Pain appraisal and quality of life in 108 outpatients with rheumatoid arthritis

Individual differences in emotional functioning, pain appraisal processing, and perceived social support may play a relevant role in the subjective experience of pain. Due to the paucity of data regarding individuals with Rheumatoid Arthritis (RA), the present study aimed to examine pain intensity, emotional functioning (psychological distress and alexithymia), pain appraisal (pain beliefs, pain catastrophizing, and pain-related coping strategies) and social support, and their relationships with the health-related quality of life (HRQoL) in patients with RA. Data were collected from 108 female patients diagnosed with RA. Clinically relevant levels of depressive and anxiety symptoms assessed by the HADS subscales were present in 34% and 41% of the patients, respectively, and about 24% of them exhibited the presence of alexithymia. The results of hierarchical multiple regression analyses showed that pain intensity, alexithymia, the maladaptive beliefs regarding the stability of pain and the coping strategy of guarding explained 54% of the variance in the physical component of HRQoL (p < 0.001). Depression subscale of the HADS, alexithymia, the coping strategy of resting, and the rumination factor of pain catastrophizing significantly explained 40% of the variance in the mental component of HRQoL (p < 0.001). The present findings provide evidence regarding the importance of emotional functioning and pain appraisal in the negative impact of RA on patients’ quality of life. These findings provide additional evidence for the biopsychosocial model of chronic pain, further supporting the complex interaction between emotional, cognitive, and behavioral processes in patients with chronic pain.     

Critical stages in mental development: Childhood breath holding spells (BHS)

The authors present the first part of a study on children with BHS (Breath Holding Spells) syndrome. These children were chosen in order to examine a “pathological” situation in infancy that was as close as possible to a “normal” one, and in which obvious somatic symptoms were associated with emotional states. Children with BHSS are not considered to have serious psychological disturbances, even if they are constantly referred to as intolerant of separation, stubborn, oppositional, or easy to temper tantrum. A reduced ability to tolerate frustration is evident in these children both from the patients' history and clinical observation. Parents usually relate BHS to situations in which the child is denied something or gets scolded. The children were observed during three sessions, both with and without the mother, according to a grid used at our Center. Patients are presented to illustrate certain recurrent features in play and interaction with mother. The data suggest that these children stagnate in an area of incomplete mental representation; something makes them oscillate between two states; in one of them, the mental representation of the object and of the bond with it is possible; in the other, the mental representation of the separation, which entails the recognition of the object, is felt as dangerous.     

Self-reported anxiety in children and adolescents: a three-year follow-up study

Anxiety may be more transient in children and adolescents than in adults. The present study involves a longitudinal design enabling the investigation of the continuity/discontinuity of self-reported anxiety in children and adolescents. A sample of 68 children was followed over 3 years. Results indicate that, on the whole, self-reported anxiety decreased over time. This was true for overall anxiety and its sub-types, with the exception of social concerns/concentration, which did not decrease over time. Consistent with past research involving normal fear, girls and younger children were found to score higher on anxiety than boys and older children did. However, those groups scoring higher at inception also demonstrated the most marked decreases over the 3-year period. In addition to the changes found over time, the data indicated continuity in anxiety such that levels of anxiety at inception were significant predictors of follow-up anxiety, although only a small amount of variance was shared. The authors concluded that adult models of anxiety cannot be applied to youth and that future research should investigate the contribution of contextual factors to the development of anxiety in children.     

The Impact of Teasing on Children’s Body Image

Being teased about one’s physical appearance in childhood has been found to have a strong impact on the way in which adolescent and adult women perceive their bodies. Teasing is also strongly related to self-esteem in children. However, little is known about the impact of teasing on the development of body image in childhood. Through a quantitative study of the experience of being teased and body image satisfaction in a group of 431 primary aged children, we examined the prevalence, type and impact of teasing on children’s perceived body image satisfaction. The results of our study indicated that many children, especially those who are over or underweight experience being teased. This experience does have a negative impact on children’s body image. This is especially significant for young girls and boys who are overweight. Underweight young boys also suffer negatively from this experience. It is important for parents and others to understand that what may be perceived as friendly banter with their children may not necessarily be innocuous. Further research exploring the concept and construct of teasing in childhood is warranted.     

Test development and use in five Iberian Latin American countries

The abundance of scholarship on test development and use generally is higher in English‐speaking than in Iberian Latin American countries. The purpose of this article is to help overcome this imbalance by describing and identifying similarities and differences in test development and use in two Iberian (Portugal and Spain) and three of the largest Latin American (Argentina, Brazil, and Venezuela) countries. The stages of test development in each country, roles of professional associations, presence of standards for test use, professionals' educational training, commonly used tests, together with prominent challenges to continued progress are discussed. Test development and use in these five countries are transitioning from a dependence on the use of translated tests to greater reliance on adapted and finally nationally constructed tests. Continued growth requires adherence to international standards guiding test development and use. Stronger alliance among professional associations in the Iberian Latin American countries could serve as a catalyst to promote test development in these regions.     

The Role of Anger in the Relationship Between Internalising Symptoms and Aggression in Adolescents

The purpose of this study was to examine the role of anger in the relationships between various internalising symptoms and direct and indirect aggression. A sample of 241 adolescents aged 12–17 years completed the Screen for Child Anxiety Related Emotional Disorders, Centre for Epidemiological Studies Depression scale (CES-D) and the Buss–Warren Aggression Questionnaire (AQ-15). Symptoms of panic disorder, generalised anxiety disorder and depression, but not social phobia, were positively correlated with anger, direct aggression and indirect aggression. When considered simultaneously in regression analyses, only symptoms of depression contributed to variance in the anger and aggression variables. However, using indirect effect modelling, no direct relationships were found between the internalising symptom variables and the aggression variables. Instead, the data suggested that the relationship between internalising symptoms and aggression is mediated by the emotion of anger. These findings suggest that the degree to which anger co-occurs with internalising symptoms may play an important role in an individual’s propensity to engage in aggressive behaviour.     

Illness Perception and Well-Being Among Persons with Multiple Sclerosis and Their Caregivers

This study jointly examined illness beliefs held by persons with multiple sclerosis (PwMS) and caregivers in relation to well-being. A group of 68 PwMS and their caregivers completed the Revised Illness Perception Questionnaire, Psychological Well-being Scales, Satisfaction with Life Scale and Positive Affect and Negative Affect Schedule. Findings revealed that PwMS’ well-being was primarily predicted by their own illness beliefs, and that also caregivers’ well-being was primarily predicted by their own beliefs. Across the two groups, well-being was positively associated with their belief that they understood the disease, and inversely associated with their representations of negative emotions. In addition, among PwMS, well-being was inversely associated with the number of symptoms they specifically attributed to their illness, while among caregivers, well-being was positively associated with beliefs that treatment could control the disease. Based on the study findings, psychoeducational and cognitive-behavioral strategies are suggested to promote well-being among PwMS and caregivers.     

Cognitive Behavioral Training Using a Mobile Application Reduces Body Image-Related Symptoms in High-Risk Female University Students: A Randomized Controlled Study

Body dissatisfaction is prevalent in young women, and is associated with symptoms of body dysmorphic disorder (BDD) and eating disorders (EDs). The aim of the study was to assess the efficacy of a mobile application, based on cognitive behavioral principles, in reducing body dissatisfaction and BDD/ED symptoms in female university students considered at high-risk of developing body image disorders (BIDs). Fifty university students at high-risk of developing BIDs (using self-report questionnaires assessing BIDs and the Structured Clinical Interview for DSM-5 Clinical Version) were randomized in two groups: immediate-use App group (iApp group; n = 25) and delayed-use App group (dApp group; n = 25). The iApp group started using the app at baseline for 16 days (T0 to T1). The dApp group waited for 16 days before starting to use the app (T1 to T2). Participants completed questionnaires at baseline (T0), 16 days from baseline (T1), and 32 days from baseline (T2). Repeated measure Analyses of Variance (ANOVAs) showed a Group (iApp vs. dApp) × Time (T0 vs. T1) interaction on BDD symptoms indicating medium effect size (partial eta squared) reductions in the iApp group compared to dApp group at T1; post-intervention means for BDD symptoms were under the cut-off for extreme body dissatisfaction/BDD symptoms in both groups. Pertaining to ED symptoms, no significant Group × Time interaction was detected. Training 3 minutes a day for 16 days with a CBT-based mobile application may lead to reductions in some forms of body dissatisfaction, including BDD symptoms in female university students at high-risk of developing BIDs. On the other hand, effects of the intervention on ED symptoms seem more limited.     

A Comparison of MMPI-2 Profiles Between Parental Alienation Cases and Custody Cases

Journal of Child and Family Studies - The present study aimed at understanding the personality features of mothers and fathers engaged in parental alienation—a family dynamic in which one...