A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Childhood abuse and depressive vulnerability in clients with gender dysphoria

Background: Childhood abuse in the early lives of gender variant people has been under‐reported, although higher psychiatric morbidity, particularly depression and suicidality, than in the general population is more widely recognised. There are increasing numbers of people seeking advice and treatment for gender dysphoria (GD) some of whose experiences of depression and childhood abuse may be additional treatment considerations. Aim: To illuminate the issues relating to childhood abuse, depression and GD via case examples underpinned by a summary review of the relevant literature, for their combined relevance to therapeutic practice and service provision. Methods: A review of relevant online literature was conducted and two case examples were developed subsequently to capture the core review themes from a practice perspective. Results: Nine studies met the inclusion criteria. Gender variant children and adolescents may experience abuse by peers and teachers, as well as parents and caregivers. Emotional abuse and neglect may have more adverse consequences than more active forms of abuse. Conclusions: This is an under‐researched area, and inconsistencies of design, definition, measurement and controls were evident in the literature. While no clear association between depressive vulnerability and childhood abuse could be found, prevalence of such abuse was high. A case is made for clients with GD to have the opportunity to explore the influence and meaning of their adverse childhood experiences on their social and psychological development, and for additional training and education for practitioners.     

Performance in a substitution task and state anxiety following yoga in army recruits

140 men (M age = 30.3 yr., SD = 5.7) from the Indian army in north India participated in the study. They were naive to yoga and were assigned to yoga and breath awareness groups randomly, with 70 in each group. 20 healthy males of comparable age (M age = 33.7 yr., SD = 7.0) formed a comparison group. Their performance in a digit-letter substitution task and a state anxiety subscale was assessed immediately before and after two 45-min. sessions. The two groups of soldiers practiced either yoga or breath awareness. The comparison group listened to meditation music. Digit-letter substitution scores increased in both groups of army personnel and in the comparison group. State anxiety decreased after yoga and listening to meditation music, but not after breath awareness. This suggests that even in army personnel naive to yoga, a yoga-based intervention or listening to meditation music could reduce anxiety while increasing performance on an attention task.     

Influence of value predispositions,interpersonal contact,and mediated exposure on public attitudes toward homosexuals in Singapore

This national survey tracks changes in Singaporeans' attitudes toward lesbians and gay men (ATLG) and examines value predispositions, interpersonal contact, and mediated exposure as predictors of ATLG and acceptance of homosexuals. The study replicates and extends research done previously and addresses temporal shifts in values and views. Findings indicate that the relatively small positive change in ATLG from 2005 to 2010 was mainly due to values and demographic factors. The addition of several new predictive variables increased the variance explained for why people hold certain ATLG and their acceptance. Conformity to norms, intrinsic religiosity, Western orientation, interpersonal contact, and mediated exposure were significantly associated with both ATLG and acceptance of homosexuals. Perception of homosexuality as a choice was significantly associated with ATLG but not with acceptance of homosexuals. Asian orientation and extrinsic religiosity showed no significant association with either dependent variable. The findings are discussed in the context of a multicultural Asian society and future directions for research.     

Imaginary Companions in Childhood: Relations to Imagination Skills and Autobiographical Memory in Adults

The presence of a childhood imaginary companion (IC) has been proposed to reflect heightened imaginative abilities. This study hypothesized that adults who reported having a childhood IC would score higher on a task requiring the imaginative construction of visual scenes. Additionally, it was proposed that individuals who produced more vivid and detailed scenes would also report richer autobiographical memories, due to a shared reliance on imaginative abilities in construction and recollection. Sixty participants (20 with an IC), completed an adapted scene construction procedure and an autobiographical memory questionnaire. Participants reporting a childhood IC scored significantly higher on scene construction and rated themselves as more imaginative. Scene construction scores were also moderately related to the richness of autobiographical memories, although this was almost entirely due to scores on the thought/emotion/action component of scene construction. Autobiographical memory was unrelated to the presence of an IC. Implications for overlapping and dissociable aspects of imagination and memory are discussed.     

Interpersonal Judgments: Moral Responsibility and Blame

A deterministic perspective, believing choices are a function of hereditary and environmental factors, could theoretically impact perceived moral responsibility and lead to decreased blame in judging others. However, little consistent support has been found relating individual differences in deterministic attitudes to blame/tolerance for others. Perhaps, though, providing information regarding past background hardships affecting an individual's current lifestyle could potentially mediate harsh moralistic judgments of that individual. In the two studies reported here, we further explored the relation of free will/determinism scales to attitudes toward others as well as the effect of manipulating background information on the assignment of blame. As in previous research, little support was found for the relation of deterministic attitudes to tolerance toward others. However, judgments following manipulated information about hypothetical target persons supported the conclusion that target individuals are blamed less and given more sympathy if more information related to previous hardships is provided. In addition, in the second study perceived similarity to a target individual was associated with decreased blame/greater sympathy for a target with alcohol abuse problems.     

Ethnicity and the ethic of caring in african american families

Abstract

Several important demographic and economic factors have led to the shift in medical caregiving work from health care professionals to family members, primarily women. The growth in family caregiving has spawned numerous studies on how caring for the sick affects unpaid family caregivers. While caregiving work can be gratifying, most studies have focused on the negative effects, such as its adverse impact on the health and employment of caregivers. Only recently have we begun to expand this literature by examining the impact of ethnicity, specifically culture, on family caregiving. This study argues that African American families have retained specific cultural values and developed family systems which may lessen the negative impact of caregiving on families.     

Network and mutual support for parents bereaved following the violent deaths of their 12- to 28-year-old children: A longitudinal,prospective analysis

Abstract

Social support provided by bereaved parents' networks was examined in this study. Seven dimensions of support were assessed over time. Of special interest to the investigators were the types and frequency of posttreatment contacts among bereaved parents who participated in an experimental support program. The study compared those who reported high versus low social support and high versus low numbers of network confidants on selected outcome and coping variables. The authors recruited a community-based sample of 171 bereaved mothers and 90 bereaved fathers whose 12- to 28-year-old children had died by accident, suicide, or homicide 4 months previously. Parents were randomly assigned to a 12-week bereavement program or control group. It was expected that intervention group parents would report more social network in involvement and greater satisfaction with support received than control group parents. This hypothesis was only partially supported. Only 20% of the parents who participated in the bereavement program remained in contact after the experimental program ended. Finally, significant differences detected between parents who reported high and low support were minimal and not sustained over time. The number of network confidants did not significantly affect the outcomes examined. However, in general, those with more confidants reported lower symptoms. Additional studies are needed to address these complex issues.     

The dread factor: how hazards and safety training influence learning and performance

On the basis of hypotheses derived from social and experiential learning theories, we meta-analytically investigated how safety training and workplace hazards impact the development of safety knowledge and safety performance. The results were consistent with an expected interaction between the level of engagement of safety training and hazardous event/exposure severity in the promotion of safety knowledge and performance. For safety knowledge and safety performance, highly engaging training was considerably more effective than less engaging training when hazardous event/exposure severity was high, whereas highly and less engaging training had comparable levels of effectiveness when hazardous event/exposure severity was low. Implications of these findings for theory testing and incorporating information on objective risk into workplace safety research and practice are discussed.