To systematically review literature addressing three key psychologically-oriented controversies associated with gastroparesis.METHODSA comprehensive search of PubMed, CINAHL, and PsycINFO databases was performed to id...To systematically review literature addressing three key psychologically-oriented controversies associated with gastroparesis.METHODSA comprehensive search of PubMed, CINAHL, and PsycINFO databases was performed to identify literature addressing the relationship between gastroparesis and psychological factors. Two researchers independently screened all references. Inclusion criteria were: an adult sample of gastroparesis patients, a quantitative methodology, and at least one of the following: (1) evaluation of the prevalence of psychopathology; (2) an outcome measure of anxiety, depression, or quality of life; and (3) evidence of a psychological intervention. Case studies, review articles, and publications in languages other than English were excluded from the current review.RESULTSPrevalence of psychopathology was evaluated by three studies (n = 378), which found that combined anxiety/depression was present in 24% of the gastroparesis cohort, severe anxiety in 12.4%, depression in 21.8%-23%, and somatization in 50%. Level of anxiety and depression was included as an outcome measure in six studies (n = 1408), and while limited research made it difficult to determine the level of anxiety and depression in the cohort, a clear positive relationship with gastroparesis symptom severity was evident. Quality of life was included as an outcome measure in 11 studies (n = 2076), with gastroparesis patients reporting lower quality of life than population norms, and a negative relationship between quality of life and symptom severity. One study assessed the use of a psychological intervention for gastroparesis patients (n = 120) and found that depression and gastric function were improved in patients who received psychological intervention, however the study had considerable methodological limitations.CONCLUSIONGastroparesis is associated with significant psychological distress and poor quality of life. Recommendations for future studies and the development of psychological interventions are provided.展开更多
A central tenet of coevolutionary theory,including theory of the coevolutionary relationship between brood parasites and their hosts,is that temporal and spatial patterns may reveal important information about ecologi...A central tenet of coevolutionary theory,including theory of the coevolutionary relationship between brood parasites and their hosts,is that temporal and spatial patterns may reveal important information about ecological and evolutionary dynamics.For instance,level of genetic structure of populations provides important information about the role of genetics and gene ow in determining local patterns of selection on hosts due to parasitism(i.e.,egg rejection) and on parasites due to selection by hosts(i.e.,egg mimicry).Furthermore,abiotic(i.e.,climatic conditions) and biotic(phenotypic characteristics of animals) factors that also vary spatially may directly or indirectly a ect populations of hosts and brood parasites and,therefore,their interaction.By reviewing the literature,we found considerable evidence for an e ect of the spatially and temporally structured abiotic environment on the phenotype of both parasite and host eggs and the degree of mimicry.Moreover,we found examples suggesting that speci c life history characteristics of hosts that vary geographically and/or temporally may a ect the probability of initial colonization of a new host species and the direction and the speed of coevolution.We provide an exhaustive review of studies investigating temporal and spatial patterns of the interaction between brood parasites and their hosts.Such temporal and spatial trends in parasite and host traits are,together with genetic information on rejection and signi cant e ects of gene ow,consistent with coevolutionary dynamics.However,gene ow and changes in the temporal and spatial patterns of abundance of both parasites and hosts may result in frequent cases of counter-intuitive relationships between the phenotype of the parasite and that of the host(i.e.,poor or no mimicry),which may suggest limits to the degree of adaptation.We provide a list of scienti c questions in need of further investigation,concluding that studies of brood parasites and their hosts may play a central role in testing the geographic theory of coevolution and several alternative hypotheses.展开更多
文摘To systematically review literature addressing three key psychologically-oriented controversies associated with gastroparesis.METHODSA comprehensive search of PubMed, CINAHL, and PsycINFO databases was performed to identify literature addressing the relationship between gastroparesis and psychological factors. Two researchers independently screened all references. Inclusion criteria were: an adult sample of gastroparesis patients, a quantitative methodology, and at least one of the following: (1) evaluation of the prevalence of psychopathology; (2) an outcome measure of anxiety, depression, or quality of life; and (3) evidence of a psychological intervention. Case studies, review articles, and publications in languages other than English were excluded from the current review.RESULTSPrevalence of psychopathology was evaluated by three studies (n = 378), which found that combined anxiety/depression was present in 24% of the gastroparesis cohort, severe anxiety in 12.4%, depression in 21.8%-23%, and somatization in 50%. Level of anxiety and depression was included as an outcome measure in six studies (n = 1408), and while limited research made it difficult to determine the level of anxiety and depression in the cohort, a clear positive relationship with gastroparesis symptom severity was evident. Quality of life was included as an outcome measure in 11 studies (n = 2076), with gastroparesis patients reporting lower quality of life than population norms, and a negative relationship between quality of life and symptom severity. One study assessed the use of a psychological intervention for gastroparesis patients (n = 120) and found that depression and gastric function were improved in patients who received psychological intervention, however the study had considerable methodological limitations.CONCLUSIONGastroparesis is associated with significant psychological distress and poor quality of life. Recommendations for future studies and the development of psychological interventions are provided.
文摘A central tenet of coevolutionary theory,including theory of the coevolutionary relationship between brood parasites and their hosts,is that temporal and spatial patterns may reveal important information about ecological and evolutionary dynamics.For instance,level of genetic structure of populations provides important information about the role of genetics and gene ow in determining local patterns of selection on hosts due to parasitism(i.e.,egg rejection) and on parasites due to selection by hosts(i.e.,egg mimicry).Furthermore,abiotic(i.e.,climatic conditions) and biotic(phenotypic characteristics of animals) factors that also vary spatially may directly or indirectly a ect populations of hosts and brood parasites and,therefore,their interaction.By reviewing the literature,we found considerable evidence for an e ect of the spatially and temporally structured abiotic environment on the phenotype of both parasite and host eggs and the degree of mimicry.Moreover,we found examples suggesting that speci c life history characteristics of hosts that vary geographically and/or temporally may a ect the probability of initial colonization of a new host species and the direction and the speed of coevolution.We provide an exhaustive review of studies investigating temporal and spatial patterns of the interaction between brood parasites and their hosts.Such temporal and spatial trends in parasite and host traits are,together with genetic information on rejection and signi cant e ects of gene ow,consistent with coevolutionary dynamics.However,gene ow and changes in the temporal and spatial patterns of abundance of both parasites and hosts may result in frequent cases of counter-intuitive relationships between the phenotype of the parasite and that of the host(i.e.,poor or no mimicry),which may suggest limits to the degree of adaptation.We provide a list of scienti c questions in need of further investigation,concluding that studies of brood parasites and their hosts may play a central role in testing the geographic theory of coevolution and several alternative hypotheses.
