Interpersonal Distrust Research Articles

Gobierno Abierto en México: hacia una discusión realista de su factibilidad

<p>El Gobierno Abierto (GA) se considera una propuesta novedosa de reforma gubernamental y promoción de la democracia. Este trabajo plantea la necesidad de llevar a cabo una discusión realista sobre su factibilidad en México. Para ello se analizan la transparencia, las tecnologías de información y comunicación (TIC) y la participación ciudadana. Se revisan supuestos no explícitos de su relación con el ga y se presenta información sobre las condiciones imperantes en México. El principal hallazgo es que las leyes, instituciones y procedimientos para acceder a la información gubernamental y para participar, así como las herramientas técnicas disponibles (TIC), mantienen barreras que impiden a los ciudadanos conocerlo, entenderlo y utilizarlo. Existen también resistencias burocráticas, desconocimiento y desinterés de los ciudadanos por participar, además de desconfianza interpersonal y hacia el gobierno. Todo ello integra un escenario poco favorable para el desarrollo de un ga en México en el corto plazo.</p>

An unhealthy health behavior: analysis of orthorexic tendencies among Hungarian gym attendees.

In the present study, we aim to assess the prevalence and certain psychological and other correlates of orthorexic tendencies: health and exercise behaviors and demographic variables among gym attendees in Hungary. Altogether, responses of 207 gym attendees who filled out an online questionnaire (03/2017-10/2017) were analyzed. The mean age was 31.9years; most were female and college educated, and about half resided in the capital city. Frequencies and means were calculated for the sample; and univariate linear regression and ANOVA were carried out. Finally, multivariate linear regression was used to assess the relationship between the dependent variable (Orto-11-Hu) and the independent variables (Eating Disorder Inventory, Maudsley Obsessional-Compulsive Inventory, health and exercise habits, and demographics). The mean score for the Orto-11-Hu was 27.7. In the multivariate analysis, two eating disorder characteristics (drive for thinness and interpersonal distrust), age, exercising more than once a day, and yoga practice were significantly associated with higher orthorexic tendencies. There was a lack of correlation between any obsessive-compulsive traits. Our data suggest and overlap between certain eating disorder traits, and a link between ON and frequent exercising and younger age. Further research is needed to investigate whether these correlates are found not only in a specific fitness-oriented population, but also in the general population. Level V, descriptive cross-sectional study.

Subjective social class and distrust among Chinese college students: The mediating roles of relative deprivation and belief in a just world

Though the link between objective social class and interpersonal distrust has been well documented, the link between subjective social class and distrust has been less investigated. Besides, very little research has investigated the potential mechanism underlying this association. Based on relative deprivation theory and just world theory, the present study examined the relation between subjective social class and distrust as well as the mediating roles of individual/global relative deprivation and belief in a just world among college students in Chinese culture. A sample of 796 Chinese college students finished the measures of subjective social class, individual/group relative deprivation, belief in a just world, and interpersonal distrust. The result indicated that lower subjective social class was predictive of higher level of distrust. Path analyses indicated that individual relative deprivation mediated the association between subjective social class and distrust. Besides, belief in a just world and individual relative deprivation acted as sequential mediators between subjective social class and distrust. Furthermore, moderated mediation analysis did not support the moderating role of belief in a just world in the relationship model of subjective social class, individual/group relative deprivation, and interpersonal distrust. These findings highlight that to alleviate interpersonal distrust among students in the lower subjective social class, we should pay attention to students’ perceptions of justice and individual relative deprivation and how that could be shaping their interpersonal trust.

Network analysis of specific psychopathology and psychiatric symptoms in patients with eating disorders.

Network analysis of psychiatric symptoms describes reciprocal relationships of individual symptoms, beyond categorical diagnoses. Those with eating disorders (EDs) frequently have complex patterns of comorbid symptoms and the transdiagnostic theory includes shared common core features across diagnoses. We aim to test whether general psychiatric symptoms comprise components of these transdiagnostic features. Network analysis was applied on 2068 patients with EDs (955 anorexia nervosa [AN], 813 bulimia nervosa [BN], and 300 binge-eating disorder [BED]). All patients underwent clinical interviews and some self-reported questionnaires, such as the Symptom Check-List 90 (SCL-90) to measure psychiatric symptoms, the Eating Disorder Inventory (EDI) to measure ED-specific symptoms, and the Tridimensional Personality Questionnaire (TPQ) for personality traits. Across EDs and within each ED, SCL-90 scores of depression, anxiety and interpersonal sensitivity, EDI ineffectiveness, interoceptive awareness, interpersonal distrust, and drive for thinness had high centrality. Notably, body mass index (BMI) and EDI bulimia played a central role when considering the whole group, whereas they did not in individual EDs. The shared centrality of identified nodes in both individual and merged groups supported the transdiagnostic theory of EDs (diagnoses share core ED features), with a central role of BMI. Moreover, the most central nodes were general psychiatric symptoms, interpersonal domain, and self-efficacy. These findings suggest that-in addition to ED-core symptoms and BMI-depressive and anxiety symptoms, interpersonal sensitivity and ineffectiveness may be important targets to provide effective treatments across AN, BN, and BED.

Effects of Relative Deprivation on Intention to Rebel: A Multiple Mediation Model

This study examined the mediating effects of future social expectations and interpersonal distrust on the relationship between individual relative deprivation and intention to rebel. Data were gathered from 807 people from multiple occupational backgrounds in a municipality in southwest China. Structural equation modelling showed that individual relative deprivation predicted intention to rebel directly and also that it predicted intention to rebel indirectly via negative future social expectations, interpersonal distrust, and a chain mediating effect of negative future social expectations and interpersonal distrust. These results highlight the importance of the associations between future social expectations and interpersonal distrust with intention to rebel in people who report relative deprivation. The findings also indicate that prevention and intervention programs related to relative deprivation and intention to rebel in China are worthy of further research.

Subthreshold autism spectrum disorder in patients with eating disorders

AimIncreasingly data suggest a possible overlap between psychopathological manifestations of eating disorders (EDs) and autism spectrum disorders (ASD). The aim of the present study was to assess the presence of subthreshold autism spectrum symptoms, by means of a recently validated instrument, in a sample of participants with EDs, particularly comparing participants with or without binge eating behaviours. Methods138 participants meeting DSM-5 criteria for EDs and 160 healthy control participants (HCs), were recruited at 3 Italian University Departments of Psychiatry and assessed by the SCID-5, the Adult Autism Subthreshold Spectrum (AdAS Spectrum) and the Eating Disorders Inventory, version 2 (EDI-2). ED participants included: 46 with restrictive anorexia (AN-R); 24 with binge-purging type of Anorexia Nervosa (AN-BP); 34 with Bulimia Nervosa (BN) and 34 with Binge Eating Disorder (BED). The sample was split in two groups: participants with binge eating behaviours (BEB), in which were included participants with AN-BP, BN and BED, and participants with restrictive behaviours (AN-R). Resultsparticipants with EDs showed significantly higher AdAS Spectrum total scores than HCs. Moreover, EDs participants showed significantly higher scores on all AdAS Spectrum domains with the exception of Non verbal communication and Hyper-Hypo reactivity to sensory input for AN-BP participants, and Childhood/Adolescence domain for AN-BP and BED participants. Participants with AN-R scored significantly higher than participants with BEB on the AdAS Spectrum total score, and on the Inflexibility and adherence to routine and Restricted interest/rumination AdAS Spectrum domain scores. Significant correlations emerged between the Interpersonal distrust EDI-2 sub-scale and the Non verbal communication and the Restricted interest and rumination AdAS Spectrum domains; as well as between the Social insecurity EDI-2 sub-scale and the Inflexibility and adherence to routine and Restricted interest and rumination domains in participants with EDs. ConclusionsOur data corroborate the presence of higher subthreshold autism spectrum symptoms among ED participants with respect to HCs, with particularly higher levels among restrictive participants. Relevant correlations between subthreshold autism spectrum symptoms and EDI-2 Subscale also emerged.

Growth hormone and insulin-like growth factor 1 secretions in eating disorders: Correlations with psychopathological aspects of the disorders

Hormonal alterations in Eating Disorders (ED) may result from the biochemical stress of malnutrition/starvation. The correlations between some hormonal impairments, particularly of the somatotropic axis, and the psychopathological aspects of ED are still undefined. We measured the plasma concentrations of the somatotropic hormone (GH) and the insulin-like growth factor-1 (IGF-1) in 136 patients with various forms of ED, 65 with restricted Anorexia Nervosa (ANR), 19 with bingeing-purging Anorexia Nervosa (ANBP), 12 with purging-non binging Anorexia Nervosa (ANP), 26 with Bulimia Nervosa (BN), 8 with ED not otherwise specified-anorexic type (EDNOS-AN), 7 with ED not otherwise specified-bulimic type (EDNOS-BN) and in 30 healthy controls. Psychological assessment of patients and controls was performed using two outpatient rating scales, the Eating Disorder Inventory-2 (EDI-2) and the Symptom Checklist-90 (SCL-90). Significant negative or positive correlations were observed between GH-IGF-1 concentrations and impairments on several EDI-2 subscales (drive for thinness, body dissatisfaction, interoceptive awareness, sense of ineffectiveness, interpersonal distrust, maturity fear) and on SCL-90 subitems (depression, hostility, obsessivity compulsivity, anxiety), suggesting a possible hormonal modulatory effect on specific aspects of ED psychopathology.

Chile 2016: ¿El nadir de la legitimidad democrática?

This article argues that the legitimacy of the political system is currently at its lowest point since the return to democracy. Presidential approval ratings dipped to a record low in 2016. The year also saw the highest levels of electoral absenteeism and distrust in the three branch­es of government, and the lowest levels of identification with political parties. This low legit­imacy of the political system can be attributed to cyclical —governmental mismanagement and corruption scandals— and underlying causes —interpersonal mistrust, detachment from the political activity and insulated elites—. If these trends continue, we may witness a transformation of the party system, the emergence of populist movements and leaders, and the erosion of the quality of Chilean democracy.

Plasma kisspeptin and ghrelin levels are independently correlated with physical activity in patients with anorexia nervosa

While physical hyperactivity represents a frequent symptom of anorexia nervosa and may have a deleterious impact on the course of the disease, the underlying mechanisms are poorly understood. Since several food intake-regulatory hormones affect physical activity, the aim of the study was to investigate the association of physical activity with novel candidate hormones (kisspeptin, ghrelin, oxyntomodulin, orexin-A, FGF-21, R-spondin-1) possibly involved in patients with anorexia nervosa. Associations with psychometric parameters and body composition were also assessed. We included 38 female anorexia nervosa inpatients (body mass index, BMI, mean ± SD: 14.8 ± 1.7 kg/m2). Physical activity was evaluated using portable armband devices, body composition by bioelectrical impedance analysis. Blood withdrawal (hormones measured by ELISA) and psychometric assessment of depressiveness (PHQ-9), anxiety (GAD-7), perceived stress (PSQ-20) and disordered eating (EDI-2) were performed at the same time. Patients displayed a broad spectrum of physical activity (2479–26,047 steps/day) which showed a negative correlation with kisspeptin (r = −0.41, p = 0.01) and a positive association with ghrelin (r = 0.42, p = 0.01). The negative correlation with oxyntomodulin (r = −0.37, p = 0.03) was lost after consideration of potential confounders by regression analysis. No correlations were observed between physical activity and orexin-A, FGF-21 and R-spondin-1 (p > 0.05). Kisspeptin was positively correlated with BMI and body fat mass and negatively associated with the interpersonal distrust subscale of the EDI-2 (p < 0.01). Depressiveness, anxiety, and perceived stress did not correlate with kisspeptin or any other of the investigated hormones (p > 0.05). In conclusion, kisspeptin is inversely and ghrelin positively associated with physical activity as measured by daily step counts in anorexia nervosa patients suggesting an implication of these peptide hormones in the regulation of physical activity in anorexia nervosa.

Predictors of psychological outcome in patients with eating disorders: A routine outcome monitoring study.

Identifying predictors of psychological outcome for patients with eating disorders may improve the effectiveness of treatment. Patients with different pre-treatment characteristics and symptoms may benefit from different therapies. This study aimed to identify potential predictors of treatment outcome in a large naturalistic cohort of patients with an eating disorder. The study sample included patients (N = 1153) with all types of eating disorders who were receiving residential, day, or outpatient treatment. Remission was defined by means of four different indicators based on the Eating Disorder Examination-Questionnaire global score: 1. achieving reliable change; 2. showing a 50% reduction in baseline symptom severity; 3. reaching the clinical significance cut-off point; and 4. a combination of indicators 2 and 3. Potential predictor variables were investigated in univariate and multivariate Cox regression models. Different predictors were found for the four outcome criteria. Patients with high levels of interpersonal distrust at baseline were less likely to have achieved reliable change in eating disorder psychopathology. Higher self-esteem and less body dissatisfaction at baseline was independently associated with a symptom reduction of more than 50% and/or reaching the clinical significance cut-off point. Contrary to our expectations, no differences in outcome were found between the eating disorder subtypes. Clinically, it is important to reduce the risk of poor outcome and to achieve a rapid response in treatment using an intervention designed for this purpose, such as shared decision making or an intervention directed at self-esteem or body image, which may act as a catalyst for change. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:863-873).

The Psychiatric Ramifications of Moral Injury Among Veterans

The Psychiatric Ramifications of Moral Injury Among Veterans

“It's not just about being judged”: Interpersonal distrust uniquely contributes to social anxiety

Fears of evaluation are central to defining social anxiety disorder (SAD); notwithstanding, evidence suggests that interpersonal distrust and perceived ineffectiveness are distinct constructs, prevalent among individuals with SAD. To date, no studies have assessed the independent contributions of interpersonal distrust and perceived ineffectiveness to SAD severity beyond fears of evaluation. In total 151 community-dwelling adults (80% women) with anxiety histories completed questionnaires as part of a larger study. Hierarchal regression analyses indicated that interpersonal distrust, but not perceived ineffectiveness, contributed significant amounts of variance to SAD severity after partitioning out variance from depressive symptoms and fear of negative and positive evaluation. Concertedly, findings suggest that although fears of evaluation are seminal to SAD severity, distrust of others may also uniquely exacerbate symptoms of social anxiety. Clinical and research implications are discussed herein.

Atypical antipsychotics use in eating disorders. Review

IntroductionEating disorders often have serious medical complications, including the highest mortality rates of any psychiatric disorder. The search for an optimal therapeutic strategy during the last decades has been difficult and it has included antidepressants, antipsychotics, anticonvulsants, benzodiazepines and mood stabilisers.ObjectivesTo review the medical literature related to the treatment of eating disorders with atypical antipsychotics.MethodsMedline search and ulterior review of the related literature. Keywords: “eating disorders”; “anorexia nervosa”; “bulimia nervosa”; “binge eating disorder”; “antypsychotic agents”.ResultsTo the date, most of the studies have been with olanzapine. Olanzapine has shown effects, not only on weight gain, but also on management of other psychological features such as obsessive-compulsive symptoms, depression, aggression, persistence and interpersonal distrust. However, most of these studies have been compared to placebo, and binge-eating behaviour has also been described when using olanzapine (not with aripiprazole or ziprasidone). Recently, Marzola et al, when comparing olanzapine + SSRIs versus aripiprazol + SSRIs, described that aripiprazole (compared to olanzapine) is significantly more effective in reducing purging episodes, eating preoccupations and rituals.ConclusionsSo far, aripiprazol and olanzapine have been proved to be the most effective atypical antypsichotics in eating disorders, especially in anorexia nervosa. However, most of studies were placebo-controlled and in quite small samples. Further investigation is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Trying to trust: Brain activity during interpersonal social attitude change.

Interpersonal trust and distrust are important components of human social interaction. Although several studies have shown that brain function is associated with either trusting or distrusting others, very little is known regarding brain function during the control of social attitudes, including trust and distrust. This study was designed to investigate the neural mechanisms involved when people attempt to control their attitudes of trust or distrust toward another person. We used a novel control-of-attitudes fMRI task, which involved explicit instructions to control attitudes of interpersonal trust and distrust. Control of trust or distrust was operationally defined as changes in trustworthiness evaluations of neutral faces before and after the control-of-attitudes fMRI task. Overall, participants (n = 60) evaluated faces paired with the distrust instruction as being less trustworthy than faces paired with the trust instruction following the control-of-distrust task. Within the brain, both the control-of-trust and control-of-distrust conditions were associated with increased temporoparietal junction, precuneus (PrC), inferior frontal gyrus (IFG), and medial prefrontal cortex activity. Individual differences in the control of trust were associated with PrC activity, and individual differences in the control of distrust were associated with IFG activity. Together, these findings identify a brain network involved in the explicit control of distrust and trust and indicate that the PrC and IFG may serve to consolidate interpersonal social attitudes.

Prévalence et impact de l’état de stress post-traumatique chez les patients atteints de troubles du comportement alimentaire

Eating disorders (ED) are associated with a higher prevalence of post-traumatic stress disorder (PTSD). However, the impact they may have on the clinical features and severity of the ED remains unknown. In this study, we assessed the prevalence and the impact of PTSD in a disordered eating population sample. We recruited patients with eating disorders during a period of 6 months, in 2014. The patients underwent a semistructured diagnostic interview by trained psychiatrists. The severity of eating behaviours and PTSD was assessed using the Eating Disorder Inventory 2 and the Impact of Event Scale - Revised. One hundred and thirty patients (57 patients with anorexia nervosa, 26 with bulimia nervosa, 18 with eating disorder not otherwise specified and 29 with binge eating disorder) were included. Our analyses revealed a PTSD rate of 33.9% in patients with ED. No difference was observed between the ED subtypes. Severity of ED was significantly higher among patients suffering from PTSD. Specific clinical characteristics of the ED-PTSD association have been found. Analyses revealed a significantly higher level of insecurity, interpersonal distrust, impulsivity and a decrease of interoceptive awareness. The frequency and negative impact of PTSD on ED reinforce the need for a systematic clinical evaluation and the implementation of specific care.

SPRAWIEDLIWOŚĆ JAKO KRYTERIUM OCENY SYSTEMU EKONOMICZNO-POLITYCZNEGO

Justice is a widely used evaluation criterion applied to both particular decisions and behavioursas well as to whole social, economic and political systems. The paper presents research results fromthe representative sample of adult Poles conducted in September 2014. The goal of the research wasto investigate the relationships between different schemata of world perception and the evaluationof the justice of the current socio-economic system. The method of the data collection was computerassisted telephone interviews. The results indicate that the evaluations of justice of the politicalsystem are lower when: political cynicism is higher, interpersonal distrust is higher and whenrespondents held a stronger belief that the social world is full of uncontrollable danger. Also thelower evaluations of justice of the current system were accompanied by acceptance of aggressionin politics. Socio-demographic variables were less correlated with the evaluations of the justiceof the system then were psychological variables. Only age and educational level significantly butweakly differentiated the evaluations of justice.

Working Jews: Hazanim and the Labor of Religion in Nineteenth-Century America

Abstract This article uses the case of hazanim, nonordained Jewish religious functionaries, to explore how religious work operated as a market activity in the nineteenth century. Building on recent work at the intersection of religion, class, and capitalism, it recasts ministers, rabbis, and other religious leaders as contracted workers who sought ways to acquire wages through the specific marketing of ritual authority. Scholars have described the history of the American ministry as a path toward professionalization, seen as the outcome of clerical self-assertion in the aftermath of disestablishment. These accounts, however, ignore the everyday social and economic factors shaping the development of American religious institutions, which were particularly challenging for Jews, who had specific needs for religious labor, no existential distinction between ministers and congregants, and no institutional infrastructure to oversee qualifications and placement. As Jews founded congregations in the United States, they required particular human resources, which were acquired through unregulated contracts and unreliable credentials. These complex conditions contributed to the possibility of religious exploitation, personal fraud, communal instability, interpersonal distrust, and social conflict, which shifted in meaning and intersected with notions of religious authenticity. In this context, Jews increasingly prioritized preaching and teaching and founded national institutions, which together would make religious work more specialized, labor markets more efficient, and the resultant professionals more reliable in their work. Understanding religious workers in this way encourages us to see how religion was, and is, labor.

Effects of Developmental Abuse and Symptom Suppression among Traumatized Veterans

While much of the research on military posttraumatic stress disorder (PTSD) focuses on warzone reactions, a burgeoning literature highlights complex relationships between childhood adversity and adult-onset PTSD. However, conceptual efforts to delineate the effects of childhood abuse on treatment trajectories for traumatized military veterans are lacking. This study compared trauma and psychological symptom profiles for developmentally abused and non-abused Canadian Forces (CF) veterans (N = 108) diagnosed with operational PTSD. Subscale scores from the Detailed Assessment of PTSD Scale (DAPS) and the Personality Assessment Inventory (PAI) were submitted to MANOVA. The analysis resulted in a composite variable reflecting’ symptom suppression efforts’ that separated abused veterans (n = 55) from non-abused veterans (n = 53). Post hoc analyses showed significant differences between the abused sub-groups (i.e., physical and sexual abuse [n = 15]; physical abuse only [n = 17]; sexual abuse only [n = 23]) and the non-abused group. Veterans with abuse histories had higher symptom suppression scores, reflecting higher levels of substance abuse, post-traumatic dissociation, interpersonal mistrust, as well as, lower depression and PTSD impairment scores. Implications for clinicians and an alternative intervention for treating traumatized military personnel with histories of developmental abuse are discussed.

Predictors of Health Care System and Physician Distrust in Hospitalized Cardiac Patients

Trusting relationships among patients, physicians, and the health care system is important in encouraging self-care behaviors in cardiovascular patients. This study aimed to assess the prevalence of health care system and physician distrust in this population, compare the 2 forms of distrust, and describe the demographic, socioeconomic, and psychosocial predictors of high distrust. A total of 1,232 hospitalized adults with acute coronary syndrome or heart failure were enrolled in a prospective, observational study assessing health care system distrust and physician distrust. High health care system distrust (35%) was observed across the population, with lower levels of interpersonal physician distrust (16%). In a multivariate analysis, poor social support and coping skills were strong predictors of both health care system (p = .026, p = .003) and physician distrust (p < .001, p = .006). Individuals with low or marginal health literacy had a higher likelihood of physician distrust (p < .001), but no relation was found between health literacy and health care system distrust. In conclusion, distrust is common among acutely ill cardiac patients. Those with low social support and low coping skills are more distrusting of physicians and the health care system.

Alexithymia, a compounding factor for eating and social avoidance symptoms in anorexia nervosa

Socio-affective difficulties, in particular difficulties in representing, communicating and feeling emotions, may play a critical role in anorexia nervosa (AN). The aim of this longitudinal study was to explore the links between alexithymia and two types of difficulties in AN: eating symptoms and social avoidance. Sixty adolescent girls with AN were recruited following hospitalisation in a specialised department. They completed self-administered questionnaires of alexithymia (TAS-20), of central symptoms of the eating disorders (EDI), and of anxious and depressive affects (SCL-90). Anxiety and social avoidance were assessed in the course of a standardised interview (LSAS). These measures were performed at inclusion, and at 6-, 12- and 18-months' follow-up. The relationship between TAS-20 and EDI or LSAS total scale scores across the four time points was assessed using mixed-effects models, including anxiety, depression, BMI, anorexia subtype, and age as co-factors. Partial least square regression was used to refine this multivariate analysis at subscale level, at inclusion and 18 months. Robust associations between TAS-20 and EDI scores were found, independently from anxious and depressive scores, nutritional state and AN subtype. These effects appeared more particularly linked to the implication of the dimensions difficulties identifying and describing feelings, interpersonal mistrust, feelings of inadequacy and interoceptive awareness deficit. There was also a durable association between alexithymia and social anxiety and avoidance, after adjusting for the confounding effects of depression, and anxiety, and the state of starvation. Difficulties in describing feelings appeared particularly involved here. Thus alexithymia does appear as a factor in the persistence of disorders in AN, and difficulties identifying and describing feelings could compound the social difficulties and major the relational isolation of these patients.