The role of self-compassion and shame in persons living with HIV/AIDS

Despite the connection between self-compassion, shame, and HIV/AIDS health outcomes in the literature, little is known about the relationship among these variables. Shame and self-compassion work independently of each other and experiences of shame can impede one's ability to engage in self-compassionate responses, which could prevent future health declines. Although shame has been found to mediate the relationship between self-compassion and a variety of mental health outcomes, it has not been examined in the context of HIV/AIDS. The purpose of the current study was to examine how shame mediates the relationship of self-compassion and adherence to HIV/AIDS medications, as well as how shame mediates the relationship of self-compassion and health-related quality of life (HRQL) in people living with HIV (PLWH). This is the first study to look at trait-based shame in PLWH in a sample of 34 patients at an urban outpatient integrated care facility for PLWH. Self-compassion was not correlated with HIV adherence behaviors or HRQL, and shame did not mediate the relationship between self-compassion and adherence or HRQL. However as expected, less shame was related to and predicted better HRQL in PLWH. Self-compassion' relationship to shame, adherence, and HRQL may be context dependent.

Relationship of food addiction to weight loss and attrition during obesity treatment

OBJECTIVE

The relationship between food addiction (FA) and weight and attrition outcomes in overweight and obese adults participating in weight loss interventions were prospectively examined in this study.

DESIGN AND METHODS

Participants were 178 adults (51.2 ± 11.7 y, 36.1 ± 4.8 kg/m(2) ) in one of two outpatient weight loss treatment programs for approximately 6 months. The Yale Food Addiction Scale (YFAS) assessed FA diagnosis and symptom count. The relationship between FA and weight loss and attrition was assessed.

RESULTS

After controlling for treatment arm, gender, and baseline weight, there was no effect of FA status on weight loss (P = 0.17) or attrition (P = 0.37). Similarly, baseline FA symptom count was not associated with weight loss (P = 0.14) or attrition (P = 0.10).

CONCLUSIONS

Neither FA status nor symptom count affects weight loss or attrition during weight loss treatment.

Exploration of "food addiction" in overweight and obese treatment-seeking adults

There is growing interest in conceptualizing obesity as a "food addiction." The current study investigated the prevalence and correlates of "food addiction" (FA), as defined by the Yale Food Addiction Scale (YFAS) in 178 (133 F, 45M) persons seeking weight loss treatment. Participants had a mean age of 51.2±11.7years and a body mass index of 36.1±4.8kg/m(2). Fifteen percent of individuals met the YFAS proposed diagnostic criteria for FA. Those who met criteria for FA reported significantly greater depressive symptomatology. There were no differences in BMI, age, race, or gender between participants with and without FA. Among those not meeting criteria, 35% reported 3 or more symptoms in the absence of self-reported clinical distress or impairment. YFAS symptom count was also significantly correlated with depressive symptoms. These findings suggest that 15% of adults presenting for weight loss treatment meet YFAS criteria for FA. The clinical significance of this classification is unknown and needs to be validated in prospective studies.

Childhood abuse or neglect is associated with increased vasomotor symptom reporting among midlife women

OBJECTIVES

This study tested the hypothesis that women exposed to childhood abuse or neglect would have an increased likelihood of reporting hot flashes and night sweats during the menopausal transition.

DESIGN

This hypothesis was evaluated in 332 white and African American women participating in the Study of Women's Health Across the Nation Mental Health Study, a prospective investigation of women transitioning through menopause. Childhood abuse and neglect were measured once with the Child Trauma Questionnaire. Vasomotor symptoms (any/none hot flashes, night sweats) were reported annually over 8 years. Associations between maltreatment and vasomotor symptoms were estimated with generalized estimating equations.

RESULTS

Childhood abuse or neglect was associated with increased reporting of hot flashes (odds ratio = 1.73, 95% CI: 1.23-2.43) and night sweats (odds ratio = 1.75, 95% CI: 1.26-2.43) in age-adjusted models. Results persisted in multivariable models and across several types of abuse and neglect.

CONCLUSIONS

The experience of childhood abuse and neglect is associated with increased vasomotor symptom reporting in adulthood. The sequelae of childhood abuse and neglect may persist well into adulthood to influence the occurrence of vasomotor symptoms at midlife.

Predicting the subjective experience of intrinsic motivation: the roles of self-determination, the balance of challenges and skills, and self-realization values

A series of studies was conducted to investigate the contributions of self-determination, perceived competence, and self-realization values to the subjective experience of intrinsic motivation. Using varying sets of instructions in these studies, college undergraduates generated and subsequently evaluated panels of identity-related activities. Three measures of the subjective experience of intrinsic motivation were used as outcome variables: (a) interest, (b) flow experiences, and (c) feelings of personal expressiveness. These subjective experience measures were strongly intercorrelated. Across studies, self-determination was found to be strongly associated with all of the subjective experience measures. In contrast, self-realization values made larger contributions to flow experiences and to personal expressiveness than to interest. Perceived competence, although significantly correlated with all subjective experience measures, played a considerably smaller role in the prediction of intrinsic motivation.