Patients suffering from nonspecific work-related upper extremity disorders exhibit insufficient movement strategies

The purpose of this research was to investigate whether patients experiencing nonspecific complaints of the forearm caused by sustained use of the personal computer exhibit deviant movement strategies as compared to healthy participants. Patients (N=10) and controls (N=24) performed a graphical aiming task combined with an auditory memory task. Force production (pen pressure), kinematic- and performance variables were recorded. During a trial, the control group gradually increased pen pressure from the stationary phases to the dynamic phase. The patients increased their pen pressure much more abruptly and to such a degree that the final pressure during real-time movement far exceeded that of the controls. Memory load led to a greater increase of pen pressure from the stationary phase to the dynamic phase in the patient group. Patients further displayed longer reaction times. The results are discussed within the framework of our recent theory on the role of neuromotor noise in the regulation of task performance under conditions of stress.     

Visceral drives in retrospect: explanations about the inaccessible past

The present research demonstrates that the extent to which people appreciate the influence past visceral states have had on behavior (e.g., the influence hunger has had on food choice) depends largely on their current visceral state. Specifically, we found that when people were in a hot state (e.g., fatigued), they attributed behavior primarily to visceral influences, whereas when people were in a cold state (e.g., nonfatigued), they underestimated the influence of visceral drives and instead attributed behavior primarily to other, nonvisceral factors. This hot-cold empathy gap was observed when people made attributions about the past behavior of another person or themselves, and proved difficult to overcome, as participants could not correct for the biasing influence of their current visceral state when instructed to do so. These different attribution patterns also had consequences for people's satisfaction with their performance. Those who attributed their poor performance to visceral factors were more satisfied than those who made dispositional attributions.     

On bad decisions and disconfirmed expectancies: The psychology of regret and disappointment

Decision outcomes sometimes result in negative emotions. This can occur when a decision appears to be wrong in retrospect, and/or when the obtained decision outcome does not live up to expectations. Regret and disappointment are the two emotions that are of central interest in the present article. Although these emotions have a lot in common, they also differ in ways that are relevant to decision making. In this article we review theories and empirical findings concerning regret and disappointment. We first discuss how regret and disappointment differ with respect to their antecedent conditions, appraisals, and phenomenology. We also discuss possible behavioural consequences of experiencing these emotions. Next, we consider how the anticipation of regret and disappointment may influence decision making. We use regret and disappointment theory, developed by the economists Bell (1982, 1985), and Loomes and Sugden (1982, 1986, 1987), as a framework for our discussion. Finally, we argue that combining the theoretical approaches and research paradigms of behavioural decision theory with emotion theories will significantly increase our knowledge of antecedents and consequences of emotions.     

Living with painful diabetic neuropathy: insights from focus groups into fears and coping strategies

Objective: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.

Design: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N?=?12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.

Main Outcome Measures: Fears and coping strategies related to PA in persons with PDN.

Results: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.

Conclusion: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.