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PubMed2006

Infection-induced proinflammatory cytokines are associated with decreases in positive affect, but not increases in negative affect.

Infection commonly triggers nonspecific psychological and behavioral changes including fatigue and malaise, anhedonia, inability to concentrate, and disturbed sleep that collectively are termed "sickness behaviors". Converging evidence from several lines of research implicate the activities of proinflammatory cytokines as a cause of sickness behaviors. Here we elaborate upon the findings of previous research by examining whether infection-associated elevations in local proinflammatory cytokines are associated with increased negative mood and decreased positive mood. One hundred and eighty-nine healthy adults were experimentally exposed to rhinovirus or influenza virus during a 6-day period of quarantine. Infection, objective signs of illness, nasal IL-1beta, IL-6, and TNF-alpha, and self-reported affect were assessed at baseline and on each of the five post-challenge quarantine days. In the 153 persons who became infected following exposure to the challenge virus, daily production of IL-6, but not IL-1beta or TNF-alpha, was associated with reduced concurrent daily positive affect. One-day lagged analyses showed that daily production of all three cytokines was related to lower positive affect on the next day. All lagged associations were independent of previous-day positive affect and objective signs of illness (mucus production, mucociliary clearance function). There were no associations between cytokines and negative affect. Findings support a causal association between pathogen-induced local cytokine production and changes in positive affect over a 24-h timeline.

Adult↗
PubMed1995

Affective predictors of dissociation, III: Affect balance.

The relationship between dissociative tendencies and the balance of affective expression was investigated in a sample of 100 Australian psychology students. Dissociation was positively related to an imbalance of affect in favor of negative affects. Higher levels of dissociation were associated with more frequent experiences of negative affects but were unrelated to the expression of positive affects. The data are consistent with the view that trauma-related affects have a mediating role in the development of dissociative tendencies.

Adolescent↗
PubMed1994

Sensory and affective predictors of overall pain and emotions associated with affective pain.

OBJECTIVE: Psychological scaling techniques consistently produce separate ratings for sensory and affective components of pain. This study examines the relative contributions of these components to pain as a whole and the contributions of different emotions to the affective component of pain. DESIGN: The design was correlational. Visual analogue scales were used to quantify overall pain, sensory pain, affective pain, and individual emotions. These data lent themselves to regression techniques for expressing pain as a function of sensation and affect as a function of emotion types. SETTING: Data were collected at the Pain Clinic within the Department of Physical Medicine at the Ohio State University. PATIENTS: Subjects were 40 chronic pain sufferers admitted to an inpatient pain management program. RESULTS AND CONCLUSIONS: Ratings of overall pain were not a simple summation of sensory and affective ratings, but a linearly additive function of both component ratings each with a unique weighting. The affective component of pain was a function of three differentially weighted sets of emotions, anger, fear, and sadness being most salient. Implications arise for the broader assessment of chronic pain and the treatment of specific emotions that may be particularly associated with the pain.

Adult↗
PubMedDate not supplied

Parental sensitivity, infant affect, and affect regulation: predictors of later attachment.

This longitudinal study on 94 families examined the extent to which parent sensitivity, infant affect, and affect regulation at 4 months predicted mother-infant and father-infant attachment classifications at 1 year. Parent sensitivity was rated from face-to-face interaction episodes; infant affect and regulatory behaviors were rated from mother-infant and father-infant still-face episodes at 4 months. Infants' attachment to mothers and fathers was rated from the Strange Situation at 12 and 13 months. MANOVAs indicated that 4-month parent and infant factors were associated with infant-mother but not infant-father attachment groups. Discriminant Function Analysis further indicated that two functions, "Affect Regulation" and "Maternal Sensitivity," discriminated infant-mother attachment groups; As and B1-B2s showed more affect regulation toward mothers and fathers than B3-B4s and Cs at 4 months, and mothers of both secure groups were more sensitive than mothers of Cs. Finally, the association between maternal sensitivity and infant-mother attachment was partially mediated by infant affect regulation.

Adult↗
PubMed2003

On the broad applicability of the affective circumplex: representations of affective knowledge among schizophrenia patients.

Studies of affective experience are guided by the assumption that the structure of affect generalizes across people. Yet this assumption has not been tested among educationally and economically diverse community residents or among individuals with psychopathology. This study explicitly examined the broad applicability of the valence-arousal circumplex and whether schizophrenia patients and nonpatients have comparable knowledge structures of affective phenomena. Patients and nonpatients completed similarity ratings of 120 pairs of affect words. Similarity judgments were analyzed separately for each group using a multidimensional scaling procedure, and solutions were compared. Results revealed the same two-dimensional valence-arousal solution for schizophrenia patients and nonpatients, although there were subtle differences between the groups. These findings provide additional evidence that the circumplex model is a useful formalism for representing affective phenomena across diverse populations, and they bolster confidence in existing interpretations of schizophrenia patients' reports of affective experience.

Adult↗
PubMed1998

Affect traits in differential diagnosis of anxiety, depressive, and schizophrenic disorders using the Multiple Affect Adjective Check List-Revised.

A study of 185 psychiatric patients with anxiety, mood, and schizophrenic disorders and 185 matched nonpatient controls investigated the effectiveness of the affect trait scales of the revised Multiple Affect Adjective Check List (MAACL-R) in differentiating the three disorders. Univariate and multivariate analyses supported the usefulness of the affect in global and specific diagnostic classifications. The strongest discriminant function described a general dysphoria dimension (Depression plus Anxiety minus Positive Affect) which differentiated the anxiety and mood disorder groups from schizophrenic patients and nonpatient controls. A second discriminant function best differentiated the anxiety from mood disorder groups and was defined by relatively higher anxiety and normal sensation seeking scores among anxiety disorders and relatively higher depression and lower sensation seeking among mood disorders. Schizophrenic disorders could not be reliably distinguished from the other groups by negative affect scales, although they scored lower on positive affect than normals. It was concluded that the MAACL-R was valid in making both global and specific diagnostic classifications.

Adult↗
PubMed2000

Heart diseases affecting the liver and liver diseases affecting the heart.

BACKGROUND: The association of cardiac and liver disorders has not been extensively outlined in the literature. METHODS: A survey of the MEDLINE database was performed to assess the current status of research regarding the association between cardiac and liver disorders. RESULTS: Combined cardiac and hepatic disorders occur in 3 different settings: heart diseases affecting the liver, liver diseases affecting the heart, and cardiac and hepatic disorders with joint etiology. The spectrum of heart diseases affecting the liver includes mild alterations of liver function tests in heart failure, cardiogenic ischemic hepatitis, congestive liver fibrosis, and cardiac cirrhosis. The liver diseases affecting the heart include complications of cirrhosis such as hepatopulmonary syndrome, portopulmonary hypertension, pericardial effusion, and cirrhotic cardiomyopathy as well as noncirrhotic cardiac disorders such as high-output failure caused by intrahepatic arteriovenous fistulae. Cardiac and hepatic disorders with joint etiology include infectious, metabolic, immune, vasculitic, and toxic disorders. We propose a practical approach to a diagnostic workup of combined cardiac and hepatic disorders based on recognizing the sequence of appearance of the cardiac and liver disease, presence of features of a multisystem disease, and presence of pathognomonic features. The evaluation of combined cardiac and hepatic disorders takes into consideration the expected benefit of treatment and the risks related to invasive procedures. Accordingly, investigations can be limited to ancillary tests for patients with congested liver and mild alterations of liver function tests, in cardiogenic ischemic hepatitis, patients with cardiac cirrhosis who are proposed for conservative treatment, and multisystem disease involving the heart and the liver. Conversely, comprehensive investigations are recommended when invasive therapeutic interventions are considered for the treatment of hepatopulmonary syndrome, portopulmonary hypertension, or arteriovenous fistulae. CONCLUSION: Classification of a patient to any of the 3 categories-heart diseases affecting the liver, liver diseases affecting the heart, and cardiac and hepatic disorders with joint etiology-permits the physician to narrow the span of the possible diagnoses and allows for a more simple workup.

Comorbidity↗
PubMed2002

Dehabilitation of leprosy-affected people--a study on leprosy-affected beggars.

Leprosy is one of the most socially stigmatized diseases known today. Social stigma is associated mainly due to the prevalent myths like its hereditary and contagious nature, divine curse along with the physical deformities caused. The affected people not only face physical impairments but also suffer psychosocial repercussions due to the community's attitude. The long-term physical and psychosocial restrictions slowly push the leprosy-affected person out of the society. With lack of social support and self-confidence, some dehabilitated leprosy-affected persons end up as beggars. The present study focuses on the long-term consequences of leprosy. It is based on case studies of leprosy-affected beggars in Delhi. The process of dehabilitation in each case has been studied. It has been found that dehabilitation is a continuous process. The combination of leprosy, physical impairments and social stigma causing further participation restriction, lead to dehabilitation of people affected by leprosy, and ending in a state of beggary for some. There is a need to develop a holistic approach including both prevention of dehabilitation and rehabilitation of those dehabilitated to overcome both the disease and its consequences. Measures to prevent such dehabilitation in future along with the rehabilitation of leprosy-affected beggars have been suggested. Both these measures should take place simultaneously.

Adult↗
PubMed1987

Cerebral processing of nonverbal affective stimuli: differential effects of cognitive and affective sets on hemispheric asymmetry.

The cerebral processing of emotion has been the subject of a number of recent studies, but results relating to hemispheric asymmetry have been quite mixed. The present study attempted to clarify and extend findings in this area by examining the differential effects of cognitive and affective sets on hemisphere asymmetry under conditions of nonverbal emotional stimulation. Electroencephalographic (EEG) data, recorded bilaterally, showed that differential hemispheric processing interacted with emotion (positive or negative), condition (cognitive or affective), and sex. In those emotion/condition combinations where hemispheric asymmetry was observed, there was greater activity in the left hemisphere than in the right. In addition, positive affect produced greater asymmetry than negative, and females showed greater activity in response to positive emotional stimuli than did males. Further, affective conditions yielded higher levels of activity than did cognitive. Finally, electrodermal activity showed lateralization effects as a differential function of cognitive and affective conditions.

Affect↗
PubMed1991

Morphine differentially affects the sensory and affective pain ratings in neurogenic and idiopathic forms of pain.

In a double-blind, placebo controlled crossover study, the effect of morphine on the affective and sensory pain ratings in different forms of chronic pain was investigated. Six patients suffering from central neurogenic pain, 8 from peripheral neurogenic pain and 6 from idiopathic pain participated in the study. Morphine (0.3 mg/kg bodyweight) and placebo (saline) were administered intravenously. Both the affective and sensory dimensions of pain sensation were assessed by means of the 101-point rating scale. From our results it appeared that morphine reduced the affective but not the sensory dimension of pain sensation in both groups of neurogenic pain patients. In the idiopathic pain group, neither the affective nor the sensory dimension of pain sensation were affected. The observed differences in opioid responsiveness were neither the result of differences in opioid consumption nor of differences in baseline pain levels.

Adult↗
PubMed2000

Walking in (affective) circles: can short walks enhance affect?

Recent physical activity recommendations call for activities that are of moderate intensity and can be performed intermittently during the day, such as walking. These proclamations were based partly on the assumption that moderate activities are generally more enjoyable than physically demanding ones, and they are, therefore, also more likely to be continued over the long haul. However, little is actually known about the affective outcomes of short bouts of walking and extant findings are equivocal. Four experimental studies examined the affective responses associated with short (10- to 15-min) bouts of walking using a dimensional conceptual model of affect, namely, the circumplex. Results consistently showed that walking was associated with shifts toward increased activation and more positive affective valence. Recovery from walking for 10-15 min was associated with a return toward calmness and relaxation. This pattern, was robust across different self-report measures of the circumplex affective dimensions, across ecological settings (field and laboratory), across time, and across samples.

Adult↗
PubMed1989

Preferences as expectation-driven inferences: effects of affective expectations on affective experience.

Presents a model arguing that affect and emotion are often formed in an expectation-driven fashion. A pilot study and 2 experiments manipulated undergraduate Ss' affective expectations (e.g., how funny they expected a set of cartoons to be) and whether Ss' expectations were confirmed (e.g., whether the cartoons really were funny). When the value of a stimulus was consistent with an affective expectation, people formed evaluations relatively quickly. Even when the value of a stimulus was discrepant from an affective expectation, people sometimes assimilated the value of the stimulus to their expectations. Other times, such as when making a more fine-grained evaluation of the cartoons, people noticed that they were discrepant from their affective expectations. Under these conditions, people appeared to have more difficulty forming preferences. They took longer to evaluate and spent more time thinking about the cartoons.

Adult↗
PubMed2000

Using the Job-Related Affective Well-Being Scale (JAWS) to investigate affective responses to work stressors.

Prior research linking job stressors to psychological strains has been limited to a small number of emotional reactions. This article describes research linking job stressors to a wide range of affective states at work. In Study 1, a multidimensional scaling procedure was used on a matrix of similarity judgments by 51 employees of 56 job-related affective statements to support a 2-dimensional view of affective well-being. In Study 2, ratings of the affect statements by 100 employees further supported the contention that the dimensions were pleasure-displeasure and degree of arousal. In Study 3, 114 full-time university employees responded to the Job-Related Affective Well-Being Scale, which was found to be related to measures of job stressors as well as job satisfaction and physical symptoms.

Adolescent↗
PubMed2005

Comparison of olanzapine and risperidone in 367 first-episode patients with non-affective or affective psychosis: results of an open retrospective medical record study.

INTRODUCTION: Previous studies comparing olanzapine (OLZ) and risperidone (RIS) have tended to focus on multiple-episode patients, with no studies examining their comparative efficacy in a non-selective sample of first-episode psychosis. METHODS: The Early Psychosis Prevention and Intervention Centre in Australia had admitted 786 first-episode psychosis (FEP) patients between 1998-2000. Data were collected from the medical records (MR) of 367 patients, which met inclusion criteria. The primary objective was to evaluate the efficacy of OLZ vs. RIS as measured by CGI-S, CGI-BP (symptomatic level), GAF and SOFAS (functioning level). RESULTS: 367 FEP patients were entered into the study, 278 in the RIS- (2.7 mg/day) and 89 in the OLZ group (10.2 mg/day). No between-group differences were found in non-affective FEP (n = 273). In affective FEP patients (n = 94), mainly treated for acute mania (86.7 %), OLZ treatment was related to better response on the symptomatic (CGI-S; p = .002), but not on the functioning level (GAF and SOFAS; ns). There were trends in the OLZ group towards a higher rate of remission of positive symptoms ( p = .054) and a shorter treatment duration to reach this remission in affective FEP patients ( p = .077). More extrapyramidal side effects ( p <.001) were related to RIS and more weight gain to OLZ-treatment ( p <.001). DISCUSSION: Despite the limitations of a retrospective MR design, study results suggest equal therapeutic efficacy of OLZ and RIS in non-affective FEP and some therapeutic advantages of OLZ compared to RIS in affective FEP patients, especially in those with acute mania. Results may serve as hypotheses for future randomised controlled trials.

Adolescent↗
PubMed1988

Affect, affective resonance and a new theory for hypnosis.

New theory is most useful when it helps explain phenomena outside the observational realm within which it was derived. The growing body of evidence suggesting that adult human emotion is the result of neocortical modulation of phylogenetically earlier subcortical affect programs, and the logical system developed by Tomkins to explain the links between innate affect and adult behavior, has been reviewed in terms of newer work on infant observation. The study of interaffectivity and intersubjectivity leads to an understanding of the caregiver as an external modulator of infantile affect; the similarity between these processes of external modulation and the well known techniques of hypnotic induction suggests commonality. Save for a massive reorganization of our theories about affect and its relationship to the face, I do not think it can any longer be considered valid for an investigator to present data about hypnosis without meticulous attention to facial affect display.

Affect↗
PubMed1996

Affect and memory in depression: evidence of better delayed recall of positive than negative affect words.

It is widely accepted that depressives focus on negative memories, and forget or repress positive memories (showing a mood-congruent affective tendency). Normals have an opposite positive bias in memory ('Pollyanna tendency'). Research evidence for depressives' negative bias in memory comes mainly from studies of retrieval of personal experiences during depression, or from studies of such retrieval during induced mood. In the present study, the hypothesis that depressives encode and remember negative emotion materials better than other materials was tested. Contrary to the hypothesis, the results showed that severely depressed patients remembered more positive affect than negative affect words, after a 2-day delay. Depressives' overall memory performance and rate of forgetting were poor, similar to schizophrenics', and worse than normals'. The results suggest that, while memory performance during a depressive episode is poor, the memory consolidation process for affective information is normal. Unlike in schizophrenia, it does not select negative emotion materials. This conclusion is not incongruent with the finding that depressives show mood-congruent retrieval for previously learnt personal (experiential) information. The consolidation of non-personal (nonexperiential) positive affect materials during depression may provide a clue as to the mechanism of recovery in depression, and the lack of such recovery in schizophrenia.

Adult↗
PubMed1985

Ageing and affective disorders: the age at first onset of affective disorders in Scotland, 1969-1978.

First admission rates from 1969-78 for Scottish psychiatric units were calculated for discharge diagnoses of affective psychosis for each five-year age-group from 15 years to over 74 years. There were clear-cut linear increases in rates of depressive psychoses, mania, and all affective psychoses, consistent with a relatively steady increase in the rate of first-onset affective psychoses with increasing age. These findings are discussed in terms of social, psychological, and biological hypotheses of the causes of affective disorder. It is argued that no single factor could produce the observed linear increases with age and that the data appear more consistent with an integrative aetiological model of affective disorder.

Adolescent↗