Gastrointestinal functioning and menstrual cycle phase in emerging young adult women: a cross-sectional study.

BACKGROUND: Women experience more severe gastrointestinal (GI) symptoms compared to men. The onset of puberty and the menstrual cycle may influence these differences. Additionally, health anxiety is an important construct that has been shown to play a role in increased symptomatology across many medical conditions. Using standardized clinical measures often employed to assess disorders of gut-brain interaction (DGBI) we aimed to identify differences of GI functioning across menstrual cycle phases and to evaluate the role of health anxiety in this relationship. METHODS: Six hundred three participants completed a survey including functional GI assessment scales (PROMIS-GI®), an abdominal pain scale and map, and a health anxiety measure. They were grouped by menstrual cycle phases (Menses, Follicular, Early-Luteal, and Premenstrual) based on self-reported start date of most recent period. Multivariate analyses of covariance were conducted to identify differences between menstrual cycle phase and scores on the symptom scales. Heath anxiety was included as a covariate in all analyses. RESULTS: No significant differences were found between menstrual cycle group and PROMIS-GI scores. Higher GI-symptom and pain levels were found as health anxiety increased. Pain in the hypogastric region of the abdomen was significantly higher during the Menses phase when compared to Early-Luteal and Premenstrual phases. A subset of participants with DGBI diagnoses demonstrated significantly higher GI-symptom severity on several PROMIS-GI scales when compared to matched controls who did not have those diagnoses. In addition, participants with DGBI diagnoses reported significantly greater pain across multiple abdominal regions than their non-diagnosed counterparts. CONCLUSIONS: GI symptom levels as measured by the PROMIS-GI scales in otherwise healthy women were not dependent on menstrual cycle phase. Yet, the PROMIS-GI scales were sensitive to symptom differences in women with DGBI diagnoses. Overall, this study demonstrated that the PROMIS-GI measures are unlikely to be affected by gynecological functioning in healthy young women. We argue that the abdominal pain map is an essential addition to classification and diagnosis.

Gender differences in emotional reminiscing in a Scandinavian sample.

Emotional reminiscing is a context where children learn culture-specific ways of understanding past emotional experiences through parentally scaffolded conversations, and learn how to connect these disparate experiences into their developing autobiographical memory. The goal of the present investigation was to explore possible gender differences in emotional reminiscing in an egalitarian cultural context (Denmark). Mothers and fathers from families (N = 88) reminisced about a happy and a sad past event with their 4.5-year-old children. Parents' and children's contributions were coded for emotion words, emotion attributions, and explanations. The emotional content did not differ as a function of parent or child gender. However, Danish children talked more about emotions overall with their mothers compared to their fathers. The results are discussed in light of the socio-cultural practices.

IV. CO-CONSTRUCTION OF ATTACHMENT REPRESENTATIONS AND AFFECT-REGULATING COGNITIONS: THE ROLE OF MATERNAL ATTACHMENT SECURITY.

This study focused on the role of maternal co-construction skills in building attachment relevant representations in early childhood. Thirty-four mothers and their 4- to 5-year-old children were presented with two co-construction tasks, one an attachment storytelling task, the other an affect discussion task about emotion-laden situations. Maternal co-construction skills were assessed with several scales that scored the quality of the co-construction partnership, the mother's skill in prompting elaboration, and helping build an explanatory framework. Mothers completed the Attachment Script Assessment (ASA) and the Adult Attachment Interview (AAI) as well. Results indicated that mothers' secure base script knowledge (ASA) was significantly related to communication effectiveness, encouraging elaboration of storylines, and using open-ended and why questions. Maternal AAI coherence showed similar relations to co-construction support.

Stories of parents and self: relations to adolescent attachment.

How individuals construct narratives involving attachment figures (e.g., parents) should reflect their representation of those individuals as either comforting or unsupportive (Bowlby, 1969). Similarly, how individuals talk about parents' childhood experiences may also reflect their attachment representation. Sixty-five 13- to 16-year-old middle-class, diverse adolescents narrated 2 stories each from mother's and father's childhood, and 2 positive and negative personal experiences, all coded for coherence and emotions. As a measure of attachment, adolescents completed the Attachment Script Assessment, coded for attachment security (H. S. Waters & Rodrigues-Doolabh, 2001). Pearson's correlations indicate secure adolescents told coherent and emotionally expressive narratives about mothers' childhood but not fathers'; narratives about mothers' experiences appear important for adolescents' attachment. Secure adolescents also told thematically coherent negative but not positive personal narratives. Thus, secure adolescents do not tell all narratives coherently and emotionally; in this study, the relation between narratives and attachment is specific to intergenerational narratives.

The making of autobiographical memory: intersections of culture, narratives and identity.

Autobiographical memory is a uniquely human form of memory that integrates individual experiences of self with cultural frames for understanding identities and lives. In this review, we present a theoretical and empirical overview of the sociocultural development of autobiographical memory, detailing the emergence of autobiographical memory during the preschool years and the formation of a life narrative during adolescence. More specifically, we present evidence that individual differences in parental reminiscing style are related to children's developing autobiographical narratives. Parents who structure more elaborated coherent personal narratives with their young children have children who, by the end of the preschool years, provide more detailed and coherent personal narratives, and show a more differentiated and coherent sense of self. Narrative structuring of autobiographical remembering follows a protracted developmental course through adolescence, as individuals develop social cognitive skills for temporal understanding and causal reasoning that allows autobiographical memories to be integrated into an overarching life narrative that defines emerging identity. In addition, adolescents begin to use culturally available canonical biographical forms, life scripts, and master narratives to construct a life story and inform their own autobiographical narrative identity. This process continues to be socially constructed in local interactions; we present exploratory evidence that parents help adolescents structure life narratives during coconstructed reminiscing and that adolescents use parents and families as a source for their own autobiographical content and structure. Ultimately, we argue that autobiography is a critical developmental skill; narrating our personal past connects us to our selves, our families, our communities, and our cultures.

Personal and intergenerational narratives in relation to adolescents' well-being.

Narratives of the self are embedded within families in which narrative interaction is a common practice. Especially in adolescence, when issues of identity and emotional regulation become key, narratives provide frameworks for understating self and emotion. The authors' research on family narratives suggests that adolescents' personal narratives are at least partly shaped by intergenerational narratives about their parents' childhoods. Both personal and intergenerational narratives emerge frequently in typical family dinner conversations, and these narratives reflect gendered ways of being in the world. Adolescents who tell intergenerational narratives that are rich in intergenerational connections and perspective-taking show higher levels of well-being. These findings suggest that individual narrative selves are created within families and across generations.

Narrative Interaction in Family Dinnertime Conversations.

Reminiscing has been shown to be a critical conversational context for the development of autobiographical memory, self-concept, and emotional regulation (for a review, see Fivush, Haden, & Reese, 2006). Although much past research has examined reminiscing between mothers and their preschool children, very little attention has been given to family narrative interaction with older children. In the present study, we examined family reminiscing in spontaneous narratives that emerged during family dinnertime conversations. The results revealed that mothers contributed more to the narratives than did fathers in that they provided, confirmed, and negated more information, although fathers requested more information than mothers. In exploratory analyses, mothers' contributions to shared family narratives were found to be related to fewer internalizing and externalizing behaviors in their children, while fathers' contributions to individual narratives of day-today experiences were related to fewer internalizing and externalizing behaviors in their children. These results indicate that mothers and fathers may play different roles in narrative construction with their children, and there is some suggestion that these differences may also be related to children's behavioral adjustment.