Hot flashes and panic attacks: a comparison of symptomatology, neurobiology, treatment, and a role for cognition

Despite decades of research, the causal mechanisms of hot flashes are not adequately understood, and a biopsychosocial perspective on hot flashes remains underdeveloped. This article explores overlooked parallels between hot flashes and panic attacks within 5 areas: course and symptomatology, physiological indicators, neurocircuitry and biochemical mechanisms, pharmacotherapy, and psychological treatment, noting both similarities and important differences between the 2 events. An integrative conceptual model is presented that identifies key ways in which psychological factors may influence the experience of hot flashes, with clinical implications and areas of future research. This model yields readily testable hypotheses and may provide a template for exploring the role of cognition in the frequency and severity of hot flashes and, in turn, a basis for the development of nonpharmacological treatments.     

Impulsivity as a predictor of newly diagnosed depression

Depression is a severe mental disorder, whose onset has been related to environmental, genetic and personality factors. This study examined the association between impulsivity and incidence of depression. Logistic regression models were related to prospective data from two surveys (2-year time lag) conducted in a large cohort of hospital employees (N= 4,505). Only respondents with no history of depression at baseline were included. Impulsivity was predictive of the onset of depression (OR = 1.95, CI 95%= 1.28-2.97) after adjustment for age, sex and education. This association remained statistically significant after additional adjustment for a variety of baseline characteristics, such as smoking, alcohol consumption, and size of social network. A measure of mental distress (GHQ-12 responses), which may serve as a proxy measure for undiagnosed depression, was also associated with impulsivity. Impulsivity appears to be a distinct personality factor that may contribute to the onset of depressive illness in adults.     

Producing Solidarity,Inequality and Exclusion Through Insurance

Res Publica - The article presents two main arguments. First, we claim that in contemporary societies, insurance enacts peculiar kinds of solidarities as well as inequality and exclusion....     

Development of social problem‐solving strategies and changes in aggressive behavior: A 7‐year follow‐up from childhood to late adolescence

The aim of this study was to predict a stability of aggressive behavior on the basis of social problem‐solving strategies. Subjects were a total of 120 children, but complete follow‐up data were available only in 47 cases. Their aggressive behaviors were peer rated, and problem‐solving strategies were assessed in childhood subjects being 10 years on average, and 7 years later. Association between a development of social strategies and changes in aggressive behavior was studied with personality‐oriented pattern analyses. The main finding was that a development of strategies predicted a stability or changes of aggressive behavior very well. Aggressive strategies, both in childhood and in adolescence, as well as a lack of constructive alternatives characterized permanently aggressive subjects. Turning from nonaggressive to aggressive behavior was also explained by aggressive problem‐solving strategies, while a positive development, i.e., turning from childhood aggressive to adolescent nonaggressive behavior, was possible only if a person had never used aggressive strategies. Agreement between behavior and strategies was higher among girls. The findings supported a claim that intervention of aggressive behavior may be possible by modifying social strategies. Aggr. Behav. 25:269–279, 1999. © 1999 Wiley‐Liss, Inc.     

Family context of infantile colic

Psychological factors in families with a colicky baby were studied. A total of 59 families who had enrolled on the basis of information received at the postpartum wards in the city of Turku, Finland, were included in this study. In addition, 58 families with age-matched infants were selected as a control group. These families kept a diary of the infant's crying. Thirty-six infants fulfilled the criteria for severe colic. Twenty-three families with a baby who cried excessively but did not fulfill the criteria were defined as the moderate colic group. A semistructured family interview was carried out to assess the structure, communcation patterns, functioning, and affective tone of the families. Mothers and fathers were younger in the moderate colic group compared with parents in the other groups. In the moderate colic families, the infant was more often the first child than in the control families. On the other hand, neither the infant's gender nor the education of the parents was related to infant's crying. Organized family structure and strong parental coalition were more often present in the severe colic and control groups than in the moderate colic group. Increased family chaos was noted in this group. The severe and moderate colic families had more enmeshed individual boundaries. Generational boundaries were enmeshed in the moderate colic families. Communication patterns did not differ between the groups. The families with a severely or moderately crying baby were less flexible, had decreased ability to cope with daily activities, and showed less energy and vitality than the control families. Both the severe and moderate colic families expressed more anxiety and conflict compared to the control families. In conclusion, an association between infantile colic and psychological characteristics of the family was found. Moreover, the families with a moderately colicky infant had specific psychological features that differed from both the control families and those with severely colicky infants.