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1.
PLoS One ; 18(7): e0288048, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37410721

RESUMO

Contemporary emotion theories predict that how partners' emotions are coupled together across an interaction can inform on how well the relationship functions. However, few studies have compared how individual (i.e., mean, variability) and dyadic aspects of emotions (i.e., coupling) during interactions predict future relationship separation. In this exploratory study, we utilized machine learning methods to evaluate whether emotions during a positive and a negative interaction from 101 couples (N = 202 participants) predict relationship stability two years later (17 breakups). Although the negative interaction was not predictive, the positive was: Intra-individual variability of emotions as well as the coupling between partners' emotions predicted relationship separation. The present findings demonstrate that utilizing machine learning methods enables us to improve our theoretical understanding of complex patterns.


Assuntos
Emoções , Relações Interpessoais , Humanos , Comportamento Sexual , Parceiros Sexuais/psicologia
2.
Int J Appl Posit Psychol ; 8(Suppl 2): 187-204, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38162834

RESUMO

It is well known that although relationship external stressors can harm couples, dyadic coping behavior can buffer the negative effects of stress. Thus far, however, less is known about how vocally encoded stress (i.e., f0) might affect the stress-coping process in couples during an interaction. Therefore, the goal of the current study was to compare two different stress hypotheses (i.e., paraverbal communication stress hypothesis and emotional resonance hypothesis). We observed 187 mixed-gender couples (N = 374 participants) interacting naturally after an experimental stress induction (Trier Social Stress Test), for which couples were randomly allocated into three groups (women stressed, men stressed, and both stressed). Results of a multi-group actor-partner interdependence mediation model (APIMeM) show that either the paraverbal communication stress hypothesis or the emotional resonance hypothesis could be confirmed, depending on whether the man, the woman, or both partners were stressed.

3.
Proc Natl Acad Sci U S A ; 119(44): e2203584119, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36252101

RESUMO

The "mental number line" (MNL) is a form of spatial numeric representation that associates small and large numbers with the left and right spaces, respectively. This spatio-numeric organization can be found in adult humans and has been related to cultural factors such as writing and reading habits. Yet, both human newborns and birds order numbers consistently with an MNL, thus raising the question of whether culture is a main explanation for MNL. Here, we explored the numeric sense of honey bees and show that after being trained to associate numbers with a sucrose reward, they order numbers not previously experienced from left to right according to their magnitude. Importantly, the location of a number on that scale varies with the reference number previously trained and does not depend on low-level cues present on numeric stimuli. We provide a series of neural explanations for this effect based on the extensive knowledge accumulated on the neural underpinnings of visual processing in honey bees and conclude that the MNL is a form of numeric representation that is evolutionarily conserved across nervous systems endowed with a sense of number, irrespective of their neural complexity.


Assuntos
Abelhas , Percepção Visual , Animais , Encéfalo , Insetos , Sacarose
4.
Br J Educ Psychol ; 92(4): 1667-1686, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35909332

RESUMO

BACKGROUND: Parental support plays an important role in children's schoolwork motivation and may have been even more important during the first UK COVID-19 pandemic lockdown because all schoolwork was completed at home. When examining the effect of parental support on children's schoolwork motivation, research has typically focused on comparing families with each other (i.e., difference between families). In reality, however, the effect unfolds as a transactional, bidirectional process between parents and children over time (i.e., a within family process). This research trend can result in imprecise conclusions about the association between parental support and schoolwork motivation. OBJECTIVES: We examined bidirectional effects of parental schoolwork support and children's schoolwork motivation at both the between-family and within-family level. METHODS: This study reports findings from a weekly-diary study conducted during the first UK COVID-19 school lockdown. Cross-lagged within and between multilevel modelling was used to analyse data from UK secondary school students (N = 98) in Years 7-9. RESULTS: Between-family results show no evidence of association between motivation and parental support. Within-family results indicate that higher motivation (assessed as higher expectations of success) predicted more support from parents. However, in contrast with predictions, weekly levels of parental support did not predict children's weekly fluctuations in motivation. CONCLUSIONS: Within-family results were not consistent with between-family results. This study is novel in showing that child-driven effects appear to be important in eliciting parental support within families over time.


Assuntos
COVID-19 , Motivação , Humanos , Pandemias , Controle de Doenças Transmissíveis , Estudantes , Pais
5.
Acta Psychol (Amst) ; 228: 103652, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35753142

RESUMO

The deliberate control of facial expressions is an important ability in human interactions, in particular for mothers with prelinguistic infants. Because research on this topic is still scarce, we investigated the control over facial expressions in a Stroop-like paradigm. Mothers of 2-6 months old infants and nullipara women produced smiles and frowns in response to verbal commands written on distractor faces of adults or infants showing expressions of happiness or anger/distress. Analyses of video recordings with a machine classifier for facial expression revealed pronounced effects of congruency between the expressions required by the participants and those displayed by the face stimuli on the onset latencies of the deliberate facial expressions. With adult distractor faces this Stroop effect was similar whether participants smiled or frowned. With infant distractor faces mothers and non-mothers showed indistinguishable Stroop effects on smile responses; however, for frown responses, the Stroop effect in mothers was smaller than in non-mothers. We suggest that for frown responses in mothers when facing infants, the effect of mimicry or stimulus response compatibility, leading to the Stroop effect, is offset by a caregiving response or empathy.


Assuntos
Emoções , Expressão Facial , Adulto , Ira/fisiologia , Emoções/fisiologia , Feminino , Felicidade , Humanos , Lactente , Teste de Stroop
6.
J Interpers Violence ; 37(1-2): 322-348, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-32167402

RESUMO

Young children with a history of maltreatment or neglect in foster families often confront their caregivers with particularly challenging behaviors. This may lead to more parenting stress, an increased risk for the child in foster care to experience further maltreatment, and placement disruptions. We conducted a randomized controlled trial to investigate the efficacy of a parent group training tailored to the special needs of foster families. We hypothesized significant short- and long-term improvements regarding foster parents' parenting competencies, child mental health problems, and related outcomes. Eighty-one families with 87 children in foster care aged 2 to 7 years participated in the trial. For the intervention study, 44 randomly selected families (54%) were offered to participate in the parent group training. Intervention and control group families were reassessed three times over a period of 1 year. Contrary to our expectations, we found no advantages of the intervention group compared with the usual care control group on any outcome measure. Instead, we found some significant changes in both groups across time. Placement into foster care is associated with some favorable outcomes for children in foster care. Additional support for foster families beyond the services delivered in the youth welfare system to foster parents was not associated with more favorable outcomes. The present intervention is likely associated with a low risk of harm but also with a high likelihood of a lack of significant benefits for foster parents and their young children going beyond feeling satisfied about the delivered services. Participating foster families showed favorable baseline results on parenting measures which may have impeded intervention effects to unfold on these proximal variables.


Assuntos
Cuidados no Lar de Adoção , Pais , Adolescente , Cuidadores , Criança , Pré-Escolar , Emoções , Humanos , Relações Pais-Filho , Poder Familiar
7.
Clin Psychol Psychother ; 29(1): 289-298, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34151479

RESUMO

Due to their predictive abilities, therapist interpersonal behaviour is of great relevance for psychotherapy. However, there is a lack of knowledge about its stability inside but also outside of the therapy room within and between therapists. The current study investigates interpersonal behaviour of trainee therapists (N = 20) as perceived by four patients each suffering from generalized anxiety disorder and three closely related persons of every therapist (close others). Investigating repeated measures, four patients per therapist completed the Impact Message Inventory (IMI; Kiesler, 1987) three times over the course of their cognitive behavioural therapy. Furthermore, the IMI was completed by three close others at one assessment time. Therapist interpersonal behaviour was perceived as more friendly and less submissive when evaluated by close others compared to patients. Using a multilevel approach, our results indicate that therapists' interpersonal behaviour was perceived considerably stable across patients and over the course of treatment, and there is considerable uniformity of the IMI evaluations in respect to the particular subscales within and between therapists. Our results highlight the potential similarities of observer-based habitual therapists' interpersonal behaviour inside and outside of the therapy room.


Assuntos
Terapia Cognitivo-Comportamental , Relações Profissional-Paciente , Transtornos de Ansiedade , Humanos , Psicoterapia/métodos
8.
J Consult Clin Psychol ; 89(11): 898-908, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34881910

RESUMO

OBJECTIVE: This study aimed to investigate the effects of changes in interpersonal cognitions on outcome during cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) and how these effects are moderated by patients' interpersonal problems at intake. METHOD: A sample of 80 adult patients diagnosed with GAD who were undergoing CBT within a randomized controlled trial completed a questionnaire concerning interpersonal problems at baseline as well as measures of changes in interpersonal and self-related cognitions and in worry severity session by session. We conducted dynamic structural equation modeling to estimate cross-lagged within-patient effects of changes in interpersonal cognitions on worry, adjusting for the effects of self-related cognitions. Furthermore, we included interpersonal problems as a moderator of the effects of changes in interpersonal cognitions. RESULTS: We found significant cross-lagged effects of changes in both interpersonal cognitions and self-related cognitions on subsequent worry levels. Greater changes in interpersonal cognitions and self-related cognitions in a given session were associated with lower worry levels at the beginning of the next session. When adjusting for self-related cognitions, the effects of changes in interpersonal cognitions on subsequent worry remained significant. However, there were no interactive effects of changes in interpersonal cognitions by patients' interpersonal problems on worry severity. CONCLUSIONS: The results present evidence supporting changes in interpersonal cognitions and self-related cognitions as relevant change mechanisms in CBT for GAD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Transtornos de Ansiedade , Terapia Cognitivo-Comportamental , Adulto , Ansiedade , Transtornos de Ansiedade/terapia , Cognição , Humanos , Resultado do Tratamento
9.
Front Psychol ; 12: 722881, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34777100

RESUMO

Worry is a central feature of generalized anxiety disorder (GAD). Although worry is related to anxiety and maintained by beliefs that worry is uncontrollable, there is scarce research on how individuals with GAD react to worry episodes in their daily life and how their positive experiences might impact reactions to worry episodes. The current study examined the level and variability of anxiety and controllability during high worry periods and positive experiences in GAD. Moreover, it investigated the influence of worry and positive experiences on later anxiety and perceived controllability within-persons. Finally, it examined change in anxiety level from previous to current episodes depending on previous episodes type. In the current study, 49 individuals with GAD (514 observations) registered their worry and positive episodes (i.e., episodes in which they had positive experiences) and reported on several variables during these episodes (i.e., anxiety and controllability of episodes and episode duration) using smartphone-based ecological momentary assessment for 7days. Results show anxiety and controllability differed by episode type (higher anxiety, lower controllability in worry episodes, and the opposite in positive episodes), and notable within-person variability in anxiety and controllability in both episode types. The time-lagged multilevel models showed episode type did not predict later anxiety during either episode type, although previous anxiety predicted current anxiety in worry episodes (but not positive episodes). Moreover, worry episodes did predict later controllability in worry episodes (but not positive episodes) and previous controllability predicted current controllability in both episode types. Furthermore, we obtained the increase in anxiety from t 0-1 to t 0 in a current worry episode to be significantly smaller when preceded by a worry (vs. positive) episode. Likewise, the reduction in anxiety from t 0-1 to t 0 in a current positive episode was significantly larger when preceded by a worry (vs. positive) episode. The novel findings in the current study that perceptions of controllability and anxiety vary within individuals with GAD, that greater controllability is experienced in positive episodes than worry episodes, and that worry may confer a sense of controllability at a later time could be seen as important contributions to the GAD literature.

10.
Front Psychol ; 12: 589809, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34484019

RESUMO

BACKGROUND: There is cumulating evidence that working memory (WM) processing is impaired in individuals suffering from a psychosomatic and a psychological disorder. However, it is unclear how repetitive negative thinking (RNT), depressive symptoms, and patient characteristics (i.e., age and incapability to work) contribute to WM impairments. The present study examines how these factors affect WM performance in highly distressed adult psychosomatic inpatients. METHODS: Seventy-six inpatients (M age = 52.7, SD = 8.4) from a psychosomatic rehabilitation clinic performed a two-block WM updating task, with accuracy and reaction time as indicators of WM functioning. RESULTS: Multivariate mixed effect model results show that accuracy and reaction time significantly decreased from WM Block 1 to WM Block 2. Higher levels of RNT, more severe depressive symptoms and higher age were associated with worse WM accuracy in Block 1. None of these variables were significantly associated with WM reaction time (in Block 1). CONCLUSION: From a clinical perspective, the results suggest that screening for the presence of high RNT levels, severe depressive symptoms or higher age may help to identify patients with impaired WM functioning and to intervene on these important patient characteristics early in the rehabilitation process.

12.
J Consult Clin Psychol ; 89(5): 454-468, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33829819

RESUMO

OBJECTIVE: There is little evidence-based knowledge of how psychotherapists should handle both sudden gains and more gradual session-by-session changes, either in general or in individuals suffering from generalized anxiety disorder. METHODS: Using an ABAB crossed-therapist randomized clinical implementation trial design (N = 80 patients and 20 therapists), we contrasted a Prolonged Focus on Change (PFC, N = 40) implementation with a State-Of-The-Art (SOTA, N = 40) implementation. Both implementations were based on a widely used cognitive behavioral therapy approach (Mastery of your Anxiety and Worry package) with the only difference that in the PFC implementation, the therapists were instructed to systematically explore eventual changes at the beginning of the therapy sessions. RESULTS: Based on a 3-level hierarchical linear model, PFC implementation showed faster symptom reduction in worry over therapy (i.e., linear change) and a decelerated (quadratic) change until 12-month follow-up in comparison to the SOTA implementation. CONCLUSION: These findings provide clinically useful information about potential short-term and long-term effects of exploring occurring change in GAD populations. Randomized clinical implementation trial designs are a step forward allowing to experimentally investigate basic psychotherapeutic strategies in process-based psychotherapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo , Resultado do Tratamento
13.
Matern Child Nutr ; 17(3): e13133, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33399268

RESUMO

Breastfeeding mothers often report perceived insufficient milk (PIM) believing their infant is crying too much, which leads to introducing formula and the early abandonment of breastfeeding. We sought to determine if infant crying was associated with reported PIM (yes/no) and number of problems associated with lactation (lactation problem score [LPS] 6-point Likert scale) before formula introduction. Primiparous breastfeeding mothers were recruited at birth and visited at 1, 2 and 4 weeks. Among those fully breastfeeding at 1 week (N = 230), infant crying variables based on maternal reports were not associated with PIM at 1 week, but LPS was. However, a mother's expectation that her infant would cry more than other infants was associated with increased odds of reporting PIM at 2 and 4 weeks, as were delayed onset of lactation and previous LPS. At 1 week, crying variables (frequency, difficulty in soothing) were associated with LPS along with percent weight change. Delayed onset of lactation, infant care style, number of breastfeeds and previous LPS were longitudinally associated with change in LPS from 1 to 2 weeks and 2 to 4 weeks. Our data suggest that reported infant crying is associated with PIM and LPS in the first 4 weeks of life. Guidance on what to expect in crying behaviour and the impact of infant care style may be beneficial in reducing PIM and LPS in the first month.


Assuntos
Aleitamento Materno , Choro , Feminino , Humanos , Lactente , Recém-Nascido , Lactação , Leite Humano , Mães
14.
Fam Process ; 60(2): 493-506, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32599646

RESUMO

The objectives of this study were to investigate actor and partner effects of the association between marital discord and depressive symptoms in a sample of 4,779 couples from 11 European countries that were divided into three groups (i.e., Northern, Central, Southern Europe), and evaluate the potential gender and cross-cultural invariance of this association. Actor-partner interdependence models were used to analyze the cross-sectional associations between self-reported perceived marital conflict and depressive symptoms. Marital conflict was significantly and positively associated with self-reported depressive symptoms for husbands and wives (actor effects), as well as with partner-reported depressive symptoms (partner effects). Pooling across cultural groups, no significant difference in the magnitude of actor or partner effects based on gender was found. The magnitude of the actor effects varied across cultural groupings only for women: a significantly weaker association existed for women residing in Northern Europe relative to women in Central or Southern Europe. These results suggest that marital discord is a reliable correlate of depressive symptoms for European couples and that the magnitude of the positive association varies by culture for women. Should these results be replicated longitudinally, couple-based interventions may be indicated to reduce marital discord and prevent and treat depression in Europe.


Los objetivos de este estudio fueron investigar los efectos en el actor y la pareja de la asociación entre el desacuerdo conyugal y los síntomas depresivos en una muestra de 4779 parejas de 11 países europeos que se dividieron en tres grupos (p. ej.: Europa septentrional, Europa Central y Europa meridional) y evaluar la posible invariancia intercultural y de género de esta asociación. Se utilizaron los modelos de interdependencia actor-pareja para analizar las asociaciones transversales entre el conflicto conyugal percibido y los síntomas depresivos autoinformados. El conflicto conyugal estuvo asociado considerable y positivamente con síntomas depresivos autoinformados para los esposos y las esposas (efectos en el actor), así como con síntomas depresivos informados por las parejas (efectos en la pareja). Al combinar los grupos culturales, no se encontró una diferencia significativa en la magnitud de los efectos en el actor o en la pareja sobre la base del género. La magnitud de los efectos en el actor varió entre grupos culturales solo en el caso de las mujeres: existió una asociación considerablemente más débil para las mujeres que viven en Europa septentrional respecto de las mujeres de Europa Central o Europa meridional. Estos resultados sugieren que los desacuerdos conyugales se correlacionan de manera fiable con los síntomas depresivos en las parejas europeas, y que la magnitud de la asociación positiva varía según la cultura en el caso de las mujeres. Si estos resultados se repitieran longitudinalmente, podrían indicarse intervenciones basadas en la pareja para disminuir el desacuerdo conyugal y prevenir y tratar la depresión en Europa.


Assuntos
Depressão , Conflito Familiar , Comparação Transcultural , Estudos Transversais , Feminino , Humanos , Casamento , Satisfação Pessoal , Cônjuges
15.
Clin Psychol Psychother ; 28(1): 226-232, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32510683

RESUMO

Therapist differences in psychotherapy outcomes have been consistently found. Therefore, therapists' characteristics such as interpersonal skills are of particular interest. Two assessments of interpersonal skills for the selection of trainees have recently been developed. To extend current knowledge, this study compares trainee therapist's and psychology student's interpersonal skills in both assessments simultaneously and also investigates the potential influence of clinical experience and age on interpersonal skills. Furthermore, the psychometric properties of these assessments are examined. A total of 19 trainee therapists and 17 undergraduate students (N = 36) participated in both assessments and provided information on their prior clinical experience. Trainee therapists had significantly better interpersonal skills than the students in both assessments. However, different indicators of clinical experience (e.g., years in practice, patients treated, and supervision) did not influence their performance in either assessment. The good psychometric properties of both assessments could be replicated. Conceptual and practical considerations on the assessment of interpersonal skills are discussed.


Assuntos
Psicoterapia , Habilidades Sociais , Estudantes/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Profissional-Paciente , Resultado do Tratamento , Adulto Jovem
16.
J Couns Psychol ; 67(4): 475-487, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32614228

RESUMO

A crucial component of successful counseling and psychotherapy is the dyadic emotion co-regulation process between patient and therapist that unfolds moment to moment during therapy sessions. The major reason for the disappointing progress in understanding this process is the lack of appropriate methods to assess subjectively experienced emotions continuously during therapy sessions without disturbing the natural flow of the interaction. The resulting inability has forced the field to focus on patients' overall emotion ratings at the end of each session with limited predictive value of the dyadic interplay between patient and therapist's emotional states within each session. The current tutorial demonstrates how couple research-confronted with a comparable problem-has overcome this issue by (i) developing a video-based retrospective self-report assessment method for individuals' continuous state emotions without undermining the dyadic interaction and (ii) using a validated statistical tool to analyze the dynamical process during a dyadic interaction. We show how to assess emotion data continuously, and how to unravel self-regulation and co-regulation processes using a Latent Differential Equation Modeling approach. Finally, we discuss how this approach can be applied in counseling psychology and psychotherapy to test basic theoretical assumptions about the co-creation of emotions despite the conceptual differences between couple dyads and therapist-patient dyads. The present method aims to inspire future research activities examining systematic real-time processes between patients and therapists. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Terapia de Casal/métodos , Regulação Emocional , Características da Família , Relações Interpessoais , Aprendizagem , Regulação Emocional/fisiologia , Emoções/fisiologia , Feminino , Humanos , Aprendizagem/fisiologia , Masculino , Relações Profissional-Paciente , Psicoterapia/métodos , Estudos Retrospectivos , Autorrelato , Gravação em Vídeo/métodos
17.
Psychother Res ; 30(5): 591-603, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32400306

RESUMO

OBJECTIVE: Close interpersonal relationships are fundamental to emotion regulation. Clinical theory suggests that one role of therapists in psychotherapy is to help clients regulate emotions, however, if and how clients and therapists serve to regulate each other's emotions has not been empirically tested. Emotion coregulation - the bidirectional emotional linkage of two people that promotes emotional stability - is a specific, temporal process that provides a framework for testing the way in which therapists' and clients' emotions may be related on a moment to moment basis in clinically relevant ways. METHOD: Utilizing 227 audio recordings from a relationally oriented treatment (Motivational Interviewing), we estimated continuous values of vocally encoded emotional arousal via mean fundamental frequency. We used dynamic systems models to examine emotional coregulation, and tested the hypothesis that each individual's emotional arousal would be significantly associated with fluctuations in the other's emotional state over the course of a psychotherapy session. RESULTS: Results indicated that when clients became more emotionally labile over the course of the session, therapists became less so. When changes in therapist arousal increased, the client's tendency to become more aroused during session slowed. Alternatively, when changes in client arousal increased, the therapist's tendency to become less aroused slowed.


Assuntos
Regulação Emocional , Emoções , Relações Profissional-Paciente , Psicoterapia , Nível de Alerta , Humanos
18.
J Sex Med ; 17(3): 556-559, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31937518

RESUMO

INTRODUCTION: Postcoital dysphoria (PCD) is a condition characterized by inexplicable feelings of tearfulness, sadness, and/or irritability. Previous research has mostly focused on these 3 symptoms, failing to explore other symptoms that can occur after sexual activity. AIM: The aim of the present study was to get a more in-depth understanding of postcoital symptom variety, to compare the type and frequency of these symptoms in men and women, and to explore the context in which they manifest. METHODS: A convenience sample of 223 women and 76 men filled in an online survey consisting of a list of 21 symptoms and a set of additional questions. MAIN OUTCOME MEASURE: The study outcomes were obtained using a study-specific questionnaire to assess postcoital symptoms, consisting of a list of 21 symptoms that form 4 domains and 2 additional questions that assess personal and interpersonal distress. RESULTS: Of all participants, 91.9% reported any postcoital symptom over the past 4 weeks and 94.3% ever since they had been sexually active. The most common symptoms in women were mood swings and sadness, whereas in men, it was unhappiness and low energy. Men and women differed in the frequency of postcoital symptoms experienced ever since being sexually active, with women reporting more sadness, mood swings, frustration, and worthlessness. For 73.5% of individuals, the postcoital symptoms were present after consensual sexual intercourse, for 41.9%, after general sexual activity, and for 46.6% also, after masturbation. Of all participants, 33.9% said that they only experienced the symptoms after orgasm. CLINICAL IMPLICATIONS: Postcoital symptoms are clearly more varied than previously suggested and are not related to classic "dysphoria" only. Hence, we propose to cease calling the phenomenon "postcoital dysphoria" and suggest to simply use the term "postcoital symptoms." STRENGTH & LIMITATIONS: This is the first study ever to provide a more in-depth exploration of postcoital symptom variety. The sample was relatively small, and the representativeness and, therefore, generalizability of the results was limited, given that a convenience sample was used. CONCLUSION: Our results indicate that postcoital symptoms are a multifaceted phenomenon which shows similar expression in men and women. The symptoms are clearly more varied not related to classic "dysphoria" only. Burri A, Hilpert P. Postcoital Symptoms in a Convenience Sample of Men and Women. J Sex Med 2020;17:556-559.


Assuntos
Masturbação/psicologia , Orgasmo , Comportamento Sexual/psicologia , Adulto , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
19.
J Sex Med ; 17(2): 279-288, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31812688

RESUMO

INTRODUCTION: Painful sexual intercourse or dyspareunia is a common complaint among women, affecting 12-21% of premenopausal women. Recent studies have begun to focus on the role of fear avoidance and pain catastrophizing (PC) in genital pain and have consistently highlighted the importance of psych-affective factors in sexual pain. AIM: To establish the importance of PC, fear of pain, and depression for the development and maintenance of female sexual pain. METHODS: This longitudinal study was conducted in the United Kingdom to assess sexual pain at 2 different time points, in 2009 and 2013, in a convenience sample of N = 979 British women. MAIN OUTCOME MEASURE: Well-validated questionnaires including the Pain Catastrophizing Scale, the Pain Anxiety Symptom Scale, and the Female Sexual Function Index (recent and lifelong version) were applied. RESULTS: Multilevel modeling showed a strong increase of short-lived sexual pain over the 4 years (π01 = -0.33; P < .001). According to the moderation analyses, only depression influenced the change in short-lived pain over the 4 years (π11 = 0.46; P = .016). Similarly, only depression turned out to be independently associated with sexual pain when entered into the multiple regression model, as women reporting higher depression levels also reported more sexual pain (P < 0.05). CLINICAL IMPLICATIONS: Clinicians should be aware that the mechanisms influencing short-lived sexual pain and changes in sexual pain seem to be different from the more enduring psychological factors that lead to the development and maintenance of "chronic" sexual pain. STRENGTHS & LIMITATIONS: A very generic and unidimensional definition of sexual pain was used without information on pain frequency or intensity, and no information on the possible underlying (medical or psychological or both) causes was available. However, as far as we know this represents the first study to use repeated measures to assess how pain changes over a 4-year period and to explore the role of potential psychoaffective risk factors. CONCLUSION: Among the variables studied, symptoms of depression seemed to be the only independent predictor of lifelong sexual pain, overriding potential influences of pain catastrophizing or fear of pain. Burri A, Hilpert P, Williams F. Pain Catastrophizing, Fear of Pain, and Depression and Their Association with Female Sexual Pain. J Sex Med 2020;17:279-288.


Assuntos
Catastrofização/psicologia , Depressão/epidemiologia , Dor/psicologia , Comportamento Sexual/psicologia , Adulto , Idoso , Ansiedade/psicologia , Dispareunia/psicologia , Medo/psicologia , Feminino , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Medição da Dor , Inquéritos e Questionários , Reino Unido
20.
Int J Psychol ; 55(5): 801-811, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31833066

RESUMO

It is widely accepted that support-seeking behaviour is culture-specific, such that Asians are less likely to seek support when stressed compared with Westerners. However, mounting evidence is based on the vignette methodology or the cross-sectional survey and utilised students sample. Little is known about how such behaviour manifests in real life and incurs relational consequences. Moreover, psychological theories predict both differences in support-seeking behaviour between persons and the variability of such behaviour within persons. The current study aims to explore between-and within-person associations between support seeking and relationship satisfaction in Chinese couples. Eighty-four Chinese couples reported their daily stressors, support seeking behaviour, and relationship satisfaction every evening for 7 days and overall relationship satisfaction before the diary study and 1 year later. We found that support seeking matters in Asian couples: On days when couples sought more support, they would be more satisfied with their relationship. Notably, no negative associations between couples' own support seeking and partners' relationship satisfaction were found. This study advances our understanding of general and temporal support-seeking processes in Asian couples in the course of everyday life and over time. Results entail important theoretical and practical implications.


Assuntos
Grupos de Autoajuda/normas , Adulto , Povo Asiático , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
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