Effects of optimism on recovery and mental health after a tornado outbreak

Objective: Dispositional optimism, a stable expectation that good things will happen, has been shown to improve health outcomes in a wide range of contexts, but very little research has explored the impact of optimism on post-disaster health and well-being.

Design: Data for this study come from the Centers for Disease Control and Prevention’s Public health systems and mental health community recovery (PHSMHCR) Survey. Participants included 3216 individuals living in counties affected by the April 2011 tornado outbreak in Mississippi and Alabama.

Main outcome measures: This study assesses the effect of dispositional optimism on post-disaster recovery and mental health.

Results: Dispositional optimism was found to have a positive effect on personal recovery and mental health after the disaster. Furthermore, it moderated the relationship between level of home damage and personal recovery as well as the relationship between home damage and post-traumatic stress disorder (PTSD), with stronger effects for those with increased levels of home damage.

Conclusions: The utility of screening for optimism is discussed, along with the potential for interventions to increase optimism as a means of mitigating adverse mental health effects and improving the recovery of individuals affected by disasters and other traumatic events.     

Trauma Competency: An Active Ingredients Approach to Treating Posttraumatic Stress Disorder

Meta‐analytic studies have extracted 4 common elements among effective posttraumatic stress disorder treatments: cognitive restructuring and psychoeducation, a deliberate and continually improving therapeutic relationship, relaxation and self‐regulation, and exposure via narrative of traumatic experiences. The authors present a clinical treatment structure catalyzing these active ingredients into discrete therapeutic tasks that counselors can focus on to maximize treatment effectiveness. The 4 tasks represent an attempt to identify critical competencies and baseline standards for the field of trauma counseling.     

Reply to Doody

In an earlier paper, we appealed to various empirical studies to make the case that the unconscious mind is capable of robust self-deception. Paul Doody has challenged our interpretations of that empirical evidence. In this reply we defend our interpretations, arguing that the unconscious is engaged in strategic and flexible goal pursuit.     

Parent-Led Exposure Therapy: A Pilot Study of a Brief Behavioral Treatment for Anxiety in Young Children

Despite prevalence rates as high as 9.4%, few studies have examined the applicability of cognitive-behavioral therapy for treatment of anxiety disorders in very young children (i.e., below the age of 7 years). The present study examined the preliminary efficacy of a parent-led exposure therapy protocol (PLET) designed for young children with anxiety disorders. Twenty-two youth aged 4–7 years and their parents participated in this pilot randomized control trial. Families of youth with significant anxiety concerns were randomized to either PLET (n?=?12), a 10 session/5-week family-based exposure therapy program designed to target anxiety in young children, or treatment as usual (TAU; n?=?10). Children in the PLET condition demonstrated a greater reduction in anxiety symptoms compared to TAU (d?=?3.18), with 90.91% of PLET participants (active condition) being classified as treatment responders at post-treatment as opposed to 0 in the TAU condition. Gains were maintained at 1 month-follow-up. Although pilot in nature, these data suggest in a preliminary fashion that a parent led exposure therapy protocol that is adapted appropriately for developmental age and incorporates an active coaching component for parents may be efficacious for the treatment of young children with anxiety disorders. This clinical trial was registered through clinicaltrials.gov under the following identifier: NCT02051192.     

Facilitating Communication of Ideas and Evidence to Enhance Mental Health Service Quality: Coding the Treatment Services Literature Using the Child and Adolescent Needs and Strengths-Mental Health Assessment Scales

The evidence-base services literature is continually growing, providing the field with rich and important sets of information regarding what works for treating different types of youth and families. Given this burgeoning of information, the PracticeWise Evidence-Based Services (PWEBS) Literature Database has been developed to aid in summarizing and delivering aggregated evidence-based treatment information to providers in the field. Meanwhile, the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale is a youth mental health assessment tool that was developed by a separate team to assist with treatment planning. In the present study, we developed and tested a system for linking these two related ontological systems so that scientific knowledge can be more widely aggregated and made available to a wider set of audiences for enhanced mental health service delivery. Results revealed the following. First, a construct mapping comparison revealed that the CANS-MH and PWEBS ontologies share a strong core of overlapping content, particularly in the areas of Youth Behavioral/Emotional Needs, Youth Risk Behaviors, and Life Domain Functioning. Second, the CANS-MH areas were able to be used to reliably code the following components of published randomized treatment studies: (a) population sample characteristics (e.g., did the characteristics of the treatment study participant population relate to each CANS-MH area?), and (b) outcome measure targets (e.g., did the treatment study outcome measure target areas relate to each CANS-MH area?). The reliability achieved from this coding process supported the linkage between the CANS-MH areas and the PWEBS Literature Database information. Lastly, high agreement was achieved between an automated translation algorithm and the final ratings from the manual coding of published treatment studies using the CANS-MH scale. The importance of such linkages for the communication of ideas, information, and evidence across differing subfields is discussed, as well as examples of achieving enhanced quality of mental health services by linking system ontologies.     

Children Exposed to Marital Conflict Exhibit More Disordered Eating Behaviors: Child Emotional Insecurity and Anxiety as Mechanisms of Risk

Disordered eating in children is a major public health concern, as it is precursor to clinical eating disorders and obesity. However, little is known about the potential causes of child disordered eating. The current study examined marital conflict as a predictor of disordered eating in a sample of children aged 5–12 years, from the perspective of emotional security theory. Ninety five children and their parents in the Southeast United States participated in the study. We found that marital conflict was associated with higher levels of restrained eating, emotional eating and external eating behaviors controlling for demographics and parental feeding practices. Further, we examined the possible pathways between marital conflict and child disordered eating and found that marital conflict was related to greater child emotional insecurity about the family, which was associated with greater child anxiety, which were then related to disordered eating. In addition to serving as a secondary pathway linking emotional insecurity to child disordered eating, anxiety also significantly directly mediated the association between marital conflict and all three types of disordered eating: restrained eating, emotional eating and external eating in children. Next we examined if parental feeding practices (food monitoring, food restriction and parental pressure to eat) moderate the relation between marital conflict and child disordered eating. Parental pressure to eat was negatively associated with child disordered eating under higher marital conflict. The current study highlights the importance of marital conflict and child emotional security as precursors of child disordered eating.     

On listening to “The Scarlet Tide” (by T Bone Burnett and Elvis Costello) from Cold Mountain: a movie song and its afterlife

This article examines how the emerging concept of affective space can be applied to movie soundtracks, with particular reference to “The Scarlet Tide” written by T Bone Burnett and Elvis Costello for the film Cold Mountain (dir. Anthony Minghella 2003) and the implications this has for the place of religion in film culture. The article explores how affective space works with the experience of individual listeners and the wider social context. Both affective expressions can shape how this track is received and integrated into a process of meaning making. The article concludes with an assessment of some implications that this discussion has for understanding the social nature of music, religion, and spirituality.     

On the temporal dynamics of language-mediated vision and vision-mediated language

Recent converging evidence suggests that language and vision interact immediately in non-trivial ways, although the exact nature of this interaction is still unclear. Not only does linguistic information influence visual perception in real-time, but visual information also influences language comprehension in real-time. For example, in visual search tasks, incremental spoken delivery of the target features (e.g., “Is there a red vertical?”) can increase the efficiency of conjunction search because only one feature is heard at a time. Moreover, in spoken word recognition tasks, the visual presence of an object whose name is similar to the word being spoken (e.g., a candle present when instructed to “pick up the candy”) can alter the process of comprehension. Dense sampling methods, such as eye-tracking and reach-tracking, richly illustrate the nature of this interaction, providing a semi-continuous measure of the temporal dynamics of individual behavioral responses. We review a variety of studies that demonstrate how these methods are particularly promising in further elucidating the dynamic competition that takes place between underlying linguistic and visual representations in multimodal contexts, and we conclude with a discussion of the consequences that these findings have for theories of embodied cognition.