Brief cognitive-behavioral phone-based intervention targeting anxiety about the threat of attack: a pilot study

A brief, cognitive-behavioral, phone-based intervention was employed with an Israeli sample experiencing anticipatory anxiety about potential war-related attacks. In this quasi-experimental controlled pilot study, the cognitive-behavioral therapy intervention (diaphragmatic breathing and a modified cognitive-restructuring technique) was compared with the standard hotline care administered when worried citizens called a mental health emergency hotline in Israel. Individuals (n=32) were administered anxiety and worry measures pre-intervention, post-intervention, and three days post-intervention. The results indicated that anxiety levels decreased for the experimental and control group immediately post-intervention; however, three days later, the levels of anxiety in the CBT group continued to decline, while anxiety levels in the control group reached pre-intervention levels on two of the three outcome measures. These results suggest that CBT can be effectively delivered by paraprofessionals over the phone, which is cost-effective and efficient. Limitations are considered, and implications for treating individuals coping with the threat of terrorism are discussed.     

Positive Automatic Cognitions Mediate the Relationship Between Personality and Trait Positive Affect

Positive affect (PA) has emerged as a key well-being facet and a powerful predictor of physical and psychological well-being. One of the strongest predictors of PA is personality, particularly neuroticism and extraversion. However, the mechanisms via which personality affects PA are not well-understood. Consistent with theories that accord cognitive factors a role in mediating the relationship between personality and outcomes, we tested whether positive automatic thoughts (PATs) mediated the relationship between neuroticism, extraversion, and PA among 199 college students (137 women, 70% White, 66% first and second year students, mean age = 24.13, SD = 8.86). Consistent with hypotheses, structural equation modeling indicated that PATs fully mediated the relationship between both neuroticism and extraversion and PA. The structural model fit the data well, χ²/df = 2.33, CFI = .96, SRMR = .07, RMSEA = .08 (90% CI: .06, .10), AIC = 172.45, and accounted for 58% of the variance in PA. An alternative model in which personality predicted PA, which in turn predicted PATs, did not provide as good a fit to the data, χ²/df = 3.03, CFI = .94, SRMR = .09, RMSEA = .10 (90% CI: .08, .12), AIC = 207.40. Models in which negative automatic thoughts (NATs) were construed as fully [χ²/df = 4.46, CFI = .95, SRMR = .08, RMSEA = .13 (90% CI: .11, .16)] or partially [χ²/df = 4.04, CFI = .96, SRMR = .06, RMSEA = .12 (90% CI: .10, .15)] mediating the relationship between neuroticism and negative affect did not provide a good fit to the data. A final model in which negative affect was tested a mediator of the relationship between neuroticism and NATs also did not fit the data well, χ²/df = 4.03, CFI = .96, SRMR = .07, RMSEA = .12 (90% CI: .10, .15).     

Reactions to Repeated Unpredictable Terror Attacks: Relationships Among Exposure,Posttraumatic Distress,Mood, and Intensity of Coping1

We hypothesized that exposure to Type IV trauma (involving alteration in a person's basic relation to the environment), associated with prolonged terrorist threats, would impact posttraumatic distress and that exposure to terrorism would impact the intensity of coping. The relationships revealed by the data proved to be in line with this model. Our data suggested that the relationship of exposure and coping was not direct, but seemed to be mediated by posttraumatic distress, that demoralization at the height of an unrelenting terror campaign was unrelated to trauma exposure, and that acceptance was a distinct way of coping adopted by targeted Israelis. Acceptance showed the weakest association with posttraumatic distress and was related inversely to our index of low morale.     

Separating From the Mothership: A Coordinated Individual and Parent-Based Approach to Severe Agoraphobia in a Young Adult

Families are invested in an older adolescent gradually separating from the family to live independently as an adult, but for many families, adolescent psychopathology makes this transition difficult. Addressing such psychopathology is critical in preventing “failure to launch,” a breakdown in gaining age-appropriate independence from parents. This case study illustrates a promising approach directed at helping an 18-year-old female with agoraphobia and panic disorder who, upon intake, was at risk for long-lasting, prohibitive dependence on her parents. The clinical approach entails the convergence of two psychological treatments conducted in the same treatment center. One provider, working directly with the patient, delivered traditional cognitive-behavioral therapy (CBT) for anxiety. A second provider, working with the parents, delivered Supportive Parenting for Anxious Childhood Emotions (SPACE) a parent-based treatment focused on reducing family accommodation of the patient’s anxiety. Behavioral indices and self-report scores indicated clinically significant improvement following the combined intervention. Attention is drawn to the convergence of those treatments and the utility and special considerations in taking this kind of approach. Overall, the combined treatment may have been more successful than the sum of its parts at preventing failure to launch. This case study, the first to describe the integration of CBT and SPACE, can provide useful guidance for clinicians helping families of adult children to transition to independence.     

Too tired to take offense: When depletion promotes forgiveness

Although self-regulatory depletion has a broad range of adverse consequences, recent research has established that it can yield prosocial outcomes under certain circumstances. The present experiment examined the interaction between depletion and offense severity on forgiveness of romantic offenses. Consistent with prior research, results revealed that depleted (vs. non-depleted) individuals were less forgiving of severe offenses. In a counterintuitive reversal, however, depleted (vs. non-depleted) individuals were more forgiving of mild offenses. This crossover interaction effect was mediated by perception of offense severity, suggesting that depleted individuals may be especially forgiving of mild offenses because they are simply too tired to take offense at their partner's bad behavior. These findings identify one important instance in which depletion can promote salutary relationship processes.     

Using I³ theory to clarify when dispositional aggressiveness predicts intimate partner violence perpetration

Deriving hypotheses from I3 theory (pronounced "I-cubed theory"), the authors conducted 4 studies to clarify the circumstances under which dispositional aggressiveness predicts intimate partner violence (IPV) perpetration. Consistent with the hypothesis that this link would be stronger when inhibitory processes are weak rather than strong, Studies 1 and 2 demonstrated that dispositional aggressiveness was an especially robust predictor of IPV perpetration among people experiencing self-regulatory strength depletion. Consistent with the hypothesis that this Dispositional Aggressiveness × Inhibition interaction effect would be stronger when instigating triggers are strong rather than weak, Studies 3 and 4 demonstrated that dispositional aggressiveness was an especially robust predictor of IPV perpetration among people characterized by both weak inhibition (poor executive control in Study 3, depletion in Study 4) and strong instigation (provocation in both studies). These effects were robust in studies employing experimental and nonexperimental designs, cross-sectional and longitudinal methods, dating and married participants, self-report and behavioral measures of IPV perpetration, and diverse operationalizations of all constructs. Discussion emphasizes the importance of incorporating instigating, impelling, and inhibiting processes into theoretical and empirical analyses of IPV perpetration.     

A longitudinal multilevel model analysis of the within-person and between-person effect of effortful engagement and academic self-efficacy on academic performance

Using data from an accelerated longitudinal study, we examined the within-person and between-person effect of effortful engagement and academic self-efficacy on academic performance across students (N = 135) in elementary school. Teachers assessed participants' effortful engagement and participants rated their academic self-efficacy once per year for 3 years. Academic performance was assessed through standardized test scores in reading and math. Multilevel models indicated that within-person change in Effortful Engagement and Academic Self-Efficacy scores significantly predicted concomitant within-person change in reading test scores, B = 2.71, p = .043, Pseudo-R² = .02 and B = 4.72, p = .005, Pseudo-R² = .04, respectively. Participants with higher between-person levels of Effortful Engagement had higher initial reading test scores, B = 10.03, p = .001, Pseudo-R² = .09, and math test scores, B = 11.20, p < .001, Pseudo-R² = .15, whereas participants with higher between-person levels of Academic Self-Efficacy showed a faster rate of increase in math test scores across elementary school, B = 10.21, p = .036, Pseudo-R² = .25. At the between-person level, Effortful Engagement mediated the association between Academic Self-Efficacy and both reading and math test scores, although no support was found for mediation at the within-person level. Collectively, results suggest that trait-level psychological factors can vary meaningfully within school-aged children and that both within-person change and between-person individual differences in these traits have important consequences for academic performance.     

Self-Efficacy for Affect Regulation as a Predictor of Future Life Satisfaction and Moderator of the Negative Affect—Life Satisfaction Relationship

Life satisfaction is an important index of mental health and also predicts other important outcomes such as longevity and decreased mortality. Negative affect has a unique inverse relationship with life satisfaction across the life span. Therefore, determining psychological factors that uniquely predict future life satisfaction and that reduce the trait negative affect—life satisfaction relationship is theoretically and clinically important. In light of recent evidence from long-term longitudinal studies that self-efficacy for regulation of negative emotions (SERN) predicts higher future life satisfaction, as well as evidence from a cross-sectional study that a subtype of SERN—self-efficacy for regulating anger—buffers the relationship between trait negative affect and life satisfaction, we tested whether SERN and subtypes of SERN predicted higher life satisfaction and buffered the negative affect—life satisfaction relationship longitudinally over short time periods. After controlling for time 1 life satisfaction, higher time 1 self-efficacy for regulating despondency and distress (SEDes) predicted higher future life satisfaction over average time periods of 17 days (N = 127), 32 days (N = 83), and 41 days (N = 65) among college students. However, in post hoc exploratory regressions that included self-efficacy for experience and expression of positive emotions (SEPos), SEDes predicted higher time 2 life satisfaction, but only SEPos uniquely predicted higher time 3 and time 4 life satisfaction.