Prevalence and effects of life event exposure among undergraduate and community college students

The purposes of this study were to assess lifetime and recent exposure to various life events among undergraduate and community college students and to assess the relation between event exposure and a broad range of outcomes (i.e., mental and physical health, life satisfaction, grade point average). Undergraduate students from a midwestern university (N = 842) and a community college (N = 242) completed online measures of lifetime event exposure and outcomes at Time 1 and recent event exposure at Time 2 two months later. Life events assessed included events that did and did not meet the definition of a traumatic event (i.e., posttraumatic stress disorder Criterion A1) in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000) as well as directly (e.g., own life-threatening illness) and indirectly (e.g., others' illness) experienced events. Students reported experiencing many lifetime and recent Criterion A1 and non-A1 events, and community college students reported more events than did university students. Generally, individuals who reported more lifetime events also reported poorer outcomes (e.g., poorer health). The number of non-Criterion A1 and directly experienced events tended to be more strongly correlated with negative outcomes than were the number of Criterion A1 and indirectly experienced events reported. These findings suggest that non-A1 events are important to assess and can be significantly related to outcomes for students.     

Religious Involvement and Health Over Time: Predictive Effects in a National Sample of African Americans

In this study, two telephone interviews that assessed both religious involvement and health‐related quality of life were conducted approximately 2.5 years apart in a national sample of 290 African Americans. Religious involvement was assessed with an instrument that measured both personal religious beliefs (e.g., having a personal relationship with God) and more public religious behaviors (e.g., attending church services). Health‐related quality of life was measured with version 2 of the Medical Outcomes Study 12‐item short form (SF‐12v2). Structural equation models indicated that higher religious beliefs at baseline predicted better physical and mental health 2.5 years later. Higher religious behaviors at baseline contributed smaller, complementary suppression effects. Physical and mental health indicators from the SF‐12v2 at baseline did not predict changes in either religious beliefs or religious behaviors over time. These findings indicate that, for African Americans, personal religious beliefs lead to beneficial health effects over time, whereas individual differences in health do not appear to predict changes in religious involvement.     

Religious Resources,Spiritual Struggles,and Mental Health in a Nationwide Sample of PCUSA Clergy

A growing body of research explores patterns and correlates of mental health among clergy and other religious professionals. Our study augments this work by distinguishing between religious resources (i.e., support from church members, positive religious coping practices), and spiritual struggles (i.e., troubled relations with God, negative interactions with members, chronic religious doubts). We also explore several conceptual models of the interplay between these positive and negative religious domains and stressful life events. After reviewing theory and research on religious resources, spiritual struggles, and mental health, we test relevant hypotheses using data on a nationwide sample of ordained clergy members in the Presbyterian Church (USA). At least some support is found for all main effects hypotheses. Religious resources predict well-being more strongly, while spiritual struggles are more closely linked with psychological distress. There is some evidence that stressful life events erode mental health by fostering an elevated sense of spiritual disarray and struggle. We find limited support for the stress-buffering role of religious resources, and limited evidence for a stress-exacerbating effect of spiritual struggle. Study limitations are identified, along with a number of implications and promising directions for future research.     

Deciding to Dissolve: Individual- and Relationship-Level Predictors of Roommate Breakup

The desire to change roommates served as a model of nonromantic relationship dissolution within 115 college roommate dyads. We measured personality, mental health, social/communication patterns, and academic achievement attitudes over the course of a semester, and we used multilevel modeling to estimate individual-level and relationship-level predictors of dissolution. Self-characteristics (e.g., one's own depression), roommate characteristics (e.g., roommate's poor communication), and relationship characteristics (e.g., similarity in attitudes toward competition) each increased desire to end the roommate relationship. In these data, unique contributions from one's own psychological health, one's own and one's roommate's social/communication style, and roommates' attitude similarity predicted relationship dissolution.     

A Metastudy of Adultspan Journal: An Analysis of Publication Characteristics From 1999 to 2019

Articles published in Adultspan Journal from 1999 to 2019 were analyzed for trends over time in author characteristics (e.g., leading contributors and institutions, work setting, gender, domicile) and article characteristics (e.g., reporting standards, topics, research design, participant characteristics, and statistical sophistication).     

Sexual Assault History and Health-Related Outcomes in a National Sample of Women

This study examined correlates of past-year chronic medical conditions and lifetime contact with health care professionals for mental health and substance abuse problems in women with differing histories of sexual victimization  ( N  = 627)  identified from the National Comorbidity Survey (e.g., assault in childhood, adulthood, or both life phases). Posttraumatic stress disorder (PTSD) and stressful life events were associated with greater odds of chronic medical conditions among women sexually assaulted in childhood only. Additional traumatic events were associated with greater odds of chronic medical conditions among victims of adult sexual assault. Older age and being married were associated with greater odds of lifetime health care professional contact for mental health/substance abuse issues among certain victim subgroups. Stressful life events were related to greater help-seeking for child victims, and traumatic events were related to greater help-seeking in adult victims. Alcohol dependence symptoms and PTSD were each associated with greater odds of lifetime health care professional contact among women victimized in both life phases, whereas depression was related to greater odds of help-seeking for women victimized in one life phase only. Psychosocial factors may play unique roles in health outcomes for women with different sexual assault histories.     

Psychological wellbeing and the diathesis-stress hypothesis model: The role of psychological functioning and quality of relations in promoting subjective well-being in a life events study

Negative life events are associated with poor wellbeing and mental health outcomes. Following a diathesis-stress model, we tested whether psychological functioning and quality of interpersonal relationships moderated the effect of life events on subjective wellbeing. This study comprised data from a young and middle-aged adult sample (n = 364) drawn from an Australian university-student population. Results indicated that life events were associated with negative but not positive wellbeing outcomes. Perceived impact of life events was a stronger predictor of wellbeing than was the number of life events. Psychological functioning and quality of interpersonal relationships were associated with both wellbeing dimensions but only quality of interpersonal relationships moderated the effect of life events on wellbeing. In conclusion, perceived impact of life events was more strongly related to wellbeing than number of life events. Interpersonal relationships moderate the effect of life events with those reporting higher levels of quality of interpersonal relationships reporting less decrement in negative affect following stressful life events.     

Cognitive and affective components of life events: Their relations and effects on weil-being

A model of how five key facets of life events are related to one another and influence mental health and functioning was examined. The facets are the experience of control over, anticipation of, pleasantness from, stress generated by, and adjustment to life events. Multivariate analyses of data from 420 adult male respondents yielded results that were largely consistent with the hypothesized model. The results suggested that control over and anticipation of life events influenced the perceived stress produced by the events and the ability to adjust to them. In turn, it appeared that such stress and adjustment influenced mental health and functioning. The effects of control and anticipation on mental health and functioning were indirect only. Contrary to our hypothesis, control seemed to heighten perceived stress; but control, as well as anticipation, appeared to increase the ability to adjust. Whereas previous studies found no effect of desirable events on well-being, this study found that pleasant events had a beneficial effect. The discussion examines the implications of the findings for future research.     

The Factor Structure of the Ohio Scales: A Practical Measure of Psychological Symptoms in Youth

Stakeholders have increased the focus on accountability for community mental health agencies, leading to the need for an efficient method of measuring mental health outcomes for youth. The Ohio Scales were developed specifically to address the drawbacks of existing measures of child and adolescent mental health such as length, cost, and ease of scoring. The current study examined the factor structure of the Ohio Scales Problem Severity scale and explored the concurrent validity of those factors by comparing them to similar factors on the Child Behavior Checklist and Youth Self Report, two well-established measures of childhood mental health. Using archival data from a community mental health agency serving youth and families, a randomly split sample was used to conduct an exploratory factor analysis on one subsample followed by a confirmatory factor analysis on a second subsample. The results of these analyses indicated that a four-factor model provided the best fit to the data for both youth and parent report on the Ohio Scales. The four factors included: Aggression, Delinquency, Depression, and Anxiety. Comparing the Ohio Scale factors to the factors on the Child Behavior Checklist and YSR revealed that theoretically similar factors (e.g., Anxiety and Internalizing) were more highly correlated than dissimilar factors (e.g., Anxiety and Externalizing). These results provide concurrent validity of the four-factor model of the Ohio Scales. These factors may provide more specific information regarding the types of emotional and behavioral problems youth and parents are reporting to clinicians.     

Temporal perception in joint action: This is MY action

Here we investigated the temporal perception of self- and other-generated actions during sequential joint actions. Participants judged the perceived time of two events, the first triggered by the participant and the second by another agent, during a cooperative or competitive interaction, or by an unspecified mechanical cause. Results showed that participants perceived self-generated events as shifted earlier in time (anticipation temporal judgment bias) and non-self-generated events as shifted later in time (repulsion temporal judgment bias). This latter effect was observed independently from the kind of cause (i.e., agentive or mechanical) or interaction (i.e., cooperative or competitive). We suggest that this might represent a mental process which allows discriminating events that cannot plausibly be linked to one’s own action. When an event immediately follows a self-generated one, temporal judgment biases operate as self-serving biases in order to separate self-generated events from events of another physical causality.     

Some everyday life consequences of disability and bereavement for older adults

The study analyzed daily event differences between groups experiencing the major stressors of conjugal bereavement and physical disability, and analyzed the association of everyday events with self-reports of mental health for different groups across a 3-month time span. Monthly interviews were conducted with 61 recently conjugally bereaved, 62 recently physically disabled, and 123 matched-comparison older adults between the ages of 60 and 80. The purpose of these interviews was to obtain a comprehensive assessment of the monthly frequencies of everyday life events. Self-reports of mental health were obtained from paper-and-pencil measures filled out after each interview. Causal models were used to analyze the best-fitting structure of event/mental health relationships for the first 3 monthly interviews. Undesirable events showed uniformly adverse effects on mental health. Desirable events benefited the psychological well-being of the disabled the most and had no positive effects on the mental health of the bereaved. The bereaved also evidenced less stability over time than other groups in the frequency of small undesirable events.     

The Coping Self-Efficacy Scale: Psychometric properties in an outpatient sample of active duty military personnel

ABSTRACT

Active duty military service members endure a unique constellation of stressors while deployed or at home. Yet, assessment of protective factors against these stressors among active duty service members represents an under studied area. The present study advances the assessment of protective factors through the psychometric evaluation of the Coping Self-Efficacy Scale (CSES) in a clinical sample of military service members in mental health or substance abuse treatment (n = 200). Cross-sectional data were drawn from military medical records and a supplemental self-report questionnaire. Data extracted included demographic (e.g., sex, age), military characteristics (e.g., rank, years in service), physical health and mental health (e.g., anxiety, depression), and coping self-efficacy. Findings suggest a 3-factor (i.e., problem-focused coping, thought-stopping, and getting social support) CSES structure with acceptable internal consistency. Further, there were small-to-moderate associations with physical and mental health outcomes, providing evidence of construct validity. There were few significant associations with military-related characteristics. Finally, controlling for covariates, thought-stopping beliefs explained unique variance in suicide-related behaviors. Together, findings support the use of the CSES to measure coping-related beliefs in military service members. Recommendations are offered for future research and practice with active duty service members.     

Response biases and the relation between negative life events and psychological symptoms

This research was an investigation of whether reporting biases can account for the correlation between negative life events (as measured via life events questionnaires) and subclinical psychological symptoms. Subjects completed two life events scales, a measure of psychological symptoms, a measure of depression, and a measure of social desirability. Friends were asked to report about life events experienced by the subjects. No evidence was found for a subject reporting bias associated with social desirability, depression, or symptoms. In fact, for one of the life events scales, depression was significantly associated with a higher rate of agreement between subjects and friends as to which negative events occurred to subjects. Moreover, there were significant correlations between symptom and depression measures and life events measures that were free of subject-reporting biases (subjects' negative life events reported by both subjects and their significant others, as well as subjects' negative life events as reported by significant others alone). These data suggest that response biases may not be able to account for the relation between negative events and psychological symptoms. Thus the hypothesis that negative life events play a significant role in symptom development remains plausible.     

Improving Mental Health on College Campuses: Perspectives of Indian College Students

The mental health of college students is increasingly viewed as an important public health priority. However, there has been little attention paid specifically to college students’ perspectives on factors that contribute to mental health challenges or on potential initiatives that could address them. Even less research has focused on students in low- and middle-income countries. In an effort to better understand how to improve mental health and wellness on college campuses, we administered an open-ended survey to 141 Indian college students (M_age = 19.47, 65% female). We asked the students to identify: (a) issues that contribute to mental health problems among college students, (b) potential initiatives or strategies that could be used to improve mental health and wellness, and (c) topics that students would like to learn about in a course about mental health and wellness. Applying thematic analysis, we identified academic stressors (e.g., pressure to succeed, competitiveness) and social stressors (e.g., lack of community, party culture and substance abuse) that students reported as contributors to mental health problems. Students also described mental health promotion strategies that could be implemented by faculty members (e.g., providing academic accommodations for students with mental health concerns), the student body (e.g., establishing peer counseling groups), and individual students (e.g., checking in with others). Finally, they identified topics that they would like to learn about in mental health and wellness courses (e.g., how to identify mental health concerns, how to support friends). By raising several potential targets for mental health and wellness interventions for Indian college students, our study illustrates how open-ended surveys can be a useful and feasible way to solicit input from stakeholders in low- and middle-income countries. Future research will be needed to assess the effectiveness and feasibility of mental health promotion strategies, including those proposed by students.     

Perceived COVID-induced racism and contextual predictors of fear and psychological distress among Black men

The present study examined if Black men's perceptions of COVID-induced racism (i.e., the extent to which racism increased during the beginning months of the COVID-19 pandemic) were associated with their reported fear of COVID-19 and psychological distress. Self-report COVID-related variables and psychological distress data from 231 Black men in the U.S. were analyzed alongside archival percentages of confirmed cases and deaths by participants' county at the time of participation. Hierarchical regressions identified perceptions of COVID-induced racism as a significant predictor of Black men's psychological distress over and above contextual (e.g., county-level COVID-19 case %) and individual-level predictors (i.e., perceived race-related infection risk and self-reported COVID-related stressful life events). This work contributes to the growing literature on health inequities during the COVID-19 pandemic with a snapshot of Black men's experiences during the COVID-19 and racism pandemics of 2020 in the U.S.     

The unified theory of repression

Repression has become an empirical fact that is at once obvious and problematic. Fragmented clinical and laboratory traditions and disputed terminology have resulted in a Babel of misunderstandings in which false distinctions are imposed (e.g., between repression and suppression) and necessary distinctions not drawn (e.g., between the mechanism and the use to which it is put, defense being just one). "Repression" was introduced by Herbart to designate the (nondefensive) inhibition of ideas by other ideas in their struggle for consciousness. Freud adapted repression to the defensive inhibition of "unbearable" mental contents. Substantial experimental literatures on attentional biases, thought avoidance, interference, and intentional forgetting exist, the oldest prototype being the work of Ebbinghaus, who showed that intentional avoidance of memories results in their progressive forgetting over time. It has now become clear, as clinicians had claimed, that the inaccessible materials are often available and emerge indirectly (e.g., procedurally, implicitly). It is also now established that the Ebbinghaus retention function can be partly reversed, with resulting increases of conscious memory over time (hypermnesia). Freud's clinical experience revealed early on that exclusion from consciousness was effected not just by simple repression (inhibition) but also by a variety of distorting techniques, some deployed to degrade latent contents (denial), all eventually subsumed under the rubric of defense mechanisms ("repression in the widest sense"). Freudian and Bartlettian distortions are essentially the same, even in name, except for motive (cognitive vs. emotional), and experimentally induced false memories and other "memory illusions" are laboratory analogs of self-induced distortions.     

Stress, health and illness: four challenges for the future

The concept of stress has a long and perhaps foundational history in health psychology. However, it is also not without its detractors, who point out imprecise and simplistic use of the concept. Four challenges for stress research in health psychology delineate the nuanced and contextualised future. First, 'stress' can be located in the environment, in appraisal or in response (e.g., emotions or physiology). Careful conceptualisation and assessment can differentiate among these locales, as well as reveal interactions among them. Second, coping refers to the transaction between stress and the affected person. Understanding exactly why coping moderates the effects of stress is a major challenge for coping research. Third, stress happens to different people with different personalities and temperaments and at different stages of their lives. People may even be different from themselves at different life stages. These individual differences can impact all manner of stress and coping. Fourth, stress is dynamic. Minor events come and go, and major events create a cascade of changes in the individual's life. Understanding how stress, coping and health change over time within individuals (i.e., in a multi-level framework) will be a major advance for the field.     

What happened in kindergarten? Mother-child conversations about life story chapters

ABSTRACT

Research indicates that adults form life story chapters, representations of extended time periods that include people, places and activities. Life chapter memories are distinct from episodic memories and have implications for behaviour, self and mental health, yet little is known about their development during childhood. Two exploratory studies examined parent–child conversations about life chapters. In Study 1, mothers recorded naturalistic conversations with their 5–6 year old children about two chapters in the child’s life. In Study 2, mothers recorded conversations with their 6–7 year old children about a particular life chapter—the child’s kindergarten year—and also about a specific episode of their choice. The results indicated that young children are able to recall and discuss information about life chapters and that parents actively scaffold children’s discussion of general information in chapters as well as specific events. Mothers’ conversational style when discussing chapters (e.g., elaborativeness) predicted children’s memory contributions, and was also positively correlated with their style when discussing specific events. The results suggest new avenues for research on the ontogeny of life chapters, the factors that shape them, and their role in development.