The effect of hypnosis therapy on the symptoms and disease activity in Rheumatoid Arthritis

Abstract

The present study aimed to assess the effectiveness of clinical hypnosis on the symptoms and disease activity of Rheumatoid Arthritis (RA). Sixty six RA patients participated in a controlled group design. Twenty six patients learnt the hypnosis intervention, 20 patients were in a relaxation control group and 20 patients were in a waiting-list control group. During hypnosis, patients developed individual visual imagery aimed at reducing the autoimmune activity underlying the RA and at reducing the symptoms of joint pain, swelling and stiffness. Subjective assessments of symptom severity and body and joint function, using standardised questionnaires and visual analogue scales, were obtained. Objective measures of disease activity via multiple blood samples during the therapy period and at the two follow-ups were also taken. These measurements were of erythrocyte sedimentation rate. C-reactive protein, haemoglobin and leukocyte total numbers. Results indicate that the hypnosis therapy produced more significant improvements in both the subjective and objective measurements. above relaxation and medication. Improvements were also found to be of clinical significance and became even more significant when patients practised the hypnosis regularly during the follow-up periods.     

Sex differences in verbal fluency: the role of strategies and instructions

Sex differences in verbal fluency performance and strategies are highly controversial, nevertheless suggesting a slight female advantage at least for phonemic fluency. A tendency of increased clustering of words into phonemic and semantic subcategories in men and increased switching between those categories in women has been suggested. In spatial tasks, it has been demonstrated that changes in instructions favoring a certain cognitive strategy can alter sex differences in performance. Such an approach has, however, not been attempted previously with verbal tasks. In the present investigation, 19 women in their luteal cycle phase and 23 men performed a phonemic and a semantic fluency task with three different instructions, one neutral, one emphasizing the clustering, and one emphasizing the switching of words. While under neutral instructions no sex differences were observed in verbal fluency performance and strategies, sex differences in switching and overall performance were observed in semantic fluency with an instruction requiring a switching strategy. Furthermore, correlation analyses suggested that the importance of strategies for overall performance differed between women and men. While only switching, but not clustering was related to overall verbal fluency performance in all tasks under all instructions, this relationship was driven by women in the phonemic task, but by men in the semantic task. These results highlight the importance of a consistent methodology in sex difference research. Slight variations in instructions may in part explain inconsistencies regarding sex differences in verbal fluency between previous studies.     

Acculturation Among Three Racial/Ethnic Groups of Host and Immigrant Adolescents

This study compares Latino host, Latino immigrant, Asian-American host, Asian-American immigrant and European-American host groups of adolescents with respect to four acculturation-related variables: ethnic identity exploration, ethnic identity affirmation/belonging, outgroup orientation, and American identity. Using the five ethno-generational categories as a grouping variable, we conducted analyses of 313 survey responses to the acculturation items at two time periods, 9 weeks apart. Results showed that differences among the three host racial/ethnic groups can best be explained by a group dominance perspective, whereby the two racial/ethnic minority groups are more similar to each other than they are to the European-American group. Furthermore, the relationship between American identity and ethnic identity components is stronger among the three host groups, as compared to the immigrant groups. Implications for future research with adolescent members of the host group whose heritage culture is non-European are drawn.     

Teacher stress: An eight-year follow-up study on teachers' work,stress, and health

Abstract

The purpose of this study was to compare teacher stress between the years 1983 and 1991. Seventy teachers in comprehensive and upper secondary schools participated in the study. The teachers were studied first during the school year 1983–84 and again eight years later during the autumn term of 1991 by means of repeated questionnaires. During this 8-year period the general working situation among the teachers had remained quite stable: Most of them had remained at the same school teaching the same subjects at the same level. The results showed a drop in the teachers' well-being over the period. In particular, those over 55 years of age showed more emotional stress reactions in 1991 than eight years earlier. Furthermore, they evaluated their social relations with pupils as worse in 1991 compared to 1983. A half both of those with low emotional stress reactions and those high in them in 1983 were stilll in the same categories in 1991. Emotional stress reactions were reflected in simultaneous work ability and psychosomatic health data. Moreover, long-term stress was seen to lead to various psychosomatic complaints, but these were not reflected in self-rated health status. The results suggest that teacher stress is not necessarily a short-lived problem, and ways of preventing or reducing stress (e.g. continuing education, counseling, co-operation) should be employed.     

Self-esteem: An antecedent or a consequence of social support and psychosomatic symptoms? Cross-lagged associations in adulthood

This study investigated the relationships of self-esteem with social support and psychosomatic symptoms in cross-lagged longitudinal data with two measurement points and a time lag of 6 years. Two hundred thirteen participants were drawn from the ongoing Jyväskylä Longitudinal Study of Personality and Social Development, Finland. The present study focused on data collected by questionnaires at ages 36 and 42. The cross-lagged analyses of Structural Equation Modeling (SEM) indicated that high self-esteem at age 36 predicted high social support 6 years later and simultaneously, but to a lesser extent, high social support at age 36 predicted high self-esteem at age 42. In addition, low levels of psychosomatic symptoms at age 36 were associated with high self-esteem 6 years later, but not vice versa.     

Factors Associated with Providers’ Work Engagement and Burnout in Homeless Services: A Cross‐national Study

The complexity of homeless service users’ characteristics and the contextual challenges faced by services can make the experience of working with people in homelessness stressful and can put providers’ well‐being at risk. In the current study, we investigated the association between service characteristics (i.e., the availability of training and supervision and the capability‐fostering approach) and social service providers’ work engagement and burnout. The study involved 497 social service providers working in homeless services in eight different European countries (62% women; mean age = 40.73, SD = 10.45) and was part of the Horizon 2020 European study “Homelessness as Unfairness (HOME_EU).” Using hierarchical linear modeling (HLM), findings showed that the availability of training and supervision were positively associated with providers’ work engagement and negatively associated with burnout. However, results varied based on the perceived usefulness of the training and supervision provided within the service and the specific outcome considered. The most consistent finding was the association between the degree to which a service promotes users’ capabilities and all the aspects of providers’ well‐being analyzed. Results are discussed in relation to their implications for how configuration of homeless services can promote social service providers’ well‐being and high‐quality care.     

How Colleagues Can Support Each Other's Needs and Motivation: An Intervention on Employee Work Motivation

Organisations have flattened and increasingly rely on teamwork. Therefore, colleagues play an increasingly important role in stimulating employee motivation. Adopting Self‐Determination Theory as a guiding framework, the aim of this field experiment was to examine whether team members can be trained in supporting each other's basic psychological needs for autonomy, competence, and relatedness and, hence, increase each other's need satisfaction and autonomous motivation, while decreasing controlled motivation. We delivered training to 146 participants nested in 26 participating teams and assessed basic need satisfaction and autonomous and controlled motivation before and after the intervention. Multilevel regression analyses indicated that employees in the experimental (i.e. intervention) condition had a stronger increase in need satisfaction and autonomous motivation than employees did in the control condition, and that the increase in autonomous motivation was mediated by an increase in need satisfaction. This study provides added value for theory on need satisfaction and demonstrates that a relatively brief intervention among team members may be effective in creating employee need support and increasing autonomous motivation.     

A longitudinal person-centred approach to the job demands-control model

We used a longitudinal design and a person-centred methodology to test the strain and learning hypotheses of the job demands–control model among Finnish employees (n = 926), who were followed-up at three time points covering a period of 2 years (2008–2010). First, we identified longitudinal subgroups in demands and control across three measurement points. Second, we examined how these subgroups differed in strain (job exhaustion) and motivation-related outcomes (vigour at work, work–family enrichment). Growth mixture modelling revealed four subgroups: “stable high strain”, “stable low strain”, “increasing control”, and “decreasing control”. The stable high- and low-strain subgroups also differed in the outcomes studied (exhaustion, work–family enrichment) as suggested by the demands–control model. The findings also suggest that job control is subject to changes over time and that these changes are likely to be associated with changes in employee outcomes. Malleability of job control should be kept in mind in job stress interventions, likewise the fact that some employees suffer from chronic job stress.     

The Construct Validity of the Utrecht Work Engagement Scale: Multisample and Longitudinal Evidence

This study investigated the factor structure and factorial group and time invariance of the 17-item and 9-item versions of the Utrecht Work Engagement Scale (UWES; Schaufeli et al. (2002b) Journal of Happiness Studies 3:71–92). Furthermore, the study explored the rank-order stability of work engagement. The data were drawn from five different studies (N = 9,404), including a three-year longitudinal study (n = 2,555), utilizing five divergent occupational samples. Confirmatory factor analysis supported the hypothesized correlated three-factor structure—vigor, dedication, absorption—of both UWES scales. However, while the structure of the UWES-17 did not remain the same across the samples and time, the structure of the UWES-9 remained relatively unchanged. Thus, the UWES-9 has good construct validity and use of the 9-item version can be recommended in future research. Moreover, as hypothesized, Structural Equation Modeling showed high rank-order stabilities for the work engagement factors (between 0.82 and 0.86). Accordingly, work engagement seems to be a highly stable indicator of occupational well-being.