Somatisierung

Zusammenfassung Somatisierung meint die Erfahrung und den Bericht von k?rperlichen Beschwerden, für die kein hinreichender medizinischer Befund vorliegt, verbunden mit einem hohen Ausma? von organ-medizinischer Hilfesuche. Gegenüber früheren Definitionen, die st?rker auf psychosoziale Faktoren bei der Somatisierung abheben, wird gegenw?rtig eine ausschlie?lich beschreibende Begriffsfestlegung bevorzugt. Somatisierung liegt als Normenvariante bis zur schweren pathologischen Auspr?gung vor. Die ICD-10 fa?t sehr heterogene Krankheitsbilder von Somatisierung in der Klasse der somatoformen St?rungen zusammen. Fraglich ist, ob Somatisierung eher als Proze? denn als diskrete Krankheitseinheit zu konzeptualisieren ist. Somatisierung enth?lt drei Komponenten: Auf der Wahrnehmungsebene erh?hte Sensibilit?t gegenüber K?rpersensationen (“somatosensorische Amplifikation”), auf der Erlebensebene negative Affekte in Form von psychischem und somatischen Distre?erleben, auf der Verhaltensebene inad?quate Inanspruchnahme der Gesundheitsressourcen (“abnormes Krankheitsverhalten”). Trotz z. T. vielversprechender Behandlungsvorschl?te unter verhaltenstherapeutischer, psychodynamischer und psychoedukativer Orientierung erscheint die Prognose von Somatisierung bisher wenig günstig. Es gibt Hinweise, da? der Sicherung der therapeutischen Beziehung besondere Bedeutung für den Behandlungserfolg zukommt.      

On the aim of the theory of verisimilitude

J. P. Z. Bonilla's methodological approach to truthlikeness is evaluated critically. On a more general level, various senses in which the theory of truthlikeness could be seen as a theory concerned with methodology are distinguished, and it is argued that providing speical sciences with methodological tools is unrealistic as an aim of the theory of verisimilitude. Rather, when developing this theory, one should rest contnet with the more modest aim of conceptual analysis, or of providing explications for the relational concept of being closer to the truth. In addition, some remarks will be made on the difficulties which the similarity approach to truthlikeness has in realizing this aim and which are caused by the important role that Hintikka's constituents have in it.     

The mean fundamental frequency in stutterers and nonstutterers during reading and spontaneous speech

Corresponding to the higher tension of muscles involved in speech production, a higher mean fundamental frequency should be expected in stutterers as compared to nonstutterers. It could be shown by the change scores of the mean fundamental frequency from reading to free conversation that stutterers tend to have a higher fundamental frequency during spontaneous speech.     

Loneliness predicts suicidal ideation and anxiety symptoms in long-term childhood cancer survivors

Background/ObjectiveLong-term childhood cancer survivors (CCS) are at risk for adverse late effects. However, not all of them are well understood. The present study addressed loneliness, a previously under-researched mental health risk in cancer survivor populations. We assessed the prevalence of loneliness and its impact on psychological symptoms over time. Method: A registry-based sample of N = 633 adult long-term CCS underwent medical and psychological assessments and took part in a follow-up survey 2.5 years later. Psychological symptoms (somatic, anxiety, depression symptoms, and suicidal ideation) were measured using the Patient Health Questionnaire. We calculated linear regression models of symptoms at follow-up to investigate the impact of loneliness over time (controlling for symptoms at baseline and relevant confounders). Results: Loneliness was reported by 17.70% of CCS. In multivariate linear regression analyses, loneliness was still predictive of more severe anxiety symptoms and suicidal ideation over two years later. Loneliness did not predict somatic and depression symptoms at follow-up (which increased with age). Conclusions: Loneliness affected a significant number of CCS and was a risk factor for persistent anxiety symptoms and suicidal ideation. The extent to which young cancer patients’ re-integration into society is successful could thus have important implications for well-being in adulthood.     

Compassion protects against vital exhaustion and negative emotionality

Motivation and Emotion - We investigated (i) the predictive relationships of compassion with negative emotionality (a marker of susceptibility to stress) and vital exhaustion (a marker of chronic...     

Being implicated: on the fittingness of guilt and indignation over outcomes

Philosophical Studies - When is it fitting for an agent to feel guilt over an outcome, and for others to be morally indignant with her over it? A popular answer requires that the outcome happened...     

Empirically based dimensions of externalizing symptoms in children and adolescents: a multitrait-multisource approach

The present study sought to refine knowledge about the structure underlying externalizing dimensions. From a “top-down” ICD/DSM-based perspective, externalizing symptoms can be categorized into attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). From a “bottom-up” developmental theory-based perspective, disruptive behaviors can be meaningfully described as aggressive (AGG) and rule-breaking (RB) behaviors. We analyzed five large data sets comprising externalizing symptom ratings obtained with a screening instrument using different sources (parents, teachers, self-ratings) from different samples. Using confirmatory factor analyses, we evaluated several factor models (unidimensional; correlated factors; bifactor (S-1) models) derived from an ICD/DSM- and theory-based perspective. Our optimally fitting models were assessed for measurement invariance across all sources, sample settings, and sex. Following several model-based criteria (model fit indices; factor loadings; omega statistics; model parsimony), we discarded our models stepwise and concluded that both the ICD/DSM-based model with three correlated factors (ADHD, ODD, CD) and the developmental theory-based model with three correlated factors (ADHD, AGG, RB) displayed a statistically sound factor structure and allowed for straightforward interpretability. Furthermore, these two models demonstrated metric invariance across all five samples and across sample settings (community, clinical), as well as scalar invariance across sources and sex. While the dimensions AGG and RB may depict a more empirically coherent view than the categorical perspective of ODD and CD, at this point we cannot clearly determine whether one perspective really outperforms the other. Implications for model selection according to our model-based criteria and clinical research are discussed.

     

The effect of question repetition within interviews on young children's eyewitness recall

This study investigated the influence of question repetition and question type (answerable, unanswerable, or opinion seeking) on children's recall. A total of 136 children (5-, 7-, and 9-year-olds) watched a live 15-min presentation. One week later, the children were asked 20 questions that were repeated an additional two times within the interview. Accuracy of children's responses to unanswerable questions declined with repetition. Children were more likely to change a response to an unanswerable question than to an answerable question. Overall, children maintained the same answers to only three-quarters of the repeated questions. The most common pattern of change was for children to change their answer the second time a question was asked and then to maintain that answer when questioned again. The high percentage of changed answers within a single interview has important implications for forensic interviewing.     

Factors underlying expectancies of success and achievement: the influential roles of need for cognition and general or specific self-concepts

It has been assumed that task-specific self-concepts are more important than general self-concepts in determining expectancies of success and subsequent achievement. The authors argue here that the influence varies depending on need for cognition (NFC). Findings from Study 1 (N=104) showed that expectancies of success in an academic task could be predicted from specific self-concept for individuals with a high NFC and from general self-concept for individuals with a low NFC. In Study 2 (N=193), where cognitive load was manipulated, given a high cognitive load, only general self-concept was predictive of success expectancies, independent of NFC. In Study 3 (N=197), given a high relevance of correct expectancy ratings, only specific self-concept was predictive of expectancies and actual achievement, independent of NFC. In Studies 4 and 5, the results from Study 1 concerning the prediction of expectancies (as well as achievement) reappeared in a physical and a social domain.