In Eating‐Disordered Inpatient Adolescents,Self‐Criticism Predicts Nonsuicidal Self‐Injury

We examined the role of depressive traits—self‐criticism and dependency—in nonsuicidal self‐injury (NSSI) and suicidal ideation among inpatient adolescents with eating disorders. In two studies (N = 103 and 55), inpatients were assessed for depressive traits, suicidal ideations, and NSSI. In Study 2, motivation for carrying out NSSI was also assessed. In both studies, depression predicted suicidal ideation and self‐criticism predicted NSSI. In Study 2, depression and suicidal ideation also predicted NSSI. The automatic positive motivation for NSSI was predicted by dependency and depressive symptoms, and by a two‐way interaction between self‐criticism and dependency. Consistent with the “self‐punishment model,” self‐criticism appears to constitute a dimension of vulnerability for NSSI.     

Subjective Well-Being in Adolescence: The Role of Self-Control,Social Support,Age, Gender,and Familial Crisis

Focusing on adolescents’ subjective well-being, the present study comprised three parts. The first examined the role of two coping mechanisms, self-control and social support, in predicting subjective well-being. The second related to the role of age and gender in predicting adolescents’ subjective well-being. The third raised the question of whether exposure to familial crisis would predict adolescents’ subjective well-being and whether self-control and social support would moderate the link between crisis and adolescents’ subjective well-being. Participants included 380 adolescents ages 13–17 years (M = 15.32, SD = .98; 194 boys, 176 girls, 10 unspecified), from six integrative junior-high and high schools in central Israel. All schools served a heterogeneous Jewish student population. Based on responses to a questionnaire identifying adolescents who reported experiencing a severe life crisis during the last year (e.g., severe illness in family, parent death or separation/divorce), the sample was divided into two groups: exposure to familial crisis (n = 96) and no exposure to familial crisis (n = 284). Outcomes revealed that both self-control and social support predicted adolescents’ subjective well-being. As expected, older adolescents presented lower levels of subjective well-being than younger ones. In contrast to the hypothesis, gender did not predict subjective well-being. Although exposure to crisis did not predict higher negative affect or lower positive affect, an interaction emerged between self-control and crisis in predicting positive affect. Thus, among adolescents who experienced crisis, better self-control skills predicted higher levels of positive affect.     

Will We Ever Again Conduct in-Person Psychotherapy Sessions? Factors Associated with the Decision to Provide in-Person Therapy in the Age of COVID-19

Journal of Contemporary Psychotherapy - The COVID-19 pandemic has forced a new reality on the delivery of psychotherapeutic services. Therapists have had to rapidly adapt to telehealth therapy...     

Rorschach Comprehensive System (CS) reference data for Israeli adolescents

This study presents Rorschach Comprehensive System (CS; Exner, 1974, 2003) data for a sample of 100 Israeli nonpatient adolescents divided into 2 age-based groups: 11-14 (n = 42) and 15-18 (n = 58). The data are compared to those derived from the international project of Meyer, Erdberg, and Shaffer (2007). The results suggest that contemporary Israeli adolescents demonstrate age-appropriate inclination to show excessive self-inspection (FD), to be overly individualistic, perceiving reality in a unique and unconventional manner (elevated Xu%; lowered X+% and P), and to be involved in scientific issues (elevated Sc). The age-based group of 11 to 14, however, also tends to show difficulties in affect modulation (C > 0). Nonetheless, Israeli nonpatient adolescents are quite unlikely and not more than nonpatient adults, to show elevation on the major CS constellations of psychopathological manifestations. Although these observations are mostly in agreement with data collected from their peers around the world, the Israeli youngsters seem to be more similar to adults than to youngsters from other countries as to various CS measures, including those pointing to openness and attentiveness to stimuli (i.e., Lambda, F%). The main conclusion is that with the exception of some age-appropriate deviations, the international reference data for adults can be used for evaluating psychopathology in adolescents.     

Posttraumatic Growth, Posttraumatic Stress Symptoms and Mental Health Among Coronary Heart Disease Survivors

The present study aimed to estimate posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) among heart disease survivors and examine whether PTG moderates the association between PTSS and mental health. Data from 82 myocardial infarction and acute coronary artery bypass graft survivors (aged 46–82) was obtained at admission to a cardiac rehabilitation unit. Mental status was assessed by the PTSD Inventory, Posttraumatic Growth Inventory (PTGI), Mental Health Inventory and Health Related Quality of Life (HRQOL). 17.1 % of the participants suffered significantly from PTSS and most of the study sample (71.2 %) reported PTG. PTSS were positively associated with PTG and psychological distress and negatively with well-being and HRQOL. PTG moderated the association between PTSS and most mental health outcomes. We conclude that posttraumatic growth may attenuate the negative effect of posttraumatic stress symptoms on mental health.     

The role of developmental features,environmental crises,and personal resources (self-control and social support) in adolescents' aggressive behavior

Aggression among adolescents is a social problem that has sharply escalated in recent years, instigating research into related factors. This article outlines the characteristics of adolescents' aggressive behavior in line with Buss and Perry's (1992) theory linking it to the tendency to develop hostile thoughts and angry emotions. Aggressive behavior may be described as a possible outcome of normal development on the one hand, and as a result of exposure to crisis and trauma on the other. Thus, developmental characteristics highlight the role of age and sex in adolescents' aggressive behavior. In addition, possible external crises and distress (e.g., war, divorce) may contribute to adolescents' aggression. This article also identifies two possible resources that may contribute to a reduction in aggressive behavior under normal and crisis conditions: social support as an environmental resource, and self-control as a personal resource. We conclude with suggestions for reducing aggression through a unified intervention setting that integrates developmental features, environmental and family components, as well as personal components.     

Endocrine and emotional response to exclusion among women and men; cortisol,salivary alpha amylase,and mood

Background and Objectives: Social exclusion is ubiquitous and painful. Evolutionary models indicate sex differences in coping with social stress. Recent empirical data suggest different sex patterns in hypothalamic–pituitary–adrenal (HPA) and sympathetic–adrenal–medullary (SAM) reactivity. The present study sought to test this hypothesis.

Design: We examined differences in endocrine and emotional response to exclusion by using a virtual ball tossing paradigm (Cyberball). Saliva samples and mood ratings were collected to reflect levels before, and repeatedly following, exclusion.

Methods: The sample included 21 women and 23 men. Cortisol and salivary alpha amylase (sAA), biomarkers of the HPA and SAM systems, respectively, were used as indices of two arms of stress response.

Results: Following exclusion, all participants experienced mood worsening followed by mood improvement, with men reporting less distress than women. Women evinced decline in cortisol following the Cyberball task, whereas men’s cortisol levels showed a non-significant rise, and then decline, following exclusion.

Conclusions: Our results concur with previous findings showing SAM reactivity to be gender-neutral and HPA reactivity to be gender-divergent. Additional studies are needed to examine sex-specific response to social exclusion. Implications for individual differences in recovery from stress are discussed.     

Think the thought, walk the walk - social priming reduces the Stroop effect

In the Stroop task, participants name the color of the ink that a color word is written in and ignore the meaning of the word. Naming the color of an incongruent color word (e.g., RED printed in blue) is slower than naming the color of a congruent color word (e.g., RED printed in red). This robust effect is known as the Stroop effect and it suggests that the intentional instruction – “do not read the word” – has limited influence on one’s behavior, as word reading is being executed via an automatic path. Herein is examined the influence of a non-intentional instruction – “do not read the word” – on the Stroop effect. Social concept priming tends to trigger automatic behavior that is in line with the primed concept. Here participants were primed with the social concept “dyslexia” before performing the Stroop task. Because dyslectic people are perceived as having reading difficulties, the Stroop effect was reduced and even failed to reach significance after the dyslectic person priming. A similar effect was replicated in a further experiment, and overall it suggests that the human cognitive system has more success in decreasing the influence of another automatic process via an automatic path rather than via an intentional path.     

Affective and Behavioral Changes Following Exposure to Traumatic Events: the Moderating Effect of Religiosity on Avoidance Behavior Among Students Studying Under a High Level of Terror Event Exposure

The goals of this study were to examine the development of affective and behavioral changes following exposure to traumatic events among Israeli students studying under a high level of terror event exposure and to assess the effects of religiosity on those changes development. A questionnaire was administered to 770 students in the Ariel University Center in Judea and Samaria. Higher levels of terror exposure were associated with higher levels of avoidance behavior, subjective feelings of insecurity, and emotional distress. Higher religiosity moderated avoidance behavior, even when controlling for the level of objective exposure to terror events exposure, but had no influence on subjective sense of insecurity, or the level of emotional distress. These findings suggest that religiosity moderates behavioral changes development after traumatic event exposure mainly by reducing avoidance behavior.     

Changes over time from baseline poor self-rated health: for whom does poor self-rated health not predict mortality?

The aim of this study was to understand for whom and why poor self-rated health (SRH) is a less valid predictor of longevity or future health by examining the predictors of decline in health among people with poor baseline SRH. The sample included 409 participants in the Cross-Sectional and Longitudinal Study of the old-old (75+) in Israel, who were self-respondents and rated their health as poor at baseline and their status was known at follow-up 3.5 years later: deceased/moved to proxy interview/remained in poor SRH/or improved SRH. Baseline measures included self-reported medical status, physical, cognitive, psychological and social functioning. Findings showed that less decline in health was predicted by less difficulty in physical and cognitive functioning at baseline and by a more active physical and social life, after controlling for socio-demographics. Most of the predictors retained a unique contribution in a multivariate model, suggesting that engagement in meaningful activities serves as an indicator of better health and longer survival even within a group of old-old people in poor health. It may reflect greater social support, contribute to fitness and/or provide a sense of mastery, which could explain similar findings regarding gender and race/ethnicity groups for whom SRH is a less potent predictor of mortality.