Relationship Between Specific Adverse Life Events and Psychiatric Disorders

This study examines whether certain psychiatric disorders are associated more closely with adverse life events than other disorders are, and whether some adverse life events are associated with a specific group of disorders (e.g., depressive disorders), but not with other disorders (e.g., anxiety disorders). A probability sample of youth aged 9–17 at 4 sites is used (N = 1,285). Univariate and multivariate logistic regressions identify specific relationships between 25 adverse life events and 9 common child and adolescent psychiatric disorders, measured by the Diagnostic Interview Schedule for Children. Conduct Disorder, Oppositional Defiant Disorder, Major Depressive Disorder, and Dysthymia are significantly associated with many of the adverse life events examined, whereas Attention Deficit/Hyperactivity Disorder, Agoraphobia, and Social Phobia are related to very few. This study suggests that certain psychiatric disorders may be more closely associated with adverse life events than other psychiatric disorders are, and that some adverse life events seem to be related to specific types of disorders.     

Cognitive and Behavioral Contributions to Depression Severity,Quality of Life,and Functioning Among People Living With HIV in South Africa

Cognitive-behavioral treatments for depression typically address both behavioral (e.g., activation) and cognitive (e.g., rumination) components, and consequently improve quality of life (QOL) and function in high-resource settings. However, little is known about the cross-cultural applicability and relative contribution of these components to depression symptom severity, QOL, and functional impairment in South Africa and other resource-limited global settings with high HIV prevalence rates.Persons with HIV (N = 274) from a peri-urban community outside Cape Town, South Africa, were administered multiple measures of depression (Hamilton Depression Scale, Centre for Epidemiological Studies Depression Scale, South African Depression Scale), cognitive and behavioral components related to depression (Ruminative Response Scale, Behavioral Activation for Depression Scale), and measures of QOL and functioning (Sheehan Disability Scale, Quality of Life Enjoyment and Satisfaction Scale—Short Form). Multiple linear regression models were fit to assess the relative contribution of behavioral and cognitive components to depression severity, QOL, and functional impairment in this population.Models accounting for age and sex revealed that lower levels of behavioral activation (BA) were significantly associated with all measures of depression, as well as with QOL and functional impairment (all ps < .01). Rumination was associated with all measures of depression (all ps < .01), but not with QOL or functional impairment.The consistent and unique association of BA with depression, QOL, and functional impairment bolsters its importance as a treatment target for this population.     

Trauma exposure and life satisfaction among at-risk black South African adolescents

This study aimed to construct a model to explain trauma exposure and life satisfaction among black South African school learners. A random sample of 366 black adolescents selected from ten South African schools participated (females = 63.2%; rural = 24.2%; mean age = 13.9 years). The school learners were surveyed on trauma exposure, resources, coping and resilience, and life satisfaction. A structural equation modelling analysis indicated that interpersonal, intrapersonal and affective strengths, coping skills, family involvement, and school functioning were associated with increased resilience, which in turn predicted life satisfaction. Interventions aimed at increasing resilience in contexts characterised by high levels of trauma exposure should prioritise helping adolescents access both internal and external resources, such as coping skills and family involvement respectively.     

Resilience in the Face of Maternal Psychopathology and Adverse Life Events

Maternal psychopathology has long been recognized as a risk factor for psychopathology in offspring; however, some resilient youth achieve a favorable outcome in the presence of maternal psychopathology. We identified factors that predicted resilience among youth who were exposed to adverse life events, and also examined whether the same factors protected youth against maternal psychopathology and adverse life events. Main and interaction effects of child and family factors were examined employing cross-sectional data from a household probability sample of 1285 youth aged 9 through 17 collected at four sites. On average, children exhibited a greater degree of resilience when they had higher IQ, closer parental monitoring, better family functioning, higher educational aspiration, and were female. Interaction between maternal psychopathology and IQ was significant, and there was a trend between maternal psychopathology and gender. A higher IQ is a protective factor against both maternal psychopathology and adverse life events; whereas being a girl seems to be a protective factor against maternal psychopathology, but not adverse life events.     

Additive and Synergetic Contributions of Neuroticism and Life Events to Depression and Anxiety in Women

In this genetically informative and longitudinal study of women, we investigated the nature of individual differences in tendencies to depression (TD) and anxiety (TA) as well as in the probability to develop unipolar mood disorders (UMDs), anxiety disorders (ADs) or both. Specifically, we examined the roles of neuroticism, negative and positive life events and their interplay as heritable and environmental factors of variance in TD and TA. Cross‐sectional data from a total of 1200 women including 232 patients (suffering from UMDs and/or ADs) and longitudinal data from 630 female twins including 260 complete pairs were analysed. The analyses yielded that variance in neuroticism mediated the vast majority of the genetic variance in both TD (about 85–90%) and TA (about 70–75%). Negative life events additionally contributed as risk factors accounting for common and specific environmental variance in both TD and TA, whereas positive life events only acted as protective factors in the case of TD. Moreover, TD but not TA was associated with both the probability of exposure and the sensitivity to negative life events and a negative life‐event balance (i.e. more negative than positive experiences). The results were discussed within the framework of additive, dynamic and synergetic diathesis–stress models. Copyright © 2016 European Association of Personality Psychology     

Validation of the Life Role Salience Scale in a South African setting

This study aimed to validate the Life Role Salience Scale (LRSS) in a South African context. Respondents were 300 working adults (72.3% = women; 57.9% = non-white; mean age = 35.12 years, SD = 10.25 years; mostly from the finance sector = 35.6%). Confirmatory factor and exploratory factor analyses were conducted to determine the LRSS’s factor structure and reliability of scores from the scale for the South African sample. Results yielded five factors emerging from the analyses: Homecare role reward value and homecare role commitment; marital role reward value and marital role commitment; occupational role commitment; occupational role value reward; and parental role reward value. The reliability of scores from the LRSS ranged from 0.79 (parental role reward value) to 0.95 (homecare role reward value and homecare role commitment). The LRSS shows validity for research use in South Africa.     

Life experiences of people who stutter, and the perceived impact of stuttering on quality of life: personal accounts of South African individuals

The purpose of the study was to investigate the life experiences of a group of South African adults who stutter and the impact of stuttering on their quality of life. Participants were 16 adults with a mean age of 28.9 and ranging from 20 to 59 years. Methods involved individual interviews designed to explore the life domains of education; social life; employment; speech therapy; family and marital life; and identity, beliefs and emotional issues. Main findings of the study indicated that the majority of participants perceived their stuttering to have impacted on their academic performance at school, and relationships with teachers and classmates. Although their stuttering was not perceived to adversely influence their ability to establish friendships, people generally reacted negatively to their stuttering. Many felt that their stuttering did not have an adverse effect on their choice of occupation, ability to obtain work, and relationships with managers and co-workers, although it was perceived to influence their work performance and hamper their chances for promotion. Although the majority viewed their speech therapy experiences as being negative; more than half the sample believed that speech therapy had, nevertheless exerted a positive effect on their quality of life. Overall, stuttering did not appear to have influenced participants’ family and marital life. Most participants felt that stuttering had affected their self-esteem and self-image, and had evoked strong emotions within them. Findings are taken to suggest the need to incorporate subjective feelings about stuttering into the clinical practice of speech-language therapy; to provide information and coping strategies for teachers and employers; and for further research.

Educational objectives: After completing this activity, the reader will be able to: (1) describe and explain the perceived impact of stuttering on quality of life in terms of education; social life; employment; speech therapy; family and marital life; and identity, beliefs and emotional issues; (2) to interpret and utilize the subjective meanings that individuals attach to their stuttering to improve stuttering treatment, counseling and research.     

Coping Strategies and Locus of Control as Mediating Variables in the Relation Between Exposure to Political Life Events and Psychological Adjustment in Israeli Children

The relation between political life events and distress was examined with particular emphasis on coping strategies and locus of control as two possible mediators. Subjects were 88 Israeli children. Results partially supported a linear relation between reported impact of exposure and distress. Findings for coping strategies as a mediator suggested, counterintuitively, that greater use of coping strategies is related to more experienced distress. Findings for locus of control as a mediator suggested that subjects with external locus of control experience greater distress, other than in the case of depressive symptomatology. These results indicate that coping strategies and locus of control play a complex role in the stress-outcome relation, the precise nature of which remains to be resolved. Theoretical, clinical and political implications of the findings are discussed.     

Psychological Well-Being and Health Related Quality of Life among a Group of Low-Income Women Living with HIV/AIDS in South Africa

This study documented the relationships among biomedical factors, psychosocial factors, health related quality of life (HRQOL) and suicidality in respect of HIV positive women in KwaZulu-Natal. One hundred and thirty three (133) women over the age of 18 years (mean age 32.96 yrs; SD = 7.28) participated in the study. Participants completed a Suicidality Measure (SM: Sheebhan, Janavs, Amorim, Janavs, Weiller, Hergueta, Baker & Dunbar, 1998), Multidimensional Scale of Perceived Social Support (MPSS: Zimet, Dahlem, Zimet & Farley, 1988) and the Health Related Quality of Life Survey—SF-36 (Ware, Kosinski & Dewey, 2002). Information on social/contextual variables including income, marital status, employment status, number of children was obtained. Participants completed two biomedical measures, CD4 count and time since diagnosis information. The findings revealed a compromised level of HRQOL in the participants. After controlling for biomedical factors, psychosocial measures did not explain differences in quality of life. Perceived social support was inversely related to suicidality. Newly diagnosed patients were less likely to think of suicide as an option.     

Happiness Trends Under Democracy: Where Will the New South African

Five years after South Africa's first democratic elections in 1994, life satisfaction and happiness still reflect societal divides sowed by apartheid social engineering. The paper reports the indicators: life satisfaction, happiness and expectations for the future, from national surveys conducted between 1983 and 1999 for the South African Quality-of-Life Trends Project. Post-election euphoria, which saw all South Africans happy and satisfied with life for a brief moment in 1994, raises the question where the new set-level of subjective well-being will eventually come to rest. In 1999, in spite of some gains in living conditions, the level of life satisfaction of blacks has not risen above the mid-point and happiness is only slightly above the mid-point. Meanwhile, whites, who have forfeited their political dominance, continue to score above the mid-point on happiness and life satisfaction. The paper draws on the literature, particularly on quality-of-life trends in reunified Germany and paradoxical trends in African-American life satisfaction when discussing the dynamics underlying South African subjective well-being. It is argued that coping mechanisms may play an important role in determining levels of subjective well-being in the complex situation of South Africa.     

Home Brewed Alcohol use Among High School Students in a Rural South African Community

This study investigates the use of home brewed alcoholic beverages among adolescents in high schools in a rural community in South Africa. There is much concern about alcohol misuse among young people and very little information exists on alcohol produced by the informal liquor industry in South Africa. A total of 1600 high school students participated in the study. The prevalence rates for past year use of home brewed alcohol was 22.2%. There was association between home brewed alcohol use and correlates such as “lived in city”; “raised by both parents”; “repeating school year”; “poor scholastic progress”; “absenteeism” “getting into trouble”, “arguing with parents/friends”; “neglecting homework”; and “recreation/leisure”. The prevalence rates for home brewed alcoholic beverages use in this rural schools calls for more research that focuses on home brews which could lead to the development of appropriate health promotion intervention in schools.     

Social Distribution of Social Support: The Mediating Role of Life Events

Although the relation of socioeconomic status (SES) to social support has been discussed for some time, researchers have rarely systematically examined the social patterning of this resource. In addition, potential explanatory mechanisms have not been investigated. This study examined both the social distribution of social support and the role of life events in the association between SES and social support in a nationally representative probability sample of adults from the National Cormorbidity Survey. Higher education and income were related to more emotional support and fewer negative interactions. Individuals with higher incomes were also less likely to report acute and chronic life events. Finally, acute (but not chronic) life events mediated the relation between SES and social support (both emotional support and negative interactions). These results suggest the inability of lower SES individuals to mobilize social support in times of need may be explained by their more frequent experience of acute life events.     

Psychological Dimensions of Unemployment: A Gender Comparison Between Belgian and South African Unemployed

This study sought to compare South African and Belgian unemployed in their subjective experience of unemployment, committed towards employment and job search behaviour. We also considered gender differences regarding the psychological dimensions of unemployment between Belgium and South Africa. A cross-sectional survey design was used. Unemployed people were sampled from the Potchefstroom area in South Africa (N = 381) and the Brussels area in Belgium (N = 305). The Experiences of Unemployment Questionnaire was administered. While no significant gender differences were found in South Africa, significant differences were found for all three psychological dimensions of unemployment in the Belgian sample. South African intervention programmes should be developed in order to cope with long-lasting unemployment, social isolation and further financial deprivation.     

Alcohol Use,Problem Drinking and Health Risk Factors Among South African Youths

The aim of this study was to assess the prevalence and associated factors of problem drinking among South African youth (18–24 years). A cross-sectional population-based household survey was conducted using a multi-stage stratified cluster sampling approach. The total sample included 3123 participants (age range 18–24 years, 45.4% women) from four of nine provinces in South Africa. Results indicate that current alcohol was relatively more common among male (40.7%) than female youths (21.3%). Similarly, hazardous or harmful drinking was more prevalent among males (24.3%) than among women (12.9%). In multivariable analyses among men and women high on sexually permissiveness had hazardous or harmful alcohol use. Lifestyle including high peer pressure, and spending more nights away in a week were associated with hazardous or harmful alcohol use.     

青少年自我复杂性的测量及其压力缓冲作用探讨

研究主要探讨了青少年自我复杂性的测量及其压力缓冲作用。结果表明,Rafaeli-Mor等人（1999）的成分测量法能更有效地评价自我复杂性;累积压力下,更高数量的自我维度意味着青少年更高的满意度;当前压力下,自我维度的高数量/高重叠使青少年的自我清晰、连贯,较少产生抑郁;高数量/低重叠意味着自我分裂,青少年易受消极事件的影响;低数量/高重叠表明自我相对简单或狭隘,青少年难以应付生活的高压力;自我复杂性是影响弹性的主要因素之一     

An overview of South African psychology

This overview of psychology in South Africa presents a concise and historical account of its science and practice, from its early origins in the late nineteenth century to the present, and traces seminal influences on the discipline. It is a review of how psychology in South Africa developed over more than a century to become one of the most popular subjects in universities and an established and recognized profession, whose members play a variety of roles in the South African polity and larger society. The impact that apartheid racism had on key aspects of psychology's development is traversed, and the influences that previous ruling party politics had on professional psychological organizations are delineated. The unification of psychology under the Psychological Society of South Africa, a few months before the advent of democracy in South Africa, is explicated. The protection of the title of psychologist in law and certain other changes in the legislative environment, enabling a greater role for psychologists, are reported. The primary research sites for psychology and its funding and the main university psychology programs are described, as are the requirements for registration and licensure. The genesis and the importance of the work of internationally acclaimed South African psychologists, such as J. Wolpe and A. A. Lazarus, are contextualized. With the increased participation of progressive black psychologists in leadership and research in the past two decades, a transformed psychology has the potential to play a significant role in addressing human issues confronting South Africa.     

Assessment of Major Life Events for Hong Kong Adolescents: The Chinese Adolescent Life Event Scale

Previous Chinese research on adolescent life stress adopted life event scales that were directly translated from Western measures. To address the methodological and cultural issues overlooked by the import approach, the present research aimed at constructing a life event scale for Hong Kong adolescents. Study 1 was conducted to congregate items for the Chinese Adolescent Life Event Scale (CALES). The CALES contains 44 items derived from 618 Hong Kong adolescents. Study 2 revealed adequate test–retest reliability and criterion-related validity for the CALES. Moreover, the CALES yielded stronger relationships with depression than did the translated life event measures. Results suggest that the CALES is appropriate for assessing life events for Hong Kong adolescents. Both unique features of the CALES and life events found only in the translated measures are examined. Implications for Chinese research on life stress are discussed.     

Standardization of a Spirituality Scale with a South African Sample

The study reports on the psychometric properties of a Spirituality Scale developed in the USA in a South African setting. Respondents were 218 women and 84 men with a mean age of 25.54 years and an age range from 17 to 85 years. The majority (70%) were isiZulu speakers. Factor analyses suggested a multidimensional structure, consisting of three factors, labelled perennial spirituality, respect and purpose. The scores from the scale were moderately reliable in their internal consistency. A shortened 12-item Spirituality Scale (SS-12) has potential for research use in South Africa.