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Two Reasoning Strategies in Patients With Psychological Illnesses.

ABSTRACT: Hyper-emotion theory states that psychological disorders are conditions in which individuals experience emotions that are appropriate to the situation but inappropriate in their intensity. When these individuals experience such an emotion, they are inevitably compelled to reason about its cause. They therefore develop characteristic strategies of reasoning depending on the particular hyper-emotion they experience. In anxiety disorders (e.g., panic attack, social phobia), the perception of a disorder-related threat leads to hyper-anxiety; here, individuals' reasoning is corroboratory, adducing evidence that confirms the risk (corroboratory strategy). In obsessive-compulsive disorders, the threat of having acted in an irresponsible way leads to both hyper-anxiety and guilt; here, individuals' reasoning is refutatory, adducing only evidence disconfirming the risk of being guilty (refutatory strategy). We report three empirical studies corroborating these hypotheses. They demonstrate that patients themselves recognize the two strategies and spontaneously use them in therapeutic sessions and in evaluating scenarios in an experiment.

SUBMITTER: Gangemi A

PROVIDER: S-EPMC6817569 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Two Reasoning Strategies in Patients With Psychological Illnesses.

Gangemi Amelia A Tenore Katia K Mancini Francesco F

Frontiers in psychology 20191022

Hyper-emotion theory states that psychological disorders are conditions in which individuals experience emotions that are appropriate to the situation but inappropriate in their intensity. When these individuals experience such an emotion, they are inevitably compelled to reason about its cause. They therefore develop characteristic strategies of reasoning depending on the particular hyper-emotion they experience. In anxiety disorders (e.g., panic attack, social phobia), the perception of a diso ...[more]

PMID: 31695641

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Project description:BACKGROUND:There is growing evidence of the positive effects of electronic health (eHealth) interventions for patients with chronic illness, but implementation of such interventions into practice is challenging. Implementation strategies that potentially impact implementation outcomes and implementation success have been identified. Which strategies are actually used in the implementation of eHealth interventions for patients with chronic illness and which ones are the most effective is unclear. OBJECTIVE:This systematic realist review aimed to summarize evidence from empirical studies regarding (1) which implementation strategies are used when implementing eHealth interventions for patients with chronic illnesses living at home, (2) implementation outcomes, and (3) the relationship between implementation strategies, implementation outcomes, and degree of implementation success. METHODS:A systematic literature search was performed in the electronic databases MEDLINE, Embase, PsycINFO, Scopus, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library. Studies were included if they described implementation strategies used to support the integration of eHealth interventions into practice. Implementation strategies were categorized according to 9 categories defined by the Expert Recommendations for Implementing Change project: (1) engage consumers, (2) use evaluative and iterative strategies, (3) change infrastructure, (4) adapt and tailor to the context, (5) develop stakeholder interrelationships, (6) use financial strategies, (7) support clinicians, (8) provide interactive assistance, and (9) train and educate stakeholders. Implementation outcomes were extracted according to the implementation outcome framework by Proctor and colleagues: (1) acceptability, (2) adoption, (3) appropriateness, (4) cost, (5) feasibility, (6) fidelity, (7) penetration, and (8) sustainability. Implementation success was extracted according to the study authors' own evaluation of implementation success in relation to the used implementation strategies. RESULTS:The implementation strategies management support and engagement, internal and external facilitation, training, and audit and feedback were directly related to implementation success in several studies. No clear relationship was found between the number of implementation strategies used and implementation success. CONCLUSIONS:This is the first review examining implementation strategies, implementation outcomes, and implementation success of studies reporting the implementation of eHealth programs for patients with chronic illnesses living at home. The review indicates that internal and external facilitation, audit and feedback, management support, and training of clinicians are of importance for eHealth implementation. The review also points to the lack of eHealth studies that report implementation strategies in a comprehensive way and highlights the need to design robust studies focusing on implementation strategies in the future. TRIAL REGISTRATION:PROSPERO CRD42018085539; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=85539.

Project description:Individuals with severe mental illnesses (SMIs) may be disproportionately vulnerable to COVID-19 infection and psychological distress. This study investigated the prevalence of engagement in COVID-19 preventative behaviors, predictors of these behaviors, and COVID-19-related psychological distress. One hundred and sixty-three individuals with SMIs (94 with schizophrenia spectrum illnesses and 69 with affective disorders) and 27 psychiatrically healthy comparison participants were recruited from ongoing studies across 3 sites, to complete a phone survey querying implementation of 8 specific COVID-19 preventative behaviors that participants engaged in at least once in the past month as well as standard assessments of depression, anxiety, perceived stress, loneliness, and coping. Data were collected between 3 April 2020 and 4 June 2020. The large majority of our SMI sample, which consisted of outpatients with relatively mild symptom severity, endorsed engaging in multiple preventative behaviors. Relatively few differences were found between groups; however, individuals with SMI were less likely to work remotely than healthy individuals and individuals with schizophrenia spectrum illness were less likely to stay home as a preventative measure, wear face masks, and work remotely than individuals with affective disorders. Differences in staying home remained after controlling for potential confounds. Although individuals with SMI reported more psychological distress related to COVID-19, this distress was largely unrelated to engagement in preventative behaviors. The large majority of individuals with SMI in this outpatient sample, regardless of broad diagnostic category, reported performing multiple behaviors intended to prevent COVID-19 infection at least once a month and reported distress associated with the pandemic. These findings suggest a good level of awareness of COVID-19 among stable outpatients with SMI. The degree to which more acutely ill persons with SMI engage in such preventative behaviors, however, remains to be examined.

Project description:Given the need for knowledge on the restorative potential of urban settings, we sought to estimate the effects of personal and contextual factors on preferences and restoration likelihood assessments for different urban activities-in-environments. We also sought to study the generality of these effects across different countries.We conducted a true experiment with convenience samples of university students in the Netherlands (n = 80), Sweden (n = 100), and the USA (n = 316). In each country, the experiment had a mixed design with activities-in-environments (sitting in a park, sitting in a cafe, walking in a shopping mall, walking along a busy street) manipulated within-subjects and the need for restoration (attentional fatigue, no attentional fatigue) and immediate social context (in company, alone) manipulated between-subjects. The manipulations relied on previously tested scenarios describing everyday situations that participants were instructed to remember and imagine themselves being in. For each imagined situation (activity-in-environment with antecedent fatigue condition and immediate social context), subjects provided two criterion measures: general preference and the likelihood of achieving psychological restoration.The settings received different preference and restoration likelihood ratings as expected, affirming that a busy street, often used in comparisons with natural settings, is not representative of the restorative potential of urban settings. Being with a close friend and attentional fatigue both moderated ratings for specific settings. Findings of additional moderation by country of residence caution against broad generalizations regarding preferences for and the expected restorative effects of different urban settings.Preferences and restoration likelihood ratings for urban activity-environment combinations are subject to multiple personal and contextual determinants, including level of attentional fatigue, being alone versus in company, and broader aspects of the urban context that vary across cities and countries. Claims regarding a lack of restorative quality in urban environments are problematic.

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Two Reasoning Strategies in Patients With Psychological Illnesses.

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Two Reasoning Strategies in Patients With Psychological Illnesses.

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