The disabling conditions of chronic low-back pain continue to cost patient, family, and society. The intricate mechanisms which perpetuate this medical condition often consist of both organic and functional factors. This study evaluated personality and psychosocial variables which may control individual responses to facet denervation, a treatment for chronic lumbar distress. The subjects were 47 chronic pain patients whose symptoms conformed to the facet syndrome. Patient responses to the Minnesota Multiphasic Personality Inventory (MMPI) and the Sixteen Personality Factor Questionnaire were reviewed in an effort to predict statistically symptomatic relief. Also, the patients' involvement in litigation and their accuracy in determining their pain level were studied as possible influencing variables. Results show the litigation factor and two scalesof the MMPI to be most useful in predicting patient response from facet denervation treatment.

The objectives of this investigation were to develop, implement, and determine the effects of rational behavior therapy for residents in a retirement community. The question addressed was, "Will rational behavior therapy, relative to a discussion group and control group, exhibit significant changes in level of rational thinking and depression?" Drawing upon a cognitive theory of depression relevant to the aged population and upon rational behavior therapy literature, it was hypothesized that short-term rational behavior therapy intervention would be significantly related to a modification of belief systems and a decrease in depression. The participants were residents of two retirement communities. There were 25 subjects who completed the study through posttest assessment. These subjects were randomly assigned to three groups and assessed at pretest, posttest, and follow-up. The experimental group did not experience the hypothesized significant increase in level of rational thinking and decrease in level of depression. Possible explanations are given for lack of expected effects. Overall, the discussion group had more significant increases in rational thinking than the experimental and control groups.

Reframing in counseling offers the client a different framework for symptoms, thereby allowing the client a perspective that leads to change or no need for change. Using a loneliness measure as the dependent variable, 58 females underwent one of three treatments: positive reframing, self-control statements, or a waiting list control procedure. Two two-way analyses of covariance used an independent measure of dependency for the first analysis and a measure of perceived control for the second. Treatment type was the second dimension for each analysis. A significant interaction resulted for control by treatment F (2, 51) = 3.24; p < .05). A Newman-Keuls revealed significant differences for those who perceived themselves as in control, where reframing was more effective than either the control procedure (q_r = 3.56; p < .05) or those who perceived others as in control (q_r = 3.21; p < .05).

Research indicates the existence of an eating disorder continuum. The two-component model of disordered eating suggests that certain personality traits may increase an individual's vulnerability to develop more severe variants of disordered eating symptomatology. The present study investigates pre-clinical elevations on a measure of personality based on the Five-Factor Model (FFM) and pre-clinical elevations on a measure of eating disorder symptomatology in a sample of nonclinical undergraduates. The personality dimensions Neuroticism, Extraversion, and Agreeableness accounted for 7% of the variability in Body Dissatisfaction. Subcomponents comprising the personality dimensions of the FFM as determined by Saucier (1998) (see Appendix A) were analyzed. The Self-Reproach and Intellectual Interests subcomponents were the strongest predictors of Drive for Thinness and Body Dissatisfaction. The subcomponent Sociability was the strongest predictor of Bulimia. Findings present implications for prevention and treatment interventions. Longitudinal studies are needed to determine the temporal directionality of personality and disturbed eating.

The purpose of this study was to examine the relationship between exercise duration and level of disordered eating, physical self-esteem, and endorsement of societal mores about attractiveness. Two hundred twenty-nine female college students completed the Bulimia-Test Revised, the Physical Self Perception Profile, the Beliefs About Attractiveness Questionnaire, and a demographic questionnaire. Subjects were classified into one of four levels of exercise duration based on the number of hours they reported engaging in planned exercise per week. Significant differences were identified among the four exercise groups in relation to physical self-esteem. The amount of exercise activity individuals engaged in per week, however, was not indicative of their eating disorder symptomatology or beliefs about attractiveness.

Personality characteristics of spousal and adult children and active potential caregivers of persons with Alzheimer's Disease were studied in order to better predict caregiver burden and aspects of well-being. Contrary to prediction, no differences were found between spouse and adult children active caregivers on measures of well-being. Additionally, adult children potential caregivers indicated feeling less control over their lives than spouse potential caregivers. When social desirability was controlled, active caregivers reported greater fluctuations in affect than did potential caregivers. As predicted, personality characteristics of individuals were found to have the biggest role in determining which individuals experience stress or burden.