Journal of health psychology
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Randomized Controlled Trial
Cognitive-behavioral therapy for insomnia improves attentional function in fibromyalgia syndrome: a pilot, randomized controlled trial.
This pilot, randomized controlled trial analyzed the effects of a cognitive behavioral therapy (CBT, n = 20) for insomnia vs a sleep hygiene (SH, n = 20) program on the three attentional networks (alertness, orienting, and executive function) and other additional outcome measures (sleep, pain, depression, anxiety, and daily functioning) of fibromyalgia patients. The CBT group showed significant improvement in alertness (F(1, 28) = 11.84, p = .0018), executive functioning (F(1, 28) = 15.76, p = .00059), sleep quality ( F(1, 38) = 6.33, p = .016), and a trend to improvement in daily functioning (p > .06), as compared with the SH group. The improvement in executive functioning was significantly related to the changes in sleep (r = 0.40, p = .026). A CBT for insomnia represents a useful intervention in fibromyalgia patients not only regarding sleep disturbance but also attentional dysfunction and probably daily functioning.
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Recent literature has revealed the associations among ambivalence over emotional expression (AEE), pain, and depressive symptoms. However, few studies have examined factors explaining these associations. ⋯ Catastrophizing fully mediated the association between AEE and pain, while catastrophizing and unfulfilled needs partially mediated the association between AEE and depression. Findings suggest that need satisfaction and catastrophizing are important factors in understanding AEE and its health implications.
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The Chronic Pain Acceptance Questionnaire (CPAQ) measures acceptance of pain. Besides previous promising results on the contribution of pain acceptance to physical and psychosocial pain adjustment, recent findings have raised doubts on the validity of the scale. ⋯ A total of 120 patients with chronic pain completed the CPAQ and measures of depression, anxiety, pain-related anxiety, functional status, and perceived health status. Internal consistency was satisfactory, and factorial analyses yielded a 2-factor solution, but each CPAQ dimension showed a different contribution to the criterion variables.
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Randomized Controlled Trial
Efficacy of a communication and stress management training on medical residents' self-efficacy, stress to communicate and burnout: a randomized controlled study.
This is a longitudinal randomized controlled study investigating the efficacy of a communication and stress management skills training programme on medical residents' self-efficacy to communicate and to manage stress in interviews, stress to communicate in interviews, and burnout. Ninety-six medical residents participated. ⋯ Results of this training may encourage its compulsory organization in the medical curriculum. Further research is required to examine whether a programme associating person-directed and organization-directed interventions could have an impact on residents' burnout.
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The present study aimed to examine the prevalence of burnout, levels of life satisfaction and job satisfaction in anaesthetists in France. A cross-sectional study was conducted among 193 anaesthetists from eight French public hospitals. ⋯ The results also revealed differences between subgroups: physician anaesthetists reported higher levels of depersonalization and reduced accomplishment than nurse anaesthetists, female and junior anaesthetists reported higher levels of emotional exhaustion and job dissatisfaction than male and senior anaesthetists. The results and the implications to reduce burnout symptoms in anesthesia teams are discussed.