Stress management training for law students: Cognitive-behavioral intervention

The practice of law has created chronic and, at times, severe psychological stress both in law school and subsequent practice. In the current study, students volunteered to participate in a six-session seminar on personal stress management skills including self-relaxation training, schedule planning, priority-setting, leisure time planning, and cognitive modification techniques. Subjects showed pre- to posttreatment improvement on a variety of measures that included their knowledge about stress, personal ratings of stressful situations, and their daily activity schedules. In contrast, a control group showed no improvement and worsened in reported levels of personal stress. The importance of providing law students with personal stress management skills is discussed.     

Stress reactivity and exercise training in premenopausal and postmenopausal women.

Examined the influence of ovarian function on psychophysiological stress responses and determined if aerobic exercise reduced stress reactivity. Fifty premenopausal and postmenopausal women initially were subjected to a public speaking task and an ice-on-the-forehead procedure, during which time their blood pressure and heart rate were monitored and continuous blood samples were obtained. Subjects also underwent aerobic fitness evaluations with a maximum-exercise treadmill test. Subjects were then randomly assigned to a 12-week exercise program of either aerobic exercise (e.g., walking and jogging at a prescribed exercise intensity) or non-aerobic strength and flexibility training and were then reevaluated. Results indicated that postmenopausal women exhibited lower resting epinephrine levels but greater epinephrine reactivity to the speaking task compared to the premenopausal women. There were no differences between premenopausal and postmenopausal women with respect to cardiovascular or catecholamine responses during the cold challenge. Premenopausal and postmenopausal women also achieved comparable improvements in aerobic fitness. However, results of the mental stress testing were complex and provided only partial support for the role of aerobic exercise in reducing stress responses.     

Stress management and exercise training in chronic stable angina pectoris

Abstract

Patients suffering from chronic stable angina pectoris were allocated to one of four conditions: stress management training, exercise training, combined stress management and exercise, or waiting list control. Patients undertook an exercise tolerance test before and after intervention, and at follow-up assessment eight weeks later. They also kept a daily diary of the frequency, duration and intensity of all angina episodes, and recorded the amount of medication taken, for the week preceding and the week following intervention, as well as for the eighth week of follow-up. Patients who undertook the combined stress management and exercise programme faired best. They showed sustained gains in achieved workload on the exercise tolerance test at no cost in terms of ischaemia, as measured by ST-segment depression. They also registered less frequent angina attacks following intervention than the exercise only and waiting list control patients, and reported reduced reliance on medication; the latter benefit was sustained at follow-up. These clinical dividends invite further study of combined stress management and exercise training in angina pectoris.     

Driver trust in and training for advanced driver assistance systems in Real-World driving

Two-hundred and twenty-three participants completed an online survey regarding their experiences with advanced driver assistance systems (ADAS) on their personal vehicles, with focus on 1) drivers’ trust in 13 ADAS technologies, and 2) perceived effectiveness of currently used methods of training. Eighteen drivers participated in focus groups designed to probe more deeply into survey responses. Results of the survey showed that participant ratings of trust increased significantly with longer vehicle ownership, but participants who experienced unexpected ADAS technology behavior rated their trust over time significantly lower on ADAS technologies with the exception of rear collision avoidance. The majority (75.8%) of participants reported receiving some ADAS instruction at their vehicle dealership, but only 16.6% indicated it was formal. Participants who received formalized training reported it to be significantly more effective than those who received informal overviews of their systems. Use of trial and error and the owner’s manual were the most frequently reported methods of learning outside of dealership training. Responses indicated that the lack of content tailored to trim-specific vehicle features in owner’s manuals was a barrier to effective use.     

Effects of endurance training on body-consciousness in women

The Body Consciousness Questionnaire by Miller, Murphy, and Buss in 1981 was employed to assess the effects of intensive endurance training on changes in self-perception in 13 women volunteers aged 20 to 30 yr. The participants engaged in an intensive progressive running program for 6 to 8 wk. Additional moderate exercise (softball or volleyball) was engaged in for 3 1/2 hr. per day. Before and after the training subjects completed the questionnaire on self-perceived attributes of internal body consciousness, public body consciousness, and body competence. Aerobic fitness, measured pre- and posttraining, significantly increased while body fat and weight significantly decreased. In consonance with these physiological changes, rated self-perception of internal body consciousness and body competence increased significantly while public body consciousness remained unchanged. Self-report of internal body consciousness tended to increase in proportion to changes in fitness (r = 0.53). These results suggest that endurance and moderate exercise training contribute to increased self-perception specifically with regard to perceived internal and body competence.     

The efficacy of remote video-based behavioral skills training and awareness training on public speaking performance

This study evaluated the efficacy of (a) remote video-based behavioral skills training (BST) with added speech outlines on teaching public speaking behaviors and (b) remote video-based awareness training (AT) on speech-disfluency rates. A multiple-baseline design across speech behaviors was used to evaluate the training. Remote video-based BST and AT were effective at teaching public speaking behaviors and reducing speech disfluencies, respectively, for both participants. In addition, performance generalized to increased audience size. Although expert ratings of perceived public speaking effectiveness improved following BST, the ratings did not improve and some worsened following AT. Both participants reported satisfaction with video-based BST and AT. One participant reported greater comfort, confidence, overall ability, and less anxiety as a public speaker following BST. Both participants reported greater improvements in those categories following AT. Our results suggest that public speaking behaviors can be taught using remote video-based BST and speech disfluencies can be reduced using remote video-based AT.     

A multi-modal approach to cognitive training and assistance in minimally invasive surgery

Minimally-invasive surgery (MIS) offers many benefits to patients, but is considerably more difficult to learn and perform than is open surgery. One main reason for the observed difficulty is attributable to the visuo-spatial challenges that arise in MIS, taxing the surgeons’ cognitive skills. In this contribution, we present a new approach that combines training and assistance as well as the visual and the auditory modality to help surgeons to overcome these challenges. To achieve this, our approach assumes two main components: An adaptive, individualized training component as well as a component that conveys spatial information through sound. The training component (a) specifically targets the visuo-spatial processes crucial for successful MIS performance and (b) trains surgeons in the use of the sound component. The second component is an auditory display based on a psychoacoustic sonification, which reduces and avoids some of the commonly experienced MIS challenges. Implementations of both components are described and their integration is discussed. Our approach and both of its components go beyond the current state of the art in important ways. The training component has been explicitly designed to target MIS-specific visuo-spatial skills and to allow for adaptive testing, promoting individualized learning. The auditory display is conveying spatial information in 3-D space. Our approach is the first that encompasses both training for improved mastery and reduction of cognitive challenges in MIS. This promises better tailoring of surgical skills and assistance to the needs and the capabilities of the surgeons and, thus, ultimately, increased patient safety and health.     

Stress management for teachers: A cognitive-behavioral program

Urban secondary school teachers participated in a cognitive-behavioral stress management program. Assessment data were also collected from a waiting list control group. Dependent measures included self-reported anxiety and stress, and observations of teacher classroom behavior. Results showed that the training program significantly decreased self-reported stress and anxiety. Follow-up data indicated further decrease six weeks after termination of the training program. Results also indicated decreases in motoric manifestations of anxiety in the classroom as a result of the training.     

Generalization of treatment effects in training public speakers

Three studies compared the efficacy of various treatments for public-speaking incompetence. These effects were evaluated for the target behavior as well as for generalization effects across situations (conversations), settings (different sizes and types of audiences) and time (6-month follow-up). The first study showed that Self-instructional Training, either alone or in combination with other procedures, produced little or no benefits. The second study demonstrated the superiority of a Skills Training program over flooding therapy, while the final study failed to detect any enhancement of treatment benefits for the addition of home-practice to the Skills Training. In the first two studies generalization occurred across the three dimensions (settings, situations and time), while in the final study it was shown that the program was effective for a clinical population as well as recruited volunteers.     

Mother-child separations among homeless and housed families receiving public assistance in New York City

We examined the incidence, characteristics, and predictors of separations of children from mothers in 543 poor families receiving public assistance, 251 of whom had experienced homelessness during the previous 5 years. Forty-four percent of the homeless mothers and 8% of housed mothers were separated from one or more children. A total of 249 children were separated from 110 homeless families and 34 children from 23 housed families. Children were placed with relatives and in foster care but were rarely returned to their mothers. Maternal drug dependence, domestic violence, and institutionalization predicted separations, but homelessness was the most important predictor, equivalent in size to 1.9 other risk factors. We infer that policies regarding child welfare and substance abuse treatment should be changed to reduce unnecessary placements. Studies of homeless children who remain with families may be biased if separated children are excluded.     

Sustaining work force inclusion and well-being of mothers on public assistance: Individual deficit and social ecology perspectives

This study compared theoretical perspectives on the psychological and paid labor activity implications of mandating mothers initially on US welfare to participate in labor force activities. Data were collected that reflected these areas: government public policy interventions, family social ecology measures, mother’s psychological and human capital, and community capital. A quasi-experimental design was used, and multiple source data was collected over time. In the initial part of the study, 144 welfare mothers and one of their children between 9 and 13 years were interviewed. Results indicated that having high levels of individual human and psychological capital and lower levels of family social ecological barriers predicted higher levels of maternal paid labor market activity and psychological well-being. Using archival records, additional analyses involved a 32-month review of state records for nearly 1200 mothers initially on welfare. Results revealed that the lower one’s initial capital—either educational (lacking GED or high school diploma) or community-based (residents spending a high percentage of gross income on rent), the greater one’s economic dependence on public welfare, regardless of whether one was assigned to a welfare to work program or to a control group. Thus, mandating labor market activity as a government public policy was not effective as an isolated strategy to uphold employability over time. These results suggest that employers and government leaders need to provide individual human capital and community capital investments to sustain work force inclusion of low-income mothers.     

An integrative model of stress management groups for women

This article proposes an integrative model for stress management groups for women, representing a biopsychosocial point of view and drawing on theories of psychodynamic group psychotherapy, self-psychology, female development, and stress management. The basis of the model is an eight week traditional stress management group. The novel aspects of this integrative model are that it aims to increase the power of stress management groups for women by providing an articulated frame, attending to group process, promoting curiosity regarding resistance to behavior changes, encouraging the elaboration of affect, and giving importance to the role of relationships in each member's quest for self care and healthy entitlement.