An Empirical Evaluation of the Diagnostic Criteria for Premenstrual Dysphoric Disorder: Problems with Sex Specificity and Validity

Premenstrual dysphoric disorder is a psychiatric disorder that reportedly affects between 3 to 8% of women. Although not an official diagnosis in the current Diagnostic and Statistical Manual of Mental Disorders, premenstrual dysphoric disorder has received increasing attention in the clinical literature, and considerable debate exists regarding the validity of this proposed condition. This study examined the prevalence of premenstrual dysphoric disorder in a sample of women and men and assessed the construct validity of the disorder. Twenty percent of women met the criteria for provisional diagnosis of premenstrual dysphoric disorder using Diagnostic and Statistical Manual criteria. In addition, 4% of men met these criteria when given sex-neutral assessment forms. Self-reported psychological distress and impaired interpersonal functioning did not predict women's likelihood of meeting the criteria for premenstrual dysphoric disorder. Results cast doubt on the sex-specificity of the diagnostic criteria of premenstrual dysphoric disorder and the construct validity of the disorder. Limitations of this study are discussed.     

The Role of Premenstrual Dysphoric Disorder in the Subjectification of Women

This paper will examine the way in which premenstrual symptomatology has been represented and regulated by psychology and psychiatry. It questions the “truths” about women's premenstrual experiences that circulate in scientific discourse, namely the fictions framed as facts that serve to regulate femininity, reproduction, and what it is to be “woman.” Hegemonic truths that define Premenstrual Dysphoric Disorder (PMDD) and its nosological predecessor Premenstrual Syndrome (PMS) are examined to illustrate how regimes of objectified knowledge and practices of “assemblage” come to regulate individual women through a process of subjectification. Five interconnected “truths” are presented as objects of scrutiny: PMDD is a thing that can be objectively defined and measured; PMDD is a pathology to be eradicated; PMDD is caused and can be treated by one factor; PMDD is a bodily phenomenon; PMDD causes women's problems or symptoms. I examine the way in which these hegemonic truths function in framing the reproductive body as a cause of disorder or distress that leads women to interpret premenstrual experiences within a pathological framework deserving medical or psychological treatment. Finally, I offer an alternative framework drawing on Eastern models of selfhood that provides a more empowering model of women's premenstrual experiences.     

Transitioning from recruit to officer: An investigation of how stress appraisal and coping influence work engagement

This study investigated stress, coping, and work engagement among Portuguese police officers while undergoing academy training and then 1 year later, when on duty. It was hypothesized that stress appraisal and coping preferences predicted engagement. Additionally, in order to test a full cross‐lagged prediction model, it was hypothesized that stress, coping, and engagement in recruits predicted these variables later when working as police officers. Structural equation modeling was used to test the research hypotheses. Results suggest that coping and stress appraisals do not seem to be strong predictors of work engagement among recruits and police officers on duty. With the exception of self‐blame, that seems to be a strong predictor of work engagement among police officers on duty. These results highlight the need to investigate other potential variables such as working conditions that may better explain work engagement. Considering the positive influence of engagement on health, wellbeing, and performance of police recruits and officers future applied and theoretical implications are discussed.     

Communities as conduits of harm: A social identity analysis of appraisal,coping and justice-seeking in response to historic collective victimization

Social identity approach (SIA) research shows that community members often work together to support survivors of collective victimization and rectify social injustices. However, complexities arise when community members have been involved in perpetrating these injustices. While many communities are unaware of their role in fostering victimization, others actively deny their role and responsibility to restore justice. We explore these processes by investigating experiences of community violence and collective justice-seeking among Albanian survivors of dictatorial crimes. Survivors (N = 27) were interviewed, and data were analysed using theoretical thematic analysis guided by the SIA. The analysis reveals the diverse ways communities can become harmful ‘Social Curses’. First, communities in their various forms became effective perpetrators of fear and control (e.g., exclusion and/or withholding ingroup privileges) during the dictatorship because of the close relationship between communities and their members. Second, communities caused harm by refusing to accept responsibility for the crimes, and by undermining attempts at collective action to address injustices. This lack of collective accountability also fosters survivors' feelings of exclusion and undermines their hope for systematic change. Implications for SIA processes relating to health/wellbeing (both Social Cure and Curse) are discussed. We also discuss implications for understanding collective action and victimhood.     

Mental toughness, stress, stress appraisal, coping and coping effectiveness in sport

The aim of the present study was to investigate the relationship between mental toughness, stressor appraisal, coping strategies and coping effectiveness among a sample of athletes. Participants were 482 athletes (male n = 305; female n = 177), aged between 16 and 45 years (M age = 20.44 years, SD = 3.98). In support of a priori predictions, mental toughness was associated with stress intensity and control appraisal, but not the type of stressor experienced by athletes. Total mental toughness and its six components predicted coping and coping effectiveness in relation to the self-selected stressor. In particular, higher levels of mental toughness were associated with more problem-focused coping, but less emotion-focused and avoidance coping. Coping effectiveness was influenced by the coping strategy employed by the athletes.     

Adverse childhood experiences and coping strategies: identifying pathways to resiliency in adulthood

ABSTRACT

Objective

The current study examined whether coping strategies mediate the link between adverse childhood experiences (ACEs) and adult psychiatric and physical health outcomes.     

Coping orientation and psychological distress in healthcare professionals: The utility of appraising coping acceptability

The purpose of this study was to examine interaction effects of healthcare professionals' coping orientation (i.e., engagement versus disengagement) and appraisal of coping acceptability (ACA) on psychological distress, taking into account the individuals' job specificity and the psychological climate in their work environment. A cross‐sectional survey was conducted, and Japanese healthcare professionals (N = 189; 117 female; mean age: 40.1 ± 11.2 years) reported the coping strategies that they employed for task‐related or interpersonal stressors, their cognitive appraisal of the stressors, their ACA, and the psychological distress evoked by the stressors. The results showed that adding consideration of the ACA to the variable of coping orientation significantly improved predictions of psychological distress for both task and interpersonal stressors. There was no significant interaction between the coping orientation and the use of coping strategies that incorporated the ACA. These results suggest that considering the ACA, in addition to the coping orientation, would be useful for understanding individual differences in the mediators of healthcare professionals' coping in stressful situations.     

Applicant Anxiety: Examining the sex‐linked anxiety coping theory in job interview contexts

The Sex‐linked Anxiety Coping Theory (SCT) suggests that anxiety should relate to performance more strongly for males than females. In Study 1, we examined how the theory applied to five interview anxiety dimensions (appearance anxiety, behavioral anxiety, communication anxiety, performance anxiety, and social anxiety) using actual job applicants. In general, females reported higher levels of each type of interview anxiety than did males. However, consistent with SCT, Overall Interview Anxiety, Appearance Anxiety, and Social Anxiety demonstrated stronger negative relations with interview performance for males than for females. Consistent with the SCT, in Study 2 we found that females had more effective coping orientations for job interviews than did males.     

The appraisal process: Exploring the role of meaning,importance, control and coping in work stress

Recent reviews on occupational stress research suggests that if progress is to be made towards a better understanding of stress at work then researchers need to consider alternative methodologies and establish new frameworks. This paper takes up that challenge and using both quantitative and qualitative techniques attempts to explore the appraisal process individuals go through in determining stressful experiences. The meanings individuals give to events, their importance and individual levels of control all provide fruitful avenues for further research. Such variables provide new approaches to research and offer a potential for explanation far greater than the more traditional interactional models.     

Work-related stress and well-being: the roles of direct action coping and palliative coping

The purpose of the present study is to analyze the roles of direct action coping and palliative coping in the relationship between work stressors and psychological well-being, as well as their possible interactions, in a sample of 464 bank employees. Hierarchical regression analyses showed main effects of direct action coping on well-being. Palliative coping predicts higher levels of psychological distress. Contrary to what was expected, the interactions between work stressors and direct action coping were not significant. Palliative coping interacted with work stressors when predicting psychosomatic complaints. The interaction between the two types of coping was significant on psychosomatic complaints and psychological distress, but not on job satisfaction. The paper discusses theoretical and practical implications of these results, in order to design intervention strategies to prevent and manage job stress.     

Associations of general religiousness and specific religious beliefs with coping appraisals in response to Hurricanes Katrina and Rita

An emerging scientific literature is investigating the construct of “compassionate love,” love that is “centered on the good of the other,” a construct empirically linked to physical and mental health. We evaluated effects of an 8-week, 16-hour programme for physicians, nurses, chaplains, and other health professionals, using nonsectarian, spiritually based, self-management tools. Participants were randomised to intervention (n = 30) or wait-list (n = 31). Pretest, post-test, 8- and 19-week follow-up data were gathered on six measures of prosocial qualities. Favorable treatment effects (p<0.05) were found for compassionate love (d = 0.49), altruistic actions (d = 0.33), perspective-taking (d = 0.42), and forgiveness (d = 0.61). Treatment adherence fully mediated effects on compassionate love. Furthermore, stress reduction mediated treatment effects on compassionate love, perspective-taking, and forgiveness; each also mediated gains in caregiving self-efficacy. This encouraging evidence suggests that nonlaboratory psychospiritual interventions can boost compassionate love to benefit the recipients and the larger society.     

Health and Sickness: The Meaning of Menstruation and Premenstrual Syndrome in Women's Lives

The experience of menstruation was examined through an analysis of women's narratives in order to understand perceptions of menstrual cycle changes. Research within a medical anthropology perspective was conducted with 43 women who volunteered for a study on the knowledge and understanding of menstruation and premenstrual syndrome (PMS) in Winnipeg, Manitoba, Canada, from 1997 to 1999. Although most women accepted the PMS label and placed their cyclic changes within the realm of sickness, a small group of women were identified who conceptualized their cyclic changes in an extremely positive way thus reframing their experiences. More positive perceptions of menstrual changes may have a significant impact on the reevaluation of menstrual cycle fluctuations as sickness without devaluing the experiences of those women with severe changes.     

Varieties of people-place relations and place change: UK electricity transmission grid development

Abstract

With a projected increase in electricity demand and low-carbon energy generation in the UK, the increased deployment of the existing electricity network is foreseeable (DECC, 2011). Public controversy over the proposed sitting of overhead transmission lines (often termed NIMBYism) has, in some cases, led to active opposition and resulted in planning delays and financial cost for developers. In going beyond the NIMBY concept, Devine-Wright (2009) posits a place-based approach to understanding responses to energy infrastructure proposals, highlighting the importance of people's subjective emotional and symbolic associations to particular places. This paper critically reviews existing literature on varieties of people-place relations, pointing to limitations of cross-sectional studies and outlining the value of narrative interviews for establishing the dynamic nature of place orientations over time. Furthermore, the case is made for novel research that explores relationships between forms of non-attachment to place (Lewicka, 2011) and responses to a power line proposal.     

The Role of Coping Styles and Self-efficacy in the Development of Dysphoric Mood Among Nursing Students

Coping styles and self-efficacy have been recognized as important determinants of dysphoric mood. The objectives of this study were to determine the influence of these two factors on depression and anxiety in Japanese students. A set of questionnaires, including the Hospital Anxiety and Depression (HAD) Scale, the Coping Inventory for Stressful Situations (CISS), and the Self-efficacy Scale (SES) was distributed to 146 nursing students. Structural equation modelling was conducted to specify the relationships between measured variables. The HAD depression and anxiety scores were predicted by emotion-oriented coping. The HAD depression alone was predicted by avoidance-oriented coping. Self-efficacy scores predicted the emotion-oriented coping and HAD depression scores. Students’ dysphoric moods were influenced by emotional-oriented coping that mediated the effects of low self-efficacy, and self-efficacy also had a direct effect on depression.     

Nonreligious coping and religious coping as predictors of expressed emotion in relatives of patients with schizophrenia

Expressed emotion (EE) is a measure of the amount of criticism and emotional over involvement expressed by a key relative towards a relative with a disorder or illness. Research has established that living in a high EE environment, which is characterised by increased levels of critical and emotionally exaggerated communication, leads to a poorer prognosis for patients with a mental illness when compared to low EE environments. Despite evidence that EE is a strong predictor of the course of the illness, there continue to be questions concerning why some family members express excessive levels of high EE attitudes about their mentally ill relatives while others do not. Based on indirect evidence from previous research, the current study tested whether religious and nonreligious coping serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed an EE interview, along with questionnaires assessing situational nonreligious coping and religious coping. In line with the hypotheses, results indicated that nonreligious coping predicted EE. Specifically, less use of adaptive emotion-focused coping predicted high EE. Also consistent with predictions, maladaptive religious coping predicted high EE above and beyond nonreligious coping.     

The relationship of coping and its perceived effectiveness to positive and negative affect in sport

This article examined the ability of six different coping strategies and their perceived effectiveness in predicting positive and negative affect in sport. Furthermore, it was investigated whether perceived coping effectiveness moderated the influence of coping strategies on affect. British University athletes (N = 356) were requested to recall a recent important competition in their sport when they had a stressful or challenging experience. They were then asked to rate the extent to which they relied on a number of different coping strategies to deal with the situation and the degree to which they found these effective. In agreement with the theoretical predictions of Folkman (1984), problem-focused coping predicted positive affect whereas emotion-focused coping predicted negative affect. Furthermore, for almost all the coping variables, their perceived effectiveness predicted, in a positive way, positive affect and negatively, negative affect. Moreover, the perceived effectiveness of the coping strategies of seeking social support, venting of emotions, and behavioural disengagement, moderated the influence of those strategies on affect. Lastly, a comparison between high and low effective coping groups showed that the former was associated with more pleasant affective experiences.     

Early antecedents of emotion differentiation and regulation: Experience tunes the appraisal thresholds of emotional development in infancy

In this review, we synthesize evidence to highlight cognitive appraisal as an important developmental antecedent of individual differences in emotion differentiation and adept emotion regulation. Emotion differentiation is the degree to which emotions are experienced in a nuanced or “granular” way—as specific and separable phenomena. More extensive differentiation is related to positive wellbeing and has emerged as a correlate of emotion regulation skill among adults. We argue that the cognitive appraisal processes that underlie these facets of emotional development are instantiated early in the first year of life and tuned by environmental input and experience. Powerful socializing input in the form of caregivers’ contingent and selective responding to infants’ emotional signals carves and calibrates the infant’s appraisal thresholds for what in their world ought to be noticed, deemed as important or personally meaningful, and responded to (whether and how). These appraisal thresholds are thus unique to the individual child despite the ubiquity of the appraisal process in emotional responding. This appraisal infrastructure, while plastic and continually informed by experience across the lifespan, likely tunes subsequent emotion differentiation, with implications for children’s emotion regulatory choices and skills. We end with recommendations for future research in this area, including the urgent need for developmental emotion science to investigate the diverse sociocultural contexts in which children’s cognitive appraisals, differentiation of emotions, and regulatory responses are being built across childhood.