The Adaptation of Patients During the Hospitalization Period of Bone Marrow Transplantation

A longitudinally study was conducted among 42 bone marrow transplantation (BMT) patients to investigate the association between pretransplant psychosocial variables and psychophysiological outcomes during the immediate convalescence period. Family relationships (cohesion, expressiveness, and conflict) and coping resources (cognitive, social, emotional, spiritual/philosophical, and physical resources) were assessed on the admission day (Day –7 Time 1). Data on psychological distress and pain intensity were obtained on Day +7 (Time 2) and Day +14 (Time 3). The average scores at Times 2 and 3 were computed to indicate the overall adjustments of the patients during the hospitalization period after the day of actual transplant (Day 0). It was shown that higher expressiveness family relationships and higher resources to cope effectively with stressful situations were associated with less psychological distress during the above period. Both pretransplant psychosocial variables were not associated with pain intensity during hospitalization. Allogeneic transplant patients reported higher pain intensity than did autologous transplant patients. Psychological distress and pain intensity were positively correlated with each other. Our findings show that pretransplant family relationships and coping resources associate moderately with psychological distress during the immediate convalescent period of BMT. The present findings support the family-centered approach to BMT care and provide a scientific basis for pretransplant psychosocial interventions.     

慢性心理应激对大鼠淋巴细胞热休克蛋白70表达和凋亡的影响

为了探讨慢性心理应激对热休克蛋白70（Hsp70）、淋巴细胞的凋亡及其两者之间关系的影响,将实验SD大鼠分为对照组、中等强度心理应激组和高强度心理应激组。分别对三组大鼠给予相应的干预3周,采用流式细胞仪定量检测各组大鼠外周血淋巴细胞Hsp70的表达水平和凋亡量。结果发现,与对照组比较,中等和高强度心理应激组淋巴细胞内Hsp70表达水平显著增加;中等强度心理应激组凋亡量增加但没有出现统计学意义,高强度心理应激组淋巴细胞凋亡显著增加;中等强度心理应激组的淋巴细胞Hsp70表达与凋亡量变化成显著正相关,高强度心理应激组两者变化成不显著正相关。研究结果提示心理应激能诱发淋巴细胞Hsp70表达和凋亡升高,且随心理应激强度增加,Hsp70表达升高趋势减缓、凋亡量增加加剧,最终造成机体免疫损伤加深     

父母心理控制与青少年智能手机成瘾:心理需求网络满足和环境敏感性的作用

本研究探讨了父母心理控制与智能手机成瘾的关系,以湖北省某中学的1320名高中生为被试,采用问卷法考察了心理需求网络满足在父母心理控制和智能手机成瘾关系间的中介效应,以及环境敏感性对这一中介过程的调节效应。结果发现：（1）在控制了手机使用频率后,父母心理控制对智能手机成瘾具有显著正向预测作用;（2）心理需求网络满足在父母心理控制和智能手机成瘾之间起中介作用;（3）中介链条的后半段,即心理需求网络满足和智能手机成瘾的关系受到环境敏感性的调节。具体来说,对于高环境敏感性的人,心理需求网络满足对智能手机成瘾的正向预测作用明显增强。     

What about the “ups and downs” in our daily life? The influence of affective instability on mental health

Although affective instability is considered to be a crucial factor for mental disorders, research on affective instability and mental health is still rare. The aim of the present study was to investigate affective instability and mental health operationalized by the degree of psychological distress and life satisfaction. Using ecological momentary assessment, we investigated affective intensity and instability in a general population sample (n = 218). Psychological distress and life satisfaction were examined cross-sectionally and longitudinally. In general, we found that positive affect was more variable than negative affect. When we accounted for the overlap between variables, our findings demonstrated that besides the effects of intensity in negative affect and positive affect, higher positive affective instability was related to better concurrent mental health. Longitudinally, negative affective intensity was a decisive factor in the development of mental health. In sum, our findings revealed that affective instability was not dysfunctional per se. In fact, instability in positive affect seems to be important to achieve mental health.     

Negotiators' profit predicted by cognitive reappraisal, suppression of emotions, misrepresentation of information, and tolerance of ambiguity

This study examined the relationship between negative emotions and variables that affect negotiators' profit. Based on a simulated negotiation, this study induced emotions by providing negative feedback on how negotiating partners perceived and evaluated each other's behavior. Then relationships were examined between negative emotions and emotional regulation strategies, misrepresentation of information, tolerance of ambiguity, and negotiators' profit. A total of 228 undergraduate students enrolled in an economics course in the Faculty of Law and the Faculty of Management at a university in Ankara participated. There were 130 students in the experimental group and 98 students in the control group; 102 were men and 126 were women, ages 17 to 35 years (M =22.6 yr., SD = 2.3). A simulated negotiation process was used. Regression coefficients suggested positive relation between Emotional Reaction and the use of a Suppression strategy and Misrepresentation of Information. Negative coefficients were obtained from scores between Emotional Reaction and Cognitive Reappraisal and Tolerance of Ambiguity. The regression also suggested there were negative regression coefficients linking Misrepresentation of Information and Suppression strategies to Negotiators' Profit. Positive regression coefficients linked Tolerance of Ambiguity to Negotiators' Profit. Mediating variables explained 55% of variance in Negotiators' Profit; the majority (43%) was explained by Cognitive Reappraisal.     

Relations among positive affect, negative affect, and somatic symptoms in a medically ill patient sample

The Positive and Negative Affect Scale (PANAS), a brief measure of Positive and Negative Affect, may be useful in assessing mood of medical patients because it does not include somatic items frequently confounded with medical conditions. In previous research Positive and Negative Affect have been independent and uncorrelated, and Negative Affect but not Positive Affect has been positively correlated with somatic symptoms. However, relationships between variables may vary in different populations, and there is relatively little information on Positive and Negative Affect in medical patients. In the current study, the PANAS was used to assess the relationships among Positive Affect, Negative Affect, and somatic symptoms and pain in a medically ill hospital population. Positive and Negative Affect scores were positively correlated and for patients reporting pain, Positive Affect scores were positively correlated with pain intensity. Results from this and other studies indicate that Positive and Negative Affect are independent but in some populations may be correlated; positive affects such as hopefulness may co-occur with both somatic complaints and psychological distress.     

Psychological and Social Factors that Promote Positive Adaptation to Stress and Adversity in the Adult Life Cycle

The phenomenon of resilience reflects positive adaptation despite contexts of risk, significant adversity, or trauma (Masten and Powell 2003; Luthar 2006). The purpose of this investigation was to propose a mediation model to explain the relation between stress and some psychological and social resources that enhance positive adaptation throughout the entire adult life cycle, and to explore the moderator role of age and country of origin. The indicator of positive adaptation was life satisfaction (LS). The sample comprised 171 Mexicans and 154 Spaniards (N?=?325), aged between 18 and 87?years. Mediation was tested by means of various hierarchical regression analyses, which revealed that the positive adaptation process is enhanced by a group of psychological and social resources that mediate the effects of stress on LS. Self-esteem, optimism, internal control, coping aimed at acceptance, and coping aimed at seeking emotional support, as well as social contacts can mediate the negative effects of stress. Finally, it was found that age moderates the internal control but none of the remaining variables whereas the country does not moderate the relation of the variables.     

Insight, rumination, and self-reflection as predictors of well-being

Dispositional private self-focused attention variables such as insight, internal self-awareness (ISA), and self-reflectiveness (SR) have been found to relate to well-being. The present study sought to determine which dispositional private self-focused attention variables have the most predictive power for subjective well-being as measured by the Satisfaction With Life Scale (E. Diener, R. A. Emmons, R. J. Larsen, & S. Griffin, 1985) and for a eudaemonic form of well-being as measured by the Psychological Well-Being Scale (C. D. Ryff, 1989). A total of 121 college student participants completed an online version of the Self-Consciousness Scale-Revised, the Rumination-Reflection Questionnaire, the Self-Reflection and Insight Scale, the Satisfaction With Life Scale, and the Psychological WellBeing Scale. Results of a multivariate regression analysis using the Self-Consciousness Scale-Revised's (M. F. Scheier & C. S. Carver, 1985) subfactors of SR and ISA, the Rumination-Reflection Questionnaire's (P. D. Trapnell & J. D. Campbell, 1999) subscales of Rumination and Reflection, and the Self-Reflection and Insight Scale's (A. M. Grant, J. Franklin, & P. Langford, 2002) Self-Reflection and Insight subscales revealed that the Insight subscale was the only statistically significant predictor (a positive predictor) for all 6 dimensions of psychological well-being. Insight was also the only significant positive predictor for satisfaction with life. The Rumination subscale was a significant negative predictor for 3 dimensions of psychological well-being, and the Reflection subscale was a significant positive predictor for 1 dimension. Implications of dispositional self-awareness variables and their relation to dimensions of well-being are discussed.     

Relationships among pain intensity,pain-related distress,and psychological distress in pre-surgical total knee arthroplasty patients: a secondary analysis

The current study aimed to examine the relationships between movement and resting pain intensity, pain-related distress, and psychological distress in participants scheduled for total knee arthroplasty (TKA). This study examined the impact of anxiety, depression, and pain catastrophizing on the relationship between pain intensity and pain-related distress. Data analyzed for the current study (N = 346) were collected at baseline as part of a larger Randomized Controlled Trial investigating the efficacy of TENS for TKA (TANK Study). Participants provided demographic information, pain intensity and pain-related distress, and completed validated measures of depression, anxiety, and pain catastrophizing. Only 58% of the sample reported resting pain >0 while 92% of the sample reported movement pain >0. Both movement and resting pain intensity correlated significantly with distress (r_s = .86, p < .01 and .79, p < .01, respectively). About three quarters to two thirds of the sample (78% for resting pain and 65% for movement pain) reported different pain intensity and pain-related distress. Both pain intensity and pain-related distress demonstrated significant relationships with anxiety, depression, and catastrophizing. Of participants reporting pain, those reporting higher anxiety reported higher levels of distress compared to pain intensity. These findings suggest that anxious patients may be particularly distressed by movement pain preceding TKA. Future research is needed to investigate the utility of brief psychological interventions for pre-surgical TKA patients.     

恐惧的代价：疼痛恐惧、心理忧虑和躯体化对疼痛感知预测作用的比较

首次在无痛群体中比较疼痛恐惧、心理忧虑和躯体化对疼痛感知的预测作用大小及调节和中介关系。以多个同类量表得分的Z分数加和作为三者的因子分,以冷压痛觉测验（CPT）疼痛指标（阈限、耐受性、强度、不愉快度）为目标变量,通过分层回归及调节和中介作用分析,发现疼痛恐惧对疼痛不愉快度的预测作用最强,心理忧虑对疼痛体验（强度、不愉快度）的预测作用被疼痛恐惧完全中介,躯体化只有在高疼痛恐惧条件下才显著负向预测疼痛不愉快度。综上,疼痛恐惧是三因素中预测CPT疼痛体验的主要因素。     

Different Associations of Health Related Quality of Life with Pain,Psychological Distress and Coping Strategies in Patients with Irritable Bowel Syndrome and Inflammatory Bowel Disorder

The primary aim of this study was to measure psychological distress, pain severity, health related quality of life (QOL) and pain coping strategies in patients with irritable bowel syndrome (IBS) and ulcerative colitis (UC). A second aim was to determine the influence of somatic and psychological variables on health related QOL. Eighty-eight IBS and 66 UC patients completed the Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL), Pain Severity Scale of West Haven Yale Multidimensional Pain Inventory (WHYMPY), Symptom Checklist-90-R (SCL-90-R) and Coping Strategies Questionnaire (CSQ). T-tests and GLM Analysis of Covariance were used for statistical analysis. IBS patients had significantly higher levels of psychological distress, pain severity and maladaptive pain coping strategies (catastrophization), and lower QOL than UC patients. Variance of QOL in IBS was explained for the most part by catastrophization (15%), then by psychological distress (8%), and for the less part by pain severity (5%). In UC, pain severity explained 21%, psychological distress 8%, and catastrophization 3% of the variance of QOL. These results suggest there are differences between IBS and UC patients in the role of physical and psychological factors in QOL and emphasize the importance of cognitive processes in IBS.     

Pain intensity and pain unpleasantness in triathletes: A study examining their associations with pain catastrophizing and pain expectations

ObjectiveTriathletes represent a growing and unique population of individuals willing to endure significant mental and physical stress to practice the sport they love. However, little is known about the pain experienced while training for and competing in a triathlon and how psychological factors influence this experience. This study will assess pain experienced by triathletes in training and competition, and investigate the association between pain catastrophizing and pain expectations with triathlon pain intensity and pain unpleasantness.DesignIn this observational study, a sample of 261 triathletes completed two online surveys before and after participating in a triathlon.ResultsModerate levels of pain intensity and pain unpleasantness were reported during training and competition. Pain catastrophizing was positively associated with expected and actual triathlon pain unpleasantness, but not with pain intensity. Expected pain intensity was also significantly associated with pain intensity experienced while competing, whereas expected pain unpleasantness was significantly related to both triathlon pain intensity and unpleasantness. Finally, regression analysis revealed pain catastrophizing and pain expectations to be unique predictors of triathlon pain intensity and pain unpleasantness.ConclusionThis study highlights the important role of psychological factors in triathletes' experience of pain and could eventually help tailor interventions aimed at improving the practice of triathlon.     

Culture,personality, and reactions to praise and criticism1

An empirical study was designed to investigate the effects of personality and sociocultural background on reactions to positive and negative performance feedback. Eighty college students of two sociocultural backgrounds (Mexican- and Anglo-American) were asked to work on a three-dimensional jigsaw puzzle and were then either praised or criticized, ostensibly according to their “problem-solving strategies,” but actually on the basis of random assignment to either condition. Seven dependent variables were included, representing various reactions to the feedback. Four-way analyses of variance were conducted on each dependent measure with the independent variables being type of feedback, locus of control, sex of subject, and ethnicity. In addition to consistent main effects for feedback, the results revealed that reactions to feedback, particularly criticism, are often mediated by personality and/or sociocultural factors. The findings are discussed in relation to previous literature and the need to take a sociocultural perspective in psychological research is emphasized.     

身体锻炼对高中学生主观幸福感的影响及其心理机制

为了考察身体锻炼与高中学生主观幸福感的关系,采用量表法进行了研究,控制了相关变量后的研究结果表明:(1)经常锻炼的高中学生比锻炼不足的高中学生的主观幸福感更加强烈,这一差异表现在两者之间的情感成份和特殊生活满意感上;一次的身体锻炼对高中学生主观幸福感没有影响,长期性的身体锻炼可以提高高中学生主观幸福感;小锻炼量和中等锻炼量的身体锻炼随着锻炼持续时间的增长,对高中学生主观幸福感影响加深,而大锻炼量随着锻炼持续时间的增长对高中学生主观幸福感的影响,呈现倒“V”型的曲线状;随着锻炼持续时间的增长,中等锻炼量的效果明显优于小锻炼量和大锻炼量的效果;(2)身体锻炼不仅可以直接对高中学生主观幸福感产生影响,而且可以通过身体自尊,人际关系、人格等中介变量对高中学生主观幸福感产生影响     

Continuous self-recording of epigastric pain with two rating scales: Compliance,authenticity, reliability,and sensitivity

The present study compared two self-recording scales: VAS (Visual Analogue Scale) and DIBS (Duration, Intensity, Behavior Scale) with respect to compliance, authenticity, sensitivity, and reliability using a population of 32 patients with chronic epigastric pain. Compliance, authenticity, and sensitivity data revealed no significant differences between the two scales. With respect to reliability, high temporal stability coefficients were found for pain intensity over a 2-day period, for pain duration, and for a pain index calculated from DIBS. DIBS pain intensity data showed a greater temporal stability than VAS. Since DIBS yields more clinically useful information without suffering deficits in compliance, authenticity, or reliability, it appears to be a preferable instrument for monitoring chronic pain.     

Emotional intensity: Some components and their relations to extra version and neuroticism

Several models of the relation between affect intensity or emotional intensity and temperament were tested in a large sample (N = 1553) using the Emotional Intensity Scale (EIS) developed by Bachorowski & Braaten (1994) and the Eysenck Personality Inventory (EPI). Analyses revealed the necessity of separating negative emotional intensity into an anger/frustration component and a non-anger (worry, guilt, sadness) component when examining how temperament variables like extraversion and neuroticism are related to emotional intensity. Implications of this distinction for models of emotional intensity are discussed. Results for intensity measures manifested a number of sharp contrasts with results found in other studies for frequency measures of positive and negative affect. The pattern of the relations between emotional intensity (both positive and negative) and neuroticism, found here, throws light on the basic nature of neuroticism.     

Gender,psychological well-being and somatic cardiovascular risk factors

The purpose of this study is to determine associations between cardiovascular risk factors and subjective experience of psychological general well-being with special reference to gender-related differences. One hundred fifty white-collar workers in a car manufacturing plant in Sweden participated in a health care screening program. Subjective experience of psychological well-being was significantly correlated with cardiovascular risk factors among both men and women. There were, however, marked differences between the genders. For men, the following specific psychological variables were significantly correlated with cardiovascular risk factors: estimation of general health, anxiety, self-control and vitality. For women, more complex significant relationships between the two sets of variables were found. Moreover, the direction of the correlations differed between the genders. For example, men with cardiovascular risk factors, such as increased blood pressure, blood lipids and body mass index, reported significantly morepositive estimation of their general health. For women the relation was the opposite with a significantly positive correlation (p-0.004) between experience of good health and a low risk factor profile indicating the concordance between physiological and psychological parameters. Possible reasons for these sex differences are discussed.     

Adjustment to chronic low back pain--the relative influence of fear-avoidance beliefs, catastrophizing, and appraisals of control

The present study investigated the relative extent to which patients' adjustment to chronic low back pain (CLBP) was influenced by their fear-avoidance beliefs, their tendency to catastrophize, and their appraisals of control. Eighty-three CLBP patients completed a series of self-report measures before participating in a physical therapist-led intervention. Hierarchical multiple regression analyses revealed that patients' perceptions of their ability to decrease pain explained a small, but statistically significant, proportion of the variance in pain intensity. In addition, patients' levels of catastrophizing, as well as their fear-avoidance beliefs about both work and physical activity, were independently associated with levels of disability. Interestingly, however, when exploring the relative predictive utility of these three psychological factors, it became evident that fear-avoidance beliefs about physical activity (FABs-PA) were the only significant predictor of patients' disability. Specifically, those patients who exhibited higher levels of FABs-PA tended to report greater levels of disability, even after adjusting for age, sex and pain intensity.     

Provoked vestibulodynia: Psychological predictors of topical and cognitive-behavioral treatment outcome

Psychological factors have been found to impact the pain experience and associated sexual impairment of women suffering from provoked vestibulodynia (PV). Despite a lack of randomized treatment outcome studies, particularly concerning psychological predictors of outcome, recent studies have shown that topical applications and cognitive-behavioral therapy (CBT) are among the most popular first-line interventions for PV. The present study aimed to determine the extent to which baseline fear-avoidance variables and pain self-efficacy were differentially associated with topical application and CBT outcomes at six-month follow-up. Data were obtained from 97 women who completed a randomized trial comparing these two treatments. Regression analyses revealed that for topical treatment, higher levels of baseline avoidance predicted worse pain and sexual functioning outcomes, whereas higher levels of pain self-efficacy predicted better outcomes. For CBT, higher levels of baseline fear of pain and catastrophizing contributed to higher pain intensity at follow-up, whereas higher levels of pain self-efficacy were associated with less pain. Psychological factors did not predict sexual functioning outcomes for CBT. Consistent with biopsychosocial models of pain and sexual dysfunction, results indicate that psychological factors contribute to pain and sexual impairment following treatment for PV. Specifically, findings suggest that fear-avoidance variables and pain self-efficacy are significant predictors of topical and CBT treatment outcomes in women with PV.     

Rorschach Aggressive Content (AgC) variable: a study of criterion validity

This study adds to the existing literature on the clinical utility of the Aggressive Content (AgC) variable proposed by Gacono and Meloy (1994). Criterion validity is evaluated by examining the relation between AgC and behavior. Rorschach and clinical chart material taken from psychological assessments were examined for 94 patients in Exner's (1993) psychiatric reference groups. An Aggression Chart Rating Scale (ACRS) was created to score the level of aggressiveness of each patient's diagnostic report. Analyses revealed good interrater reliability (intraclass correlation coefficient = .73) for ACRS scores and Aggressive Movement (AG; kappa = .73) and excellent reliability for AgC (kappa =.88) and Morbid Content (MOR: kappa = .79). Pearson's correlation revealed significant relations between AgC and both AG and MOR. All 3 Rorschach variables were significantly related to scores on the ACRS. A stepwise regression analysis utilizing these 3 variables resulted in AgC being the only nonredundant predictor of scores on the ACRS. This suggests that AgC was more strongly related to more aggressive ACRS scores than either AG or MOR. The continued support for the clinical utility of AgC as well as recommendations for the addition of the AgC variable to Exner's (1993) Comprehensive System's list of Special Scores are discussed.