Provocation of panic: three elements of the panic reaction in four anxiety disorders

Subjects with agoraphobia (N = 25), panic disorder (N = 25), social phobia (N = 19) or generalized anxiety disorder (N = 10) and controls with no psychiatric history (N = 16) underwent two provocation tests, voluntary hyperventilation and inhalation of 5% CO2 in air, and three experimental control conditions. They were measured on three elements of the panic reaction: somatic symptoms, psychic anxiety and fears of impending doom, and on a standard YES/NO measure of panic attack. The provocation conditions produced increased somatic symptoms and psychic anxiety across all groups relative to the control conditions. The agoraphobic and panic disorder groups showed a significantly greater increase in fears of impending doom from control to provocation conditions than the social phobic and GAD patients. This difference was not observed on measures of somatic symptoms or psychic anxiety. The present results provide some support for the theory that panic attacks result from the catastrophic misinterpretation of anxious symptoms, in this case produced by the two provocation tests.     

Splitting attention across the two visual fields in visual short-term memory

Humans have the ability to attentionally select the most relevant visual information from their extrapersonal world and to retain it in a temporary buffer, known as visual short-term memory (VSTM). Research suggests that at least two non-contiguous items can be selected simultaneously when they are distributed across the two visual hemifields. In two experiments, we show that attention can also be split between the left and right sides of internal representations held in VSTM. Participants were asked to remember several colors, while cues presented during the delay instructed them to orient their attention to a subset of memorized colors. Experiment 1 revealed that orienting attention to one or two colors strengthened equally participants' memory for those colors, but only when they were from separate hemifields. Experiment 2 showed that in the absence of attentional cues the distribution of the items in the visual field per se had no effect on memory. These findings strongly suggest the existence of independent attentional resources in the two hemifields for selecting and/or consolidating information in VSTM.     

Assessment of Religious and Spiritual Capital in African American Communities

African American faith communities are an important source of social capital. The present study adapted a theory-based social capital instrument to result in religious (e.g., from organized worship) and spiritual (e.g., from relationship with higher power) capital measures. Data from a national sample of 803 African Americans suggest the instruments have high internal reliability and are distinct from general religiosity. Measurement models confirmed factor structures. Religious capital was positively associated with self-rated health status. Religious and spiritual capital were negatively associated with depressive symptoms, but these associations largely became nonsignificant in multivariate models that controlled for demographic characteristics. An exception is for spiritual capital in the form of community participation, which retained a negative association with depressive symptoms. These instruments may have applied value for health promotion research and practice in African American communities.     

Domestic violence shelter residents' substance abuse treatment needs and options

The association between intimate partner aggression and alcohol and other substance use problems is well-established in the literature. However, the nature and scope of alcohol and other substance use problems in women who seek or are likely to seek domestic violence shelter services is difficult to ascertain. The first goal of the current review was to identify and synthesize the findings of studies in which alcohol and other substance use, problem use, or diagnoses in shelter residents was assessed. Despite methodological limitations, this body of studies provides compelling evidence that a substantial number of domestic violence shelter residents (22–72%) have current or past problems with alcohol or other substances and may benefit from treatment. The second goal of the current review was to provide an overview of the availability and limitations of options that are currently available to address domestic violence shelter residents' substance abuse treatment needs. Although substance abuse is a largely under-met need of women seeking domestic violence shelter, promising findings from model integrated treatment programs, as well as the knowledge gained through implementation of these programs provide useful future directions for addressing these co-occurring issues.     

The Efficacy of Child Parent Relationship Therapy for Adopted Children With Attachment Disruptions

This pilot study examined the effectiveness of child parent relationship therapy (CPRT; Landreth & Bratton, 2006 ) with 61 adoptive families. Statistically significant findings and large treatment effects on all measures indicated the effectiveness of CPRT over the wait‐list control condition on reducing child behavior problems and increasing parental empathy. The results provide preliminary support for CPRT as a responsive intervention for adoptive families with children presenting with attachment difficulties.     

An ethnographic study of issues surrounding the provision of sport opportunities to young men from a western Canadian inner-city

ObjectivesThe purpose of this study was to examine issues surrounding the provision of sport opportunities to young men from inner-city areas of Edmonton, Alberta, Canada. More specifically, the research question was: What are the benefits, constraints, and opportunities associated with providing sport programs to young men from inner-city areas?DesignEthnography.MethodsData were collected via 15 months of participant observation and interviews with 12 youth workers who were responsible for the provision of various sport programs to young inner-city dwellers. Analysis was framed around personal, social, and structural issues.ResultsAt a personal level sport provided young men with an outlet for overcoming boredom and a temporary reprieve from the conditions of their daily lives. At a social level sport provided opportunities for relationship building between the youth workers and the young men. However, enduring structural constraints associated with economic and social inequality and the lack of a coordinated approach to the delivery of services restricted the influence that sport could have in the lives of the young men.ConclusionThis study provided some precise understandings of the benefits, constraints, and opportunities associated with providing sport programs to members of specific populations in certain inner-city circumstances. Findings, therefore, have the potential to inform public health policy concerning the use of sport-for-development programming in such contexts.     

Thought Suppression in Spider-Fearful and Nonfearful Individuals

The authors examined the suppression of spider-related thoughts in spiderfearful (n = 23) and nonfearful (n = 22) individuals. Participants were primed with vivid pictures of spiders and a story about spiders. Next, they were randomly assigned to 1 of 2 conditions: (a) suppression of thoughts associated with the previously presented spiderrelated stimuli or (b) free expression of any thoughts, including those related to the spider-related stimuli. All participants completed a subsequent free-expression exercise. Results indicated that spider-fearful individuals expressed thoughts about the spider-related stimuli for a longer length of time than did nonfearful individuals, particularly in the suppression condition. Participants in both groups demonstrated a rebound of thoughts associated with the spider-related stimuli following suppression. The authors propose that the priming of feared stimuli makes suppression of fear-related thoughts particularly difficult for fearful individuals, perhaps by activating a state of heightened arousal.     

Parental Emotional Response to Children’s Traumas

To better understand how parents react to their child’s trauma exposure and evaluate whether different reactions are related to different types of traumas, 120 parents (79.2% mothers, 18.3% fathers, 2.5% other caregivers) were asked about their emotional reactions related to their child’s self-reported worst trauma. Emotional reactions were assessed with the Parental Emotional Reactions Questionnaire (PERQ). Parents reported high levels of distress and guilt. Furthermore, there was a significant relationship between type of trauma and parents’ overall emotional reactions. Parental distress was equally endorsed among the different trauma groups. Parents of children who experienced intrafamilial violence and extrafamilial sexual abuse reported the highest levels of guilt, and child exposure to intrafamilial violence was associated with higher levels of parental shame.