Cognitive bias,emotion, and somatic complaints in a normal sample

Cognitive bias (Stroop interference and implicit memory bias) for masked and unmasked threat words (illness words and negative emotion words) was investigated for its associations with emotion (anxiety, anger/aggression, and positive affect) and somatic complaints in a randomly selected community sample of 138 individuals. Because measures of cognitive bias are inherently bipolar, the data were tested for both linear and curvilinear trends. Cross-sectional analysis showed that the associations between somatic anxiety and Stroop interference for unmasked threat words were better described in terms of curvilinear than linear models, and that degree of somatic complaints was associated with Stroop facilitation for masked threat words. Longitudinal analysis showed that Stroop interference for masked threat words predicted lack of positive affect during an ensuing eight weeks daily recording period. Implicit memory bias was found to be negatively associated with measures of anger/aggression, both in the cross-sectional and longitudinal analyses. We suggest that: (a) cognitive bias should be treated as a bipolar construct in future research; (b) the phenomenon of Stroop facilitation for threat words deserves further exploration; and (c) more research should address the question about the relationship between cognitive bias and other emotions than anxiety (e.g., positive affect and anger).     

GENDER, EXCESSIVE BODY WEIGHT, AND PSYCHOLOGICAL WELL-BEING IN ADULTHOOD

We examined gender differences in the association between body mass index (BMI) and psychological well-being. Regression analysis involving 3,251 adults indicated that gender moderated the BMI–psychological well-being link. In follow-up analyses, higher BMI predicted lower psychological well-being only among women. When participants were categorized into 5 BMI groups, women reported lower psychological well-being than men in the overweight and obese I groups, but no gender differences were observed in the more seriously obese or normal-weight groups. Also, among women, all 4 groups with higher-than-normal BMI had lower psychological well-being than normal-weight women; for men, no significant differences were found across the 5 groups. These findings are discussed in relation to research on stigma theory and gender-differentiated cultural norms regarding weight.     

Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

A growing body of literature sheds light on occupational therapy (OT) interventions and outcomes in adult mental health. Although this research has not developed to the point where a systematic review is warranted, a synthesis of these findings is needed. This article provides an overview of OT interventions in adult mental health and their documented outcomes. Fifty peer-reviewed intervention studies targeting adults with mental illness were reviewed. Seven categories of interventions emerged: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy. Further research involving rigorous designs is needed to establish a solid evidence base for OT interventions in adult mental health.