Reproductive Symptoms: Interrelations and Determinants

This study investigated the interrelation of women's symptomatic reports during menstruation and pregnancy, the association of these reports with the general tendency to report somatic and psychological symptoms, and the role of social stress in intensifying symptom complaints. The sample consisted of 196 women who were either pregnant or who had had at least one pregnancy in the past. The pattern of results varied with current reproductive status. Past menstrual symptom reports had a significant relation to current pregnancy symptoms, but the converse was not found. Women who reported a high level of general health complaints also reported more intense reproductive symptoms. Social stress, however, did not significantly affect reproductive symptom reports. The use of multivariate techniques was found to improve the explanation bf the ways in which social and somatic factors interact to determine women's psychological responses to reproductive experiences.     

The toll of ethnic discrimination on sleep architecture and fatigue.

Most work on ethnicity tends to focus on daytime health rather than how aspects of ethnicity affect nighttime functioning. The current study examined how discrimination and ethnic identity relate to sleep architecture and fatigue in 37 African Americans and 56 Caucasian Americans. The authors conducted sleep monitoring with standard polysomnography. African Americans had less slow-wave sleep and reported more physical fatigue than did Caucasian Americans (ps < .05). The authors conducted path analyses to examine relationships between ethnic identity, perceived discrimination, sleep, and fatigue. Perceived discrimination mediated ethnic differences in Stage 4 sleep and physical fatigue. Individuals who reported experiencing more discrimination had less Stage 4 sleep and reported experiencing greater physical fatigue (ps < .05). Although ethnic identity did not mediate ethnic differences in sleep latency, there was a significant relationship between ethnic identity and sleep latency, indicating that individuals who felt more connected to their ethnic group had more difficulty falling asleep while in the hospital (p < .05). These observations suggest that the effects of stress related to one's ethnic group membership carry over into sleep.     

Vicarious trauma: The psychological impact of working with survivors of trauma for South African psychologists

Traumatic events are highly prevalent in South African society and psychologists who work with survivors of trauma have been identified as particularly at risk of being adversely affected by their work, and experiencing vicarious trauma. This study aimed to explore the experiences of a group of South African psychologists who work predominantly with trauma survivors. Individual semi-structured interviews were conducted with six psychologists (females = 67%). The predominant type of trauma encountered by participants in clinical practice was interpersonal trauma in the form of physical and sexual abuse (83%). Data were analysed using thematic analysis. All participants reported symptoms of vicarious trauma including disruption in cognitive schemas, symptoms characteristic of post-traumatic stress disorder, and somatic symptoms. Participants also reported vicarious post-traumatic growth including an enhanced sense of interpersonal connectedness and positive changes in their philosophy of life and self-perceptions. The findings serve to sensitise psychologists to the impact of working with trauma survivors so as to enhance the efficiency of psychological service delivery to traumatised populations.     

War exposure and post-traumatic stress as predictors of Portuguese colonial war veterans' physical health

The relationship between war exposure and post-traumatic stress disorder (PTSD) has been largely investigated but the impact of the combat experience on physical health has only recently merited attention. The authors investigated the relationship between war exposure and psychological and physical health among 350 Portuguese colonial war veterans. The role of current PTSD symptoms as a mediator of these relationships was also investigated. The results showed that 39% of the veterans met criteria for current PTSD diagnosis and psychological distress was present in half of the sample. Pain, fatigue, and sleep problems were the most reported physical symptoms and mental health and gastro-intestinal problems, the most reported illnesses. Combat exposure variables were significant predictors of current health. The results indicated that veterans with higher exposure to war trauma maintained higher current levels of psychological distress and presented more physical health problems and physical symptoms than those less exposed. Mediation analyses showed that current PTSD was a full mediator of the relationship between war exposure and physical health outcomes.     

Physical activity in employees with differing occupational stress and mental health profiles: A latent profile analysis

ObjectivesTo examine whether employees with differing occupational stress and mental health profiles differ in their self-reported levels of physical activity.DesignCross-sectional survey data.MethodThe sample consisted of 2660 Swedish health care workers and social insurance officers (85% women, M = 46.3 years). Latent profile analysis was performed to identify classes. Between-class-differences in physical activity were tested via χ²-tests and multinominal logistic regression analyses using sex, age, BMI, marital status, children at home, caregiving, and smoking as covariates.ResultsLatent profile analysis resulted in a six-profile solution. Two pairs of classes had equal stress levels, one pair with high stress, one pair with moderate stress. Within each pair, one group showed some resilience (i.e. only moderate mental health problems despite high stress or good mental health despite moderate stress), whereas the other did not. The other two classes were characterized by either low stress and good mental health or moderate-to-high stress and elevated mental health problems. Participants who were resilient to high or moderate stress were more active than participants of the corresponding non-resilient classes. Participants with low stress and good mental health reported the highest physical activity levels, participants with high stress and high mental health problems reported the lowest physical activity levels.ConclusionsThe findings suggest that physical activity is associated with resilience to occupational stress, and that beyond primary prevention efforts to make work less stressful regular physical activity should be a target variable for health professionals working in the occupational setting.     

Organizational response to recommendations based on a study of stress among correctional officers

A study was recently commissioned by the South Australian Government to study the nature and sources of stress among correctional (prison) officers. The paper reports on the key variables found to have significant predictive effects on strain (a composite measure comprising psychological distress, physical ill-health symptoms, job dissatisfaction, and work-home conflict). These included demographic variables (length of service, finances), personal variables (negative affectivity), work environment variables (work role ambiguity, institutional relationship concerns, inmate concerns, worktime concerns, low autonomy, and low involvement), and emotional suppression. Recommendations were formulated including: the appointment of a full-time mental health counselor, organizational and individual strategies aimed to improve supervisor support and management training, greater participation in organizational decision making, and post-shift debriefing. It was also suggested that in selecting correctional officers those displaying high levels of negative affectivity should be screened out. Finally, it was recommended that intervention should target the most vulnerable individuals, including shiftworkers, officers who had been employed in the organization the longest, officers currently on stress leave and officers, who have previously been on stress leave and have returned to work. The paper reports on the organizational response to the recommendations and the implications of the study are discussed in the context of ongoing surveillance and evaluation of the impact of intervention strategies.     

Emotion understanding in children with frequent somatic complaints

The assumption that an impaired ability to identify and express emotions (“alexithymia”) is related to a lack of physical well-being in children was investigated. Two groups of children (mean age 10 years), who differed in their reported frequency of somatic complaints, were asked to fill out a mood questionnaire and respond to emotion-evoking situations. The findings showed that the number of somatic complaints in children was unrelated to their ability to identify their own emotions when asked about hypothetical conflicting situations. Yet, both groups identified different emotions. Children with more somatic complaints reported more fear and fewer anger reactions. They also reported experiencing more negative emotion-evoking situations with peers.

Fear suggests a stronger tendency for withdrawal, whereas the anger reaction of the healthier group implies a stronger tendency to approach (negative) emotion evoking situations. Consequently, the conflicting situation continues for the first group, whereas the second group will be more likely to solve it. Strong or long-lasting arousal has a negative effect on bodily functioning: it can disturb biological subsystems and bring about organic changes. The possibility that fewer social skills, for expressing emotions in a socially constructive way, or fewer coping strategies in the group who reported more somatic complaints also influence the intensity and duration of negative emotions is discussed.     

Coping with Missile Attack: Resources, Strategies, and Outcomes

ABSTRACT The coping process was examined in a group of Israeli subjects experiencing SCUD missile attacks during the Persian Gulf War. We were interested in examining the relationship of coping resources, optimism, perceived control, and coping strategies, to anxiety, to physical symptoms, and to cognitive functioning during a real crisis. Data were gathered via structured questionnaires in the midst of the Persian Gulf War (February 1991) on a sample of 261 adult respondents residing in northern Israel. Although people reported a mixture of palliative and active coping strategies, it was the use of palliative coping efforts that predicted greater anxiety and physical symptoms. Subjects with greater coping resources used more palliative and active coping strategies and had higher cognitive functioning. However, active coping did not predict any of the negative stress reactions (i.e., anxiety and physical symptoms). People who perceived being in control of the situation reported using less palliative coping and fewer symptoms. That active coping did not predict negative stress reactions may have been a function of the severity of the stressor, and the resultant high levels of anxiety that were engendered. Overall, these findings do point to a different coping process in a grave and ongoing disaster situation than that reported in reaction to more normal life events.     

Health stresses and depressive symptomatology in the elderly: the importance of health engagement control strategies.

The study presents cross-sectional (N = 127) and longitudinal (n = 111) analyses examining relations between health engagement control strategies (HECSs), depressive symptoms, and health stresses in elderly individuals. HECS was measured as people's behavioral and cognitive investments toward attaining health goals. HECS was related to low levels of depressive symptoms, particularly among people experiencing acute physical symptoms. Moreover, HECS predicted reduction of depressive symptoms over time, and depressive symptomatology predicted negative change in HECS. The findings show that active investments of HECSs significantly moderate the negative affective consequences of health threats. Individuals who are characterized by low levels of HECS and high levels of depressive symptoms may be at increased risk of accelerated decline in their physical and mental health.     

Military Sexual Trauma in Treatment-Seeking Women Veterans

As the number of women serving in the military continues to grow, it is increasingly important to explore the sequelae of military sexual trauma (MST) among female veterans. The current study included 232 female veterans who sought outpatient mental health treatment at an urban Veterans Affairs hospital. The study's aims were to (a) describe and compare the demographic characteristics, health behaviors, and psychological symptoms of female veterans who have experienced MST to those veterans who do not report this experience; and (b) examine the associations between psychological symptoms and health behaviors in this sample, stratified by MST status. Results indicate that treatment-seeking women veterans who reported experiencing MST endorsed more psychological distress compared to those who did not report experiencing MST. In addition, psychological symptoms were associated with engaging in problematic health behaviors, such as binge eating and infrequent physical exercise among both those women who experienced MST and those who did not.     

Posttraumatic stress disorder and physical health symptoms among women seeking help for relationship aggression.

This study examined associations between intimate partner aggression and physical health symptoms among a sample of help-seeking women experiencing relationship aggression (N = 388). Using a structural equation modeling framework, the authors found posttraumatic stress disorder (PTSD) symptoms to fully mediate the associations of both physical and psychological aggression with physical health symptoms. The influence of PTSD symptoms on physical health symptoms was partially mediated by anger/irritability. Results were consistent with studies from other trauma groups suggesting that PTSD is pivotal with respect to explaining the effects of trauma on health.     

Affirmation of personal values buffers neuroendocrine and psychological stress responses

Stress is implicated in the development and progression of a broad array of mental and physical health disorders. Theory and research on the self suggest that self-affirming activities may buffer these adverse effects. This study experimentally investigated whether affirmations of personal values attenuate physiological and psychological stress responses. Eighty-five participants completed either a value-affirmation task or a control task prior to participating in a laboratory stress challenge. Participants who affirmed their values had significantly lower cortisol responses to stress, compared with control participants. Dispositional self-resources (e.g., trait self-esteem and optimism) moderated the relation between value affirmation and psychological stress responses, such that participants who had high self-resources and had affirmed personal values reported the least stress. These findings suggest that reflecting on personal values can keep neuroendocrine and psychological responses to stress at low levels. Implications for research on the self, stress processes, health, and interventions are discussed.     

Stress and Distress as a Function of Jenkins Activity Survey-Defined Type A Behavior and Control Over the Work Environment

Although laboratory studies have demonstrated that situational factors which are particularly threatening to Type A individuals induce both Type A behaviors and cardiovascular reactivity, field studies have failed to demonstrate consistent differences between Types A and B in response to stress. Rhodewalt, Hays, Chemers, and Wysocki (1984) argued that this inconsistency is caused by the failure to take into account the individual's perception of the situation. They demonstrated that Type A individuals who perceived high levels of job stress reported more psychological and physical health problems than Type As under low stress or Type Bs under high or low stress. This study attempted to replicate this earlier finding, as well as identify factors in the situation which lead Type A individuals to perceive their job as stressful. Three hundred thirty-six male school principals (categorized as Type A or Type B by the Jenkins Activity Survey [JAS]) completed questionnaires assessing their degree of control in their work environment, perceived job stress, and physical and psychological well-being. A path mediation analysis indicated that Type A individuals reported more job stress under lower levels of perceived control, and that higher job-stress levels subsequently lead to greater incidence of physical and psychological symptoms, especially for Type As.     

The combined influence of hardiness and cohesion on mental health in a military peacekeeping mission: A prospective study

A large number of studies have shown that hardiness and cohesion are associated with mental health in a military context. However, most of them are presented without controlling for baseline mental health symptoms, which is their most significant source of error. The present study investigates the combined effect of hardiness and cohesion in a prospective design, controlling for baseline levels of symptoms among Norwegian personnel serving in a peacekeeping operation in Kosovo. Multivariate regression analyses were performed in which self‐reported mental health complaints were regressed on our explanatory variables. Our findings suggest that both cohesion and hardiness contributed to increased stress resiliency, as measured by a lower level of reported mental health complaints. Our baseline measure of mental health accounted for a larger proportion of the variance than our other predictors. A significant interaction between cohesion and hardiness suggested a combined effect, over and above the individual contributions of the predictors. For individuals who scored high on hardiness, cohesion levels did not influence levels of mental health complaints. Individuals who scored low on hardiness, on the other hand, reported lower levels of mental health complaints when cohesion levels were high.     

MATERNAL TRAUMA AFFECTS PRENATAL MENTAL HEALTH AND INFANT STRESS REGULATION AMONG PALESTINIAN DYADS

We examined how diverse and cumulated traumatic experiences predicted maternal prenatal mental health and infant stress regulation in war conditions and whether maternal mental health mediated the association between trauma and infant stress regulation. Participants were 511 Palestinian mothers from the Gaza Strip who reported exposure to current war trauma (WT), past childhood emotional (CEA) and physical abuse, socioeconomic status (SES), prenatal mental health problems (posttraumatic stress disorder and depression symptoms), and perceived stress during their secondtrimester of pregnancy as well as infant stress regulation at 4 months. While all trauma types were associated with high levels of prenatal symptoms, CEA had the most wide‐ranging effects and was uniquely associated with depression symptoms. Concerning infant stress regulation, mothers’ CEA predicted negative affectivity, but only among mothers with low WT. Against hypothesis, the effects of maternal trauma on infant stress regulation were not mediated by mental health symptoms. Mothers’ higher SES was associated with better infant stress regulation whereas infant prematurity and male sex predisposed for difficulties. Our findings suggest that maternal childhood abuse, especially CEA, should be a central treatment target among war‐exposed families. Cumulated psychosocial stressors might increase the risk for transgenerational problems.     

Daily Reports of Stress,Mood, and Physical Health in Middle Childhood

Most empirical work examining stress in children focuses on major life events, like divorce of parents, while fewer studies consider the role of daily stressors, or the routine challenges of day-to-day living. Existing work on children’s daily stress is lacking such that it primarily: (1) focuses on children who are ill, disabled, or who face significant environmental risks, (2) relies on retrospective reports, (3) relies on parent or teacher reports of stressors experienced by children, or (4) does not comprehensively examine the role of stress on mood and health. In the current study, we explored daily experiences of stress, mood, and physical health symptoms across five consecutive days in 25 children between 8 and 10 years old. Results showed that children reported a variety of types of stressors, and that more stressors were reported by older children, girls, and on weekdays compared to weekends. Daily reports of stress were linked to same day reports of physical health symptoms but not mood, however the presence of both negative mood and daily stress was associated with even more same day health symptoms. This study extends prior work by examining children’s stress at the daily level as well as relying on children’s self-reports of their stress, mood, and physical health symptoms.     

Stress and Social Support in Parents whose Children are Hepatitis B Virus (HBV) Carriers: A Comparison of Three Groups in Guangzhou

The present study compared the moderating effect of social support on parental stress variables and mental health among three groups of parents: parents of HBV (Hepatitis B Virus) children who attended the special health kindergarten, parents of HBV children who stayed at home, and parents of healthy children who attended the ordinary kindergarten. These families resided in the city of Guangzhou. A set of questionnaires measuring parental stress and social support were given to the mothers after a one-hour interview. Results showed that parents of HBV children were significantly more stressed and psychologically at risk than parents of healthy children. They also sought help from social resources more often than the parents of healthy children. Parents of healthy children who attended the ordinary kindergarten reported the highest levels of overall social support, i.e. the number of very close friends and relatives with whom they could form close emotional attachments. Although they reported a lower number of acquaintances available, they also reported the most satisfactory relationships with the support provided by their acquaintances, lower levels of stress, fewer somatic problems, more adequate general health, and more perceived meaning in life than did parents of HBV children, and social support is one of the main influences on stress or parental health. The findings call for further research to focus on parents' well-being and social support that is helpful in addressing the needs of the family.     

Suicide Ideation in Female Survivors of Military Sexual Trauma: The Trauma Source Matters

Female veterans who have experienced military sexual trauma (MST) are at elevated suicide risk, yet knowledge is limited regarding correlates of suicide ideation (SI) in this population. MST is associated with a higher risk of posttraumatic stress disorder (PTSD) relative to other trauma types; however, no studies have examined whether experiencing SI differs based on the source of PTSD symptoms (MST‐related, non–MST‐related). Female service members/veterans (SM/Vs; n = 311) who screened positive for MST and reported exposure to a Criterion A event completed an online survey assessing self‐reported demographics, PTSD, depression, the source of their PTSD symptoms, and SI. Ninety‐one (29.3%) reported experiencing current SI, and 223 (71.7%) identified MST as the source of their current PTSD symptoms. Participants who identified MST as the source of their PTSD symptoms were over two times more likely to report SI, compared to those who described non–MST‐related events as the source of their PTSD symptoms. Compared to those who reported the source of their PTSD symptoms as combat‐/deployment‐related, those who identified MST as the source were at least three times as likely to report current SI. Results underscore the importance of efforts to address MST‐related PTSD symptoms when working with female SM/Vs.     

Psychosocial health mediates the gratitude-physical health link

There is now a growing body of research demonstrating the physical health benefits of being grateful. However, research has only just began to explore the mechanisms accounting for this gratitude-health relationship. This study examines the relationship between dispositional gratitude and self-reported physical health symptoms, and explores whether this relationship is explained through reduced levels of perceived loneliness and stress. This study employed a cross-sectional design with a sample of 607 healthy adults. Serial mediation analysis revealed that the positive effect of gratitude on physical health was significantly mediated by lower reported levels of perceived loneliness and stress. These findings are important given evidence that gratitude can be cultivated, and may serve to buffer against stress and loneliness and improve somatic health symptoms in the general population.