Child/Adolescent Abuse and Suicidal Behavior: Are They Sex Related?

The association between childhood and adolescent abuse and suicidal behavior, and the possible contribution of abuse to sex differences in non lethal suicidal behavior, was investigated. Data were extracted from the Israel‐based component of the WHO World Mental Health Survey (Kessler & Utsun, 2008a). Increased risk for ideation, plan, and suicidal attempt were associated with childhood abuse, and increased risk for attempt was associated also with abuse at adolescence. No associations with sex or sex by abuse interactions were observed. The higher frequency of childhood abuse among women could account in part for their higher rates of suicidal attempts as compared to men.     

Some Common Characteristics of Latency-Age Suicidal Children: A Tentative Model Based on Case Study Analyses

ABSTRACT: Eleven latency-age (6 ½ to 12 ½) boys and girls who attempted or threatened suicide were investigated by means of the following information: intensive interviews, therapeutic meetings, direct observation in school, meetings with teachers, and survey of school records. The families of the children were also interviewed. In spite of the many differences between the children's personalities and backgrounds, some common dynamic features seemed to emerge: (a) There was a suicidal parent in the family, in most cases the mother; (b) Most of the families of these children were engaged in a major crisis, not necessarily centered around the suicidal child; (c) The children experienced demands by the parents to assume responsibilities which the children perceived as being beyond their capability; (d) There was a lack of satisfying relationships with adults; (e) Most children perceived death in a paradoxical way, believing that death was a need satisfying state yet fearing death; (f) The children showed strong positive strivings to say alive and were able to experience joy and happiness in spite of feelings of desperation and depression. A model based on the above multifaceted forces is presented. These forces consist of attractiveness of life, repulsiveness of life, attractiveness of death, and repulsiveness of death. Some of diagnostic and predictive uses of this model are elaborated.     

Sleep quality and treatment of social anxiety disorder

Background and Objectives: Poor sleep is prevalent among individuals with social anxiety disorder (SAD) and may affect treatment outcome. We examined whether: (1) individuals with SAD differed from healthy controls (HCs) in sleep quality, (2) baseline sleep quality moderated the effects of treatment (Cognitive–behavioral group therapy [CBGT] vs. mindfulness-based stress reduction [MBSR] vs. waitlist [WL]) on social anxiety, (3) sleep quality changed over treatment, and (4) changes in sleep quality predicted anxiety 12-months post-treatment.

Design: Participants were 108 adults with SAD from a randomized controlled trial of CBGT vs. MBSR vs. WL and 38 HCs.

Methods: SAD and sleep quality were assessed pre-treatment and post-treatment; SAD was assessed again 12-months post-treatment.

Results: Participants with SAD reported poorer sleep quality than HCs. The effect of treatment condition on post-treatment social anxiety did not differ as a function of baseline sleep quality. Sleep quality improved in MBSR, significantly more than WL, but not CBGT. Sleep quality change from pre- to post-treatment in CBGT or MBSR did not predict later social anxiety.

Conclusions: MBSR, and not CBGT, improved sleep quality among participants. Other results were inconsistent with prior research; possible explanations, limitations, and implications for future research are discussed. ClinicalTrials.gov identifier: NCT02036658.     

Better together: a unified perspective on appraisal and emotion regulation

ABSTRACT

Advances in our understanding of appraisal processes and emotion regulation have been two of the most important contributions of research on cognition and emotion in recent decades. Interestingly, however, progress in these two areas has been less mutually informative than one might expect or desire. To help remedy this situation, we provide an integration of appraisal theory and the process model of emotion regulation by describing parallel, interacting and iterative systems for emotion generation and emotion regulation. Outputs of the emotion generation system are perceived by the emotion regulation system, and emotion regulation strategies then modulate emotion by intervening at specific stages of the emotion generation system, ultimately changing appraisal dimensions. We hope that our unified perspective will encourage and guide future research at the interface of cognition and emotion.