Sleep,resilience, and psychological distress in United States military Veterans

Sleep problems are prevalent among Veterans. Left untreated, such problems may elevate psychological distress and increase risk of subsequent mental health disorders. Psychological resilience may buffer against negative psychological outcomes, yet the relationship between sleep and resilience has not been studied. This study explored poor sleep, resilience, and psychological distress using questionnaires collected as part of the Study of Post-Deployment Mental Health. Participants (N = 1,118) had served in the US military since September 11, 2001, had one or more overseas deployments, and were free from a past-month DSM-defined mental health disorder. Hierarchical linear regression was used to examine the association between poor sleep quality (Pittsburgh Sleep Quality Index total score) and psychological distress (Global Symptom Index; Symptom Checklist-90-R), controlling for demographic and health characteristics. Moderation analyses tested for a potential buffering effect of resilience (Connor-Davidson Resilience Scale). Poor sleeping Veterans had worse physical and psychological health, lower resilience, and endorsed more lifetime traumatic events. Poor sleep was associated with greater psychological distress controlling for health and demographic characteristics. Both resilience factors—adaptability and self-efficacy—had significant buffering effects on the relationship between poor sleep and psychological distress, suggesting that resilience may protect against negative outcomes in poor sleepers. Additional research is warranted to better understand the relationships between sleep, resilience, and psychological distress. Such research may inform pertinent prevention efforts, including interventions that improve sleep, enhance resilience, and protect against incident mental health diagnoses.     

The Importance of Spirituality in Couple and Family Therapy: A Comparative Study of Therapists’ and Educators’ Beliefs

The purpose of this study was to explore the differences between the beliefs of couple and family therapists (CFTs) and CFT educators in accredited training programs regarding the importance of spirituality in their personal and professional lives. The results suggest a significant difference between the two populations, with clinicians reporting a higher level of agreement regarding the overall role of spirituality in their personal and professional identities compared to CFT faculty members. However, both therapists and educators reported similar levels of agreement in regard to the need for education related to integrating spirituality and its role in clinical practice. Implications for CFT training programs are discussed.     

Speed and Rhythm Affect Temporal Structure of Variability in Reaching Poststroke: A Pilot Study

Temporal structure reveals the potential adaptive strategies employed during upper extremity movements. The authors compared the temporal structure of upper extremity joints under 3 different reaching conditions: preferred speed, fast speed, and reaching with rhythmic auditory cues in 10 individuals poststroke. They also investigated the temporal structure of these 3 reaching conditions in 8 healthy controls to aid in the interpretation of the observed patterns in the poststroke cohort. Approximate entropy (ApEn) was used to measure the temporal structure of the upper extremity joints. ApEn was similar between conditions in controls. After stroke, ApEn was significantly higher for shoulder, elbow, and wrist both at fast speed and with rhythmic cues compared with preferred speed. ApEn at index finger was significantly higher only with rhythmic cues compared with preferred speed. The authors propose that practice reaching at faster speed and with rhythmic cues as a component of rehabilitation interventions may enhance adaptability after stroke.     

Cross-cultural examination of the tripartite model in adults

Clark and Watson's (1991) tripartite model is commonly viewed as the preferred model for examining the relationship between anxiety and depression. The tripartite model proposes that the overlap and distinction between anxiety and depression can be best understood along three dimensions: positive affect, negative affect, and physiological hyperarousal. Although the tripartite model has received support in a wide variety of samples, little has been done to examine whether the tripartite model holds cross-culturally. Using a highly diverse sample of undergraduate students (n = 923), this study set out to determine the generalizability of the tripartite model among students who identified themselves as African American/Black (non-Hispanic), Caucasian/White (non-Hispanic), Hispanic/Latino(a), and Asian. The results of the present study suggest that the model fits generally for each group, but the study did not find cross-group equivalence in the relationships between constructs. Possible reasons for the lack of cross-group equivalence, as well as limitations of this study, are also discussed.     

Repression-sensitization and nonverbal expressiveness

Investigated the relationship of status on Byrne's repression-sensitization dimension to novel measures of nonverbal' expressiveness under stress and nonstress conditions, where subjects' perceptions of the purpose of the dependent measures were varied. Forty subjects were divided into sensitizer and repressor groups on the basis of Repression-Sensitization (R-S) scores. Subjects viewed either an anxiety-producing industrial accident film or a control film. Subjects were then told that the purpose of subsequent testing was either the assessment of creativity or of personality, as measured by a new projective test. The 2 X 2 X 2 factorial design enabled the investigation of predictions based on ego-defensive interpretations of repression-sensitization and Lefcourt's "attitude towards emotionality" view. Although the study failed to provide strong support for either interpretation in full, the data were viewed as reconcilable with Lefcourt's theory where repressors, but not sensitizers, are-concerned.     

The Creative Industries Entrepreneur: An Analysis of Lived Experience

Expanding our understanding of the lived experience of individuals who use their creativity to realize entrepreneurial opportunity is the primary aim of this paper. Interpretative Phenomenological Analysis is used, based on two interviews of one-hour duration, with eight participants. The key contribution of this research is the recognition of the Creative Industries Entrepreneur. A Creative Industries Entrepreneur is an individual who occupies a space between traditional entrepreneurship theory and established creativity models. The main driving force in opportunity formation for a Creative Industries Entrepreneur is their creative impulse. This pushes them to achieve a personhood, which can reconcile intrinsic impulses with external market forces and social imperatives.     

Dysfunctional isolation in the elderly: Increasing marital and family closeness through improved communication

Unique developmental crises in old age may lead to social withdrawal that negatively affects the individual and his/her marital and family relationships. Without an awareness of these aging dynamics, the therapist can inadvertently perpetuate these distancing behaviors which can exacerbate marital and family conflict. This paper discusses certain developmental crises which can result in increased isolation for the older adult, and suggests therapeutic interventions to facilitate increased closeness among family members.