human brain. Automatic action tendency is a typical cognitive bias. The dorsolateral prefrontal cortex (DLPFC) is a crucial area for processing various behavioral tasks. We investigated the functional role of DLPFC in the modulation of cognitive bias by testing the automatic action tendency during automatic and regulated behavioral tasks. Unilateral intermittent or continuous theta burst stimulation (excitatory iTBS or inhibitory cTBS) was used to manipulate the left or right DLPFC excitability and assess the changes in automatic action tendency during a manikin task. An approaching behavior with positive stimulus and avoiding behavior with negative stimulus were performed in an automatic task. An approaching behavior with negative stimulus and avoiding behavior with positive stimulus were performed in a regulated task. Reaction time was measured. We confirmed the automatic action tendency that reaction time for performing an automatic task was shorter than that for performing a regulated task. The automatic action tendency was enhanced after left DLPFC excitatory iTBS and was abolished after left DLPFC inhibitory cTBS stimulation. On the other hand, right DLPFC excitatory iTBS accelerated the avoiding behaviors and right DLPFC inhibitory cTBS accelerated approaching behaviors. The results suggest that left DLPFC modulates the automatic action tendency while the right DLPFC modulates the direction of behavioral tasks. We conclude that left DLPFC and right DLPFC are key nodes in modulating the cognitive bias while their functional roles are different.

Emotional Experiences of Cybersecurity Breach Victims.

This study investigated emotional reactions to cybersecurity breaches. Based on prior research, a context-specific instrument was developed. This new instrument covered all five emotion components identified by the componential emotion approach. In total, 145 participants that experienced a cybersecurity breach reported on their appraisals, action tendencies, bodily reactions, expressions, subjective feelings, and regulation attempts. A principal component analysis on a total of 75 emotion reactions revealed a clear three-dimensional structure. The first dimension represented the extent to which the person was generally emotionally affected. The second dimension revealed constructive action tendencies and subjective feelings that were opposed to unconstructive action tendencies, expressions, and bodily reactions. The third dimension revealed cognitive motivational reactions that were opposed to affective reactions. This study clearly indicated that cybersecurity breaches do not only form a challenge for engineers, but also have important psychological ramifications that need to be addressed. Although some people have a tendency to react with constructive and proactive actions that are likely to limit the negative consequences of the cybersecurity breach, others experience a strong negative affective stress reaction and are unlikely to take the appropriate steps to deal with the security breach situation. These people, especially, can be expected to be vulnerable to psychological complaints and possibly psychopathology. The newly developed instrument uses a comprehensive approach to assess emotional reactions to cybersecurity threats and provides an efficient way to identify potentially problematic reactions.

Neurocognitive Measures of Self-blame and Risk Prediction Models of Recurrence in Major Depressive Disorder

BackgroundOvergeneralized self-blaming emotions, such as self-disgust, are core symptoms of major depressive disorder and prompt specific actions (i.e., action tendencies), which are more functionally relevant than the emotions themselves. We have recently shown, using a novel cognitive task, that when feeling self-blaming emotions, maladaptive action tendencies (feeling like hiding and feeling like creating a distance from oneself) and an overgeneralized perception of control are characteristic of major depressive disorder, even after remission of symptoms. Here, we probed the potential of this cognitive signature, and its combination with previously employed functional magnetic resonance imaging (fMRI) measures, to predict individual recurrence risk. For this purpose, we developed a user-friendly hybrid machine/statistical learning tool, which we make freely available. MethodsA total of 52 medication-free patients with remitted major depressive disorder, who had completed the action tendencies task and our self-blame fMRI task at baseline, were followed up clinically over 14 months to determine recurrence. Prospective prediction models included baseline maladaptive self-blame–related action tendencies and anterior temporal fMRI connectivity patterns across a set of frontolimbic a priori regions of interest, as well as including established clinical and standard psychological predictors. Prediction models used elastic net regularized logistic regression with nested 10-fold cross-validation. ResultsCross-validated discrimination was highly promising (area under the receiver-operating characteristic curve ≥ 0.86), and positive predictive values over 80% were achieved when including fMRI in multimodal models, but only up to 71% (area under the receiver-operating characteristic curve ≤ 0.74) when solely relying on cognitive and clinical measures. ConclusionsThis study shows the high potential of multimodal signatures of self-blaming biases to predict recurrence risk at an individual level and calls for external validation in an independent sample.

Personality coherence in acts and texts: Searching for coherence within and beyond trait categories

This paper reports two studies that explore complementary aspects of personality coherence. Study 1 addressed cross-situational coherence in contextualized psychological response. Idiographically-tailored methods assessed individuals’ (i) beliefs about their personal attributes, (ii) subjective “mappings” of these attributes to everyday circumstances, and (iii) self-reported contextualized action tendencies. A novel index of idiographic–nomothetic relations gauged the degree to which the idiographic methods yield unique information. Participants’ mappings commonly deviated from the structure of nomothetic trait categories; people often grouped together contextualized action tendencies traditionally associated with different trait categories. The idiographic mappings predicted cross-situational coherence in action tendencies. Study 2 asked whether the contextualization of personal qualities would be evident when people merely are asked to describe their personal attributes in natural language. Participants wrote narratives describing positive and negative qualities. Narratives were coded for the presence of three linguistic features: conditional statements, probabilistic statements, and personality trait inconsistencies. All three occurred frequently. Furthermore, they co-occurred; among participants who described trait-inconsistent attributes, the large majority spontaneously cited conditions in which these attributes are manifested. People who recognize that they possess inconsistent personal qualities may nonetheless attain a coherent understanding of themselves by spontaneously developing a contextually-embedded sense of self.

Social Dominance Orientation Boosts Collective Action Among Low-Status Groups.

We propose that low-status group members' support for group-based hierarchy and inequality (i.e., social dominance orientation; SDO) may represent an ideological strategy to guarantee the legitimacy of future ingroup status-enhancement. Specifically, we argue that, under unstable social structure conditions, SDO serves as an ideological justification for collective action tendencies aimed at competing for a higher status. In such context, SDO should be positively related with actions aimed to favor the ingroup (i.e., collective actions) by increasing group members' motivation to engage in direct competition with a relevant higher-status outgroup. We conducted two studies under highly competitive and unstable social structure contexts using real life groups. In Study 1 (N = 77), we induced Low vs. High Ingroup (University) Status and in Study 2 (N = 220) we used competing sports groups. Overall, results showed that, among members of low-status groups, SDO consistently increased individuals' motivation to get involved in actions favoring the ingroup, by boosting their motivation to compete with the opposing high-status outgroup. We discuss the results in light of the social dominance and collective action framework.

Theory of Motivated Cue-Integration and COVID-19: Between Interoception, Somatization, and Radicalization.

The global dissemination of COVID-19 creates confusion and ambiguity in nearly every aspect of life, including fear of contagion, heightened awareness of the mortality of self and family members, lack of power, and distrust of experts and decision-makers. In this stressful situation, the question arises as to what mechanisms distinguish between adaptive and maladaptive self-regulation. The theory of Motivated Cue-Integration (MCI) is a novel theory of self-regulation that provides a new perspective on the effect of COVID-19 on self-regulation deficiency as an example of psychological distress. Inspired by predictive coding, social cognition, embodied cognition, and experiential approach, MCI suggests that self-regulation is based on interaction between (1) high-level values and goals, (2) low-level interoceptive and exteroceptive signals, and (3) trust in epistemic authority or a significant other. Motivated Cue-Integration posits that individuals create meaning by making moment-to-moment predictions that affect their interpretation of the experience of ambiguity influenced by their relationship with epistemic authority. According to MCI, deficiency in self-regulation during COVID-19 could result either from over-sensitivity or under-sensitivity to low-level interoceptive and exteroceptive cues; rigidity or ambiguity of high-level goals, poor integration between the two levels of processing as well as distrust in epistemic authority. According to MCI, variations of these deficiencies may occur in various clinical phenomena such as alexithymia and somatization, as well as in social phenomena such as goal radicalization. Based on this reasoning, MCI claims that the mentalization of the relationship between interoceptive cues, exteroceptive cues, goals, and psychological needs of the person, as well as the improvement of confidence in epistemic authority, can promote adaptive self-regulation. Psychological intervention can foster trust in epistemic authority, increase the mentalization of interoceptive and exteroceptive cues, and their association with adaptive goals. As such, the integration of these elements in a way that facilitates incentives pathways and insight fosters a more integrated subjective experience, higher clarity of emotion, and positive internal dialogue which promotes action tendency.

BEHAVIORAL AND EMOTIONAL DEVELOPMENT OF CHILDREN IN A CUMULATIVE RISKY AND STRESSFUL ENVIRONMENT

Childhood is a stage’s life marked by essential psychosocial transformations that occur amid rapid pubertal growth such as identity formation, individuation from parents, and the establishment of intimate friendships. However, tension is normative when the individual goes through different changes; but, children are often faced by risks for adjustment difficulties if this developmental change is accompanied by an accumulation of stressors spanning multiple spheres of the adolescent’s life (Call & Mortimer, 2001). Recognizing that the environment of the child makes a difference in how that child learns and grows, the study of child development is a well-established social science discipline that intersects with a number of other disciplines. The theoretical perspective taken toward behavioral and emotional development in childhood is a combination of functionalist theory and dynamical systems theory (Saami, 2008). Qualitative analysis and documentary research method have been used for data collection and desk review. The results of this research showed that a child’s encounters with an environment can be seen as dynamic transactions that involve multiple emotion-related components (e.g., expressive behavior, physiological patterning, action tendencies, goals and motives, social and physical contexts, appraisals and experiential feeling) that change over time as the child matures and in response to changing environmental interactions. To cope with this, we hope that this descriptive study will try to strive, not only to understand and support the development of children, but also to assess child development and to respond to an individual child's needs. Also, we hope that it will continue to be a valuable resource for yet another generation of children and youth. Article visualizations:

Dimensions and Clusters of Aesthetic Emotions: A Semantic Profile Analysis.

Aesthetic emotions are elicited by different sensory impressions generated by music, visual arts, literature, theater, film, or nature scenes. Recently, the AESTHEMOS scale has been developed to facilitate the empirical assessment of such emotions. In this article we report a semantic profile analysis of aesthetic emotion terms that had been used for the development of this scale, using the GRID approach. This method consists of obtaining ratings of emotion terms on a set of meaning facets (features) which represent five components of the emotion process (appraisal, bodily reactions, action tendencies, expression, and feelings). The aims here were (a) to determine the dimensionality of the GRID features when applied to aesthetic emotions and compare it to published results for emotion terms in general, and (b) to examine the internal organization of the domain of aesthetic emotion terms in order to identify salient clusters of these items based on the similarity of their feature profiles on the GRID. Exploratory Principal Component Analyses suggest a four-dimensional structure of the semantic space consisting of valence, power, arousal, and novelty, converging with earlier GRID studies on large sets of standard emotion terms. Using cluster analyses, 15 clusters of aesthetic emotion terms with similar GRID feature profiles were identified, revealing the internal organization of the aesthetic emotion terms domain and meaningful subgroups of aesthetic emotions. While replication for further languages is required, these findings provide a solid basis for further research and methodological development in the realm of aesthetic emotions.

Spatial–Temporal Heterogeneity and the Related Influencing Factors of Tourism Efficiency in China

Tourism efficiency is an effective index of measuring the development quality of the tourism industry. In this study, the tourism efficiency of 30 provinces in China during the period from 2006 to 2018 was measured with the SBM model and Malmquist index. On the basis of ESDA and GWR models, we explored the spatial pattern of China’s tourism efficiency and the spatial heterogeneity of the influencing factors in depth. The results revealed that China’s tourism efficiency has been constantly enhanced with an increasingly balanced pattern. Meanwhile, the utilization degrees of various input factors have constantly been improving. Both technological efficiency and technological progress jointly promote rapid growth of total-factor productivity. Accompanied with constant enhancement of the spatial agglomeration effect, the local spatial pattern also showed obvious differentiation. In general, low-efficiency regions were mainly concentrated in northern China, while high-efficiency regions were concentrated in southern China. The distinct spatial–temporal differentiation characteristics of tourist economic efficiency can be attributed to different influencing strengths of various factors in various regions and different action tendencies. The level of economic development, traffic conditions, the professional level of tourism, and openness degree can significantly promote tourism efficiency. Tourism resource endowment and environmental cost impose slight effects and differ in action direction, thereby inhibiting the tourism efficiency of many regions.

Malicious and benign maternal envy in Chinese childrearing

Mothers utilize social comparisons to other parents to calibrate evaluations of themselves and their children, and these comparisons might prompt feelings of envy. Envy can either be malicious and destructive, or relatively more benign and constructive. This research examined distinctions between malicious and benign envy among Chinese mothers, differences from related emotions (i.e., resentment and admiration), and themes present in these experiences. An online sample of 152 Mainland Chinese mothers ( Mage = 46.91, SD = 2.26) recalled malicious and benign envy, admiration, and resentment experiences toward other parents and reported associated appraisals, motivations, and action tendencies. Results showed distinctions between malicious and benign maternal envy. Malicious envy included lower perceived control, higher perceived unfairness, and more desire to degrade the other than benign envy. Benevolent feelings toward the envied target characterized benign envy. Both forms of envy were linked to self-improvement motivation. Personal characteristics and achievements of both other parents and other children were prominent themes in mothers’ experiences of various emotions. This research provides insights into how and why Chinese mothers experience different forms of envy, and has implications for research on social comparisons made in parenting contexts.