Internet-delivered cognitive behavioral therapy for panic disorder with or without agoraphobia: a systematic review and meta-analysis

ABSTRACT

The current systematic review and meta-analysis examined the efficacy and effectiveness of internet-delivered cognitive behavioral therapy (iCBT) on panic disorder and agoraphobia symptom severity. Twenty-seven studies were identified. Results from nine randomised controlled trials (RCTs) showed that iCBT outperformed waiting list and information controls for panic (g = 1.22) and agoraphobia (g = .91) symptoms, but the quality of RCTs varied and heterogeneity was high. Results from three RCTs suggested iCBT may have similar outcomes to face-to-face CBT in reducing panic and agoraphobia symptoms. Within-group effect sizes between baseline and post-treatment were large for panic (n = 29, g = 1.16) and medium for agoraphobia symptom severity (n = 18, g = .73). Subgroup analyses of within-group pre/post treatment effect sizes showed larger within-group effect sizes for efficacy studies (n = 15) compared to effectiveness studies (n = 14) for panic severity (g = 1.38 vs. g = .98) but not agoraphobia severity. There was no impact of program length, inclusion or arousal reduction techniques, or degree of clinician support. Within-group effects of iCBT suggest the reduction in panic and agoraphobia symptom severity is maintained at 3–6 month follow-up (n = 12).     

Work–family enrichment,job satisfaction,and work engagement: The mediating role of subjective career success

Objective: The aim of the study was to explore the possible indirect effect of subjective career success on the relationship between work–family enrichment and job satisfaction and work–family enrichment and work engagement. Method: A cross-sectional, quantitative research design approach was followed using a convenience sample (N = 334). Results: Results revealed that work–family enrichment was not only positively related to subjective career success, job satisfaction and work engagement, but also predictive of the mentioned constructs. Furthermore, subjective career success was found to indirectly effect the relationship between work–family enrichment and job satisfaction and work engagement. Conclusion: Using the resource-gain-development framework, new insights are provided into the processes and mechanisms relating to work–family enrichment. Our findings suggest that resources are creating positive affect in not only the work and career domains of employees, but also leading to more engaged and satisfied employees. (i.e., the indirect effect of subjective career success). Organisations can benefit when they enhance work environments (e.g., by providing relevant resources) to promote work–family enrichment and, by implication, subjective career success and positive work outcomes such as job satisfaction and work engagement.     

Reciprocating Desires: The Pursuit of Desirable East Asian Femininity in China’s Commercial Sex Industry

ABSTRACT

This article examines how socioeconomic conditions impact heteronormative sexual desires between high-tier sex workers and their non-Chinese clients in urban South China. Drawing from Hoang’s interpretation of ‘dealing in desires’, Rofel’s ‘Desiring China’, and cultural capital, the article considers how desire circulates in high-end bars and its impact on how workers and clients negotiate their relationships. I move beyond Hoang’s and Rofel’s framework to include cultural capital that help sex workers perform an East Asia femininity and develop their image as cosmopolitan tempting girls to practice ‘reciprocating desires’ with their non-Chinese clients. The article unfolds as a theoretical exercise in unearthing and understanding the underpinnings of how socioeconomic context impacts our understanding of what qualifies as desirable East Asian femininity. Drawing upon ethnographic research conducted in a high-end bar in South China from the summer of 2015 to the summer of 2017, this article first examines desire and the meanings attached to sex workers’ body capital, and cultural capital that exemplify desirable East Asian femininity. Second, cultural capital explains how desire operates within high-tier heteronormative sex work spaces to construct social identity, which can help sex workers achieve professional success and become a source of personal satisfaction.