They tended to contain repetitive monologues expressing the increasing distress of the speakers, and showed that McCay's gift was in the visual and not the verbal.
Also, mothers with eating disorders may feel and report increased distress because of co-morbidity, which we also found (mean distress 3.4 in anorectic women, 3.3 in women with bulimia, and 2.1 in other women) and therefore, an observed increased risk for childhood overweight would have been difficult to interpret.
It is well established that uncontrollable adverse experiences lead to increased distress, but the role of client control during psychological interventions such as exposure is less clear.
Such increased distress comprises a type of moral distress that can impact on individuals in the short (so-called mild distress), medium (moderate distress) and long-term (severe distress).
Two other studies concluded that fatigue contributed to increased distress and impaired quality of life in newly diagnosed cancer patients (Cimprich, 1999; Visser et al, 2006).
It might even be desirable that oncologists use the feedback in case of absent increased distress in order to reinforce the patient's successful coping.
After burning our tongues in Iraq and Afghanistan, and watching with increasing distress the aftermath of the revolutions in Libya, Tunisia and Egypt, President Obama is right to be cautious about getting burned in Damascus.
"He had increasing distress about the state of the world, economic disparity, and climate change," Rona told me.
Like babies they are distrustful of strangers in the room with them and tend to show signs of increasing distress the longer their owner is away.
Moreover, regular visits are likely to increase distress and reduce quality of life, and may lead to unnecessary treatment (Del Turco et al, 1994; The GIVIO investigators, 1994).
