Anxiety, emotional processing and depression in people with multiple sclerosis.

BACKGROUND: Despite the high comorbidity of anxiety and depression in people with multiple sclerosis (MS), little is known about their inter-relationships. Both involve emotional perturbations and the way in which emotions are processed is likely central to both. The aim of the current study was to explore relationships between the domains of mood, emotional processing and coping and to analyse how anxiety affects coping, emotional processing, emotional balance and depression in people with MS. METHODS: A cross-sectional questionnaire study involving 189 people with MS with a confirmed diagnosis of MS recruited from three French hospitals. Study participants completed a battery of questionnaires encompassing the following domains: i. anxiety and depression (Hospital Anxiety and Depression Scale (HADS)); ii. emotional processing (Emotional Processing Scale (EPS-25)); iii. positive and negative emotions (Positive and Negative Emotionality Scale (EPN-31)); iv. alexithymia (Bermond-Vorst Alexithymia Questionnaire) and v. coping (Coping with Health Injuries and Problems-Neuro (CHIP-Neuro) questionnaire. Relationships between these domains were explored using path analysis. RESULTS: Anxiety was a strong predictor of depression, in both a direct and indirect way, and our model explained 48% of the variance of depression. Gender and functional status (measured by the Expanded Disability Status Scale) played a modest role. Non-depressed people with MS reported high levels of negative emotions and low levels of positive emotions. Anxiety also had an indirect impact on depression via one of the subscales of the Emotional Processing Scale ("Unregulated Emotion") and via negative emotions (EPN-31). CONCLUSIONS: This research confirms that anxiety is a vulnerability factor for depression via both direct and indirect pathways. Anxiety symptoms should therefore be assessed systematically and treated in order to lessen the likelihood of depression symptoms

Early Deglaciation in the Tropical Andes

Analysis of sediment records from lakes located beyond the glacial limit in the Andes has provided, for the first time, an independent assessment of effective moisture ( precipitation minus evaporation) and the timing of the last glaciation (1). Conditions were wet at the LGM and remained so until approximately 15,000 cal yr B.P. (2). However, deglaciation was under way from the LGM between 22,000 and 19,500 cal yr B.P., which reinforces the observation that deglaciation in the tropical Andes was primarily forced by an increase in mean annual temperature during a wet postglacial interval (3, 4)

Early Deglaciation in the Tropical Andes

Analysis of sediment records from lakes located beyond the glacial limit in the Andes has provided, for the first time, an independent assessment of effective moisture ( precipitation minus evaporation) and the timing of the last glaciation (1). Conditions were wet at the LGM and remained so until approximately 15,000 cal yr B.P. (2). However, deglaciation was under way from the LGM between 22,000 and 19,500 cal yr B.P., which reinforces the observation that deglaciation in the tropical Andes was primarily forced by an increase in mean annual temperature during a wet postglacial interval (3, 4)

Quark-antiquark potential with retardation and radiative contributions and the heavy quarkonium mass spectra

The charmonium and bottomonium mass spectra are calculated with the systematic account of all relativistic corrections of order v^2/c^2 and the one-loop radiative corrections. Special attention is paid to the contribution of the retardation effects to the spin-independent part of the quark-antiquark potential, and a general approach to accounting for retardation effects in the long-range (confining) part of the potential is presented. A good fit to available experimental data on the mass spectra is obtained.Comment: 20 pages, revtex, 2 Postscript figure

Adaptive mesh refinement approach to construction of initial data for black hole collisions

The initial data for black hole collisions is constructed using a conformal-imaging approach and a new adaptive mesh refinement technique, a fully threaded tree (FTT). We developed a second-order accurate approach to the solution of the constraint equations on a non-uniformly refined high resolution Cartesian mesh including second-order accurate treatment of boundary conditions at the black hole throats. Results of test computations show convergence of the solution as the numerical resolution is increased. FTT-based mesh refinement reduces the required memory and computer time by several orders of magnitude compared to a uniform grid. This opens up the possibility of using Cartesian meshes for very high resolution simulations of black hole collisions.Comment: 13 pages, 11 figure

Cross-cultural validation of a French version of the Emotional Processing Scale (EPS-25)

Introduction: The Emotional Processing Scale (EPS) is a self-report questionnaire consisting of 25 items designed to identify emotional processing styles and impairments. The aim was to develop a French version of the scale and to test its preliminary validity and reliability in French community and clinical samples. Method: After translation and back-translation, a validation study was conducted with 1176 adults [215 from a community sample, 251 undergraduate psychology students, 686 people with a range of physical health conditions (HIV, multiple sclerosis, chronic pain, leukaemia) and 24 people with bipolar disorder hospitalised for depression]. Results: The internal reliability of the French EPS was good, with a Cronbach's alpha of.91. The five-factor structure of the original English version of the scale was closely reproduced. Conclusions: The French EPS demonstrated good reliability and validity. Correlations with other conceptually similar scales (e.g., TAS-20, CERQ, STAXI) were as predicted. EPS scores distinguished between groups (clinical samples vs. a community sample) that would be expected to differ

Are moving punctures equivalent to moving black holes?

When simulating the inspiral and coalescence of a binary black-hole system, special care needs to be taken in handling the singularities. Two main techniques are used in numerical-relativity simulations: A first and more traditional one ``excises'' a spatial neighbourhood of the singularity from the numerical grid on each spacelike hypersurface. A second and more recent one, instead, begins with a ``puncture'' solution and then evolves the full 3-metric, including the singular point. In the continuum limit, excision is justified by the light-cone structure of the Einstein equations and, in practice, can give accurate numerical solutions when suitable discretizations are used. However, because the field variables are non-differentiable at the puncture, there is no proof that the moving-punctures technique is correct, particularly in the discrete case. To investigate this question we use both techniques to evolve a binary system of equal-mass non-spinning black holes. We compare the evolution of two curvature 4-scalars with proper time along the invariantly-defined worldline midway between the two black holes, using Richardson extrapolation to reduce the influence of finite-difference truncation errors. We find that the excision and moving-punctures evolutions produce the same invariants along that worldline, and thus the same spacetimes throughout that worldline's causal past. This provides convincing evidence that moving-punctures are indeed equivalent to moving black holes.Comment: 4 pages, 3 eps color figures; v2 = major revisions to introduction & conclusions based on referee comments, but no change in analysis or result

Protein sequence and structure: Is one more fundamental than the other?

We argue that protein native state structures reside in a novel "phase" of matter which confers on proteins their many amazing characteristics. This phase arises from the common features of all globular proteins and is characterized by a sequence-independent free energy landscape with relatively few low energy minima with funnel-like character. The choice of a sequence that fits well into one of these predetermined structures facilitates rapid and cooperative folding. Our model calculations show that this novel phase facilitates the formation of an efficient route for sequence design starting from random peptides.Comment: 7 pages, 4 figures, to appear in J. Stat. Phy

A Prospective Study of the Association of Metacognitive Beliefs and Processes with Persistent Emotional Distress After Diagnosis of Cancer

Two hundred and six patients, diagnosed with primary breast or prostate cancer completed self-report questionnaires on two occasions: before treatment (T1) and 12 months later (T2). The questionnaires included: the Hospital Anxiety and Depression Scale; Impact of Events Scale; the Metacognitions Questionnaire-30 (MCQ-30) and the Illness Perceptions Questionnaire-revised. A series of regression analyses indicated that metacognitive beliefs at T1 predicted between 14 and 19 % of the variance in symptoms of anxiety, depression and trauma at T2 after controlling for age and gender. For all three outcomes, the MCQ-30 subscale ‘negative beliefs about worry’ made the largest individual contribution with ‘cognitive confidence’ also contributing in each case. For anxiety, a third metacognitive variable, ‘positive beliefs about worry’ also predicted variance in T2 symptoms. In addition, hierarchical analyses indicated that metacognitive beliefs explained a small but significant amount of variance in T2 anxiety (2 %) and T2 depression (4 %) over and above that explained by demographic variables, T1 symptoms and T1 illness perceptions. The findings suggest that modifying metacognitive beliefs and processes has the potential to alleviate distress associated with cancer