The effects of nutritional supplements on the symptoms of fibromyalgia and chronic fatigue syndrome

This article reports the results of a within-subject design. Fifty subjects with a physician diagnosis of fibromyalgia (FM) and/or chronic fatigue syndrome (CFS) were interviewed using a structured interview form. Each subject was interviewed initially, and again nine months later (follow-up). Subjects had, on their own, consumed nutritional supplements including freeze-dried aloe vera gel extract; a combination of freeze-dried aloe vera gel extract and additional plant-derived saccharides; freeze-dried fruits and vegetables in combination with the saccharides; and a formulation of dioscorea complex containing the saccharides and a vitamin/mineral complex. With medical treatments, approximately 25 percent of FM patients improved, but the beneficial effects of medical treatment rarely persist more than a few months. All subjects in this study had received some form of medical treatment prior to taking the nutritional supplements, but none with enduring success. Nutritional supplements resulted in a remarkable reduction in initial symptom severity, with continued improvement in the period between initial assessment and the follow-up. Further research is needed to verify these results, specifically crossover designs in well-defined populations.     

Men's reactions to hypothetical female sexual advances: A beauty bias in response to sexual coercion

The study investigated 277 college men's reactions to a vignette in which they were to imagine receiving an uninvited sexual advance from a casual female acquaintance. Subjects were predominantly middle-class Caucasian students. The vignette varied in the degree of coercion used (low — touch, moderate — push, high — threat, and very high — weapon). For each coercion level, the initiator was described as either very attractive or very unattractive. Subjects rated acceptability of the act, feelings of being pleased, violated, and negatively affected by the incident, and indicated if they would consent to further sexual activity. Results showed that men had significantly more negative reactions to advances that employed high and very high levels of force as compared to low and moderate levels. A beauty bias was found in that men had more positive (or less negative) reactions to the actions of an attractive vs. an unattractive initiator. Men had generally positive reactions to the sexual advance of an attractive woman who used low or moderate levels of coercion. Reactions to all other vignette situations were predominantly negative. As a model for future research, it is proposed that male and female reactions to sexual coercion can be predicted by levels of violation of sexual standards, force used, initiator sexual desirability, and romantic relationship with the initiator.     

College men's and women's reactions to hypothetical sexual touch varied by initiator gender and coercion level

A sample of 152 men and 152 women (mostly Caucasian) rated their reactions to a vignette in which the subjects were to imagine receiving an uninvited genital touch from a college acquaintance. The vignette was varied so that the acquaintance was of the opposite or the same gender as the subject, and the touch was either gentle or forceful. Results indicated that women anticipated strong negative effects from receiving opposite- or same-gender touch, whether gentle or forceful. Men anticipated almost no negative effects from either a gentle or forceful touch from a female acquaintance, but expected strong negative effects from a gentle or forceful touch from a male acquaintance. Regression analyses revealed that women's reactions to opposite-gender touch were mediated by beliefs in a male norm promoting casual sex, and feelings of violation and fear of harm. Men's reactions to opposite-gender touch were influenced by feelings related to sexual arousal. Men and women's reactions to same-gender touch were related to feelings of violation and harm.     

Self-report measure of parental reflective functioning: A study of reliability and validity across three samples of varying clinical risk

The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community sample, previous mental health diagnosis, substance use disorder diagnosis). Across samples, the majority (e.g., 75%–78%) of mothers identified as White; all mothers were from the USA. We compared the PRFQ to task-based measures of mentalization, the Parent Development Interview (PDI), and measures of the parent-child relationship. The PRFQ was a reliable measure across samples, and it was associated in theoretically consistent ways with task-based measures of mentalization. Parental RF across the PDI and PRFQ were not highly correlated in a sample of mothers with substance use disorders. Existing RF measures may be tapping into a different component of the broader construct of parental reflective functioning (PRF). The PRFQ was further validated by demonstrating relationships with parent-report measures of the parent-child relationship. Taken together, these findings provide additional support for the reliability and validity of the PRFQ.     

Paying Attention to Time as One Gets Older

Age-related changes in attention and interval timing as a function of time of day were examined using a temporal bisection task with single and compound auditory and visual stimuli. Half of the participants in each age group were tested in the morning, and half were tested in the afternoon. Duration judgments were found to be shorter for visual signals than for auditory signals. This discrepancy was greater in the morning than in the afternoon and larger for the older than for the younger adults. Young adults showed equal sensitivity to signal duration for single and compound trials and higher sensitivity in the afternoon than in the morning for both signal modalities. In contrast, older adults showed impaired sensitivity on compound trials and the greatest sensitivity overall to single visual trials in the morning. These results suggest that age-related reductions in attentional resources may cause older adults to focus on signals that require controlled attention during specific phases of the circadian cycle.     

Mild memory deficits differentially affect 6-year changes in compensatory strategy use

The authors examined memory compensation techniques used by older adults from 2 memory status groups, not impaired control (NIC) and mild memory deficit (MMD), both at baseline and across a 6-year (3-wave) interval. The groups were derived from a parent sample of 55- to 85-year-old adults from the Victoria Longitudinal Study (NIC baseline, n = 276; memory > parent sample mean; MMD baseline, n = 79; memory > 1 standard deviation below parent sample mean). Multilevel modeling was used to test 3 research questions concerning differences in initial use of, and 6-year changes and variability in, memory compensation. Initial group differences were observed for both a memory compensation technique and a general compensation indicator. Significant differences in 6-year change patterns were observed for 2 memory compensation techniques (recruitment of human memory assistance, investment of extra effort in memory tasks). Interactions of group status and wave showed that older adults with MMD declined in their use of memory compensation strategies, whereas initially NIC older adults increased their use of compensatory techniques over the 6 years.     

Psychological interventions for arthritis pain management in adults: a meta-analysis.

CONTEXT: The psychosocial impact of arthritis can be profound. There is growing interest in psychosocial interventions for managing pain and disability in arthritis patients. OBJECTIVE: This meta-analysis reports on the efficacy of psychosocial interventions for arthritis pain and disability. DATA SOURCES: Articles evaluating psychosocial interventions for arthritis were identified through Cochrane Controlled Trials, EMBASE, Ovid MEDLINE, and Ovid PsycINFO data sources. STUDY SELECTION: Randomized controlled trials testing the efficacy of psychosocial interventions in arthritis pain management were reviewed. DATA EXTRACTION: Twenty-seven randomized controlled trials were analyzed. Pain intensity was the primary outcome. Secondary outcomes included psychological, physical, and biological functioning. DATA SYNTHESIS: An overall effect size of 0.177 (95% CI=0.256-0.094) indicated that patients receiving psychosocial interventions reported significantly lower pain than patients in control conditions (combined p=.01). Meta-analyses also supported the efficacy of psychosocial interventions for the secondary outcomes. CONCLUSIONS: These findings indicate that psychosocial interventions may have significant effects on pain and other outcomes in arthritis patients. Ample evidence for the additional benefit of such interventions over and above that of standard medical care was found.     

Mental health of Chinese primary care patients with lower urinary tract symptoms

The aim of this study was to evaluate the mental health of Chinese primary care patients with lower urinary tract symptoms (LUTS). This was a cross-sectional observational study. Five hundred and nineteen subjects with LUTS completed a structured questionnaire containing the Depression, Anxiety, and Stress Scale-Short Form, the International Prostate Symptom Score, the adapted International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and questions about socio-demographics. Overall, 17.7% of subjects reported depressive symptoms, 24.3% anxiety symptoms and 9.6% stress symptoms. In males, demographic factors associated with poorer mental health included being not married; clinical factors included higher LUTS severity, weak stream, straining and mixed urinary incontinence. In females, demographic factors associated with poorer mental health included being younger, not married and lower household income; clinical factors included higher LUTS severity, incomplete bladder emptying, urgency and weak stream. Chinese primary care patients with LUTS appear to be an at-risk group for poorer mental health with increased prevalence of anxiety and depressive symptoms and may require routine screening to identify those who may require more tailored interventions to address both their urinary symptoms and psychological distress.