Injury increases the risk for PTSD: an examination of potential neurobiological and psychological mediators

A growing number of common traumatic events involve both physical and emotional injuries. In contrast to previously held beliefs, the rapidly growing body of literature shows quite convincingly that physical injury, over and above exposure to the traumatic event itself, increases rather than decreases the risk for posttraumatic stress disorder (PTSD). A pertinent question becomes how bodily injury contributes to the risk of developing PTSD. In this article, we review contemporary findings regarding the neurobiological and psychological mechanisms by which bodily injury may augment or independently contribute to chronic posttraumatic stress. In addition, we propose three theoretical pathways through which physical injury can increase the risk for PTSD. These pathways are: additive, unique, and recovery impeding. Finally, we highlight unresolved issues pertaining to each one of these pathways and propose directions for future research to address them.     

Evaluation of a Measure of Self-Esteem Based on the Concept of Unconditional Self-Regard

A measure of unconditional self-regard (USR) derived from Rogerian (client-centered) theory was evaluated in four studies. Results indicated that USR was highly reliable and was strongly related to other measures of self-esteem and negatively related to depression, anxiety, and symptoms of psychological distress. The measure was significantly related to the control and commitment dimensions of psychological hardiness but not to its challenge dimension. Evidence for discriminant validity was provided by findings that USR was unrelated to social desirability or private self-consciousness. Finally, female students'self-regard was significantly related to the unconditional positive regard they reported receiving from their mothers. Other correlations between self-regard and perceived regard from others, although nonsignificant, were often large in absolute value. Implications for counseling interventions are discussed.     

Perfectionistic Cognitions Pre-Pandemic Predict Greater Anxiety Symptoms During the Pandemic Among Emerging Adults: A Two-Wave Cross-Lagged Study

Journal of Rational-Emotive & Cognitive-Behavior Therapy - This study employed a two-wave cross-lagged panel analysis to examine associations between perfectionistic cognitions, anxiety, and...     

Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women.

Optimism is frequently inversely associated with distress; however, less is known about the mechanisms underlying this relationship. Optimism can be defined as having a generalized positive expectancy about the future. The authors hypothesized that a specific expectancy might mediate the relationship between optimism and distress. That model was tested using perceived risk of breast cancer as a specific measure of expectancy and cancer worry as a measure of distress in a community-based sample of 1,366 women. It was hypothesized that optimism would be inversely associated with cancer worry and that perceived risk of breast cancer would mediate the relationship between optimism and cancer worry. Multiple regression analyses revealed that perceived risk partially mediated the relationship between optimism and cancer worry.     

“Clean and Fresh”: Understanding Women’s use of Vaginal Hygiene Products

We explore Canadian women’s use of vaginal hygiene products including feminine washes, douches, sprays, deodorants, wipes, and powders. Vaginal hygiene products in North America are part of a two billion dollar industry, which focuses on cleanliness and freshness in their advertising toward women. In interviewing women who were currently using or had previously used vaginal hygiene products, we found that vaginal cleanliness and freshness were also frequently brought up as reasons for using these products. Using an inductive thematic analysis informed by Braun and Clarke (2013) we explore how attaining a clean-and-fresh vagina has become a subjective physical need for the participants in our study. In a society where female genitalia are constructed as unclean, we argue the marketing of vaginal hygiene products contributes to the problematization of women’s genitalia by suggesting women need to use these products to attain an ideal (i.e., clean and fresh) vagina. The reliance on vaginal hygiene products reported by participants in attaining sensations of vaginal cleanliness and freshness raises concerns in the context of medical literature suggesting adverse health risks that may result from using some of these products. Potential risks include bacterial vaginosis, pelvic inflammatory disease, and a higher susceptibility to sexually transmitted infections, among others. We believe that companies that advertise these products as beneficial for vaginal health and hygiene can be perceived as not just misinforming women but also profiting from products that are harmful.     

Interpreting Surrogate Consent using Counterfactuals

Philosophers such as Dan Brock believe that surrogates who make health care decisions on behalf of previously competent patients, in the absence of an advance directive, should make these decisions based upon a substituted judgment principle. Brock favours substituted judgment over a best interests standard. However, Edward Wierenga claims that the substituted judgment principle ought to be abandoned in favour of a best interests standard, because of an inherent problem with the substituted judgment principle. Wierenga's version of the substituted judgment principle and his counterexample to the principle's successful interpretation of valid surrogate consent is presented. A new version of what is meant by the substituted judgment principle is advanced. The new version is not beset with the problems Wierenga initially ascribed to the substituted judgment principle.