Illness Perception and Well-Being Among Persons with Multiple Sclerosis and Their Caregivers

This study jointly examined illness beliefs held by persons with multiple sclerosis (PwMS) and caregivers in relation to well-being. A group of 68 PwMS and their caregivers completed the Revised Illness Perception Questionnaire, Psychological Well-being Scales, Satisfaction with Life Scale and Positive Affect and Negative Affect Schedule. Findings revealed that PwMS’ well-being was primarily predicted by their own illness beliefs, and that also caregivers’ well-being was primarily predicted by their own beliefs. Across the two groups, well-being was positively associated with their belief that they understood the disease, and inversely associated with their representations of negative emotions. In addition, among PwMS, well-being was inversely associated with the number of symptoms they specifically attributed to their illness, while among caregivers, well-being was positively associated with beliefs that treatment could control the disease. Based on the study findings, psychoeducational and cognitive-behavioral strategies are suggested to promote well-being among PwMS and caregivers.     

Efficiency and defense motivated ingroup projection: Sources of protoypicality in intergroup relations

Members of higher status groups generalize characteristics of their ingroup to superordinate categories that serve as a frame of reference for comparisons with outgroups (ingroup projection). We propose that the causal process depends on the security of the intergroup context: When intergroup relations are secure, projection derives from a motivation to represent the superordinate category efficiently; when they are insecure, projection is a defense motivated process. Accordingly, we hypothesized that inducing participants to use heuristic vs. systematic information processing (via time pressure, cognitive load, or thoughtfulness instructions) would have differential effects on ingroup projection in secure as compared to insecure intergroup relations. Three experiments manipulated security of the intergroup context and information processing mode in artificial (Studies 1 and 2) or natural (Study 3) groups. We found that time pressure increased ingroup projection in the secure-group condition but decreased it in the insecure-group condition (Study 1), cognitive load increased projection in the secure but not in the insecure condition (Study 2) and thoughtfulness instructions increased projection for high identifiers in the insecure but not in the secure condition (Study 3). Results support the hypothesis that ingroup projection occurs as a cognitive bias in secure intergroup relations but that it is socially motivated by the specific intergroup relation when this relation is insecure.     

Anger, Spiritual Meaning and Support from the Religious Community in Dementia Caregiving

This study explores the relationships between spiritual meaning and social support from the religious community and problem behaviors, anger and depression in 128 dementia caregivers. The results suggest a mediating role of anger in the relationship between the appraisal of problem behaviors and depression. Support from the religious community is directly and negatively associated with anger, but the relationship between spiritual meaning and anger is mediated by caregivers’ appraisals of problem behaviors, suggesting that spiritual beliefs might help caregivers to find meaning in caregiving experiences and thus appraise care recipients’ behavioral problems as less stressful.     

La terapia de conducta en el tratamiento de la anorexia nerviosa ¿eficaz o peligrosa?

RESUMEN

Por el peligro físico que supone y los delicados matices de sus alteraciones, la anorexia nerviosa constituye un verdadero reto para los procedimientos tradicionales en la práctica clínica. El uso reciente de técnicas de terapia de conducta se ha visto también contestado por su supuesta peligrosidad para las personas que padecen esta importante alteración. En este artículo se revisan los principios fundamentales que sustentan este tipo de terapia y sus implicaciones en la salud del enfermo. Al final del artículo se presenta un breve estudio de casos tratados con terapia conductual.     

Memory for emotional words: The role of semantic relatedness,encoding task and affective valence

Emotional stimuli have been repeatedly demonstrated to be better remembered than neutral ones. The aim of the present study was to test whether this advantage in memory is mainly produced by the affective content of the stimuli or it can be rather accounted for by factors such as semantic relatedness or type of encoding task. The valence of the stimuli (positive, negative and neutral words that could be either semantically related or unrelated) as well as the type of encoding task (focused on either familiarity or emotionality) was manipulated. The results revealed an advantage in memory for emotional words (either positive or negative) regardless of semantic relatedness. Importantly, this advantage was modulated by the encoding task, as it was reliable only in the task which focused on emotionality. These findings suggest that congruity with the dimension attended at encoding might contribute to the superiority in memory for emotional words, thus offering us a more complex picture of the underlying mechanisms behind the advantage for emotional information in memory.     

Young Tennis Players’ Competitive Task Involvement and Performance: The Role of Goal Orientations,Contextual Motivational Climate,And Coach-Initiated Motivational Climate

The purpose of this study was to examine the role of situational and dispositional factors in contributing to competitive task involvement and performance in young tennis players. One hundred fifty-one adolescent tennis players and their coaches participated in the study. Participants responded to instruments measuring pre-game dispositional goal orientations and perceptions of the motivational climate and post-game task involvement in the competition by assessing concentration, loss of self-consciousness, and autotelic experience, perceptions of coach-initiated motivational climate in competition, and self-evaluation of game performance. In addition, coaches evaluated the players’ performance. Results showed that task involvement was predicted by players’ perceptions of a coach-initiated learning motivational climate in competition. Loss of self-consciousness was predicted by the players’ perceptions of a coach-initiated performance climate in competition. Finally, coaches’ and players’ assessment of performance were predicted by autotelic experience, concentration, and by perception of coach-initiated learning and performance orientation in competition.     

Differences in negative life events between patients with anxiety disorders,depression and hypochondriasis

This study investigated whether some categories of adverse life events are differentially associated with specific types of emotional disorders. A life self-report measure of major life events was completed by 42 subjects with diagnoses of anxiety disorders, 46 subjects with major depression, 26 subjects with hypochondriasis and 73 nonclinical subjects (controls). As predicted, the onset of anxiety disorders, depression, and hypochondriasis appears to be differentially related with life stress of ‘threat’, ‘loss’, and ‘health’, respectively, previously experienced by the clinical subjects. Also, there were significant differences between clinical and nonclinical subjects on both perceived life stress and number of life events reported. Findings suggest a differential implication of psychosocial stress categories in particular emotional disorders (i.e., anxiety, depressive and hypochondriacal disorders). These results expand previous findings that have demonstrated an association between negative life events and psychopathology.     

Perception of the Ebbinghaus illusion in four-day-old domestic chicks (Gallus gallus)

In the Ebbinghaus size illusion, a central circle surrounded by small circles (inducers) appears bigger than an identical one surrounded by large inducers. Previous studies have failed to demonstrate sensitivity to this illusion in pigeons and baboons, leading to the conclusion that avian species (possibly also nonhuman primates) might lack the neural substrate necessary to perceive the Ebbinghaus illusion in a human-like fashion. Such a substrate may have been only recently evolved in the primate lineage. Here, we show that this illusion is perceived by 4-day-old domestic chicks. During rearing, chicks learnt, according to an observational-learning paradigm, to find food in proximity either of a big or of a small circle. Subjects were then tested with Ebbinghaus stimuli: two identical circles, one surrounded by larger and the other by smaller inducers. The percentage of approaches to the perceptually bigger target in animals reinforced on the bigger circle (and vice versa for the other group) was computed. Over four experiments, we demonstrated that chicks are reliably affected by the illusory display. Subjects reinforced on the small target choose the configuration with big inducers, in which the central target appears perceptually smaller; the opposite is true for subjects reinforced on the big target. This result has important implications for the evolutionary history of the neural substrate involved in the perception of the Ebbinghaus illusion.     

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Background/Objectives: Motivational Enhancement Treatment in Spanish (METS) is a brief intervention aimed at resolving patient ambivalence towards behavior change that has demonstrated efficacy in substance use disorder treatment to reduce use and increase treatment engagement in different populations. In order to have evidence for its implementation in Mexico, a multi-site, randomized, two-arm, controlled clinical trial was conducted at three outpatient addiction treatment centers in the country to compare the effect of METS with Counseling as Usual (CAU). Method: One hundred and twenty patients were randomized to receive three sessions of METS (n = 54) or CAU (n = 66) during the first four weeks of treatment and were assessed during the following 12 weeks. Primary outcome measures were self-reported days of substance use and of treatment services utilization, which were tested using Generalized Estimating Equations. Results: Results associated both conditions with significant changes in substance use over, whereas there were no differences between conditions in substance use or in service utilization. Conclusions: Findings do not support the hypothesis that METS is more effective than CAU, but suggest that brief interventions at treatment initiation may improve patient outcomes.