sha Ali

The effects of the ideal of female beauty on mood and body satisfaction

OBJECTIVE The present study examined changes in womens mood states resulting from their viewing pictures in fashion magazines of models who represent a thin ideal. METHOD Female university students completed the Profile of Mood States (POMS), the Body Parts Satisfaction Scale (BPSS), and the Eating Disorder Inventory (EDI). They were then exposed to 20 slides; the experimental group (N = 51) viewed images of female fashion models and a control group (N = 67) viewed slides containing no human figures. All subjects then completed the POMS and the BPSS again. RESULTS Women were more depressed (R2 = 0.745, p < .05) and more angry (R2 = 0.73, p < .01) following exposure to slides of female fashion models. DISCUSSION Viewing images of female fashion models had an immediate negative effect on womens mood. This study, therefore, supports the hypothesis that media images do play a role in disordered eating.

Emotional abuse, self-blame, and self-silencing in women with irritable bowel syndrome.

Objective: The purpose of this study was to investigate the presence of emotional abuse and two psychosocial constructs (self-blame and self-silencing) in a sample of women diagnosed with irritable bowel syndrome (IBS) relative to a comparison sample of women diagnosed with inflammatory bowel disease (IBD). Methods: Women diagnosed with IBS (N = 25) were compared with women diagnosed with IBD (N = 25) on measures of history of abuse, self-blame, and self-silencing. Results: It was found that women in the IBS sample scored significantly higher on emotional abuse, self-blame, and self-silencing than did women in the IBD sample. These three variables were also found to be significantly intercorrelated in both the IBS and IBD samples. Finally, emotional abuse was significantly higher in IBS patients than in IBD patients beyond the differences accounted for by physical and/or sexual abuse history. Conclusions: These findings empirically demonstrate an association between IBS and emotional abuse, as well as a possible connection with psychosocial variables, that may mediate the connection between emotional abuse and functional bowel symptoms. We suggest that these variables be further evaluated in the context of clinically relevant research on IBS.

Cognitive-behavioral group therapy for patients with irritable bowel syndrome.

This article is divided into two parts, the first of which focuses on a general overview of irritable bowel syndrome (IBS) and provides a rationale for the use of cognitive-behavioral therapy (CBT) for IBS based on both theoretical and research perspectives. This section includes a critical review of CBT therapies for IBS and provides a model of CBT for IBS. The second section provides the clinician with practical information concerning the application of cognitive-behavioral group therapy for IBS. Possible scripts and case examples are incorporated into this section to highlight factors that may arise in working with IBS patients relative to other clinical groups. The second section also contains themes that are suggested content areas for group sessions. Contingent on the formulation of the presenting or emerging issues and goals, the order and inclusion of themes can be changed to fit the particular needs of a given group. Finally, this section provides initial preliminary data from a randomized controlled study that is suggestive of the efficacy of cognitive-behavioral therapy for IBS.

The development of a cognitive scale for functional bowel disorders.

Objective The importance of psychosocial factors in patients with Functional Bowel Disorders (FBD) has been well-established. However, most psychosocial measures used in research with FBD patients were not designed or validated on this population. A recent international team report recommended that psychosocial measures be developed to increase our understanding and treatment of FBD. The purpose of this study was to develop a reliable and valid instrument designed specifically to assess cognitions of patients with FBD. Method An initial set of 204 scale items was generated from a large pool of thought diaries from patients diagnosed with FBD. Items were additionally refined using several methods, including consultation with a multidisciplinary team of international experts on FBD. The remaining 95 items were administered, along with a set of validating questionnaires, to a new sample of 75 FBD patients in Canada and the United States. Results The findings indicate that the final 25-item scale has high reliability (Cronbachs alpha = .93; inter-item correlation = .36); high concurrent criterion validity evidenced by the correlation of the scale with a global rating of life interference caused by bowel symptoms (r = .71; p < .001); acceptable convergent validity evidenced by the correlation of the scale with the Dysfunctional Attitudes Scale (r = .38; p < .01); high content validity and face validity; and minimal social desirability contamination (r = .15; NS). Conclusions The Cognitive Scale for Functional Bowel Disorders is a valid and reliable scale that can be used as an outcome measure in evaluating the efficacy of different forms of psychotherapeutic intervention for FBD, and can also serve as a helpful assessment tool for health professionals working with patients diagnosed with FBD.

Sex-Role Attitudes and Clinical Appraisal in Psychiatry Residents

Qualitative research consists of methods that allow for a more in-depth understanding of phenomena and encompasses techniques such as focus groups, in-depth interviews, and participant observation. The guidelines that pertain to sampling and analysis are different from those which govern quantitative techniques, but they can be applied just as rigorously to ensure the validity of the results. This article introduces these methods and criteria and illustrates how qualitative and quantitative methods can be combined in order to improve what is learned from each.

Symptoms of depression among Caribbean women and Caribbean-Canadian women: An investigation of self-silencing and domains of meaning

This study compared an immigrant sample of Caribbean-Canadian women (n = 20) and a sample of women living in the Caribbean (n = 20) on the following variables: dominant domain of meaning (defined as that aspect of the participants life from which she derives primary meaning for her sense of self); self-silencing (defined as the tendency to silence ones thoughts and feelings; Jack, 1991); and symptoms of depression. Results revealed that the Caribbean women were more likely to report relational domains of meaning as primary (e.g., family, friendships, intimate relationships), while the Caribbean-Canadian women were more likely to report domains of self-nurturance as primary (e.g., career goals, spirituality). Furthermore, univariate analysis revealed that the Caribbean-Canadian women reported higher levels of self-silencing and depressive symptoms, and derived less meaningfulness from their primary domains of meaning compared to the Caribbean women. These findings suggest that the immigrant experience may be a factor in womens emotional well-being.

Features of eating disorders in patients with irritable bowel syndrome

The relationship between characteristics of irritable bowel syndrome (IBS) and eating disorders (ED) was investigated in a clinical sample of 43 female and 17 male IBS patients who completed the Eating Disorder Inventory (EDI). A diagnosis of IBS was generally unrelated to the Body Dissatisfaction, Perfectionism, and Ineffectiveness subscales of the EDI, but symptom severity was correlated with Perfectionism and Ineffectiveness. Severe bouts of vomiting were significantly associated with desires for lower body weight and reported binge-purge behaviors and cognitions measured by the Bulimia subscale of the EDI. Results suggest the need for a more comprehensive understanding of both types of illness as well as a possible framework for future empirical work.

Self-esteem as a predictor of attitudes toward wife abuse among Muslim women and men in Canada.

Abstract This study was designed (a) to assess attitudes toward wife abuse in a sample of Muslim women and men in Canada and (b) to assess whether those attitudes were influenced by self-esteem. Results suggested that, as in general North American samples, the Muslim women and men did not differ from each other on levels of self-esteem. Also consistent with general North American samples, the Muslim womens and mens attitudes toward wife abuse were related to their self-esteem, with higher self-esteem scores predicting stronger attitudes against wife abuse, independent of gender. However, the results also revealed that the Muslim men had significantly more lenient attitudes toward wife abuse compared with the Muslim women and with North American norms.

Feminine gender role and illness behavior in irritable bowel syndrome

The purpose of this study was to investigate the relationship between aspects of the feminine gender role and modes of illness behavior in patients with irritable bowel syndrome (IBS). Fifty IBS patients (34 women and 16 men) completed the Personal Attributes Questionnaire (PAQ), which assesses aspects of gender role, and the Illness Behavior Questionnaire (IBQ), which assesses components of illness behavior. The Communal Femininity subscale of the PAQ, which is characterized by traits of servility and subordination, showed a significant positive correlation with the Disease Conviction subscale of the IBQ, which is characterized by symptom preoccupation and rejection of physician reassurance (r = .55; p < .001). The Communal Femininity subscale of the PAQ also correlated positively with the General Hypochondriasis subscale of the IBQ, which is characterized by a high level of anxiety over ones state of health (r = .55; p < .001). These results suggest that characteristics of the feminine gender role, such as the nurturing of others before oneself, may influence the experience of physical symptoms by contributing to a heightened focus on physiological cues and by increasing levels of psychosocial stress.

Gender differences in depressive response: The role of social support

The present study investigated the possibility that womens ruminative response style to stressful events is due in part to differential advice that women and men receive from their social support networks. Undergraduates (60 men, 136 women) of various ethnic backgrounds (e.g., 21.4% English, 16.8% West Indian, 12.8% Chinese, 10.7% Italian) indicated the extent to which they would endorse various statements of advice for a stimulus person described as experiencing a negative life event. As predicted, subjects endorsed more ruminative advice for female stimulus persons than for male stimulus persons (p< .02). These findings imply that, since females in stressful situations seem more likely to receive ruminative advice than do their male counterparts, womens greater vulnerability to depressive symptoms may be partly the result of the concomitant dangers of stressful events and potentially harmful advice.