The acceptability, feasibility and possible benefits of a group-based intervention targeting intolerance of uncertainty in adolescent inpatients with anorexia nervosa

Despite the effectiveness of family-based interventions for adolescents with anorexia nervosa (AN), up to 30% of patients may not fully benefit. Comorbidity such as depression and anxiety, of which Intolerance of Uncertainty (IU) is established as a key predictor, may account for this reduced treatment response. This pilot study evaluates the acceptability, feasibility and possible benefits of a group-based intervention targeting IU in adolescent inpatients with AN. Ten female patients received a 12-session open-group intervention adapted from a previously developed intervention for adults which took a cognitive behavioural stance and included sessions on psychoeducation and raising awareness around IU, problemsolving in the context of uncertainty, beliefs about worry, behavioural experiments and relapse prevention. Fifty-five staff hours were required to run the group and resources were suitably adapted from adult materials. Patients rated the intervention as acceptable and there were no dropouts. Qualitative outcomes highlighted patients benefited from the group and there was a trend towards IU reducing after the intervention and at 3-month follow-up, although the improvements fell short of a meaningful change in therapy cut-off. Results suggest the group was feasible to run and acceptable to patients and warrants further investigation to optimise possible clinical benefits

About low field memory and negative magnetization in semiconductors and polymers

Ginzburg-Landau bulk magnetization of itinerant electrons can provide a negative effective field in the Weiss model by coupling to localized magnetic moments. The coupling enforces remnant magnetization, which can be negative or positive depending on the sample magnetic history. Stable magnetic susceptibility of coupled nonequilibrium subsystems with magnetization reversal is always positive. Gauss-scale fields could be expected for switching between negative and positive remnant moments in semiconductors with coupling at ambient temperatures. Negative magnetization in ultra-high conducting polymers is also discussed within the developed framework.Comment: 8 pages, no figure

2s Hyperfine Structure in Hydrogen Atom and Helium-3 Ion

The usefulness of study of hyperfine splitting in the hydrogen atom is limited on a level of 10 ppm by our knowledge of the proton structure. One way to go beyond 10 ppm is to study a specific difference of the hyperfine structure intervals 8 Delta nu_2 - Delta nu_1. Nuclear effects for are not important this difference and it is of use to study higher-order QED corrections.Comment: 10 pages, presented at Hydrogen Atom II meeting (2000

Cognitive and Experienced Flexibility in Patients With Anorexia Nervosa and Obsessive Compulsive Disorder

Objective: Anorexia nervosa (AN) and obsessive-compulsive disorder (OCD) share a neuropsychological profile characterized by cognitive inflexibility as evident in set-shifting problems, and by strong detail focus. Clinically, both patient groups display a strong rigidity which may be explained by these neurocognitive difficulties. Cognitive inflexibility may hinder treatment uptake and help explain suboptimal treatment outcomes in both AN and OCD. This is the first study to compare clinical AN and OCD groups and to examine similarities and differences in cognitive flexibility. Specifically, this study aims to investigate neuropsychological outcomes and self-reported difficulties in both clinical groups and a control group, and explore associations between the different flexibility outcomes and illness. Method: Two hundred participants (61 AN, 72 OCD and 67 HC) performed neuropsychological tasks on set-shifting abilities (Trail Making Task, Stroop color-word interference, Intradimensional-Extradimensional shift task), detail focus (Group Embedded Figures Test) and self-reported set-shifting abilities and attention to detail (DFlex). Results: Similarities between patient groups were found in terms of reduced set-shifting ability on the Trail Making Task and detail focus. Moreover, both patient groups self-reported more set-shifting problems but a less strong detail focus than HC, which in turn were not related to neuropsychological task outcomes in either of the groups. In both patient groups longer illness duration was associated to longer reaction times in the switching tasks and for both groups symptom severity was associated to higher experienced inflexibility and attention to detail. Conclusion: Cognitive inflexibility processes are largely similar in patients with AN and OCD. Both patient groups report inflexibility, yet this is unrelated to neuropsychological outcomes. Illness duration seems to contribute to poorer set-shifting and higher illness severity is linked to more experienced inflexibility. Findings highlight the need for entangling different domains of cognitive flexibility and detail focus and examining self-report measures for a cohesive understanding of clinically relevant flexibility weaknesses in AN and OCD

Understanding relations between intolerance of uncertainty and body checking and body avoiding in anorexia nervosa

Background: A key feature of anorexia nervosa is body image disturbances and is often expressed by dysfunctional body-related behaviours such as body checking and body avoiding. These behaviours are thought to contribute to both the maintenance and relapse of AN, yet empirical evidence is scarce. One variable that may contribute to the need for engaging in these behaviours is intolerance of uncertainty. This study aims to investigate body checking and body avoiding and its relations with intolerance of uncertainty in women with anorexia nervosa (AN-ill; 70), women recovered from AN (AN-rec; 85) and control group (127). Methods: Three questionnaires were completed, measuring eating pathology, intolerance of uncertainty and body checking and body avoiding. One-way ANOVAS were used to test group differences. Moderation analyses were used to investigate associations between variables. Results: Levels of intolerance of uncertainty, body checking and body avoiding were highest in AN-ill followed by AN-rec and, lastly, the control group, confirming group differences. Intolerance of uncertainty was associated with body checking in the AN-rec group and the control group but not in the AN-ill group. The association between intolerance of uncertainty and body avoiding was reported in the AN-rec group and only marginally in the control group. Conclusion: Levels of intolerance of uncertainty, body checking and body avoiding were highest in AN-ill, however still elevated in AN-rec, confirming the presence of body image disturbances, even after recovery. The unique associations between intolerance of uncertainty and body checking and body avoiding within the studied groups may represent different stages of the illness. In the AN-rec group, the relation between intolerance of uncertainty, body checking and body avoiding may be driven by trait anxiety. For AN-ill group, body checking and body avoiding may eventually have grown into habitual patterns, rather than a strategy to ameliorate anxiety and uncertainty. Plain English summary: Women with anorexia nervosa often experience disturbances in their body image and are expressed in body-related behaviours such as body checking and body avoiding. These behaviours are thought to contribute to both the maintenance and relapse of anorexia nervosa. Intolerance of uncertainty is defined as the incapacity to tolerate uncertainty and may contribute to the need for engaging in these behaviours. This study aims to investigate body checking and body avoiding and its relations with intolerance of uncertainty in women with anorexia nervosa (AN-ill; 70), women recovered from AN (AN-rec; 85) and control group (127). Three questionnaires were completed, measuring eating pathology, intolerance of uncertainty and body checking and body avoiding. Levels of intolerance of uncertainty, body checking and body avoiding were highest in AN-ill and still elevated in AN-rec, even after recovery. The associations between intolerance of uncertainty and body checking and body avoiding within the studied groups may represent different stages of the illness. In the AN-rec group, the relation between intolerance of uncertainty, body checking and body avoiding may be driven by trait anxiety. For AN-ill group, body checking and body avoiding may have grown into habitual patterns, rather than a strategy to ameliorate anxiety and uncertainty

Empirical evidence for unique hues?

Red, green, blue, yellow, and white have been distinguished from other hues as unique. We present results from two experiments that undermine existing behavioral evidence to separate the unique hues from other colors. In Experiment 1 we used hue scaling, which has often been used to support the existence of unique hues, but has never been attempted with a set of non-unique primaries. Subjects were assigned to one of two experimental conditions. In the "unique" condition, they rated the proportions of red, yellow, blue, and green that they perceived in each of a series of test stimuli. In the "intermediate" condition, they rated the proportions of teal, purple, orange, and lime. We found, surprisingly, that results from the two conditions were largely equivalent. In Experiment 2, we investigated the effect of instruction on subjects' settings of unique hues. We found that altering the color terms given in the instructions to include intermediate hues led to significant shifts in the hue that subjects identified as unique. The results of both experiments question subjects' abilities to identify certain hues as unique

Hyperfine Structure of S-States in Muonic Helium Ion

Corrections of orders alpha^5 and alpha^6 are calculated in the hyperfine splittings of 1S and 2S - energy levels in the ion of muonic helium. The electron vacuum polarization effects, the nuclear structure corrections and recoil corrections are taken into account. The obtained numerical values of the hyperfine splittings -1334.56 meV (1S state), -166.62 meV (2S state) can be considered as a reliable estimate for the comparison with the future experimental data. The hyperfine splitting interval Delta_{12}=(8 Delta E^{hfs}(2S)- Delta E^{hfs}(1S)) = 1.64 meV can be used for the check of quantum electrodynamics.Comment: 14 pages, 5 figure

Theory of muonic hydrogen - muonic deuterium isotope shift

We calculate the corrections of orders alpha^3, alpha^4 and alpha^5 to the Lamb shift of the 1S and 2S energy levels of muonic hydrogen (mu p) and muonic deuterium (mu d). The nuclear structure effects are taken into account in terms of the proton r_p and deuteron r_d charge radii for the one-photon interaction and by means of the proton and deuteron electromagnetic form factors in the case of one-loop amplitudes. The obtained numerical value of the isotope shift (mu d) - (mu p) for the splitting (1S-2S) 101003.3495 meV can be considered as a reliable estimation for corresponding experiment with the accuracy 10^{-6}. The fine structure interval E(1S)-8E(2S) in muonic hydrogen and muonic deuterium are calculated.Comment: 22 pages, 7 figure

Nucleon-nucleon interaction in the Skyrme model

We consider the interaction of two skyrmions in the framework of the sudden approximation. The widely used product ansatz is investigated. Its failure in reproducing an attractive central potential is associated with terms that violate G-parity. We discuss the construction of alternative ans\"atze and identify a plausible solution to the problem.Comment: 18 pages, 9 figure

Mental capacity to consent to treatment and the association with outcome:A longitudinal study in patients with anorexia nervosa

BACKGROUND: Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown. AIMS: To examine prognostic relevance of diminished mental capacity in AN. METHOD: A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated. RESULTS: People with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity. CONCLUSIONS: People with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement