Beyond cognitive-behavioral therapy for fibromyalgia: addressing stress by emotional exposure, processing, and resolution

comment on the well-designed trial by Alda and colleagues reported in a recent issue of Arthritis Research and Therapy which demonstrated some benefits of cognitive-behavioral therapy (CBT) for fibromyalgia (FM). CBT in this and other studies provides statistically significant but rather modest benefits for FM. This may be because CBT does not directly address the high rates of victimization, post-traumatic stress disorder, and emotional avoidance experienced by a substantial number of patients with FM. Interventions that encourage emotional exposure, processing, and resolution of stressful or traumatic experiences and relationships hold potential for larger effects for many patients and need to be tested.



Association between virtues and posttraumatic growth: preliminary evidence from a Chinese community sample after earthquakes

Objective. Relationship, vitality, and conscientiousness are three fundamental virtues that have been recently identi ed as important individual di erences to health, well being, and positive development. This cross-sectional study attempted to explore the relationship between the three constructs and post-traumatic growth (PTG) in three directions, including indirect trauma samples without post-traumatic stress disorder (PTSD), direct trauma samples without PTSD, and direct trauma samples with PTSD.

Methods. A total of 340 community participants from Sichuan Province, Mainland China involved in the study, most of which experienced Wenchuan and Lushan Earthquake. Participants were required to complete the self-reported questionnaire packages at one time point for obtaining their scores on virtues (Chinese Virtues Questionnaire), PTSD (PTSD Checklist-Speci c), and PTG (Post-traumatic Growth Inventory-Chinese).

Results. Signi cant and positive correlations between the three virtues and PTG were identi ed (r = .39–.56; p < .01). Further regression analysis by stepwise method reveled that: in the indirect trauma samples, vitality explained 32% variance of PTG. In reference to the direct trauma sample without PTSD, both relationship and conscientiousness explained 32% variance of PTG, whereas in the direct trauma sample with PTSD, only conscientiousness accounted for 31% the variance in PTG. Conclusion.This cross-sectional investigation partly revealed the roles of di erent virtues in trauma context. Findings suggest important implications for strengths-based treatment.

The Role of Self-compassion in Romantic Relationships

Self and Identity

Volume 12, 2013 – Issue 1

Self-compassion (SC) involves being kind to oneself when confronting personal inadequacies or situational difficulties, framing the imperfection of life in terms of common humanity, and being mindful of negative emotions so that one neither suppresses nor ruminates on them. The current study explored whether being self-compassionate is linked to healthier romantic relationship behavior, such as being more caring and supportive rather than controlling or verbally aggressive with partners. A total of 104 couples participated in the study, with self-reported SC levels being associated with partner reports of relationship behavior. Results indicated that self-compassionate individuals displayed more positive relationship behavior than those who lacked SC. SC was also a stronger predictor of positive relationship behavior than trait self-esteem (SE) or attachment style. Finally, partners were able to accurately report on each other’s SC levels, suggesting that SC is an observable trait.