Management of fibromyalgia syndrome

Fibromyalgia syndrome is a chronic pain condition that affects 440,000 Canadians above the age of 12. People with fibromyalgia report lifelong biological, emotional, cognitive and social complications. Recent clinical practice guidelines indicate management of symptoms is limited outside of analgesics. Cognitive-behavioral therapy (CBT) is one emerging treatment that displays promise for these individuals. CBT helps individuals to realize their maladaptive thought processes and how these can affect their own emotional response as well as the significance they attribute to potentially noxious stimuli. In conjunction with a physical exercise program, CBT shows promise in both the management of pain, and an improvement of quality of life.

Why Can’t I Stop Thinking About It?

Obsessive-compulsive disorder (OCD) is a severe anxiety disorder characterized by frequent obsessive thoughts and repetitive behaviors. Neuroticism is a vulnerability factor for OCD, yet the mechanisms by which this general vulnerability factor affects the development of OCD-related symptoms are unknown. The present study assessed a hierarchical model of the development of obsessive thoughts that includes neuroticism as a general, higher-order factor, and specific, potentially maladaptive thought processes (thought suppression, worry, and brooding) as second-order factors manifesting in the tendency toward obsessing. A total of 238 participants completed questionnaires assessing the examined constructs. The results of mediator analyses demonstrated the hypothesized relationships: A positive association between neuroticism and obsessing was mediated by thought suppression, worry, and brooding. Independent of the participant’s sex, all three mediators contributed equally and substantially to the association between neuroticism and obsessing. These findings extend earlier research on hierarchical models of anxiety and provide a basis for further refinement of models of the development of obsessive thoughts.

Intentional reasoning: A developmental study of behaviorally aggressive and normal boys

The purpose of this work was to investigate the way in which boys, ages 6, 8, and 10 years, who are behaviorally disturbed, understand motives behind human behavior, compared to normally functioning peers. Four tasks were administered that differed in surface features but that shared an underlying conceptual structure. A structural analysis of response protocols was undertaken to assess the level of cognitive complexity of their productions. Age-appropriate performance required varying degrees of intentional understanding (i.e., the reciprocal causal relations between action and mental states such as feelings and desires). The results of this analysis supported our predictions that behaviorally disturbed children use developmentally naive reasoning in the domain of conflict resolution, compared with their normal peers. Additionally, a thematic analysis of the content of responses was performed. The results of this analysis showed that the two groups' reasoning also differed qualitatively, in that the aggressive boys showed greater evidence of socially maladaptive thought, whereas the comparison group's performance was largely adaptive. We propose that early-formed primitive defense mechanisms may interfere with the aggressive group's construction of prosocial mental models of the social world. The results suggest that this line of research, which integrates developmental and psychoanalytic theory, has the potential to offer insight into the mechanisms underlying behavioral aggression.