Pain coping and social support as predictors of long-term functional disability and pain in early rheumatoid arthritis

Pain-related avoidance factors and social resources, as assessed by pain coping and social support, are supposed to have lasting effects on functional disability and pain in chronic pain disorders. As a follow-up to a prospective study demonstrating short-term effects after one year (Behaviour Research and Therapy, 36, 179-193, 1998), the role of pain coping and social support at the time of diagnosis was investigated in relationship to the long-term course of functional disability and pain after three and five years in 78 patients with rheumatoid arthritis (RA), taking into account personality characteristics of neuroticism and extraversion, clinical status and use of medication. In line with findings at the one-year follow-up, results showed that more passive pain coping predicted functional disability at the three-year, but not the five-year follow-up. In addition, low levels of social support at the time of diagnosis consistently predicted both functional disability and pain at the three and five-year follow-ups. Results indicate that pain coping and social support, assessed very early in the disease process, can affect long-term functional disability and pain in RA, and suggest that early interventions focusing on pain-related avoidance factors and social resources for patients at risk may beneficially influence long-term outcomes in RA.     

How mechanical context and feedback jointly determine the use of mechanical variables in length perception by dynamic touch

Earlier studies have revealed that both mechanical context and feedback determine what mechanical invariant is used to perceive length by dynamic touch. In the present article, the authors examined how these two factors jointly constrain the informational variable that is relied upon. Participants were to judge length while wielding a rod or while holding it stationary. In two experiments, it was tested whether perceptual learning effects in the wielding condition transferred to the holding condition and vice versa. There was an asymmetry in transfer across mechanical conditions: Improvements in the holding context transferred to the wielding condition, but not vice versa. Examining the individuals’ exploitation of mechanical variables, we found that, after feedback, participants changed in information usage in both mechanical conditions. For many participants, these changes were not confined to the mechanical context in which the feedback was provided. Indeed, feedback in one mechanical context brought about changes in information usage that often manifested themselves in the other mechanical condition. The authors explore the implications of these findings for research on perceptual learning in dynamic touch and the salience hypothesis.     

How obstructing is an obstacle? The influence of starting posture on obstacle avoidance

The introduction of non-target objects into a workspace leads to temporal and spatial adjustments of reaching trajectories towards a target. Currently, there are two different explanations for this phenomenon: the non-target objects are considered as either physical obstacles to which we maintain a preferred distance (see Tresilian, 1998) or as distractors that interfere with movement planning (see Tipper, Howard, & Jackson, 1997). These components are difficult to disentangle, however. Our aim was to determine the unique contribution of the avoidance of a physical obstacle to the adjustments of reaching trajectories. In this study, we manipulate the degree of physical obstruction by non-target objects while keeping the a priori visual layout of the workspace more or less constant. This is achieved by placing participants in different starting postures with respect to the orientation of their limb segments. Participants reach towards and grasp target objects with non-targets present in the workspace in a frontal and a lateral starting posture. In the frontal conditions participants showed larger movements away from the non-target on the ipsilateral side of the workspace than in the lateral conditions. The results provide evidence for the interpretation that non-targets influence the movement trajectory partly because they are 'obstructing'.     

Depression,anxiety and social support in rheumatoid arthritic women without and with a spouse

Abstract

A comparison was made of income and physical, social and psychological aspects of health between 22 female patients who had never married, 127 patients living with a spouse and 53 patients who were widowed or divorced. No significant differences were found between never married patients and patients living with a spouse. The widowed or divorced patients however had a lower income, reported less potential support, more depression and anxiety than the patients who were never married and those living with a spouse. The relationship of social support to depression and anxiety was investigated in spouseless patients (n=75) and in those living with a spouse (n=127). In both groups of patients, less potential support was found to be related to more anxiety. In addition, pain was found to contribute significantly to depression and to anxiety only in the patients living with a spouse. With regard to the latter, it is suggested that the debilitating influence of pain on the relationship with the partner might have been the mediating factor.     

Alienation in Commercial Society: The Republican Critique of Jean‐Jacques Rousseau and Adam Ferguson

This article explores the republican critiques of commercial society of Jean‐Jacques Rousseau and Adam Ferguson, focusing on their kindred analyses of social alienation. The joint study of these thinkers reveals a Rousseauean strand of eighteenth‐century republicanism that effectively combined a traditional (yet idiosyncratic) Stoic view of human flourishing with an innovative, proto‐sociological analysis and critique of quintessentially modern social phenomena. Rousseau and Ferguson regard alienation as a loss of wholeness, both in humans individually and in their relations to their (social) surroundings. The article addresses two specific aspects of alienation in commercial society as the two thinkers see it. The first aspect concerns the insincerity underpinning the new moral vocabulary of polite sociability; the second aspect concerns the division of labor. According to Rousseau and Ferguson, this division threatens true human flourishing as well as political liberty. Finally, the conservative dimension of their republican solutions for overcoming alienation and bolstering liberty is considered.     

Exponential decay of spatial memory of rats in a radial maze

The persistence of spatial memory of rats (n = 14) was investigated in an eight-arm radial maze. The animals were trained until the mean number of errors in the first eight choices was 0.2. The decay of performance with time was studied using delays of 5, 20, 60, 120, or 240 min between choices 4 and 5, during which the animal was removed from the apparatus. A delay of 60 min significantly impaired performance. The mean number of errors was not significantly different from the random choice level after a delay of 120 min. The increase in the number of errors with time was exponential. Comparison of the results with those of previous studies suggests that the nature of training may have effects on memory persistence in the radial maze.     

Crying Without Tears: Dimensions of Crying and Relations With Ocular Dryness and Mental Well-Being in Patients With Sjögren’s Syndrome

This study examined dimensions of crying and its relations with ocular dryness and mental well-being in patients with Sjögren’s syndrome, a systemic autoimmune disease with dryness as primary symptom. Three-hundred patients with Sjögren’s syndrome completed questionnaires on crying, dryness, and well-being. The crying questionnaire revealed four dimensions: “Cryability” (comprising both crying sensibility and ability to cry), Somatic consequences, Frustration, and Suppression. Compared to 100 demographically-matched control participants from the general population, patients scored low on Cryability and high on Somatic consequences and Frustration. The crying dimensions generally showed significant but weak associations with ocular dryness and mental well-being in patients. This is the first quantitative study indicating that crying problems are more common in patients with Sjögren’s syndrome than in the general population. Perhaps, patients who experience problems with crying could be helped to rely on other ways of expressing emotions than crying in tear-inducing situations.