Can the components of a cognitive model predict the severity of generalized anxiety disorder?

Over the past decade, a number of well-controlled studies have supported the validity of a cognitive model of generalized anxiety disorder (GAD) that has four main components: intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance. Although these studies have shown that the model components are associated with high levels of worry in nonclinical samples and with a diagnosis of GAD in clinical samples, they have not addressed the question of whether the model components can predict the severity of GAD. Accordingly, the present study sought to determine if the model components are related to diagnostic severity, worry severity, and somatic symptom severity in a sample of 84 patients with a primary diagnosis of GAD. All model components were related to GAD severity, although positive beliefs about worry and cognitive avoidance were only modestly associated with the severity of the disorder. Intolerance of uncertainty and negative problem orientation had more robust relationships with the severity of GAD (and with worry severity, in particular). When participants were divided into Mild, Moderate, and Severe GAD groups, intolerance of uncertainty and negative problem orientation distinguished the Moderate and Severe GAD groups from the Mild GAD group, even when age, gender, and depressive symptoms were statistically controlled. Overall, the results lend further support to the validity of the model and suggest that intolerance of uncertainty and negative problem orientation are related to the severity of GAD, independently of sociodemographic and associated clinical factors. The theoretical and clinical implications of the findings are discussed.     

Demographic variables, smoking variables, and outcome across five studies.

OBJECTIVE: Intervention effectiveness can potentially be affected by membership in different demographic subgroups (race, ethnicity, gender, age, and education level) or smoking behavior variables (time to first cigarette, longest previous quit attempt, number of attempts in the past year, number of cigarettes, and stage of change). Previous research on these 2 sets of variables has produced mixed results. DESIGN: This secondary data analysis combined data from 5 effectiveness trials (a random-digit-dial sample [N=1,358], members of an HMO [N=207], parents of students recruited for a school-based study [N=347], patients from an insurance provider list [N=535], and employees [N=175]) in which smokers were all proactively recruited from a defined population and all received the same expert system intervention. The intervention produced a consistent 22% to 26% point prevalence cessation rate across the 5 studies. MAIN OUTCOME MEASURES: The main outcome measures were 24-hr point prevalence, 7-day point prevalence, 30-day prolonged abstinence, and 6-month prolonged abstinence. RESULTS: There were no significant differences in outcome across gender, race, and ethnicity subgroups. There were significant differences and small effect sizes for age and education subgroups. There were significant differences and large effect sizes for all 5 smoking behavior variables. DISCUSSION: Demographic variables are static variables, whereas the smoking variables are more dynamic, that is, open to change. Given the dynamic nature of the smoking variables and the large effect sizes, interventions tailored on the smoking variables should be more successful.     

Rated helpfulness and partner-reported smoking cessation support across the pregnancy-postpartum continuum.

Support interventions have not changed smoking cessation rates significantly. The pregnancy-postpartum continuum presents a unique opportunity to examine patterns of support. Expectant couples (N = 477) were surveyed twice during pregnancy and 3 times postpartum. Partners reported positive and negative smoking-specific support; women reported the helpfulness of partner support. Linear trends suggest that women viewed support as more helpful during pregnancy than during postpartum. Partners' provision of positive support across the continuum depended on their smoking; provision of negative support depended on women's smoking. Partners who smoked provided lower levels of both positive and negative support, especially postpartum. Women who smoked throughout the pregnancy perceived their partner's negative support as helpful. Implications are that partners who smoke may need help staying engaged in the support process. Partners may provide negative support in response to women's smoking cues. Women who are struggling with cessation may not view negative support as negative.     

Interethnic Factors as Predictors of the Subjective Well‐Being of Minority Individuals in a Context of Recent Societal Changes

Our research examined the impact of contextual intergroup variables on the subjective well‐being of ethnic Russians in Estonia (N = 190) who have experienced major social changes with the demise of the Soviet Union. A mediational model was tested where aspects of intergroup relations (i.e., relative deprivation, status legitimization, and temporal comparisons) acted as mediators of the influence of cultural identity and representations of history on subjective well‐being. Preliminary analyses indicated polemical representations of history in which Estonian historical narratives are established around the struggle for independence, and Russian representations of history are consolidated around victory in World War II. Mediation analyses demonstrated that the importance of Russian history increased the perceptions of relative deprivation, status delegitimization, and the frequency of temporal comparisons, which negatively affected life satisfaction. At the same time, the importance of Estonian history led to positive perceptions of the intergroup situation and, in turn, to greater subjective well‐being. The effect of Russian identity on well‐being was mediated by delegitimizing beliefs, but not by relative deprivation and temporal comparisons. Estonian identity did not exert a significant effect on the proposed mediators. The research demonstrates the salience of the effects of contextual intergroup factors on subjective well‐being, and the article discusses implications for the study of intergroup relations and subjective well‐being.     

Does the isolation effect require attention?

An item that differs from the surrounding items is remembered better than an item that is consistent with its surroundings; this is known as the von Restorff effect or isolation effect (von Restorff, Psychologische Forschung, 18, 299–342, 1933). Theoretical explanations have proposed that the isolate is processed differently from control items, though some research has suggested that this processing might require more attention for semantic than for physical isolates. To test this possibility, in the present study we examined the isolation effects for physical isolates and semantic isolates under full and divided attention. Participants viewed lists of categorized words, with some lists containing either a physical or a semantic isolate, followed by immediate written free recall. Across three experiments, divided attention eliminated the semantic isolation effect but did not impact the physical isolation effect. Furthermore, semantic isolates were output earlier in recall than controls, whereas physical isolates were output more similarly to controls. These findings suggest that semantic isolation effects require attention during encoding, whereas physical isolation effects are relatively automatic.     

ENFOLDING VIOLENCE,UNFOLDING HOPE: EMERGING CLOUDS OF POSSIBILITY FOR WOMEN IN ROMAN CATHOLICISM

In an effort to think through possible impossibilities, and enfold current problems within Catholicism into the luminous darkness of the cloud of the im/possible, this response to Catherine Keller's Cloud of the Impossible considers what might happen should Keller's cloud of mindful unknowing and nonseparable difference billow over and through one particular Catholic conundrum: how to respond to the terrifying reality of domestic violence in the context of a marriage defined as indissoluble, imperishable—inescapable.     

Italian American Ethnic Identity Persistence: A Qualitative Study

This study explores the persistence of ethnic identity among second- and fourth-generation Italian American emerging adults. In particular, the relational and college influences affecting its development were examined. The findings indicate that a distinct Italian American ethnic identity persists in this population, although it evolves with distance from the immigrant generation. We found that Italian American identity is relationally dynamic and shaped by many factors, most notably, family ethnic socialization, peer relationships, college experiences, ethnic pride, exposure to Italian culture, and life transitions. These findings extend our understanding of the cyclical nature of ethnic identity development within a specific ethnic group and the unique cultural forces shaping the identity of Italian Americans.