The Moderating Role of Hope in the Relationship Between Maladaptive Perfectionism and Anxiety Among Early Adolescents

Abstract

The aim of the study was to examine correlations among maladaptive perfectionism, hope, and anxiety and the moderating role of hope in the relationship between maladaptive perfectionism and anxiety among early adolescents. The sample of the study consisted of 639 early adolescents (354 female/285 male; Mean_age = 12.8, SD_age = .65, range: 11-14). In line with this purpose, the cross-sectional model was conducted. The findings of the study showed that there were significant correlations among maladaptive perfectionism, hope, and anxiety. Moreover, the findings found that hope moderated the relationship between maladaptive perfectionism and anxiety. More specifically, the findings suggested that among early adolescents with lower hope, the relationship between maladaptive perfectionism and anxiety was stronger than those with higher hope.     

The relationship between multidimensional spirituality and depressive symptoms in college students: Examining hope agency and pathways as potential mediators

In this study, we examined goal-focused hope as a potential mediator between the association of multidimensional spirituality and depressive symptoms in a sample of 319 college students. Results of conducting a series of multiple mediation tests indicated that hope agency, but not hope pathways, fully and significantly accounted for the associations of ritualistic, theistic, and existential spirituality with depressive symptoms. Overall, our findings offer support for the contention that hope agency plays an important role in accounting for the association between spirituality and psychological adjustment in college students. Some implications of the present findings are discussed.     

父母、同伴依恋与希望的相互作用模型:一项大学新生的追踪研究

为了考察父母、同伴依恋与希望的纵向关系,本研究以大学新生为研究对象,采用父母、同伴依恋问卷与希望量表,对1283名大一学生进行为期一年共三次的追踪研究。结果发现：（1）三次测量的父母、同伴依恋均与希望存在正相关;（2）交叉滞后模型表明,父母、同伴依恋与希望均存在相互影响的关系;（3）基于性别差异的分组模型分析表明,仅同伴依恋与希望的横断关系存在性别差异,女生相关系数显著大于男生。研究揭示,依恋与希望存在稳定的横向相关关系,并且依恋与希望存在相互预测的纵向关系。     

Hope in the Supervision of Therapy of Patients with Psychotic Disorders

Abstract

Psychotherapeutic interventions for individuals diagnosed with psychotic disorders have been extensively reviewed and studied (Fromm-Reichmann, 1950; Searles, 1965; Rosenfeld, 1988) and have recently received further attention (Kanwal, 1997; Silver, 2001; Spinelli, 2001). Nevertheless, there are almost no updated articles on the supervision of this therapy. This article addresses the issue, focusing on the importance of a sense of hope among therapists working with individuals who have psychotic disorders.     

The role of goal adjustment in symptoms of depression,anxiety and fatigue in cancer patients receiving psychosocial care: A longitudinal study

Objective: This study examined whether cancer patients reported increases in their goal adjustment capacities while receiving psychosocial care and whether these increases were related to changes in symptoms of depression, anxiety and fatigue. Goal adjustment was conceptualised as two independent capacities: goal disengagement (i.e. disengage from unattainable goals) and goal reengagement (i.e. reengage into new goals).

Design: This naturalistic, longitudinal study focused on 241 cancer patients receiving psychosocial care at one of the seven psycho-oncology institutions in the Netherlands. Data was collected before the start of psychosocial care (T1) and nine months thereafter (T2). Hierarchical regression analysis was used to examine the research questions.

Main Outcome Measures: Goal adjustment, symptoms of depression, anxiety and fatigue.

Results: At group level, patients reported small increases in goal disengagement (d = .22) but no significant change in goal reengagement (d = .09). At an individual level, 34% of cancer patients reported an increase in goal disengagement and 30% reported an increase in goal reengagement. Increases in goal reengagement were significantly associated with decreases in both depressive and anxiety symptoms, but not to changes in fatigue.

Conclusion: Findings indicate that particularly improvements in goal reengagement are beneficial for cancer patients’ psychological functioning.     

Sources of stress and worry in the development of stress-related mental health problems: A longitudinal investigation from early- to mid-adolescence

Background and Objectives: Stress and stress-related mental health complaints are common and increasing among adolescents, especially girls. Identifying typical sources of stress as well as central intervention targets is an important effort in the development of effective prevention and treatment protocols. This study investigated worry as potential mediator in the development of mental health problems in response to common stressors in adolescence. We also examined to what sources adolescents ascribe their stress over the years from the 7th through the 9th grade.

Design: Prospective cohort study.

Methods: Self-reported subjective stressor load, worry, anxiety and depressive symptoms were assessed in a sample of Swedish 7th graders (N?=?1137; 46% girls, mean age 13.2) with follow-up assessments one and two years later.

Results: School was the most common source of stress across all time-points, with girls reporting considerable more stress than boys. Worry mediated the relationship between overall stressor load and depressive symptoms and anxiety over time and was not moderated by gender.

Conclusions: Worry may be an important target in stress prevention and efforts to prevent stress-related problems would benefit from focusing on early adolescence as especially school stress is already relatively common in grade 7.     

Spiritual Transcendence and Psychological Adjustment: The Moderating Role of Personality in Burn Patients

The current study examined the moderating role of personality traits (neuroticism and extraversion) on the relationship between spiritual transcendence and positive change, and spiritual transcendence and distress in burn patients. The sample (N = 98) comprised adult burn patients (age = 25–50) admitted to three hospitals in Lahore, Pakistan. They were assessed according to a demographic information sheet, the NEO Personality Inventory (McCrae and Costa in J Personal Soc Psychol 52:81–90, 1987), the Spiritual Transcendence Index (Seidlitz et al. in J Sci Study Relig 41:439–453, 2002), the Depression, Anxiety, Stress Scales-21 (Lovibond and Lovibond in Manual for the Depression Anxiety Stress scales, Psychology Foundation, Sydney, 1995), and the Perceived Benefit Scales (McMillen and Fisher in Soc Work Res 22(3):173–186, 1998). Stepwise moderated regression analysis showed that both personality traits (neuroticism and extraversion) played a moderating role in the relationship between spiritual transcendence and positive change, and spiritual transcendence and distress in burn patients. The findings highlight the potential role spiritual transcendence may have in understanding and improving the psychological adjustment of burn patients.     

社会支持对青少年创伤后成长的影响:状态希望和积极重评的中介作用

采用创伤暴露程度问卷、社会支持问卷、状态希望量表、认知情绪调节量表和创伤后成长问卷,以雅安地震2.5年后的397名中学生为被试,考察其社会支持、状态希望、积极重评与创伤后成长（PTG）之间的关系。结果发现,雅安地震2.5年后青少年的社会支持可以直接正向预测PTG,不过,在社会支持与PTG之间纳入状态希望和积极重评后,社会支持不能直接地促进PTG,但却可以分别通过状态希望和积极重评来促进PTG,还可以经过状态希望由积极重评的多重中介来正向预测PTG。     

心脏生物起搏器的研究现状及展望

心脏生物起搏器是近年来心脏起搏的研究热点,目前主要集中在三种基因治疗策略:(1)使心肌细胞的β2受体表达上调增加心率;(2)转染起搏电流基因使心室肌细胞产生自主起搏功能;(3)改变心室肌细胞钾电流的平衡,使心室肌细胞产生自律性.心脏生物起搏器应用于临床仍面临许多问题,但是随着分子生物学和基因工程技术的发展,心脏生物起搏器必将造福于人类.     

Maternal and Paternal Depressive Symptoms and Child Maladjustment: The Mediating Role of Parental Behavior

This study examined parental behaviors as mediators in links between depressive symptoms in mothers and fathers and child adjustment problems. Participants were 4,184 parents and 6,048 10- to 15-year-olds enrolled in the 1998 and 2000 cycles of the Canadian National Longitudinal Survey of Children and Youth. Mothers and fathers self-reported symptoms of depression at Times 1 and 2 and their children assessed parental nurturance, rejection, and monitoring and self-reported internalizing and externalizing problems and prosocial behavior at Time 2. Hierarchical linear modeling showed evidence of mediation involving all three domains of parental behavior. Findings supported the hypothesis that the quality of the child's rearing environment is one mechanism that carries risk to children of depressed parents. Interventions for parents whose symptoms of depression interfere with parenting responsibilities could help reduce the risk of some childhood disorders.     

The Contribution of Hope and Affectivity to Diabetes-Related Disability: An Exploratory Study

This study examined the relationships of the dispositional variables of hope, positive affectivity (PA), and negative affectivity (NA) with disease status and illness-related psychosocial functioning in a sample of 45 young adults with insulin-dependent diabetes mellitus (IDDM). Canonical analyses revealed one significant canonical function between the dispositional and psychosocial outcome variables. Primary contributors to the relationship were higher NA and lower PA and maladaptive emotional behavior. A linear multiple regression analysis using hope and affectivity as predictors failed to account for a significant proportion of variance in objective disease status as measured by hemoglobin A _1C (HbA_1C). The results support previous findings that affectivity may relate to self-reported, disease-related outcome, but not necessarily to objective measures of health status. Future studies of adaptation to chronic illness should consider including measures of illness-related behaviors (e.g., adherence), as well as subjective and objective measures of health status.     

Relations Among Children's Coping Strategies and Anxiety: The Mediating Role of Coping Efficacy

The current study tests a model that depicts the relationships among coping strategies (active, distraction, avoidance, and support seeking) and anxiety symptoms. SEM is used to test if the relationship between these variables is mediated by coping efficacy. A large sample of Canadian children (N = 506) aged 8 to 11 years (boys = 249, girls = 245, unknown gender = 12) participated in the study. Results showed that coping efficacy is a partial mediator of the relations between active coping strategies and anxiety symptoms, however support was not found for it to be an effective mediator for other coping strategies. This study contributes to the understanding of childhood anxiety by highlighting the importance of the relationship between anxiety and the methods children use to cope with stress and how perceptions of their coping abilities influence this relationship.     

在美国样本中母亲抑郁症状与儿童退缩的关系:教养行为的中介作用

本研究通过使用美国国家儿童健康与人类发育研究所的纵向研究数据建立分层线性模型,探究在儿童的早期发展中,母亲抑郁症状对儿童的社会性退缩的影响,以及母亲的教养行为在这一关系中的中介作用,结果发现：（1）在儿童24~54个月期间,随着母亲抑郁症状的升高,儿童的社会性退缩也随之升高;（2）母亲抑郁症对儿童社会性退缩的影响存在着性别差异,与女孩相比,男孩的社会性退缩更容易受到母亲抑郁症状的影响;（3）在男孩中,消极的教养行为在母亲抑郁症状与男孩的社会性退缩之间起到了中介作用,而在女孩中,这一中介作用并不显著。     

Identity Processing Style and Depression: The Mediational Role of Experiential Avoidance and Self-Regulation

This study investigated the role experiential avoidance and self-regulation play in mediating relationships between stylistic differences in the way college students engage or attempt to evade the process of constructing a personal sense of identity and depressive symptoms. Two hundred seven 18- to 23-year-old undergraduate students completed measures of identity processing style, self-regulation, experiential avoidance, and depressive symptoms. Consistent with previous research, a diffuse-avoidant identity style was positively associated with depression, which was completely mediated by self-regulation and experiential avoidance. Contrary to prediction, an informational identity style was not directly related with experiential avoidance or depression. However, an informational style indirectly predicted low depressive symptoms via self-regulation. Unexpectedly, when the contribution of self-regulation was controlled, an informational style was positively associated with experiential avoidance, which indirectly predicted high depressive symptoms. The pattern of relationships was not moderated by the sex of the participants. Implications of the results for intervention programs and counseling practices that may enhance the mental health of college students are considered.     

The Role of Relationships in Understanding the Alexithymia–Depression Link

Alexithymia is associated with increased depressive symptoms in both clinical and community samples. One way that alexithymia may lead to depression is through its impact on interpersonal relationships. Individuals with alexithymia report lower perceived social support, intimacy, and relationship satisfaction. Furthermore, poor relationship functioning is a clear risk factor for depressive symptoms. Given the established alexithymia–depression link and marital dysfunction–depression link, a logical next step is to examine whether relationship dysfunction (low social support, intimacy, negative relationship behaviours, and relationship dissatisfaction) mediates the association between alexithymia and depressive symptoms. The hypothesized mediation model was assessed in a sample of 104 community couples with two analytical approaches—first with cross‐sectional measures using path analysis and second with daily diary measures collected over a seven‐day period using a multilevel modelling approach. Poor relationship functioning mediated the association between alexithymia and depressed mood in the daily diary data and partially mediated that association with the cross‐sectional measures. These results identify alexithymia as an important variable in understanding the marital functioning–depression association, and this finding has implications for treatment. Copyright © 2012 European Association of Personality Psychology     

Improving Psychological Adjustment Among Late-Stage Ovarian Cancer Patients: Examining the Role of Avoidance in Treatment

Data suggest that individuals dealing with a cancer diagnosis are less likely to suffer from depression, anxiety, and psychological distress when they cope with their condition from a stance of emotional and cognitive acceptance (e.g. Dunkel, et al., 1992; Stanton, et al., 2000). Although traditional CBT often includes some acceptance-oriented elements, recent variants of CBT, such as Acceptance and Commitment Therapy (ACT), have acceptance as a central focus. ACT targets emotional distress directly through acceptance of difficult thoughts and emotions. The current study is a preliminary comparison of ACT and treatment as usual (TAU) in the treatment of emotional distress among women with late-stage ovarian cancer. Forty-seven women diagnosed with Stage III or IV ovarian cancer were randomly assigned to one of two treatment conditions. Treatment consisted of 12 face-to-face meetings with a therapist, each following a TAU or ACT protocol. Results indicate that both groups showed improved mood and quality of life following the intervention. The ACT group showed significantly greater improvements compared to the TAU group. Furthermore, mediation analyses indicate that the effects of treatment were mediated by cognitive avoidance. Although the study is limited by the implementation of treatment in both conditions by a single therapist, the TAU group showed improvements that were consistent with effect sizes available in the literature, suggesting that the intervention was a credible and effective control treatment. These findings provide preliminary support for the use of ACT in ovarian cancer populations. Further work is needed to investigate the effectiveness in other oncology populations as well as investigate potential patient characteristics which may interact with these interventions.     

鳏与寡对老年人抑郁水平的影响:社会网络的调节作用

为了进一步探讨丧偶与抑郁水平之间的关系,讨论社会网络（包括家庭网络和朋友网络）在其中的作用机制,并比较丧偶与抑郁水平的关系及社会网络作用机制的性别差异,本研究对中国老年社会追踪调查（CLASS）2014年调查中7649名老年人（其中丧偶老人2149名,男性715,女性1434;在婚老人5500名,男性3398,女性2102）的数据进行分析。结果发现,丧偶对老年人抑郁水平有消极影响,但影响作用不存在性别差异;男性丧偶老人的朋友网络显著低于男性在婚老人,而女性老年人中无此差异;相对于在婚老人,家庭网络对男性丧偶老人的抑郁水平的缓解作用更大,而在女性样本未发现家庭网络的缓冲作用。应重视丧偶老年人,特别是男性丧偶老年人,家庭网络的建设与维护,从而缓解丧偶对老年人心理健康的消极影响。     

父母忽视与青少年网络游戏成瘾的关系:希望的中介作用和性别的调节作用

为探究父母忽视与青少年网络游戏成瘾的关系及其中心理机制,本研究以全国七个省的八所中学共805名初二学生为被试,采用问卷法考察了父母忽视与青少年网络游戏成瘾的关系及希望在其中的中介作用,并检验了该过程是否受到性别的调节。在控制了每周上网时间和网龄后,结果发现：（1）父母忽视对网络游戏成瘾具有正向预测作用;（2）希望在父母忽视和网络游戏成瘾间起到完全中介作用;（3）性别调节了中介模型的前半段路径,具体表现为相对于女生,父母忽视对男生希望的负向预测作用更显著。结果表明父母忽视会明显降低初二学生的希望水平,进而增加其网络游戏成瘾风险,并且在男生群体中的作用更加显著。     

父母忽视与青少年网络游戏成瘾的关系:希望的中介作用和性别的调节作用

为探究父母忽视与青少年网络游戏成瘾的关系及其中心理机制,本研究以全国七个省的八所中学共805名初二学生为被试,采用问卷法考察了父母忽视与青少年网络游戏成瘾的关系及希望在其中的中介作用,并检验了该过程是否受到性别的调节。在控制了每周上网时间和网龄后,结果发现：（1）父母忽视对网络游戏成瘾具有正向预测作用;（2）希望在父母忽视和网络游戏成瘾间起到完全中介作用;（3）性别调节了中介模型的前半段路径,具体表现为相对于女生,父母忽视对男生希望的负向预测作用更显著。结果表明父母忽视会明显降低初二学生的希望水平,进而增加其网络游戏成瘾风险,并且在男生群体中的作用更加显著。     

青少年抑郁情绪的行为遗传学研究

本研究意在探讨青少年抑郁情绪遗传率的性别和年龄差异及遗传和环境对抑郁情绪跨时间连续性的影响。508对同卵双生子, 176对同性别异卵双生子参加了两轮追踪研究, 时间间隔约为一年半(1.37±0.44)。第一轮测量双生子的年龄范围为10~18岁, 平均年龄为13.69±2.04岁, 男生比例为46.2%。采用儿童抑郁量表(CDI)对青少年的抑郁情绪进行多报告者评定。结果发现, 青少年抑郁情绪的遗传解释率不存在性别差异, 处于青春早期青少年的遗传解释率高于青春中期的青少年。遗传是影响青春早期青少年抑郁情绪持续发生的主导因素, 而环境是影响青春中期青少年抑郁情绪持续发生的主要因素。