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1.
Int J Psychoanal ; 105(4): 455-474, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39230497

ABSTRACT

This paper explores the mechanisms that lead to a destructive tendency in the formation and functioning of the psychic apparatus, to the characteristic states of subjects who are drawn to non-life. The dynamics of the primary mother-child relationship involve a structural interaction between mind and body, subject and object. The dialectic between the life drive and the death drive is conceptualized as the structuring of homeostatic dynamic equilibria, in which both drives belong to the living, provided they are kept in a non-isolated system. This conception has analogies with other disciplines that have changed their paradigms, such as neurobiology, which, for living beings in open systems, hypothesises a continuous interconnected Becoming of undivided separation and of discontinuity. In unitary psyche-soma functioning, a dynamic homoeostatic balance marks the state of health of the relating subject; or if, instead, the system is isolated, a pathological dysregulation depending on the emotional-affective vicissitudes it undergoes. Two clinical cases illustrate these dynamics. For this tendency on the level of the somatopsychic unit, the name alloiosis has been put forward, in analogy with cellular apoptosis.


Subject(s)
Mother-Child Relations , Humans , Female , Psychoanalytic Theory , Adult , Mind-Body Relations, Metaphysical , Ego , Psychoanalytic Therapy
2.
Sci Rep ; 14(1): 15568, 2024 07 06.
Article in English | MEDLINE | ID: mdl-38971818

ABSTRACT

The issue of academic procrastination is highly prevalent among university students. It not only has a deterimental effect on students' academic performance but also poses a risk to their physical and mental well-being. Anxiety, as a negative emotion, has attracted researchers' attention in relation to academic procrastination. Research indicates a correlation between state anxiety and academic procrastination, but the underlying mechanisms that drive this association remain unclear. When individuals experience ego-depletion, it can lead to psychological exhaustion, subsequently leading to procrastination. Gender role conceptions, shaped by sociocultural and psychological mechanisms, have profound implications on individuals' cognition, emotions, and behaviors. This study primarily aims to explore the relationship between state anxiety and academic procrastination among university students, with a particularly focus on the mediating role of ego-depletion and the moderating role of gender. A survey using the State Anxiety Scale, Ego-Depletion Scale, and Irrational Procrastination Scale was administered to 3370 undergraduates. State anxiety shows positive correlations with ego depletion and academic procrastination (r = 0.665, p < 0.01; r = 0.491, p < 0.01), while ego depletion is also positively linked to academic procrastination (r = 0.500, p < 0.01). State anxiety serves as a positive predictor of academic procrastination, with a confidence interval of 95% [0.626, 0.696]; additionally, ego depletion partially mediates the relationship between state anxiety and academic procrastination, with a confidence interval of 95% [0.168, 0.251]. Gender acts as a moderator in directly predicting the impact of state anxiety on academic procrastination and in the latter stage of mediating the effect of ego depletion. State anxiety can significantly and positively predict academic procrastination among university students. Ego-depletion partially mediates the relationship between state anxiety and academic procrastination. The direct predictive effect of state anxiety on academic procrastination, as well as the mediating role of ego-depletion, is moderated by gender. This provides educators and university students themselves with reference for addressing the issue of academic procrastination.


Subject(s)
Anxiety , Ego , Procrastination , Students , Humans , Female , Male , Students/psychology , Anxiety/psychology , Universities , Young Adult , Adult , Surveys and Questionnaires , Adolescent
3.
Integr Psychol Behav Sci ; 58(3): 855-868, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39014171

ABSTRACT

In this comment paper on von Fircks (2023a), I would like to focus on four issues and offer some reflections on them: first, what is happening in the process of a new I arising through mindfulness meditation practice? I would like to supplement the dialogue between Buber and Rogers in 1957 on the dynamism of I and Me, which is the basis of Mead's theory of self formation, in which I and Me separate, discover and meet a new self. The second, is that meditation, which at first glance appears to be an internal meditation practice and a personal activity, leads to a semiotic mediated social process. The Tao and early Buddhist ideas that form the background to the experiential process of mindfulness meditation will be reviewed, and the significance of people experiencing the interdependence of non-human nature and the environment through the practice will be discussed. Third, connecting this to the idea of Umwelt (Uexküll) and the semiosphere (Lotman), an attempt is made to extend the otherness as a collating body of self formation to Umwelt. Fourth, mindfulness meditation focuses attention on the breath. In relation to Mead's focus on the environment under the skin, i.e. corporeality, I will supplement the psychological meaning of cultivating the body's sense of interoception through the sensing of repetitive movements of tension and relaxation. Through the above, what kind of semiotic mediating function does mindfulness meditation have in relation to the construction of the new I, and how does it lead to the creation of social meaning? We would like to discuss these points. CLINICAL TRIAL REGISTRATION: The article does not contain any studies with clinical trial. This, clinical Trial registration is not applicable.


Subject(s)
Meditation , Mindfulness , Humans , Buddhism , Ego
4.
Sci Rep ; 14(1): 17541, 2024 07 30.
Article in English | MEDLINE | ID: mdl-39079968

ABSTRACT

Ego-depletion describes a state of mind, where the capacity for self-control is temporarily depleted after a primary self-control action. The aim of this study was to investigate whether a brief virtual reality-based mindfulness breathing meditation with integrated biofeedback can be considered an effective strategy to counteract the detrimental effects of ego depletion on motor skill performance under pressure. The study included two experiments, each of them designed as counterbalanced cross-over trials and based on an a priori sample-size calculation. Within each experiment, participants completed two appointments in a randomly assigned order, during which they were asked to perform 20 basketball free throws (N = 18; Experiment 1) or 20 penalty kicks at a football goal in four target squares (N = 16; Experiment 2) under pressure pre and post the following conditions: Stroop-test-induced ego depletion followed by a 15 min resting break, Stroop-test-induced ego depletion followed by a 15 min virtual reality-based mindfulness breathing meditation with integrated biofeedback. Results indicate that, in comparison to a resting break, a brief virtual reality-based mindfulness meditation with integrated biofeedback can counteract the detrimental effects of ego-depletion (Experiment 2) and enhance motor skill performance under pressure (Experiment 1, 2) Implications for researchers and practitioners are derived in light of the identified methodological limitations.


Subject(s)
Biofeedback, Psychology , Ego , Meditation , Mindfulness , Motor Skills , Virtual Reality , Humans , Male , Meditation/methods , Biofeedback, Psychology/methods , Mindfulness/methods , Adult , Female , Motor Skills/physiology , Young Adult , Cross-Over Studies
5.
Sci Rep ; 14(1): 15515, 2024 07 05.
Article in English | MEDLINE | ID: mdl-38969667

ABSTRACT

Vaccine hesitancy is an inevitable risk for societies as it contributes to outbreaks of diseases. Prior research suggests that vaccination decisions of individuals tend to spread within social networks, resulting in a tendency to vaccination homophily. The clustering of individuals resistant to vaccination can substantially make the threshold necessary to achieve herd immunity harder to reach. In this study, we examined the extent of vaccination homophily among social contacts and its association with vaccine uptake during the COVID-19 pandemic in Hungary using a contact diary approach in two cross-sectional surveys. The results indicate strong clustering among both vaccinated and unvaccinated groups. The most powerful predictor of vaccine uptake was the perceived vaccination rate within the egos' social contact network. Vaccination homophily and the role of the interpersonal contact network in vaccine uptake were particularly pronounced in the networks of close relationships, including family, kinship, and strong social ties of the ego. Our findings have important implications for understanding COVID-19 spread dynamics by showing that the strong clustering of unvaccinated individuals posed a great risk in preventing the spread of the disease.


Subject(s)
COVID-19 , Vaccination , Humans , COVID-19/prevention & control , COVID-19/epidemiology , COVID-19/psychology , Female , Male , Adult , Cross-Sectional Studies , Hungary/epidemiology , Middle Aged , Vaccination/psychology , COVID-19 Vaccines/administration & dosage , SARS-CoV-2/immunology , Social Networking , Vaccination Hesitancy/psychology , Vaccination Hesitancy/statistics & numerical data , Pandemics/prevention & control , Ego , Young Adult , Aged , Adolescent
6.
Int J Psychoanal ; 105(3): 386-392, 2024 Jun.
Article in English | MEDLINE | ID: mdl-39008040

ABSTRACT

This paper discusses the ways in which psychoanalytic perspectives may have been limited by the Western cultural context in which they originated and explores the potential of the Indian cultural imagination to broaden psychoanalytic thinking about ego formation, the nature of Eros, bisexuality, and individuation. The case is made for the need to retain the diverse perspectives offered by the cultural imaginations of different civilisations despite the globalization of ideas.


Subject(s)
Psychoanalysis , Humans , India , Psychoanalytic Theory , Ego
7.
Nature ; 632(8023): 131-138, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39020167

ABSTRACT

A single dose of psilocybin, a psychedelic that acutely causes distortions of space-time perception and ego dissolution, produces rapid and persistent therapeutic effects in human clinical trials1-4. In animal models, psilocybin induces neuroplasticity in cortex and hippocampus5-8. It remains unclear how human brain network changes relate to subjective and lasting effects of psychedelics. Here we tracked individual-specific brain changes with longitudinal precision functional mapping (roughly 18 magnetic resonance imaging visits per participant). Healthy adults were tracked before, during and for 3 weeks after high-dose psilocybin (25 mg) and methylphenidate (40 mg), and brought back for an additional psilocybin dose 6-12 months later. Psilocybin massively disrupted functional connectivity (FC) in cortex and subcortex, acutely causing more than threefold greater change than methylphenidate. These FC changes were driven by brain desynchronization across spatial scales (areal, global), which dissolved network distinctions by reducing correlations within and anticorrelations between networks. Psilocybin-driven FC changes were strongest in the default mode network, which is connected to the anterior hippocampus and is thought to create our sense of space, time and self. Individual differences in FC changes were strongly linked to the subjective psychedelic experience. Performing a perceptual task reduced psilocybin-driven FC changes. Psilocybin caused persistent decrease in FC between the anterior hippocampus and default mode network, lasting for weeks. Persistent reduction of hippocampal-default mode network connectivity may represent a neuroanatomical and mechanistic correlate of the proplasticity and therapeutic effects of psychedelics.


Subject(s)
Brain , Hallucinogens , Nerve Net , Psilocybin , Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Brain/cytology , Brain/diagnostic imaging , Brain/drug effects , Brain/physiology , Brain Mapping , Default Mode Network/cytology , Default Mode Network/diagnostic imaging , Default Mode Network/drug effects , Default Mode Network/physiology , Hallucinogens/pharmacology , Hallucinogens/administration & dosage , Healthy Volunteers , Hippocampus/cytology , Hippocampus/diagnostic imaging , Hippocampus/drug effects , Hippocampus/physiology , Magnetic Resonance Imaging , Methylphenidate/pharmacology , Methylphenidate/administration & dosage , Nerve Net/cytology , Nerve Net/diagnostic imaging , Nerve Net/drug effects , Nerve Net/physiology , Psilocybin/pharmacology , Psilocybin/administration & dosage , Space Perception/drug effects , Time Perception/drug effects , Ego
8.
Psychol Sport Exerc ; 74: 102688, 2024 09.
Article in English | MEDLINE | ID: mdl-38901548

ABSTRACT

Temporary reductions in self-control due to previous cognitive effort, also known as 'ego depletion', have been shown to negatively impact performance in subsequent tasks requiring self-control. Various theoretical accounts suggest that high levels of task motivation may prevent negative behavioural effects of ego depletion. Against this background, the current study performed a conceptual replication of a previous study examining the effects of ego depletion on sprint start performance (i.e., Englert et al., 2015) and implemented additional monetary incentives to manipulate task motivation. Using a pretest-intervention-posttest design, ninety-six novice sprinters performed a sprinting task that required them to complete a series of 20-m sprints. In between pretest and posttest, participants performed a letter writing task either under high cognitive demand (depletion group) or low cognitive demand (non-depletion control group). Subsequently, and prior to starting the posttest, participants were presented either with a monetary incentive or no incentive. Manipulation checks confirmed that the letter writing task successfully manipulated perceived regulatory demand and that task motivation at the posttest was higher for participants who were offered a monetary incentive. The number of false starts decreased significantly with ego depletion, while sprint start reaction times and sprint finish times remained unaffected. Regardless of ego depletion, sprint finish times significantly improved with monetary incentives. These results suggest that brief engagement in a demanding cognitive task is unlikely to impair novice sprinters' ability to self-regulate during the start of a subsequent, maximal sprinting effort for which they are highly motivated.


Subject(s)
Athletic Performance , Ego , Motivation , Running , Self-Control , Humans , Athletic Performance/physiology , Athletic Performance/psychology , Male , Female , Young Adult , Running/psychology , Running/physiology , Adult , Reaction Time/physiology , Adolescent , Cognition/physiology
9.
Schizophr Res ; 270: 197-201, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38924937

ABSTRACT

Schizophrenia continues its resistance to the pathogenetic understanding. We believe that one of the reasons is an oblivion of schizophrenia's characteristic Gestalt expressive of its psychopathological structure. In this article we argue for a crucial role of disorders of selfhood in the constitution of this Gestalt. First, we present a phenomenological account of the self. This is followed by an exposition of basic complaints in schizophrenia which are reflective of a disordered selfhood and which often date back to childhood. We then present characteristic features of the schizophrenic psychosis with its phenomenon of "double bookkeeping". Hallucinations, delusions and double bookkeeping are all associated with the instability of the self. Finally, we briefly address characteristic aspects of the encounter with a schizophrenia patient and argue that self-disorders play an important diagnostic role. We conclude by emphasizing the role of phenomenology in psychiatric research.


Subject(s)
Schizophrenia , Schizophrenic Psychology , Humans , Schizophrenia/physiopathology , Hallucinations/physiopathology , Hallucinations/etiology , Self Concept , Delusions/physiopathology , Delusions/etiology , Ego
10.
Behav Brain Sci ; 47: e134, 2024 Jun 27.
Article in English | MEDLINE | ID: mdl-38934454

ABSTRACT

Somewhat questioning Elizabeth Spelke's attempt to account for infants' social knowledge, our commentary argues that social cognition might be divided into several specialized systems. In addition to the core system dedicated to the intersubjective dimension of close relationships, infants could be prewired to process social relationships, such as dominance, characterized by their impersonal, normative dimension.


Subject(s)
Social Cognition , Humans , Infant , Ego , Interpersonal Relations , Child Development/physiology , Social Behavior
11.
Psychodyn Psychiatry ; 52(2): 218-236, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38829235

ABSTRACT

This study examined the relationship between trauma, ego functioning, and internet addiction. We recruited 323 participants via Amazon Mechanical Turk, a crowdsourcing platform that can be used for survey research. We gave participants the Internet Addiction Test, the Life Events Checklist, the Ego Function Assessment questionnaire, and a demographic questionnaire. Our results indicate that 41.5% reported no internet addiction, with the majority of our sample reporting behaviors that were consistent with internet addiction: mild internet addiction = 37.8%, moderate internet addiction = 19.8%, and severe internet addiction = 0.9%. The constrictive factor of ego functioning was significantly worse in those with internet addiction. Path analysis showed that the constrictive factor of ego functioning partially mediated the relationship between a self-reported history of trauma and the presence of self-reported internet addiction.


Subject(s)
Ego , Internet Addiction Disorder , Humans , Male , Female , Internet Addiction Disorder/psychology , Adult , Surveys and Questionnaires , Middle Aged , Behavior, Addictive/psychology , Young Adult , Internet , Adolescent , Self Report
12.
Am J Psychoanal ; 84(2): 147-154, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38866955

Subject(s)
Ego , Humans , Technology
13.
Neurosci Biobehav Rev ; 163: 105764, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38879098

ABSTRACT

Out-of-body experiences (OBEs) are subjective phenomena during which individuals feel disembodied or perceive themselves as outside of their physical bodies, often resulting in profound and transformative effects. In particular, experiencers report greater heightened pro-social behavior, including more peaceful relationships, tolerance, and empathy. Drawing parallels with the phenomenon of ego dissolution induced by certain psychedelic substances, we explore the notion that OBEs may engender these changes through ego dissolution, which fosters a deep-seated sense of unity and interconnectedness with others. We then assess potential brain mechanisms underlying the link between OBEs and empathy, considering the involvement of the temporoparietal junction and the Default Mode Network. This manuscript offers an examination of the potential pathways through which OBEs catalyze empathic enhancement, shedding light on the intricate interplay between altered states of consciousness and human empathy.


Subject(s)
Empathy , Humans , Empathy/physiology , Empathy/drug effects , Consciousness/physiology , Consciousness/drug effects , Brain/physiology , Brain/drug effects , Ego
14.
Schizophr Res ; 267: 473-486, 2024 May.
Article in English | MEDLINE | ID: mdl-38693032

ABSTRACT

The purpose of the present article is to consider schizophrenia-the very idea-from the perspective of phenomenological psychopathology, with special attention to the problematic nature of the diagnostic concept as well as to the prospect and challenges inherent in focusing on subjective experience. First, we address historical and philosophical topics relevant to the legitimacy of diagnostic categorization-in general and regarding "schizophrenia" in particular. William James's pragmatist approach to categorization is discussed. Then we offer a version of the well-known basic-self or ipseity-disturbance model (IDM) of schizophrenia, but in a significantly revised form (IDMrevised). The revised model better acknowledges the diverse and even seemingly contradictory nature of schizophrenic symptoms while, at the same time, interpreting these in a more unitary fashion via the key concept of hyperreflexivity-a form of exaggerated self-awareness that tends to undermine normal world-directedness and the stability of self-experience. Particular attention is paid to forms of exaggerated "self-presence" that are sometimes neglected yet imbue classically schizophrenic experiences involving subjectivism or quasi-solipsism and/or all-inclusive or ontological forms of paranoia. We focus on the distinctively paradoxical nature of schizophrenic symptomatology. In concluding we consider precursors in the work of Klaus Conrad, Kimura Bin and Henri Grivois. Finally we defend the concept of schizophrenia by considering its distinctive way of altering certain core aspects of the human condition itself.


Subject(s)
Schizophrenia , Schizophrenic Psychology , Humans , Ego , Schizophrenia/diagnosis , Schizophrenia/physiopathology , Self Concept
15.
Schizophr Res ; 269: 152-162, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38815468

ABSTRACT

Despite the historically consolidated psychopathological perspective, on the one hand, contemporary organicistic psychiatry often highlights abnormalities in neurotransmitter systems like dysregulation of dopamine transmission, neural circuitry, and genetic factors as key contributors to schizophrenia. Neuroscience, on the other, has so far almost entirely neglected the first-person experiential dimension of this syndrome, mainly focusing on high-order cognitive functions, such as executive function, working memory, theory of mind, and the like. An alternative view posits that schizophrenia is a self-disorder characterized by anomalous self-experience and awareness. This view may not only shed new light on the psychopathological features of psychosis but also inspire empirical research targeting the bodily and neurobiological changes underpinning this disorder. Cognitive neuroscience can today address classic topics of phenomenological psychopathology by adding a new level of description, finally enabling the correlation between the first-person experiential aspects of psychiatric diseases and their neurobiological roots. Recent empirical evidence on the neurobiological basis of a minimal notion of the self, the bodily self, is presented. The relationship between the body, its motor potentialities and the notion of minimal self is illustrated. Evidence on the neural mechanisms underpinning the bodily self, its plasticity, and the blurring of self-other distinction in schizophrenic patients is introduced and discussed. It is concluded that brain-body function anomalies of multisensory integration, differential processing of self- and other-related bodily information mediating self-experience, might be at the basis of the disruption of the self disorders characterizing schizophrenia.


Subject(s)
Schizophrenia , Humans , Schizophrenia/physiopathology , Self Concept , Ego , Schizophrenic Psychology , Body Image , Brain/physiopathology
16.
Schizophr Res ; 269: 163-173, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38820980

ABSTRACT

There is a general consensus that schizophrenia (SZ) is characterized by major changes in the sense of self. Phenomenological studies suggest that these changes in the sense of self stem from a basic disturbance, hence the term 'basic self-disturbance'. While imaging studies demonstrate changes in various regions during self-focused tasks, the exact neural correlates of such basic self-disturbances remain unclear. If the self-disturbance is indeed basic and thereby underlies all other symptoms, one would expect it to be related to more global rather than local changes in the brain. Testing this hypothesis, we conducted a systematic review of fMRI studies on self in SZ. Our main findings are 1. Abnormal activity related to the self can be observed in a variety of different regions ranging from higher-order transmodal to lower-order unimodal regions, 2. These findings hold true across different tasks including self-reflection, self-referentiality, and self-agency, and 3. The global neural abnormalities related to the self in SZ correspond to all layers of the self, predominantly the mental and exteroceptive self. Such global neural disturbance of self converges well with the basic self-disturbance as described in phenomenology.


Subject(s)
Brain , Magnetic Resonance Imaging , Schizophrenia , Self Concept , Humans , Schizophrenia/physiopathology , Schizophrenia/diagnostic imaging , Brain/diagnostic imaging , Brain/physiopathology , Ego , Schizophrenic Psychology
18.
Cyberpsychol Behav Soc Netw ; 27(7): 507-517, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38775037

ABSTRACT

This research explores the significance of avatar communication in the virtual world, where individuals can create new identities and establish relationships beyond real-world limitations. Avatar users engage in virtual interactions to fulfill their desires, enjoy entertainment, and experience surrogate satisfaction. This study integrates the Expectation Confirmation Model (ECM) and Impression Management Theory (IMT) to investigate the impact of various avatar ego types on communication satisfaction and continued intention to use. Two surveys (n = 600) were administered using South Korean and American samples. The results suggest a significant relationship between expectancy confirmation and perceived usefulness. Specifically, high perceived usefulness leads to increased communication satisfaction. Also, when pre-experience expectancy confirmation is low, it positively affects communication satisfaction. In addition, the study highlights differences between Western and Eastern cultural contexts in avatar ego type's expression. This study contributes to the understanding of virtual interactions, offering theoretical insights through the integration of ECM and IMT. Theoretical and practical implications are discussed.


Subject(s)
Communication , Ego , Humans , Republic of Korea , Female , Male , Adult , United States , Young Adult , Personal Satisfaction , Cross-Cultural Comparison , User-Computer Interface , Virtual Reality , Interpersonal Relations , Avatar
19.
Psychophysiology ; 61(8): e14583, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38584307

ABSTRACT

Classic psychedelics are able to profoundly alter the state of consciousness and lead to acute experiences of ego dissolution - the blurring of the distinction between representations of self and the external world. However, whether repeated use of psychedelics is associated with more prolonged and permanent modifications to the concept of self remains to be investigated. Therefore, we conducted a preregistered, cross-sectional study in which experienced psychedelics users (15 or more lifetime experiences with psychedelics; N = 56) were compared to nonusers (N = 57) in terms of neural reactivity to a Self-name (i.e., each participant's own name) stimulus, which is known to robustly activate a representation of self. Two control stimuli were additionally used: an Other-name stimulus, as a passive control condition in which no reaction was required, and a Target-name stimulus, to which participants provided a manual response and which thus constituted an active control condition. Analysis of the amplitude of the P300 ERP component evoked by the Self- or Target-names revealed no difference between the psychedelics users and nonusers. However, psychedelic users exhibited increased P300 amplitude during perception of Other-names. In addition, in comparison to nonusers, psychedelics users exhibited a smaller increase in P300 amplitude when processing the task-relevant Target-names (in relation to both Self- and Other-names). Therefore, our data suggests that regular naturalistic use of psychedelics may not be related to long-term changes in the representation of self, but it might potentially affect the allocation of attentional resources to task-relevant stimuli.


Subject(s)
Attention , Electroencephalography , Event-Related Potentials, P300 , Hallucinogens , Humans , Hallucinogens/pharmacology , Hallucinogens/administration & dosage , Male , Female , Adult , Attention/drug effects , Attention/physiology , Event-Related Potentials, P300/drug effects , Event-Related Potentials, P300/physiology , Young Adult , Cross-Sectional Studies , Ego , Self Concept , Evoked Potentials/drug effects , Evoked Potentials/physiology
20.
J Pain ; 25(9): 104525, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38609026

ABSTRACT

The well-being and functioning of individuals with chronic pain (CP) vary significantly. Social factors, such as social integration, may help explain this differential impact. Specifically, structural (network size, density) as well as functional (perceived social support, conflict) social network characteristics may play a role. However, it is not yet clear whether and how these variables are associated with each other. Objectives were to examine 1) both social network characteristics in individuals with primary and secondary CP, 2) the association between structural network characteristics and mental distress and functioning/participation in daily life, and 3) whether the network's functionality mediated the association between structural network characteristics and mental distress, respectively, functioning/participation in daily life. Using an online ego-centered social network tool, cross-sectional data were collected from 303 individuals with CP (81.85% women). No significant differences between individuals with fibromyalgia versus secondary CP were found regarding network size and density. In contrast, ANCOVA models showed lower levels of perceived social support and higher levels of conflict in primary (vs secondary) CP. Structural equation models showed that 1) larger network size indirectly predicted lower mental distress via lower levels of conflict; 2) higher network density increased mental distress via the increase of conflict levels. Network size or density did not (in)directly predict functioning/participation in daily life. The findings highlight that the role of conflict, in addition to support, should not be underestimated as a mediator for mental well-being. Research on explanatory mechanisms for associations between the network's structure, functionality, and well-being is warranted. PERSPECTIVE: This paper presents results on associations between structural (network size, density) and functional (social support, conflict) social network characteristics and well-being in the context of CP by making use of an ego-centered network design. Results suggest an indirect association between structural network characteristics and individuals with CP their mental well-being.


Subject(s)
Chronic Pain , Social Support , Humans , Female , Male , Middle Aged , Chronic Pain/physiopathology , Chronic Pain/psychology , Adult , Cross-Sectional Studies , Social Networking , Ego , Psychological Distress , Fibromyalgia/physiopathology , Fibromyalgia/psychology , Aged
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