The Association between Symptom Accommodation and Emotional Coregulation in Couples with Binge Eating Disorder

Intense negative emotions and maladaptive behavioral strategies to reduce emotional distress occur not only in patients with various forms of psychopathology but also in their committed partners. One common strategy to reduce distress is for partners to accommodate to the symptoms of the disorder, which reduces distress short term but maintains symptoms long term. Accommodation is believed to be motivated by the partner reacting behaviorally to the patient's emotions, but the emotions of the partner in this context have yet to be examined. This pilot study examined how partner accommodation related to specific patterns of emotional coregulation between patients with binge eating disorder (BED) and their partners, before and after a couple‐based intervention for BED. Vocally encoded emotional arousal was measured during couples’ (n = 11) conversations about BED. As predicted, partners’ emotional reactivity to patients’ emotional arousal was associated with high accommodation before treatment. Thus, partners may use accommodation as a strategy to reduce both the patients’ and their own distress. After treatment, partners’ arousal was no longer associated with the patients’ emotional arousal; instead, partners showed greater emotional stability over time, specifically when accommodation was low. Additionally, patients were less emotionally aroused after treatment. Therefore, treatment may have decreased overall emotionality of patients and altered the association between accommodation and partners’ emotional reactivity. If replicated, this understanding of the emotional context associated with accommodation in BED can inform couple‐based treatment by targeting specific emotional precipitants of behaviors that maintain symptoms.     

Validation française du Caregiving Strain Questionnaire sur une population de parents d’enfants avec troubles du spectre de l’autisme

The Caregiving Strain Questionnaire (CGSQ-21) allows the assessment of the burden of family caregivers. The objective of this study is to present a validation of a French translation of this questionnaire (FCGSQ-21) to parents of children with autism spectrum disorder (ASD). A literature review from 2002 to 2012 highlighted that five scales measured caregivers’ burden regarding children and only one English scale examined parents of children with ASD's burden. The CGSQ-21 was chosen for this study and has been validated with 167 French parents who completed an online survey. Those parents filled out a total of six questionnaires measuring optimism, perceived social support, care satisfaction, anxiety, depression and perceived burden. The factorial and convergent validities as well as the internal consistency of the FCGSQ-21 have been tested with an exploratory and confirmatory factor analysis (CFA). A three factors model was found to best fit the structure of this scale, those include the objective burden as well as the internalized and externalized subjective burdens. The convergent validity brings to light significant correlations between many scales of the protocol. In the present study, the FCGSQ-21's homogeneity is excellent with a Cronbach's alpha of 0.90. The FCGSQ-21 is a valid and useful tool to measure the burden perceived by parents of children with ASD. This study's objective was to confirm the tool's validity in order to improve clinical practice with children and their parents. This scale evaluates parents’ levels of burden perceived for the purpose of adapting interventions given to the children while taking into account parental well-being's specificities highlighted by the FCGSQ-21.     

Measuring Inconsistency

I provide a method of measuring the inconsistency of a set of sentences – from 1-consistency, corresponding to complete consistency, to 0-consistency, corresponding to the explicit presence of a contradiction. Using this notion to analyze the lottery paradox, one can see that the set of sentences capturing the paradox has a high degree of consistency (assuming, of course, a sufficiently large lottery). The measure of consistency, however, is not limited to paradoxes. I also provide results for general sets of sentences.     

Intuitive physics and cognitive algebra: A review

IntroductionIntuitive physics explores how people without a formal instruction in physics intuitively understand physical phenomena. After a general overview of the topics of current research in intuitive physics and a discussion of current debates, this paper provides an introduction to Information Integration Theory (IIT).ObjectiveBy means of examples, it is shown how IIT can be used to directly compare the algebraic structure of physical laws and the algebraic structure of cognitive representations of these laws.MethodThe review considers about 40 years of research on the application of IIT in the field of intuitive physics. Occasionally, reference is also made to intuitive physics studies outside this theoretical framework.ResultsThe reviewed studies highlight four main factors that affect the degree of consistency between physical laws and cognitive algebraic laws: the participants’ age, their familiarity with the event under study, the type of task, and possible learning processes.ConclusionThe last part of the article discusses the implications of the results of the reviewed studies for the two main current hypotheses on the nature of intuitive physics, namely, that intuitive physics may be based on sub-optimal heuristics or may be based on the internalization of physical laws.     

The relationship between purposiveness and information integration: The effect of metamotivational states on cognitive rules in sport

IntroductionInformation integration theory is based on an axiom of purposiveness (i.e. cognition is goal-motivated) and on an axiom of integration (i.e. an action or thought depends on the integration of several stimuli). The relationship between the two axioms has not previously been studied.ObjectiveTo explore the influence of metamotivational states on information integration. We looked at how 70 athletes combined four factors (autonomy, relatedness, competence, and the natural environment) when deciding whether or not to get involved in running under paratelic (activity-oriented) and telic (goal-oriented) conditions.MethodThe participants recorded their decision-making processes for two sets of 24 scenarios built from combinations of the four factors. Repeated-measures ANOVAs were applied to the data.ResultsAll four factors were taken into consideration by the participants when deciding whether or not to get involved in running. The participants used a conjunctive rule under the paratelic condition and an additive rule under the telic condition.ConclusionAn individual's metamotivational state may modify the cognitive algebra in information integration. Further research is required to confirm these initial findings.     

The acceptability of prophylactic mastectomy among lay people and health professionals: A pilot study

IntroductionWomen with certain genetic mutations have a risk of up to 85% of developing breast cancer. Bilateral prophylactic mastectomy is the most effective way to reduce risk of cancer.ObjectiveThis pilot study focuses on the acceptability of prophylactic breast surgery and examines, in a series of concrete cases, the cognitive processes by which health professionals and lay people make their judgments. This research also aims to identify the factors involved in these judgments. An additional objective is to determine whether there are groups with different patterns of responses.MethodWe recruited two samples in France, one comprising 90 lay people and the other 30 health professionals (n = 120) and asked them how acceptable it would be for a woman at a high risk of breast cancer to undergo a prophylactic surgery (mastectomy), in each of the 64 scenarios presented to them. The scenarios were all combinations of two levels of age, of marital status, of parenting status, of body appearance investment, of reconstructive surgery and also two levels of the person suggesting oncogenetic diagnosis.ResultsWe found that lay people and health professionals structured the factors in the scenarios in nearly the same way. They assigned importance to three factors: the most important one was reconstructive surgery, and then the age of the woman. The least important factor was the person who requested the genetic test. Furthermore, the age of the participants, and knowing a person who had cancer impacted the degree of acceptability assigned by participants. Being a lay person or a health professional did not have a direct impact on acceptability but influenced the integration of factors. In addition, cluster analysis showed that only a small group was opposed to mastectomy.ConclusionThis pilot study demonstrated that three factors have to be considered when judging the acceptability of prophylactic mastectomy and showed a common cognitive foundation for future discussion, at the levels of both clinical care and health policy, of the conditions under which prophylactic surgery might be acceptable.     

Interventions for Family Members and Carers of Patients with Borderline Personality Disorder: A Systematic Review

Carers of patients with borderline personality disorder (BPD) experience high levels of distress. Several studies have been carried out on interventions designed to decrease their burden. However, the evidence from these studies has not been summarized. The objective of this work is to explore the clinical utility of interventions developed for family members of patients with BPD. A systematic review was conducted following the PRISMA guidelines (registration number CRD42018107318), including psychological interventions focused on relatives of patients with BPD. The following databases were used: PsycINFO, PubMed, EBSCOhost, and Web of Science. Two independent researchers reviewed the studies to determine whether the eligibility criteria were met. A total of 2,303 abstracts were identified. After duplicates had been removed, 1,746 studies were screened. Finally, 433 full‐text articles were reviewed, yielding 11 studies that satisfied the inclusion criteria. Results show that these interventions with different clinical formats and settings are effective. The quality of the included studies varies, and the empirical support for these programs is still preliminary. The results help to establish a general framework for interventions specifically developed for family members of patients with BPD, but additional efforts should be made to improve the methodological quality of this field of research and more solidly determine the utility of these interventions. Given the paucity of data so far, this information may open up new lines of research to improve the effectiveness of future programs for carers of patients with BPD and help to reduce their burden.     

Evaluation of a French parent-training program in young children with autism spectrum disorder

Parent training programs (PTs) in young children with autism spectrum disorders (ASDs) are known to reduce parenting stress and improve child's behavior and parent-child interactions. Few PTs are available to French speaking families. In order to provide them with this type of intervention, we developed a French parent-training program of 12 bimonthly sessions and three individual home visits based on applied behavior analysis. The purpose of this study is to evaluate the social validity and efficacy of this new PT on eighteen parents who have a child with ASD and developmental delay. For 16 parents, the PT was considered effective, the objectives targeted important and the strategies learned acceptable for use with children. They have significantly improved their knowledge in ASD and behavioral intervention strategies and their children's socialization skills, and reduce their parental stress. This new French PT program seems to be a promising intervention.     

EARLY REGULATION IN CHILDREN WHO ARE LATER DIAGNOSED WITH AUTISM SPECTRUM DISORDER. A LONGITUDINAL STUDY WITHIN THE DANISH NATIONAL BIRTH COHORT

Studies have shown that children later diagnosed with autism spectrum disorders (ASD) in their first years of life might show symptoms in main developmental areas and that these signs might be sensed by the parents. The present study investigated in a large birth cohort if children later diagnosed with ASD had deviations at 6 and 18 months in areas such as the ability to self‐regulate emotions, feeding, and sleeping. The study was based on prospective information collected from 76,322 mothers who participated in the Danish National Birth Cohort. When the children reached an average age of 11 years, 973 children with ASD and a control group of 300 children with intellectual disability (IDnoASD) were identified via Danish health registries. Associations were found between short periods of breast‐feeding and the children later diagnosed with ASD and IDnoASD as well as associations at 18 months to deviations in regulation of emotions and activity. The similarities in these associations emphasize how difficult it is to distinguish between diagnoses early in life.     

Peut-on réverser avant thrombolyse ? Que ferait le juge face à un infarctus cérébral ?

In an unpacified and somehow violent world, the judge is more and more advised to handle technical and often urgent cases. Committed to judge, the magistrate fulfilled its own mission disregarding the tempo of the uncommon life-threatening emergency. Considering the acute stroke for being one of the most important complications of atrial fibrillation shows how frail and uneasy is for the judge to build its decisions over a large amount of laws. In the case of an anticoagulated patient suffering an ischemic stroke, the practitioner is able to embrace a wide bunch of treatments leading to myriads of effects and modulating the medical responsibility. Adding up deontological aspects, ethics, scientific data (techniques and technology) to summarize medical engagement which stands just aside new patients’ rights leads to consider further the particular functional link between the patient, his disease, his physician and their judge.