A Meta-Analysis on the Efficacy of Exposure-Based Treatment in Anxiety Disorders: Implications for Disgust

2020 ◽  
Vol 20 (2) ◽  
pp. 31-49
Author(s):  
Simona A. PASCAL ◽  
Ioana R. PODINA ◽  
Cătălin NEDELCEA
Keyword(s):  
Anxiety Disorders ◽  
Emotional Distress ◽  
Effect Size ◽  
Meta Analysis ◽  
Medium Effect ◽  
Small Effect Size ◽  
Medium Effect Size ◽  
Exposure Sessions ◽  
And Gender ◽  
Meta Analyses

Despite of several meta-analyses indicating that exposure-based treatments (EBT) are successful in addressing anxiety and fear symptoms, less is known whether this is also the case for disgust, which also accompanies anxiety disorders. Therefore, the aim of the current meta-analysis was to compare the efficacy of EBT on disgust and anxiety (emotional distress), against control condition. This meta-analysis included a total of eight studies. Overall, there was a medium effect size (g = .57, 95% CI: .26 to .88, p < .001) for emotional distress; a medium effect size for anxiety (g = .79, 95% CI: .24 to 1.34, p = .005), yet a small effect size for disgust (g = .36, 95% CI: .05 to .68, p = .024). These findings prompt that current EBT are not tailored to address disgust symptoms accompanying many forms of anxiety disorders, although literature points more and more to a need in this respect. We also examined potential moderator variables (the year of publication, the number of exposure sessions, age of the sample, and gender composition). Additionally, we discussed several strengths and limitations, one of the most important being the small number of studies regarding the subject and their heterogeneity.

scholarly journals Effects of Physical Activity Programs on the Improvement of Dementia Symptom: A Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Han Suk Lee ◽  
Sun Wook Park ◽  
Yoo Jung Park
Keyword(s):  
Physical Activity ◽  
Effect Size ◽  
Meta Analysis ◽  
Physical Capacity ◽  
Medium Effect ◽  
Psychological State ◽  
High Effect Size ◽  
High Effect ◽  
Medium Effect Size ◽  
Meta Analyses

Objective. To confirm that physical activity program improves the symptoms of dementia and the most effective physical activity was selected to help establish exercise programs.Methods. Three databases, PubMed, Science Direct, and Willey online, were used to collect articles. The databases were published between January 2005 and December 2015. Keywords such as “dementia,” and “physical activity” were used in searching for papers. As a result, nine studies were selected in the second screening of the meta-analyses.Results. The improvement in the dementia symptom of physical capacity was 1.05 (high effect size, 95% CI: 0.03 to 0.73), ability of activity of daily living was 0.73 (slightly high effect size, 95% CI: 0.23 to 1.23), cognitive function was 0.46 (medium effect size, 95% CI: 0.26 to 0.66), and psychological state was 0.39 (lower than the medium effect size, 95% CI: 0.01 to 0.77).Conclusion. The physical activity for patients with dementia had an effect on the improvement of physical capacity and combined exercise was the most effective physical activity.

A Meta-Analysis of Facebook-Assisted Learning Outcomes and Their Gender Differences

2021 ◽  
Vol 13 (4) ◽  
pp. 63-82
Author(s):  
*Zhonggen Yu ◽  
Liheng Yu
Keyword(s):  
Gender Differences ◽  
Social Media ◽  
Learning Outcomes ◽  
Effect Size ◽  
Meta Analysis ◽  
Medium Effect ◽  
Future Research ◽  
Small Effect Size ◽  
Medium Effect Size ◽  
Media Applications

Social media applications such as Facebook have received wide attention in their use in education. However, it is still hard to arrive at a conclusion regarding whether a Facebook-assisted approach is effective in education and whether there are any significant gender differences in the learning outcomes. Based on rigid inclusion criteria, this study included 21 peer-reviewed high-quality journal articles. Through a meta-analysis using Reviewer Manager 5.3, the authors concluded that a Facebook-assisted approach could obtain significantly higher learning outcomes than the non-Facebook-assisted one with a medium effect size (d = 0.42) and that females could achieve significantly better learning outcomes than males with a very small effect size (d = -0.21) in the Facebook-assisted education. Future research could examine the effect of educational use of other social media applications, as well as in sociological, psychological, or educational dimensions.

Effects of Acupressure on Anxiety: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 33 (5) ◽  
pp. 353-359 ◽  
Author(s):  
Doreen W H Au ◽  
Hector W H Tsang ◽  
Paul P M Ling ◽  
Christie H T Leung ◽  
P K Ip ◽  
...  
Keyword(s):  
Effect Size ◽  
Citation Index ◽  
Meta Analysis ◽  
Allocation Concealment ◽  
Risk Of Bias ◽  
Medium Effect ◽  
Physiological Indicators ◽  
Medium Effect Size ◽  
Mean Differences ◽  
Randomised Controlled

Objective To evaluate the evidence from randomised controlled trials (RCTs) and quantify the effects of acupressure on anxiety among adults. Methodology RCTs published between January 1997 and February 2014, comparing acupressure with sham control, were identified from the databases Science Citation Index/Social Sciences Citation Index, Scopus, PubMed and PsycINFO. Meta-analysis of eligible studies was performed and the magnitude of the overall effect size was calculated for the anxiety outcome. Revised STRICTA (the Standards for Reporting Interventions in Clinical Trials of Acupuncture) criteria were used to appraise the acupressure procedures, and the Cochrane risk of bias tool was used to assess the methodological quality of the studies. Results Of 39 potentially relevant studies, seven RCTs met the inclusion criteria for review while five studies met the criteria for meta-analysis. All studies reported the positive effect of acupressure on relieving anxiety from the anticipation of surgery or treatment. EX-HN3 ( Yintang), HT7 ( Shenmen) were the commonest points selected and two studies used bilateral points. The acupressure procedure was generally well reported and studies had a low risk of bias. The combined results of the five trials showed a greater overall reduction in anxiety in the acupressure group than in the sham controls (standardised mean differences (SMD)=−1.11; 95% CI −1.61 to −0.61; p<0.0001 heterogeneity: I2=75%; χ2=16.17; p=0.003; r=0.485). Conclusions Acupressure seems to be effective in providing immediate relief of pretreatment anxiety among adults, and has a medium effect size. However, conflicting results were found for the improvements on physiological indicators. More rigorous reporting, including allocation concealment procedure, is needed to strengthen the results.

When the Eye Listens: A Meta-analysis of How Audio-visual Presentation Enhances the Appreciation of Music Performance

2012 ◽  
Vol 30 (1) ◽  
pp. 71-83 ◽  
Author(s):  
Friedrich Platz ◽  
Reinhard Kopiez
Keyword(s):  
Effect Size ◽  
Music Perception ◽  
Meta Analysis ◽  
Music Performance ◽  
Visual Presentation ◽  
Medium Effect ◽  
Total N ◽  
Visual Component ◽  
Visual Music ◽  
Medium Effect Size

the visual component of music performance as experienced in a live concert is of central importance for the appreciation of music performance. However, up until now the influence of the visual component on the evaluation of music performance has remained unquantified in terms of effect size estimations. Based on a meta-analysis of 15 aggregated studies on audio-visual music perception (total N = 1,298), we calculated the average effect size of the visual component in music performance appreciation by subtracting ratings for the audio-only condition from those for the audio-visual condition. The outcome focus was on evaluation ratings such as liking, expressiveness, or overall quality of musical performances. For the first time, this study reveals an average medium effect size of 0.51 standard deviations — Cohen's d; 95% CI (0.42, 0.59) — for the visual component. Consequences for models of intermodal music perception and experimental planning are addressed.

Emotional Expression

2019 ◽  
pp. 421-460
Author(s):  
Paul R. Peluso ◽  
Robert R. Freund
Keyword(s):  
Emotional Expression ◽  
Effect Size ◽  
Third Party ◽  
Medium Effect ◽  
Psychotherapy Outcome ◽  
Psychotherapeutic Process ◽  
Expression Of Emotion ◽  
Medium Effect Size ◽  
Meta Analyses ◽  
Significant Moderator

Although emotion has long been considered important to psychotherapeutic process, empirical assessment of its impact has emerged only recently. This chapter reports two meta-analyses on the association between therapist expression of emotion and psychotherapy outcome and client expression of emotion and psychotherapy outcome. A significant medium effect size was found between impact of therapist emotional expression and outcomes (d = 0.56, 13 studies) and a significant medium-to-large effect size client emotional expression and outcomes (d = 0.85, 43 studies). Third-party rating of emotional expression emerged as a significant moderator of outcomes. Limitations of the research, diversity considerations, and therapeutic practices conclude the chapter.

scholarly journals Do animated triangles reveal a marked difficulty among autistic people with reading minds?

Autism ◽  
2021 ◽  
pp. 136236132198915
Author(s):  
Alexander C Wilson
Keyword(s):  
Effect Size ◽  
Meta Analysis ◽  
General Information ◽  
Medium Effect ◽  
Group Differences ◽  
Social Challenges ◽  
Autistic People ◽  
The Social ◽  
Small Effect Size ◽  
The Difference

This meta-analysis tested whether autistic people show a marked, isolated difficulty with mentalising when assessed using the Frith -Happé Animations, an advanced test of mentalising (or ‘theory of mind’). Effect sizes were aggregated in multivariate meta-analysis from 33 papers reporting data for over 3000 autistic and non-autistic people. Relative to non-autistic individuals, autistic people underperformed, with a small effect size on the non-mentalising control conditions and a medium effect size on the mentalising condition. This indicates that studies have reliably found mentalising to be an area of challenge for autistic people, although the group differences were not large. It remains to be seen how important mentalising difficulties are in accounting for the social difficulties diagnostic of autism. As autistic people underperformed on the control conditions as well as the mentalising condition, it is likely that group differences on the test are partly due to domain-general information processing differences. Finally, there was evidence of publication bias, suggesting that true effects on the Frith -Happé Animations may be somewhat smaller than reported in the literature. Lay abstract Autistic people are thought to have difficulty with mentalising (our drive to track and understand the minds of other people). Mentalising is often measured by the Frith -Happé Animations task, where individuals need to interpret the interactions of abstract shapes. This review article collated results from over 3000 people to assess how autistic people performed on the task. Analysis showed that autistic people tended to underperform compared to non-autistic people on the task, although the scale of the difference was moderate rather than large. Also, autistic people showed some difficulty with the non-mentalising as well as mentalising aspects of the task. These results raise questions about the scale and specificity of mentalising difficulties in autism. It also remains unclear how well mentalising difficulties account for the social challenges diagnostic of autism.

scholarly journals Bilateral Symmetry of Jumping and Agility in Professional Basketball Players: Differentiating Performance Levels and Playing Positions

Symmetry ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1316
Author(s):  
Sime Versic ◽  
Miran Pehar ◽  
Toni Modric ◽  
Vladimir Pavlinovic ◽  
Miodrag Spasic ◽  
...  
Keyword(s):  
Effect Size ◽  
Vertical Jump ◽  
Bilateral Symmetry ◽  
Medium Effect ◽  
F Test ◽  
Basketball Players ◽  
Performance Levels ◽  
Small Effect Size ◽  
Medium Effect Size ◽  
And Performance

Although functional asymmetry is very common and normal in professional athletes, the better interlimb symmetry between dominant and nondominant sides (bilateral symmetry) could contribute to successful performance in basketball. The aim of this study was to evaluate the importance of bilateral symmetry of the one-leg jumping and agility performances in differentiating basketball players according to their (i) playing position (guards, forwards, and centers) and (ii) performance levels (first division vs. second division). The participants were 102 professional male basketball players, with all members of the teams competing in the two highest national divisions at the moment of testing (height: 194.92 ± 8.09 cm; body mass: 89.33 ± 10.91 kg; 21.58 ± 3.92 years of age). Performance levels (first division, N = 58 vs. second division, N = 44) and playing positions (guards, N = 48; forwards, N = 22; centers, N = 32) were observed as dependent variables. We measured one-leg jumping capacities (running vertical jump and lay-up vertical jump), basketball-specific preplanned agility (CODS), and basketball-specific reactive agility (RAG), all executed on dominant and nondominant sides. Accordingly, the bilateral symmetry of jumping and agility was calculated by calculating the ratio of the corresponding performances on the dominant and nondominant sides. Factorial analysis of variance (performance levels × positions) indicated that the bilateral symmetry of one-leg jumping differentiated players according to their playing position, with better bilateral symmetry among guards (F-test = 6.11 (medium effect size) and 5.81 (small effect size), p < 0.05 for lay-up and running-jump symmetry, respectively). Performance levels significantly differed in the bilateral symmetry of lay-up jump, with better symmetry for first-division players (F-test = 10.11 (medium effect size), p < 0.001), which was mostly influenced by significant differences among guards. Playing positions and performance levels did not differ in bilateral symmetry of the CODS and RAG. The study reveals the importance of bilateral symmetry of the sport-specific performance in differentiating playing positions and performance levels in basketball. Further studies in other multidirectional sports and other sport-specific performances are warranted.

scholarly journals Meta-analysis challenges a textbook example of status signalling: evidence for publication bias

2018 ◽  
Author(s):  
Alfredo Sánchez-Tójar ◽  
Shinichi Nakagawa ◽  
Moisès Sánchez-Fortún ◽  
Dominic A. Martin ◽  
Sukanya Ramani ◽  
...  
Keyword(s):  
Effect Size ◽  
Meta Analysis ◽  
Dominance Rank ◽  
Passer Domesticus ◽  
Medium Effect ◽  
Species Variation ◽  
Status Signalling ◽  
Unpublished Studies ◽  
The Status ◽  
Medium Effect Size

AbstractThe status signalling hypothesis aims to explain conspecific variation in ornamentation by suggesting that some ornaments signal dominance status. Here, we use multilevel meta-analytic models to challenge the textbook example of this hypothesis, the black bib of house sparrows (Passer domesticus). We conducted a systematic review, and obtained raw data from published and unpublished studies to test whether dominance rank is positively associated with bib size across studies. Contrary to previous studies, our meta-analysis did not support this prediction. Furthermore, we found several biases in the literature that further question the support available for the status signalling hypothesis. First, the overall effect size of unpublished studies was zero, compared to the medium effect size detected in published studies. Second, the effect sizes of published studies decreased over time, and recently published effects were, on average, no longer distinguishable from zero. We discuss several explanations including pleiotropic, population- and context-dependent effects. Our findings call for reconsidering this established textbook example in evolutionary and behavioural ecology, raise important concerns about the validity of the current scientific publishing culture, and should stimulate renewed interest in understanding within-species variation in ornamental traits.

Metabolic, ventilatory and cardiovascular responses to FES-cycling: A comparison to NMES and passive cycling

2021 ◽  
pp. 1-10
Author(s):  
Murillo Frazão ◽  
Luis Augusto Werlang ◽  
Cássio Azevedo ◽  
Adelar Kunz ◽  
Maikel Peltz
Keyword(s):  
Electrical Stimulation ◽  
Effect Size ◽  
Minute Ventilation ◽  
Physiological Responses ◽  
Neuromuscular Electrical Stimulation ◽  
Cardiovascular Responses ◽  
Medium Effect ◽  
Large Effect Size ◽  
Small Effect Size ◽  
Medium Effect Size

BACKGROUND: Cyclergometry with functional electrical stimulation (FES-cycling) is a feasible method for rehabilitation. The concept is to promote exercise induced by depolarization of the motoneuron and muscular contraction. OBJECTIVE: To measure acute physiological responses to FES-cycling. METHODS: Retrospective study of data from ten healthy volunteers who performed FES-cycling, passive cycling and neuromuscular electrical stimulation (NMES) alone. Metabolic, ventilatory and cardiovascular parameters were analyzed. RESULTS: Oxygen uptake enhanced 97 ± 15% during FES-cycling, with medium effect size compared to NMES and large effect size compared to passive cycling. Energy expenditure enhanced 102 ± 15% during FES-cycling, with medium effect size compared to NMES and large effect size compared to passive cycling. Minute ventilation enhanced 115 ± 26% during FES-cycling, with small effect size compared to NMES and medium effect size compared to passive cycling. Cardiac output enhanced 21 ± 4% during FES-cycling, with medium effect size compared to NMES and passive cycling. Arterial – mixed venous oxygen content difference enhanced 60 ± 8% during FES-cycling, with a medium effect size compared to NMES and large effect size compared to passive cycling. CONCLUSIONS: FES-cycling enhances metabolic, ventilatory and cardiovascular demands and the physiological responses are higher than NMES and passive cycling.

Steep discounting of delayed monetary and food rewards in obesity: a meta-analysis

2016 ◽  
Vol 46 (11) ◽  
pp. 2423-2434 ◽  
Author(s):  
M. Amlung ◽  
T. Petker ◽  
J. Jackson ◽  
I. Balodis ◽  
J. MacKillop
Keyword(s):  
Publication Bias ◽  
Effect Size ◽  
Meta Analysis ◽  
Case Control ◽  
Medium Effect ◽  
Primary Analysis ◽  
Medium Effect Size ◽  
Meta Regression ◽  
Fail Safe ◽  
The Relationship

BackgroundAn increasing number of studies have investigated delay discounting (DD) in relation to obesity, but with mixed findings. This meta-analysis synthesized the literature on the relationship between monetary and food DD and obesity, with three objectives: (1) to characterize the relationship between DD and obesity in both case–control comparisons and continuous designs; (2) to examine potential moderators, including case–control v. continuous design, money v. food rewards, sample sex distribution, and sample age (<18 v. >18 years); and (3) to evaluate publication bias.MethodFrom 134 candidate articles, 39 independent investigations yielded 29 case–control and 30 continuous comparisons (total n = 10 278). Random-effects meta-analysis was conducted using Cohen's d as the effect size. Publication bias was evaluated using fail-safe N, Begg–Mazumdar and Egger tests, meta-regression of publication year and effect size, and imputation of missing studies.ResultsThe primary analysis revealed a medium effect size across studies that was highly statistically significant (d = 0.43, p < 10−14). None of the moderators examined yielded statistically significant differences, although notably larger effect sizes were found for studies with case–control designs, food rewards and child/adolescent samples. Limited evidence of publication bias was present, although the Begg–Mazumdar test and meta-regression suggested a slightly diminishing effect size over time.ConclusionsSteep DD of food and money appears to be a robust feature of obesity that is relatively consistent across the DD assessment methodologies and study designs examined. These findings are discussed in the context of research on DD in drug addiction, the neural bases of DD in obesity, and potential clinical applications.

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