Impact of Depression and Anxiety on the Quality of Life of Constipated Patients

Constipation negatively affects quality of life (QOL), however, the specific mechanisms through which this relationship occurs are unclear. The present study examined anxiety and depression as potential mediators of the relationship between constipation severity and QOL in a sample of 142 constipated patients. Results indicated that depression symptom severity mediated the relationship between constipation severity and mental health-related QOL. For patients meeting diagnostic criteria for Major Depressive Disorder, indirect effects were observed in the relationship between constipation severity and both physical and mental health-related QOL. Anxiety did not contribute to this model. Treating depression may be useful in improving QOL in severely constipated patients, which highlights the importance of psychological screening and treatment referrals in primary care settings.     

Parental psychological control dimensions: Connections with Russian preschoolers’ physical and relational aggression

Parental psychological control generally consists of overinvolved/protective and critical/rejecting elements, both being linked to children's psychosocial maladjustment. The critical/rejecting element is multidimensional in nature, and few studies have explored this conceptual fullness. It is possible that some dimensions, if they can be statistically differentiated, are uniquely tied to various child behaviors. This may help resolve some of the inconsistency apparent across studies, such as studies of relational aggression. Accordingly, we examined the association between parental psychological control and childhood physical and relational aggression using a dimensional approach. Participants were 204 Russian preschoolers and their parents. The results revealed that dimensions of psychosocial control (i.e., shaming/disappointment, constraining verbal expressions, invalidating feelings, love withdrawal, and guilt induction) could be statistically differentiated, even though most dimensions tended to be significantly correlated. Furthermore, all dimensions, except for invalidating feelings, were significantly associated with childhood aggression, but predominantly in same-gender parent–child dyads.     

The Archaelogy of Spirit and the Unique Self: A Husserlian Reading of Conrad-Martius

Although the connections of Hedwig Conrad-Martius’ ontological phenomenology, what she called, “realontology,” to Husserl’s transcendental phenomenology were constant concerns that usually remained in the background of her work, on occasion they became foreground. Similarly the problems surrounding the individuation of the person and spirit were persistent but rather marginal in her writings. In this paper I want first to review some of the issues as they are connected to ontological and transcendental phenomenology. Then I want to relate them to the cosmological and theological issues that were no less important for Conrad-Martius.

Unconscious and spontaneous and...complex: the three selves model of social comparison assimilation and contrast

Several theoretical perspectives predict that social comparisons lead to simple, default-driven effects when triggered outside of conscious awareness. These theoretical perspectives differ, however, in the default effects they predict. Some theories argue for self-evaluative contrast, whereas others argue for self-evaluative assimilation. The current studies tested the prediction that the default effect would vary as a function of the social context and the type of self-concept activated. When attention was focused on the personal self, contrast effects emerged. When attention was focused on collective or possible selves, assimilation effects emerged. These findings suggest that a wide range of comparison effects can be triggered spontaneously and outside of conscious awareness. However, some results also show ways in which social comparison processes simplify when deliberate reflection is lacking.     

Relationships among depressive symptoms, benefit-finding, optimism, and positive affect in multiple sclerosis patients after psychotherapy for depression.

OBJECTIVE: While many patients with multiple sclerosis (MS) experience psychological problems, such as depression, benefit-finding is commonly reported. Using the Broaden-and-Build Model of positive emotions (Fredrickson, 2001) and the Expectancy-Value Model of optimism (Carver & Scheier, 1998) as two related, yet, distinct conceptual frameworks, this study examined positive affect and optimism as mediators of the relationship between improved depression and enhanced benefit-finding. DESIGN: MS patients (N=127), who participated in a larger, randomized clinical trial comparing two types of telephone psychotherapy for depression, were assessed at baseline, midtherapy (8 weeks), end of therapy (16 weeks), and 6- and 12-month posttherapy. MAIN OUTCOME MEASURES: Depression was measured with a telephone administered version of the Hamilton Rating Scale for Depression; Positive Affect was measured with the Positive Affect Subscale from the Positive and Negative Affect Scale; Optimism was measured with the Life Orientation Test-Revised; Benefit-Finding was measured with the revised version of the Stress-Related Growth Scale. RESULTS: Data were analyzed with multilevel random-effects models, controlling for time since MS diagnosis and type of treatment. Improved depression was associated with increased benefit-finding over time. The relationship between improved depression and benefit-finding was significantly mediated by both increased optimism and increased positive affect. CONCLUSION: Findings provide support to both theoretical models. Positivity appears to promote benefit-finding in MS.     

Reviews: Books

PSYCHOANALYSIS AND BUDDHISM: AN UNFOLDING DIALOGUE. Edited by Jeremy D. Safran. 443 pp. Boston: Wisdom Publications, 2003. 19.95 (paperback). THE HOUSE OF JOSHUA. By Mindy Thompson Fullilove. 160 pp. Lincoln and London: University of Nebraska Press, 1999. $. MAGIC OF THE ORDINARY: RECOVERING THE SHAMANIC IN JUDAISM. By Gershon Winkler. Pp Place: North Atlantic Books, 2003. $. RAISING AMERICA: EXPERTS, PARENTS AND A CENTURY OF ADVICE ABOUT CHILDREN, by Ann Hulbert. 450 pp. New York: Alfred A. Knopf, 2003. $27.50.. HONKY. By Dalton Conley. 207 pp. New York: Vintage Books, 2001. $12.00.     

Executive function, intellectual decline and daily living skills

Understanding the cognitive changes associated with compromised daily living skills in elderly individuals is important for making appropriate recommendations about the capacity for independent functioning. To this end, we retrospectively examined data from 92 elderly individuals presenting with cognitive decline who were administered measures of executive functioning, general intelligence, and daily living skills. Multiple regression analyses were used to examine the relationship between executive functioning and daily living skills, while controlling for age, depression, and either IQ decline or current IQ. Executive functioning accounted for additional variance in a broad range of daily living skills after controlling for IQ decline. When FSIQ was used in the regression model rather than IQ decline, executive functioning was no longer uniquely associated with daily living skills. Executive functions appear to be important for daily living skills until a critical threshold of low intellectual functioning is reached, reflecting the combined influence of premorbid ability and the extent of intellectual decline. Our results suggest that understanding the relative contribution of different cognitive domains to functional decline in elderly individuals should take into account general intellectual functioning and estimated decline, and that the initiation and/or persistence of self-directed cognitive processes may be important for adaptive daily functioning. These findings have implications for making more evidence-based recommendations about the capacity for independent living.