Posttraumatic Stress Symptoms and Stressful Life Events Predict the Long-term Adjustment of Survivors of Childhood Cancer and Their Mothers

Objectives: To examine prospectively the impact of posttraumatic stress symptoms (PTSS) in response to childhood cancer and treatment on general adjustment while accounting for the role of other stressful life events and appraisal of life threat and treatment intensity. Methods: As part of a larger study assessing PTSS, 56 childhood cancer survivors, aged 8 to 18, and 65 mothers completed self-report measures of PTSS and appraisal of the intensity and life threat associated with cancer treatment at time 1 and self-report measures of stressful life events and general adjustment at time 2 (approximately 18 months after time 1). Results: For child survivors and their mothers, posttraumatic stress at time 1 significantly predicted general adjustment at time 2, over and above the significant contribution of lifetime stressful events. The life events variable did not function as a mediator in the association of PTSS and general adjustment. Conclusions: Trauma responses to childhood cancer and its treatment have implications for the long-term adaptation of children and their families. Early signs and symptoms of posttraumatic stress and stressful life experiences require early assessment and intervention.     

The family relations of female juvenile delinquents

This study evaluated the assumption that the family relations of female delinquents are more dysfunctional than those of male delinquents. In a 2 × 2 (gender by delinquency status) design, 32 intact families were matched on demographic variables, and the male and female delinquents were matched on arrest data. Mothers, fathers, and adolescents were administered a selfreport personality inventory and were observed during a family interaction task. Consistent with the extant literature, families of delinquents had low rates of facultative information exchange and delinquent adolescents were more dominant toward their mothers than were well-adjusted adolescents. It was also observed that fathers of delinquents were more dominant toward their wives than were fathers of well-adjusted adolescents. In regard to the primary purpose of the study, it was observed that mother-adolescent dyads and parents in families of female delinquents had higher rates of conflict than their counterparts in families of male delinquents. In addition, the fathers of female delinquents were more neurotic than the fathers of male delinquents. These findings provide some support for the view that the families of female deliquents are especially dysfunctional.This research was supported by funding to the Department of Psychology at Memphis State University granted through the Centers of Excellence Program of the State of Tennessee. We gwratefully appreciate the cooperation of Judge Kenneth Turner of Memphis Juvenile Court, and of George Relyea, who has provided statistical consultation over the years.     

Links Between Stressful Life Events and Proactive and Reactive Functions of Aggression

Recently, more attention has been devoted to understanding how stressful life events might relate to proactive and reactive aggression. Findings suggest that stressful life events are more strongly linked to reactive, than proactive, aggression; however, it is unclear whether the impact of stressful life events on proactive and reactive aggression might vary as a function of the level of exposure to or type of stressful life event. The current study examined how level of exposure to stressful life events (i.e., witnessed, experienced, and learned about) and stressful life event types (i.e., war zone exposure, sexual victimization, interpersonal violence, and other trauma exposure) related to proactive and reactive aggression. The sample was comprised of 500 undergraduate students (M = 18.96, SD = 1.22, 49.6% male) recruited from a Midwestern university. Findings indicated that all three levels of stressful life event exposure (i.e., experienced, witnesses, and learned) were associated with reactive aggression; however, only witnessed stressful life events were associated with proactive aggression. Clinical implications and future directions are discussed.     

Perceptions of stressful life events as turning points are associated with self-rated health and psychological distress

Abstract

We test the hypothesis that changes in physical and psychological health are associated with construals of stressful life events. At two points in time, approximately 10 years apart, participants (n=1038) rated their physical health and psychological distress. At the second assessment, participants also reported their most stressful life event since the first assessment and indicated whether they considered the event a turning point and/or lesson learned. Lower self-ratings of health and higher ratings of psychological distress, controlling for baseline health and distress, and relevant demographic factors, were associated with perceiving the stressful life event as a turning point, particularly a negative turning point. The two health measures were primarily unrelated to lessons learned. How individuals construe the most stressful events in their lives are associated with changes in self-rated health and distress.     

Hostile attributional biases in severely aggressive adolescents

Adolescent boys (N = 128) from a maximum security prison for juvenile offenders were administered a task to assess hostile attributional biases. As hypothesized, these biases were positively correlated with undersocialized aggressive conduct disorder (as indicated by high scores on standardized scales and by psychiatric diagnoses), with reactive-aggressive behavior, and with the number of interpersonally violent crimes committed. Hostile attributional biases were found not to relate to nonviolent crimes or to socialized aggressive behavior disorder. These findings held even when race and estimates of intelligence and socioeconomic status were controlled. These findings suggest that within a population of juvenile offenders, attributional biases are implicated specifically in interpersonal reactive aggression that involves anger and not in socialized delinquency.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

Abstract

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15–16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

The Contributions of Political Life Events to Psychological Distress Among South African

The psychological consequences of adverse political experiences among South African youth were studied in a sample of 540 black and white adolescents from two age groups, evenly divided by gender. Three questionnaires were administered, measuring exposure to political life events, the presence of symptoms of psychopathology, and stressful personal life events during the previous 5 years. The first hypothesis, predicting a substantial contribution of stressful political experiences to psychopathology, was strongly supported; when stressful personal life events were partialed out, a significant effect for political life events remained both on general distress and symptomatology indices. The second hypothesis of a linear relation between exposure to political life events and severity of distress was also confirmed. The findings underscore the enduring impact on children's mental health of past apartheid policies in South Africa specifically, and adverse political environments in general.     

Motivational and Other Sources of Work Accomplishments in Mid–Life: A Longitudinal Study

ABSTRACT Earned Income and work accomplishment were determined at age 41 for 89 adults whose mothers had been interviewed for their child-rearing practices when the adults were 5 years old. At age 31, in spontaneous thought but not self-report, n Achievement predicted earned income and socialized power motivation predicted work accomplishment at age 41. Hardships (or "bad breaks") during childhood and adolescence predicted work outcomes for both men and women, as did education for men. Parenting achievement pressure in the first 2 years of life was associated with adult n Achievement and earned income, while moderate encouragement of assertiveness by mothers who were warm to boys and cool to girls was associated with adult socialized power motivation and work accomplishment. Controls for social class of origin, IQ, temperament, and education did not explain the relations between parenting, motivation, and work outcomes, although education played a larger role for men than women who worked both inside and outside the home.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15-16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

压力性生活事件与青少年自尊：被动性社交网站使用和人生意义感的中介作用

采用青少年生活事件量表、被动性社交网站使用量表、生命意义感量表以及自尊量表对605名青少年施测,旨在探讨压力性生活事件对自尊的效应以及被动性社交网站使用和人生意义感的中介作用。结果发现：被动性社交网站使用和拥有人生意义感在压力性生活事件与自尊之间起中介作用,压力性生活事件分别通过被动性社交网站使用、拥有人生意义感的中介作用和被动性社交网站使用与拥有人生意义感的序列中介作用对自尊产生效应。     

压力性生活事件与青少年自尊：被动性社交网站使用和人生意义感的中介作用

采用青少年生活事件量表、被动性社交网站使用量表、生命意义感量表以及自尊量表对605名青少年施测,旨在探讨压力性生活事件对自尊的效应以及被动性社交网站使用和人生意义感的中介作用。结果发现：被动性社交网站使用和拥有人生意义感在压力性生活事件与自尊之间起中介作用,压力性生活事件分别通过被动性社交网站使用、拥有人生意义感的中介作用和被动性社交网站使用与拥有人生意义感的序列中介作用对自尊产生效应。     

Skin conductance responses as predictor of emotional responses to stressful life events

Preferential preattentive processing towards threat has been proposed to play a casual role in the development of anxiety, mainly because it reliably predicts emotional responding to stressful events. However, in the investigation of the predictive value of preferential preattentive processing towards threat, the emotional Stroop task has exclusively being used. This study was designed to prospectively investigate the predictive value of skin conductance reactivity in response to masked (i.e., preattentively perceived) threatening pictures on emotional responding following stressful life events. To collect skin conductance data, the picture perception task was administered to 136 police recruits due to enroll into active duty within 2-4 months. To assess psychological distress following emotionally stressful life events, the impact of event scale were administered approximately 24 months later. Controlling for trait anxiety, analyses indicated that enhanced skin conductance reactivity in response to masked threatening pictures (relative to neutrals) was a strong predictor of emotional responding to stressful life events. This finding support preferential preattentive processing towards threat as a relatively independent factor predictive of emotional responding.     

日常生活事件对中学生社会适应的影响：社会问题解决能力的中介作用

采用问卷法,对2157名中学生日常生活事件的特点,及其与社会适应、社会问题解决能力的关系进行研究。结果发现：（1）学业压力与人际冲突是中学生所遇到的最主要的日常生活事件,低年级经历的事件显著少于高年级,女生经历的事件显著少于男生;（2）中学生日常生活事件显著负向预测积极适应,显著正向预测消极适应;（3）社会问题解决能力在日常生活事件和社会适应之间起到部分中介作用,其中问题趋近、问题回避的作用尤其突出。     

Positive impact of prior military combat exposure on Terrorism Prevention work: Inoculation to stress

Forty-four Israeli security agents employed by the Israeli Government Terrorism Prevention Agency providing security services for the national Israeli airlines and the Israeli Consulate in Los Angeles were administered the Subjective Stress Experience Scale (SSES). This scale measures stress at terrorism-prevention work, past stress during combat exposure, and subjects’ most stressful life events. Results support the hypothesis that terrorism prevention personnel who are also combat veterans appraise their work as less stressful than their noncombat exposed counterparts. Combat veterans also rated their combat experience as significantly more stressful than prevention team member’s other stressful life events. Subjects presented a uniform stress- inoculation effect but, combat veterans of the prevention team were more stress-inoculated than their noncombat exposed counterparts.     

压力、感恩和基本心理需要满足对工读生毒品使用的影响机制

采用压力性生活事件量表、感恩问卷、基本心理需要量表、毒品使用问卷对585名工读生进行调查,分析了工读生毒品使用情况,以及压力性生活事件、感恩、基本心理需要满足与工读生毒品使用的关系。结果显示:(1)工读生的毒品使用行为严重,41.7%的工读生曾使用过毒品;(2)基本心理需要满足在压力性生活事件与毒品使用之间具有完全中介作用;(3)感恩调节了压力性生活事件通过基本心理需要满足对毒品使用的中介过程;(4)感恩与工读生的毒品使用显著负相关。研究结论对青少年毒品使用的预防干预有重要参考价值。     

Suicide attempts and stressful life events among homeless people in Madrid (Spain)

The article describes a study carried out with a representative sample of homeless people in Madrid (Spain; N = 188). This study aims to corroborate the relationship identified in the literature between stressful life events and suicidal behaviour in a group in a situation of social exclusion, to assess the differences in the number and characteristics of stressful life events experienced by homeless people who are attempters and non‐attempters, and to identify which combination of stressful life events enables discrimination for suicide attempts among homeless people. The results show that 30% of homeless people in Madrid had attempted suicide, and 57.9% of them had done so for the first time when they were homeless. The interviewees are shown to have experienced a large amount of stressful life events, with substantially more stressors experienced by the homeless people who tried to commit suicide, during both their childhood and adolescence and throughout their life. Finally, we found that the combination of 7 stressful life events provided the best possible discrimination between homeless attempters and non‐attempters.     

Flexible coping responses to severe acute respiratory syndrome-related and daily life stressful events

Based on the theoretical framework of coping flexibility, the present study examined the coping flexibility of university students in response to severe acute respiratory syndrome (SARS)-related and daily life stressful events. The Coping Flexibility Questionnaire was used to investigate 93 university students' coping responses toward 10 SARS-related stressful events and 10 daily life stressful events that generally occur among university students. Results showed that the patterns of coping flexibility were different for the two types of stressful events. The flexible and the active-inflexible patterns were most commonly found in coping with daily life stressful events. By contrast, the passive-inconsistent pattern was dominant when coping with daily life stressful events. Moreover, participants showed lower discriminating ability to situation controllability, and displayed poorer strategy-situation fit to cope with SARS-related events than with daily life stressful events. The theoretical and practical implications of this study are discussed.     

An examination of the differential relationship of marital discord to parents' discipline strategies for boys and girls

Previous research has tentatively indicated that coercive, ineffective parenting might have a mediating role in the differential impact of marital discord on boys and girls. To further explore this role, we examined the relationship between children's perceptions of marital discord and their evaluations of parental discipline techniques. Ninety-one children aged 8 to 13 years (mean age: 11 years 4 months) were split into high, moderate, and low perceived marital discord on the basis of their responses to the Children's Perceptions Questionnaire (Emery & O'Leary, 1982). The children rated how coercive they believed both mothers and fathers would and should be in three discipline situations. Children with high marital discord indicated that both mothers and fathers would and should use more coercive behavior than did children with low marital discord. The effects of marital discord were stronger for boys than for girls. All children also believed that fathers would and should be more coercive than mothers. Results are discussed in relation to the effects of marital discord on children's social development with regard to sex of the child.Thanks are due to Mike Siegal and Pat Noller for their helpful comments on previous drafts.     

Self-cognitions,stressful events,and the prediction of depression in children of depressed mothers

In a preliminary effort to integrate cognitive, life stress, and interpersonal approaches to vulnerability to depression, children's cognitions about themselves, their stressful life events, and the interaction of self-cognitions and life events were tested as predictors of depression. Children of normal, medically ill, and bipolar and unipolar depressed mothers were assessed initially and 6 months later for diagnostic status using the Kiddie-SADS interview. As predicted, Piers-Harris self-concept scores and interview-assessed children's stressful life events significantly predicted changes in depression status over the 6-month follow-up. Stressors and the interaction of stressors and self-concept also predicted changes in diagnosis of nonaffective disorders. A self-schema measure of accessibility of negative self-cognitions, known to be mood-dependent, failed to add to the prediction of depression severity. The results are consistent with a model of depression vulnerability that emphasizes cognition about self-worth and self-efficacy as mediators of the impact of stressful events, and we speculate that such self-schemas are acquired in part in the context of parent-child relationships. Recommendations are given for further studies of the acquisition and the mechanisms of self-schemas.This research was supported by an award from the William T. Grant Foundation. The assistance of Cheri Adrian, Dorli Burge, David Gordon, Donald Hiroto, Carol Jaenicke, our research staff, and cooperating agencies is gratefully acknowledged.     

Social skill in third and sixth grade children: A moderator of lifetime stressful life events and behavior problems?

We investigated relationships among stressful lifetime life events, social skill, and behavior problems in children. Participants were 159 third graders, 138 sixth graders, and their mothers. Mothers reported on their children's life events, social skill, and behavior problems. Children self-reported on their social skill and behavior problems. Increased numbers of stressful life events significantly predicted increased behavior problems in third and sixth graders. Increased social skill significantly predicted decreased behavior problems in third and sixth graders. Social skill served a stress-protective role for third but not sixth graders; third graders with increased life events and better social skill had fewer behavior problems than their less socially skilled peers. Practical and theoretical implications are discussed, and suggestions for future resilience research are presented.