Development of the Checklist for Observing Client Responses to Cognitive Change in Cognitive Therap: Focusing on “sense making”

“Sense-making” has been proposed as a perspective through which to understand clients’ cognitive changes in cognitive therapy. Until now, sense-making has been measured through subjective verbal reports; however, we considered it important to measure sense-making through nonverbal responses. In the present study, we developed a checklist of nonverbal responses that were thought to indicate “sense-making” and examined whether checklist scores predicted behavioral change. In Study 1, the checklist items were scrutinized through a survey of clinical psychologists. In Study 2, we examined whether the checklist predicted behavioral change. The results showed that the checklist did in fact predict behavioral changes. The results showed that the checklist predicted behavioral changes. The present study provided a valid non-verbal indicator of “sense-making”, but further investigation of the detailed checklist items and its clinical application is warranted in future research

Do people who highly value happiness tend to ruminate?

Previous studies have suggested that an extremely strong desire for happiness might ironically reduce a person’s well-being, particularly among Western people. According to the goal progress theory and the theory of valuing happiness, rumination might explain the relationship between valuing happiness and well-being. Based on these theoretical rationales, this study examined the following hypotheses: (1) valuing happiness is significantly associated with rumination, (2) people who experience low life stress have a stronger association between valuing happiness and rumination, and (3) people with more interdependent self-construal have a weaker association between valuing happiness and rumination. University students in Japan participated in a cross-sectional study (N = 350; Study 1) and a 4-weeks longitudinal study (N = 329; Study 2). They responded to a packet of questionnaires assessing valuing happiness, trait rumination, depressive symptoms, negative events, and interdependent self-construal. Consistent with our hypothesis, valuing happiness was concurrently and longitudinally associated with increased rumination after controlling for depressive symptoms. However, negative events did not moderate the association between valuing happiness and rumination. Furthermore, Study 1, but not Study 2, indicated that the association between valuing happiness and rumination was stronger among students with highly interdependent self-construal than those with less interdependent self-construal. The preset findings indicated that valuing happiness might be a factor that perpetuates rumination. More sophisticated evidence on the influence of valuing happiness on rumination can lead to effective psychotherapies for decreasing rumination and depression

Cognitive Behavior Therapy and "Total Conviction"

The purposes of the present article are to explain an outline about cognitive behavior therapy (CBT) and "total conviction". The effectiveness of CBT has been demonstrated by studies conducted in a number of countries. As a predecessor of CBT, cognitive therapy proposed the importance of examining cognitive factors such as "automatic thought" and "schemas". CBT supposes that efficient treatment is accomplished by restructuring these constructs. However, there is confusion regarding the understanding of cognitive modification and the difficulty of accurately capturing cognitive modification in a clinical situation. Negative effects, such as worsening of the therapeutic relationship and the occurrence of anxiety and depression, have been reported in some cases where a cognitive approach was used with a patient. The current study suggests that some therapists use a perspective of "total conviction" to solve these problems. A previous study revealed that "total conviction" is a cognitive factor that can enable this behavior. However, previous studies of "total conviction" involve several limitations. Finally, we discuss the potential future directions of research on "total conviction". We suggest that further study of "total conviction" may enable replication of the treatment process of CBT

Risk for atrial fibrillation in patients with hypertrophic cardiomyopathy: Association with insulin resistance

SummaryBackgroundWe undertook a cross-sectional study to test the hypothesis that patients with hypertrophic cardiomyopathy (HCM) who have impaired left ventricular (LV) diastolic function are insulin resistant. We also evaluated the relation between the development of atrial fibrillation (AF) and insulin resistance (IR) in patients with HCM.Methods and resultsEighty-eight patients with HCM (71 men, 17 women) were enrolled in the study. IR was estimated using the homeostasis model assessment (HOMA) index. Echocardiographically determined left atrial (LA) dimension was measured as a marker of LA size. The ratio of trasmitral early LV filling velocity to early diastolic mitral annulus velocity (E/e′) was also measured as a marker of LV diastolic function. Twenty-seven patients (31%) had IR. Multivariate logistic regression analyses showed that independent determinants of AF were increased LA size [odds ratio (OR) 3.5, 95% confidence interval (CI) 1.2–9.8] and impaired LV diastolic function [OR 4.6, 95% CI 1.6–12.8]. The strongest determinant of LA size was the HOMA index (p=0.0005). Similarly, the HOMA index (p=0.0019) was an independent determinant of LV diastolic function.ConclusionIR is highly prevalent among non-diabetic patients with HCM. A possible mechanism by which IR affects the development of AF is mediated through its association with increased LA size or impaired LV diastolic function. IR may be an important underlying mechanism for the genesis of AF in HCM

Winter longitudinal variation in the body size of larval fishes in the Seto Inland Sea, Japan

This study revealed the spatial variation in abun-dance and body size of larval fishes in the Seto Inland Sea, Japan, in January 2014 and 2015. Fish larvae were col-lected by a 1.3-m-diameter ring net towed at the surface and at 10-m depth at 21 stations. The most dominant spe-cies was the sandlance Ammodytes japonicus, constituting 82% of total larval fish caught. The body size of A. japoni-cus was greater [ca. 9 mm total length (TL) in 2014] in eastern areas than in western areas (ca. 5 mm TL in 2014). This trend was also observed in rockfishes (Sebastiscus marmoratus and Sebastes inermis species complex), sug-gesting a common phenomenon in this region. Because the water temperature was lower in eastern areas, it is likely that the longitudinal differences in larval body size are attributable to earlier spawning in eastern areas caused by different temperature conditions.This work was partly supported by the Environment Research and Technology Development Fund (S-13) granted by the Ministry of the Environment, Japan.Electronic supplementary material: The online version of this article (doi:10.1007/s12562-017-1076-2) contains supplementary material, which is available to authorized users.アクセプト後にアブストラクト・キーワードの変更あり

Relationship between burnout and yutori of mind in new nurses

New nurses’ experience of burnout leads to turnover; therefore, reducing burnout has been attracting attention. It can be presumed that the yutori of mind may reduce burnout. In addition, emotion regulation strategies including reappraisal and distraction are assumed to mediate relationships between the yutori of mind and burnout. The present study aims to examine these unclear possibilities. A total of 73 new Japanese nurses completed questionnaires, which consisted of questions about the scales of the yutori of mind, reappraisal, distraction, and burnout. As a result of the path analysis, yutori of mind was shown to have a negative correlation with burnout, especially emotion exhaustion and depersonalization. However, there was no significant correlation between yutori of mind and personal accomplishment factors in burnout. Moreover, the mediating effects of reappraisal and distraction on the relationship between yutori of mind and burnout were not observed. Although the process underlying the relationship between yutori of mind and burnout remains unclear, yutori of mind may reduce burnout in new nurses

Preimplant factors affecting postimplant CT-determined prostate volume and the CT/TRUS volume ratio after transperineal interstitial prostate brachytherapy with 125I free seeds

<p>Abstract</p> <p>Background</p> <p>The aim was to identify preimplant factors affecting postimplant prostate volume and the increase in prostate volume after transperineal interstitial prostate brachytherapy with ¹²⁵I free seeds.</p> <p>Methods</p> <p>We reviewed the records of 180 patients who underwent prostate brachytherapy with ¹²⁵I free seeds for clinical T1/T2 prostate cancer. Eighty-one (45%) of the 180 patients underwent neoadjuvant hormonal therapy. No patient received supplemental external beam radiotherapy. Postimplant computed tomography was undertaken, and postimplant dosimetric analysis was performed. Univariate and multivariate analyses were performed to identify preimplant factors affecting postimplant prostate volume by computed tomography and the increase in prostate volume after implantation.</p> <p>Results</p> <p>Preimplant prostate volume by transrectal ultrasound, serum prostate-specific antigen, number of needles, and number of seeds implanted were significantly correlated with postimplant prostate volume by computed tomography. The increase in prostate volume after implantation was significantly higher in patients with neoadjuvant hormonal therapy than in those without. Preimplant prostate volume by transrectal ultrasound, number of needles, and number of seeds implanted were significantly correlated with the increase in prostate volume after implantation. Stepwise multiple linear regression analysis showed that preimplant prostate volume by transrectal ultrasound and neoadjuvant hormonal therapy were significant independent factors affecting both postimplant prostate volume by computed tomography and the increase in prostate volume after implantation.</p> <p>Conclusions</p> <p>The results of the present study show that preimplant prostate volume by transrectal ultrasound and neoadjuvant hormonal therapy are significant preimplant factors affecting both postimplant prostate volume by computed tomography and the increase in prostate volume after implantation.</p

Incidence of seed migration to the chest, abdomen, and pelvis after transperineal interstitial prostate brachytherapy with loose 125I seeds

<p>Abstract</p> <p>Background</p> <p>The aim was to determine the incidence of seed migration not only to the chest, but also to the abdomen and pelvis after transperineal interstitial prostate brachytherapy with loose ¹²⁵I seeds.</p> <p>Methods</p> <p>We reviewed the records of 267 patients who underwent prostate brachytherapy with loose ¹²⁵I seeds. After seed implantation, orthogonal chest radiographs, an abdominal radiograph, and a pelvic radiograph were undertaken routinely to document the occurrence and sites of seed migration. The incidence of seed migration to the chest, abdomen, and pelvis was calculated. All patients who had seed migration to the abdomen and pelvis subsequently underwent a computed tomography scan to identify the exact location of the migrated seeds. Postimplant dosimetric analysis was undertaken, and dosimetric results were compared between patients with and without seed migration.</p> <p>Results</p> <p>A total of 19,236 seeds were implanted in 267 patients. Overall, 91 of 19,236 (0.47%) seeds migrated in 66 of 267 (24.7%) patients. Sixty-nine (0.36%) seeds migrated to the chest in 54 (20.2%) patients. Seven (0.036%) seeds migrated to the abdomen in six (2.2%) patients. Fifteen (0.078%) seeds migrated to the pelvis in 15 (5.6%) patients. Seed migration occurred predominantly within two weeks after seed implantation. None of the 66 patients had symptoms related to the migrated seeds. Postimplant prostate D90 was not significantly different between patients with and without seed migration.</p> <p>Conclusion</p> <p>We showed the incidence of seed migration to the chest, abdomen and pelvis. Seed migration did not have a significant effect on postimplant prostate D90.</p