Effects of trauma and religiosity on self-esteem

Self-esteem is often lower among persons who have experienced trauma, but religiosity may ameliorate these psychological effects. The purpose of this paper was to examine the relationships among religiosity, self-esteem, and childhood exposure to trauma, utilizing data from the National Comorbidity Survey, a large (N = 8,098) nationally representative population survey in the 48 contiguous states of the USA that assessed religious practices, self-esteem, and exposure to trauma. Exposure to trauma in childhood was assessed through self-report of presence or absence of childhood physical abuse, sexual abuse, or neglect. Religiosity was assessed as the sum of responses to 4 self-report items (religious service attendance, use of religion for comfort and guidance, and importance of religion). Self-esteem was assessed on 9 self-report items adapted from the Rosenberg Self-Esteem Scale. Analysis of variance compared scores for persons who reported exposure to childhood abuse and differed in the value they placed on various religious practices on self-esteem. Persons who reported physical abuse, sexual abuse, or neglect in childhood had significantly lower mean self-esteem than those who did not report these events. There was also a main effect for religiosity in a comparison of persons who reported childhood sexual abuse with those who reported none. The High Religiosity group had higher mean self-esteem than the Medium and Low Religiosity groups. There was a significant interaction as those who reported childhood sexual abuse had lower mean self-esteem than peers who reported none in the Low and Medium Religiosity groups. Mean self-esteem for those who reported childhood sexual abuse was comparable to that of those who reported none in the High Religiosity group.     

Validation of the Japanese Version of the Modified Balanced Time Perspective Scale: Factor Structure,Reliability, and Validity Results1

A balanced time perspective (BTP) is defined as a frequent and equal tendency to think positively about both one's past and future. A BTP is related to greater psychological well-being, such as life satisfaction and wisdom, and these BTP associations may vary cross-culturally, although few studies of BTP in non-Western countries exist. In order to advance cross-cultural comparisons of BTP, an important methodological step is to validate BTP measures in different cultures. This study aimed to develop and validate a Japanese version of the modified Balanced Time Perspective Scale (mBTPS). Japanese participants (N = 1,020, aged 18–79 years) completed the mBTPS-J, along with Japanese versions of the Zimbardo Time Perspective Inventory (ZTPI-J) and measures of well-being (life satisfaction and wisdom scales). Factor analysis of the mBTPS-J resulted in a 27-item mBTPS-J consisting of Past, Present, and Future subscales. Correlations between the relevant mBTPS-J and ZTPI-J subscales, and with the well-being measures, supported both convergent and predictive validity, respectively. The demonstrated psychometric strengths of the mBTPS-J will allow for specific testing of important cross-cultural questions.     

Can CBT Be Effective for Aboriginal Australians? Perspectives of Aboriginal Practitioners Trained in CBT

The objective of the study was to investigate whether high and low intensity versions of cognitive behaviour therapy (CBT) might be an effective therapeutic approach for enhancing the mental health of Aboriginal Australians. Five university‐educated Aboriginal counsellors received in‐depth training in CBT. Over the following year, they used CBT strategies with their clients, and met 10 times as a participatory action research group. The group addressed three key questions: (a) Does CBT appear to be useful for Aboriginal Australians? (b) If so, what elements of CBT are perceived to be effective? (c) What adaptations might be made to CBT to enhance its effectiveness with Aboriginal Australians? The resulting qualitative data were transcribed and analysed. Counsellors perceived CBT to be very useful for their Aboriginal clients and for themselves. They reported that it enhanced their clients' well‐being, their own clinical skills, and their own well‐being, and it reduced burnout. The qualities of CBT that were perceived to be effective were its adaptability, pragmatic here‐and‐now approach, capacity for low‐intensity interventions, safe containing structure, promotion of self‐agency, and valuable techniques. It was suggested that the prime requirement for adaptations to CBT were that they would need to fit different social and cultural contexts.     

Perceived Physical Attractiveness, Sexual History, and Sexual Intentions: An Internet Study

This study was designed to examine the influence a potential date’s physical attractiveness and sexual history has on an individual’s intentions to engage in safer sex. Over 1,200 participants completed an Internet survey. The questionnaire presented a randomized biography and photograph and asked participants to rate their interest in dating and having a sexual relationship with the target. Participants were randomly assigned to one of six conditions based on the target’s physical attractiveness (low vs. high) and sexual experience (low, medium, or high). Results indicated that men reported greater intentions to have sex than women did, and all participants reported greater likelihood of having sex when the potential partner was highly attractive. Participants rated men and more experienced targets as more risky sexual partners, and the level of a target’s sexual experience was directly related to participants’ willingness to discuss sexual risks. Results indicate a continuing need to include discussion of cognitive factors in all HIV prevention efforts.     

Addressing Privilege and Oppression in Counselor Training and Practice: A Qualitative Analysis

This qualitative study explored how 16 counselors conceptualize and address issues of privilege and oppression in the counseling session as well as how they perceive their training with respect to these constructs. In an effort to bridge multicultural training and counselor practice, implications for counselor training are provided based on the clinical and academic experiences counselors reported. Additionally, future research directions are included.     

Help-seeking: testing the effects of task interdependence and normativeness on employees’ propensity to seek help

This study explores the effects of task interdependence (high versus low) and helping norms (supportive versus non-supportive) on propensity to seek help. Participants were most likely to seek help when: (1) task interdependence was high, and (2) supportive help-seeking norms were operative. A 2-way interaction also emerged. Under the non-supportive norms condition, help-seeking was greatest for high versus low levels of task interdependence; when supportive norms were operative, relatively high levels of help-seeking arose across task interdependence conditions. No support for the hypotheses that high self-esteem, high task specific self-efficacy, and low achievement motivation would increase help-seeking was obtained.     

Interoceptive fear conditioning as a learning model of panic disorder: an experimental evaluation using 20% CO(2)-enriched air in a non-clinical sample

Despite the role afforded interoceptive fear conditioning in etiologic accounts of panic disorder, there are no good experimental demonstrations of such learning in humans. The aim of the present study was to evaluate the interoceptive conditioning account using 20% carbon dioxide (CO(2))-enriched air as an interoceptive conditioned stimulus (CS) (i.e., physiologically inert 5-s exposures) and unconditioned stimulus (US) (i.e., physiologically prepotent 15-s exposures). Healthy participants (N=42) were randomly assigned to one of three conditions: a CS-only, contingent CS-US pairings, or unpaired/non-contingent CS and US presentations. Electrodermal and self-report (e.g., distress, fear) served as indices of conditioned emotional responding. Results showed greater magnitude electrodermal and evaluative fear conditioning in the paired relative to the CS-only condition. The explicitly unpaired condition showed even greater electrodermal and evaluative responding during acquisition, and marked resistance to extinction. The latter results are consistent with the possibility that the unpaired procedure constituted a partial reinforcement procedure in which CO(2) onset was paired with more extended CO(2) exposure on 50% of the trials. Overall, the findings are consistent with contemporary learning theory accounts of panic.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.