A Mindfulness-Based App Intervention for Pregnant Women: Protocol for a Pilot Feasibility Study.

BACKGROUND: Pregnancy is a complex time characterized by major transformations in a woman, which impact her physical, mental, and social well-being. How a woman adapts to these changes can affect her quality of life and psychological well-being. The literature indicates that pregnant women commonly experience psychological symptoms, with anxiety, stress, and depression being among the most frequent. Hence, promoting a healthy lifestyle focused on women's psychological well-being is crucial. Recently developed digital solutions have assumed a crucial role in supporting psychological well-being in physiologically pregnant women. Therefore, the need becomes evident for the development and implementation of digital solutions, such as a virtual coach implemented in a smartphone, as a support for the psychological well-being of pregnant women who do not present psychological and psychiatric disorders. OBJECTIVE: This study aims to assess the feasibility, acceptability, and utility of a mindfulness-based mobile app. The primary objective is to explore the feasibility of using a virtual coach, Maia, developed within the TreC Mamma app to promote women's psychological well-being during pregnancy through a psychoeducational module based on mindfulness. Finally, through the delivery of this module, the level of psychological well-being will be explored as a secondary objective. METHODS: This is a proof-of-concept study in which a small sample (N=50) is sufficient to achieve the intended purposes. Recruitment will occur within the group of pregnant women belonging to the pregnancy care services of the Trento Azienda Provinciale per i Servizi Sanitari di Trento. The convenience sampling method will be used. Maia will interact with the participating women for 8 weeks, starting from weeks 24 and 26 of pregnancy. Specifically, there will be 2 sessions per week, which the woman can choose, to allow more flexibility toward her needs. RESULTS: The psychoeducational pathway is expected to lead to significant results in terms of usability and engagement in women's interactions with Maia. Furthermore, it is anticipated that there will be improvements in psychological well-being and overall quality of life. The analysis of the data collected in this study will be mainly descriptive, orientated toward assessing the achievement of the study objectives. CONCLUSIONS: Literature has shown that women preferred web-based support during the perinatal period, suggesting that implementing digital interventions can overcome barriers to social stigma and asking for help. Maia can be a valuable resource for regular psychoeducational support for women during pregnancy. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/53890.

Repetition costs in task switching are not equal to cue switching costs: evidence from a cue-independent context.

Recent task-switching studies highlighted the presence of feature binding processes. These studies documented that even a task-irrelevant feature (the context, henceforth) may be bound with the task and the response in each trial. When the context repeated in the following trial, it supposedly retrieved the bound features, causing benefits when the task and the response repeated and costs otherwise (i.e. full repetition benefits). In the present study, we aim to rule out an alternative explanation for such full repetition benefits in task switching. These benefits were observed in studies that used a cue-related context so that full repetition conditions always implied a cue repetition. Therefore, these full repetition benefits may be ascribed to the priming of cue encoding, instead of the binding of the context. In the present study, we implemented a similar context manipulation but used univalent target stimuli and did not present any cue. Hence, the varying context was never cue-related. We still found full repetition benefits but only when the context appeared before the target and not when they appeared simultaneously. Thus, full repetition benefits can be observed in the absence of priming of cue encoding. However, the context must occupy a prominent position (i.e. at the beginning of the trial). These results, therefore, reinforce the hypothesis that full repetition benefits stem from binding processes that take place on a trial-by-trial basis and involve both task-relevant (the task and the response) and task-irrelevant features (the context).

Evidence of task-triggered retrieval of the previous response: a binding perspective on response-repetition benefits in task switching.

In task switching, response repetitions (RRs) usually yield performance benefits as compared to response switches, but only when the task also repeats. When the task switches, RR benefits vanish or even turn into costs, yielding an interaction between repeating versus switching the task and the response (the RR effect). Different theoretical accounts for this RR effect exist, but, in the present study, we specifically tested a prediction derived from binding and retrieval accounts. These maintain that repeating the task retrieves the previous-trial response, thus causing RR benefits. Retrieval is possible due to the task-response binding formed in the previous trial. We employed a task-switching paradigm with three response options that allowed us to differentiate error types. Across two experiments (N = 46 and N = 107) we showed that response-repetition errors in response-switch trials were more likely in task repetitions than in task switches, supporting the notion that the previous response is retrieved by the repeating task, despite being wrong. Such a finding is in line with binding and retrieval accounts but cannot be easily accommodated by the competing theoretical accounts. Thus, the present study indicates task-response binding as an important mechanism underlying RR benefits in task repetitions.

What is behind partial repetition costs? Event-files do not fully occupy bound feature codes.

Feature binding accounts state that features of perceived and produced events are bound into event-files. Performance while responding to an event is impaired when some, as opposed to all or none, of this event's features already belong to a previous event-file. While these partial repetition costs are generally considered to be indicators of feature binding, their cause is still unclear. Possibly, features are fully occupied when bound in an event-file and must be unbound in a time-consuming process before they can enter a novel event-file. In this study, we tested this code occupation account. Participants responded to the font color (target) of a word (distractor) by pressing one of three keys (response) while ignoring the word meaning. We measured partial repetition costs from prime to probe while introducing an intermediate trial. We compared sequences in which this intermediate trial did not repeat any prime features and sequences in which it repeated either the prime response or distractor. Partial repetition costs occurred in the probe, even when one (vs. none) of the prime features repeated in the intermediate trial, although significantly reduced. Thus, single bindings do not fully occupy feature codes. By ruling out a possible mechanism behind partial repetition costs, the present study contributes to the further specification of feature binding accounts.

Externalising Behaviours, Impulsivity, Alexithymia, and Emotional Dysregulation in Adolescents' Suicidality.

Objective: suicide represents the second leading cause of death among adolescents (WHO, 2021). A deeper understanding of the characteristics that lead to it is crucial to increase the ability of clinicians in evaluating, treating, and preventing it. The objective of this study is to analyze the differences in impulsivity, externalizing behaviors, emotion dysregulation, and alexithymia between two groups of adolescents, the first presenting suicidal ideation (SI), the second presenting at least one suicide attempt (SA), in an ideation-to-action framework. Method: we conducted a retrospective study with 190 adolescents (M= 14.5, SD age = 1.63; SI: n = 97, SA: n = 93). All were hospitalized in the Complex Operative Child Neuropsychiatry Hospital Unit (UOC-NPI) of the Hospital-University of Padua. Data were collected using the Youth Self-Report (YSR 11-18), Barratt's Impulsiveness Scale (BIS-11) and the Toronto Alexithymia Scale (TAS-20) questionnaires. Results: the SA group obtained higher clinical scores in the YSR "rule-breaking behavior" and "conduct problems" scales, and in total TAS-20. Conclusions: the role of externalizing problems and alexithymia could open new frontiers in the understanding of suicide. These new data could be useful for the implementation of early screening protocols and for directing clinical interventions, promoting greater emotion regulation and anger management skills among patients.

Binding of task-irrelevant contextual features in task switching.

Research in attention and action control produced substantial evidence suggesting the presence of feature binding. This study explores the binding of task-irrelevant context features in cued task switching. We predicted that repeating a context feature in trial n retrieves the trial n - 1 episode. Consequently, performance should improve when the retrieved features match the features of the current trial. Two experiments (N = 124; N = 96) employing different tasks and materials showed that repeating the task-irrelevant context improved performance when the task and the response repeated. Furthermore, repeating the task-irrelevant context increased task repetition benefits only when the context feature appeared synchronously with cue onset, but not when the context feature appeared with a 300-ms delay (Experiment 1). Similarly, repeating the task-irrelevant context improved performance when the task and the response repeated only when the context feature was part of the cue, and not when it was part of the target (Experiment 2). Taken together, binding and retrieval processes seem to play a crucial role in task switching, alongside response inhibition processes. In turn, our study provided a better understanding of binding and retrieval of task-irrelevant features in general, and specifically on how they modulate response repetition benefits in task repetitions.

Contextual Features of the Cue Enter Episodic Bindings in Task Switching.

Evidence suggests that the features of a stimulus and the actions performed on it are bound together into a coherent mental representation of the episode, which is retrieved from memory upon reencountering at least one of these features. Effects of such binding and retrieval processes emerge in action control, such as in multitasking situations like task switching. In the task-switching paradigm, response-repetition benefits are observed in task repetitions, but response-repetition costs in task switches. This interaction of task repetition (vs. switch) with response repetition (vs. switch) may be explained in terms of task-response binding. In two experiments, we included a task-irrelevant contextual feature in a cued task-switching paradigm using word identification tasks. In Experiment 1, the cue modality could vary between visual and auditory; in Experiment 2, the cue language could vary between English and Spanish, while the target stimulus was always presented visually and in German. We predicted that repeating the contextual feature in the subsequent trial would retrieve the features of the previous trial, even though cue modality or cue language did not afford any response and were not associated with either task. The results showed that response repetition-benefits in task repetitions were observable when the context (i.e., the modality or the language of the cue) repeated but disappeared when the context switched from the previous trial. These results are consistent with context-specific binding and retrieval processes in task switching.

Multilingual two-digit number naming: The influence of composition rules on language switching.

The aim of this study was to examine language switching in a two-digit number naming task. In contrast to single digits, two-digit numbers have a composition rule (i.e., morphological configuration) that may differ between languages. For example, the Arabic number 21 is read with an inverted composition rule in German (unit before decade) and a non-inverted composition rule in English (decade before unit). In the present experiment, one group of German native speakers and one group of Spanish native speakers had to name two-digit numbers in German, English, or Spanish. The results demonstrate a language-switch cost, revealing better performance in language repetition than in language-switch trials. This switch cost was further modulated by repeating or switching the composition rule, since the language repetition benefit (i.e., the switch cost) was reduced in trials with composition-rule switches compared with trials with composition-rule repetitions. This finding indicates that the language in which the number word has to be produced and its composition rule are not switched independently but rather may be integrated into one language schema.

Bridging the gap: A network approach to Dark Triad, Mental Toughness, the Big Five, and perceived stress.

OBJECTIVE: We employed the network methodology to explore the connections between the Dark Triad (DT) traits with Mental Toughness (MT) and the degree to which they account for perceived stress beyond the Big Five (B5). METHOD: Network analyses were undertaken to explore connections between the DT, MT, and perceived stress, independently in two samples, and in the combined dataset; and whether B5 factors are responsible for the connections that emerged in the original network. RESULTS: DT and MT traits improved the prediction of perceived stress above the B5. Furthermore, narcissism occupied a strategic position in the network acting as a bridge between prosocial and "dark" sides of personality. The pattern of network connections could not be explained by B5 traits alone. CONCLUSIONS: The results suggest that there is more to personality than what can be captured by the B5 and that broadening the domain of personality beyond the B5 can improve the prediction of important outcomes, such as perceived stress. Narcissism is a unique trait and studying its connection with MT may be the key to moving forward from a dichotomous way of perceiving personality traits, as beneficial or malevolent, to focusing on a dynamic continuum of personality.