Relationship of Mindfulness to Distress and Cortisol Response in Adolescent Girls At-Risk for Type 2 Diabetes

Altered stress response theoretically contributes to the etiology of cardiometabolic disease. Mindfulness may be a protective buffer against the effects of stress on health outcomes by altering how individuals evaluate and respond to stress. We engaged adolescent girls at risk for developing Type 2 diabetes in a cold-pressor test in order to determine the relationship of dispositional mindfulness to cortisol response and subjective stress, including perceived pain and unpleasantness during the stressor, and negative affect following the stressor. We also evaluated mindfulness as a moderator of psychological distress (depressive/anxiety symptoms) and stress response. Participants were 119 girls age 12–17 years with overweight/obesity, family history of diabetes, and mild-to-moderate depressive symptoms. Greater mindfulness was associated with less perceived pain and negative affect, but was unrelated to cortisol response to the stressor. Regardless of mindfulness, greater depressive/anxiety symptoms related to a more blunted cortisol response. Mindfulness might promote better distress tolerance in adolescents at risk for diabetes by altering how youth perceive and relate to acute stress, rather than through altering the physiological stress response. At all levels of mindfulness, depressive/anxiety symptoms relate to greater blunting of cortisol response. Findings contribute to emerging literature on the role of mindfulness in promoting the mental and physical health and well-being of individuals at risk for Type 2 diabetes.     

Dialectical Behavior Therapy With Prolonged Exposure for Adolescents: Rationale and Review of the Research

Among adolescents, interpersonal trauma has been associated with severe post-traumatic stress disorder (PTSD) and impairments across multiple domains of functioning (e.g., Derosa, Amaya-Jackson & Layne, 2013; Ford, Courtois, Steele, van der Hart, & Nijenhuis, 2005; van der Kolk, 2005). Such difficulties can include high-risk behaviors such as active suicidality (Middlebrooks & Audage, 2008) and nonsuicidal self-injurious behavior (NSSI; Hu, Taylor, Li, & Glauert, 2017). While there have been many advances in the treatment of trauma, treatment dropout for adolescents seeking trauma-informed treatment is predicted by diagnostic comorbidity and complexity (Sprang et al., 2013), as well as the number of traumatic events endorsed (Wamser-Nanney & Steinzor, 2016). Many traumatized adolescents with high-risk behaviors are referred to Dialectical Behavior Therapy (DBT-A). However, DBT-A does not yet include a specific, evidence-based protocol for treating PTSD, without which treatment gains may not be sustained for traumatized adolescents (Harned, Korslund, & Linehan, 2014). While Prolonged Exposure (PE) is indicated as the gold-standard treatment for PTSD and has proven effective for adolescents (PE-A; Foa, McLean, Capaldi, & Rosenfield, 2013), it has not yet been validated with adolescents who are actively suicidal. However, PE has successfully been integrated within DBT for adults with co-occurring Borderline Personality Disorder and PTSD (e.g., DBT-PE; Harned et al., 2014). Based upon this model, the current paper proposes the integration of DBT-A and PE-A to treat adolescents with interpersonal trauma who also present with high-risk behaviors. The paper discusses anticipated complications related to adapting this model for adolescents and provides direction for future research.     

Women’s Introduction to Alternative Sexual Behaviors through Erotica and Its Association with Sexual and Relationship Satisfaction

Women’s interests in bondage, discipline, dominance/submission, and sadism/masochism (BDSM) behaviors are one of the most poorly understood research topics, even though erotica novels—typically read by women—are increasingly including these activities. The present study explored potential links between women’s engagement in BDSM behaviors, consumption of erotica literature, relationship communication and satisfaction, and overall well-being using a multi-study approach. Results from three exploratory studies using multiple methodologies revealed a positive association between erotica, BDSM behaviors, and physical satisfaction, but brought attention to the relatively little information available for women who are interested in practicing alternative sexual behaviors. Practical suggestions for social scientists and mental health professionals are provided.     

What messages can foster safer sex among young women? Experimental evidence concerning the role of emotions and moral norms

Through a 2 × 2 × 2 quasi experimental design (N = 254), this research investigated if a social campaign eliciting positive emotions and activating moral norms might enhance condom negotiation skills, intended and estimated condom among young women with or without past sexual experience with casual partners. Emotions had a main effect on one of the six condom negotiation strategies we considered; for most of the other variables an interaction effect with moral norms and/or past behaviour emerged. Concerning estimated condom use, positive emotions worked better than negative ones when moral norms were salient. With respect to negotiations skills, positive rather than negative emotions seemed more effective for women with past causal sexual experience. In women without this kind of experience, positive emotions seemed to work better when moral norms were salient. Moral norms had a main effect on negotiation self-efficacy, but not in the predicted direction: when moral norms were more salient women were found to be less confident about their negotiation ability. These results suggest that a message which makes moral norms salient should at the same time elicit positive emotions in order to be effective; moreover, messages should be carefully tailored according to women’s past behaviour.     

Anxiety sensitivity cognitive concerns drive the relation between anxiety sensitivity and symptoms of depression

Depression is typically treated as a homogeneous construct despite evidence for distinct cognitive, affective, and somatic symptom dimensions. Anxiety sensitivity (AS; the fear of consequences of anxiety symptoms) is a cognitive risk factor implicated in the development of depressive symptoms. However, it is unclear how lower order AS dimensions (i.e. physical, cognitive, and social concerns) relate to depressive symptom factors. Confirmatory factor analysis, followed by structural equation modeling, were conducted to examine the factor structure of depression and to then examine the relations between these factors and the lower order factors of AS. This study was conducted in a sample of 374 adults (M age = 35.5, 54.3% female) with elevated levels of psychopathology (89.2% meeting criteria for at least one DSM-5 diagnosis, 25.6% primary depressive disorder). In this study a two-factor model of depression, composed of Cognitive and Affective/Somatic factors, was superior to one- and three-factor solutions. AS cognitive concerns were related to both cognitive and affective/somatic symptoms of depression. Neither of the other AS dimensions was related to depression symptom dimensions. These findings provide a better understanding of the relations between AS and depression symptoms.     

Peers,Social Control,or Guilt? Self-Conscious Emotions as Explanation for Antisocial Behavior

Criminologists rarely include self-conscious emotions like guilt or shame to explain delinquency. Instead, factors external to the individual are often used, such as social institutions, the family, or peers. This study uses a longitudinal sample of 526 youth from two waves of survey data to assess the effects of peer influences, social control, and the self-conscious emotion of guilt on youth problem behaviors. Problem behavior is measured using teacher assessments at Time2. All other variables are baseline youth self-report measures that were collected at Time1. The results show that guilt statistically predicted teacher-assessed problem behaviors. Further work is needed to develop this measure in criminology.     

African American Women's Substance Use Recovery Experiences: A Phenomenological Inquiry

We examined the lived substance use recovery experiences of eight African American women. Specifically, in this study, we examined how participants were able to achieve sustained recovery without the aid of substance use treatment. Using transcendental phenomenological analysis, we found that participants used four components of recovery capital: family, spirituality, religion, and the Black Church. This study has important relevance to working with African American women in substance use recovery.     

Punishment sensitivity and risk taking in depressed mood

Motivation and Emotion - Individuals with high levels of depressive symptoms find rewards to be less reinforcing and punishment more aversive, which may lead them to avoid risk taking. To examine...     

Are Feminism and Competition Compatible?

Contemporary feminist interest in the persistent underrepresentation of women in top professions suggests an implicit approval of the competition required to achieve these posts. Competition, however, seems to be in tension with feminist opposition to domination and oppression. This paper outlines the dimensions of this tension and examines three attempts to resolve the incompatibility. The first two try to separate the undesirable elements of competition from the positive by way of the competitiveness/competition and the challenge/scarcity distinctions. I argue that these distinctions fail to alleviate worries about competition, particularly in the context of the professions. Meanwhile, the third reconciliatory attempt offers a pragmatic argument for compatibilism based on the value of women's participation in the professions (and their associated competitions). Although this pragmatic argument has some merit, I argue that it significantly overestimates the amount of competition acceptable for feminist participation. The end result is that, within the context of the professions, competition remains fundamentally in tension with feminism.     

All Anxiety is not Created Equal: Correlates of Parent/Youth Agreement Vary Across Subtypes of Anxiety

Research has examined patterns and correlates of parent/youth informant discrepancies in the reporting of youth anxiety. However, little work has examined whether it is better to conceptualize patterns and correlates of informant disagreement across anxiety broadly, or more useful to consider disagreement on specific symptom clusters. Using data from the Child Adolescent/Anxiety Multimodal Study (CAMS; N?=?488; Walkup et al. The New England Journal of Medicine, 359(26), 2753-2766. doi: 10.1056/NEJMoa0804633, 2008), the current study applied the most recent recommended analytic strategies to study informant discrepancies and examined differences in the magnitude and patterns of disagreement for: (a) broadband anxiety symptoms, versus (b) symptoms of specific anxiety diagnoses (or anxiety subtypes; e.g., separation, social anxiety). Correlates of informant discrepancies were also examined. Results indicated that there was variability in agreement across anxiety subtypes, with parent/youth agreement higher on separation anxiety and school refusal symptoms relative to other domains. Parental psychopathology was associated with disagreement on broadband anxiety symptoms, such that parental psychopathology was highest when parents reported higher symptoms than their children; however, this finding was largely driven by a relationship between parental psychopathology and disagreement on separation anxiety symptoms. Age was associated with disagreement on total and separation anxiety symptoms. Gender was not associated with disagreement. Clinical implications are discussed.