Fibromyalgia: the role of sleep in affect and in negative event reactivity and recovery

OBJECTIVE: Fibromyalgia (FM) syndrome is a chronic pain condition characterized by diffuse muscle pain, increased negative mood, and sleep disturbance. Until recently, sleep disturbance in persons with FM has been modeled as the result of the disease process or its associated pain. The current study examined sleep disturbance (i.e., sleep duration and sleep quality) as a predictor of daily affect, stress reactivity, and stress recovery. DESIGN AND MEASURES: A hybrid of daily diary and ecological momentary assessment methodology was used to evaluate the psychosocial functioning of 89 women with FM. Participants recorded numeric ratings of pain, fatigue, and positive and negative affect 3 times throughout the day for 30 consecutive days. At the end of each day, participants completed daily diary records of positive and negative life events. In addition, participants reported on their sleep duration and sleep quality each morning. RESULTS: After accounting for the effects of positive events, negative events, and pain on daily affect scores, it was found that sleep duration and quality were prospectively related to affect and fatigue. Furthermore, the effects of inadequate sleep on negative affect were cumulative. In addition, an inadequate amount of sleep prevented affective recovery from days with a high number of negative events. CONCLUSIONS: These results lend support to the hypothesis that sleep is a component of allostatic load and has an upstream role in daily functioning.     

Suicidal Behaviors in Surviving Monozygotic and Dizygotic Co‐Twins: Is the Nature of the Co‐Twin's Cause of Death a Factor?

Genetically informative samples can address hereditary and experiential influences on suicide‐related behaviors. The frequency of suicide‐related behaviors was compared in twins from two survivor groups: (1) those whose co‐twins' deaths were suicides (monozygotic [MZ]: n = 47; dizygotic [DZ]: n = 31), and (2) those whose co‐twins' deaths were nonsuicides (MZ: n = 347; DZ: n = 170). The frequency of suicide attempts among suicide survivors was significantly higher in MZ than DZ twins, while the frequency of suicide attempts among nonsuicide twin survivors did not differ between MZ and DZ twins. Twin concordance for suicide attempts more likely reflects a genetic predisposition than a behavioral reaction to the loss.     

Depression screening and treatment among uninsured populations in Primary Care

Uninsured populations have poor treatment engagement and are less likely to receive evidence-based interventions for depression. The objective of the current study was to retrospectively examine depression screening, diagnosis, and treatment patterns among uninsured patients in primary care. Study sample included all patients (N = 11,803) seen in nine community-based clinics. Key variables included depression screener and/or a depression diagnosis, anti-depressant initiation, behavioral health visits, and patient follow up measures. Treatment patterns from the subsample of patients diagnosed with depression were analyzed by collecting the number of behavioral health visits and antidepressant use six months (180 days) following the diagnosis. Utilization of the depression screening tool was high (67%, n = 7,935) and 24% (n = 2,789) of the patients had a diagnosis of depression, however, more than half of the patients with a depression diagnosis did not have a recorded treatment plan (n = 1,474). The odds of anti-depressant use and behavioral visits for Hispanic patients were significantly greater than for Non-Hispanic patients. Universal screening with brief measures in primary care is improving, however, guideline-concordant depression treatment remains elusive for uninsured populations.     

Mothers and fathers and mothers and babies: Interrelationship among relationships

The relationship between perceived marital satisfaction and early mother-infant interaction was investigated. Seventeen mothers and their three-day-old infants served as subjects. Dyads were observed via a modified time-sampling technique during a hospital feeding session. Then mothers completed a questionnaire concerning their perceptions of the marital relationship. Correlational analyses revealed a significant covariance of positive perceptions of the expressive aspects of the marital relationship and heightened social interaction for mother and infant. An interrelationship was observed between mother-neonate social-visual communication and maternal reports of planned pregnancies, time spent talking with spouse, general ratings of “getting along with spouse,” and positive overall evaluations of the material relationship. Also observed was the interrelationship of mother holding infant away from close bodily contact with reports of decreased love felt toward spouse, less optimal perceptions of ease of emotional expression and spousal interest in maternal daily activities, and less optimal overall ratings of the relationship. Implications of the results and the need for further research are discussed.     

Hostile masculinity,sexual aggresion,and gender-biased domineeringness in conversations

This study assessed the ability of certain variables to predict which men would be more domineering in conversations with a woman and/or with a man. The variables included men's self-reported sexually aggressive behavior and several components comprising a personality profile labeled “Hostile Masculinity.” As expected, these variables successfully predicted domineering behavior toward the female but not toward the male. These findings supported theories hypothesizing that men's desire to control women and men's antisocial behavior toward them are due to specific rather than to general factors (i. e., evolutionary and feminist theorizing). © 1994 Wiley-Liss, Inc.     

Sex and genes,part 2: A biopsychosocial approach to assess and treat challenging sexual behavior in persons with intellectual disabilities including fragile X syndrome and 22q11.2 deletion syndrome

Individuals with intellectual disabilities (IDs) – and specifically those with genetic disorders – are more prone to medical and psychological challenges that affect their sexual development, experiences, and fertility. In this review paper we first provide an overview of the biopsychosocial (BPS) model and then explain how the model can guide and improve the assessment and treatment of challenging sexual behaviors by persons with IDs. We discuss two genetic conditions – fragile X syndrome and 22q11.2 deletion syndrome – in case studies, showing how the BPS model can be used to assess and treat the sexual problems of individuals with various types of ID. We conclude with BPS-formulated treatment considerations in three key domains: biomedical treatment (e.g., medication side effects; stopping or changing medications), psychological treatment (e.g., providing psychological therapies), and socio-environmental interventions (e.g., providing socio-sexual education and staff training). Together, these treatment interventions can aid clinicians to prevent and/or treat problematic sexual behaviors of people with IDs.     

An update on the study of playfulness in adolescents: its relationship with academic performance,well-being,anxiety, and roles in bullying-type-situations

Playfulness is an individual differences variable at the trait-level. It describes the ability to experience or (re)frame everyday situations as stimulating, interesting, and/or entertaining. Playfulness in adolescents is understudied. We collected self-report data on four facets of playfulness (other-directed, lighthearted, intellectual, and whimsical) in two German-speaking samples of adolescents (N1 = 210, N2 = 270; age range 13–18 years). The facets correlated positively, but to varying degrees with life satisfaction (social life, self, friends) and intrinsic goals. There was no relationship with self-reported school grades and achievement goals (Sample 1). Playfulness in girls was associated with peer-nominated (classmates) bullying behaviors and victimization status (Sample 2). Overall, the findings show that playfulness has an impact on various domains of the life of adolescents. We discuss directions for further research in the field.