Changes in Distress Intolerance and Treatment Outcome in a Partial Hospital Setting

Despite the well-established role of distress intolerance (DI) in a wide range of psychological disorders, few studies have examined whether DI improves during treatment and whether these changes are associated with symptom outcomes. Patients (N = 626) enrolled in a brief cognitive-behavioral partial hospital program completed pre- and posttreatment measures of DI. Results indicated that DI decreased significantly during treatment, with more than 30% of the sample exhibiting a reduction of more than 2 standard deviations from the sample mean. Women reported higher DI than men at baseline; however, there were no gender differences in changes in DI over time. Participants also completed a pre- and posttreatment measure of depression and a subset completed a measure of anxiety (n = 167). DI was associated with more severe depression and anxiety at pre- and posttreatment, with participants who reported a decrease in DI also reporting lower depression and anxiety symptoms at post-treatment. These results further highlight the transdiagnostic relevance of DI and suggest that DI may be a relevant factor in treatment outcome for depression and anxiety.     

Coping with the 10th anniversary of 9/11: Muslim Americans' sadness,fear, and anger

The events of 9/11 marked an increase in prejudice, discrimination, and other forms of unfair treatment toward Muslim Americans. We present a study that examined the emotions of Muslim Americans in the days preceding the ten-year 9/11 anniversary. We measured the antecedents (concerns) and consequences (coping) of sadness, fear, and anger. The 9/11 anniversary precipitated intense concerns with loss and discrimination, and intense feelings of sadness, fear, and anger. We measured three coping responses: rumination, avoidance of public places, and religious coping. Participants engaged in all three coping responses, with seeking solace in one's religion being the most frequent response. Moreover, emotions mediated the relationship between concerns and coping responses. Sadness accounted for the association between concern with loss and rumination. Fear explained the association between concern with discrimination and avoidance. Anger accounted for the association between concern with discrimination and religious coping.     

Cognitive Behavioral Therapy for Social Anxiety Disorder: Predictors of Treatment Outcome in a Quasi-Naturalistic Setting

We examined the outcomes of individual cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) in a sample of 93 adults seeking treatment in a university outpatient clinic specializing in CBT for SAD. Treatment followed the structure of a manual, but number of sessions varied according to client needs. After approximately 20 weeks of therapy, patients’ social anxiety had decreased and their quality of life had increased. Patients with more severe SAD or comorbid major depressive disorder (MDD) at pretreatment demonstrated higher levels of social anxiety averaged across pre- and posttreatment. However, clinician-rated severity of SAD, comorbid MDD, or comorbid generalized anxiety disorder did not predict treatment outcome. Higher pretreatment scores on measures of safety behaviors and cognitive distortions were associated with higher social anxiety averaged across pre- and posttreatment and predicted greater decreases from pre- to posttreatment on multiple social anxiety outcome measures. We found no predictors of change in quality of life. Those with high levels of safety behaviors and distorted cognitions may benefit more from CBT, perhaps due to its emphasis on targeting avoidance through exposure and changing distorted thinking patterns through cognitive restructuring methods. Our study lends support to the body of research suggesting that manualized CBT interventions can be applied flexibly in clinical settings with promising outcomes for patients over a relatively short course of therapy.     

Assessing the effectiveness of drawing an autobiographical memory as a mood induction procedure in children

The objective of our study was to examine the effectiveness of a new version of the autobiographical recall procedure (i.e., drawing a happy personal event) in eliciting a positive mood in 6-, 8-, and 10-year-old children and to compare the drawing condition to the more classical telling condition. The mood of children was assessed before and after induction using the Self-Assessment Manikin (SAM) and across the two emotional dimensions of valence and arousal. The results showed that the drawing condition was as effective as the telling condition for inducing a positive mood. Furthermore, in the drawing condition, children reported feeling calmer than in the telling condition, suggesting that drawing was more likely to help children regulate their emotional state. The drawing procedure could be used in future research aiming to induce positive moods in school-aged children, to help further investigate the relationship between cognition and emotion.     

Parental Knowledge/Monitoring and Depressive Symptoms During Adolescence: Protective Factor or Spurious Association?

Research on Child and Adolescent Psychopathology - Parental knowledge/monitoring is negatively associated with adolescents’ depressive symptoms, suggesting monitoring could be a target for...     

Via Kundalini: Psychosomatic excursions in transpersonal psychology

Abstract

A model of psychosomatic mysticism (PM) is proposed that reintroduces the body into transpersonal psychology. The argument for PM develops links between transpersonal psychology and neuroimmunology and includes scientific notions of the mind as embodied not just in the brain but more widely throughout the body, as well as the comparative analyses of perspectives on the body in various spiritual traditions. PM is used to examine how transpersonal psychology can integrate the body, thus meeting the goals of the clinician, the standards of the researcher, and the emerging needs of psychosomatic medicine. The core principles of PM are explicated, such as: 1) decentralized consciousness, 2) structural phenomenological correlations between the psyche and the body, 3) in‐depth understanding of energy as intentionality, and 4) the possibility of actualizing cosmic awareness in the individual psyche. Examples of the clinical use of psychospiritual practices of PM show practical applications of these principles. It is concluded that the studies of the embodied consciousness and subtle energies through PM can help to develop both transpersonal theory and applications.     

Examining college students' food security coping strategies and experiences during the COVID-19 pandemic

College students' food situations may have been disrupted by the COVID-19 pandemic, which could have affected their health and well-being. However, little is known about how the pandemic impacted students' food experiences and how students coped with food-related disruptions, particularly from the student's own perspective. This study reviews data from 571 undergraduates who attended public colleges during Fall 2021 and Spring 2022 and wrote a narrative about the pandemic's impact on their food experiences. Most students indicated they experienced a wide range of food difficulties and adapted new food practices. Despite these challenges, students emphasized proactive coping strategies and positive pandemic outcomes rather than difficulties and negative outcomes. These findings have implications for students' long-term health and well-being.     

Evidence for unique threat-processing mechanisms in psychopathic and anxious individuals

Behaviorally, psychopathy and anxiety display opposite patterns of threat sensitivity and response inhibition. However, it is unclear whether this is due to shared or to separate underlying processes. To address this question, we evaluated whether the threat sensitivity of psychopathic and anxious offenders relates to similar or different components of Gray and McNaughton’s (2000) Reinforcement Sensitivity Theory using a sample of 87 prisoners and a task that crossed threat onset with attentional focus. Psychopathy was associated with significantly weaker fear-potentiated startle (FPS) under conditions that presented threat cues after alternative, goal-directed cues. Conversely, anxiety was associated with significantly stronger FPS when threat appeared first and was the focus of attention. Furthermore, these differences were statistically independent. The results suggest that the abnormal sensitivity to threat cues associated with psychopathy and anxiety relate to different underlying processes and have implications for understanding the relationship between low- and high-anxious psychopathy.     

Evaluating the generalizability of a fear deficit in psychopathic African American offenders

Laboratory studies of psychopathy have yielded an impressive array of etiologically relevant findings. To date, however, attempts to demonstrate the generalizability of these findings to African American psychopathic offenders have been largely unsuccessful. The fear deficit has long been regarded as the hallmark of psychopathy, yet the generalizability of this association to African American offenders has not been systematically evaluated. In this study, we used an instructed fear paradigm and fear-potentiated startle to assess this deficit and the factors that moderate its expression in African American offenders. Furthermore, we conceptualized psychopathy using both a unitary and a two-factor model, and we assessed the constructs with both interview-based and self-report measures. Regardless of assessment strategy, results provided no evidence that psychopathy relates to fear deficits in African American offenders. Further research is needed to clarify whether the emotion deficits associated with psychopathy in European American offenders are applicable to African American offenders.