Trauma‐Informed Care for Individuals with Serious Mental Illness: An Avenue for Community Psychology's Involvement in Community Mental Health

Individuals with serious mental illness are at particularly high risk for trauma; however, service environments with which they interact may not always be trauma‐informed. While community mental health and other human services settings are moving toward trauma‐informed care (TIC) service delivery, a variety of TIC frameworks exist without consensus regarding operationalization, thereby leading to challenges in implementation. TIC is principle‐driven and presents substantial overlap with community psychology values and competencies, including ecological frameworks, second‐order change, empowerment, and citizen participation. One way to address barriers to TIC implementation is to draw on the strengths of the field of community psychology. With a particular emphasis on the applicability of TIC to individuals with serious mental illness, this paper identifies key implementation issues and recommends future directions for community psychologists in clarifying the service framework, its adaptation to specific service contexts, and improving delivery through consultation and evaluation. Community psychologists may work with various disciplines involved in the TIC field to together promote a more conscious, actionable shift in service delivery.     

Invented Spelling,Word Stress,and Syllable Awareness in Relation to Reading Difficulties in Children

The study assessed the clinical utility of an invented spelling tool and determined whether invented spelling with linguistic manipulation at segmental and supra-segmental levels can be used to better identify reading difficulties. We conducted linguistic manipulation by using real and nonreal words, incorporating word stress, alternating the order of consonants and vowels, and alternating the number of syllables. We recruited 60 third-grade students, of which half were typical readers and half were poor readers. The invented spelling task consistently differentiated those with reading difficulties from typical readers. It explained unique variance in conventional spelling, but not in word reading. Word stress explained unique variance in both word reading and conventional spelling, highlighting the importance of addressing phonological awareness at the supra-segmental level. Poor readers had poorer performance when spelling both real and nonreal words and demonstrated substantial difficulty in detecting word stress. Poor readers struggled with spelling words with double consonants at the beginning and ending of words, and performed worse on spelling two- and three-syllable words than typical readers. Practical implications for early identification and instruction are discussed.     

Personality Correlates of Self-Injury in Adolescent Girls: Disentangling the Effects of Lifetime Psychopathology

Adolescent non-suicidal self-injury (aNSSI) is associated with abnormal scores on personality traits, such as high neuroticism. However, no studies to date have examined personality facets of self-injury in a cohort younger than college-age. Plus, adolescent psychopathologies, especially Depressive Disorders, are associated with a similar personality profile and are highly comorbid with aNSSI. Consequently, it remains unclear whether personality provides insights about aNSSI in youth beyond that due to underlying psychopathology. 550 community-dwelling 13- to 15-year-old never-depressed adolescent girls were interviewed for lifetime aNSSI and lifetime psychopathology. Personality traits, broad domains and specific facets, were assessed by self-report. Never-depressed adolescent girls who endorse aNSSI often met lifetime criteria for psychiatric disorders (NSSI: 20/43; 46.5% vs. non-aNSSI: 131/507; 26.1%). aNSSI and lifetime psychopathology were each independently associated with several traits (e.g., high neuroticism and conscientiousness), whereas some traits only discriminated aNSSI (e.g., high melancholia, a facet of neuroticism related to sadness and negative self-evaluation) or lifetime psychopathology independent of each other (e.g., low positive emotionality; low agreeableness). Furthermore, a multivariate model identified high melancholia, high openness to experience, and low conscientiousness as incrementally independent correlates of lifetime aNSSI over and above psychiatric illness. Proneness to melancholia, interest in new things, and poor self-control incrementally track aNSSI in never-depressed adolescent girls. Importantly, this emerges early in course (13–15 years of age) and is independent of lifetime psychiatric diagnosis. Implications for updating etiological models and clinical utility of personality assessment are discussed.     

A Terror Management Perspective on the Role of Death-Related Anxiety in Psychological Dysfunction

Building on previous existential theorizing, terror management theory provides a unique approach to conceptualizing the development, maintenance, and impact of psychological disorders. The theory suggests that awareness of mortality creates the potential for anxiety, which is managed by an anxiety-buffering system consisting of one's cultural worldview, self-esteem, and interpersonal attachments. The pursuit of meaning, personal value, and interpersonal connections that motivates much human behavior is driven, in part, by the need to control this potential for death-related anxiety. This article provides an overview of terror management theory and a discussion of its implications for understanding clinical conditions, along with a review of research exploring the roles of death-related anxiety and the anxiety-buffering system in anxiety disorders, posttraumatic stress disorder, and depression.     

PTSD Symptom Severity and Family Adjustment Among Female Vietnam Veterans

This study examined relations between posttraumatic stress disorder (PTSD) symptom severity and several family adjustment variables among a sample of 89 female Vietnam veterans and their male relationship partners. Findings revealed associations between PTSD symptom severity and measures of marital adjustment, family adaptability, family cohesion, parenting satisfaction, and psychological abuse. Results suggest that the presence of PTSD symptomatology may have important implications with regard to the family life of female Vietnam veterans.     

Teachers’ Use of and Attitudes Toward Informational Text in K–5 Classrooms

The purposes of this research were (a) to understand the frequency with which K–5 teachers use informational text in their routine classroom instruction, (b) to understand the percentage of informational text in classroom libraries, and (c) to explore teachers’ attitudes about informational text. Survey data of 318 participants indicated that K–5 teachers used an average of 31.55 minutes (SD = 22.24) of informational text per day and that classroom libraries consisted of an average of 32.77% (SD = 14.16) of informational text. Participants were overwhelmingly positive about the instructional value of informational text but also reported that a lack of time, a lack of resources, and curricular limitations restricted their use of informational text. Implications on how to increase the use of informational text in K–5 classrooms are provided.     

Reinforcement sensitivity theory predicts positive and negative affect in daily life

Laboratory studies of Reinforcement Sensitivity Theory have associated sensitivity to punishment (SP) with negative affect and sensitivity to reward (SR) with positive affect. However, few studies have examined the expression of these systems and their response to cues of reward in daily life. The current study employed experience sampling methodology (ESM) to assess the association of SP and SR with affect and perceptions of situations in daily life. SP was positively associated with negative affect and negatively associated with positive affect in daily life, whereas SR was associated with positive affect and one aspect of negative affect, irritability/anger. Furthermore, high SP participants experienced smaller increases in positive affect and smaller decreases in negative affect in some situations that were perceived as positive, in comparison to low SP participants. In contrast, high SR participants experienced greater decreases in negative affect in some situations that were perceived as positive, in comparison to low SR participants.     

Concordance Between Measures of Anxiety and Physiological Arousal Following Treatment of Panic Disorder in Adolescence

This study examined the concordance (or synchrony/desynchrony) between adolescents' self-reports of anxiety and physiological measures of arousal (heart rate) both prior to and after treatment for panic disorder. Results indicated a decline in reported subjective units of distress (SUDS) for the treatment group only at the post-treatment measurement for two of three tasks. Within the treatment group, heart rate changes during the Behavioral Approach Test (BAT) were observed following treatment for one task only. Implications of this apparent desynchrony between self-report and physiological measures in adolescent panic disorder are discussed, with cognitive changes in participants' perception of anxiety after treatment suggested as an important factor in recovery.     

Measurement of post-war coping and stress responses: A study of Bosnian adolescents

We evaluated the psychometric properties of the Responses to Stress Questionnaire (RSQ; Connor-Smith, Compas, Saltzman, Thomsen, & Wadsworth, 2000) in a sample of Bosnian youth (N = 665; age = 15 to 20 years) five years post-war. Participants reported on their coping and involuntary responses to post-war stressors including trauma reminders, loss reminders, and family conflict. Confirmatory factor analysis supported a four-factor model comprised of primary control engagement coping, secondary control engagement coping, disengagement coping, and involuntary stress responses. Results support the reliability and validity of the RSQ to adolescents growing up in stressful post-war contexts.