Personalized behavior management as a replacement for medications for pain control and mood regulation

A lack of personalized approaches in non-medication pain management has prevented these alternative forms of treatment from achieving the desired efficacy. One hundred and ten female patients with fibromyalgia syndrome (FMS) and 60 healthy women without chronic pain were assessed for severity of chronic or retrospective occasional pain, respectively, along with alexithymia, depression, anxiety, coping strategies, and personality traits. All analyses were conducted following a ‘resource matching’ hypothesis predicting that to be effective, a behavioral coping mechanism diverting or producing cognitive resources should correspond to particular mechanisms regulating pain severity in the patient. Moderated mediation analysis found that extraverts could effectively cope with chronic pain and avoid the use of medications for pain and mood management by lowering depressive symptoms through the use of distraction mechanism as a habitual (‘out-of-touch-with-reality’) behavior. However, introverts could effectively cope with chronic pain and avoid the use of medications by lowering catastrophizing through the use of distraction mechanism as a situational (‘in-touch-with-reality’) behavior. Thus, personalized behavior management techniques applied according to a mechanism of capturing or diverting the main individual ‘resource’ of the pain experience from its ‘feeding’ to supporting another activity may increase efficacy in the reduction of pain severity along with decreasing the need for pain relief and mood-stabilizing medications.

STUDENT’S ICT USE MOTIVES

Research on the second-level digital divide suggests that motivational factors are crucial for its comprehensive understanding. However, the literature survey indicates a lack of research on ICT usage motives and their relation with student alienation. Using data from an offline survey on university students, this study establishes psychometric properties of student's ICT usage motive scale in the Kashmiri context. Based on SCT theory, the scale distinguishing between three underlying ICT usage motives: socialising, Instrumental and mood management, with the latter two motives negatively correlated with each other. Further analysis shows that instrumental motive reflected a moderate negatively correlation with learned helplessness (LH), learning disinterest (LD) and learning discouragement (LDC) dimensions of student alienation. Socialising motive showed a moderate positive correlation with classroom isolation (CIS). CFA (n= 575) model showed the least metric invariance with regard to gender and residential background.

Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers

Introduction. Imagery-based stress management therapies are effective at reducing alcohol use. To explore the therapeutic mechanism, the current study tested whether brief functional imagery training linked to personal negative affect drinking triggers would attenuate sensitivity to noise stress-induced alcohol seeking behaviour in a laboratory model. Methods. Participants were UK-based hazardous student drinkers (N = 61, 80.3% women, aged 18–25) who reported drinking to cope with negative affect. Participants in the active intervention group (n = 31) were briefly trained to respond to personal negative drinking triggers by retrieving an adaptive strategy to mitigate negative affect, whereas participants in the control group (n = 30) received risk information about binge drinking at university. The relative value of alcohol was then measured by preference to view alcohol versus food pictures in two-alternative choice trials, before (baseline) and during noise stress induction. Results. There was a significant two-way interaction p < .04 where the control group increased their alcohol picture choice from baseline to the noise stress test p < .001 , whereas the active intervention group did not p = .33 , and the control group chose alcohol more frequently than the active group in the stress test p = .03 , but not at baseline p = .16 . Conclusions. These findings indicate that imagery-based mood management can protect against the increase in the relative value of alcohol motivated by acute stress in hazardous negative affect drinkers, suggesting this mechanism could underpin the therapeutic effect of mood management on drinking outcomes.

Contextualizing goal preferences in fear-avoidance models. Looking at fatigue as a disabling symptom in fibromyalgia patients

The fear-avoidance model provides an explanation for the development of chronic pain, including the role of perception (i.e. pain catastrophism) as an explanatory variable. Recent research has shown that the relationship between pain catastrophism and avoidance is influenced in turn by different psychological and contextual variables, highlighting the affective-motivational ones. From this perspective, the Goal Pursuit Questionnaire (GPQ) was developed to measure the preference for hedonic goals (mood-management or pain-avoidance goals) over achievement goals in musculoskeletal pain patients. Recently, the Spanish version of the GPQ in fibromyalgia patients has been validated. Our aim has been to adapt the Spanish version of GPQ from pain to fatigue symptoms and to validate this new questionnaire (GPQ-F) in fibromyalgia. Despite the recognition of fibromyalgia as a complex disorder and the need for a differential study of its symptoms, fatigue, despite its high prevalence and limiting nature, remains the forgotten symptom. We conducted a cross-sectional study with 231 women with fibromyalgia. Previously, we adapted the Spanish GPQ for fatigue symptoms with three sub-studies (group structured interview, self-administration questionnaire and thinking-aloud; n = 15–27 patients). We explored the GPQ structure and performed path analyses to test conditional mediation relationships. Exploratory factor analysis showed two factors: ‘Fatigue-avoidance goal’ and ‘Mood-management goal’ (39.3% and 13.9% of explained variance, respectively). The activity avoidance pattern fully mediated the relation between both catastrophizing and fatigue-avoidance goals with fatigue. The study shows initial findings about the usefulness of the GPQ-F as a tool to analyze goal preferences related to fatigue in fibromyalgia. The results supported the mediational role of activity avoidance patterns in the relationship between preference for fatigue-avoidance goals and fatigue.

Music Listening in Times of COVID-19 Outbreak: A Brazilian Study

The COVID-19 outbreak required diverse strategies, such as social distancing and self-isolation, to avoid a healthcare system crisis. However, these measures have been associated with the onset or increase of anxiety and depression symptoms in the population. Music listening was previously shown to regulate emotion, consequently reducing depression symptoms. Since previous studies with Brazilian samples have already shown a high prevalence of depressive symptoms during the first confinement period, the aim of this study was threefold: (i) to compare groups with severe depression symptoms and no depression in what concerns to demographic and socio-economic factors as well as symptoms of anxiety and resilience levels, (ii) to explore changes in music listening daily routine during the confinement measures by both groups (no depression and severe depression), and (iii) to investigate which were the main factors influencing both two groups to music listening during the COVID-19 pandemic. This cross-sectional study included 494 Brazilian respondents aged 18 years and above. Our online survey comprised demographics, socio-economic, and COVID-19 related questionnaires, with questions regarding music listening used during social distancing measures on which the participants rated how much each of the 41 potential reasons for listening to music changed in importance compared to the situation before the pandemic and also the evaluation of anxiety, depression, and resilience levels. The respondents with severe depression were younger and showed higher levels of anxiety symptoms and lower resilience level. Furthermore, they were increasingly likely to listen to music to feel emotionally better with the situation, to feel comfort, to forget problems, to be energetic, to decrease sad feelings, to relax, to cheer up, to forget concerns, to express feelings, to reduce anxiety, to remember better times, to relieve boredom, to mentally stimulate themselves, and to ward off stressful thoughts compared to the participants with no depression. The exploratory factor analysis (FA) identified four types of music listening functions during social distancing measures: negative mood management, cognitive functioning, positive mood management, and physical involvement, in which the participants with severe depression revealed significant differences compared to non-depressed participants for the negative mood management factor, which shows the importance of music listening to regulate their negative emotions. As a conclusion, we can argue that most of our respondents used music listening to cope with and regulate their moods during confinement, especially those who presented with severe depression symptoms.

The effectiveness of generic emails versus a remote knowledge broker to integrate mood management into a smoking cessation programme in team-based primary care: a cluster randomised trial

Background Knowledge brokering is a knowledge translation approach that has been gaining popularity in Canada although the effectiveness is unknown. This study evaluated the effectiveness of generalised, exclusively email-based prompts versus a personalised remote knowledge broker for delivering evidence-based mood management interventions within an existing smoking cessation programme in primary care settings. Methods The study design is a cluster randomised controlled trial of 123 Ontario Family Health Teams participating in the Smoking Treatment for Ontario Patients programme. They were randomly allocated 1:1 for healthcare providers to receive either: a remote knowledge broker offering tailored support via phone and email (group A), or a generalised monthly email focused on tobacco and depression treatment (group B), to encourage the implementation of an evidence-based mood management intervention to smokers presenting depressive symptoms. The primary outcome was participants’ acceptance of a self-help mood management resource. The secondary outcome was smoking abstinence at 6-month follow-up, measured by self-report of smoking abstinence for at least 7 previous days. The tertiary outcome was the costs of delivering each intervention arm, which, together with the effectiveness outcomes, were used to undertake a cost minimisation analysis. Results Between February 2018 and January 2019, 7175 smokers were screened for depression and 2765 (39%) reported current/past depression. Among those who reported current/past depression, 29% (437/1486) and 27% (345/1277) of patients accepted the mood management resource in group A and group B, respectively. The adjusted generalised estimating equations showed that there was no significant difference between the two treatment groups in patients’ odds of accepting the mood management resource or in the patients’ odds of smoking abstinence at follow-up. The cost minimisation analysis showed that the email strategy was the least costly option. Conclusions Most participants did not accept the resource regardless of remote knowledge broker strategy. In contexts with an existing KT infrastructure, decision-makers should consider an email strategy when making changes to a programme given its lower cost compared with other strategies. More research is required to improve remote knowledge broker strategies. Trial registration ClinicalTrials.gov, NCT03130998. Registered April 18, 2017, (Archived on WebCite at www.webcitation.org/6ylyS6RTe)

Selection of Entertainment Media

The current chapter first reviews the theoretical propositions of and empirical evidence for mood management theory (MMT, Zillmann, 1988a), which proposes that media users select media messages in order to hedonically optimize their mood; namely, to increase the valence and regulate the arousal of their moods, and to avoid content relevant to negative moods. However, media users do sometimes select messages (e.g., tragedy movies or sad music) contrary to the predictions of MMT. Thus, we complement this perspective by reviewing a more recent model, the selective exposure self- and affect-management (SESAM) model (Knobloch-Westerwick, 2015), which shares methodological roots with MMT and focuses on how media users select messages not only to improve their moods but also to manage their self-concepts and fulfill their self-related motivations. Finally, future directions for selective exposure research are discussed.

Sports as (Digital) Media Entertainment

Over the last six decades, mediated sports have become an entertainment phenomenon. Sports coverage and content continue to grow on both traditional and digital platforms. As a result, scholars and industry professionals alike have spent considerable time and energy examining the sports media entertainment experience. This chapter identifies the core theoretical perspectives used to explain mediated sports’ overarching appeal, including excitation transfer, suspense, disposition, mood management, and hedonic/eudaimonic approaches. It also outlines key factors of the sports media entertainment experience, which include viewer characteristics, content features, and the context in which the experience takes place. The chapter concludes by providing several directions for future research, addressing the roles of technology, identity, and morality in mediated sports consumption and how they inform our understanding of sports as a fundamental part of the larger media entertainment landscape.

Ironically enjoyed music: An investigation of the unique self-regulatory value of irony as part of the enjoyment of music

Ironic enjoyment occurs when people enjoy music despite or because of it being evaluated as bad. Although initial qualitative results suggest that this phenomenon fulfills a variety of self-regulatory functions that are also found in enjoyed music, to date no research has experimentally tested how important these functions are in ironically enjoyed music, in comparison to naturally enjoyed music. In two between-subjects experiments, participants ( N = 216 and N = 143) were instructed to think back to a recent occasion in which they listened to a piece of music which they either enjoyed ironically or enjoyed naturally. They then answered questions on the effects this had on them (Studies 1 and 2) and on the subjective qualities of the music (Study 2). The results suggested that ironically enjoyed music had less effect on personal identification and on managing positive or negative moods and was also appreciated less and judged as less novel than naturally enjoyed music. Differences in mood-management functions were associated with lower levels of subjective qualities of ironically enjoyed music, especially appreciation. Novelty was especially related to positive mood enhancement for ironically enjoyed music. Participants mentioned humor as an additional function of ironically enjoyed music listening.