scholarly journals The usefulness of experience sampling in understanding the urge to move in anorexia nervosa

2006 ◽  
Vol 18 (1) ◽  
pp. 30-37 ◽  
Author(s):  
G. Pieters ◽  
K. Vansteelandt ◽  
L. Claes ◽  
M. Probst ◽  
I. Van Mechelen ◽  
...  

Background:Physical hyperactivity has often been described in anorexia nervosa (AN) patients but up until now in-depth research has been scarce. Experience sampling methodology (ESM), a structured diary technique assessing momentary mental state at random times during the day, may be useful in studying hyperactivity in AN.Methods:In two single case reports, ESM was used to investigate the variation across time of the urge to move in relation to potentially relevant eliciting conditions such as positive and negative emotions, weight preoccupation and attractiveness.Results:Frequency distribution of the involved variables indicated substantial individual differences between patients. While both patients' tendency to be hyperactive was positively related to their weight preoccupation and negative emotions, in only one patient, the urge to move turned out to be significantly related to (the absence of) positive emotions.Conclusions:ESM can be useful to test whether general theories of psychopathology apply to specific patients, and it may be conceived as an individually tailored approach to self-monitoring. As such, it may guide the clinician to devise therapeutic interventions in particular patients.

2021 ◽  
Author(s):  
Elizabeth J. Pawluk

Difficulties with emotion and emotion regulation have a significant role in generalized anxiety disorder (GAD), however, much remains unknown about the emotional profile of people with GAD. The emotion dysregulation model (Mennin et al., 2005) suggests that people with GAD experience emotions at a heightened intensity and use maladaptive strategies, including worry, to regulate their distress. This dissertation comprises two independent studies to test tenets of the model. Study 1 was a laboratory-based experiment to clarify if the heightened emotional intensity experienced by people with GAD is due to baseline arousal or emotional reactivity. The subjective emotional and physiological responses of people with GAD (n = 22) were compared to those of people with social anxiety disorder (SAD; n = 23) and nonclinical controls (NCC; n = 20) at baseline and following an emotion induction. The GAD group reported greater subjective intensity of negative emotions and lower intensity of positive emotions relative to the control groups. No differences were found across the three groups in their level of emotional reactivity. The findings highlight that baseline intensity, not emotional reactivity, accounts for the heightened emotional intensity reported by people with GAD. Study 2 was an experience sampling study to identify the emotional profile of people with GAD and examine direct effect of worry and of external events on negative and positive emotions in daily life. Relative to the NCC group (n = 41), the GAD group (n = 39) exhibited an emotional profile characterized by elevated mean intensity, greater instability and greater inertia of negative emotions and lower mean intensity, greater instability and lower inertia of positive emotions. Worry had a greater negative effect on the emotions reported by the GAD group relative to those of the NCC group. Finally, the groups did not differ in degree of emotional reactivity to negative events, but the GAD group reported a greater increase in positive emotion and a greater decrease in negative emotion following a positive event compared to the NCC group. Overall, the findings inform the emotion dysregulation model and provide unique insights into the dynamic emotional experiences of those with GAD.


2021 ◽  
Author(s):  
Elizabeth J. Pawluk

Difficulties with emotion and emotion regulation have a significant role in generalized anxiety disorder (GAD), however, much remains unknown about the emotional profile of people with GAD. The emotion dysregulation model (Mennin et al., 2005) suggests that people with GAD experience emotions at a heightened intensity and use maladaptive strategies, including worry, to regulate their distress. This dissertation comprises two independent studies to test tenets of the model. Study 1 was a laboratory-based experiment to clarify if the heightened emotional intensity experienced by people with GAD is due to baseline arousal or emotional reactivity. The subjective emotional and physiological responses of people with GAD (n = 22) were compared to those of people with social anxiety disorder (SAD; n = 23) and nonclinical controls (NCC; n = 20) at baseline and following an emotion induction. The GAD group reported greater subjective intensity of negative emotions and lower intensity of positive emotions relative to the control groups. No differences were found across the three groups in their level of emotional reactivity. The findings highlight that baseline intensity, not emotional reactivity, accounts for the heightened emotional intensity reported by people with GAD. Study 2 was an experience sampling study to identify the emotional profile of people with GAD and examine direct effect of worry and of external events on negative and positive emotions in daily life. Relative to the NCC group (n = 41), the GAD group (n = 39) exhibited an emotional profile characterized by elevated mean intensity, greater instability and greater inertia of negative emotions and lower mean intensity, greater instability and lower inertia of positive emotions. Worry had a greater negative effect on the emotions reported by the GAD group relative to those of the NCC group. Finally, the groups did not differ in degree of emotional reactivity to negative events, but the GAD group reported a greater increase in positive emotion and a greater decrease in negative emotion following a positive event compared to the NCC group. Overall, the findings inform the emotion dysregulation model and provide unique insights into the dynamic emotional experiences of those with GAD.


2013 ◽  
Vol 23 (3) ◽  
pp. 82-87 ◽  
Author(s):  
Eva van Leer

Mobile tools are increasingly available to help individuals monitor their progress toward health behavior goals. Commonly known commercial products for health and fitness self-monitoring include wearable devices such as the Fitbit© and Nike + Pedometer© that work independently or in conjunction with mobile platforms (e.g., smartphones, media players) as well as web-based interfaces. These tools track and graph exercise behavior, provide motivational messages, offer health-related information, and allow users to share their accomplishments via social media. Approximately 2 million software programs or “apps” have been designed for mobile platforms (Pure Oxygen Mobile, 2013), many of which are health-related. The development of mobile health devices and applications is advancing so quickly that the Food and Drug Administration issued a Guidance statement with the purpose of defining mobile medical applications and describing a tailored approach to their regulation.


2019 ◽  
Vol 50 (2) ◽  
pp. 80-93
Author(s):  
Jort de Vreeze ◽  
Christina Matschke

Abstract. Not all group memberships are self-chosen. The current research examines whether assignments to non-preferred groups influence our relationship with the group and our preference for information about the ingroup. It was expected and found that, when people are assigned to non-preferred groups, they perceive the group as different to the self, experience negative emotions about the assignment and in turn disidentify with the group. On the other hand, when people are assigned to preferred groups, they perceive the group as similar to the self, experience positive emotions about the assignment and in turn identify with the group. Finally, disidentification increases a preference for negative information about the ingroup.


Author(s):  
Jill M. Hooley ◽  
Sara R. Masland

Borderline personality disorder (BPD) is a severe form of personality pathology characterized by high levels of negative emotionality. Because negative emotions are so central to the clinical presentation of BPD, the issue of how people with this disorder process and experience positive emotional experiences is relatively unexplored. This chapter provides an overview of what is currently known about positive emotions and BPD. Although the literature is characterized by many inconsistencies, our review suggests that people with BPD do indeed experience positive emotions. However, their recall of positive emotional experiences appears to be reduced, perhaps because such experiences are more transient, less stable, and more likely to be quickly replaced by negative emotions. Problems with the identification and accurate differentiation of positive emotions may also play a role. Such difficulties may conspire to create a psychological world for people with BPD that is characterized by a focus on negative mood and negative emotional experiences. In addition to focusing on negative affect, we suggest that it might also be clinically beneficial to make problems with positive affect a specific clinical target.


Life ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 167
Author(s):  
Pasquale Sansone ◽  
Luca Gregorio Giaccari ◽  
Caterina Aurilio ◽  
Francesco Coppolino ◽  
Valentina Esposito ◽  
...  

Background. Guillain-Barré syndrome (GBS) is the most common cause of flaccid paralysis, with about 100,000 people developing the disorder every year worldwide. Recently, the incidence of GBS has increased during the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) epidemics. We reviewed the literature to give a comprehensive overview of the demographic characteristics, clinical features, diagnostic investigations, and outcome of SARS-CoV-2-related GBS patients. Methods. Embase, MEDLINE, Google Scholar, and Cochrane Central Trials Register were systematically searched on 24 September 2020 for studies reporting on GBS secondary to COVID-19. Results. We identified 63 articles; we included 32 studies in our review. A total of 41 GBS cases with a confirmed or probable COVID-19 infection were reported: 26 of them were single case reports and 6 case series. Published studies on SARS-CoV-2-related GBS typically report a classic sensorimotor type of GBS often with a demyelinating electrophysiological subtype. Miller Fisher syndrome was reported in a quarter of the cases. In 78.1% of the cases, the response to immunomodulating therapy is favourable. The disease course is frequently severe and about one-third of the patients with SARS-CoV-2-associated GBS requires mechanical ventilation and Intensive Care Unit (ICU) admission. Rarely the outcome is poor or even fatal (10.8% of the cases). Conclusion. Clinical presentation, course, response to treatment, and outcome are similar in SARS-CoV-2-associated GBS and GBS due to other triggers.


Author(s):  
Xuefeng Wei ◽  
Xu Zhang ◽  
Zimu Song ◽  
Feng Wang

Abstract Background and Study Aims Primary intraspinal primitive neuroectodermal tumors (PNETs) account for ∼0.4% of all intraspinal tumors, but information about these tumors in the medical literature is limited to single case reports. We report four cases of primary intraspinal PNETs and present a systematic literature review of the reported cases. Materials and Methods We retrospectively reviewed and analyzed the clinical data of 4 patients with primary intraspinal PNETs who underwent neurosurgical treatment at our clinic between January 2013 and January 2020, and of 32 cases reported in the literature. Results The female-to-male ratio was 2.6:1. The mean patient age was 21.42 ± 15.76 years (range: 1–60 years), and patients <36 years of age accounted for 83.30% of the study cohort. Progressive limb weakness and numbness were the chief symptoms (accounting for ∼55.6%). The mean complaint duration was 0.89 ± 0.66 months for males and 2.72 ± 3.82 months for females (p = 0.028). Epidural (41.7%) was the most common site, and thoracic (47.3%) was the most frequent location. Most PNETs were peripheral, and magnetic resonance imaging (MRI) appearance was isointense or mildly hypointense on T1-weighted images and hyperintense on T2-weighted images. Homogeneous contrast enhancement was observed. The 1-year survival rate of patients who underwent chemoradiation after total or subtotal lesion resection was better compared with patients who did not undergo chemotherapy, radiotherapy, or total or subtotal resection. The modality of treatment was associated with survival time (p = 0.007). Conclusion Primary intraspinal PNETs mainly occur in young people with a female preponderance. In patients with a rapid loss of lower limb muscle strength and large intraspinal lesions on MRI, PNETs should be considered. Surgical resection and adjuvant radio chemotherapy are key prognostic factors.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lilach Simchi ◽  
Hanoch Kaphzan

AbstractAngelman syndrome (AS) is a genetic neurodevelopmental disorder due to the absence of the E3-ligase protein, UBE3A. Inappropriate social interactions, usually hyper-sociability, is a part of that syndrome. In addition, clinical surveys and case reports describe aggressive behavior in AS individuals as a severe difficulty for caretakers. A mouse model for AS recapitulates most of the human AS phenotypes. However, very few studies utilized this mouse model for investigating affiliative social behavior, and not even a single study examined aggressive behavior. Hence, the aim of the herein study was to examine affiliative and aggressive social behavior. For that, we utilized a battery of behavioral paradigms, and performed detailed analyses of these behaviors. AS mice exhibited a unique characteristic of reduced habituation towards a social stimulus in comparison to their wild-type (WT) littermates. However, overall there were no additional marked differences in affiliative social behavior. In contrast to the mild changes in affiliative behavior, there was a striking enhanced aggression in the AS mice compared to their WT littermates. The herein findings emphasize the use of AS mouse model in characterizing and measuring inappropriate aggressive behavior, and suggests these as tools for investigating therapeutic interventions aimed at attenuating aggressive behavior.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Diana S. Cortes ◽  
Christina Tornberg ◽  
Tanja Bänziger ◽  
Hillary Anger Elfenbein ◽  
Håkan Fischer ◽  
...  

AbstractAge-related differences in emotion recognition have predominantly been investigated using static pictures of facial expressions, and positive emotions beyond happiness have rarely been included. The current study instead used dynamic facial and vocal stimuli, and included a wider than usual range of positive emotions. In Task 1, younger and older adults were tested for their abilities to recognize 12 emotions from brief video recordings presented in visual, auditory, and multimodal blocks. Task 2 assessed recognition of 18 emotions conveyed by non-linguistic vocalizations (e.g., laughter, sobs, and sighs). Results from both tasks showed that younger adults had significantly higher overall recognition rates than older adults. In Task 1, significant group differences (younger > older) were only observed for the auditory block (across all emotions), and for expressions of anger, irritation, and relief (across all presentation blocks). In Task 2, significant group differences were observed for 6 out of 9 positive, and 8 out of 9 negative emotions. Overall, results indicate that recognition of both positive and negative emotions show age-related differences. This suggests that the age-related positivity effect in emotion recognition may become less evident when dynamic emotional stimuli are used and happiness is not the only positive emotion under study.


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