The role of pain behaviour and family caregiver responses in the link between pain catastrophising and pain intensity: A moderated mediation model

Objectives: This study investigated the mediating role of pain behaviours in the association between pain catastrophising and pain intensity and explored the moderating role of family caregivers’ responses to pain in the link between pain behaviours and pain intensity.

Methods: The sample consisted of 154 chronic pain patients and their family caregivers. Patients completed questionnaires regarding pain intensity, pain catastrophising, pain behaviours and their caregivers’ responses to their pain. Family caregivers reported their responses to the patients’ pain.

Results: Pain catastrophising was associated with pain intensity (r = 0.37) and pain behaviours partly mediated this association. The positive association between pain behaviours and pain intensity was significant only if patients reported that their family caregivers showed high levels of solicitous (effect = .49) and distracting responses (effect = .58), and if caregivers reported to show high levels of solicitous responses (effect = .51). No support was found for negative responses as a moderator neither based on patients’ perception of negative responses nor based on caregivers’ perception of negative responses.

Conclusions: The findings are in line with the idea that family caregivers’ solicitous and distracting responses convey to patients that their condition is serious, which may reinforce patients’ pain and pain behaviours, especially in those who catastrophise.     

How do guide dogs of blind owners and pet dogs of sighted owners (<Emphasis Type="Italic">Canis familiaris</Emphasis>) ask their owners for food?

Although there are some indications that dogs (Canis familiaris) use the eyes of humans as a cue during human-dog interactions, the exact conditions under which this holds true are unclear. Analysing whether the interactive modalities of guide dogs and pet dogs differ when they interact with their blind, and sighted owners, respectively, is one way to tackle this problem; more specifically, it allows examining the effect of the visual status of the owner. The interactive behaviours of dogs were recorded when the dogs were prevented from accessing food that they had previously learned to access. A novel audible behaviour was observed: dogs licked their mouths sonorously. Data analyses showed that the guide dogs performed this behaviour longer and more frequently than the pet dogs; seven of the nine guide dogs and two of the nine pet dogs displayed this behaviour. However, gazing at the container where the food was and gazing at the owner (with or without sonorous mouth licking), gaze alternation between the container and the owner, vocalisation and contact with the owner did not differ between groups. Together, the results suggest that there is no overall distinction between guide and pet dogs in exploratory, learning and motivational behaviours and in their understanding of their owner's attentional state, i.e. guide dogs do not understand that their owner cannot see (them). However, results show that guide dogs are subject to incidental learning and suggest that they supplemented their way to trigger their owners' attention with a new distal cue.     

Expected consequences of anger‐related behaviours

In a study with 140 participants (66 men, 74 women), we investigated behaviour outcome expectancies (cognitive, affective and relational) regarding a broad group of anger‐related behaviours (e.g. hit someone, run away). Results of a three‐mode component analysis indicated that behaviour outcome expectancies vary considerably, depending on the behaviour (aggressive versus nonaggressive ones), the consequence (consequences related to the self versus consequences for the anger) and the individual. The findings are discussed in the context of catharsis theory, emotion regulation and functionalistic accounts of emotion‐related behaviour. Copyright © 2006 John Wiley & Sons, Ltd.     

Changes in externalizing and internalizing behaviours over a school‐year: differences between 6‐year‐old boys and girls

The purpose of this study was to investigate changes in externalizing and internalizing problem behaviours in 6‐year‐olds with a focus on sex differences. Teachers rated problem behaviours at the beginning and at the end of the school year, 8 months apart, in 370 children (197 boys and 173 girls) attending 22 school preparatory classrooms. Although the majority of the children were quite stable, considerable negative and positive changes for both boys and girls in problem behaviours were found. The results showed that girls were more likely to change their externalizing behaviours in a positive direction than boys, whereas a tendency to the opposite pattern was found for internalizing behaviours. Boys were also found to be more prone to a negative change in problem behaviours of both types than girls were. Copyright © 2006 John Wiley & Sons, Ltd.     

Individual differences in trait urgency moderate the role of the affect heuristic in adolescent binge drinking

This study investigated the roles of the affect heuristic and outcome beliefs in explaining the relationship between negative urgency and adolescent binge drinking behaviour. The sample consisted of 391 Australian high school students, who were selected to be low or high on urgency. We hypothesised that highly urgent adolescents would be more likely than adolescents low in urgency to utilise the affect heuristic (i.e., to rely upon affective input) when making alcohol-related decisions. Multiple-group path analysis supported this prediction. Adolescents high in urgency exhibited greater use of the affect heuristic by displaying a direct path from affective associations to binge drinking; whereas adolescents low in urgency exhibited greater reliance upon rational processing by displaying an indirect path via outcome beliefs.     

Life stories managing chronic illness: Young adults’ lived experiences with type 1 diabetes

This study aimed to characterise diabetes management experiences of South African young adults living with well-controlled type 1 diabetes (n = 8, female = 5, male = 3, age range = 20–25). The young adults told life stories managing their type 1 diabetes. Thematic analysis revealed the young adults to construct personal identities as people living with type 1 diabetes, to mostly utilise emotion-focused management strategies and social support for successful living with type 1 diabetes. Behavioural health strategies appear important for living well with this chronic insulin deficiency condition.     

An investigation of monitoring for sleep-related threat in primary insomnia

In Study 1, individuals with primary insomnia (n=32) and good sleepers (n=38), recruited from a university population, completed a semi-structured interview. The interview assessed monitoring for sleep-related threat, negative thoughts and safety behaviours, at night and during the day. Compared to good sleepers, individuals with insomnia reported more frequent monitoring at night and during the day, more negative thoughts associated with monitoring at night and during the day, and the use of more safety behaviours associated with monitoring at night. A path analysis showed that the total monitoring frequency was significantly positively related to the score for total negative thoughts, which in turn, was significantly positively related to the total number of safety behaviours used. Study 2 aimed to test the generalisability of these findings in a clinical sample of individuals with primary insomnia (n=23). The results indicated that the clinical sample also engaged in monitoring for sleep-related threat, experienced negative thoughts and used safety behaviours. Further, more severe insomnia was associated with more negative thoughts and the use of more safety behaviours associated with monitoring at night. Together, these results are consistent with the proposal that monitoring for sleep-related threat functions to maintain insomnia by triggering negative thoughts and the use of safety behaviours. Future research is required to verify the proposed causal status of monitoring, using prospective designs and experimental manipulations.     

The differential impact on carers dealing with clients with challenging behaviours

This study addresses the effects of organizational culture on the ways in which carers in small community homes cope with clients with challenging behaviours. Results indicated that carers socialized in a traditional setting (i.e. large institutions) responded to challenging behaviours by becoming more negative in their attitudes towards clients. Strain levels in carers socialized in the Social Services were related directly to client challenging behaviours, and unrelated to their attitudes which remained positive.     

Infant food refusal and parental social support

The purpose of this study was to examine the relations between various aspects of social support and maternal and infant outcome variables in a group of families having infants showing food refusal compared to a control group. In the case of early food refusal, the results indicated that access to emotional support and satisfaction with support were related to maternal psychosomatic health. The relationships were interpreted as showing that social support has moderating effects on negative outcomes of food refusal.     

Early interactions and the socioemotional development of deaf infants

Studies of the early face-to-face interactions and later attachment behaviours between infants and their caregivers are reviewed, with a particular focus on implications for deaf infants. Since the majority of deaf infants are born to hearing parents, it is to be expected that many parental responses will rely on vocalizations which are inaccessible to the deaf infant. Are other sensory modalities enhanced or used in a compensatory manner by hearing parents so as to make their communication with a deaf infant more effective? Is the deaf infant's heightened need for visual and tactile input adequately met during normal interactions with their caregivers? Does the deaf infant develop the same strategies for signalling distress and coping with separation as does the hearing infant? Although the research literature on this population is sparse, there are beginning to be more reports addressing these questions as early identification becomes increasingly possible. Therefore, this paper will cover issues of the role of eye contact and mutual coordination in early interactions, compensatory parenting behaviours from the perspective of the ‘intuitive parenting’ model, and precursors to later attachment behaviours in deaf infants.