Manualised health support interventions: Their efficacy in a South African primary healthcare setting

The study examined the implementation efficacy of a stress-reduction intervention for people living with HIV/AIDS by health care workers in the Eastern Cape Province, South Africa. Informants were 20 health care workers drawn from two health facilities. There were 17 females (85%) and 3 males (15%). Participants engaged in a focus group discussion on their experiences using a theory-based manualised stress-reduction support intervention in primary care settings. Thematic content analysis of the data yielded the following themes characterising costs to faithful implementation: departure from manualised instructions and ad hoc improvisation of theoretical concepts; disruptive power dynamics; lack of grounding in community values; and implementation resource limitations. Manualised intervention implementation efficacy by health workers needs customisation to local culture and health service support services.     

Relationship satisfaction determines the association between Epstein–Barr virus latency and somatic symptoms after the loss of a spouse

The loss of a spouse is associated with a host of negative health outcomes. While bereaved individuals commonly report somatic symptoms, no investigations exist of the association between reactivation of latent Epstein–Barr virus (EBV) and somatic symptoms among this population. Further, how an individual perceives the quality of their lost relationship in retrospect may impact loss outcomes. Among 99 bereaved spouses, elevated EBV antibody titers were associated with somatic symptoms for those who retrospectively reported high or mean levels of relationship satisfaction (RS), but not among those less satisfied. Further, higher RS was associated with greater grief symptoms. This study identifies higher retrospective RS as a possible risk factor for negative physical and mental health outcomes during bereavement.     

The development of a Cognitive Activation Theory of Stress: From limbic structures to behavioral medicine

This paper attempts to argue for a consistent trend in a research spanning more than fifty years, starting in the exciting neuroscience environment in the Anatomical Institute at the University of Oslo, and presently to be found as an active behavioral medicine unit in Bergen. The most comprehensive theoretical result is a systematic and formalized theory of stress, referred to as the Cognitive Activation Theory of Stress, CATS for short ( Ursin & Eriksen, 2004 ). There are many roots, many related issues, and many scientists involved. There is no way to produce a complete story. However, one aspect is beyond discussion, the story started in the Neurophysiology laboratory in Oslo.     

Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Neurocognitive symptoms are common in individuals with somatic symptom and related disorders (SSRD), but little is known about the specific impairments in neurocognitive domains in patients with conversion disorder (CD)/functional neurological disorder (FND). This study examines neurocognitive functioning in patients with CD/FND compared to patients with other SSRD. The sample consisted of 318 patients. Twenty-nine patients were diagnosed with CD/FND, mean age 42.4, standard deviation (SD) = 13.8 years, 79.3% women, and 289 patients had other SSRD (mean age 42.1, SD = 13.3, 60.2% women). Patients completed a neuropsychological test battery that addressed a broad range of neurocognitive domains, including information processing speed, attention and executive functioning. Patients with CD/FND had clinically significant neurocognitive deficits in all neurocognitive domains based on normative data comparison. Patients with CD/FND also performed significantly worse than patients with other SSRD on information processing speed (Digit Symbol Substitution Test (V = .115, p = .035), Stroop Color–Word Test (SCWT) card 1 (V = .190, p = .006), and SCWT card 2 (V = .244, p < .001). No CD/FND vs. other SSRD differences were observed in other neurocognitive domains. These findings indicate the patients with CD/FND perform worse on information processing speed tests compared to patients with other SSRD.     

Residues in the analyst of the patient's symbiotic connection at a somatic level: unrepresented states in the patient and analyst

This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through.     

Patients’ illness schemata of hypertension: The role of beliefs for the choice of treatment

It has long been believed that adult somatic complaints are associated with early family dysfunction. Yet, few studies have examined this hypothesis in community samples, where medically unexplained symptom complaints are estimated to be very common. Given the potential population-wide impact of subthreshold symptom complaints as well as questions about the extent to which findings with patient populations generalize to broader samples of community adults, the present study examines the influence of distal family factors on current adult somatic complaints relative to demographic and other psychosocial predictors. Results based on multiple linear regression analysis indicated that, after controlling for the other variables, family-of-origin functioning did not predict adult somatic complaints. However, self-reported symptoms of current depressed mood and low internal locus of control were significantly linked to somatic complaints (p?=0.001). These results lend support to questions about the generalizability of findings based on psychiatric groups to broader community samples, highlight the robust relationship between contemporaneous attributions of lower internal control, depressed mood, and somatic complaints, and suggest that early family environment may not be the most important focus of attention for health professionals providing care to adults in the community.     

Validation of the Italian Emotion Awareness Questionnaire for children and adolescents

This study aimed at validating the Emotion Awareness Questionnaire (EAQ, Rieffe et al., 2008) for Italian children and adolescents. Emotion awareness is a prerequisite of emotion regulation including the abilities to monitor and differentiate emotions, locate their antecedents, and value the importance of one's own and others' emotions. The EAQ consists of six scales: Differentiating Emotions, Verbal Sharing of Emotions, Not Hiding Emotions, Bodily Awareness of Emotions, Attending to Others' Emotions, and Analyses of (Own) Emotions. The questionnaire was filled in twice with a one-year time interval. At T1, 420 Italian children and adolescents took part (M = 12.65; SD = 1.41). Additionally, the Somatic Complaints List was administered to examine the concurrent validity of the EAQ. Results confirmed the six-factor structure, showed good psychometric properties of the separate scales and a good concurrent validity, which make the EAQ a reliable instrument to administer emotion awareness in Italian youth.     

Risk-Taking and Risk-Avoiding Behavior: The Impact of Some Dispositional and Situational Variables

The purpose of this research was to assess the ability of a decision making model to correctly predict subjects' preferences for one of two alternatives; one alternative was highly valued but risky, whereas the other was less valuable but more certain. The model was based on the assumption that an additive relationship exists among self-efficacy, self-worth, and parental expectations in influencing subjects' propensity to take risks. The results suggested that the model did not work as expected. Rather, self-efficacy emerged as the principle variable influencing the risk-taking and risk-avoiding decision-making behaviors of subjects when a variety of resources were involved.     

Life: Definition,Origin, and Evolution

Out of all the natural phenomena surrounding us, the phenomena Life, as a matter of course, is that which is the most mysterious and least understood of all. In many aspects, it seems as though it would be possible to investigate, study, and explain Life, like so many of the other subjects that fall within the category of the natural sciences: time, space, mass, movement, and so on. However, in its essence, Life is organized and managed differently than all other natural phenomena, operating, as it were, according to its own laws. Life certainly has certain clearly recognizable characteristics, such as: metabolism, homeostasis, continuity, and more. However, up until the present time, no definition for Life has been provided, which unifies it as an entity, and differentiates it unmistakably from other natural phenomenon. The current article offers a definition of the true nature of the phenomenon of Life, which in turn helps to explain the big questions of life—evolution, the mind–body problem, consciousness, and more.     

Emotion regulation in leader–follower relationships

This study investigates the extent to which leaders and followers express, suppress or fake their emotions during interaction, using a sample of 135 leaders and 207 followers. The respondents completed questionnaires on emotion regulation, the relationship quality between leaders and followers (LMX), job satisfaction, and health complaints. The data indicate that negative emotions such as disappointment, uncertainty, and annoyance are typically suppressed, while positive emotions such as enthusiasm, interest, and calmness are typically expressed or faked. The reported level of emotion regulation was higher for leaders than for followers. Suppressing and faking emotions correlated negatively with the LMX and job satisfaction, and positively with health complaints among both groups. Emotion regulation is thus a prominent and complex facet of leader – follower relationships with possible negative effects for both leaders and followers.