Congruence of Patient Self-Rating of Health with Family Physician Ratings.

Background: A single self-rated health (SRH) question is associated with health outcomes, but agreement between SRH and physician-rated patient health (PRPH) has been poorly studied. We studied patient and physician reasoning for health ratings and the role played by patient lifestyle and objective health measures in the congruence between SRH and PRPH.

Methods: Surveys of established family medicine patients and their physicians, and medical record review at 4 offices.

Search Activity in Anorexia Nervosa and Bulimia Nervosa in the Acute Stage of the Illness and Following Symptomatic Stabilization.

Background: We examined problem-solving strategies in anorexia nervosa-restricting (AN-R) type and in normal weight binge/purge (B/P) eating disorders (EDs).

Method: Twenty-four inpatients with AN-R and 22 with B/P EDs were assessed within two weeks of admission and two weeks from discharge for problem-solving, ineffectiveness, ED symptomatology, depression and anxiety; 32 controls were similarly assessed once.

Results: While we found less adaptive problem-solving strategies in patients with B/P EDs vs.

Lucid dreams: their advantage and disadvantage in the frame of search activity concept.

Search activity (SA) is the behavioral and mental activity that is oriented to changes of the environment or of the subject's view and approach to the environment according to personal needs without the definite probability forecast of the outcomes of such activity, but with a regular consideration of the outcomes in the process of active behavior. Dream's lucidity (the subject's realization that he/she is dreaming) protects dreamer from awakenings during emotionally disturbing or frustrating dreams, because lucid dreams allow subject to feel separated from the dream events that may cause a feeling of helplessness. Due to such a protection from awakenings that can bring subject back to the frustration in wakefulness, subject can turn in the further sleep to normal non-lucid dreams that are restoring subject's SA in the subsequent wakefulness (activity in the uncertain situation with the feedback between behavior and its outcome).