Cognitive Factors in Fibromyalgia: The Role of Self-Concept and Identity Related Conflicts

Fibromyalgia is a syndrome characterized by the presence of diffuse and chronic musculoskeletal pain of unknown etiology. Clinical diagnosis and the merely palliative treatments considerably affect the patient's experience and the chronic course of the disease. Therefore, several authors have emphasized the need to explore issues related to self in these patients. The repertory grid technique (RGT), derived from personal construct theory, is a method designed to assess the patient's construction of self and others. A group of women with fibromyalgia (n = 30) and a control group (n = 30) were assessed using RGT. Women with fibromyalgia also completed the Fibromyalgia Impact Questionnaire and a visualanalogue scale for pain, and painful tender points were explored. Results suggest that these women had a higher present self-ideal self discrepancy and a lower perceived adequacy of others, and it was more likely to find implicative dilemmas among them compared to controls. These dilemmas are a type of cognitive conflict in which the symptom is construed as "enmeshed" with positive characteristics of the self. Finally, implications of these results for the psychological treatment of fibromyalgia are suggested to give a more central role to self-identity issues and to the related cognitive conflicts.     

Body dysmorphic symptoms: phenomenology and ethnicity

Differences in the presentation of clinical features of body dysmorphic disorder (BDD) across ethnic groups have received little investigation. The current study assessed BDD symptoms in an ethnically diverse sample of adults (n=401) using an online survey. Participants completed self-report measures assessing BDD symptoms, body parts of concern and BDD behaviors. Compared to Caucasian participants, no significant differences were found in body parts or behaviors reported by Latino or African American participants. Significant group differences did emerge between Asian and Caucasian participants. Specifically, Asians reported more concern with straight hair and dark skin and fewer body shape concerns than Caucasians. Asians also endorsed lower rates of grooming, touching body parts, and camouflaging and higher rates of exercise compared to Caucasians. Although most clinical features of BDD appear similar across ethnic groups, results showed some differences in body parts and behaviors between Caucasians and Asian Americans with BDD symptoms.     

Stability of the factor structure of Barrat's Impulsivity Scales for children across cultures: a comparison of Spain and Colombia

Despite the great importance of impulsivity in many childhood and adolescence disorders, there are few self-reports on child impulsivity. Recently, a modified version of Barratt's BIS-11 questionnaire adapted for children has been developed, which may be useful in assessing this personality dimension. The present study reports an adaptation of this questionnaire in a different culture (Colombia) and assesses the degree of convergence between the factor structures of both adaptations using consensus oblimin rotation. The results indicate not only that the factor structure of the test remains stable across both adaptations, and that two of the three scales in the Colombian version show acceptable reliabilities, but also that cultural and linguistic issues are important in test adaptation even when the same language is used.     

Judgments of discrete and continuous quantity: an illusory Stroop effect

Evidence from human cognitive neuroscience, animal neurophysiology, and behavioral research demonstrates that human adults, infants, and children share a common nonverbal quantity processing system with nonhuman animals. This system appears to represent both discrete and continuous quantity, but the proper characterization of the relationship between judgments of discrete and continuous quantity remains controversial. Some researchers have suggested that both continuous and discrete quantity may be automatically extracted from a scene and represented internally, and that competition between these representations leads to Stroop interference. Here, four experiments provide evidence for a different explanation of adults’ performance on the types of tasks that have been said to demonstrate Stroop interference between representations of discrete and continuous quantity. Our well-established tendency to underestimate individual two-dimensional areas can provide an alternative explanation (introduced here as the “illusory-Stroop” hypothesis). Though these experiments were constructed like Stroop tasks, and they produce patterns of performance that initially appear consistent with Stroop interference, Stroop interference effects are not involved. Implications for models of the construction of cumulative area representations and for theories of discrete and continuous quantity processing in large sets are discussed.     

Nonsymbolic, approximate arithmetic in children: abstract addition prior to instruction

Do children draw upon abstract representations of number when they perform approximate arithmetic operations? In this study, kindergarten children viewed animations suggesting addition of a sequence of sounds to an array of dots, and they compared the sum to a second dot array that differed from the sum by 1 of 3 ratios. Children performed this task successfully with all the signatures of adults' nonsymbolic number representations: accuracy modulated by the ratio of the sum and the comparison quantity, equal performance for within- and cross-modality tasks and for addition and comparison tasks, and performance superior to that of a matched subtraction task. The findings provide clear evidence for nonsymbolic numerical operations on abstract numerical quantities in children who have not yet been taught formal arithmetic.     

Children's mappings of large number words to numerosities

Previous studies have suggested that children's learning of the relation between number words and approximate numerosities depends on their verbal counting ability, and that children exhibit no knowledge of mappings between number words and approximate numerical magnitudes for number words outside their productive verbal counting range. In the present study we used a numerical estimation task to explore children's knowledge of these mappings. We classified children as Level 1 counters (those unable to produce a verbal count list up to 35), Level 2 counters (those who were able to count to 35 but not 60) and Level 3 counters (those who counted to 60 or above) and asked children to estimate the number of items on a card. Although the accuracy of children's estimates depended on counting ability, children at all counting skill levels produced estimates that increased linearly in proportion to the target number, for numerosities both within and beyond their counting range. This result was obtained at the group level (Experiment 1) and at the level of individual children (Experiment 2). These findings provide evidence that even the least skilled counters do exhibit some knowledge of the form of the mapping between large number words and approximate numerosities.     

Categorical time production: Evidence for discrete timing in motor control

Subjects performed a repetitive manual tapping task, attempting to match a given rate of auditory stimulus pulses, first with the pulses audible (synchronization) and then with the pulses turned off (continuation). In different sessions, the interstimulus interval (ISI) was selected from the range 175 to 825 msec in steps of 25 msec, with different ISI values presented in a random order. Across this range of ISI conditions, interresponse intervals (IRIs) exhibited alternating positive bias (too slow) and negative bias (too fast). We interpret this pattern of bias in terms of a discrete, or categorical, timing mechanism in motor timing. Categorical time production can be viewed as extending our conception of the timekeeper in Wing’s (Wing’ & Kristofferson, 1973a, 1973b) two-process model of motor timing and may be related to the system of multiple clocks proposed by Kristofferson (1980) to explain a categorical pattern of variability measures in duration discrimination.