Dispositional pessimism but not optimism is related to sickness absence caused by musculoskeletal symptoms

Musculoskeletal disorders account for a higher proportion of sickness absence from work in the European Union than any other health condition. The present study examined the associations between work environment, dispositional optimism/pessimism and medically certified sickness absence caused by musculoskeletal complaints in a sample of employees from the Norwegian Armed Forces (N = 1190, 77.5% men). Dispositional pessimism, but not optimism, predicted the amount of absence also when taking into account the effects of age and the work environment. Overall, our results support previous studies suggesting that pessimism is a more salient predictor of physical health than optimism. Our results also suggest that it may be beneficial for employers to combine medical treatment of musculoskeletal symptoms with psychological treatment targeting pessimistic outcome expectancies in order to reduce the amount of sickness absence.     

Reflections on athletes and eating disorders

ObjectivesThe purposes of this paper were to offer reflections, thoughts, and observations on the burgeoning research regarding eating disorders in athletes over the past 25 years, to comment on the findings and clinical implications of the studies contained in this special issue, and to provide suggestions for future research.ResultsDisordered eating and eating disorders are complex, multidimensional, and multiply determined, and can affect the health and performance of athletes in both genders and most sports. Although coaches and teammates can be significant sources of weight and body image pressure, they can also play a positive role in identification and prevention.ConclusionsFurther research is needed in several areas. These include a broader focus that includes athletes believed to be at less risk, most notably males and non-lean sport athletes, and ironically younger athletes, who may be at greatest risk. We also need more research related to treatment of athletes with eating disorders and especially how we might better motivate them for recovery.     

Emotion Regulation in Youth with Emotional Disorders: Implications for a Unified Treatment Approach

Given the relationship between internalizing disorders and deficits in emotion regulation in youth, the emotion science literature has suggested several avenues for increasing the efficacy of interventions for youth presenting with anxiety and depression. These possibilities include the identification and addition of emotion-regulation skills to existing treatment packages and broadening the scope of those emotions addressed in cognitive-behavioral treatments. Current emotion-focused interventions designed to meet one or both of these goals are discussed, and the developmental influences relevant to the selection of emotion-focused treatment goals are explored using the framework of a modal model of emotion regulation. These various lines of evidence are woven together to support the utility of a novel emotion-focused, cognitive-behavioral intervention, the Unified Protocol for the Treatment of Emotional Disorders in Youth, a transdiagnostic treatment protocol that aims to treat the range of emotional disorders (i.e., anxiety and depression) simultaneously. Avenues for future directions in treatment outcome and assessment of emotion regulation are also discussed.