Evaluation of a psychological treatment for inflammatory bowel disease

Inflammatory bowel disease (IBD) encompasses two related gastrointestinal-tract diseases, ulcerative colitis (UC) and Crohn's Disease (CD). This study, a randomized controlled trial, compared the effectiveness of a multi-component behavioral treatment package (n = 11), which included IBD education, progressive muscle relaxation, thermal biofeedback, and training in use of cognitive coping strategies, to the effectiveness of symptom-monitoring (n = 10) as a control condition; 8 controls subsequently completed treatment. At posttreatment, the treatment group showed mean reductions on 5 symptoms, while the symptom monitoring controls showed mean reductions on all 8 symptoms. On a measure of Total Symptomatic change, the controls showed more improvement than the treated group; the treated controls at posttreatment, showed increases on all 8 symptoms. However, treated subjects perceived themselves as coping better with IBD, as feeling less IBD-related stress, and as experiencing less depression and anxiety. It is hypothesized that inherent differences may have existed between CD and UC subjects which could have led to the differences seen in treatment responses.     

Modifying social withdrawal in preschoolers: The effects of filmed modeling and teacher praise

Thirteen social isolates were selected from five nursery schools according to teacher ratings and behavioral samples obtained by trained observers. Half the subjects were randomly assigned to a modeling group and viewed a 23-minute film depicting appropriate social behavior in the nursery school. The remainder of the subjects viewed the same film, but also received 2 days of teacher praise contingent on the subject's peer interaction in his classroom. Modeling was inferred to successfully modify isolate behavior with or without praise. The modeling plus praise condition was not significantly different from modeling only for children's social interactions. General proximity response scores appeared to be detrimentally affected by the praise contingency during posttest assessment only. At followup, all subjects maintained or improved their posttest interaction scores.Gratitude is expressed to the administrators and teachers at the Jewish Community Center of Syracuse and the Syracuse University Cooperative Nursery School.     

Affect and delay of gratification

Three experiments investigated the influence of positive and negative affect manipulations on children's preferences for small immediate versus large delayed rewards. Positive and negative affect were induced via verbal instructions to imagine happy and sad experiences. Elementary school children were randomly assigned to a control condition or to one of several treatment conditions consisting of two affect manipulations: a positive followed by a negative, the reverse, and (in the third experiment) two positives or two negatives. In some conditions (in the second and third experiments) measurement of delayed reward preference followed the first and second affect inductions whereas in other conditions (in the second and third experiments) measurement followed only the second affect manipulation. As predicted, negative affect subjects chose fewer large delayed rewards than did positive affect subjects during the first assessment (p < .02). At the second assessment, comparison among treatment and control conditions revealed the influence of a prior commitment effect which negated the potential influence of a second affect manipulation on preference for delayed rewards.     

Soccer,rooms, and the quality of your life: Mood effects on judgments of satisfaction with life in general and with specific domains

Two studies on the impact of temporary moods on judgments of satisfaction with life in general and with specific life-domains are reported. It was hypothesized that individuals simplify the complex task of evaluating their life in general by referring to their mood at the time of judgment, but evaluate specific life-domains on the basis of domain-specific information. In accordance with this hypothesis, both studies demonstrated strong mood effects on judgments of general life-satisfaction but only weak and non-significant effects on judgments of specific domain-satisfactions. The findings are interpreted as supporting the hypothesis that affective states serve informative functions.     

New findings in the study of schizophrenia]

The paper gives a survey on the results of research on etiology and course of schizophrenia. The results of etiological research have not, as yet, progressed so far as to provide measures of primary prevention, whereas the results of research into the course of schizophrenia have already led to practical consequences for therapy resp. rehabilitation of schizophrenic patients. In future, with a decrease in the number of long-stay hospitalizations, the number of schizophrenic out-patients, resp. of prolonged periods of out-patient treatments will increase accordingly. Thus hitherto known influencing factors and treatment strategies will also be due to change. According to present knowledge, etiology, psychopathology, course and outcome of schizophrenia represent a very complex and variable, multifactorially initiated process, in which illness-related and environment-related factors concur. Drafts of new models and instruments for the assessment of this process and subsequent disabilities as well as methodological difficulties herewith are reported.     

Onkologisch Kranke als Patienten der psychotherapeutischen Praxis

Background

The high prevalence of cancer and the considerable psychological comorbidity is a challenge for psychotherapists. There are, however, relatively few patients in outpatient psychotherapy. Aim of the study was to survey outpatient psychotherapists concerning this issue and their attitudes towards the treatment of cancer patients.

Methods

All outpatient psychotherapists of an East-German city were surveyed using semi-structured interviews.

Methods

There are various reasons for the relatively rare visits of cancer patients in psychotherapeutic practices: For instance the subjective lack of specific competence, the fear of many psychotherapists to treat physically ill people, insufficient fitting of the relatively inflexible organization structure of psychotherapeutic settings with the vicissitudes of life among physically ill people, e.g. long waiting periods until the begin of treatment, furthermore the psychotherapeutic training focuses on psychosomatic and not so much on somatopsychic perspectives. A further problem is the widespread attitude about psychic causation of cancer, which is contradictory to scientific evidence.

Conclusions

Psychotherapists who want to treat cancer patients need specific and in-depth training in psychooncology.     

The role of anxiety and depression in the irritable bowel syndrome

Using a reliable and valid structured diagnostic interview scale (ADIS-R), and patients with careful medical characterization, we found significantly more diagnosable psychopathology, particularly anxiety disorders, among treatment seeking patients with irritable bowel syndrome than among comparable age and sex samples of treatment seeking patients with Inflammatory Bowel Disease. Significant differences were also found on the Hamilton Anxiety Rating Scale and Hamilton Rating Scale for Depression between IBS patients and the IBD patients and controls, who did not differ. Comparable levels of psychiatric disorder among parents of probands were found in all three groups. The results are consistent with Latimer's (1983) notion of IBS patients being a subclass of 'neurotics'.     

What's in a picture? The impact of face-ism on trait attribution

Previous research indicated a ‘face-ism’ bias in media depictions of men and women: me media tend to represent men with their faces, whereas women's depictions include larger parts of their bodies, rendering their faces less prominent. To explore the impact of facial prominence on impression formation, male and female subjects received either full-body or portrait-style photographs, made from the same negatives, of male and female stimulus persons of different likeability. Male and female subjects evaluated all stimulus persons as more competent (intelligent, assertive, ambitious, etc.) if presented with a high (portrait) rather than a low (full-body photograph) degree of facial prominence. This main effect of facial prominence was not qualified by interaction effects with any of the other variables. PIUS, the media's face-ism bias is likely to contribute to a perception of men as more competent than women. In addition, female but not male subjects also evaluated stimulus persons as more expressive and likeable under conditions of high facial prominence, reflecting a global positive effect of facial prominence.     

Effects of rank ordering stimuli on magnitude ratings of these and other stimuli

Five experiments investigated the effects of rank ordering stimuli on subsequent magnitude ratings of these and other stimuli. In Experiments 1 and 2, subjects first rank ordered environmental issues in terms of their importance. Ranking stimuli from “most” to “least” led to more extreme ratings than ranking them from “least” to “most,” regardless of whether the rating criterion was the same as or diametrically opposite to the ranking criterion. (For example, subjects who had previously ranked them beginning with the most important issue subsequently rated these issues not only as more important, but also as more trivial, than did subjects who had ranked them beginning with the least important.) These effects generalized to stimuli other than those that had previously been ranked, and generalized over stimulus domains. (For example, ratings of environmental issues were also affected by ranking the importance of attributes of a marriage partner.) Other experiments in the series circumscribed the conditions in which these effects occur. Results suggested that rank ordering stimuli leads subjects to adopt comparative standards, the use of which generalizes to subsequent magnitude rating tasks and produces an anchoring bias similar to that identified by A. Tversky and D. Kahneman (1974, Science (Washington, D.C.), 185, 1124–1131). Implications of these results for the cognitive processes that underlie social judgment are discussed.