Climate distress and social identity: Bringing theory to clinical practice

Guidance for supporting individuals with climate distress often lacks a theoretical foundation to account for its social dimension. This paper argues for the value of the social identity approach (SIA) for understanding and supporting individuals with climate distress in clinic. Three aspects of climate distress are considered: social isolation, collective emotions, and climate action. It is posited that the SIA can guide interventions in a way that is tailored to the specific social dynamics entailed in each client’s climate distress. The paper also considers how clinicians can weigh up the potential advantages and disadvantages of interventions that are commonly advised for these individuals, such as contact with nature and engaging in collective action. The author is a clinical psychologist and lecturer researching climate distress

Disordered eating and internalizing symptoms in preadolescence

Objectives Research has demonstrated links between disordered eating, anxiety, and depression in adults and adolescents but there is limited research investigating these associations in preadolescence. The current study examined the associations between disordered eating, anxiety, and depression during preadolescence, as well as the role of gender in moderating these associations. Method Two hundred and thirteen children (M = 10.3 years; 51.2% male) reported levels of disordered eating (ChEAT) and anxiety and depression symptoms (RCADS‐25). Results Regression analyses support an association between disordered eating and both anxiety and depression in preadolescence. Overall, there were no significant differences between boys and girls when the main effect was examined, which differs from research in adolescents. Discussion These findings highlight the importance of early detection for disordered eating behaviors and attitudes, as well as anxiety and depression in both boys and girls during preadolescence. Longitudinal research examining these associations is vital to help understand the trajectories of these problems, but also the gender differences in disordered eating that emerge during adolescence. Transdiagnostic interventions targeting several co‐occurring problems, such as disordered eating, anxiety, and depression might be effective for preventing the development of eating disorders in the long term

Collagen-induced arthritis in C57BL/6 mice is associated with a robust and sustained T-cell response to type II collagen

Many genetically modified mouse strains are now available on a C57BL/6 (H-2b) background, a strain that is relatively resistant to collagen-induced arthritis. To facilitate the molecular understanding of autoimmune arthritis, we characterised the induction of arthritis in C57BL/6 mice and then validated the disease as a relevant pre-clinical model for rheumatoid arthritis

Negative childhood events and the development of the anorexic voice: A grounded theory

Abstract: Background: Many individuals diagnosed with anorexia nervosa (AN) describe their disorder as being represented by an internal ‘anorexic voice’ (AV). Previous studies have identified associations between eating psychopathology and multifarious forms of adverse life experiences. Aims: This study explores the relationship between adverse experiences in childhood and the development of the AV. Materials and Methods: Twelve women who had the experience of the AV in the context of a diagnosis of AN took part in semi‐structured interviews. The interview data were analysed using a constructivist grounded theory methodology. Results: Participants recalled feeling unsafe in a variety of relationships and a theory was constructed in which the AV provides a sense of conditional safety, becoming increasingly hostile and belittling when it is disobeyed, revealing similar characteristics to abusers and bullies in childhood. Discussion: Findings are related to the broader literature on the link between trauma and eating disorders, and to existing theories of internal voices. Conclusions: The findings have implications for a trauma‐focused approach when working with the AV

A grounded theory of pro-nature behaviour: from moral concern to sustained action

Worldwide ecosystem decline is a pressing issue that has led governments to sign up to biodiversity-related targets, but little is known about what drives individuals’ conservation behaviour. This study uses a qualitative methodology (grounded theory) to understand what leads to pro-nature attitudes and behaviours. Twenty participants (10 men; 10 women) underwent semi-structured interviews and audio files were transcribed and coded to form the basis of theory. The authors propose a model based on interview material in which species with intrinsic value (i.e., deemed valuable in their own right, not for their usefulness to humans) are within the bounds of moral consideration. Individuals with generalised beliefs about the intrinsic value of non-human species expressed moral concern for human-caused impacts on nature. External prompts, including social messages, were associated with sporadic pro-nature behaviours. Individuals engaging in sustained behaviour showed evidence of having internalised moral standard of pro-nature actions and also appeared to fashion a social environment that would sustain and enhance their moral views. We discuss the implications of our findings with respect to conservation campaign messaging and government policy

Associations between disordered eating, internalizing symptoms, and behavioral and neural correlates of response inhibition in preadolescence

Response inhibition difficulties are reported in individuals with eating disorders (EDs), anxiety, and depression. Although ED symptoms and internalizing symptoms co-occur in preadolescence, there is limited research examining associations between these symptoms and response inhibition in this age group. This study is the first to investigate the associations between behavioral and neural markers of response inhibition, disordered eating (DE), and internalizing symptoms in a community sample of preadolescents. Forty-eight children (M age = 10.95 years, 56.3% male) completed a Go/NoGo task, whereas electroencephalography was recorded. Self-report measures of DE and internalizing symptoms were collected. Higher levels of anxiety and depression were associated with neural markers of suboptimal response inhibition (attenuated P3NoGo amplitudes) in preadolescence. In contrast, higher levels of depression were associated with greater response inhibition at a behavioral level. These findings suggest internalizing symptoms in preadolescence are associated with P3-indexed difficulties in evaluation and monitoring, but these are not sufficient to disrupt behavioral performance on a response inhibition task. This pattern may reflect engagement of compensatory processes to support task performance. DE was not significantly associated with response inhibition, suggesting that difficulties in response inhibition may only be reliably observed in more chronic and severe DE and ED presentations

Apremilast, a novel PDE4 inhibitor, inhibits spontaneous production of tumour necrosis factor-alpha from human rheumatoid synovial cells and ameliorates experimental arthritis

Introduction: Type 4 phosphodiesterases (PDE4) play an important role in immune cells through the hydrolysis of the second messenger, cAMP. Inhibition of PDE4 has previously been shown to suppress immune and inflammatory responses, demonstrating PDE4 to be a valid therapeutic target for immune-mediated pathologies. We assessed the anti-inflammatory effects of a novel PDE4 inhibitor, apremilast, in human synovial cells from rheumatoid arthritis (RA) patients, as well as two murine models of arthritis

The relationship between shame, perfectionism and Anorexia Nervosa: a grounded theory study

Objectives The aim of this study was to explore the potential relationship between shame, perfectionism and Anorexia Nervosa (AN) and their impact on recovery from AN. Method Semi-structured interviews were conducted with 11 people currently accessing services for AN. Interviews were transcribed and analysed using constructivist-grounded theory methodology. Results A model was developed which found a vicious cycle between shame and perfectionism. Participants tried to alleviate their feelings of shame by striving for perfectionism, however failing caused them more shame. Participants who disclosed childhood trauma believed their shame preceded their perfectionism. Participants who did not disclose trauma either believed their perfectionism preceded shame or they were unsure of which occurred first. Participants' responses suggested the following pathways from perfectionism to AN: needing goals; the need for a perfect life including a perfect body and AN being something they could be perfect at. The pathways identified between shame and AN entailed mechanisms via which AN could be used to escape shame, either by seeking pride through AN, seeking to numb shame through AN, seeking to escape body shame and punishing the self. AN was found to feed back into shame in two ways: when people had AN they felt ashamed when they broke their dietary rules, and also simultaneously people felt ashamed of their AN as they were not able to recover. Shame and perfectionism influenced one another in a cyclical pattern, in which shame drove perfectionism and not attaining high standards led to shame. Shame and perfectionism also impacted on recovery in several ways. AN functioned to numb participants' emotions, becoming part of their identity over time. AN also brought respite from a constant striving towards perfectionism. The need for a perfect recovery also influenced their motivation to engage in treatment, and fear of a return of strong emotions was another deterrent to recovery. Conclusion The findings of this paper show perfectionism and shame to both be important in the aetiology and maintenance of AN and to have an impact on recovery from AN