Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis.

This research evaluated the relationship between pain and sleep problems, and the role of pain and sleep problems in depression, in a sample of 242 patients who had been diagnosed with definite or classical rheumatoid arthritis (RA). Patients completed the Pain scale of the Arthritis Impact Measurement Scales, the Center for Epidemiological Studies Depression Scale, and self-reports of sleep disturbance at two data waves over a 2-year interval. Cross-sectional multiple regression analysis revealed that the sleep problems variable was independently associated with depression at Time 1. Longitudinal multiple regression analyses demonstrated that prior pain predicted subsequent adverse changes in sleep problems, whereas sleep problems did not affect pain over time, and prior pain and the interaction of high pain and high sleep problems were independently associated with depression from Time 1 to Time 2. These data suggest that pain may exacerbate sleeping difficulty in RA patients, and that both factors may contribute to depression over time.     

From front line to home front: a study of secondary traumatization.

While the long-term effects of combat trauma on veterans have been studied extensively, its impact on veterans' wives has yet to be investigated. This study examined the implications of combat-induced psychopathology--wartime combat stress reaction (CSR) and current posttraumatic stress disorder (PTSD)--in a sample of 205 wives of Israeli combat veterans of the 1982 Lebanon war. Results show that both CSR and PTSD were associated with increased psychiatric symptoms in the wives. In addition, current PTSD was particularly found to contribute to impaired social relations among veterans' wives in a broad range of contexts, from inner feelings of loneliness, through impaired marital and family relations, and extending to the wider social network. Implications of these findings for treatment and further research are discussed.     

Illness, Family Theory, and Family Therapy: I.Conceptual Issues

This article examines and clarifies controversies about the concept of illness in the field of family therapy. We contend that illness, as traditionally understood in all cultures, is a relational, transactional concept that is highly congruent with core principles of present-day family theories. Family therapists need not buy into a biotechnical, reductionistic reframing of illness as disease. Rather, it is more appropriate to conceptualize and work with illness as a narrative placed in a biopsychosocial context. Such a narrative includes how shared responsibility for coping and for finding solutions can take place, without becoming involved in disputes about causal models.     

Conservation acquisition, maintenance, and generalization by mentally retarded children using equality-rule training.

To teach conservation to mildly retarded, preoperational preadolescents (9 to 12 years old), a number-representational system was used to mediate the invariance of quantity as part of "equality-rule" training. Before viewing a perceptually misleading configuration of either two equal quantities or two unequal quantities entailing the dimensions of number or length, participants learned that equality involved the assignment of two identical numbers and inequality the assignment of two different numbers. These numbers were then applied to the actual quantities and became the basis for rule statements that were rehearsed, memorized, and subject-generated each time the quantities were transformed into a new configuration. Following equality training, correct judgments and verbal justifications of conservation were high (M greater than or equal to 85%) during both immediate and delayed post-tests and for near-generalization (number and length) and far-generalization (weight, liquid substance, and solid substance) tasks. In contrast, the post-test levels of comparable participants given learning-set (LS) training, LS plus verbal-rule training (a combination of statements about identity, negation, and compensation), or no training at all were substantially and significantly lower. Equality training is of theoretical and practical interest because of its potential to teach a symbolic representational rule that directly and meaningfully articulates the quantitative properties of objects and counteracts the overreliance on task-specific and faulty perceptual cues inherent in the conservation task.     

Some perceptual and cognitive factors in mirror tracing: their limits.

Three mirror tracing experiments were conducted to investigate the connection between perception and motor behavior. In the first experiment, some subjects traced a hex-maze, other subjects traced a hex-maze after observing a model trace, others traced a hex-maze after reading instructions on mirror images, and others traced a hex-maze after having observed a model and heard the instructions. There were no significant differences between the groups' error scores, but their time scores differed significantly, although not always in the predicted direction. In Experiment 2, the subjects were to trace selected letters of the alphabet. Error scores for the second experiment did not differ much from those for the first experiment. In Experiment 3, the experimenter gave each subject commands for the correct directions of movement, using the subject's body as a frame-of-reference. There was little improvement in motor performance. These results suggest that the visual information presented in the mirror captured the subjects' attention and blocked their motor tracing program.     

Exposed eye area (EEA) in the expression of various emotions.

Exposed eye area (EEA) was measured in photographs of Indian adults who modeled six emotions--happiness, sadness, fear, anger, surprise, and disgust--as well as a neutral expression. The data were analyzed with a 2 x 6 (Eyes x Emotions) factorial analysis of covariance (ANCOVA). EEA for neutral expression was used as the covariate measure. The EEAs of the two eyes did not differ significantly during the expression of emotion. The EEAs for fear and surprise were significantly larger, and the EEA for disgust was significantly smaller than those for either other emotions or neutral expression.     

The valuing process: A study of favorite songs and the inner experience of persons diagnosed with schizophrenia

Since valuing is a process grounded in the organizational tendency of human behavior, the characteristics of a highly valued object should reflect the experience of the individual who selects it. This research compared the favorite songs of fourteen individuals diagnosed with schizophrenia to their inner experience as assessed in a standard interview. Many relationships were revealed between the two, often pertaining to important issues identified in theories of schizophrenia. Results may have therapeutic applications and shed light on processes through which psychological difficulties persist.     

Social support, depressed mood, and adjustment to stress: a genetic epidemiologic investigation.

A survey of 821 same-sex female twin pairs from a population-based registry assessed 8 dimensions of social support and social integration. Twin analyses documented significant common environmental influences on 5 of these 8 measures and significant genetic influences on 5 of the 8. A decomposition of the multiplicative association between support and a measure of stressful life experiences in predicting depressed mood--an association typically interpreted as providing evidence for a stress-buffering effect of social support--shows clearly that it is the environmental and genetic factors that cause support, rather than support itself, that buffer the effects of stress on mood in most cases. We discuss the implications of this result for future research on the relationship between social support and psychopathology.