Objective: Sleep disturbance in chronic pain is common, occurring in two-thirds of patients. There is a complex relationship between chronic pain and sleep; pain can disrupt sleep and poor sleep can exaggerate pain intensity. This may have an impact on both depressive symptoms and attention to pain. This study aims to evaluate the relationship between chronic pain and sleep, and the role of mood and attention.
Methods: Chronic pain patients, recruited from a secondary care outpatient clinic, completed self-report measures of pain, sleep, depressive symptoms and attention to pain. Hierarchical regression and structural equation modelling were used to explore the relationships between these measures. Participants (n = 221) were aged between 20 and 84 (mean = 52) years.
Results: The majority of participants were found to be ‘poor sleepers’ (86%) with increased pain severity, depressive symptoms and attention to pain. Both analytical approaches indicated that sleep disturbance is indirectly associated with increased pain severity Instead the relationship shared by sleep disturbance and pain severity was further associated with depressive symptoms and attention to pain.
Conclusions: Our results indicate that sleep disturbance may contribute to clinical pain severity indirectly though changes in mood and attention. Prospective studies exploring lagged associations between these constructs could have critical information relevant to the treatment of chronic pain. 相似文献
The phenomenon of absent fathers is a common occurrence in today's homes that appears to be escalating, especially in Black households across the United States. The purpose of this study was to describe the lived experiences of successful Black men who were raised in absent‐father homes as well as the lived experiences of their resilient single mothers. The authors share themes that captured the participants' experiences and provide recommendations for community counselors, school counselors, and counselor educators. El fenómeno de padres ausentes es una situación común en los hogares actuales que parece estar en crecimiento, especialmente en hogares de familias negras en Estados Unidos. El propósito de este estudio era describir las experiencias vividas por hombres negros exitosos que fueron educados en hogares con padres ausentes, además de las experiencias vividas por sus resilientes madres solteras. Los autores comparten temas que capturaron las experiencias de los participantes y proporcionan recomendaciones para consejeros comunitarios, consejeros en escuelas y capacitadores de consejeros. 相似文献
A critical property of the perception of spoken words is the transient ambiguity of the speech signal. In localist models of speech perception this ambiguity is captured by allowing the parallel activation of multiple lexical representations. This paper examines how a distributed model of speech perception can accommodate this property. Statistical analyses of vector spaces show that coactivation of multiple distributed representations is inherently noisy, and depends on parameters such as sparseness and dimensionality. Furthermore, the characteristics of coactivation vary considerably, depending on the organization of distributed representations within the mental lexicon. This view of lexical access is supported by analyses of phonological and semantic word representations, which provide an explanation of a recent set of experiments on coactivation in speech perception (Gaskell & Marslen–Wilson, 1999). 相似文献
Psychopathy is associated with emotional dysfunction that impedes the experience of emotions such as fear and sadness and has been purported to facilitate violent behavior. However, findings relative to the association between psychopathy and anger have not been reliably substantiated. Theorists have proposed that psychopathy predisposes one to experience greater frustration and anger, whereas other experts have suggested that there is no convincing evidence for this assertion. In the present study, we tested the relationship between psychopathy subfactors and anger subsequent to conflict or non-conflict interactions. Sixty-eight collegiate-men completed the Self-Report Psychopathy Scale and read vignettes depicting either a conflict or non-conflict scenario and were asked to imagine themselves in the situation. Following presentation of the vignettes, participants completed a lexical-decision-task assessing affective states. Results indicated that the psychopathy subfactors demonstrated strong differential associations, where Factor 1 showed negative and Factor 2 showed positive association with anger activation in response to interpersonal conflict. Findings are discussed in terms of the importance of anger as a facilitator of violence in some psychopathic individuals. 相似文献
Posttraumatic stress disorder (PTSD) has been associated with deficits in the areas of verbal memory and learning, executive functioning, working memory, and attention in adults. Findings have been less consistent in the few studies examining neuropsychological functioning in childhood PTSD, which are often limited by comparing children with PTSD to children without trauma histories, making it unclear whether observed neuropsychological deficits are related to trauma exposure or to PTSD symptomatology. In an ethnically diverse sample of 62 children who witnessed intimate partner violence (n = 27 PTSD+ and 35 PTSD?), children with PTSD exhibited slower and less effective learning, heightened sensitivity to interference, and impaired effect of rehearsal on memory acquisition on the California Verbal Learning Test – Children's Version, a word list learning task. Both groups performed in the below average range on measures of executive functioning, attention, and intellectual ability. 相似文献
Anger has a prominent role in basic theories of emotion. And while many psychiatric disorders can be conceived of as emotional
disorders (e.g., depressive disorders, anxiety disorders), there are no disorders for which anger is the cardinal feature.
We analyzed diagnostic data on 1,687 (as later) psychiatric outpatients and looked at the co-occurrence of high trait anger
(as assessed by criterion 8 of Borderline Personality Disorder) and Axis I disorders, and Borderline and Antisocial Personality
Disorders. The purpose was to examine whether dysfunctional anger met criteria necessary to be considered a valid diagnostic
category. Results showed that high trait anger was not fully accounted for by any particular Axis I diagnosis, or any set
of Axis I diagnoses, or by the combination of Axis I diagnoses and Borderline and Antisocial PDs. Trait anger also accounted
for significant amounts of unique variance in several indicators of psychiatric impairment and psychosocial functioning. We
describe the anger disorder diagnoses of Eckhardt and Deffenbacher (Anger disorders: Definition, diagnosis and treatment.
Taylor & Francis, Bristol, PA, 1995), and discuss the implications of those diagnoses for the practice of REBT and CBT.
In Experiment I, pigeons' pecking a white key was reinforced with grain when white was immediately preceded by a vertical white line on a green surround, but not by green alone. This procedure produced control of pecking by the line. Next, pecking white was reinforced after vertical line on green, but not after green alone or other orientations of the white line on green. The line-tilt dimension initially did not control pecking, a result that showed that interdimensional (line versus no line) training does not always result in dimensional control. Line-tilt control was eventually established but was accompanied by a decrease in interdimensional control. In Experiment II, interdimensional training, with or without a trace interval intervening between line on green or green alone and white, was followed by tests for line-tilt control. While interdimensional control was unaffected by the trace interval, line-tilt control tended to be less with the trace interval. This dissociation of interdimensional and dimensional control, as well as the failure of interdimensional training to produce dimensional control in Experiment I, suggests that the line stimulus is multidimensional. 相似文献