Negative affect and 24-hour ambulatory physiological recordings as predictors of spontaneous improvement of medically unexplained symptoms

The predictive value for spontaneous improvement in individuals suffering from medically unexplained symptoms (MUS) was explored of (1) anxiety and depression obtained from questionnaires, (2) negative affective states obtained from experience-sampling, and (3) ambulatory-assessed real-life physiological recordings. Sixty-seven individuals with MUS and 61 healthy controls were included. Twenty-four hour ambulatory recordings of cardiac autonomic activity, respiration, end-tidal CO(2) and saliva cortisol were combined with experience-sampling of somatic complaints and mood. Complaints were assessed again after one year. Although a reduction in symptoms (25%) was found, this could not be predicted from initial anxiety and depression. Improvement was somewhat related to relatively low diary reports of fatigue, especially in the late-afternoon and evening (3% variance explained). From the physiological measures only relatively high PetCO(2) values in the morning predicted improvement (5% explained). It was concluded that spontaneous recovery from MUS is hard to predict from self-reported distress and ambulatory physiological recordings.     

Concurrent Evaluation of Career Indecision and Indecisiveness

Career indecision is reconceptualized as a complex, multidimensional problem composed of an undecided state and an indecisive trait.     

NOTES AND COMMENTS Philosopical Periodicals in Russia Today (Mid-1995)

Studies in East European Thought -     

Degrading situations and antisocial behaviour: an experimental approach to delinquency

What are the social psychological processes likely to lead individuals to commit antisocial behaviour? Two experiments are presented showing that students experiencing a publicly degrading situation (a failure on a fictitious test) agreed more often than non-degraded students to participate in a theft to the detriment of a fellow student or even to the detriment of a teacher. We were able to exclude an interpretation in terms of imitation or revenge and suggest that a publicly degrading situation places subjects in a kind of social dependency state which is expressed by a vulnerability to influence. These results are discussed with due regard to the criminological and social psychological literature.