Psychological distress in patients with chronic atrophic gastritis: the risk factors,protection factors,and cumulative effect

This study aimed to examine the psychological status among Chronic Atrophic Gastritis (CAG) patients and to find the cumulative effects of risk and protective factors. A sample of 101 CAG patients completed the investigation. Hierarchical linear regression was used to find risk and protective factors, and examine the cumulative effects in risk factor index (RFI) and protective factor index (PFI). Results showed that nine symptoms from SCL-90-R were severer among CAG patients than those in adult norm. Risk factors including positive family history of cancer and higher negative life events could predict higher GSI (β = 0.206, p = 0.023; β = 0.398, p < 0.001; R² = 0.203); more household resistant, positive coping and stronger resilience were protective factors and could predict GSI negatively (β = -0.188, p = 0.020; β = -0.350, p = 0.012; β = ?0.066, p = 0.621; R² = 0.190). The GSI was positively correlated with RFI (β = 0.338, p < 0.001; R² = 0.113) and negatively related to PFI (β = ?0.378, p < 0.001; R² = 0.133). In conclusion, CAG patients suffered from various psychological distress, and the protective factors should be enhanced cumulatively to protect against psychological distress.     

Body-image,quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample

The purpose of the current study was to assess the uniqueness of the condition of kidney transplant recipients in comparison to a sample of matching healthy peers in relation to body-image dissatisfaction and identification, quality of life and psychological distress. Participants were 45 kidney transplant recipients who were under follow-up care at a Transplant Unit of a major Medical Center, and a sample of 45 matching healthy peers. Measures were taken using self-report questionnaires [Body-Image Ideals Questionnaire (BIIQ), Body Identification Questionnaire (BIQ), Brief Symptoms Inventory (BSI), and the SF-12]. The major findings were the following: (i) kidney transplant recipients reported lower levels of quality of life and higher levels of PsD when compared to their healthy peers; (ii) no difference in body-image dissatisfaction was found between the two studied groups; (iii) significant correlations between body-image dissatisfaction quality of life and PsD were found only in the kidney transplant recipients. The kidney transplantation condition has a moderating effect in the association between body-image dissatisfaction PsD but not in the association between body-image dissatisfaction and quality of life; (iv) kidney transplant recipients experienced higher levels of body identification than did their healthy peers. Taken together, these findings highlight the unique condition of kidney transplant recipients, as well as the function that body-image plays within the self.     

It's better to give than to receive: Psychological need satisfaction mediating links between wasta (favouritism) and individuals' psychological distress

Wasta (i.e. the distribution of favours among family, friends and tribe; favouritism; nepotism) permeates numerous Middle Eastern cultures, representing a method of strengthening social ties and showing loyalty/generosity, but also representing one of the largest sources of corruption in Middle East. The current study investigated links between wasta and psychological distress in a survey of 1088 educators from Saudi Arabia. Drawing from the self‐determination theory (SDT) conceptual framework, Structural Equation Modeling analyses suggested that benefitting from wasta was linked to higher levels of psychological distress and those links were explained in part (i.e. mediated) by lower levels of autonomy, competency and relatedness. In contrast, providing wasta was associated with higher levels of need satisfaction and correspondingly lower levels of distress. Implications are discussed in terms of the SDT, discrimination and helping behaviour literatures.     

Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia

Fibromyalgia (FM ) is a chronic pain syndrome characterized by high levels of psychological distress and alexithymia, a personality disposition affecting emotional self‐awareness. The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of FM patients. To reach this aim, 153 FM patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of FM patients. Regarding coping strategies, FM patients reported higher scores on problem‐focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally‐oriented thinking factor of alexithymia significantly explained both problem‐ and emotion‐focused coping, while the difficulty‐describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in FM patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.     

Prediction of Posttraumatic Stress Disorder From Peritraumatic Dissociation and Distress Among Men and Women Victims of Violent Crimes

This prospective study evaluated the main and interactive effects of peritraumatic reactions with gender on posttraumatic stress disorder (PTSD) onset, independently of known risk factors. Further, 111 adult victims of violent crime completed the Structured Clinical Interview, the Modified PTSD Symptom Scale, the Peritraumatic Dissociative Experience Questionnaire, and the Peritraumatic Distress Inventory. Hierarchical regressions and chi-square tests were conducted for continuous and categorical measures of PTSD. Extremely elevated scores of peritraumatic dissociation (PD) and peritraumatic distress (PDI) were obtained for both sexes. Greater PDI and PD were related to more PTSD symptoms. No significant interaction effects with gender emerged. These results remained when acute stress disorder was controlled for. Analyses on categorical data produced similar results. Victims of violent crimes recall severe peritraumatic reactions. The more severe these are, the more likely they are to develop significant PTSD symptomatology in the months that follow.     

Taxonomy of Psychological and Social Disturbances in Survivors of Group Psychological Abuse

The purpose of this study was to delimit the psychological and social disturbances that individuals who have suffered psychological abuse within a social group on an ongoing basis can experience. A comprehensive classification of these disturbances was developed based on a review of the scientific literature. Its content was revised by an international panel of 38 experts on the topic. Experts also judged the frequency and intensity with which each disturbance is commonly experienced by survivors of abusive groups. The taxonomy, which includes 20 components classified into four main categories, showed adequate content validity. The components considered the most frequent and intense were related to emotional difficulties, followed by those associated with relational and social integration difficulties, cognitive difficulties, and, finally, other specific problematic behaviors. Operationalizing and classifying the specific psychological and social disturbances commonly experienced by survivors of abusive groups contributes to a better delimitation of the phenomenon. Likewise, it contributes to the understanding of the long-term effects of psychological abuse, which is useful in both the academic and clinical settings.     

Exploring and integrating discrete and dimensional approaches while inducing negative emotional states

Selecting visual stimuli for inducing specific emotional states is very challenging, since the choice relies on specific conceptualization of emotions. In this work, we present a set of 55 stimuli, realized integrating discrete and dimensional theories of emotions, and specifically selected to investigate anger, fear, and disgust reactions in non-clinical and clinical contexts. Our set of stimuli presents several aspects of novelty since (1) a large and heterogeneous sample of subjects from the general population was involved in the labelling task, and (2) bivariate and multivariate statistical techniques were applied to integrate emotion models. The proposed set of stimuli could be useful for researchers and other professionals in the affective sciences to address negative emotion recognition issues within a broader perspective both in general population and in psychiatric samples. The obtained comprehensive characterization of the stimuli allowed us to confirm the sexual dimorphism in emotional processing.     

L’évolution des facteurs prédictifs de la détresse psychologique des étudiants en contexte de Covid-19 : un modèle d’équation structurelle exploratoire

IntroductionStudents are at risk for mental health issues due to the COVID-19 pandemic. The implementation of lockdowns as a means to curb the spread of the disease have had an impact on this population, as observed in many international studies. However, few studies have investigated the longitudinal impact of COVID-19 lockdowns on students’ mental health.ObjectiveWe explored the relation between individual characteristics of students, context of life, difficulties in emotion regulation and psychological distress over the first two lockdowns in France during the COVID-19 pandemic.Methodology160 university students (90% female, mean of 24 years old) responded to an online questionnaire at three times points: once during the first lockdown during the COVID-19 pandemic in march 2020, a second time after this lockdown and a third time during the second lockdown. Difficulties in emotion regulation, psychological distress, acute stress, academic concerns, financial resources, and exchanges with professors were measured.ResultsAn exploratory structural equations model was developed to investigate the factors related to psychological distress (χ² = 1459.18, df = 1064, CFI = 0.910, RMSEA = 0.049, SRMR = 0.068). During both lockdowns, psychological distress was explained by academic concerns and lack of emotional clarity and acceptance. An indirect and negative significant relation was identified between financial difficulties, lack of exchanges with professors during the first lockdown, emotion clarity and experienced psychological distress during the second lockdown. Repeated measures ANOVAs identified high levels of acute stress during both lockdowns and a diminution during the deconfinement indicating an impact of sanitary measures on student's mental health.ConclusionCoherently with the Bruchon-Sweiser translational model of stress, emotion regulation capacities seem to have a central and moderating role in the experience of the pandemic for students. They would benefit greatly from appropriate therapeutic interventions in this pandemic situation and in general.     

Racial Differences on the Conners Teacher Rating Scale

Factor congruence and mean differences on the Conners Teacher Rating Scale were assessed across African-American and Caucasian school children. Factor analyses conducted separately by gender revealed similar factors across races for males and females. The main differences in factor structure within gender were the presence of an Antisocial factor in black males and an Inattention factor in white females. Across both males and females, teachers tended to rate black children higher than white children on factors relating to externalizing behaviors. Whether mean differences are a result of teacher bias or actual behavioral differences in the classroom needs further research.