Emotional Competence and Anxiety in Childhood and Adolescence: A Meta-Analytic Review

Anxiety is conceptualized as a state of negative emotional arousal that is accompanied by concern about future threat. The purpose of this meta-analytic review was to evaluate the evidence of associations between emotional competence and anxiety by examining how specific emotional competence domains (emotion recognition, emotion expression, emotion awareness, emotion understanding, acceptance of emotion, emotional self-efficacy, sympathetic/empathic responses to others’ emotions, recognition of how emotion communication and self-presentation affect relationships, and emotion regulatory processes) relate to anxiety in childhood and adolescence. A total of 185 studies were included in a series of meta-analyses (N’s ranged from 573 to 25,711). Results showed that anxious youth are less effective at expressing (r = ?0.15) and understanding emotions (r = ?0.20), less aware of (r = ?0.28) and less accepting of their own emotions (r = ?0.49), and report less emotional self-efficacy (r = ?0.36). More anxious children use more support-seeking coping strategies (r = 0.07) and are more likely to use less adaptive coping strategies including avoidant coping (r = 0.18), externalizing (r = 0.18), and maladaptive cognitive coping (r = 0.34). Emotion acceptance and awareness, emotional self-efficacy, and maladaptive cognitive coping yielded the largest effect sizes. Some effects varied with children’s age. The findings inform intervention and treatment programs of anxiety in youth and identify several areas for future research.     

Therapeutic Identity among Clinical Psychology Professionals in India

This study explored the therapeutic identity among clinical psychology professionals in India with objectives of assessing therapeutic style, attitudes, orientation, values and its relationship with work experience, age and gender. Out of 79 clinical psychology professionals contacted, 50 gave written informed consent for participation in study. The data obtained from Psycho-Therapeutic Identity Questionnaire (ThIdQ). Cluster analysis of the responses on attitude scales revealed broad themes of therapeutic identity in the form of three cluster profiles: Vague psychodynamic assumptions with high self-doubt and low optimism about change (n = 9); Entangled in their own strong feelings of limitations and doubts as a therapist (n = 16); and Eclectic approach with low self-doubt and high optimism about change(n = 25). A lack of synchrony was seen between assessed and reported therapeutic orientation with overuse of the cognitive behavioural therapy (CBT) orientation. Correlation findings indicated that increased work experience in the field and higher age were associated with low self-doubt and high optimism about change in therapy. Findings on therapeutic identity provide mixed bag of results, positive as well as negative, with equal number of participants on each side.     

The Effect of Religious Belief and Forgiveness on Coping with Diabetes

We aimed to investigate the relationship of religious beliefs and forgiveness in diabetic patients with various sociodemographic characteristics, emotional problems and glycaemic control. The study comprises 100 patients diagnosed with type 2 DM. We used a data collection form, the Scale of Forgiveness and Religiosity (SFR), Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). We also recorded blood glucose and HbA1c test results. A statistically significant relationship was determined only between the scores of the STAI-I and the religious belief scales (r = 0.198, p = 0.049). A statistically significant negative relationship was determined between the forgiveness scale points and the BDI (r = 0.326, p = 0.001), the STAI-II (r = 0.308, p = 0.002) and PAID (r = 0.313, p = 0.001) and a positive correlation with ADDQoL (r = 0.284, p = 0.004). To conclude, forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase quality of life.     

Irrational Beliefs and Attention Bias Towards Symptoms-Related Stimuli in Maintaining Gastrointestinal Symptoms: Results from a Pilot Study

Recent etiopathogenic theories of gastrointestinal conditions state that information processing biases can be a possible major factor involved in the aetiology and maintenance of these conditions. This exploratory study investigated the role of attention biases (AB) towards symptoms-related cues in gastrointestinal patients with respect to symptom maintenance, simultaneously taking into consideration the role of irrational beliefs. We included 32 patients diagnosed with gastrointestinal conditions. Patients completed a battery of psychological tests and an experimental task aimed to measure the preferential attention processing of linguistic stimuli related to gastrointestinal symptoms when they compete for attention resources with neutral stimuli. AB was positively related to irrational beliefs [r(31) = .376, p = .037] and analgesics use [r(32) = .518, p = .002], but not to self-report gastrointestinal symptoms [r(30) = ?.165, p = .382]. Irrational beliefs correlated with pain catastrophizing [r(31) = .373, p = .039], but not to gastrointestinal symptoms, pain intensity, visceral sensitivity or negative emotions; however, pain catastrophizing correlated with all of these. Taken together, our results suggest that core irrational beliefs action as general vulnerability factors that trigger specific implicit and explicit cognitive mechanisms (i.e., AB, pain catastrophizing) involved in the onset and maintenance of symptoms. Future experimental studies should test the robustness of these results in larger samples and aim to further advance our understanding of how cognitive factors interact and potentiate each other in generating and maintaining debilitating suffering.     

Psychoeducational Psychotherapy and Omega-3 Supplementation Improve Co-Occurring Behavioral Problems in Youth with Depression: Results from a Pilot RCT

This pilot randomized controlled trial (RCT) investigated benefits of omega-3 fatty acid supplementation and Individual-Family Psychoeducational Psychotherapy (PEP; a family-focused, cognitive-behavioral therapy) for behavior problems among youth with depression. Participants aged 7–14 with DSM-IV-TR depressive disorders (N = 72; 56.9 % male) were randomized to 1 of 4 treatment conditions: PEP + omega-3, PEP monotherapy (with pill placebo), omega-3 monotherapy, or placebo (without active intervention). At screen, baseline, and 2, 4, 6, 9, and 12 weeks post-baseline, parents completed the SNAP-IV, which assesses attention-deficit/hyperactivity disorder symptoms, oppositional defiant disorder symptoms, and overall behavior problems. At screen, baseline (randomization), 6 and 12 weeks, parents completed the Eyberg Child Behavior Inventory (ECBI), which includes Intensity and Problem scales for child behavior problems. Youth who had a completed SNAP-IV or ECBI for at least two assessments during treatment (n = 48 and 38, respectively) were included in analyses of the respective outcome. ClinicalTrials.gov.:NCT01341925. Linear mixed effects models indicated a significant effect of combined PEP + omega-3 on SNAP-IV Total (p = 0.022, d = 0.80) and Hyperactivity/Impulsivity trajectories (p = 0.008, d = 0.80), such that youth in the combined group saw greater behavioral improvement than those receiving only placebo. Similarly, youth in combined treatment had more favorable ECBI Intensity trajectories than youth who received no active treatment (p = 0.012, d = 1.07). Results from this pilot RCT suggest that combined PEP + omega-3 is a promising treatment for co-occurring behavior symptoms in youth with depression.     

A Daily Process Approach to Depict Satisfaction with Life during the Menopausal Transition: Physical (In)activity,Symptoms, and Neuroticism

The main objectives of the present study were (1) to examine the between- and within-person association of physical (in)activity and satisfaction with life (SWL), and (2) to identify relevant top-down and bottom-up influences associated with daily well-being in menopausal women using a daily process approach. As part of a 21-day diary study, community-dwelling middle-aged women (N = 103; age range 40–60 years) wore an accelerometer for the objective assessment of physical activity and completed daily Internet surveys at the end of their day. Multilevel analyses indicated the between-person effects of physical activity on SWL were negligent but that on days when a woman was more physically active than her usual, she reported greater SWL (B = 12.01, p < .05). Sedentary behavior did not demonstrate a between- or within-person association with SWL. Women also experienced reduced SWL on days when greater symptom burden was reported (B = ?2.47, p < .05). Neuroticism also emerged as a top-down personality trait with a negative relation to SWL (B = ?1.47, p < .05). Higher levels of neuroticism predicted reduced daily life satisfaction particularly on days characterized by heightened symptom burden (B = ?0.26, p < .05). In this sample of midlife women, daily physical activity had a positive influence on SWL, whereas daily symptom burden and the personality trait of neuroticism had detrimental consequences on a woman’s daily well-being.     

Development and Psychometric Properties of the Self-Representation Questionnaire for Adolescents (SRQA)

Given the lack of validated measures of adolescents’ self-representation, in this paper we present the development process and psychometric properties of a new self-representation questionnaire for adolescents (SRQA), aged 12–16 year old. We examined SRQA factor structure through two studies. In the first study, 32 attributes (16 positive and 16 negative), previously validated in three studies, were administered to 239 adolescents (M = 13.8; SD = 1.28). An exploratory factor analysis showed that 21 attributes (13 positive and 8 negative) were organized in five factors: instrumental, social, emotional, intelligence, and physical appearance. In the second study, these 21 attributes were administered to 232 adolescents (M = 13.8; SD = 1.23). A confirmatory factor analysis supported the SRQA five factor model (Model fit: χ ²/df ratio = 2.392; CFI = .90; RMSEA = .08). Internal consistency was acceptable, ranging between .60 and .85. Girls displayed higher scores in the instrumental and social factors, whereas boys presented higher scores on the physical appearance factor. In line with previous research, results regarding age differences were inconsistent: while in Study 1 results suggested that as, age increases, adolescents’ intelligence self-representation becomes more negative, in Study 2 no age differences were found. Concurrent validity of the SRQA was explored through correlations with the Teacher Report Form, filled out by the adolescents’ homeroom teachers. Results revealed significant negative correlations between two dimensions of self-representation (i.e., instrumental and intelligence) and several dimensions of adolescents’ internalizing and externalizing problems, providing evidence of concurrent validity for the SRQA.     

A Positive Psychology Intervention for Patients with an Acute Coronary Syndrome: Treatment Development and Proof-of-Concept Trial

Positive psychological constructs are associated with superior outcomes in cardiac patients, but there has been minimal study of positive psychology (PP) interventions in this population. Our objective was to describe the intervention development and pilot testing of an 8-week phone-based PP intervention for patients following an acute coronary syndrome (ACS). Initial intervention development and single-arm proof-of-concept trial, plus comparison of the PP intervention to a subsequently-recruited treatment as usual (TAU) cohort. PP development utilized existing literature, expert input, and qualitative interview data in ACS patients. In the proof-of-concept trial, the primary outcomes were feasibility and acceptability, measured by rates of exercise completion and participant ratings of exercise ease/utility. Secondary outcomes were pre-post changes in psychological outcomes and TAU comparisons, measured using effect sizes (Cohen’s d). The PP intervention and treatment manual were successfully created. In the proof-of-concept trial, 17/23 PP participants (74 %) completed at least 5 of 8 exercises. Participants rated the ease (M = 7.4/10; SD = 2.1) and utility (M = 8.1/10, SD = 1.6) of PP exercises highly. There were moderate pre-post improvements (ds = .46–.69) in positive affect, anxiety, and depression, but minimal effects on dispositional optimism (d = .08). Compared to TAU participants (n = 22), PP participants demonstrated greater improvements in positive affect, anxiety, and depression (ds = . 47–.71), but not optimism. A PP intervention was feasible, well-accepted, and associated with improvements in most psychological measures among cardiac patients. These results provide support for a larger trial focusing on behavioral outcomes.     

Decisional Procrastination: Assessing Characterological and Contextual Variables around Indecision

University students (n = 75; M age = 21.4 years old) and community adults (n = 55: M age = 36.6 years old) completed self-reported measures of decisional procrastination (indecision), character (life satisfaction, meaningful life, and need for cognition), context (place attachment, sense of community, and psychological home) and “cross-over” factors relating character and context (self-identity with possessions, people/thing orientation, and clutter), to provide an ecological understanding of persons who claim indecision. Controlling for social desirability tendencies, indecision was negatively related to all character but none of the context variables. Indecision also was related to both person and thing orientation and clutter. Multiple regression analysis indicated that only need for cognition significantly predicted (negatively) indecision among character, context, and cross-over variable sets. Subjective well-being also predicted indecision with low need for cognition among cross-over variables. Taken together, decisional procrastinators reported too much clutter (stuff), interfering with a positive quality of life and related to character over context and cross-over, ecological variables.     

Stress-Related Growth in Japanese Adolescents Experiencing High School Entrance Examinations

High school entrance examinations and preparation for them have become a highly stressful experience for many Japanese adolescents. This study examined the relationship between stress-related growth (SRG) and distress resulting from these exams from the perspective of positive meaning-making. Ninth graders (N = 183, 87 females, aged 14–15 years) of a public school in Tokyo participated in the study by responding to a questionnaire survey. Results indicated that meaning-making was positively correlated with SRG (r = .58, p < .001), whereas it was negatively correlated with distress (r = ?.20, p = .006). Moreover, SRG was negatively correlated with distress (r = ?.34, p < .001). Mediation analysis demonstrated that SRG positively mediates the relationship between meaning-making and distress, while distress negatively mediates the relationship between meaning-making and SRG. These results have implications for understanding the causal relationships between SRG and distress, from the perspective of positive meaning-making regarding high school entrance examinations in Japan.     

Daily Affect and Intimacy in Emerging Adult Couples

We investigated individual- and couple-level associations between daily intimacy and affective states (N = 2211 observations) in 20 heterosexual emerging adult couples (age 18–25 years, M = 23) who had been in a sexual relationship with one another for at least 3 weeks (M = 12 months). Individual analyses revealed that emerging adults’ feelings of intimacy varied from day to day and that there were no gender differences in daily intimacy. Affect and intimacy were positively associated within day for women, but not for men. Time-lagged individual-level analyses revealed that prior-day positive or negative affect did not predict present-day intimacy for men or women. However, prior-day intimacy positively predicted present-day positive affect in men and negatively predicted present-day negative affect in women. Time-lagged couple-level analyses revealed that men’s prior-day positive affect positively predicted their female partner’s present-day intimacy. Women’s prior-day intimacy negatively predicted their male partner’s present-day negative affect. Implications of the day-to-day associations of intimacy with positive and negative affect within emerging adult couples are discussed.     

Resilience to Interpersonal Trauma and Decreased Risk for Psychopathology in an Epidemiologic Sample

Quantitative measures of psychological resilience related to discrete stressors, such as interpersonal (IP) trauma, are lacking. The current study examined whether a novel, quantitative measure of resilience was related to decreased risk for a broad range of lifetime DSM-IV axis I disorders in an epidemiologic sample. Resilience was defined as the residual resulting from the difference between the individual’s predicted and observed PTSD symptom count, based on their cumulative exposure to IP traumatic events. Participants were 6288 adults (59.5% women; M _age  = 46.9, SD = 14.5) from the National Epidemiologic Study on Alcohol and Related Conditions endorsing at least one lifetime IP traumatic event. Logistic regressions were conducted to examine the relationship between resilience and axis I diagnoses, covarying for age, sex, education level, social support, and recent stressful life events. Greater resilience scores were associated with decreased likelihood of major depression (OR = .64, p < .001), generalized anxiety disorder (OR = .65, p < .001), social anxiety disorder (OR = .74, p < .001), panic disorder (OR = .65, p <. 001), and alcohol dependence (OR = .85, p < .001). Discrepancy between expected and observed PTSD symptom severity based on IP trauma load may represent a useful, quantitative measure of resilience.     

Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

The purpose of the multi-measure, multi-wave, longitudinal study was to examine the interactive relation between behavioral distress tolerance (DT) and perceived social support (PSS) in 352 tornado-exposed adolescents aged 12–17 years (M = 14.44; SD = 1.74). At baseline, adolescents completed a computer-based task for DT, and self-report measures of PSS, depressed mood, posttraumatic stress disorder (PTSD), substance use, and interpersonal conflict. Symptoms also were assessed 4 and 12 months after baseline. Findings showed that lower levels of DT together with lower levels of PSS conferred risk for elevated symptoms of prospective depression (t(262) = ?2.04, p = .04; r_{effect size} = 0.13) and PTSD (t(195) = ?2.08, p = .04; r_{effect size} = 0.15) following a tornado. However, only PSS was significant in substance use t(139) = 2.20, p = .03; r_{effect size=}0.18) and conflict (t(138) = ?4.05, p < .0001; r_{effect size=}0.33) in our sample. Implications regarding adolescent DT, the transdiagnostic nature of PSS, and the clinical applications of our findings in the aftermath of a natural disaster are discussed.     

Effectiveness of an Individualized Case Formulation-Based CBT for Non-responding Youths with Anxiety Disorders

The study examined the effectiveness of an individualized case formulation-based cognitive behavior therapy (CBT) for youths (9–17 years) with anxiety disorders and their parents after unsuccessful treatment with a manualized group CBT program (the Cool Kids). Out of 106 participant youths assessed at a 3-month follow-up after manualized CBT, 24 were classified as non-responders on the Clinical Global Impression-Improvement scale (CGI-I), and 14 of 16 non-responders with anxiety as their primary complaint accepted an offer for additional individual family CBT. The treatment was short-term (M sessions = 11.14) and based on a revised case formulation that was presented to and agreed upon by the families. At post-treatment, nine youths (64.3 %) were classified as responders on the CGI-I and six (42.9 %) were free of all anxiety diagnoses, while at the 3-month follow-up 11 (78.6 %) had responded to treatment and nine (64.3 %) had remitted from all anxiety diagnoses. Large effect sizes from pre- to post-individualized treatment were found on youths’ anxiety symptoms, self-reported (d = 1.05) as well as mother-reported (d = .81). There was further progress at the 3-month follow-up, while treatment gains remained stable from post-treatment to the 1-year follow-up. Results indicate that non-responders to manualized group CBT for youth anxiety disorders can be helped by additional CBT targeting each family’s specific needs.     

Unique Contributions of Positive Schemas for Understanding Child and Adolescent Life Satisfaction and Happiness

Much research has examined negative cognitive schemas as associates of psychopathology. Although some research has established relations between positive cognitive schemas and psychopathology, little research has examined positive cognitive schemas in the context of well-being among children and adolescents. In the current study, contributions of positive schemas to two indicators of well-being, namely happiness and life satisfaction, were examined. Specifically we examined how positive schemas predict well-being beyond negative schemas, whether age and gender moderate the relations between positive schemas and well-being, and the contributions of specific positive schema themes to well-being. 282 child and adolescent boys (n = 122) and girls (n = 160) aged 8–18 (M = 13.37, SD = 2.18), completed measures of positive schemas, negative schemas, life satisfaction, and happiness. Results indicated that positive schemas related to life satisfaction and happiness beyond negative schemas, supporting the importance of examining positive schemas in models of well-being. Positive schemas were more strongly tied to happiness in older adolescents versus younger children, but the relations between positive schemas and life satisfaction did not vary as a function of age. Gender effects indicate that the relation between positive schemas and life satisfaction and happiness was stronger for females than for males. When the relative contributions of positive schema themes (i.e., trust, worthiness, optimism, success, self-efficacy) were explored in the prediction of life satisfaction and happiness, worthiness emerged as the strongest predictor. Results emphasize the importance of considering positive schemas in models of well-being among children and adolescents.     

Social Anxiety Symptoms in Young Children: Investigating the Interplay of Theory of Mind and Expressions of Shyness

Children’s early onset of social anxiety may be associated with their social understanding, and their ability to express emotions adaptively. We examined whether social anxiety in 48-month-old children (N = 110; 54 boys) was related to: a) a lower level of theory of mind (ToM); b) a lower proclivity to express shyness in a positive way (adaptive); and c) a higher tendency to express shyness in a negative way (non-adaptive). In addition, we investigated to what extent children’s level of social anxiety was predicted by the interaction between ToM and expressions of shyness. Children’s positive and negative expressions of shyness were observed during a performance task. ToM was measured with a validated battery, and social anxiety was assessed using both parents’ reports on questionnaires. Socially anxious children had a lower level of ToM, and displayed more negative and less positive shy expressions. However, children with a lower level of ToM who expressed more positive shyness were less socially anxious. Additional results show that children who displayed shyness only in a negative manner were more socially anxious than children who expressed shyness only in a positive way and children who did not display any shyness. Moreover, children who displayed both positive and negative expressions of shyness were more socially anxious than children who displayed shyness only in a positive way. These findings highlight the importance of ToM development and socio-emotional strategies, and their interaction, on the early development of social anxiety.     

The Subjective Assessment of Accomplishment and Positive Relationships: Initial Validation and Correlative and Experimental Evidence for Their Association with Well-Being

In his Authentic Happiness Theory, Seligman describes three orientations that lead to happiness: The life of pleasure, the life of engagement, and the life of meaning (in Authentic happiness, Free Press, New York, 2002). The Orientations to Happiness Questionnaire (OTH; Peterson et al. in J Happiness Stud 6:25–41, 2005) has been developed as a subjective measure for these three orientations. In 2011, Seligman revised his theory and added two new components; i.e., positive relationships and accomplishment. These five are the basic tenets of his well-being theory. The present set of studies describes the construction and initial validation of two short scales for the subjective assessment of the endorsement of positive relationships and accomplishment. Their relation with the OTH-scales is also tested. Study 1 describes the scale construction and provides evidence for the factorial, convergent and divergent validity in three samples (n = 233, n = 336, and n = 125). Study 2 showed that the new scales have high test–retest reliabilities over a period of 1, 3, and 6 months (r = .68–.78), respectively. Study 3 examines the malleability of positive relationships and accomplishment in an intervention study that shows that the scores of both new scales increase in the intervention condition. Overall, the three studies show that the new scales have satisfactory psychometric properties—also when used together with the OTH-scales—and possible applications are discussed.     

Recollections of childhood bullying and multiple forms of victimization: correlates with psychological functioning among college students

This retrospective investigation examined the association among childhood bullying victimization, multiple forms of victimization, and psychological functioning in a college sample. Four hundred-and-eighty-two undergraduate students participated in the study (M = 19.98 years, SD = 1.82). The sample included 65 % women. For race/ethnicity, 66.4 % were European-American (N = 320), 16.8 % African-American (N = 81). For grade level, 21.6 % were freshmen (N = 104), followed by 38.2 % sophomores (N = 184), 16.2 % juniors (N = 78), and 23.4 % seniors (N = 113). Participants completed a survey packet of measures assessing childhood bullying victimization experiences and current levels of psychological functioning. Findings indicated that bullying victimization significantly predicted greater levels of depression, anxiety, and post-traumatic stress (PTS) after controlling for other childhood victimization experiences. PTS symptoms were predicted by exposure to community violence and child abuse with bullying victimization was found to be the strongest predictor. College-level practitioners need to assess for a wide range of childhood victimization experiences, including bullying victimization.