Adjustment following sexual abuse discovery: the role of shame and attributional style.

This study examined adjustment following sexual abuse as a function of shame and attributional style. One hundred forty-seven participants (83 children and 64 adolescents) were seen at the time of abuse discovery and again 1 year later. Once adjustment at abuse discovery was accounted for, shame and attribution style explained additional variation in subsequent adjustment, whereas abuse severity did not. A pessimistic attribution style at abuse discovery moderated the relation between severity of abuse and subsequent depressive symptoms and self-esteem. The relations between abuse severity and these outcomes were significant only at high levels of pessimistic attribution style. Of note, patterns of change in shame and attribution predicted which children remained at risk or improved in adjustment. In addition, age and gender differences were found in adjustment over time.     

Effects of social media use on desire for cosmetic surgery among young women

Current Psychology - A large body of research has documented the influence of traditional media formats (e.g. television programs, adverts) on young women’s consideration of cosmetic surgery....     

Therapist Self-Efficacy in Delivering Cognitive Processing Therapy in a Randomized Controlled Implementation Trial

Efforts to improve the implementation of evidence-based treatments (EBT) have recently made important strides. One such example is understanding the vital role that weekly consultation plays as therapists learn to deliver an EBT. Because mechanism-based research can further support EBT implementation, the present study sought to examine the potential relationship between therapist self-efficacy in relation to treatment fidelity and outcomes.We examined therapist self-efficacy ratings from 80 therapists working with 188 patients. These data were collected as part of a randomized controlled implementation trial testing cognitive processing therapy (CPT). Across post-workshop training conditions, we ran multilevel models to assess (1) changes in therapist self-efficacy, (2) therapist self-efficacy in relation to treatment fidelity, and (3) therapist-self-efficacy in relation to patient PTSD symptom outcomes.We found that therapist self-efficacy significantly improved over the course of 6 months of CPT training. Baseline therapist self-efficacy was differentially associated with client outcomes based on post-workshop training condition. Specifically, therapists with low self-efficacy that did not receive post-workshop consultation tended to have poorer outcomes than therapists with low self-efficacy that received consultation. In the present sample, therapist self-efficacy was not related to treatment fidelity.As this was the first study to examine therapist self-efficacy in the implementation of an evidence-based treatment, our findings suggest that self-efficacy may be an important implementation factor in treatment outcomes and worthy of ongoing research.     

Daily Parent-Adolescent Digital Exchanges

Research on Child and Adolescent Psychopathology - The present study tracked adolescents via mobile phones to describe how parents and their adolescent children are using digital technologies in...     

(Re)Conceptualizing Sleep Among Children with Anxiety Disorders: Where to Next?

Children with anxiety disorders (AD) characteristically complain of sleep problems and the extent to which cognitive behavioral treatments (CBT) for childhood anxiety produce sleep-based improvements is a topic of increasing interest. The current paper reviews available evidence for subjective sleep complaints and objective sleep alterations in children and adolescents with AD, including investigations of potential changes in sleep following anxiety-focused CBT. Despite pervasive complaints of poor sleep, the empirical literature provides minimal evidence for actual sleep–wake alterations in this population of youth and evidence for sleep-based changes following treatment for anxiety is minimal. In line with calls for more comprehensive models of the role of sleep in developmental psychopathology, several fundamental gaps in understanding are described and highlighted as essential avenues for clarifying the nature and consequences of poor quality sleep among youth with clinical levels of anxiety. In a second section of the paper, an emerging body of novel, translational research investigating more intricate sleep–anxiety relationships is introduced with potential implications for both etiological models and treatment design and delivery.     

What Are the Nutrition Education Needs of Refugees: Assessment of Food Choices,Shopping and Spending Practices of South-Asian Refugees in the USA

This study was designed to assess food choices, shopping, and spending practices among the Southeast Asian refugee group of “Montagnards” resettled in the USA. A convenience sample of 12 Montagnard refugee women, fluent in Rhade and/or Jarai, was recruited and asked to provide all the grocery food receipts for a 1-month period. At the end of the 1-month period, participants were interviewed to collect information on socio-demographics and general food shopping practices. On average, participants had lived in the USA for 6 years, and Supplemental Nutrition Assistance Program (commonly known as Food Stamps) benefits accounted for approximately 55% of total grocery food purchases. The analyses of food receipts showed that a major proportion of the food budget was spent on rice and meat. The lowest proportion of the food budget was spent on dairy or dairy products. Making a grocery list or the use of coupons was not common among participants. Nutrition education for refugees upon resettlement is vital. In particular, topics such as food budgeting and the importance of a well-balanced diet should be covered to promote a healthy lifestyle among resettled refugees.     

Insomnia and eating expectancies among college students: the role of emotion dysregulation

There is limited understanding of the relation between insomnia and aspects of eating among college students though available data suggest salient clinical relationships. The present study explored a potential transdiagnostic mechanism in the relation between insomnia symptoms and eating expectancies. Participants were a racially/ethnically diverse sample of 1589 college students (80.4% females; Mage = 22.2 years, SD = 5.27) from an urban university. Primary analysis included three regression-based models of eating expectancies. Insomnia symptoms served as the predictor, and emotion dysregulation served as the indirect (mediator) variable in all models. Results indicated that insomnia symptoms yielded a significant indirect effect through emotion dysregulation on expectancies of eating to help manage negative affect, alleviate boredom, and lead to feeling out of control. Students experiencing insomnia symptoms may be at higher risk for experiencing dysregulated emotions and consequently maladaptive eating expectancies compared to good sleepers.     

Linking Job Work Hours to Women’s Physical Health: The Role of Perceived Unfairness and Household Work Hours

Although the relationship between job work hours and women’s physical health has been examined, limited empirical research examines the family demand conditions that explain this relationship. Given the challenge of integrating work and family demands, we examine the boundary conditions under which job hours relate to women’s physical health by integrating the influences of household work hours, perceived unfairness of division of household labor, and traditional gender ideology. Using a large, multi-national archival dataset, our results show that women working long job hours are more likely to report decreased physical health and that this relationship is moderated by the hours and fairness perceptions of household labor: The lowest physical health was observed at high job hours and high household hours and also when women felt that they did less than their fair share of household labor. However, looking at the slopes of these relationships, the negative relationship between job hours and physical health was stronger when women worked lower household hours or felt that they contributed less than their fair share of household labor—suggesting that maintaining a contribution to household labor might be important for working women. Furthermore, these results suggest that policy and organizational interventions aimed at supporting women’s physical health could take their household labor contributions and fairness perceptions into account when assessing the negative impact of high job work hours.     

Narratives About Specific Romantic Conflicts: Gender and Associations With Conflict Beliefs and Strategies

Using a sample of 145 predominantly heterosexual emerging adults, the authors examined constructive and destructive interpretations of romantic conflict via narratives and studied how gender affected conflict interpretations and relationship functioning. Destructive interpretations were related to negative conflict beliefs for women and dating aggression for men. Across gender, constructive interpretations were related to more problem solving but were more strongly related to less aggression for men. Understanding conflict interpretations through narratives may enhance relationships skills training for emerging adults.