Can functional emotion regulation protect children's mental health from war trauma? A Palestinian study

Effective emotion regulation (ER) is expected to protect mental health in traumatic stress. We first analysed the protective (moderator) function of different ER strategies and the associations between ER and mental health. Second, we tested gender differences in the protective function of ER and the associations between ER strategies and mental health. Participants were 482 Palestinian children (girls 49.4%; 10–13 years, M = 11.29, SD = .68) whose ER was assessed by the Emotion Regulation Questionnaire and mental health by post‐traumatic stress (Children's Impact Event Scale), depressive, and psychological distress (Strengths and Difficulties Questionnaire) symptoms, and by psychosocial well‐being (Mental Health Continuum‐Short Form). War trauma involved 42 events. Results showed, first, that none of the ER strategies could protect a child's mental health from negative impact of war trauma, but self‐focused ER was associated with low depressive symptoms, and other‐facilitated ER with high psychological well‐being. However, controlling of emotions formed a comprehensive risk for children's mental health. Second, gender differences were found in the protective role of ER, as self‐focused and distractive ER formed a vulnerability among boys. The results are discussed in the context of emotional and regulative demands of war and life‐threat.     

The Moderating Effect of Cognitive Flexibility in the Relationship Between Work Stress and Psychological Symptoms in Korean Air Force Pilots

Stress is closely associated with not only physical illness but also with indices of psychological maladjustment. However, such negative mental health outcomes may vary depending on the individual’s cognitive style, or perception of stress. Air force pilots are particularly vulnerable to experience a high degree of stress as they are required to conduct missions while simultaneously monitoring for safety in complex and uncertain flight situations. It can thus be posited that appropriate use of cognitive stress management strategies is one of the crucial competency requirements for pilots. As such, the present study examined the effects of stress on psychological symptoms of Korean Air Force pilots and further investigated the moderating role of cognitive flexibility in this relationship. A total of 192 air force pilots participated in the present study. The results indicated that degree of stress was positively correlated with indices of psychological maladjustment, while cognitive flexibility was negatively associated with psychological symptoms. Furthermore, cognitive flexibility demonstrated a significant moderating effect on the relationship between stress and psychological symptoms. Such results suggest that cognitive flexibility may serve as a protective factor in the potential effects of stress on psychological adjustment. Implications and suggestions for future research are discussed.     

Positive Emotions in Traumatic Conditions: Mediation of Appraisal and Mood for Military Personnel

The current study examines the relative contributions of cognitions and moods with U.S. military personnel under traumatic stress conditions. Soldiers exposed to traumatic stress conditions reported significantly elevated psychological symptoms. Both cognitive appraisal styles and mood states were related to trait resilience. Both appraisal and mood mediated the relationship between trait resilience and psychological adjustment. Current mood states were a significant predictor of psychological adjustment beyond the trait of resilience and aspects of cognitive appraisal. Positive affect did relate to better psychological adjustment even under traumatic stress conditions.     

Some effects of positive life events on community mental health

Measures of positive and negative events were derived from a life-event inventory to test the predictions of an equilibrium model and a positive mental health model of psychological well-being. These measures were related to indicators of individual and community well-being with data obtained through a household survey of 454 residents. Residents who reported more negative events also reported more psychological distress and less positive adjustment. Positive events were associated with reports of positive adjustment. An analysis of census tract scores on life events revealed that the relative absence of positive events in census tracts was associated with higher service utilization rates to the community mental health center serving those tracts. The number of negative events was unrelated to service rates for census tracts but was related to several demographic indicators of well-being.     

Anxiety research in Japan

Abstract

This article focused on traumatic stress and adjustment in the Middle East. Conservation of Resources (COR) stress theory was proposed as a template to explain the relationship between traumatic circumstances and subsequent adjustment. According to COR theory, moderate and major life events produce negative psychological, functional, and health sequelae to the extent that resource loss is experienced. Resource loss that is developmentally overwhelming, or chronic, or a threat to survival was proposed to produce extreme or prolonged adjustment difficulties. Conversely, the replenishment of resources was seen as alleviating psychological suffering. COR theory was applied broadly to children, adults, civilians, and military personnel.     

单亲家庭儿童相对剥夺感与心理适应的循环作用关系：一项追踪研究

本研究基于经典相对剥夺理论和发展情境理论, 采用纵向设计, 以湖北省某地区273名单亲家庭儿童为被试, 进行连续3次的追踪测查, 考察单亲家庭儿童相对剥夺感与心理适应的特点及其循环作用关系。结果发现: (1)单亲家庭男生的抑郁和孤独感水平比女生高; 贫困单亲家庭儿童的相对剥夺感、抑郁和孤独感水平比非贫困单亲家庭儿童高, 自尊水平比非贫困单亲家庭儿童低; (2)控制了性别、学段和家庭经济状况后, 在个体内水平上T1时的相对剥夺感显著负向预测T2时的心理适应, 进而显著负向预测T3时的相对剥夺感, 同时T2时的相对剥夺感也能显著负向预测T3时的心理适应; (3)相对剥夺感与心理适应的循环作用在不同家庭经济状况单亲儿童中存在显著差异, 贫困单亲家庭儿童的心理适应对其相对剥夺感的作用比非贫困单亲家庭儿童更大。可见, 单亲家庭儿童的相对剥夺感与心理适应存在循环作用关系, 即前测(T_n)的相对剥夺感会导致后测(T_n+1)的心理适应不良, 进而影响后测(T_n+2)的相对剥夺感, 研究结果对于单亲家庭儿童心理适应的干预具有一定启示意义。     

Attachment and preschool children's understanding of maternal versus non‐maternal psychological states

There is growing evidence that insecurely attached children are less advanced in their social understanding than their secure counterparts. However, attachment may also predict how individual children use their social understanding across different relationships. For instance, the insecure child's social‐cognitive difficulties may be more pronounced when the psychological states of an attachment figure are being considered. In the current study, forty‐eight 4‐ to 5‐year‐old children were asked about their mothers' emotions and false beliefs, as well as those of non‐attachment figures. The Separation Anxiety Test (SAT) was administered to assess children's attachment representations. Children's SAT scores predicted their overall performance on the false belief and causes of emotion tasks, even after controlling for age and verbal ability. More interestingly, however, children with high scores on the Avoidance dimension of the SAT experienced greater difficulty understanding maternal false beliefs relative to those of an unfamiliar adult female. Thus, although attachment insecurity may hinder social‐cognitive development in general, the findings suggest that there are more specific effects as well. Attachment representations that are characterized by high levels of avoidance appear to interfere with children's ability to fully engage their social‐cognitive skills when reasoning about maternal mental states.     

Psychological sequelae of remote exposure to the September 11th terrorist attacks in Canadians with and without panic

The purpose of the present investigation was to examine the psychological impact of remote exposure to the events and aftermath of the terrorist attacks in the USA on September 11th, 2001, and to assess what differences, if any, exist between individuals classified with probable panic disorder and those without. Telephone interviews were conducted with 122 residents of the capital city of the Canadian prairie province of Saskatchewan in spring 2002 in order to gather information regarding current mood, fears and avoidance behaviours as well as current post‐traumatic stress disorder symptoms specific to September 11th. Consistent with previous findings and despite the remote nature of exposure, results indicated that the psychological well‐being and behaviour of participants with probable panic disorder was more adversely affected by the events and aftermath of September 11th than those without panic disorder. These results suggest that remote viewing of traumatic events can have a significant and lingering impact on psychological well‐being and behaviour and that these effects are more pronounced in those with panic disorder. Implications of the findings and future research directions are discussed.     

The effect of early life stress on the cognitive phenotype of children with an extra X chromosome (47,XXY/47,XXX)

Studies on gene–environment interactions suggest that some individuals may be more susceptible to life adversities than others due to their genetic profile. This study assesses whether or not children with an extra X chromosome are more vulnerable to the negative impact of early life stress on cognitive functioning than typically-developing children.

A total of 50 children with an extra X chromosome and 103 non-clinical controls aged 9 to 18 years participated in the study. Cognitive functioning in domains of language, social cognition and executive functioning were assessed. Early life stress was measured with the Questionnaire of Life Events. High levels of early life stress were found to be associated with compromised executive functioning in the areas of mental flexibility and inhibitory control, irrespective of group membership. In contrast, the children with an extra X chromosome were found to be disproportionally vulnerable to deficits in social cognition on top of executive dysfunction, as compared to typically-developing children. Within the extra X group the number of negative life events is significantly correlated with more problems in inhibition, mental flexibility and social cognition. It is concluded that children with an extra X chromosome are vulnerable to adverse life events, with social cognition being particularly impacted in addition to the negative effects on executive functioning. The findings that developmental outcome is codependent on early environmental factors in genetically vulnerable children also underscores opportunities for training and support to positively influence the course of development.     

“Ethical considerations in providing psychological services to unaccompanied immigrant children”

Over 50,000 youth, mostly between the ages of 13 and 17 years, migrated to the United States (US) without familial accompaniment in the fiscal year 2018. The tripartite process of pre-flight, flight, and resettlement exposes these unaccompanied immigrant children (UIC) to multiple, and often ongoing, traumatic events that can significantly and adversely impact their mental health into adulthood. However, the ethical considerations for psychologists working with this growing population, with limited exceptions, remain largely unaddressed. As more and more UIC flee their home countries due to violence, abuse, and economic instability only to experience further stressors during the processes of detainment, custodial placement, and acculturative adjustment in the US, there is an increasing need for psychological services; thus, the importance of preparation of mental health providers is increasingly significant. Psychologists must have the requisite skills and knowledge of the complex experiences of UIC, and of how these intersect with salient cultural, developmental, and systemic factors, as a means of providing competent and ethical mental health treatment. The present article highlights several ethical issues that arise when providing psychological services to UIC, with particular consideration paid to the embeddedness of UIC in various organizational entities with which psychologists will likely need to interface when working with this population. Implications and recommendations for practicing psychologists and training programs are discussed.     

Psychometric assessment of cardiac transplantation candidates

Psychometric assessment protocols were used to chart the course of 287 end-stage cardiac patients' psychological adjustment at pretransplantation and, again, in 34 who were subsequently transplanted. The regression and repeated-measures analyses suggested that psychological distress is typical of the adult transplantation candidate, although impaired cognitive functioning is more typical of the acute postoperative stage. Negative affect, cognitive, personality, and coping measures are interrelated at pretransplantation; depression and mental control show significant decreases at 2 weeks posttransplantation. Whereas the transplantation process is inherently distressing, psychological testing may identify cognitive and personality features that require more specific clinical attention.     

The roles of different executive functioning skills in young children’s mental computation and applied mathematical problem-solving

This study investigated the relationships of four executive functioning skills (including verbal working memory, spatial working memory, inhibitory control, and cognitive flexibility) with young children’s mental computation and applied mathematical problem-solving. Two hundred and twenty-five Chinese kindergarteners were tested with a battery of general cognitive, executive functioning and mathematics skills. Results showed that when children’s age, gender, non-verbal intelligence, and listening comprehension skills were controlled, verbal working memory and cognitive flexibility were significant correlates of mental computation, whereas verbal working memory, spatial working memory, and cognitive flexibility were significant correlates of applied mathematical problem-solving. Inhibitory control was not significantly associated with the two domains of mathematics under investigation. The findings highlight the differential roles of different executive functioning skills in early mathematical skills and offer practical implication for helping young children in learning complex mathematical skills.     

Trauma and autobiographical memory: contents and determinants of earliest memories among war-affected Palestinian children

The contents of earliest memories (EM), as part of autobiographical memory, continue to fascinate scientists and therapists. However, research is scarce on the determinants of EM, especially among children. This study aims, first, to identify contents of EM of children living in war conditions, and, second, to analyse child gender, traumatic events and mental health as determinants of the contents of EM. The participants were 240 Palestinian schoolchildren from the Gaza Strip (10–12 years, M?=?11.35, SD?=?0.57; 49.4% girls). They responded to an open-ended EM question, and reported their trauma exposures (war trauma, losses and current traumatic events), posttraumatic stress, depressive symptoms and psychosocial well-being, indicating mental health. The EM coding involved nature, social orientation, emotional tone and specificity. Results showed, first, that 43% reported playing or visiting a nice place as EM, and about a third (30%) traumatic events or accidents (30%) or miscellaneous events (27%). The individual and social orientation were almost equally common, the emotional tone mainly neutral (45.5%), and 60% remembered a specific event. Second, boys remembered more EM involving traumatic events or accidents, and girls more social events. Third, war trauma was associated with less positive emotional tone and with more specific memories.     

Flexibility training with educable retarded children

This experiment was designed to test the hypothesis that training in perceptual and cognitive shifts would improve the performance of EMR children on flexibility measures and on the Binet and WISC scales. Twenty-eight children received 42 exercises in cognitive flexibility and were compared to a control group that was matched on mental age. Instruction facilitated performance on variables measuring verbal fluency and concept formation; however, significant improvement was generally limited to those variables which shared content with the training exercises.     

Children's and Mothers' Contribution to Joint Reminiscing in Different Sociocultural Contexts: Who Speaks and What is Said

The study compares mothers' conversation with their 4‐year‐old children about two past events in two autonomy‐oriented (35 German and 42 Swedish families), one relatedness‐oriented (22 Cameroonian Nso families) and one autonomy‐relatedness oriented (38 Estonian families) contexts. German mothers were rather similar to Swedish mothers in talking a lot, providing a lot of information and engaging children into conversation, but they differed from Swedish mothers by talking more about social content. Swedish children were more independent conversational partners to their mothers than other children, including German children. Estonian mothers' contribution to conversation was similar to Cameroonian Nso mothers, except that they asked a lot of open‐ended questions to engage children in conversations. Estonian children did not differ from Swedish and German children in their contribution to conversations. Compared to Swedish mothers, past event talk of Estonian mothers was characterized by a bigger proportion of talk devoted to social content, but also to the child, mental states and non‐social content. It was characteristic of Cameroonian Nso mothers that they focused more on other people and actions, and their conversational dominance was larger. Differences in reminiscing were consistent with different cultural models of self and the type of autonomy – psychological or action – promoted. Copyright © 2015 John Wiley & Sons, Ltd.     

Depression and resilience mediate the relationship between traumatic life events and ill physical health: results from a population study

We set out to investigate the mediating roles of depression, resilience, smoking, and alcohol use, in the relationship between potentially traumatic life events and objective and subjective, physical and mental health in a single study. A face-to-face, population-based survey was conducted in Hong Kong (N = 1147). Information on health conditions and traumatic life events was obtained, and participants completed measures of subjective physical and mental health, depression, and resilience. Smoking and drinking were not significant mediators of the relationship between life events and both objective and subjective health. Depressive symptomatology was found to mediate the relationship between life threatening illness and subjective physical health, the relationship between abuse (physical and sexual) and subjective mental health, and the relationship between the death of a parent/partner and subjective mental health. Resilience was found to mediate the relationships between multiple traumatic life events and subjective physical and mental health. Our results indicate that psychological factors rather than biological are important mediators of the relationship between life events exposure and health. Our findings provide evidence that depressive symptomatology has a mediating role only in the case of specific potentially traumatic life events and that resilience is only a critical factor in the face of exposure to multiple traumatic events, rather than single events. Our results also indicate that behavioural factors, such as smoking and drinking, are not significant mediators of the relationship between life events and health.     

Exposure to War Trauma, War-Related PTSD, and Psychological Impact of Subsequent Hurricane

This study explored the impact of psychological outcomes to war on response to subsequent natural disaster. Participants were 312 military personnel, 66% of whom saw Gulf War duty. All were exposed to the 1992 Hurricane Andrew. Troops were compared on reported traumatic events, hurricane impact responses, and psychological symptoms in subgroups defined by war or no war exposure prior to hurricane and by presence or absence of war-related posttraumatic stress disorder (PTSD). Data were gathered in face-to-face clinical assessments. War trauma prior to hurricane was associated with more reported traumatic events, greater fears for safety during the hurricane, and heightened psychological symptoms. Troops with preexisting war-related PTSD showed more adverse psychological hurricane sequelae and reported more traumatic events, higher depression, anxiety, anger, PTSD symptoms, and physical symptoms, and lower self-esteem than those free of diagnoses. Results point to the negative influence of exposure to one traumatic event on the experience of and response to a subsequent stressor.     

Negative cognitive errors and positive illusions for negative divorce events: Predictors of children's psychological adjustment

This study examined the relations among negative cognitive errors regarding hypothetical negative divorce events, positive illusions about those same events, actual divorce events, and psychological adjustment in 38 8- to 12-year-old children whose parents had divorced within the previous 2 years. Children's scores on a scale of negative cognitive errors (catastmphizing, overgeneralizing, and personalizing) correlated significantly with self-reported symptoms of anxiety and self-esteem, and with maternal reports of behavior problems. Children's scores on a scale measuring positive illusions (high self-regard, illusion of personal control, and optimism for the future) correlated significantly with less self-reported aggression. Both appraisal types accounted for variance in some measures of symptomatology beyond that explained by actual events. There was no significant association between children's negative cognitive errors and positive illusions. The implications of these results for theories of negative cognitive errors and of positive illusions, as well as for future research, are discussed.     

Psychological Inflexibility and Child Anxiety

Psychological flexibility is the main outcome of acceptance commitment therapy. Insight into the usefulness of measuring psychological flexibility is an important step to enable studies on the effectiveness of acceptance commitment therapy in middle-aged children (8–10 years). For this purpose, we examined the factor structure, the construct validity and the reliability of the Avoidance and Fusion Questionnaire for Youth. The Avoidance and Fusion Questionnaire for Youth taps psychological inflexibility (the opposite of psychological flexibility) in children and adolescents. Although the questionnaire has been extensively validated in older children, this is not the case for middle-aged children. The Avoidance and Fusion Questionnaire for Youth contains 17 items and is constituted of the subscales cognitive fusion, experiential avoidance and behavioral ineffectiveness. A shortened 8-item version also exists, the Avoidance and Fusion Questionnaire for Youth-8, which does not distinguish between these subscales. We performed a confirmatory factor analysis. Additionally, we assessed the relationship between psychological flexibility and child anxiety. Children, aged 8–10 years, were recruited via regular primary schools. Of the 459 approached children, 267 (58?%) parents signed informed consents for their children (Age: M?=?9.18; SD?=?.79; Sex: n _boys?=?137, 51?%). Children completed the questionnaires during regular classes. In this sample, the 17-item version of the Avoidance and Fusion Questionnaire for Youth was less appropriate for measuring psychological inflexibility than the 8-item version. Furthermore, we found a significant positive relationship between psychological inflexibility and child anxiety. We argue that acceptance commitment therapy would be an interesting candidate for intervening early on in dysfunctional child anxiety, as acceptance commitment therapy’s cognitive elements require cognitive skills that children are likely to master early on.     

REALITY MONITORING,PSYCHOLOGICAL TOOLS,AND COGNITIVE FLEXIBILITY IN BILINGUALS: THEORETICAL SYNTHESIS AND PILOT EXPERIMENTAL INVESTIGATION*

An attempt was made to bring about a theoretical synthesis of such seemingly unrelated concepts as ‘reality monitoring’ (belonging to contemporary American cognitive psychology), ‘psychological tools’ (suggested by Russian psychologist, Lev Vygotsky in the 1930s), and ‘cognitive flexibility in bilinguals’ (developed by Canadian researchers in the 1970s). Psychological tools of symbolic character which-as Vygotsky and his followers suggested-mediate human actions and mental operations, were shown to improve reality monitoring, i.e., subject's ability to discriminate between memories of words that he/she either spoke or merely thought. The concept of cognitive flexibility was applied to reality monitoring in Russian-English bilinguals. It was shown that greater cognitive flexibility associated with balanced bilingualism enhances a subject's ability to discriminate memories of words said and words thought. Suggestions are made concerning further possible experimental investigations.