(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.     

Understanding Social Factors in the Context of Trauma: Implications for Measurement and Intervention

One of the most important factors predicting the presence of posttraumatic stress disorder (PTSD) after trauma exposure is social support, yet the construct is theoretically complex and remains variably defined. To better inform the trauma literature on the impact of social factors, a theoretical review of social support and PTSD was conducted, and implications for measurement and intervention are outlined. Type of trauma, sex of participant, timing of social support, and support providers are described as significant moderators of the association between social factors and PTSD. The developmental trajectory of the association between social factors and PTSD occurrence is outlined, emphasizing the positive influence of social support initially following trauma, and the deterioration effect of PTSD symptoms on social support over the longer term. Possibilities for future research and intervention at multiple levels and at different time points are described.     

Defensive Reactions to Masculinity Threat: More Negative Affect Toward Effeminate (but not Masculine) Gay Men

We examined whether, due to men’s desire to reject stereotypically feminine traits in themselves, a masculinity threat would elicit negative affect toward effeminate, but not masculine gay men. Fifty-three male undergraduates from the United States received bogus feedback that they had either a “masculine” or “feminine” personality before rating affect toward two “types” of gay men: effeminate and masculine. Results were consistent with the notion that defensive reactions target groups stereotyped as having the specific traits perceivers wish to deny in themselves: masculinity threat selectively increased negative affect toward effeminate, but not masculine, gay men. Thus, gay men who exhibit feminine traits may be at particular risk from men whose masculinity is threatened.     

A latent variable modeling approach to identifying subtypes of serious and violent female juvenile offenders

Females have recently become an important population in research related to serious and violent juvenile offending. Although a small body of research exists on girls in the deep end of the system, very few studies have examined the degree of heterogeneity within high-risk female samples. This study applied latent class analysis (LCA) to identify subgroups of female juvenile offenders based on their self-report of offending profiles (N=133). Results supported a three-class solution with subgroups characterized by patterns of 'violent and delinquent', 'delinquency only', and 'low' offending patterns. The LCA solution was replicated in an independent sample of high-risk females. The 'violent and delinquent' class was characterized by significantly higher rates of DSM-IV diagnoses for internalizing disorders, affect dysregulation, exposure to violence (within the home, school and neighborhood), and familial histories of criminality. Implications for future research, policy and clinical practice are discussed.     

Exposure to maternal vs. paternal partner violence,PTSD, and aggression in adolescent girls and boys

Adolescents who witness interparental violence (IPV) are at increased risk for perpetrating aggressive acts. They are also at risk for post‐traumatic stress disorder (PTSD). In this study, we examined the relation between exposure to maternal vs. paternal physical IPV and adolescent girls' and boys' aggressive behavior toward mothers, fathers, friends, and romantic partners. We also assessed the influence of PTSD (as assessed by the Diagnostic Interview for Children and Adolescents‐IV (DICA‐IV)) on the relation between exposure to IPV and aggressive behavior. Participants were 63 girls and 49 boys, ages 13–18, consecutively admitted to a youth correctional facility or assessment facility designated to serve aggressive and delinquent youth. Structural equation modeling was used to estimate unique relations between exposure to maternal vs. paternal IPV and youth aggression in relationships. Girls who observed their mothers' aggressive behavior toward partners were significantly more aggressive toward friends. Similarly, boys who witnessed their fathers' aggression were significantly more aggressive toward friends. Adolescent girls and boys who observed aggression by mothers toward partners reported significantly higher levels of aggression toward their romantic partners. Approximately one third of our sample met PTSD criteria; the relation between exposure to parental IPV and aggression was stronger for individuals who met criteria for PTSD. The implications of understanding the relations between parents' and their daughters' and sons' use of aggression are discussed within the context of providing support for families in breaking intergenerational patterns of violence and aggression. Aggr. Behav. 32:385–395, 2006. © 2006 Wiley‐Liss, Inc.