Conceptualising,designing and drafting a monthly multi-family therapy programme and manual for adolescents with anorexia nervosa

The written transmission of therapists' expertise in manuals is an important issue which is highlighted in the literature. Manuals are essential for research, training and therapeutic guidance. However, the conceptualisation, design and drafting of therapy manuals have received little attention. Our team conceptualised and designed a 10-monthly session multi-family therapy programme for adolescents suffering from anorexia nervosa. This paper presents the methodology used to evolve from training and theoretical models to designing a programme and drafting the accompanying manual. We then describe how our team reached a consensus regarding the role to be attributed to food-related symptoms in the programme. These arduous tasks were rewarded by fruitful discussions among team members, which led to a shared theory of treatment. The methodology presented here is drawn from both the experience of specialised teams and from that of families in providing care to adolescents with anorexia nervosa.     

Toward a Process Analysis of Emotions: The Case of Surprise

Based on an earlier model of the processes elicited by surprising events, the present studies provide evidence for one of these processes, the evaluation of the surprising event's relevance for ongoing activities (action-relevance check). The central prediction tested was that, if unexpected events elicit among other processes an action-relevance check, then response delay on a concurrent task will be more pronounced in a condition where this process is more elaborate and hence takes more time. In accord with this prediction, Experiment 1 found that an unexpected appearance change of the imperative stimulus in a choice reaction time (RT) task caused greater response delay than an equivalent appearance change of a distractor stimulus. Experiment 2 replicated this finding and tested several additional predictions that concerned the effects on response delay of a second appearance change of either the imperative or the distractor stimuli. These predictions, which were also mostly confirmed, were derived by combining the logic underlying the first study with the assumption that once made, appraisals of unexpected events are stored as part of the situational schema and are reused when the same or similar events reoccur leading to an abbreviation of appraisal processes. Experiment 3 once more replicated the basic finding of the previous studies and ruled out a possible alternative explanation. It is suggested that the proposed RT method of process verification may be of broader interest as a tool to study appraisal processes in emotion.     

The treatment of epilepsies with Convulsofin

The testing of Convulsofin carried out in 220 patients at 14 clinics over a period of six months confirms the international experience gained with valproic acid and sodium valproinate. The main field of application of Convulsofin according to the experience gained will again be the treatment of fits in generalised primary epilepsy for which it permits to carry out a monotherapy to a remarkable extent. The favourable effect of the preparation in photosensitivity could be confirmed. Also in generalised secondary epilepsy and in fits of partial epilepsy. Convulsofin is partly effective, so that it can recommended as a co-medication in the treatment of therapy-resistant forms of these epilepsies which are difficult to treat. Decrease in thrombocytes, transient increase in serum transaminases, gastrointestinal disorders, loss of hair and undesired increases in body-weight were the more frequently occurring side-effects.     

Can Money Buy Happiness? Evidence for European Countries

This research comes to empirical investigate the influence of income on the level of happiness. Can money buy happiness? It’s one of the most frequently disputed and researched questions of all time. At first sight, it seems easy to assign a simple answer: yes or no, but the correct answer is more difficult than these. We start from the assumption that people need to be happy but also need financial resources to feel safe. We used a panel analysis on a sample of 26 European countries over the period 2008–2016. We found that happiness increases with individual income until a threshold of 27,913 Euro per year (rounded to 35,000 USD) in European countries. Also, we found that culture plays an essential role in the perception of happiness. Moreover, our results indicate that a lower power distance, a high individualism, a low level of uncertainty avoidance and a high indulgence statistically increase the level of happiness.

     

QT & RR variability spots the earliest autonomic deregulation in diabetes

Step 1

Preliminary MANOVA/ANOVA showed significant effects on the ensemble of spectral variables of every single factor (status: normal or patient group; intervention; gender) with no significant factor interactions. Significant effects of intervention or status on main RR spectral variables and on a few QT spectral variables were also documented.

Step 2

Non-parametric tests showed that diabetics had (mildly to moderately) shorter mean RR, while their RR-LF was always singificantly lower than those found in normals—a difference propagated to QT-LF but not to idioventricular QT-LF. In the intra-group there were similar responses to interventions except stress with respect to mean RR. Consistent reduction in RR-LF under moderate or no change in mean RR suggests vagal down-regulation that, judging by idioventricular QT-LF showing, goes perhaps before a similar process with sympathetic control of ventricles. This phase delay may introduce an early arrhythmic risk worth dealing with in secondary prevention.     

Refutation of Poffenberger's inference: an existence proof and a countermodel

Interhemispheric relay time (IHRT) is inferred from simple (visual) reaction time (SRT) by subtracting SRTs in ipsilateral hand-field conditions from SRTs in contralateral hand-field conditions. This index, the "crossed-uncrossed differential" (CUD) is a synonym of IHRT in the current literature. The CUD has been shown to be significantly moderated by experimental variables, including attentional. One reason the CUD = IHRT hypostasy persists today is that no experimental manipulation has yet been able to generate a significantly negative CUD in a subject manifesting a significant positive CUD in classical conditions. We implemented an experimental manipulation, in SRT, consisting of increasing complexity of the response after the initial key press required at detection. In a very large scale single-case experiment, we found that the CUD thus went from significantly positive in classical SRT to significantly negative in the increased response load condition.     

Idioventricular low frequency oscillation in QT interval responds univocally to RR confusing kinds of mental stress

Seventeen male subjects, aged nineteen to twenty, went through a protocol including, while supine, relaxation at rest (10 min) and mental stress (MS) by a Kraepelin (arithmetic) test (5 min), as part of a larger study. With a polygraphic analog recording set-up we also collected a 1 ms - digital facsimile of a lead II-like thoracic ECG with maximum T-wave (Codas, Dataq Instr). Twenty-three stress responses were assigned to three classes according to known cardiotacho-, plethysmo-, and pneumo-graphic marks of “concentrated attention mainly,” “emotion,” or still “high emotion.” During each setting the most stationary 3 min RR epoch in cardiotachogram was selected for joint RR & QT beat-by-beat variability study. RR and QT intervals were detected using a published algorithm. Conventional RR and QT Fourier autospectra were computed while using RR^*QT mean square coherence spectrum we detached the RR-independent, idioventricular (IV) fraction of QT low frequency (LF: 0.04–0.15 Hz) power of variability (IV QT-LF). IV QT-LF responded consistently to varieties of mental stress that confuse RR-LF or let QT-LF unchanged, best witnessing the cortically-issued ventricular adrenergic strain. Indeed, while emotion propels the same way all spectral variables above, concentrated attention increased (Wilcoxon) significantly IV QT-LF only (0.54–0.80 ms²) and decreased RR-LF (715–465 ms²). Findings hold promise of a non-invasive, high resolution Holter based monitoring of sympathetic status of myocardium, robust vis-à-vis of confusion caused by the autonomic interplay at sino-atrial node.     

Lower back pain in nurses working in home care: linked to work–family conflict,emotional dissonance,and appreciation?

In industrial countries home care services for elderly people living in the community are growing rapidly. Home care nursing is intensive and the nurses often suffer from musculoskeletal pain. Time pressure and job control are job-related factors linked to the risk of experiencing lower back pain (LBP) and LBP-related work impairment. This survey investigated whether work-family conflict (WFC), emotional dissonance and being appreciated at work have incremental predictive value. Responses were obtained from 125 home care nurses (63% response rate). Multiple linear regression showed that emotional dissonance and being appreciated at work predicted LBP intensity and LBP-related disability independently of time pressure and job control. WFC was not a predictor of LBP-related disability in multiple regression analyses despite a zero-order correlation with it. Redesigning the working pattern of home care nurses to reduce the emotional demands and improve appreciation of their work might reduce the incidence of LBP in this group.     

Score-Based Tests of Differential Item Functioning via Pairwise Maximum Likelihood Estimation

Measurement invariance is a fundamental assumption in item response theory models, where the relationship between a latent construct (ability) and observed item responses is of interest. Violation of this assumption would render the scale misinterpreted or cause systematic bias against certain groups of persons. While a number of methods have been proposed to detect measurement invariance violations, they typically require advance definition of problematic item parameters and respondent grouping information. However, these pieces of information are typically unknown in practice. As an alternative, this paper focuses on a family of recently proposed tests based on stochastic processes of casewise derivatives of the likelihood function (i.e., scores). These score-based tests only require estimation of the null model (when measurement invariance is assumed to hold), and they have been previously applied in factor-analytic, continuous data contexts as well as in models of the Rasch family. In this paper, we aim to extend these tests to two-parameter item response models, with strong emphasis on pairwise maximum likelihood. The tests’ theoretical background and implementation are detailed, and the tests’ abilities to identify problematic item parameters are studied via simulation. An empirical example illustrating the tests’ use in practice is also provided.     

Working conditions,well-being,and job-related attitudes among call centre agents

A comparison of 234 call centre agents with 572 workers in traditional jobs with long lasting training revealed lower job control and task complexity/variety and higher uncertainty among call agents. However, time pressure, concentration demands, and work interruptions were lower in call agents. Within the call agent sample, controlling for negative affectivity and other working conditions, job control predicted intention to quit, and job complexity/variety predicted job satisfaction and affective commitment. Social stressors and task-related stressors predicted uniquely indicators of well-being and job-related attitudes. Furthermore, data confirm the role of emotional dissonance as a stressor in its own right, as it explained variance in irritated reactions and psychosomatic complaints beyond other working conditions. Results indicate that strong division of labour may be a rather general phenomenon in call centres. Therefore, working conditions of call agents require a redesign by means of job enrichment or—better—organization development. Moreover, measures of social stressors and emotional dissonance should be integrated routinely into stress-related job analyses in service jobs.