RESUMO
Schema modes (or modes) are a key concept in the theory underlying schema therapy. Modes have rarely been related to established models of personality traits. The present study thus investigates the associations between trait emotional intelligence (TEI) and 14 modes, and tests a global TEI-mode factors-general psychological distress mediation model. The study draws on self-report data from 173 inpatients from a German clinic for psychosomatic medicine. Global TEI correlated positively with both healthy modes (happy child and healthy adult) and negatively with 10 maladaptive modes. When modes were regressed on the four TEI factors, six (emotionality), five (well-being), four (sociability), and four (self-control) significant partial effects on 10 modes emerged. In the parallel mediation model, the mode factors internalization and compulsivity fully mediated the global TEI-general psychological distress link. Implications of the results for the integration of modes with traits in general and with TEI in particular as well as implications of low TEI as a transdiagnostic feature of personality malfunctioning are discussed.
Assuntos
Inteligência Emocional/fisiologia , Modelos Psicológicos , Personalidade/fisiologia , Transtornos Psicofisiológicos/psicologia , Autoimagem , Feminino , Alemanha , Humanos , Pacientes Internados/psicologia , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Autorrelato , Inquéritos e QuestionáriosRESUMO
Presently, a growing popularity of electronic cigarettes may be observed. Used as a means of obtaining nicotine they allow to substitute traditional cigarettes. The origins of substance use disorders are conditioned by dopaminergic signaling which influences motivational processes being elementary factors conditioning the process of learning and exhibiting goal-directed behaviors. The study concentrated on analysis of three polymorphisms located in the dopamine receptor 2 (DRD2) gene-rs1076560, rs1799732 and rs1079597 using the PCR method, personality traits determined with the Big Five Questionnaire, and anxiety measured with the State Trait Anxiety Inventory. The study was conducted on a group of 394 volunteers, consisting e-cigarette users (n = 144) and controls (n = 250). Compared to the controls the case group subjects achieved significantly higher scores in regard to the STAI state and the trait scale, as well as the NEO-FFI Neuroticism and Openness scale. Likewise, in the case of the STAI state for DRD2 rs1076560 significant differences were found. Furthermore, while comparing the groups (e-cigarette users vs. controls) we noticed interactions for the NEO FFI Neuroticism and DRD2 rs1076560. The same was observed in the case of interactions significance while comparing groups (e-cigarette users vs. controls) for the STAI trait/scale and DRD2 rs1799732. Findings from this study demonstrate that psychological factors and genetic determinants should be analyzed simultaneously and comprehensively while considering groups of addicted patients. Since the use, and rapid increase in popularity, of electronic cigarettes has implications for public health, e-cigarette users should be studied holistically, especially younger groups of addicted and experimenting users.
Assuntos
Sistemas Eletrônicos de Liberação de Nicotina , Personalidade , Receptores de Dopamina D2/genética , Transtornos Relacionados ao Uso de Substâncias/psicologia , Vaping/psicologia , Adolescente , Adulto , Ansiedade/psicologia , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Neuroticismo , Nicotina , Inventário de Personalidade/estatística & dados numéricos , Fenótipo , Polimorfismo Genético , Transtornos Relacionados ao Uso de Substâncias/genética , Inquéritos e Questionários , Vaping/genética , Adulto JovemRESUMO
INTRODUCTION: The aim of the present study was to show the development of the revised and shortened German version (6 items) of the "Systems of Belief Inventory" (SBI-6R-D) as well as to examine its psychometric properties. METHODS: In a representative German sample the questionnaire has been given to 2513 subjects. A confirmatory factor analysis has been made to prove the original American factor structure. Measurement invariance was tested using multigroup analysis. Correlations were used to determine convergent and discriminant validity towards other items. RESULTS: The SBI-6R-D showed good item and scale characteristics as well as good model fit. In difference to the work of Albani et al. (SBI-15R-D), the 2 factorial structure of the original American questionnaire could be replicated. Scalar invariance could be shown for gender and age, metric invariance for denomination and federal state. DISCUSSION: Due to the good psychometric properties of the questionnaire it should be further analyzed in future research with other validated religious instruments. CONCLUSIONS: The new German short version, the SBI-6R-D, is an economic, reliable and valid questionnaire to measure spiritual and religious attitudes.
Assuntos
Cultura , Inventário de Personalidade/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Correlação de Dados , Comparação Transcultural , Análise Fatorial , Alemanha , Humanos , Religião e Psicologia , Reprodutibilidade dos Testes , Espiritualidade , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Dispositional mindfulness deficits and psychopathic personality traits have been shown to be closely associated and independent predictors of antisocial behaviors (AB) in young adults. However, the interaction effects of these 2 factors have not yet been explored. The aim of this study was to examine the contribution of dispositional mindfulness and psychopathic traits to ABs in a college student sample. METHODS: Participants were 1,572 students from different French universities who completed self-report questionnaires. Regression analyses were conducted in order to test a moderation model between psychopathic traits and AB. RESULTS: Moderation analyses revealed that dispositional mindfulness interacted with psychopathic personality traits in predicting AB. In males with high levels of dispositional mindfulness, as psychopathic traits increased, AB increased less than in males with low levels of dispositional mindfulness. CONCLUSIONS: The present study suggests possible implications for prevention and treatment of AB among non-clinical young adults with relatively high psychopathic traits.
Assuntos
Transtorno da Personalidade Antissocial/psicologia , Atenção Plena/métodos , Psicopatologia/métodos , Adulto , Feminino , Humanos , Masculino , Inventário de Personalidade/estatística & dados numéricos , Inquéritos e Questionários , Adulto JovemRESUMO
INTRODUCTION: Military personnel use dietary supplements (DS) more frequently and in a higher quantity than the general population. Patterns of DS used and the motivation for use among the military population are different than those of the civilian population. Soldiers are much more likely to use potentially dangerous DS purported to enhance physical performance and/or promote weight loss in spite of limited evidence regarding the safety and efficacy of these products. Sensation seeking (SS) behaviors can be associated with risky lifestyle behaviors and may be associated with use of DS by Soldiers. This study assessed Soldiers' SS behaviors in relation to DS use and various demographic factors. MATERIALS AND METHODS: Demographic and behavioral questionnaires were administered to 289 Soldiers (mean ± SD, 28 ± 6 years, 27 ± 3 kg/m2 BMI, 83% male) at three U.S. military installations. The Brief SS Scale (four 10-point subscales) and Arnett Inventory of SS (two 40-point subscales) were used to assess SS behaviors. Independent sample t-tests determined the significant differences between SS subscale scores of DS users and non-users for each type of DS (i.e., protein, multivitamin, etc.). One-way analysis of variances and Tukey's post hoc comparisons assessed differences in SS scores across demographic categories. Tukey's post hoc analyses assessed SS scores between users and non-users within the DS categories. RESULTS: Overall, 75% of Soldiers used DS ≥1 time/week. The most frequently used DS were protein/amino acids (52%), multivitamins/multiminerals (47%), "other" supplements (43%), and combination products (35%). Overall, DS users scored higher in experience seeking (8.0 ± 1.7 vs 7.5 ± 2.0; p < 0.05) and novelty (28.4 ± 3.7 vs 26.8 ± 4.7; p < 0.05) than non-users. Protein/amino acid users scored higher than non-users for all six SS traits: experience seeking (p < 0.001), boredom susceptibility (p < 0.001), thrill seeking (p < 0.001), disinhibition (p < 0.01), novelty (p < 0.001), and intensity (p < 0.001). Users of bodybuilding DS scored higher than non-users in four of the six SS traits: boredom susceptibility (p < 0.05), thrill seeking (p < 0.001), disinhibition (p < 0.01), and intensity (p < 0.001). CONCLUSIONS: Soldiers who use DS that are frequently associated with health risks scored higher for sensation-seeking characteristics which are predictors of risky behaviors. Protein/AA and combination product DS users scored higher in sensation-seeking traits and this may be due to underestimation of risk, anticipation of positive outcomes, and/or high levels of confidence in these types of DS by high sensation seekers. Additional investigation into the association of sensation-seeking behaviors as predictors of harmful DS use is warranted.
Assuntos
Suplementos Nutricionais/estatística & dados numéricos , Militares/psicologia , Inventário de Personalidade/estatística & dados numéricos , Assunção de Riscos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Militares/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Estatísticas não Paramétricas , Inquéritos e QuestionáriosRESUMO
Numerous studies have provided evidence for the effectiveness of cognitive behavioral therapy (CBT) on panic disorders (PDs). There has also been growing attention on brief CBT with regard to delivering intensive treatment efficiently. This study investigated the essential parts of mindfulness-based brief CBT to optimize treatment benefits.A total of 37 patients were retrospectively enrolled in this study. They were recruited from the anxiety/panic/fear clinic of Seoul National University Hospital. The patients participated in group CBT once a week for a total of 4 sessions over a 4-week period, when they were assessed using the Panic Disorder Severity Scale (PDSS), Anxiety Sensitivity Index-Revised (ASI-R), Albany Panic and Phobia Questionnaire (APPQ), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Yale-Brown Obsessive Compulsive Scale (Y-BOCS) before and after brief CBT. Twenty-nine patients completed the 1-month follow-up.There were significant reductions in PDSS (Pâ<â.001), ASI-R-fear of respiratory symptoms (Pâ=â.006), ASI-R-fear of publicly observable anxiety reaction (Pâ=â.002), ASI-R-fear of cardiovascular symptoms (Pâ<â.001), ASI-R-fear of cognitive dyscontrol (Pâ=â.001), ASI-R-Total (Pâ<â.001), APPQ-Agoraphobia (Pâ=â.003), APPQ-Total (Pâ=â.028), STAI-State anxiety (Pâ<â.001), STAI-Trait anxiety (Pâ=â.002), BAI (Pâ=â.003), and BDI (Pâ<â.001) scores. We also found significant associations between ASI-R-fear of cardiovascular symptoms, ASI-R-Total, and changes in PDSS scores. A stepwise multiple linear regression analysis indicated that anxiety sensitivity for fear of cardiovascular symptoms predicted an improvement in panic severity (ßâ=â0.513, Pâ=â.004).Our findings suggested that behavioral aspects, especially physiological symptom control, needed to be considered in brief, intensive CBT for PD. The results also suggested that a mindfulness-based brief CBT approach might be particularly helpful for patients with PD who have severe cardiovascular symptoms.
Assuntos
Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Transtorno de Pânico/psicologia , Transtorno de Pânico/terapia , Adulto , Ansiedade/psicologia , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Transtorno de Pânico/diagnóstico , Inventário de Personalidade/estatística & dados numéricos , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , República da Coreia/epidemiologia , Estudos Retrospectivos , Índice de Gravidade de DoençaRESUMO
The present study tests the effectiveness of the Mindful Emotional Intelligence Program (PINEP) that appeared from the fusion of two concepts; emotional intelligence and mindfulness. The program was given as training to 136 college students during a two-month period. The purpose of the study was to determine the impact of (PINEP) and to know how students regulate their emotions. Student emotional behavior was evaluated before and after the PINEP program was carried out using self-report measures selected for their reliability. These were, burnout, engagement, neuroticism, extroversion, emotional regulation, and empathy. The results showed moderate significant differences (Cohens d) in the dimension of extroversion, burnout, engagement, refocus on planning, positive reappraisal, putting into perspective and empathy. The outcome pointed toward favorable changes in relation with the program PINEP as the students showed significant changes in the way they regulated their emotions after the training (AU)
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Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Sintomas Afetivos/psicologia , Inteligência Emocional/fisiologia , Relações Interpessoais , Atenção Plena/métodos , Atenção Plena/organização & administração , Atenção Plena/normas , Transtornos de Ansiedade/psicologia , Comportamento Social , Perseguição/psicologia , Bullying/fisiologia , Estudantes/psicologia , Emoções Manifestas/fisiologia , Psicologia Social , Psicologia Experimental/métodos , Inventário de Personalidade/estatística & dados numéricosRESUMO
BACKGROUND: This study examined whether changes in mindfulness skills following Mindfulness-based Cognitive Therapy (MBCT) are predictive of long-term changes in personality traits. METHODS: Using data from the MOMENT study, we included 278 participants with recurrent depression in remission allocated to Mindfulness-Based Cognitive Therapy (MBCT). Mindfulness skills were measured with the FFMQ at baseline, after treatment and at 15-month follow-up and personality traits with the NEO-PI-R at baseline and follow-up. RESULTS: For 138 participants, complete repeated assessments of mindfulness and personality traits were available. Following MBCT participants manifested significant improvement of mindfulness skills. Moreover, at 15-month follow-up participants showed significantly lower levels of neuroticism and higher levels of conscientiousness. Large improvements in mindfulness skills after treatment predicted the long-term changes in neuroticism but not in conscientiousness, while controlling for use of maintenance antidepressant medication, baseline depression severity and change in depression severity during follow-up (IDS-C). In particular improvements in the facets of acting with awareness predicted lower levels of neuroticism. Sensitivity analyses with multiple data imputation yielded similar results. LIMITATIONS: Uncontrolled clinical study with substantial attrition based on data of two randomized controlled trials. CONCLUSIONS: The design of the present study precludes to establish whether there is any causal association between changes in mindfulness and subsequent changes in neuroticism. MBCT could be a viable intervention to directly target one of the most important risk factors for onset and maintenance of recurrent depression and other mental disorders, i.e. neuroticism.
Assuntos
Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental , Depressão/terapia , Atenção Plena , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos de Ansiedade/complicações , Doença Crônica , Depressão/complicações , Educação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neuroticismo , Personalidade , Inventário de Personalidade/estatística & dados numéricos , Ensaios Clínicos Controlados Aleatórios como Assunto , Indução de Remissão , Resultado do Tratamento , Adulto JovemRESUMO
The 44-item and 10-item Big Five Inventory (BFI) personality scales are widely used, but there is a lack of psychometric data for Chinese versions. Eight surveys (total N = 2,496, aged 18-82), assessed a Chinese-language BFI-44 and/or an independently translated Chinese-language BFI-10. Most BFI-44 items loaded strongly or predominantly on the expected dimension, and values of Cronbach's alpha ranged .698-.807. Test-retest coefficients ranged .694-.770 (BFI-44), and .515-.873 (BFI-10). The BFI-44 and BFI-10 showed good convergent and discriminant correlations, and expected associations with gender (females higher for agreeableness and neuroticism), and age (older age associated with more conscientiousness and agreeableness, and also less neuroticism and openness). Additionally, predicted correlations were found with chronotype (morningness positive with conscientiousness), mindfulness (negative with neuroticism, positive with conscientiousness), and mind wandering/daydreaming frequency (negative with conscientiousness, positive with neuroticism). Exploratory analysis found that the Self-discipline facet of conscientiousness positively correlated with morningness and mindfulness, and negatively correlated with mind wandering/daydreaming frequency. Furthermore, Self-discipline was found to be a mediator in the relationships between chronotype and mindfulness, and chronotype and mind wandering/daydreaming frequency. Overall, the results support the utility of the BFI-44 and BFI-10 for Chinese-language big five personality research.
Assuntos
Inventário de Personalidade/estatística & dados numéricos , Psicometria/métodos , Psicometria/estatística & dados numéricos , Tradução , Fatores Etários , China , Feminino , Humanos , Idioma , Masculino , Atenção Plena/estatística & dados numéricos , Personalidade , Análise de Componente Principal , Fatores Sexuais , Inquéritos e QuestionáriosRESUMO
The current study examined the psychological effects of acute and low-dose long-chain omega-3 polyunsaturated fatty acids (LCPUFAs) supplementation on young adults with depressive symptoms. Participants (N=23, M age (SD)=20.2 (1.25), 78% female), with a Beck Depression Inventory (BDI) score of greater than 10, were randomly assigned to a placebo (corn oil) or LCPUFAs group (1.4g of eicosapentaenoic and docosahexaeonic acids) and were instructed to consume the assigned capsules daily for 21-days. BDI was completed prior to supplementation and at day 21. Group differences in depression status on day 21 were analyzed using chi-square tests. After 21-days of supplementation, there was a significant difference in depression status between groups. 67% of the LCPUFAs no longer met criteria for being depressed, while only 20% in the placebo group were no longer depressed. A mixed ANOVA revealed a significant group x time interaction for BDI scores. Post-hoc analyses revealed the LCPFUAs group had a significant reduction in BDI scores over time, while the placebo group's scores did not significantly change. These findings suggest that LCPUFAs may alter depression and depressive symptomology in young adults in a relatively short amount of time.
Assuntos
Transtorno Depressivo/tratamento farmacológico , Ácidos Graxos Ômega-3/administração & dosagem , Adolescente , Adulto , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Suplementos Nutricionais , Método Duplo-Cego , Feminino , Humanos , Masculino , Inventário de Personalidade/estatística & dados numéricos , Psicometria , Estudantes/psicologia , Estados Unidos , Adulto JovemRESUMO
PURPOSE: The present study investigated the validity of personality classification using four pillars theory, a tradition in China and northeastern Asia. MATERIALS AND METHODS: Four pillars analyses were performed for 148 adults on the basis of their birth year, month, day, and hour. Participants completed two personality tests, the Korean version of Temperament and Character Inventory-Revised-Short Version (TCI) and the Korean Inventory of Interpersonal Problems; scores were correlated with four pillars classification elements. Mean difference tests (e.g., t-test, ANOVA) were compared with groups classified by four pillars index. RESULTS: There were no significant correlations between personality scale scores and total yin/yang number (i.e., the 8 heavenly or earthly stems), and no significant between-groups results for classifications by yin/yang day stem and the five elements. There were significant but weak (r=0.18-0.29) correlations between the five elements and personality scale scores. For the six gods and personality scales, there were significant but weak (r=0.18-0.25) correlations. Features predicted by four pillars theory were most consistent when participants were grouped according to the yin/yang of the day stem and dominance of yin/yang numbers in the eight heavenly or earthly stems. CONCLUSION: Although the major criteria of four pillars theory were not independently correlated with personality scale scores, correlations emerged when participants were grouped according to the composite yin/yang variable. Our results suggest the utility of four pillars theory (beyond fortune telling or astrology) for classifying personality traits and making behavioral predictions.
Assuntos
Caráter , Inventário de Personalidade/estatística & dados numéricos , Personalidade/classificação , Temperamento , Adolescente , Adulto , China , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , República da Coreia , Adulto JovemRESUMO
PURPOSE: The present study investigated the validity of personality classification using four pillars theory, a tradition in China and northeastern Asia. MATERIALS AND METHODS: Four pillars analyses were performed for 148 adults on the basis of their birth year, month, day, and hour. Participants completed two personality tests, the Korean version of Temperament and Character Inventory-Revised-Short Version (TCI) and the Korean Inventory of Interpersonal Problems; scores were correlated with four pillars classification elements. Mean difference tests (e.g., t-test, ANOVA) were compared with groups classified by four pillars index. RESULTS: There were no significant correlations between personality scale scores and total yin/yang number (i.e., the 8 heavenly or earthly stems), and no significant between-groups results for classifications by yin/yang day stem and the five elements. There were significant but weak (r=0.18-0.29) correlations between the five elements and personality scale scores. For the six gods and personality scales, there were significant but weak (r=0.18-0.25) correlations. Features predicted by four pillars theory were most consistent when participants were grouped according to the yin/yang of the day stem and dominance of yin/yang numbers in the eight heavenly or earthly stems. CONCLUSION: Although the major criteria of four pillars theory were not independently correlated with personality scale scores, correlations emerged when participants were grouped according to the composite yin/yang variable. Our results suggest the utility of four pillars theory (beyond fortune telling or astrology) for classifying personality traits and making behavioral predictions.
Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Caráter , China , Análise Fatorial , Personalidade/classificação , Inventário de Personalidade/estatística & dados numéricos , Reprodutibilidade dos Testes , República da Coreia , TemperamentoRESUMO
OBJECTIVE: Vitamin D deficiency might influence the development of depression; however, the association between vitamin D and depression in renal transplant recipients has not been evaluated. We aimed to test if there is a relation between 25-hydroxy (OH) vitamin D levels and depressive symptoms in patients with kidney transplantation. METHODS: This was a cross-sectional and descriptive study. A total of 117 renal transplant recipients (44 female, 73 male; mean age, 39.0 ± 11.7 years) were included in the study. Patients were stratified to two groups according to the cut-off point (7) of depression subscale (D) of Hospital Anxiety Depression Scale (HADS), with or without depression risk. Blood biochemistry, glomerular filtration rate (GFR), and 25-OH vitamin D levels were determined. RESULTS: Depression scores were higher than cut-off point in 33.3% (n = 39) of patients. The mean 25-OH vitamin D level was 19.6 ± 12.0 µg/L. In the group with depression risk, 25-OH vitamin D levels were significantly lower than the other group (15.2 ± 9.2 µg/L and 21.9 ± 12.7 µg/L, respectively; p = 0.004). No significant difference was observed between the two groups in terms of demographic parameters, blood biochemistry, and GFR. A negative correlation was detected between HADS-D score and vitamin D levels (r = -0.365, p < 0.0001). CONCLUSION: Lower serum 25-OH vitamin D levels are associated with higher depressive symptom levels among renal transplantation recipients. This finding should be the basis for further clinical studies and for future prospects on vitamin D supplementation for prevention and treatment of depression in these patients.
Assuntos
Transtorno Depressivo/sangue , Transtorno Depressivo/psicologia , Transplante de Rim/psicologia , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/psicologia , Deficiência de Vitamina D/sangue , Deficiência de Vitamina D/psicologia , Vitamina D/análogos & derivados , Adulto , Transtorno Depressivo/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Complicações Pós-Operatórias/diagnóstico , Psicometria , Medição de Risco , Turquia , Vitamina D/sangue , Deficiência de Vitamina D/diagnósticoRESUMO
INTRODUCTION: The literature data show that relaxation practice is effective in reducing anxiety symptoms. Different techniques such as progressive muscular relaxation, autogenic training, applied relaxation and meditation have been evaluated independently for anxiety disorders. The question is to know whether the combination of various techniques may be of interest in the transdiagnostic treatment of anxiety disorders. AIM OF THE STUDY: The present study assessed the short-term efficacy of a 10-week integrative and transdiagnostic relaxation program for anxiety disorders in outpatients of an anxiety disorders unit. METHODS: The diagnoses were made according to the Mini-International Neuropsychiatric Interview (MINI; Sheehan et al., 1998) and completed with an assessment of anxiety and depressive symptoms using: the State Trait Anxiety Inventory (STAI-Y, -S and -T), the Penn State Worry Questionnaire (PSWQ) and the Beck Depression Inventory (BDI-II). Four techniques were integrated into the structured 10-week protocol: breathing control, muscular relaxation, meditation and mental visualization. RESULTS: Twenty-eight patients (12 men and 16 women), mean age (S.D.)=38.82 years (11.57), were included in the study. All the included patients fulfilled the DSM-IV criteria for a current diagnosis of Generalized Anxiety Disorder (n=13) or Panic Disorder (n=15) with or without agoraphobia. At the end of the 10 sessions, we found a significant reduction in mean scores (S.D.) on the STAI-T from 53.179 (6.037) to 49.821 (8.028) (P<0.02), the BDI-II 20.964 (13.167) to 15.429 (11.341) (d=0.6543) and the QIPS 55.071 (10.677) to 49.679 (11.7) (d=0.5938). The observed reduction in the STAI-S (d=0.2776) was not significant. DISCUSSION: The results of this open study showed that this program significantly decreases the level of trait anxiety, depression and worry. The integrative and transdiagnostic relaxation program could represent an accessible and effective treatment to reduce anxious and depressive symptoms in various anxiety disorders. Future research should address the development of controlled trials assessing the impact of the different dimensions of anxiety and the long-term effects of this protocol.
Assuntos
Transtornos de Ansiedade/terapia , Terapia de Relaxamento/métodos , Adulto , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Projetos Piloto , Psicometria , Resultado do TratamentoRESUMO
BACKGROUND: More than a third of the approximately 10 million women with histories of interpersonal violence in the United States develop posttraumatic stress disorder (PTSD). Currently available treatments for this population have a high rate of incomplete response, in part because problems in affect and impulse regulation are major obstacles to resolving PTSD. This study explored the efficacy of yoga to increase affect tolerance and to decrease PTSD symptomatology. METHOD: Sixty-four women with chronic, treatment-resistant PTSD were randomly assigned to either trauma-informed yoga or supportive women's health education, each as a weekly 1-hour class for 10 weeks. Assessments were conducted at pretreatment, midtreatment, and posttreatment and included measures of DSM-IV PTSD, affect regulation, and depression. The study ran from 2008 through 2011. RESULTS: The primary outcome measure was the Clinician-Administered PTSD Scale (CAPS). At the end of the study, 16 of 31 participants (52%) in the yoga group no longer met criteria for PTSD compared to 6 of 29 (21%) in the control group (n = 60, χ²1 = 6.17, P = .013). Both groups exhibited significant decreases on the CAPS, with the decrease falling in the large effect size range for the yoga group (d = 1.07) and the medium to large effect size decrease for the control group (d = 0.66). Both the yoga (b = -9.21, t = -2.34, P = .02, d = -0.37) and control (b = -22.12, t = -3.39, P = .001, d = -0.54) groups exhibited significant decreases from pretreatment to the midtreatment assessment. However, a significant group × quadratic trend interaction (d = -0.34) showed that the pattern of change in Davidson Trauma Scale significantly differed across groups. The yoga group exhibited a significant medium effect size linear (d = -0.52) trend. In contrast, the control group exhibited only a significant medium effect size quadratic trend (d = 0.46) but did not exhibit a significant linear trend (d = -0.29). Thus, both groups exhibited significant decreases in PTSD symptoms during the first half of treatment, but these improvements were maintained in the yoga group, while the control group relapsed after its initial improvement. DISCUSSION: Yoga significantly reduced PTSD symptomatology, with effect sizes comparable to well-researched psychotherapeutic and psychopharmacologic approaches. Yoga may improve the functioning of traumatized individuals by helping them to tolerate physical and sensory experiences associated with fear and helplessness and to increase emotional awareness and affect tolerance. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT00839813.
Assuntos
Psicoterapia de Grupo , Transtornos de Estresse Pós-Traumáticos/terapia , Yoga/psicologia , Adulto , Terapia Combinada , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Psicometria , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/psicologiaRESUMO
OBJECTIVES: The study examined the relationship between potential traumatic events in childhood and motivational abilities in old adulthood according to developmental stage. METHODS: The motivational abilities of self-efficacy, conscientiousness and impulsivity (self control) were investigated in a sample of 114 formerly indentured Swiss child laborers. Adversities were assessed by the Childhood Trauma Questionnaire (CTQ). The sample was split into four age groups according to the beginning of the potential trauma: infancy (0-2), preschool (3-5), early childhood (6-9), and early adolescence (≥ 10). RESULTS: The strongest relationship was found between self-efficacy and CTQ in the group "early adolescence," followed by the relationship between conscientiousness and CTQ in the same group. Impulsivity and CTQ were most strongly associated in the "preschool" group. CONCLUSION: Childhood adversities seem to have a negative impact on self-efficacy and conscientiousness after the age of ten. In contrast, self-control seems to be affected by the deleterious effect of trauma or adversity already at an earlier age.
Assuntos
Aptidão , Emprego/psicologia , Acontecimentos que Mudam a Vida , Motivação , Desenvolvimento da Personalidade , Adaptação Psicológica , Adolescente , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Cuidados no Lar de Adoção/psicologia , Humanos , Comportamento Impulsivo/psicologia , Lactente , Controle Interno-Externo , Estudos Longitudinais , Atenção Plena , Inventário de Personalidade/estatística & dados numéricos , Psicometria , Autoeficácia , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/psicologia , SuíçaRESUMO
The purpose of this study was to examine the relationship between childhood traumas, mindfulness, and dissociation (more specifically, absorption and depersonalization) in healthy subjects with and without hallucination proneness. A sample of 318 subjects was given the Launay-Slade Hallucination Scale-Revised (R. P. Bentall & P. Slade, 1985). From this sample, 2 groups were formed: one with high and the other with low hallucination proneness. Furthermore, all participants were given the Tellegen Absorption Scale (A. Tellegen & G. Atkinson, 1974), the Cambridge Depersonalization Scale (M. Sierra & G. E. Berrios, 2000), the Southampton Mindfulness Questionnaire (P. D. J. Chadwick et al., 2008), and the Trauma Questionnaire (J. R. E. Davidson, D. Hughes, & D. G. Blazer, 1990). The results showed that in the group with high hallucination proneness, there were significantly more subjects with traumatic experiences than in the group with low predisposition, although no significant difference in the mean number of traumatic experiences undergone in childhood was found between the 2 groups, although there was a trend toward significance. A correlation analysis showed a significant negative association between mindfulness on the one hand and absorption and depersonalization on the other. A positive relationship was also found between childhood traumas and absorption and depersonalization. Finally, multiple mediation analysis showed that the absorption and depersonalization variables acted as mediators between childhood traumas and hallucination proneness. We discuss the importance of the relationship between the variables studied and hallucination proneness and suggest some approaches for their treatment.
Assuntos
Transtornos Dissociativos/diagnóstico , Transtornos Dissociativos/psicologia , Alucinações/diagnóstico , Alucinações/psicologia , Acontecimentos que Mudam a Vida , Atenção Plena , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Inventário de Personalidade/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Estatística como Assunto , Inquéritos e Questionários , Adulto JovemRESUMO
Congruence in spirituality between HIV+ adolescent (n = 40)/family (n = 40) dyads and psychological adjustment and quality of life were assessed, using the Spiritual Well-Being Scale of the Functional Assessment of Chronic Illness Therapy, Beck Depression Inventory-II, Beck Anxiety Inventory and Pediatric Quality of Life Inventory at baseline and 3-month post-intervention. Adolescents were 60 % female and 92 % African American. Congruence in spirituality between adolescent/surrogate dyads remained unchanged at 3 months. High congruence existed for "having a reason for living"; rejection of "life lacks meaning/purpose" and "HIV is a punishment from God." Adolescents were less likely to forgive the harm others caused them than their families.
Assuntos
Família/psicologia , Infecções por HIV/psicologia , Qualidade de Vida/psicologia , Religião e Medicina , Papel do Doente , Espiritualidade , Adaptação Psicológica , Adolescente , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Perdão , Infecções por HIV/congênito , Infecções por HIV/terapia , Humanos , Masculino , Motivação , Inventário de Personalidade/estatística & dados numéricos , Psicometria , PuniçãoRESUMO
OBJECTIVE: The Multidimensional Inventory for Religious/Spiritual Well-Being (MI-RSWB) was successfully applied in several clinical as well as non-clinical studies. However, the original version of the scale often showed to be as too comprehensive especially for clinical surroundings. There for the aim of this study is to develop a short version of the scale comprising 12 items. METHOD: Based on a sample representative of the Austrian general population (N = 1,500), a first MI-RSWB short version is developed by means of factor- and reliability analysis. Furthermore the new short version of the scale is initially validated through several indicators of mental illness. RESULTS: The MI-RSWB short version shows convincing psychometric properties. The total scale as well as the sub scales exhibit at least a sufficient internal consistency. A significant negative association with several indicators of psychiatric illness is also confirmed for the short version of the scale. CONCLUSIONS: The MI-RWSB 12 scale is especially recommended for further research focusing on the clinical relevance of religiosity and spirituality.
Assuntos
Usuários de Drogas/psicologia , Pessoas Mentalmente Doentes/psicologia , Inventário de Personalidade/estatística & dados numéricos , Qualidade de Vida/psicologia , Religião e Psicologia , Espiritualidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/estatística & dados numéricos , Valores de Referência , Adulto JovemRESUMO
OBJECTIVE: The effects of supplementation of the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) on prevalence and severity of depression were evaluated in patients after a myocardial infarction. METHOD: A cross-sectional evaluation (posttest-only design) within the prospective, randomized, controlled, multicenter OMEGA trial was performed in patients after myocardial infarction at 12 months' follow-up (N = 2,081; age, mean = 64 years; men, 76.7%; women, 21.8%) from April 2005 to June 2007. Patients received supplementation with ethyl esters 90 (460-mg EPA and 380-mg DHA) or placebo for 12 months. Depression was assessed with the Beck Depression Inventory-II (BDI-II); a BDI-II cutoff score of ≥ 14 was used as diagnosis of depression. RESULTS: When the total population was evaluated, no effects of EPA/DHA supplementation on depressive symptoms according to BDI-II score (mean [SD]) could be demonstrated: EPA/DHA (n = 1,046), 7.1 (6.9); placebo (n = 1,035), 7.1 (7.0); P = .7. The post hoc analyses of depressed patients with and without antidepressants revealed a tendency toward an antidepressant effect in patients with EPA/DHA supplementation as monotherapy: EPA/DHA (n = 125), 19.4 (5.8); placebo (n = 113), 19.9 (5.1); P = .07. However, in depressed patients with EPA/DHA supplementation as adjunctive to conventional antidepressants, a clinically relevant antidepressant effect was demonstrated: EPA/DHA (n = 33), 20.9 (7.1); placebo (n = 29), 24.9 (8.5); P < .05. CONCLUSIONS: EPA/DHA supplementation in the total sample of patients after myocardial infarction had no effect on depressive symptoms. The clinically relevant antidepressant effect in the subgroup of depressed patients with EPA/DHA supplementation as adjunctive to conventional antidepressants that was revealed in the post hoc analysis might provide a basis for a controlled, prospective trial of omega-3 augmentation of antidepressants in patients after myocardial infarction. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT00251134.