Chronic pelvic pain: A meta-analytic review

Abstract

Chronic pelvic pain (CPP) in women of reproductive age is a common complaint; for many women no identifiable pathology can be found. Research has suggested that women who have chronic pelvic pain without obvious pathology differ on a range of psychological characteristics, such as anxiety and depression, compared with those with identified pathology. A meta-analysis of 22 studies was undertaken to clarify these issues. Results showed that there were no significant differences on a range of psychological variables between women who were identified, via laparoscopy and clinical judgement, as having organic disorders and those who were not so identified. When women with chronic pelvic pain were compared with pain-free groups a profile of elevated depression, anxiety, neuroticism and psychopathology was found which is consistent with findings from studies of other painful conditions.     

Predictors of needle-sharing behavior among IDUs entering treatment

Abstract

Public funded treatment intake data from 3905 injection drug users were analyzed to identify correlates of reported needle sharing. Respondents included all first admissions to treatment from July 1, 1988 to June 30, 1989 in the city and county of San Francisco. More previous experience in drug treatment predicted lower rates of needle sharing (OR = 0.85, 95% C.I.= 0.79 - 0.92). Young age, cocaine use and white or Hispanic ethnicity predicted higher rates of needle sharing. The finding that drug treatment reduces the frequency of needle sharing in this population has important policy implications; these data support the role of treatment availability in reducing the spread of HIV among injection drug users.     

Workplace Helping: Interactive Effects of Personality and Momentary Positive Affect

We investigated interactions between positive affect and personality (empathy and altruism) as predictors of workplace helping. We conducted an experience sampling study with 80 participants, each of whom completed personality instruments and responded to a maximum of 5 electronic surveys per day for 5 workdays. This approach allowed us to study relationships over time between momentary positive affect and workplace helping behavior. We found that affect's relationship with later helping depended on the personality trait of altruism. We also found evidence that the relationship was reciprocal—helping others lead to increased positive affect, but again the relationship depended on altruism.     

Effects of Verbal Processing on Psychiatric Patients’ Proactive Coping Skills Using Recreational Music Therapy

Psychiatric patients who are able to cope with life stressors and appropriately use leisure time are less likely to be rehospitalized. The purpose of this study was to examine how verbal processing of recreational music therapy affected psychiatric patients’ knowledge and use of coping and leisure skills. The researchers utilized a quasirandomized controlled design and collected data at pretest, immediately before discharge, and at one month postdischarge. The researchers isolated verbal processing within recreational music therapy sessions to determine if the verbal-processing component affected proactive coping and patients’ use of coping and leisure skills. Using the Proactive Coping Scale, the researchers measured patients’ proactive coping before and after attending recreational music therapy sessions. Results indicated no significant between-group differences in patients’ proactive coping scores. Difficulties conducting research in psychiatric settings, clinical implications, limitations, and suggestions for future research are discussed.     

Luck,Knowledge, and “Mere” Coincidence

There are good reasons for pursuing a theory of knowledge by way of understanding the connection between knowledge and luck. Not surprisingly, then, there has been a burgeoning of interest in “luck theories” of knowledge as well as in theories of luck in general. Unfortunately, “luck” proves to be as recalcitrant an analysandum as “knows.” While it is well worth pursuing a general theory of luck despite these difficulties, our theory of knowledge might be made more manageable if we could find a more restricted notion that captured the core phenomena of luck that are relevant to whether or not someone knows. This essay makes the attempt to delineate such a notion, called “mere coincidence.”     

Minimizing indexicality

I critically examine Cappelen and Lepore’s definition of and tests for indexicality, and refine them to improve their adequacy. Indexicals cannot be defined as expressions with different referents in different contexts unless linguistic meaning and circumstances of evaluation are held constant. I show that despite Cappelen and Lepore’s claim that there are only a handful of indexical expressions, their “basic set” includes a number of large and open classes, and generates an infinity of indexical phrases. And while the tests can be used effectively to combat contextualism concerning ‘knows’ and ‘actual,’ many expressions not in their basic set test positive for indexicality, including quantifier nouns, weather reports, and comparative adjectives. I rebut their claim that context-shifting arguments inevitably lead to radical contextualism, and that if there were any indexicals beyond their basic set, communication would be impossible.