Mechanisms of change in cognitive behaviour therapy for panic disorder: The role of panic self-efficacy and catastrophic misinterpretations

The efficacy of cognitive behavioural therapy (CBT) for panic disorder with or without agoraphobia (PD) is well-established; however, little is known about the underlying change processes of clinical improvement during therapy. According to cognitive theories, CBT for PD primarily works by changing catastrophic misinterpretations of bodily symptoms and panic attacks. However, panic self-efficacy, i.e. the perceived ability to cope with panic attacks, has also been suggested as an important change mechanism in CBT for PD. The aim of the study was to investigate if change in catastrophic misinterpretations and panic self-efficacy mediated change in the level of anxiety during the course of thirteen sessions of group CBT for PD. Forty-five participants completed weekly self-report measures of the possible cognitive mediators and the level of anxiety throughout therapy. The results indicated that within-person change in panic self-efficacy in one session, but not in catastrophic misinterpretations, predicted within-person level of anxiety symptoms the following week. However, in a reversed analysis, prior change in level of anxiety symptoms also predicted change in panic self-efficacy the following session. These results support panic self-efficacy as a mediator of change in CBT for PD, although a reciprocal causal relationship between panic self-efficacy and level of anxiety seems to be implied.     

Family Financial Pressure and Maternal and Adolescent Socioemotional Adjustment: Moderating Effects of Kin Social Support in Low Income African American Families

The moderating effect of kinship social support on the association of family financial pressure with socioemotional adjustment was examined in 200 African American mothers and adolescents. Financial pressure was positively associated with mothers’ depressive symptoms and negatively related to mothers’ optimism about the future. Financial pressure was also positively associated with adolescents’ depressive symptoms and problem behavior. Kin social support was negatively linked to mothers’ depressive symptoms and positively associated with optimism. Kin support was negatively related to adolescents’ problem behavior. Kinship support moderated the association of family financial pressure with mothers’ and adolescents’ adjustment. Positive association of financial pressure with mothers’ depression was less apparent for mothers with more compared to less kin social support. Also, negative association of financial pressure with mothers’ optimism was less apparent for mothers with more compared to less kin social support. Positive relation of financial pressure with adolescents’ problem behavior was less apparent for those with more compared to less kin social support. The need to assess the links of kin social support to other domains of family life such as marital relations is discussed.     

Relationships between two dimensions of employee perfectionism,postwork cognitive processing,and work day functioning

This daily diary study examined relations between two distinct perfectionism dimensions and work-related cognitions experienced by employees during evening leisure time. Drawing from perseverative cognitive processing theory, we hypothesized that perfectionistic concerns would be related to work-related worry and rumination during post-work evenings. In contrast, we hypothesized that a theoretically more adaptive perfectionist dimension (perfectionistic strivings) would be associated with positively valenced self-reflections about work across consecutive evenings. A sample of 148 full-time workers completed an initial survey, which included a trait perfectionism measure, reported their work-related cognitions across four consecutive evenings of a working week, rated their sleep quality immediately upon awakening on each subsequent morning, and their daily levels of emotional exhaustion and work engagement at the end of each work day. Results showed that perfectionistic concerns were indirectly negatively associated with sleep quality and work day functioning via the tendency to worry and ruminate about work. In contrast, perfectionistic strivings were indirectly positively associated with work day engagement via the propensity to experience positive thoughts about work during evening leisure time. The theoretical and practical implications of these findings are discussed.     

Predictors of Racial Prejudice in White American Counseling Students

This study extends the research on racial prejudice by combining previously identified predictors into 1 study to determine their relative importance in contributing to racial prejudice. Results revealed that White racial identity significantly predicted racial prejudice when demographic variables were controlled. Implications of reducing racial prejudice of White American counseling students are discussed. Este estudio extiende la investigación sobre el prejuicio racial combinando pronosticadores previamente identificados en 1 estudio para determinar su importancia relativa a contribuir al prejuicio racial. Los resultados revelaron que la identidad racial Blanca apreciablemente predijo el prejuicio racial cuando los variables demográficas son controladas. Las implicaciones para reducir el prejuicio racial de estudiantes Americano Blanco que aconsejan es discutido.     

Work addiction is associated with increased stress and reduced quality of life: Validation of the Bergen Work Addiction Scale in Danish

Addiction to work is defined as a compulsion or an uncontrollable need to work incessantly. Only few measures exist to identify work addiction and the health consequences are sparsely explored. The Bergen Workaholic Scale (BWAS) measures seven core elements of work addiction and has been used in Norway, Hungary, Brazil, Italy, USA and Poland. The aim of this study was to validate the BWAS in a Danish sample and to investigate if high risk of work addiction was associated with stress and reduced quality of life. We conducted an online screening survey with 671 participants aged 16–68 years with the Danish translation of the BWAS. We added the perceived stress scale (PSS) and the quality of life scale EQ‐5D‐5L. Those with high risk of work addiction reported significantly higher mean PSS scores (20.0 points) compared to those with low risk of addiction (12.5 points) and poorer quality of life (61.9) compared to the low risk group (81.3). Furthermore, work addiction was associated with more weekly working hours (44.0 vs. 35.6 hours/week) and having more leadership responsibility. A preliminary estimate of work addiction prevalence was 6.6%. The BWAS demonstrated good reliability (α = 0.83), and factor analyses pointed at a single factor structure. Work addiction seems to be associated with health problems in terms of stress and poorer quality of life. The BWAS is recommended as a reliable and valid tool to identify work addiction in Danish.     

Profiles of meaning and search for meaning among prisoners

Meaning in life and searching for meaning are central in how people organize their lives and deal with various challenges during them. Studies on meaning and the search for meaning among prisoners are virtually nonexistent. Based on the presence of meaning in their lives and on their search for meaning, we discovered four different profiles in a sample of 365 prisoners: High Presence High Search, High Presence Low Search, Low Presence High Search, and Low Presence Low Search. Compared to prisoners with low meaning profiles, those whose profiles were marked by higher levels of meaning displayed less distress, more positive world assumptions, and higher levels of self-worth. They also show more empathy for others. Older prisoners and prisoners who were sexually abused during childhood were more represented in the profile that was marked by extremely low levels of meaning and low levels of search for meaning.     

Racial Socialization,Private Regard,and Behavior Problems in African American Youth: Global Self-Esteem as a Mediator

Racial socialization messages appear to have varying impacts on the adjustment of African American youth. To further explore this, we examined how two types of racial socialization messages might influence African American youth internalizing and externalizing behavior. The Youth Self Report was used to measure these behavior outcomes. Given that racial socialization messages may not be directly linked to behavior outcomes, we considered private regard, an aspect of racial identity, to serve as a mediator. Additionally, we examined global self-esteem as a mediator of the complex dynamic between racial socialization messages and behavior outcomes. Adolescents in our study completed paper assessments. Majority of the participants were female (56?%) and reside in a metropolitan area in the Mid-Atlantic region. Adolescent’s ages ranged from 14 to 17 years with the average age being 15 years old. Path analysis revealed cultural pride and alertness to discrimination messages varied in their relation to private regard. Results also indicated a strong linkage between private regard, global self-esteem, and internalizing behaviors. Interestingly, the linkage between private regard, global self-esteem and externalizing behaviors was not as robust. Further, private regard appeared to directly and indirectly impact externalizing behaviors. The implications of these findings for racial socialization strategies, identity development (racial and global) as it pertains to behavior problems for African American adolescents are discussed.