Children and Adolescents with Medically Unexplained Symptoms: A Systematic Review of the Literature

Abstract

Medically unexplained symptoms (MUS) in children and adolescents are confounding and concerning for patients, parents, and health care practitioners. Our goal was to review and summarize the literature for family therapists working with a diverse, challenging patient population coping with MUS. A search of multiple databases from 1994 to 2018 was conducted using MUS and related terms. The literature was then organized into subcategories based on its relevance to family therapists, particularly medical family therapists collaborating with primary care physicians. We conclude with a discussion about gaps in the literature and suggestions for clinical management.     

The Effects of Forecasting on Creative Problem-Solving: An Experimental Study

Prior research suggests that forecasting may play a critical role in both the evaluation of new ideas and planning for idea implementation. In the present study, 141 undergraduates were asked to formulate advertising campaigns for a new product. These campaign proposals were evaluated for quality, originality, and elegance. Prior to formulating these campaigns, participants were asked to forecast the implication of their ideas and forecast the effects of a plan for implementing their best idea. It was found that the extensiveness of forecasting the implication of ideas and the extensiveness of forecasting the implications of plans were related to the quality, originality, and elegance of the advertising campaigns proposed. The effectiveness of these forecasts was influenced by analysis of causes and goals and the use of case models. The implications of these findings for understanding the role of forecasting in creative thought are discussed.     

Athletes’ Preferred Characteristics and Qualifications of Sport Psychology Practitioners: A Consumer Market Analysis

Studies assessing the perceived characteristics of competent sport psychology practitioners have resulted in skewed data, making it difficult to discern the relative importance of each characteristic. Therefore, the purpose of this study was to assess the attributes of gender, ethnicity, interpersonal skills, physical appearance, athletic background, professional status, and sport culture in relation to one another using conjoint analysis, a consumer market analysis. College student athletes (N = 464) indicated a preference for a female practitioner whose ethnicity matched that of the athlete and possessed high interpersonal skills and sport knowledge, an athletic background, a physically fit body type, and had earned a professional degree. These findings can be used by sport psychology consultants to modify the information they give to current clients and to develop marketing plans to appeal to potential clients.     

Turning back the hands of time: Autobiographical memories in dementia cued by a museum setting

The current study examined the effects of cuing autobiographical memory retrieval in 12 older participants with dementia through immersion into a historically authentic environment that recreated the material and cultural context of the participants’ youth. Participants conversed in either an everyday setting (control condition) or a museum setting furnished in early twentieth century style (experimental condition) while being presented with condition matched cues. Conversations were coded for memory content based on an adapted version of Levine, Svoboda, Hay, Winocur, and Moscovitch (2002) coding scheme. More autobiographical memories were recalled in the museum setting, and these memories were more elaborated, more spontaneous and included especially more internal (episodic) details compared to memories in the control condition. The findings have theoretical and practical implications by showing that the memories retrieved in the museum setting were both quantitatively and qualitatively different from memories retrieved during a control condition.     

Developing the Sense of Agency Rating Scale (SOARS): An empirical measure of agency disruption in hypnosis

Two experiments report on the construction of the Sense of Agency Rating Scale (SOARS), a new measure for quantifying alterations to agency. In Experiment 1, 370 participants completed a preliminary version of the scale following hypnosis. Factor analysis revealed two underlying factors: Involuntariness and Effortlessness. In Experiment 2, this two factor structure was confirmed in a sample of 113 low, medium and high hypnotisable participants. The two factors, Involuntariness and Effortlessness, correlated significantly with hypnotisability and pass rates for ideomotor, challenge and cognitive items. Twelve week test–retest correlations showed that Involuntariness was highly stable, but Effortlessness only moderately stable. Analysis of the combined datasets from Experiments 1 and 2 showed both SOARS scores were significantly related to the derived factors of Woody, Barnier, and McConkey’s (2005) 4-factor model of hypnotisability. This scale clarifies conceptual confusion around agentive action and provides empirical support for a multifactorial account of sense of agency.     

PTSD, Depressive Symptoms, and Suicidal Ideation in African American Women: A Mediated Model

Although research has shown positive associations among post-traumatic stress disorder (PTSD), depressive symptoms, and suicidal ideation, the nature of these relations is unclear, especially in African American women. This study examined the associations among these comorbid psychological difficulties in a sample of 136 low-income, African American women. Specifically, the goal of this investigation was to ascertain if overall depressive symptoms, as well as both the cognitive-affective and somatic components of depression, mediated the PTSD-suicidal ideation link. Results from bootstrapping analyses revealed that overall depressive symptoms and the cognitive-affective components of depression, but not the somatic components, mediated the PTSD-suicidal ideation link.     

Construct no idols

A constructivist perspective views knowledge as indeterminate. Human beliefs bear no necessary direct relationship to reality, yet we tend to objectify them and treat them as real. I liken this tendency to idolatry, the xwrship of a created image as though it were the ultimate. Idolatry occurs when we believe that we know a final truth. I consider some implications of this metaphor for constructivist thought, including the notion that hypotheses originally served only to account for observations, but with the success of modern science, people have come to treat them as though they represent truth. To transcend idolatry requires active recognition that humans invent constructs and that our understanding of reality requires awareness of the central role of human participation. We might facilitate this process by becoming more aware of the metaphorical use of language. I discuss a technique from semantics, which elaborates on Kelly's suggestion that we view language as invitational, as a useful tool for this purpose.     

A Cross-Cultural Investigation of Relational and Social Aggression in Female College Students from Puerto Rico and the United States

Researchers compared scores on a self-report measure of relational and social aggression using 2 groups, European American female university students (M = 20.23 years, SD = 3.88) from the mid-Atlantic region of the United States and Hispanic females from Puerto Rico (M = 19.34 years, SD = 1.26). Results indicate that cultural differences were evident in the use of relational and social aggression. The exclusively Hispanic Puerto Rican sample reported being more socially aggressive than the European American, mid-Atlantic sample. In contrast, the European American sample identified as being more relationally aggressive in their relationships than the Hispanic Puerto Rican sample. This distinction allows us to consider potential cultural differences in interpersonal relations in college-age females.     

Verbal Sexual Coercion Experiences,Sexual Risk,and Substance Use in Women

Research has linked sexual assault, substance use, and sexually transmitted infection (STI) risk in women. Sexual assault by means of verbal sexual coercion (VSC) is more common than sexual assault by means of physical tactics, but VSC is rarely assessed independently. In addition, past work has established global connections among substance use, sexual assault history, and STI risk; however, assessing substance use during sexual behavior is less common. This study examined the relations among VSC, STI risk behavior, and substance use and attitudes. We hypothesized that women with larger numbers of VSC experiences would report more frequent sexual risk behaviors and substance use and attitudes. Participants with larger numbers of VSC experiences reported larger numbers of anal sex partners, more frequent penile–vaginal sex and sexual activity after substance use, and stronger sex-related alcohol expectancies. These findings suggest that VSC is associated with higher levels of STI risk in women.