Prolonged Exposure Therapy Following Awareness Under Anesthesia: A Case Study

Awareness during surgery is estimated to effect between 40,000 to 140,000 patients per year in the United States, and there is a growing literature suggesting that this event can lead to the development of posttraumatic stress disorder (PTSD). The current article describes treatment implemented from a manualized protocol of a woman diagnosed with PTSD following awareness during a routine surgery. Prolonged exposure therapy was delivered to the client over 12 sessions. Treatment consisted of psychoeducation, imaginal exposure, in-vivo exposure, breathing retraining, progressive muscle relaxation, and homework assignments. At treatment completion and at follow-up 10 weeks after completion of therapy, the client no longer met criteria for PTSD. Prolonged exposure therapy for PTSD is an effective treatment that alleviates symptoms of PTSD from awareness during surgery.     

Long-term effects of religious upbringing

Abstract

The impact of religious experiences on development is often ignored in therapeutic settings. This study examines the effects of rigidity and fear in religious upbringings and of current religious status on conformity to parental expectations, guilt, aversion to religious artifacts, family strife, independence and irrational beliefs. Questionnaires were designed to measure these effects and were completed by 129 adult men and women. Regression analyses revealed that high histories of fear, high current religiosity and older age were predictive of guilt; high current religiosity predicted conformity to parental wishes; high histories of fear and low current religiosity predicted aversion to religious artifacts; and high histories of rigidity were predictive of family strife. Histories of religious rigidity and fear were differentially associated with disaffiliation from parental religions. Family strife was also associated with similarity of beliefs between subjects and their parents. Subjects over 30 years of age were more likely to report higher histories of fear and to be affiliated with their parents’ religion. Subjects under 30 years of age reported higher histories of rigidity. Results support the importance of considering religion, including religious history, as a cultural variable in research and practice.     

Population-Wide Parenting Intervention Training: Initial Feasibility

A population-level approach to deliver parenting and family support is a necessary but neglected approach needed to reduce the high prevalence of emotional/behavioral problems in children, decrease inadequate and potentially abusive parenting practices, and to provide improved parenting support to all parents within a specified population. We examined the initial feasibility of a large-scale professional training regimen to prepare existing service providers to implement an evidence-based preventive intervention in the realm of parenting and family support. Data from the U.S. Triple P System Population Trial are used to illustrate how a parenting and family support intervention can be successfully disseminated to a large, multidisciplinary workforce. We discuss lessons learned from this dissemination effort as well as implications for population-based approaches to child and family well-being.     

The Motivations for and Outcomes of Employee Referrals

Research on employee referrals demonstrates positive outcomes for the recruited individual and the organization. However, little research addressed employees who make employment referrals, also known as employee recommenders. To address this gap in knowledge, we developed a conceptual model and present the theoretical basis for addressing the motivation of, and organizational outcomes associated with, employees who make employment recommendations. The model is based on the theories of word-of-mouth communication, cognitive dissonance, self-perception, and attitude change through self-persuasion. Partial support for the model was found in an experimental design simulating an employee referral situation. Results showed an increase in normative commitment of recommenders.     

The effectiveness of early head start for 3-year-old children and their parents: lessons for policy and programs

Early Head Start, a federal program begun in 1995 for low-income pregnant women and families with infants and toddlers, was evaluated through a randomized trial of 3,001 families in 17 programs. Interviews with primary caregivers, child assessments, and observations of parent-child interactions were completed when children were 3 years old. Caregivers were diverse in race-ethnicity, language, and other characteristics. Regression-adjusted impact analyses showed that 3-year-old program children performed better than did control children in cognitive and language development, displayed higher emotional engagement of the parent and sustained attention with play objects, and were lower in aggressive behavior. Compared with controls, Early Head Start parents were more emotionally supportive, provided more language and learning stimulation, read to their children more, and spanked less. The strongest and most numerous impacts were for programs that offered a mix of home-visiting and center-based services and that fully implemented the performance standards early.     

Gender Effects in Couples' Sexual Decision Making and Contraceptive Use

Previous research has demonstrated that men tend to be more influential than women in mixed-sex dyads. The current study was an examination of sex differences in influence among dating couples making two different kinds of sexual decisions. In a laboratory decision-making task, male and female partners wrote their opinions about premarital sex and contraception independently, and then worked together as a couple to write a joint opinion. The results replicated previous findings in that the male partners' responses were more similar to the couples' responses than were the females'. An examination of gender influence in the couples' contraceptive behavior , however, indicated that the female partners were more influential than the males in this arena. Thus the data suggest that while men in general may be more influential than women in couples' decision making, there are specific decision domains in which women have considerable influence. Factors that influence gender effects in sexual decision making are discussed.     

Reactivity to Exclusion Prospectively Predicts Social Anxiety Symptoms in Young Adults

Peer victimization leads to negative outcomes such as increased anxiety and depression. The prospective relationship between peer victimization and social anxiety in children and adolescents is well established, and adults with social anxiety disorder (SAD) are more likely than individuals with other anxiety disorders to report a history of teasing. However, a crucial bridge between these findings (peer victimization in young adults) is missing. We manipulated perceptions of peer exclusion in a young adult sample (N = 108) using the Cyberball Ostracism Task. Reactivity to exclusion prospectively predicted social anxiety symptoms at a 2-month follow-up, whereas self-reported teasing during high school and current relational victimization did not. This research suggests that reactions to peer victimization may be a worthwhile target for clinical interventions in young adults. Targeting how young adults react to stressful social interactions such as exclusion may help prevent the development of SAD. Future research should test if reactivity to exclusion plays a role in the relationship between other disorders (e.g., depression) and peer victimization.     

English for Bible and Theology: Understanding and Communicating Theology Across Cultural and Linguistic Barriers

This article introduces English for Bible and Theology (EBT), an inherently interdisciplinary field that merges English language learning with the content of biblical and theological studies in a context that is, by nature, cross‐cultural. Within this collaboration there exists the possibility not only to enable theological study, but also to enhance it through a focus on personal meaning and its communication, both of which are foundational to the communicative language classroom. That is, EBT seeks both to aid students worldwide in attaining the specialized language and cultural proficiency necessary to access English theological resources and to provide a community in which students can connect theological content to their lives. It is this second aim that provides EBT its relevance across a range of theological contexts, as native English‐speaking students likewise stand to benefit from the application of EBT's principles.     

Development and Validation of the Social Exercise and Anxiety Measure (SEAM): Assessing Fears, Avoidance, and Importance of Social Exercise

In two studies (N?=?416; N?=?118) examining responses from undergraduates, we developed the Social Exercise and Anxiety Measure (SEAM) and tested its factorial, convergent, and divergent validity. Our results demonstrate that the SEAM exhibits an excellent three factor structure consisting of the following subscales: Social Exercise Self-efficacy, Gym Avoidance, and Exercise Importance. In both studies, Social Exercise Self-efficacy correlated negatively, and Gym Avoidance correlated positively with social interaction anxiety, fear of scrutiny, and fear of negative evaluation. Exercise Importance correlated positively with frequency of exercise and frequency of public exercise. Implications for the mental and physical health of individuals with high levels of social anxiety are discussed.     

Validation of the Social Appearance Anxiety Scale: factor, convergent, and divergent validity

The Social Appearance Anxiety Scale (SAAS) was created to assess fear of overall appearance evaluation. Initial psychometric work indicated that the measure had a single-factor structure and exhibited excellent internal consistency, test-retest reliability, and convergent validity. In the current study, the authors further examined the factor, convergent, and divergent validity of the SAAS in two samples of undergraduates. In Study 1 (N = 323), the authors tested the factor structure, convergent, and divergent validity of the SAAS with measures of the Big Five personality traits, negative affect, fear of negative evaluation, and social interaction anxiety. In Study 2 (N = 118), participants completed a body evaluation that included measurements of height, weight, and body fat content. The SAAS exhibited excellent convergent and divergent validity with self-report measures (i.e., self-esteem, trait anxiety, ethnic identity, and sympathy), predicted state anxiety experienced during the body evaluation, and predicted body fat content. In both studies, results confirmed a single-factor structure as the best fit to the data. These results lend additional support for the use of the SAAS as a valid measure of social appearance anxiety.