An Evaluation of the Relation Between Distress Tolerance and Posttraumatic Stress within a Trauma-Exposed Sample

The present investigation examined the incremental associations between distress tolerance, or the perceived capacity to tolerate emotional distress, and global posttraumatic stress symptom severity as well as symptom cluster severity, beyond the variance accounted for by number of trauma exposure types and negative affectivity. The sample consisted of 140 adults (72 women; M _age = 25.9, SD = 11.1) who endorsed exposure to traumatic life events, as defined by posttraumatic stress disorder diagnostic criterion A (American Psychiatric Association 2000). Participants did not meet diagnostic criteria for current axis I psychopathology. Distress tolerance demonstrated significant incremental associations with global posttraumatic stress symptom severity (p < .01) as well as re-experiencing (p < .05), avoidance (p = .05), and hyperarousal (p < .001) symptom cluster severity. Given the cross-sectional study design, causation cannot be inferred. Theoretical implications and future directions for better understanding associations between distress tolerance and posttraumatic stress are discussed.     

Happiness as Stable Extraversion: Internal Consistency Reliability and Construct Validity of the Oxford Happiness Questionnaire Among Undergraduate Students

The Oxford Happiness Questionnaire (OHQ) was developed by Hills and Argyle (2002) to provide a more accessible equivalent measure of the Oxford Happiness Inventory (OHI). The aim of the present study was to examine the internal consistency reliability, and construct validity of this new instrument alongside the Eysenckian dimensional model of personality. The Oxford Happiness Questionnaire was completed by a sample of 131 undergraduate students together with the abbreviated form of the Revised Eysenck Personality Questionnaire. The data demonstrated good internal consistency reliability (alpha = .92) and good construct validity in terms of positive association with extraversion (r = .38 p < .001) and negative association with neuroticism (r = −.57 p < .001). The kind of happiness measured by the OHQ is clearly associated with stable extraversion.     

Youth Developmental Assets and Perceived Life Satisfaction: Is There a Relationship?

This study explored associations between youth developmental assets (i.e., support by parents/other adults; accountability to adults; empowerment; school support; values regarding risk behaviors; quantity of other adult support; empathetic relationships) and adolescents’ perceptions of overall life satisfaction. Public high school students (N = 3,477) completed a self-report questionnaire. Analyses were conducted to examine relationships between developmental assets and perceived life satisfaction while controlling for socioeconomic status. Results indicated that significant (p ≤ .05) associations were established for perceived support by parents/other adults for all four race/gender groups, self and peer values regarding risk behavior for black females, quality of other adult support for black males and white females and life satisfaction for adolescents. Significant (p ≤ .05) associations were also established for perceived support by parents/other adults for White males and Black males, accountability to parents/other adults for White females, quality of other adult support for White males and Black females and for empathetic relationships for all four race/gender groups. Results suggest that perceived life satisfaction is related to youth developmental assets, although moderated by gender and race differences. Further research is necessary to identify the particular characteristics of youth and specific aspects of adolescent life satisfaction associated with youth developmental assets in order to develop gender appropriate and culturally sensitive health promotion programs.     

The Effect of Dispositional Optimism in HRQOL in Patients with Chronic Musculoskeletal Pain Conditions in Greece

The purpose of this investigation was to study the influence of optimism in the quality of life of patients with musculoskeletal problems that were referred to Amfilohia Rehabilitation Center, because of chronic pain and kinetic difficulties. The sample consisted of 96 patients. The questionnaires that were used are the short form health questionnaire (12 questions; SF12), the life orientation test-revised (LOT-R) and a VAS scale for pain measurement. According to the regression analysis performed, dispositional optimism is an independent factor affecting both the physical (β = .249, p < .005) and mental composite score (β = .414, p < .0001) in patients with musculoskeletal problems, even after controlling for the effect of pain intensity.     

Construct Validity of ADHD-IN,ADHD-HI,ODD toward Adults,Academic and Social Competence Dimensions with Teacher Ratings of Thai Adolescents: Additional Validity for the Child and Adolescent Disruptive Behavior Inventory

Confirmatory factor analysis was used to test the construct validity of an attention-deficit/hyperactivity disorder-inattention, attention-deficit/hyperactivity disorder-hyperactivity/impulsivity, oppositional defiant disorder toward adults, academic and social competence factor model with teacher ratings of Thai adolescents (n = 872) with the Child and Adolescent Disruptive Behavior Inventory. The five-factor model resulted in an adequate fit in an absolute sense (i.e., CFI = .960; TLI = .985; RMSEA = .065; and WRMR = .883). All the items had significant and substantial loadings on their respective factors (i.e., > .78) with the five-factors showing discriminant validity. The five-factor model also resulted in similar results for boys and girls separately as well as younger and older adolescents. The current findings with the teacher version of the measure in conjunction with earlier research with mothers’ and fathers’ ratings of Brazilian, Thai, and American children (Burns et al., Psychological Assessment, 20, 121-130, 2008) and Thai adolescents (Burns et al., Psychological Assessment, 21, 635-641, 2009) provide increasing support for the construct validity of Child and Adolescent Disruptive Behavior Inventory within multiple cultures. Procedures are also outlined to improve the content validity as well as test the construct validity of forthcoming parent and teacher DSM-V ADHD/ODD rating scales.     

The UCLA Body Project II: Breast and Body Dissatisfaction among African, Asian, European, and Hispanic American College Women

Breast and global body dissatisfaction were examined in Asian (n = 237), European (n = 196), Hispanic (n = 109), and African (n = 58) American college women. Asian American women reported the lowest body satisfaction on the Appearance Evaluation Scale (Cash, T. F. The multidimensional body-self relations questionnaire users’ manual: 3rd revision, 2000) and greatest breast dissatisfaction on one of two breast dissatisfaction measures. Ethnic differences in breast dissatisfaction, but not in body dissatisfaction, disappeared when body size (BMI) was statistically controlled. Results were consistent with research showing that (1) ethnic differences in body dissatisfaction are small, (2) studies of ethnic differences must include appropriate controls for total or specific body size, and (3) Asian college women report lower global body satisfaction than women of African, European, or Hispanic heritage. For additional papers and information, please contact David Frederick at enderflies1@aol.com, visit his website at or contact Gordon B. Forbes at gforbes@millikin.edu.     

Associations of Youth and Adulthood Body-Mass Index and Waist-Hip Ratio with Attachment Styles and Dimensions

The current cross-sectional study examined whether body-mass index (BMI) and waist-hip ratio are associated with adult attachment. Participants were 1,570 men and women participating in Cardiovascular Risk in Young Finns study. BMI was measured in youth and in adulthood and waist-hip ratio in adulthood. A single measure of attachment style was conducted when participants were aged 24–39 years. In age and sex adjusted models, youth BMI (Beta = .066, p = .008), adulthood BMI (Beta = .069, p = .007) and waist-hip ratio (Beta = .082, p = .016) were associated with fearful attachment. The associations remained significant when education and relationship status were adjusted for. Age adjusted association between adulthood waist-hip ratio and preoccupied attachment was found in men (Beta = .132, p = .002). The association was not essentially changed by additionally adjusting for education and relationship status, and including fearful attachment in the model. Furthermore, associations for attachment dimensions were also found. These results suggest that in addition to previously reported negative effects of higher BMI on physical health, higher BMI might have negative associations with psychological functioning as well. Furthermore, our results imply that physical appearance might be associated with attachment style in adulthood.     

Life Satisfaction, Dieting Behavior, and Weight Perceptions among College Students

This study examined the relationships among perceived life satisfaction, perceptions of body weight, and dieting behaviors among 522 college students. Adjusted multiple logistic regression analyses and multivariate models constructed separately were utilized for this study. Perceptions of underweight and extreme worry over weight were significantly associated with dissatisfaction with life for both males and females (p < 0.01). However, vomiting; perceptions of overweight; binge eating behavior; extreme worry over binge eating behavior; and engaging in binge eating behavior for more than one year were significantly related to dissatisfaction with life for only females (p < 0.01). In addition, both males and females were less likely to self-identify problematic disordered eating, with males being particularly less likely to report concern over extreme dieting behaviors. Results suggest that carefully designed educational and intervention efforts for college students with eating disorders must take gender differences into account. Programs for males may need to differ from those for females in terms of recruitment, intervention integrity, and evaluation considerations.

Using the ASEBA to Screen for Callous Unemotional Traits in Early Childhood: Factor Structure,Temporal Stability,and Utility

This study evaluated a five-item screening measure of Callous Unemotional (CU) traits using items drawn from the Preschool Form of the Achenbach System of Empirically Based Assessment (ASEBA). Using data from the Durham Child Health and Development study (N = 178), confirmatory factor analyses demonstrated that CU items could be distinguished from Attention Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant (ODD) items. The two-year stability (N = 137) of CU (ϕ = .84) was comparable to that of ADHD (ϕ = .79) and ODD (ϕ = .69). Three groups of children were selected based on parent-rated ODD and CU behaviors at the 36-month assessment (N = 37; ODD+CU, N = 7; ODD-only, N = 12; non-ODD, N = 18). Multiple measures of infant temperament predicted group membership with 84% accuracy. Consistent with Frick and Morris’ (Journal of Clinical Child and Adolescent Psychology 33(1):54–68, 2004) hypotheses, ODD+CU and ODD-only children exhibited temperamental profiles in infancy that were consistent with low fear and emotionally dysregulated pathways into conduct problems, respectively.     

Adolescents’ Social Environment and Depression: Social Networks, Extracurricular Activity, and Family Relationship Influences

The present study examined components of adolescents’ social environment (social network, extracurricular activities, and family relationships) in association with depression. A total of 332 adolescents presenting for a routine medical check-up were self-assessed for social network risk (i.e., smoking habits of best male and female friends), extracurricular activity level (i.e., participation in organized sports teams, clubs, etc.), family relationship quality (i.e., cohesion and conflict), and symptoms of depression (i.e., minimal, mild, moderate/severe). Results of a forward linear regression modeling indicate that social environment components were associated with a significant proportion of the variance in adolescent depression (Adjusted R ² = .177, p ≤ .05). Specifically, adolescent females (β = .166, p < .01) and those having more smokers in their social network (β = .107, p < .05) presented with significantly greater depression symptoms. Conversely, adolescents who engaged in more extracurricular activities (β = −.118, p < .05) and experienced higher quality family relationships (β = −.368, p < .001) presented with significantly lower depressive symptoms. These findings highlight the important role that the social environment plays in adolescent depression, as well as yields new insights into socially-based intervention targets that may ameliorate adolescent depression. These intervention targets may be gender-specific, include positive social network skills training, increase adolescents’ engagement in organized activities, and attend to the quality of their family relationships.     

The Effects of Weight Loss Attempts, Exercise Initiation, and Dietary Practices on Health Related Quality of Life

This study (N = 98) randomly placed participants in either a higher protein or American Heart Association diet group with each group initiating an aerobic exercise program. Body composition (BC) was measured using four different methodologies (DEXA, BIA, skinfold, BMI) along with height and weight, while Health-Related Quality of Life (HRQOL) changes were measured using the Medical Outcomes Short Form 36 (SF-36). There were no significant time/diet interactions in HRQOL scores, body fat measures, and weight with the exception of Role-Physical scores (p = .006) with posttest scores higher in participants in Diet 1. Role-Physical scores changed significantly in participants in Diet 1 (p = .0001) and Diet 2 (p = .026) with higher posttest scores in each group. Social functioning had a significant main effect for time in both groups with pretest scores in both diet groups lower than their respective posttest scores (p = .015). HRQOL pretest scores were not significantly different between groups at baseline (p = .56). ANOVA revealed no significant differences in average calories between groups (p = .88). Analysis revealed no differences in exercise in minutes (p = .66) nor statistically significant changes in BC or weight (p = .65). Conclusions: Improvements in HRQOL were demonstrated in two subscales related to physiological and psychological functioning. These novel findings add to literature suggesting that HRQOL, at least concerning social functioning, work and other daily activities (Role-Physical) may improve by initiating an exercise and dietary program even when weight loss or BC improvements have been unsuccessful.     

The Validity of a New,Self-report Measure of Multiple Intelligence

In all, 187 participants completed a new, self-report measure of eight multiple intelligences (Haselbauer 2005), a General Knowledge test (Irwing et al. Personality and Individual Differences 30:857–871, 2001), a measure of Approaches to Learning Styles (Biggs 1987), a measure of the Big Five personality traits (Costa and McCrae 1992), as well as gave their own estimated scores on the Gardner (1999) multiple intelligences. Alpha co-efficients were modest with only three of the eight test-derived, multiple intelligence scores being over .70. ‘Linguistic’ and Mathematical intelligence alone were correlated with General Knowledge. Five of the eight ‘intelligences’ were correlated both with Extraversion and Openness. Regressions indicated that ‘Intrapersonal intelligence’ was closely linked with Stability and Conscientiousness; ‘Interpersonal intelligence’ with Extraversion; ‘Linguistic intelligence’ with Openness; ‘Mathematical intelligence’ with Agreeableness and Conscientiousness. Correlations between self-estimated and test-derived emotional intelligence showed correlations ranging from r = .18 to r = .56 for similar type ‘intelligences’. This study provides modest evidence for the concurrent and construct validity of this measure. It requires more psychometric evidence of validity before it is used.     

In the Eye of the Beholder: Alcohol Use and Perceptions Among Student-Patrons of ‘Joints’ in Three Nigerian University Communities

Alcohol use and its associated problems among university students have attracted empirical investigation by researchers and scholars. While many of these studies have reported a very high level of alcohol consumption and highlighted the various problems this portends, alcohol-related perceptions of this vulnerable population, which could be germane to intervention aimed at curtailing the problem, have remained largely under-researched. This cross-sectional survey examined the use and perceptions of alcohol by student-patrons (n = 1,705) of beer parlours or ‘joints’ in three university communities in Southwest Nigeria. Respondents were interviewed using AUDIT, a socio-demographic prototype and an open-ended section on alcohol-related perceptions of the students. Findings indicated that overall, 72% of the respondents perceived that alcohol is good for socializing, 68% perceived that alcohol is good in the aspect of stress reduction, 58% believed that alcohol consumption is indicative of maturity, 36% perceived that alcohol enhances their sexual performance while 39% perceived that alcohol serves to enhance alertness/concentration. Results also showed that gender (β = −. 23; p < .05), paternal alcohol use (β = .36; p < .01), parental socio-economic status (β = .33; p < .01), and residential status of university of respondents (β = .21; p < .05) significantly predicted alcohol use. The study concluded that perceptions about alcohol are very germane to understanding students’ alcohol use and should be reckoned with in designing intervention programmes. The need to adopt a ‘client-centered’ approach to the problem of student drinking behaviour was emphasized.     

Test of a Factor Mixture-Based Taxonic-Dimensional Model of Anxiety Sensitivity and Panic Attack Vulnerability among University and Clinical Samples in Mexico City

The aim of the present study was to evaluate a factor mixture-based taxonic-dimensional model of anxiety sensitivity (AS) (Bernstein et al. Behavior Therapy 41:515-521, 2010), as measured by the ASI-3 (Taylor et al. Psychological Assessment 19:176-188, 2007), in regard to panic attacks, anxiety symptoms, and behavioral impairment among a university sample (N = 150, n _females  = 107, M _age = 21.3 years, SD = 4.3) and a clinical sample (N = 150, n _females  = 102, M _age = 39.0 years, SD = 12.0) from Mexico City, Mexico. Findings demonstrated cross-national support for the conceptual and operational utility of the AS taxonic-dimensional hypothesis (Bernstein et al. Journal of Anxiety Disorders 20:1-22, 2007b). Specifically, (1) the FMM-based AS taxon class base rate was significantly greater among the clinical relative to the university sample; (2) risk for panic attacks was significantly greater among the AS taxon class relative to the AS normative class; and (3) continuous individual differences in AS physical and psychological concerns, within the AS taxon class, were associated with level of risk for panic attacks, as well as panic attack severity and anxiety symptom levels. Similar AS taxonic-dimensional effects were observed in relation to degree of behavioral impairment across domains of functioning. The study results are discussed with respect to their implications for better understanding the nature of AS-related cognitive vulnerability for panic and related anxiety psychopathology.     

Predictors of Heart-Focused Anxiety in Patients Undergoing Genetic Investigation and Counseling of Long QT Syndrome or Hypertrophic Cardiomyopathy: A One Year Follow-up

Since Long QT syndrome and Hypertrophic cardiomyopathy are inherited cardiac disorders that may cause syncope, palpitations, serious arrhythmias, and sudden cardiac death, at-risk individuals may experience heart-focused anxiety. In a prospective multi-site study, 126 Norwegian patients attending genetic counseling were followed 1 year with multiple administration of questionnaires, including the Cardiac Anxiety Questionnaire, measuring three distinct symptoms of heart-focused anxiety- avoidance, attention, and fear—in mixed linear analyses. Overall, at 1-year follow-up, patients with clinical diagnosis as compared to patients at genetic risk had significantly higher scores of avoidance (p < .002), attention (p < .005), and fear (p < .007). Sudden cardiac death in close relatives, uncertainty whether other relatives previously had undergone genetic testing, patients’ perceived general health, self-efficacy expectations and procedural satisfaction with genetic counseling were influential in predicting the different symptoms of heart-focused anxiety over time.     

Health Related Quality of Life After Gastric Bypass Surgery

The majority of studies which have evaluated health related quality of life are limited in the duration of follow up. The objective of this study was to prospectively conduct an evaluation using a repeated cross sectional analysis of separate patient cohorts who were up to four years after gastric bypass surgery. Adult Roux-en-Y gastric bypass patients were recruited to the study. All patients were requested to complete a general health status questionnaire, the Short Form-36 (SF-36), before surgery or at their post operative out patient follow up visits. Patient weight was documented at each follow up visit. A cross sectional analysis was performed to evaluate SF-36 scores in each annual cohort. Data are reported as mean +/− S.D. Three-hundred-eight patients completed at least one SF-36 assessment [Initial assessment at the time of surgery, time 1, n = 245, 1y n = 149, 2y n = 70, 3y n = 59, 4y n = 61]. The SF-36 scores were greater (p < 0.05) in each of the separate post surgery cohorts for physical functioning, role limitations due to physical health, social functioning, pain, vitality, general health and the physical component summary (PCS) scores. While not comparing changes in scores within individuals over time, these data suggest early improvement especially in the physical dimension of health related quality of life. In this analysis, this finding was also observed in each of the separate cohorts up to 4 years after gastric bypass surgery.     

An Exploratory Study of Religiosity, Meaning in Life and Subjective Wellbeing in Muslim Students from Algeria

This study explores the relationships between religiosity, Meaning in Life and Subjective Wellbeing (SWB) in a sample of 495 Muslim students (330 Females, and 165 males) from Algeria. Their Mean age is 21.26 (SD2.30). Relying on experts’ judgments and pilot-testing, a Comprehensive Measure of Islamic Religiosity (CMIR) has been developed. It consists of 60 items covering four broad areas with high inter-correlations: Religious Belief, Religious Practice, Religious Altruism, and Enrichment of religious experience. A short version of the ‘Presence of Meaning in Life’ (PML) scale, Satisfaction With Life Scale (SWLS), and Personal Wellbeing Index (PWI) are also administered in one set of questionnaires, together with religiosity items. The results indicate that Religious Belief and Religious Altruism significantly contribute in providing subjects with meaning in life. Nevertheless, Hierarchical Regression Analyses show that only Religious Belief makes a significant contribution in both SWLS and PWI. But, this effect has almost totally been accounted for by Meaning in life in the second step. Comparisons on the basis of the demographic characteristics show that males marginally differ from females (p < .05) in Religious Altruism, but these latter are higher in SWLS (p < .05). Moreover, it has been shown that students of science score marginally higher in Belief and Practice and also in PML, and SWLS compared to their counterparts of Arts studies. Though no differences are found in the strength of religious belief in subjects from rural and urban location, the former have generally higher scores on other religiosity subscales. This trend is slightly reversed in PWI (p < .05). Furthermore, subjects from high income families are favoured in PML, SWLS, and PWI. These results are discussed on the light of current international research.     

The Effects of Social Identity and Perceived Autonomy Support on Health Behaviour Within the Theory of Planned Behaviour

The present study employed constructs from self-determination theory, social-identity theory, and the theory of planned behaviour to examine the combined effects that social identity and perceived autonomy support exerted on attitudes, intentions and health behaviour. A prospective design was employed measuring constructs from the theory of planned behaviour, group norms, group identification, and perceived autonomy support at baseline and physical activity behaviour 5 weeks later. Self-report questionnaires were administered to 231 pupils (male = 113, female = 118, M = 14.21 years, SD = .90). Hierarchical regression analysis demonstrated that group norms predicted participation in physical activities and attitudes, but only for participants who identified strongly with their group. Perceived autonomy support predicted attitudes, intentions and behaviour. The effects of perceived autonomy support and social-identity constructs were independent. It was concluded that both social identity and perceived autonomy support should be included in the theory of planned behaviour.     

Psychological Factors Associated with a Better Quality of Life Following Head-Up Tilt Testing

Quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained syncope (US). Little is known concerning the natural evolution of QoL following diagnosis. Psychological factors contributing to QoL improvement, such as psychological distress and self-efficacy remain to be explored. The objective of this study is to examine whether QoL changes 2 months and 6 months following head-up tilt (HUT) testing as well as to determine whether psychological factors are predictive of changes in QoL. Seventy-three patients undergoing HUT for recurrent syncope were interviewed 1 month before as well as 2 months and 6 months following HUT, using semi-structured interviews and questionnaires. Pre-HUT QoL was significantly worse than at the 2-month (p = 0.000) and 6-month follow-ups (p = 0.000). Psychological distress at baseline was associated with worse QoL 2 months post-HUT (Beta = .280; p = .024), independently of socio-demographic and clinical factors. Improved self-efficacy at follow-up predicted improvements in QoL (Beta = −.186; p = .023). Two and 6 months post-HUT, QoL is mproved in patients with recurrent syncope. Better QoL is predicted by low psychological distress and a heightened sense of self-efficacy following HUT. Strategies for enhancing self-efficacy and reducing psychological distress could be an efficient way to promote QoL in patients suffering from recurrent syncope.