Associations between lower order anxiety sensitivity dimensions and DSM-5 posttraumatic stress disorder symptoms

Anxiety sensitivity (AS), a well-established individual difference variable reflecting a tendency to fear bodily sensations associated with arousal, has been implicated in the development and maintenance of posttraumatic stress disorder (PTSD). Despite these associations, little research has examined the relations between AS subfactors (eg physical, cognitive, and social) and PTSD symptoms and none have examined these associations in the context of DSM-5 (Diagnostic Statistical Manual of Mental Disorders, Fifth Edition) PTSD clusters (ie intrusion, avoidance, negative alterations in cognitions/mood, and arousal). Participants included 50 veterans presenting to an outpatient Veteran Affairs Clinic for psychological services. Upon intake, veterans completed a brief battery of self-report questionnaires to assist with differential diagnosis and treatment planning. Results revealed unique associations between lower order AS dimensions, in particular the cognitive concerns dimension, and all four DSM-5 PTSD symptom clusters. Given the malleable nature of AS cognitive concerns, as well as the growing number of veterans in need of care, future research should determine the extent to which targeting this cognitive risk factor reduces PTSD symptom severity among veterans.     

Wimpy and undeserving of respect: Penalties for men’s gender-inconsistent success

Results of an experimental study varying the sex of the employee and the gender-type of the job demonstrated that men, as well as women, are penalized when they are successful in areas that imply that they have violated gender norms. But the nature of these penalties differed. When depicted as being successful at a female gender-typed job, men were characterized as more ineffectual and afforded less respect than women successful at the same job or than men successful in a gender-consistent position. Women, in contrast, were more interpersonally derogated and disliked when said to be successful at a male gender-typed job. Regardless of these differing characterizations, both men and women successful in gender-inconsistent jobs were reported to be less preferable as bosses than their more normatively consistent counterparts. These results suggest that success, when it violates gender norms, can be disadvantageous for both men and women, but in different ways.     

Exposure to successful women: Antidote to sex discrimination in applicant screening decisions?

This research is designed to examine the proposition that exposure to the successes of women in traditionally male occupations will mitigate against subsequent sex bias in selection decisions. Prior to making initial screening decisions about a male or female applicant for a traditionally male job, i.e., finance manager trainee, 147 college students read an editorial documenting the successful performance of an individual woman or a group of women employed in a nontraditional job that either was or was not related to the job about which the personnel recommendations were to be made. A neutral information group read an editorial unrelated to women or work. As predicted, the discrepant ratings of male and female applicants in the neutral baseline condition were significantly reduced only when the information presented concerned a group of women and there also was a direct connection between the occupation in which they were successful and the occupation for which the screening decision was being made. Additional analyses supported the idea that this effect was due to the lessening of the stereotypie attributes used to characterize the female applicants. These results suggest that although exposure to successful women in heretofore male dominated occupations can reduce sex bias in personnel selection decisions, the conditions under which this is likely to occur are very limited. The implications of these results, both theoretical and practical, are discussed.     

Identifying Risk for Self‐Harm: Rumination and Negative Affectivity in the Prospective Prediction of Nonsuicidal Self‐Injury

Research suggests nonsuicidal self‐injury (NSSI) may function as a maladaptive strategy to regulate negative emotions, and individuals high in trait negative affectivity (NA) may be particularly at risk. Rumination, a cognitive emotion regulation strategy, may amplify negative affect, increasing the likelihood of NSSI. The current study found that high NA and high rumination interacted to predict both likelihood of engagement in NSSI and frequency of NSSI. This study provides support for the joint contribution of cognitive and temperamental factors impacting the relationship between NA and NSSI and suggests that interventions targeted at maladaptive emotion regulation strategies may help inform individualized treatment.     

Joy is a distinct positive emotion: Assessment of joy and relationship to gratitude and well-being

In three studies we investigated joy and its relationship to subjective well-being (SWB). We developed measures of joy based on recent conceptualizations of joy in the humanities and social sciences. In Studies 1 and 2 we developed reliable measures of state and trait joy. In Study 3 we used a two-month prospective design to investigate the relationship of joy to gratitude and SWB. We found that dispositional gratitude predicted increases in state joy over time. We also found that trait joy predicted increases in state gratitude, providing evidence for an intriguing upward spiral between joy and gratitude. Finally, we found that trait joy was associated with increases in SWB over time. Factor analyses indicated that joy loaded separately from other positive emotions. We conclude that joy is a discrete positive emotion, it can be measured reliably with self-report instruments, and that it may be an important component of well-being.     

Conducting Outcomes Research in a Clinical Practice Setting: The Effectiveness and Acceptability of Acceptance and Commitment Therapy (ACT) in a Partial Hospital Program

Multiple challenges exist integrating research into clinical practice, particularly in acute care settings where randomized controlled trials may be impractical or unethical. Partial or day hospitals are one such setting. As compared to outpatients and inpatients, relatively little research is conducted or reported in partial hospital program (PHP) patients, leaving providers in this setting without a solid empirical basis from which to draw. We report treatment outcomes and patient satisfaction from the first 750 patients enrolled in a clinical research PHP utilizing the acceptance and commitment therapy (ACT) treatment model. ACT is a well-established, transdiagnostic behavior therapy. However, to date no study has examined the use of ACT in acute day hospitals. We hypothesized that applying ACT with this patient group would result in significantly improved depression, anxiety, functioning, and quality of life from intake to discharge. We additionally expected that patients would report high satisfaction with ACT treatment groups. Patients (n = 750 full sample, n = 518 completed treatment) completed daily measures of symptoms, functioning, and ACT processes at intake and discharge, and postgroup satisfaction surveys. Results showed significant improvements in symptoms and impairment. ACT process variables also increased over the course of treatment. Importantly, patient satisfaction was high for all groups. Thus, ACT provides an appropriate, flexible, effective, and satisfactory model for this patient group. A comparison of our findings using ACT to the limited research using other models in PHP settings is discussed, as well as challenges in the overall process of integrating research into routine clinical care.     

Interventions to Empower Adults with Eating Disorders and Their Partners around the Transition to Parenthood

The transition to parenthood is perceived as a stressful life event, when parents experience an immense change of their psychological focus and a reorientation of roles and responsibilities in the family system. This process may be even more challenging in the presence of a parental eating disorder history. This paper reviews the impact of parental eating disorders on the parents, the couple relationship, and their child during the perinatal period. A parental eating disorder is associated with more negative expectations of parental efficacy as well as specific difficulties in couple communication over the child’s feeding, shape, and weight. Providers who better understand the effects of an eating disorder on parental functioning can more effectively intervene early on. We also present couple- or parent-based, empirically supported interventions for adults with eating disorders and their partners in the prenatal and postnatal periods: Uniting Couples in the treatment of Anorexia Nervosa (UCAN) and Uniting couples In the Treatment of Eating disorders (UNITE) both enhance recovery from the eating disorder through a couple-based intervention; the Maudsley Model of Treatment for Adults with Anorexia Nervosa (MANTRA) incorporates the support of partners, when appropriate; Parent-Based Prevention (PBP) focuses on improving parental functioning and reducing risk of negative parental and child outcomes. Finally, we discuss the clinical implications of addressing parental eating disorders and encourage more research on these families.     

Comparing an interdependent and dependent group contingency to increase physical activity in students during recess

Physical activity produces important physiological, mental health, academic, and cognitive benefits in children and youth. Despite these advantages, a large proportion of this population does not meet the recommended amount of physical activity. Recent studies have shown that the interdependent (IGC) and dependent (DGC) group contingencies improve physical activity; however, no comparison of the effects of these contingencies on physical activity has been conducted. We used a multielement within a concurrent multiple baseline design across three classes to compare the effectiveness of group contingencies on physical activity. Both group contingencies increased physical activity, with the IGC producing slightly higher overall levels of physical activity at the classwide and individual levels of analyses. We also compared participants' positive and negative statements and found that, regardless of the group contingency in effect, participants emitted higher levels of positive statements about the contingency when they earned the reward than when they did not, suggesting that reward delivery influenced statements more so than the group contingency arrangement. Results are discussed within the context of treatment decisions and future research.