Can pain be self-managed? Pain change in vulnerable participants to a health education programme.

Chronic pain exerts a significant impact on the quality of life, giving rise to both physical and psycho-social vulnerabilities. It not only leads to direct costs associated with treatments, but also results in indirect costs due to the reduced productivity of affected individuals. Chronic conditions can be improved by reducing modifiable risk factors. Various educational programs, including the Chronic Disease Self-Management Programme (CDSMP), have demonstrated the advantages of enhancing patient empowerment and health literacy. Nevertheless, their efficacy in addressing pain symptoms has received limited attention, especially concerning vulnerable populations. This research aims to assess the effectiveness of the CDSMP in alleviating pain among socio-economically vulnerable participants with chronic conditions. By accounting for a wide range of variables, and using data from the EFFICHRONIC project (EU health programme), we investigated the changes in pain levels after the intervention, among 1070 participants from five European countries. Our analyses revealed a significant reduction in pain following the intervention. This finding supports the notion that training programs can effectively ameliorate pain and alleviate its impact on the quality of life, particularly in vulnerable populations. Younger participants, as well as those with higher education levels and individuals experiencing higher levels of pain at baseline, were more likely to experience a reduction in their pain levels. These findings underscore the importance of recognising the social determinants of health. The study was registered at ClinicalTrials.gov (ISRCTN70517103).

Sibling competition, dispersal and fitness outcomes in humans.

Determining how sibling interactions alter the fitness outcomes of dispersal is pivotal for the understanding of family living, but such studies are currently scarce. Using a large demographic dataset on pre-industrial humans from Finland, we studied dispersal consequences on different indicators of lifetime reproductive success according to sex-specific birth rank (a strong determinant of dispersal in our population). Contrary to the predictions of the leading hypotheses, we found no support for differential fitness benefits of dispersal for either males or females undergoing low vs. high sibling competition. Our results are inconsistent with both hypotheses that family members could have different fitness maximizing strategies depending on birth rank, and that dispersal could be mainly driven by indirect fitness benefits for philopatric family members. Our study stresses the need for studying the relative outcomes of dispersal at the family level in order to understand the evolution of family living and dispersal behaviour.

The effect of the 7R allele at the DRD4 locus on risk tolerance is independent of background risk in Senegalese fishermen.

It has been shown that living in risky environments, as well as having a risky occupation, can moderate risk-tolerance. Despite the involvement of dopamine in the expectation of reward described by neurobiologists, a GWAS study was not able to demonstrate a genetic contribution of genes involved in the dopaminergic pathway in risk attitudes and gene candidate studies gave contrasting results. We test the possibility that a genetic effect of the DRD4-7R allele in risk-taking behavior could be modulated by environmental factors. We show that the increase in risk-tolerance due to the 7R allele is independent of the environmental risk in two populations in Northern Senegal, one of which is exposed to a very high risk due to dangerous fishing.

Evidence of genotypic adaptation to the exposure to volcanic risk at the dopamine receptor DRD4 locus.

Humans have colonized and adapted to extremely diverse environments, and the genetic basis of some such adaptations, for example to high altitude, is understood. In some cases, local or regional variation in selection pressure could also cause behavioural adaptations. Numerous genes influence behaviour, such as alleles at the dopamine receptor locus D4 (DRD4), which are associated with attitude toward risk in experimental settings. We demonstrate genetic differentiation for this gene, but not for five unlinked microsatellite loci, between high- and low risk environments around Mount Merapi, an active volcano in Java, Indonesia. Using a behavioural experiment, we further show that people inhabiting the high risk environment are significantly more risk averse. We provide evidence of a genetic basis for this difference, showing that heterozygotes at the DRD4 locus are more risk averse than either homozygotes. In the high risk environment, allele frequencies are equilibrated, generating a high frequency of heterozygotes. Thus it appears that overdominance (i.e. selective advantage of heterozygotes) generates negative frequency dependent selection, favouring the rarer allele at this locus. Our results therefore provide evidence for adaptation to a marginal habitat through the selection of a neurocognitive trait with a genetic basis.

Men increase contributions to a public good when under sexual competition.

Why humans cooperate in large groups and with non-kin remains a puzzle for researchers across the natural and social sciences. Investigating whether cooperation is sexually selected could contribute to an understanding of the evolution of human cooperation. Competition for access to mates could indeed select for cooperation. Using controlled laboratory experiments, we analyse whether and how the sex composition of a social environment, testosterone level, and relationship status affect contributions to a public good. The results show that variation in sex composition alters the amount of money that single men (but not men in a couple or women) contribute to a public good. Notably, in line with the competitive helping hypothesis, awareness of the presence of a woman leads to larger contributions by single men, most likely by triggering their competitiveness to be the most cooperative man in the group. However, we find no link between basal testosterone level and cooperativeness. We argue that men, notably single men, adopt cooperative behaviours as a signalling strategy in the context of mate choice and hence that cooperation is partly sexually selected. Our findings highlight the need to consider sexual selection as an additional mechanism for cooperation.

The fighting hypothesis as an evolutionary explanation for the handedness polymorphism in humans: where are we?

The ubiquitous and persistent handedness polymorphism in humans requires an evolutionary explanation. It has been suggested that left-handers have a frequency-dependent advantage during a fight, such that this advantage decreases when their frequency increases. Many independent studies are providing data from interactive sports (a specific class of fights), and are very supportive of the fighting hypothesis. The only intercultural study on traditional societies is also consistent with the fighting hypothesis, although it has not yet been replicated. The frequencies of left-handers in the few remaining violent societies are likely to be rapidly decreasing, due to Western colonization (long-range weapons, religion, and money market) dramatically affecting the frequency-dependent selection associated with handedness. Clearly, more data are urgently needed outside the Western influence.

Are elder siblings helpers or competitors? Antagonistic fitness effects of sibling interactions in humans.

Determining the fitness consequences of sibling interactions is pivotal for understanding the evolution of family living, but studies investigating them across lifetime are lacking. We used a large demographic dataset on preindustrial humans from Finland to study the effect of elder siblings on key life-history traits. The presence of elder siblings improved the chances of younger siblings surviving to sexual maturity, suggesting that despite a competition for parental resources, they may help rearing their younger siblings. After reaching sexual maturity however, same-sex elder siblings' presence was associated with reduced reproductive success in the focal individual, indicating the existence of competition among same-sex siblings. Overall, lifetime fitness was reduced by same-sex elder siblings' presence and increased by opposite-sex elder siblings' presence. Our study shows opposite effects of sibling interactions depending on the life-history stage, and highlights the need for using long-term fitness measures to understand the selection pressures acting on sibling interactions.

Sexual selection of human cooperative behaviour: an experimental study in rural Senegal.

Human cooperation in large groups and between non-kin individuals remains a Darwinian puzzle. Investigations into whether and how sexual selection is involved in the evolution of cooperation represent a new and important research direction. Here, 69 groups of four men or four women recruited from a rural population in Senegal played a sequential public-good game in the presence of out-group observers, either of the same sex or of the opposite sex. At the end of the game, participants could donate part of their gain to the village school in the presence of the same observers. Both contributions to the public good and donations to the school, which reflect different components of cooperativeness, were influenced by the sex of the observers. The results suggest that in this non-Western population, sexual selection acts mainly on men's cooperative behaviour with non-kin, whereas women's cooperativeness is mainly influenced by nonsexual social selection.

Left-handedness and male-male competition: insights from fighting and hormonal data.

Male-male competition can shape some behavioral or morphological traits of males. Here we investigate if this competition could play a role in the persistence of the polymorphism of handedness in human populations. A negative frequency-dependent selection mechanism has been hypothesized, based on the fact that left-handed men may benefit from a "surprise" advantage during fighting interactions because they are rare in human populations. This advantage may thereby enhance the probability of survival of left- handed men and/or their reproductive success through an increase in social status. In this study, we first explored the association between hand preference and lifetime fighting behavior in a population of 1,161 French men. No effect of hand preference on the probability of fighting was detected, suggesting that the innate propensity to fight does not differ between left- and right-handers. However, among men who had been involved in at least one fight during their lifetime, left-handers reported significantly more fights than right-handers. To explore the biological basis of this behavior, we also investigated the testosterone concentration in saliva samples from 64 French university students. Consistent with frequencies of fights, we found a significantly higher average testosterone concentration in left-handers than in right-handers. We suggest that these behavioral and hormonal differences may be acquired throughout life due to previous experiences in a social context and may favor the persistence of left-handers in humans.

Cross-cultural perceptions of facial resemblance between kin.

Humans use facial comparisons to identify their relatives and adjust their behavior accordingly. However, the mechanisms underlying the assessment of facial similarities are poorly known. Here, we investigate the role of exposure to particular faces for the detection of facial similarities by asking judges to detect parent-child pairs using faces from different origins. In a first phase, French and Senegalese judges assessed facial resemblance in French and Senegalese families. In a second phase, Senegalese judges who had immigrated to France, as well as French and Senegalese stationary judges, were asked to rate a second set of Senegalese and French families. The judges showed no differences in their ability to detect parent-child pairs in French and Senegalese families in both the first and second phases. For judges who changed their country of residence, the answer time and duration of stay in the new country were not associated with correct assignment rates. Our results suggest that exposure has a limited role in the ability to process facial resemblance in others, which contrasts with facial recognition processing. We also discuss whether processing facial similarities is a by-product of the facial recognition system or an evolved ability to assess kinship relationships.

Variation in testosterone levels and male reproductive effort: insight from a polygynous human population.

Recent evidence suggests that, in humans, variations in testosterone (T) levels between men reflect their differential allocation in mating versus parenting efforts. However, most studies have been conducted in urbanized, monogamous populations, making generalizations from them questionable. This study addresses the question of whether indicators of male reproductive effort are associated with variations in salivary T levels in a polygynous population of agriculturists in rural Senegal. We first show that pair-bonding and/or transition to fatherhood is associated with T profiles: married fathers (N=53) have lower morning and afternoon T levels than unmarried non-fathers (N=28). Second, among fathers, individual differences in parenting effort, as well as variations in mating effort, predict morning T levels. Indeed, men highly investing in parental care show lower morning T levels. Moreover, among men under 50, polygynous men show higher morning T levels than monogamous men. Taken together with previous results in monogamous settings, these findings suggest that the endocrine regulation of reproductive effort is probably a general feature of human populations.

Middleborns disadvantaged? Testing birth-order effects on fitness in pre-industrial Finns.

Parental investment is a limited resource for which offspring compete in order to increase their own survival and reproductive success. However, parents might be selected to influence the outcome of sibling competition through differential investment. While evidence for this is widespread in egg-laying species, whether or not this may also be the case in viviparous species is more difficult to determine. We use pre-industrial Finns as our model system and an equal investment model as our null hypothesis, which predicts that (all else being equal) middleborns should be disadvantaged through competition. We found no overall evidence to suggest that middleborns in a family are disadvantaged in terms of their survival, age at first reproduction or lifetime reproductive success. However, when considering birth-order only among same-sexed siblings, first-, middle- and lastborn sons significantly differed in the number of offspring they were able to rear to adulthood, although there was no similar effect among females. Middleborn sons appeared to produce significantly less offspring than first- or lastborn sons, but they did not significantly differ from lastborn sons in the number of offspring reared to adulthood. Our results thus show that taking sex differences into account is important when modelling birth-order effects. We found clear evidence of firstborn sons being advantaged over other sons in the family, and over firstborn daughters. Therefore, our results suggest that parents invest differentially in their offspring in order to both preferentially favour particular offspring or reduce offspring inequalities arising from sibling competition.

Developmental plasticity of human reproductive development: effects of early family environment in modern-day France.

In a first study, we investigated how the absence of a father and the presence of a stepfather during early childhood affected physiological and behavioral traits related to reproductive development (such as age of menarche, age of first sexual intercourse and number of sexual partners) in a large sample set of male and female French university students. We evaluated which ages were sensitive to modifications in the family composition and found that menarche occurred earlier when the father was absent, particularly when the child was between 0 and 5 years of age. Father absence during early adolescence was associated with a younger age at first sexual intercourse and an increased number of sexual partners, for both sexes. The presence of a stepfather during this period further advanced the age of first sexual intercourse. We also measured testosterone levels in both sexes and analyzed their association with parental separation, and found that young women with separated parents had significantly higher afternoon levels of testosterone. In a second study, we analyzed direct fitness measures (such as number of children and grandchildren) in a large sample of French workers and found that parental separation during childhood was not associated with fitness variation. We discuss whether the reproductive outcomes of individuals having experienced modifications in the early family environment are the expression of costs or adaptive strategies.

Socio-economic status and handedness in two large cohorts of French adults.

Left-and right-handers have coexisted since the Palaeolithic age. Hand preference is heritable. Moreover, there is extensive evidence of an association between left-handedness and several fitness costs. In this context, the persistence of the polymorphism is interesting. Here, we explore the associations between socio-economic status and handedness, analysing data from two large cohorts of adult men and women. Such associations are relevant to an evolutionary approach, as the socio-economic and the reproductive value are related. Our results partly support the hypothesis that left-handers have a socio-economic status advantage, countervailing the health issues. Although the models explain a small proportion of the variance observed, the frequency of left-handedness is significantly higher: (1) among women of higher educational level; (2) among categories of higher income; and (3) among individuals who have a higher position in the company. The importance of these findings for the evolution of the polymorphism of handedness is discussed.

Do left-handed children have advantages regarding school performance and leadership skills?

A handedness polymorphism exists in all human populations so far investigated, at least since the Palaeolithic. Handedness is a heritable trait, and a possible evolutionary explanation for the higher prevalence of right-handers is the association of left-handedness with some deleterious traits. In this context, the persistence of left-handers remains unexplained. Reproductive success has been shown to be dependent on cultural success in many human societies. This study is the first attempt to consider the importance of social status to evolutionary processes related to handedness. We conducted a survey in French public primary schools to look for a possible association between laterality, school performance, and leadership skills. This study revealed only weak associations, and a sex effect. For primary-school girls, we report a negative association between several indicators of left-sidedness and teacher's ratings of school performance and leadership skills. For primary-school boys, we report a positive association between left-handedness for writing and teacher's ratings of school performance. The present study did not reveal any strong relation between laterality and school performance, but has shown that general school performance is not independent of laterality, and that the effect is opposite in males and females. The main difficulty is now to define clearly the different intellectual functions involved.

Handedness, homicide and negative frequency-dependent selection.

Humans exhibit hand preference for most manual activities in which they are specialized. Right- and left-handers have coexisted at least since the Upper Palaeolithic, and left-handers are in the minority in all human populations. The persistence of the polymorphism of handedness is a puzzle because this trait is substantially heritable and several fitness costs are associated with left-handedness. Some countervailing benefit is required to maintain the polymorphism. Left-handers may have a frequency-dependent advantage in fights--the advantage being greater when their frequency is lower. Sports data from Western societies are consistent with this prediction. Here, we show that the frequency of left-handers is strongly and positively correlated with the rate of homicides across traditional societies. It ranges from 3% in the most pacifistic societies, to 27% in the most violent and warlike. This finding is consistent with a frequency-dependent selection mechanism maintaining left-handedness in these societies.

Maintenance of handedness polymorphism in humans: a frequency-dependent selection model.

Frequency-dependent selection is an important process in the maintenance of genetic variation in fitness. In humans, it has been proposed that the polymorphism of handedness is maintained by negative frequency-dependent selection, through a strategic advantage of left-handers in fighting interactions. Using simple mathematical models, we explore: (1) whether it is possible to predict the range of left-handedness frequencies observed in human populations by the frequency and the violence of fighting interactions; (2) the consequences of the sex differences in the probability of transmission of hand preference to offspring. We show that a wide range of values of the frequency of left-handers can be obtained with realistic changes of the parameters values. Our models reinforce the idea that negative frequency-dependence may have played a role in maintaining left-handedness in human populations, and provide further support for the importance of fighting interactions in the evolution of hand preference. Moreover, they suggest an explanation for the occurrence of left-handedness among women in this context, namely an indirect selective advantage through their male offspring.

Handedness frequency over more than ten thousand years.

Although there are quite important geographical variations in the frequency of left-handers around the world, nothing is known about its temporal evolution. During the upper Palaeolithic (ca. 35,000-10,000 YBP), humans painted 'negative hands' by blowing pigments with a tube onto one hand applied on the rock in caves in Western Europe, by blowing pigments on their own hand through a tube held in the other hand. The frequency of left-handers prevailing during this period could thus be assessed. For comparison, the handedness of French university students has been observed for the same task. No difference was detected between the two proportions of left-handers, separated by more than 10,000 years. Implications for the evolution of the polymorphism of handedness are discussed.