Major depression can be prevented

The 2009 Institute of Medicine report on prevention of mental, emotional, and behavioral disorders (National Research Council & Institute of Medicine, 2009b) presented evidence that major depression can be prevented. In this article, we highlight the implications of the report for public policy and research. Randomized controlled trials have shown that the incidence of major depressive episodes can be significantly reduced. Meta-analyses suggest that 22% to 38% of major depressive episodes could be prevented with currently available methods. We argue that if major depressive episodes can be prevented, the health care system should provide routine access to evidence-based depression prevention interventions, just as it provides inoculations for other common and debilitating health problems. At the same time, researchers should pursue the major directions advocated by the Institute of Medicine report to increase the enduring effectiveness of future prevention interventions. These directions include taking a developmental perspective, learning to identify groups at high risk, and testing evidence-based interventions that are likely to have the widest reach. Scientific evidence has shown that clinical depression can be averted. Our societies must take action to reduce clinical depression to the lowest possible level. This article is one of three in a special section (see also Biglan, Flay, Embry, & Sandler, 2012; Yoshikawa, Aber, & Beardslee, 2012) representing an elaboration on a theme for prevention science developed by the 2009 report of the National Research Council and Institute of Medicine.     

The effects of poverty on the mental, emotional, and behavioral health of children and youth: implications for prevention

This article considers the implications for prevention science of recent advances in research on family poverty and children's mental, emotional, and behavioral health. First, we describe definitions of poverty and the conceptual and empirical challenges to estimating the causal effects of poverty on children's mental, emotional, and behavioral health. Second, we offer a conceptual framework that incorporates selection processes that affect who becomes poor as well as mechanisms through which poverty appears to influence child and youth mental health. Third, we use this conceptual framework to selectively review the growing literatures on the mechanisms through which family poverty influences the mental, emotional, and behavioral health of children. We illustrate how a better understanding of the mechanisms of effect by which poverty impacts children's mental, emotional, and behavioral health is valuable in designing effective preventive interventions for those in poverty. Fourth, we describe strategies to directly reduce poverty and the implications of these strategies for prevention. This article is one of three in a special section (see also Biglan, Flay, Embry, & Sandler, 2012; Mu?oz, Beardslee, & Leykin, 2012) representing an elaboration on a theme for prevention science developed by the 2009 report of the National Research Council and Institute of Medicine.     

心理预防概念的更新及其对实践的指导意义

继Caplan的“公共卫生预防模型”之后,Gordon提出另一个综合性预防模型;美国国家科学院医学研究所绘制了“心理健康干预光谱”; 美国国家研究所和国家科学院医学院则进一步将“心理健康促进”正式纳入心理预防概念。“心理健康促进”是针对消极被动的传统预防而提出的积极主动的预防。心理预防概念的发展与更新,特别是将“心理健康促进”纳入心理预防体系,要求树立预防的全局观念,提高预防的针对性,将消极心理预防与积极心理健康促进结合起来。     

书写表达及其对身心健康的作用

作为心理干预方法, 书写表达是通过书写披露和表达与个人重要经历有关的感受和想法, 由此促进身心健康。书写表达操作简便, 对身心健康均具有显著的促进作用, 但其干预效果会受干预对象的心理特征、卷入水平和书写主题等因素的影响。书写表达的作用机制主要是暴露、适应、注意转向和认知重构。     

Does Emotional Intelligence Predict Depressed Mood? A Structural Equation Model with Elderly People

It is widely accepted that older people need to perceive and understand their feelings and believe in their ability to adapt to negative situations or losses that occur in aging. In this study, we examined the relationships among emotional intelligence, coping, and depressed mood, measuring these relationships through a structural equation model (SEM). A total of 215 subjects over 60 years old with no cognitive impairment participated in the study. The results show that emotional intelligence positively predicts problem-focused coping, which in turn negatively predicts depressed mood. However, there is no significant relationship between emotional intelligence and emotion-focused coping, which positively predicts depressed mood. These results indicate that emotionally intelligent people make greater use of problem-focused strategies, and they benefit from them in achieving a positive mood and, therefore, better psychological adjustment, whereas emotional strategies foster depressed mood. It should be noted that emotional intelligence can be seen as an indicator of psychological adjustment and as a precursor of feelings associated with good mental health. Therefore, the implementation of activities that promote emotional intelligence can improve the quality of life of older people.     

Cognitive Model for Processing Trauma in Non-PTSD Sequelae

This article proposes a model for practitioners to assist those who have recently experienced a significant distressing event, but not of the type that satisfies Category A for a diagnosis of posttraumatic stress disorder, to process trauma-related thoughts and feelings. While not intended to treat psychological disorders, the aim is to avoid psychopathology and to optimize functioning and quality of life. The nature of different thoughts and feelings are examined, and it is argued that traditional cognitive behavioral therapy and acceptance and commitment therapy can be applied to process these in a complementary, interactive, and dynamic fashion. Presented as a simple visual metaphor, the model provides a guide to assist and psychoeducate clients to identify the nature of the different trauma-related thoughts and feelings they experience, and how to best process these. A detailed vignette illustrates how the model works in practice.     

大学生课桌文化的心理分析

运用因素分析法研究大学生课桌文化所反映的心理。结果表明,课桌文化反映的大学生心理由11个因素构成:(1)对人生意义及未来的思考;(2)对爱情的探索及情感困惑;(3)自我迷茫与情绪困扰;(4)对性的看法和渴望;(5)对学校及社会不满;(6)自我宣泄;(7)渴望解放个性;(8)对时事与历史的看法;(9)评论他人;(10)悔恨与反思;(11)调侃。不同年级、性别、专业及家庭经济状况的学生在课桌文化心理方面存在差异。     

Analyses of mental contamination: Part II,individual differences

Recent research on mental contamination (internal, psychological feelings of dirtiness) has focused primarily on examining the experimental variables necessary to provoke contamination-related thoughts, feelings and behaviour; yet, relatively little is known regarding the individual differences among participants' mental contamination responses to these situational and experimental characteristics. The purpose of this study was to determine whether variables associated with symptoms, beliefs and appraisals could predict the experience of mental contamination after an established provocation. Female undergraduate students (n = 70 from Part I of this study; Elliott & Radomsky, 2009), completed a series of questionnaires then listened to an audio recording and imagined that they were receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and appraisals of the man and act, then completed a behavioural task for which spontaneous washing was recorded. Results indicated that, although symptoms of physical contamination were able to predict feelings of mental contamination, appraisal variables emerged as unique predictors of feelings of mental contamination. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.     

以创新促和谐——日常心理调节探微

创新在人们日常行为的心理调节中具有重要作用,每个人都具有自我创新的能力。在日常生活中,人们要实现心理和谐要求运用创新心理调节方法,包括:异质同构、异质异构或反向形成、第三条道路等。而创新心理调节能力培养的途径有:发挥自主性、重视非智力因素、宽容的环境以及美德。本文介绍并剖析了创新在日常心理调节中的应用,揭示了它的培养途径。     

The Common Beliefs Survey-III and the Situational Self-Statement and Affective State Inventory: Test-Retest Reliability, Internal Consistency, and Further Psychometric Considerations

The Common Beliefs Survey-III (CBS-III), a factored measure of general irrational beliefs, has satisfactory convergent and discriminant validity. The Situational Self-Statement and Affective State Inventory (SSSASI), also with acceptable basic psychometric properties, assesses specific thoughts and feelings in response to vignettes describing frustrating events. Both inventories are potentially useful in assessing dimensions important to REBT, but information on test-retest reliability is needed. The CBS-III and the SSSASI were administered to 101 undergraduate students on two occasions, two or three weeks apart. Satisfactory test-retest reliability coefficients were obtained on all subscales of both inventories, but in the case of the SSSASI reliabilities were generally stronger when the same form of the test was used on both occasions (Form 1 presented the thoughts before the feelings, whereas Form 2 presented the feelings before the thoughts). Further exploration showed that responding to the thoughts before the feelings significantly attenuated scores on the feelings, but responding to the feelings before the thoughts had no effect on scores on the thoughts. This unexpected finding also held true in a previously unexamined data set obtained with a different sample of students several years earlier. Taking careful stock of one's emotional reactions before embarking on cognitive modification interventions seems essential to REBT, and it follows that asking questionnaire respondents to rate their affective states before they rate their self-statements could be desirable conceptually. These results provide empirical support for that strategy.     

Putting down roots: the significance of technical adaptations in the therapeutic process with fostered and adopted children‡

Severely neglected and traumatised children have also suffered from a lack of the parental nurturing which is needed for ordinary emotional development to take place. Often their past experiences make them unable to utilise the nurturing that foster and adoptive families try to give them and they are delayed or stuck in their development. In therapy, when the early small signs of new emotional development start to emerge, they may be heralded by technical challenges to the therapist. Two examples are given in this paper, which are discussed in the context of Stern et al.’s ideas about moments of meeting, Winnicott’s concepts about transitional phenomena and playing, and Hurry and her colleagues’ thoughts about the therapist as a developmental object. It is argued that it is important for the therapist to be alert to the possible significance of these technical adaptations in terms of the child’s capacity for new emotional development. These often indicate that a watershed in the treatment has been reached and if positively responded to, that the patient is in the process of ‘putting down roots’ in the ground of the therapeutic relationship and starting to grow across a spectrum of developmental pathways.     

Promoting Nurturing Environments in Afterschool Settings

Given the rise in dual-career and single-parent families, and the need for monitoring and supervision during out-of-school time, afterschool settings are becoming important contexts for the prevention of problem behaviors and the promotion of the positive development of youth. Research indicates that high-quality afterschool programs can have positive effects on children’s academic, socio-emotional, and behavioral outcomes. But less is known about how these influences occur and potential mechanisms involved in this nurturing and promotion process. This paper draws upon the current theoretical and empirical literature in school settings and beyond to examine ways in which afterschool settings can be leveraged as a potential nurturing environment. We apply the conceptualization of nurturing environments put forth by Biglan et al. (Am Psychol 67(4):257–271, 2012. doi: 10.1037/a0026796), which attends to the minimization of toxic social and biological conditions, reinforcement of diverse prosocial behaviors, limiting opportunities and influences for problem behavior, and promoting psychological flexibility in the pursuit of one’s values and goals. This paper concludes by identifying potential future research directions and practice implications regarding afterschool settings as nurturing environments for all youth.     

Internal cohesion psychotherapy: The nature,principles and application

Psychotherapy is widely used to treat different mental health disorders and emotional difficulties. The main objective of psychotherapy is to help clients become aware of and have control over their thoughts, moods, feelings and behaviours, as well as create healthy strategies to respond to challenging situations. Since the existing psychotherapy approaches and other methods of treatment are not always effective in treating mental health disorders, there is still space for new approaches to fill this gap. In this paper, we provide information about internal cohesion psychotherapy, which is a new integrative approach. This paper presents a new approach to eclectic psychotherapy, focussing on four detrimental aspects of human functioning through different time perspectives.     

The role of acceptance and job control in mental health, job satisfaction, and work performance

Acceptance, the willingness to experience thoughts, feelings, and physiological sensations without having to control them or let them determine one's actions, is a major individual determinant of mental health and behavioral effectiveness in a more recent theory of psychopathology. This 2-wave panel study examined the ability of acceptance also to explain mental health, job satisfaction, and performance in the work domain. The authors hypothesized that acceptance would predict these 3 outcomes 1 year later in a sample of customer service center workers in the United Kingdom (N = 412). Results indicated that acceptance predicted mental health and an objective measure of performance over and above job control, negative affectivity, and locus of control. These beneficial effects of having more job control were enhanced when people had higher levels of acceptance. The authors discuss the theoretical and practical relevance of this individual characteristic to occupational health and performance.     

On the formation and regulation of anger and aggression. A cognitive-neoassociationistic analysis

Noting that a wide variety of unpleasant feelings, including sadness and depression, apparently can give rise to anger and aggression, I propose a cognitive-neoassociationistic model to account for the effects of negative affect on the development of angry feelings and the display of emotional aggression. Negative affect tends to activate ideas, memories, and expressive-motor reactions associated with anger and aggression as well as rudimentary angry feelings. Subsequent thought involving attributions, appraisals, and schematic conceptions can then intensify, suppress, enrich, or differentiate the initial reactions. Bodily reactions as well as emotion-relevant thoughts can activate the other components of the particular emotion network to which they are linked. Research findings consistent with the model are summarized. Experimental findings are also reported indicating that attention to one's negative feelings can lead to a regulation of the overt effects of the negative affect, I argue that the model can integrate the core aspect of the James-Lange theory with the newer cognitive theories of emotion.     

HOW PSYCHIATRIC TREATMENTS CAN ENHANCE PSYCHOLOGICAL DEFENSE MECHANISMS

Psychological defense mechanisms are a powerful and often unappreciated force safeguarding mental health. Although rarely directed in this way, the most common forms of psychiatric treatment—psychotherapy and antidepressants—can enhance psychological defense mechanisms. Psychotherapy, through both specific and nonspecific factors, induces positive perspective shifts favoring positive cognitive distortions, including adaptive classical defense mechanisms and healthy attribution biases. Antidepressants, by altering very basic emotional information processing, such as facial expression recognition and emotional memories, also foster positive cognitive distortions. By shifting perceptions and thoughts in a positive direction, psychotherapy and antidepressants improve the capacity to dissociate from negative emotional stimuli.Brad Bowins, M.D., FRCP(C), is a staff psychiatrist at the University of Toronto Health Service and he is in private practice.     

Resilience Among Urban African American Male Adolescents: A Study of the Protective Effects of Sociopolitical Control on Their Mental Health

Resilience refers to the notion that some people succeed in the face of adversity. In a risk-protective model of resilience, a protective factor interacts with a risk factor to mitigate the occurrence of a negative outcome. This study tested longitudinally the protective effects of sociopolitical control on the link between helplessness and mental health. The study included 172 urban, male, African American adolescents, who were interviewed twice, 6 months apart. Sociopolitical control was defined as the beliefs about one's capabilities and efficacy in social and political systems. Two mental health outcomes were examined—psychological symptoms and self-esteem. Regression analyses to predict psychological symptoms and self-esteem over time were conducted. High levels of sociopolitical control were found to limit the negative consequences of helplessness on mental health. The results suggest that sociopolitical control may help to protect youths from the negative consequences of feelings of helplessness. Implications for prevention strategies are discussed.     

What's parenting got to do with it: emotional autonomy and brain and behavioral responses to emotional conflict in children and adolescents

Healthy parenting may be protective against the development of emotional psychopathology, particularly for children reared in stressful environments. Little is known, however, about the brain and behavioral mechanisms underlying this association, particularly during childhood and adolescence, when emotional disorders frequently emerge. Here, we demonstrate that psychological control, a parenting strategy known to limit socioemotional development in children, is associated with altered brain and behavioral responses to emotional conflict in 27 at‐risk (urban, lower income) youth, ages 9–16. In particular, youth reporting higher parental psychological control demonstrated lower activity in the left anterior insula, a brain area involved in emotion conflict processing, and submitted faster but less accurate behavioral responses—possibly reflecting an avoidant pattern. Effects were not replicated for parental care, and did not generalize to an analogous nonemotional conflict task. We also find evidence that behavioral responses to emotional conflict bridge the previously reported link between parental overcontrol and anxiety in children. Effects of psychological control may reflect a parenting style that limits opportunities to practice self‐regulation when faced with emotionally charged situations. Results support the notion that parenting strategies that facilitate appropriate amounts of socioemotional competence and autonomy in children may be protective against social and emotional difficulties.     

The relative importance of psychological acceptance and emotional intelligence to workplace well-being

Psychological acceptance (acceptance) and emotional intelligence (EI) are two relatively new individual characteristics that are hypothesised to affect well-being and performance at work. This study compares both of them, in terms of their ability to predict various well-being outcomes (i.e. general mental health, physical well-being, and job satisfaction). In making this comparison, the effects of job control are accounted for; this is a work organisation variable that is consistently associated with occupational health and performance. Results from 290 United Kingdom workers showed that EI did not significantly predict any of the well-being outcomes, after accounting for acceptance and job control. Acceptance predicted general mental health and physical well-being but not job satisfaction, and job control was associated with job satisfaction only. Discussion focuses on the theoretical and applied implications of these findings. These include support for the suggestion that not controlling one's thoughts and feelings (as advocated by acceptance) may have greater benefits for mental well-being than attempting consciously to regulate them (as EI suggests).     

Exasperations as Blessings: Meaning-Making and the Caregiving Experience

This study examines the process of how caregivers can shape the frustrations and exasperations of caring for a family member with Alzheimer's disease into blessings. Heidegger's hermeneutic phenomenological perspective is used to interpret a caregiver's narrative, in which she describes caring for her husband with Alzheimer's disease. The interpretive analysis focuses specifically on how the caregiver finds meaning in the caregiving process. The analysis reveals that the caregiver constructs meaning by emphasizing particular aspects of her experiences, including cherished memories, creating a happy life by living life intensely, and counting her blessings. While some caregivers naturally find such meaning, this study suggests that reading the narratives of others as well as writing about one's own thoughts and feelings can facilitate this meaning-making process. Structured written emotional expression, in particular, fosters meaning-making, diminishes psychological distress, improves immune function, and promotes health and well-being.