How does persistent pain develop? An analysis of the relationship between psychological variables, pain and function across stages of chronicity

The fear-avoidance model is an attempt to underscore the importance of cognitive and behavioral factors, in a chain of events linking pain to disability. However, it is not clear at what time point the psychological variables within the model begin to be prominent. The aim of this study was to investigate the role of these psychological variables in the development of a chronic musculoskeletal pain problem. Three stages of chronicity, defined by duration of pain, provided a proxy for the developmental process: <1 year (N=48), 1-3 years (N=47) and >3 years (N=89). Subjects completed questionnaires on fear of movement, catastrophizing, depression, pain and function. The results indicate that the relationship between fear of movement and function is moderated by the stage of chronicity. Regression analyses showed that fear of movement did not explain any variance in the group with pain duration <1 year. Fear of movement did explain variance in the groups with pain duration of 1-3 years and >3 years. This suggests that the time point in the development of a musculoskeletal pain problem might be an essential aspect of the importance of the relationship between psychological components and function.     

Content differences for abstract and concrete concepts

Concept properties are an integral part of theories of conceptual representation and processing. To date, little is known about conceptual properties of abstract concepts, such as idea. This experiment systematically compared the content of 18 abstract and 18 concrete concepts, using a feature generation task. Thirty-one participants listed characteristics of the concepts (i.e., item properties) or their relevant context (i.e., context properties). Abstract concepts had significantly fewer intrinsic item properties and more properties expressing subjective experiences than concrete concepts. Situation components generated for abstract and concrete concepts differed in kind, but not in number. Abstract concepts were predominantly related to social aspects of situations. Properties were significantly less specific for abstract than for concrete concepts. Thus, abstractness emerged as a function of several, both qualitative and quantitative, factors.     

Beziehung und Exposition

In the treatment of anxiety disorders both psychodynamic and behavioral therapeutic methods have proved successful. Linking the two methods in one treatment is usually avoided by therapists, although there is evidence for using such an approach. There is a lack of a regulatory framework for the integration of the various procedures. Taking anxiety treatment as an example, a contribution to such a regulatory framework is developed: the use of exposure (as a cognitive behavioral element) and the examination of the transference aspect of the therapeutic relationship by the therapist (as a psychodynamic element) are systematically placed in relation to each other, whereby the understanding of the therapeutic process is deepened.     

Character Strengths and Life Satisfaction in Later Life: an Analysis of Different Living Conditions

The aim of this study was to explore the role of character strengths and their associations to life satisfaction in older people. We were interested in studying several transitions that are specific for older people: aging, retirement, living alone, and being widowed. We examined the relationships of these demographic characteristics and living conditions with character strengths and studied their effects on the association of character strengths with life satisfaction. In a cross-sectional analysis, 15,598 older adults (aged 46–93 years) who had completed measures on character strengths, life satisfaction, and demographic characteristics and living conditions were selected from an existing database. Overall, analyses revealed positive associations of most character strengths with age, and higher scores in most character strengths for the employed (vs. the retired) and those living with a partner (vs. those living alone), while only few relationships with being widowed (vs. being married) were observed. Further, the contribution of character strengths to life satisfaction generally decreased slightly with age, but increased for certain character strengths, such as modesty or prudence. Also, stronger relationships between several character strengths and life satisfaction were found for retired people and those living alone, while being widowed did not affect these relationships. The results demonstrate how character strengths might contribute to the life satisfaction of older adults in various living conditions and thereby offer a starting point for strengths-based programs in later life.

     

How to test the threat-simulation theory

Malcolm-Smith, Solms, Turnbull and Tredoux [Malcolm-Smith, S., Solms, M.,Turnbull, O., & Tredoux, C. (2008). Threat in dreams: An adaptation? Consciousness and Cognition, 17, 1281-1291.] have made an attempt to test the Threat-Simulation Theory (TST), a theory offering an evolutionary psychological explanation for the function of dreaming [Revonsuo, A. (2000a). The reinterpretation of dreams: An evolutionary hypothesis of the function of dreaming. Behavioral and Brain Sciences, 23(6), 877-901]. Malcolm-Smith et al. argue that empirical evidence from their own study as well as from some other studies in the literature does not support the main predictions of the TST: that threatening events are frequent and overrepresented in dreams, that exposure to real threats activates the threat-simulation system, and that dream threats contain realistic rehearsals of threat avoidance responses. Other studies, including our own, have come up with results and conclusions that are in conflict with those of Malcolm-Smith et al. In this commentary, we provide an analysis of the sources of these disagreements, and their implications to the TST. Much of the disagreement seems to stem from differing interpretations of the theory and, consequently, of differing methods to test it.     

Psychological interventions for infertile patients: a review of existing research and A new comprehensive approach

The usefulness of psychological support for infertile patients has been highlighted in the literature over the past number of years. This article provides a review of existing research on psychological interventions for infertile patients, and presents the Fertility Group Intervention as an example of the application of existing research. There is clear empirical evidence of high levels of depressive symptoms, anxiety, and distress among infertile patients undergoing assisted reproductive treatment (ART). Infertile patients need and require increased psychological support. Various studies indicate the efficacy of psychological interventions for infertile patients with respect to their mental health and, in part, pregnancy rates. However, many such studies exhibit methodological problems. Therefore, in future research, additional studies of high‐quality design are needed to achieve more definitive answers on the efficacy and indication of psychological interventions for infertile patients. Currently, the Fertility Group Intervention represents a comprehensive therapeutic approach integrating established empirical and theoretical approaches with the aim of helping infertile patients – particularly those undergoing ART – cope with distress related to their infertility and medical treatment. This article further outlines the therapeutic background and structures, treatment goals, practical implications, and feasibility of the Fertility Group Intervention.     

Long-term stability in the Big Five personality traits in adulthood

This study investigated the stability of the Big Five personality traits in adulthood from age 33 to 42. Participants (89 men, 103 women) were drawn from the ongoing Jyväskylä Longitudinal Study of Personality and Social Development. The results showed that the mean‐level of Neuroticism decreased whereas the mean‐level of Extraversion, Openness to Experience, Agreeableness, and Conscientiousness increased from age 33 to 42. The Structural Equation Modeling analyses revealed both gender differences and similarities in the rank‐order stability of the Big Five: Neuroticism and Extraversion were more stable in men than in women, whereas Openness to Experience, Agreeableness, and Conscientiousness were as stable in men as in women. Stability coefficients for the Big Five personality traits across 9 years were moderate to high, ranging from 0.73 to 0.97 in men and from 0.65 to 0.95 in women. The highest gender‐equal stability was found for Openness to Experience and the lowest for Conscientiousness.     

Self-esteem,motivation and school attendance among sub-Saharan African girls: A self-determination theory perspective

Sub-Saharan samples are severely under-represented in the psychological literature. Taking an ecological approach, the current study examines key propositions derived from self-determination theory in a sample of adolescent girls in Mozambique. As a framework theory, self-determination theory consists of six sub-theories. We test the main premises of two of these theories: organismic integration theory and basic psychological need theory. In line with organismic integration theory, we assess the role of intrinsic, extrinsic, introjected and identified motivation for school attendance. We also test the possible moderating role of the ecological variable resource scarcity. The second part of the study focuses on the main premise of the basic psychological need sub-theory, which states that satisfaction of the needs for relatedness, competence and autonomy underlies intrinsic motivation, goal-directed behaviour (school attendance) and well-being (self-esteem). The study also assesses the moderation of resource scarcity in these relationships. Results provide support for both sub-theories of self-determination theory. Resource scarcity is not found to moderate the relationships between motivation and attendance or between need satisfaction and well-being, motivation and attendance. Implications for the universality claim of self-determination theory, as well as for the field of international development aid, are discussed.