Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Symptoms of Exhaustion Syndrome (ES) and Chronic Fatigue Syndrome (CFS) are overlapping and create difficulties of differential diagnosis. Empirical studies comparing ES and CFS are scarce. This study aims to investigate if there are any emotional differences between ES and CFS. This cross‐sectional study compared self‐reported alexithymia and observer‐rated emotional awareness in patients with ES (n = 31), CFS (n = 38) and healthy controls (HC) (n = 30). Self‐reported alexithymia was measured with the Toronto Alexithymia Scale‐20 (TAS‐20) and emotional awareness with an observer‐rated performance test, the Level of Emotional Awareness Scale (LEAS). Additionally, depression and anxiety were scored by the Hospital Anxiety and Depression Scale (HADS). Results show that patients with ES expressed higher self‐reported alexithymia in the TAS‐20 compared to HC, but had similar emotional awareness capacity in the observer‐rated performance test, the LEAS. Patients with CFS expressed more difficulties in identifying emotions compared to HCs, and performed significantly worse in the LEAS‐total and spent more time completing the LEAS as compared to HC. Correlation and multiple regressions analyses revealed that depression and anxiety positively correlated with and explained part of the variances in alexithymia scores, while age and group explained the major part of the variance in LEAS. Findings of this study indicate that emotional status is different in patients with ES and CFS with respect to both self‐reported alexithymia and observer‐rated emotional awareness. Emotional parameters should be approached both in clinical investigation and psychotherapy for patients with ES and CFS.     

Tied to expectations: Predicting features speeds processing even under adverse circumstances

When participants predict the upcoming stimulus in a randomized choice reaction task, a match between prediction and stimulus increases processing speed at a level similar to that observed in cueing studies with highly valid cues. This might be taken to suggest that people cannot help but fully use their self-generated, verbalized predictions for preparing task processing. Thus, we tested how flexibly participants can control formation and implementation of predictions. In Experiment 1, we varied validity and response-relevance of predictions. We observed that prediction effects on RT can be boosted by increasing validity, but prevail under adverse circumstances. This was not the case in a control group who read rather than predicted the feature words, suggesting that the effect was specific to predictions as such. Experiment 2 provided further evidence for limited control of participants over implementing and forming predictions. Participants were provided with practice on stimuli occurring with varying frequency, but neither learned to strategically choose predictions to maximize the number of match trials, nor did they reduce the amount of prediction-based preparation when predicting an infrequent stimulus. As sequential aftereffects of prediction match did not vary with validity, they were identified as an independent effect of verbalizing a response-relevant stimulus feature. The results are consistent with the view that the predicted stimulus feature is represented in the focus of attention in working memory and that the amount of implementation can be subject to weighting.     

Neutralizations in Retail Banking: A Qualitative Analysis

This study seeks to examine neutralization theory’s generalizability to other white collar crime contexts and also seeks to address the question of whether certain techniques of neutralization are more likely with certain kinds of white collar crime or offenders. These objectives are achieved through a case study of active members of the retail banking industry. Results indicate that neutralization theory does generalize to the retail banking context. Results also show that neutralization techniques identified in this sample relate more to corporate rather than occupational crime. Findings have implications for theoretical development and also for methods to combat white collar deviance.     

Testing the Direction of Longitudinal Paths between Victimization,Peer Rejection,and Different Types of Internalizing Problems in Adolescence

The transition to secondary school is accompanied by the fragmentation of peer groups, while adolescents are also confronted with heightened incidents of bullying and increased levels of internalizing problems. Victimization, peer rejection, and internalizing problems are known to be interrelated, but how they influence each other over time remains unclear. We tested the direction of these associations by applying a cross-lagged path model among a large sample of Finnish adolescents (N = 5645; 49.1 % boys; M age at T1 = 14.0 years) after they transitioned to secondary school (grades 7–9). Self-reported depression, anxiety, and victimization and peer-reported rejection were measured 3 times over the course of 1 year. Results showed that depression was predictive of subsequent victimization for both boys and girls, in line with a symptoms-driven model; for girls, anxiety was reciprocally related to victimization, in line with a transactional model; for boys, victimization was related to subsequent anxiety, in line with an interpersonal risk model. Peer rejection was not directly related to depression or anxiety, but among girls peer rejection was bi-directionally related to victimization. Overall, our results suggest that associations between internalizing problems and peer relations differ between depression and anxiety and between genders. Implications for practice and directions for future research are discussed.     

Working mechanisms of a web-based self-management intervention for cancer survivors: a randomised controlled trial

Objective: The aim of this study was to investigate whether problem-solving skills and perceived personal control over cancer recovery mediated the intervention effects on depression and fatigue of a web-based computer-tailored intervention for cancer survivors – the Kanker Nazorg Wijzer (Cancer Aftercare Guide).

Design: Patients were recruited through 21 Dutch hospitals (November 2013–June 2014). The mediation model was tested in a randomised controlled trial with an intervention group (n = 231) and a waiting list control group (n = 231).

Main outcome measures: Hypothesised mediators problem-solving skills (SPSI-R) and personal control (IPQ-R) were measured at baseline and 3 months from baseline. Outcomes depression (HADS) and fatigue (CIS) were measured at baseline and 6 months from baseline.

Results: The intervention effects in decreasing depression and fatigue were mediated by personal control. Problem-solving skills did not mediate the intervention effects on depression and fatigue.

Conclusion: While personal control in the control group decreased in the first three months after baseline, levels of personal control within the intervention group were maintained. This effect partially explained the intervention effects on depression and fatigue. The results provide evidence for the relevance of addressing personal control in web-based interventions in order to improve psychosocial well-being in early cancer survivors.