Assessing future possible selves by gender and socioeconomic status using the anticipated life history measure

This is a report from the first phase of a longitudinal study of the ways young adults imagine their future lives. The future possible selves of 223 18- and 19-year-old adults were examined using the Anticipated Life History measure (ALH), a psychological instrument prompting participants to describe their future life course from their 21st birthday until their death. When the ALH narratives were coded for presence/absence of life events, female participants were more likely to predict career choice, marriage, children, divorce, and death of spouse than their male counterparts; when coded for psychological qualities, female participants demonstrated greater psychological complexity and awareness of future life role choices and conflicts. Participants with lower SES wrote ALH narratives with fewer altruistic acts, less awareness of life role complexity, and fewer anticipated conflicts and their resolutions than those with higher SES.     

Adolescent over-general memory,life events and mental health outcomes: Findings from a UK cohort study

Previous research suggesting that over-general memory (OGM) may moderate the effect of life events on depressive symptoms and suicidality has sampled older adolescents or adults, or younger adolescents in high-risk populations, and has been conducted over relatively short follow-up periods. The authors examined the relationship between OGM at age 13 and life events and mental health outcomes (depression, self-harm, suicidal ideation and planning) at age 16 years within a sample of 5792 adolescents participating in the Avon Longitudinal Study of Parents and Children (ALSPAC), approximately 3800 of whom had also provided data on depression and self-harm. There was no clear evidence of either direct or interactive effects of OGM at age 13 on levels of depression at age 16. Similarly there was no clear evidence of either direct or interactive effects of OGM on suicidal ideation and self-harm. Although there was some evidence that over-general autobiographical memory was associated with reduced risk of suicidal planning and increased risk of self-harm, these associations were absent when confounding variables were taken into account. The findings imply that although OGM is a marker of vulnerability to depression and related psychopathology in high-risk groups, this cannot be assumed to generalise to whole populations.     

When simplifying life is not so bad: the link between rigidity, stressful life events, and mental health in an undergraduate population

Decades of research have generally shown that being more rigid is associated with poorer mental health. We investigated whether all aspects of what has been termed “rigidity” are harmful. In particular, we hypothesized that the desire for simple structure (DSS) will not be associated with poor mental health, and in some cases might be associated with better mental health. In contrast, the intolerance of uncertainty (IU) was hypothesized to be associated with a wide range of indices of poor mental health. We also hypothesized that people high in IU would be less resilient in the face of stressful life events. Results across two cross-sectional surveys (N=240; N=331) supported our hypotheses. DSS was associated with less hopelessness, whereas IU was associated with more depression, anxiety, stress, suicidal ideation, and hopelessness. In addition, moderational analysis supported the hypothesis that IU magnifies the adversive effect of stressful life events on depression, anxiety and hopelessness. IU was more strongly related to the negative indices of well-being than to the positive index of life satisfaction. The implications of these findings for cognitive behavioural therapy practice are discussed.     

Perceived self-other differences in life events and mental health among Mexicans and Americans

The social context of reported stressful life events was examined as a determinant of psychiatric symptoms in four cultural groups: Anglo-Americans (n = 132), Mexican-Americans (n = 108), Mexicans in El Paso (n = 90), and Mexican nationals (n = 133). The perceived difference between life events experienced by the self and spouse or by the self and significant others constituted preliminary operational definitions of the social context of life events. Ten Psychiatric Epidemiology Research Interview (PERI) psychiatric symptom scales as well as a suicidal tendency scale and a hopelessness index constituted the measures of the dependent variables. The potential predictive value of the social contextual measures of life-event stress for mental health variables was generally supported by the findings. Results indicated a rank ordering of predicted effects, with Mexican nationals most susceptible to the psychological effects of the social context of life events and Anglo-Americans least susceptible.     

The interaction of stressful life events and chronic strains on community mental health

One of the possible adaptive costs of coping with stress is diminished capacity to respond to subsequent adaptive demands. This paper examined the complex interplay between major life events and one source of chronic strain. Residents of the greater Los Angeles metropolitan area exposed to higher levels of smog, who had also experienced a recent stressful life event, exhibited poorer mental health than those exposed to pollution who had not experienced a recent stressful life event. There were, however, no direct effects of smog levels on mental health. These patterns of results were replicated in both a cross-sectional and a longitudinal study. The interplay of psychosocial vulnerability and environmental conditions is discussed.     

Depression history, depression vulnerability and the experience of everyday negative events

This study examined whether deficits in dealing with daily problems emerge before a depressive episode (i.e., pre-existing vulnerability) or after a depressive episode (i.e., psychosocial scar). Participants completed a 30-day daily diary in which they reported their most negative event of the day, their appraisals of that event, and their mood. Three years later, they completed a structured depression interview. The sample consisted of 350 college students, 24 of whom had a past history of depression and 54 of whom experienced a depressive episode subsequent to dairy completion. Multilevel modeling revealed that students with past depression blamed others more than the never-depressed and those with subsequent depression, which supported the scar hypothesis. In support of the vulnerability hypothesis, as compared to the never-depressed group, participants with past depression demonstrated steeper declines in positive mood on more stressful days but did not significantly differ from the subsequent depression group. Overall, our findings do not provide clear support for either hypothesis; however, this study is the first to use a daily diary design to directly compare individuals with past depression to individuals who would subsequently experience depression.     

Religion,mental health,and clinical issues

This article reviews a number of studies investigating the relationship between religion and the variables of mental health and social behavior. Characteristics of religious health and pathology are examined, and a framework for clinical assessment and treatment of religious pathology is described. Tentative conclusions concerning the subject matter are drawn and limitations of the number and type of studies are outlined.     

Recognizing young children in need of mental health assessment: Development and preliminary validity of the early childhood screening assessment

The Early Childhood Screening Assessment (ECSA) is a primary care screening measure developed to identify very young children (1½–5 years old) who need further emotional or behavioral assessment. The ECSA was developed specifically to meet the logistical constraints of primary care settings. This study assessed the preliminary psychometric properties of the ECSA by comparing it with extant validated measures of young children's emotional and behavioral development, comparing it with a diagnostic interview, and measuring test‐retest reliability. In the study, 309 mothers in two primary care clinics completed the ECSA and the Child Behavior Checklist (CBCL; T. Achenbach & L. Rescorla, 2000). A subset (n = 69) also completed the Diagnostic Interview for the Preschool Age (DIPA; M. Scheeringa & N. Haslett, 2010). ECSA score correlated significantly and strongly with the CBCL Total Problem T score (Spearman's rho = 0.86, p ? .01). The ECSA was 86% sensitive and 83% specific in identifying DIPA diagnoses. Internal consistency of the ECSA was 0.91. Test‐retest reliability at 10 days was excellent (Spearman's rho = 0.81, p ? .01). The ECSA is an easy‐to‐use screening measure that demonstrates strong convergent validity, criterion validity, and test‐retest reliability in the pediatric setting. It shows potential as a feasible and psychometrically strong tool for busy primary care providers to identify preschoolers who need further socioemotional assessment.     

Religious experience and mental health: anthropological and psychological approaches

ABSTRACT

Moreira-Almeida, Sharma, van Rensburg, Verhagen and Cook have written a very comprehensive position statement pertaining to religion and psychiatry. While presenting a good overview of studies of religion, spirituality and mental health it does not include the important area of the health implications of religious experience which is the focus of this piece. I begin by discussing definitions of religious experience before examining the work of William James. The second part of this paper focuses upon specific religious experiences and psychopathology with a focus on mysticism, hallucinations and culture.     

Traversing boundaries: clinical ethics,moral experience,and the withdrawal of life supports

While many have suggested that to withdraw medical interventions is ethically equivalent to withholding them, the moral complexity of actually withdrawing life supportive interventions from a patient cannot be ignored. Utilizing interplay between expository and narrative styles, and drawing upon our experiences with patients, families, nurses, and physicians when life supports have been withdrawn, we explore the changeable character of boundaries in end-of-life situations. We consider ways in which boundaries imply differences – for example, between cognition and performance – and how the encounter with boundaries can generate altered meanings important for understanding decisions and actions in these contexts. We conclude that the reliance on mere roles to support the moral weight of withdrawing medical interventions is inadequate. Roles that lead us to such moments are exceeded by the responsibility encountered in such moments. And here, we suggest, is the momentous character of withdrawal: it presents the grave astonishment, the trembling awe, in the not-being-there of the other in death.     

Feeling good,living life: a spiritual health measure for young children

Following previous work on the spiritual health of secondary students, the author wondered if it was possible to develop a spiritual health measure for younger children. Taking Fisher's model of spiritual health as the basis, items were developed to reflect relationships with self, with others, with the environment and with a god. The children's ideals for spiritual health (what makes them Feel Good) were compared with their lived experience (Living Life) to ascertain their levels of spiritual health. Factor analyses on responses from 1080 students in 14 schools (State, Catholic, Independent and Christian Community Schools) in Victoria and Western Australia are reported in this paper.     

Social relationships,stressful life events,and self-reported physical health: Genetic and environmental influences

Abstract

This study investigates how the associations between self-reported health, stressful life events, and social relationships are mediated by genetic and environmental influences and how much of the variance in health is in common with variation in these psychosocial factors. The analyses are based on questionnaire data from 576 pairs of twins reared apart and twins reared together. The data revealed that for men environmental influences were solely important for variation in the psychosocial measures and were the primary mediators of the relationship with health. For women, on the other hand, a substantial portion of the variance in the psychosocial factors was due to genetic influences and these influences also contributed to the bulk of the correlations with health. The gender differences for the relationships and their mediation indicate that what should be regarded as a psychosocial factor of importance for health might differ between genders.     

Children of alcoholics, negative life events, and early experimentation with drugs

Questionnaires were completed by sixth-grade students and their parents in order to assess differences between children of alcoholics (COAs) and their peers, as well as the relations between family environment and children's experimentation with alcohol, drugs, and tobacco. Social competence and problematic behavior were also explored. The best predictors of early experimentation with alcohol, drugs, and tobacco were the experience of negative life events, family conflict, and lack of family cohesion, but not COA status per se. Differences were found between COAs and non-COAs in respect to family structure, parent education levels, and family environment. COAs were found to be significantly more likely than their peers to experiment with tobacco, but not alcohol or drugs. They also had a tendency to engage more frequently in delinquent behavior. Recommendations for future research and implications for preventive activities are discussed.     

An improved method for counting stressful life events (SLEs) when predicting mental health and wellness

Objective: Checklists for registering stressful life events (SLEs) generally correlate negatively, but weakly, with mental health outcome measures. Thus, the present study examined various methodological approaches for improving these relationships.

Design: A total of 1679 participants (women?=?943, men?=?736, M age-39.8) were randomly drawn from the general Norwegian population (response rate 34%). This prospective cohort study included two follow-ups at 10 (n?=?1181) and 23 months (n?=?942).

Main outcome measures: Satisfaction with life and absence of psychological distress (i.e. anxiety and depression) represented a joint measure for indexing ‘mental wellness’ (MW).

Results: A simple count of SLEs weakly predicted MW, as expected, whereas the addition of a moderator (i.e. manageability of the event) substantially improved predictive power. Four additional moderators were examined: duration, impact, help-seeking and time since onset, but these were non-significant after inserting manageability into the model. This SLE counting method also retained its predictive power after including multiple criterion-related variables that substantially adjusted the longitudinal statistical model.

Conclusion: This new SLE counting method exhibited a considerable improvement to predicting mental health and well-being. It is well suited for use in epidemiological research requiring a short SLE checklist format with high predictive power.     

Humility,stressful life events,and psychological well-being: Findings from the landmark spirituality and health survey

A growing body of research suggests that people who are more humble tend to enjoy better physical and mental health than individuals who are less humble. The next step in moving this literature forward involves explaining and empirically demonstrating how the potentially beneficial effects of humility arise. The purpose of this study is to address this issue by seeing whether humility buffers the effects of stressful life events on four measures of well-being: happiness, life satisfaction, depressed affect, and generalized anxiety disorder. Data from a new nationwide survey (N = 3010) suggest that the magnitude of the negative relationship between stressful life events and all four measures of well-being is reduced among people who are more humble. The theoretical implications of these findings are discussed.     

The mental time line: An analogue of the mental number line in the mapping of life events

A crucial aspect of the human mind is the ability to project the self along the time line to past and future. It has been argued that such self-projection is essential to re-experience past experiences and predict future events. In-depth analysis of a novel paradigm investigating mental time shows that the speed of this “self-projection” in time depends logarithmically on the temporal-distance between an imagined “location” on the time line that participants were asked to imagine and the location of another imagined event from the time line. This logarithmic pattern suggests that events in human cognition are spatially mapped along an imagery mental time line. We argue that the present time-line data are comparable to the spatial mapping of numbers along the mental number line and that such spatial maps are a fundamental basis for cognition.