Fibromyalgia: the role of sleep in affect and in negative event reactivity and recovery

OBJECTIVE: Fibromyalgia (FM) syndrome is a chronic pain condition characterized by diffuse muscle pain, increased negative mood, and sleep disturbance. Until recently, sleep disturbance in persons with FM has been modeled as the result of the disease process or its associated pain. The current study examined sleep disturbance (i.e., sleep duration and sleep quality) as a predictor of daily affect, stress reactivity, and stress recovery. DESIGN AND MEASURES: A hybrid of daily diary and ecological momentary assessment methodology was used to evaluate the psychosocial functioning of 89 women with FM. Participants recorded numeric ratings of pain, fatigue, and positive and negative affect 3 times throughout the day for 30 consecutive days. At the end of each day, participants completed daily diary records of positive and negative life events. In addition, participants reported on their sleep duration and sleep quality each morning. RESULTS: After accounting for the effects of positive events, negative events, and pain on daily affect scores, it was found that sleep duration and quality were prospectively related to affect and fatigue. Furthermore, the effects of inadequate sleep on negative affect were cumulative. In addition, an inadequate amount of sleep prevented affective recovery from days with a high number of negative events. CONCLUSIONS: These results lend support to the hypothesis that sleep is a component of allostatic load and has an upstream role in daily functioning.     

Emotion and the evaluative feature of all behavior

The Psychological Record -     

Pascalian wagers

A person who does not have good intellectual reasons for believing in God can, depending on his probabilities and values for consequences of believing, have good practical reasons. Pascalian wagers founded on a variety of possible probability/value profiles are examined from a Bayesian perspective central to which is the idea that states and options are pragmatically reasonable only if they maximize subjective expected value. Attention is paid to problems posed by representations of values by Cantorian infinities. An appendix attends to Robinsonian hyperreals. Another appendix presents for comparison Newcomb's Problem and a problem in some ways like it suggested, I think, by ideas of John Calvin.