Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief

Background: Research about termination for fetal abnormality (TFA) suggests that it is a traumatic event with potential negative psychological consequences. However, evidence also indicates that following traumatic events individuals may experience growth. Although TFA’s negative psychological outcomes are well documented, little is known of the potential for growth following this event. Therefore, the study’s objectives were to measure posttraumatic growth (PTG) post-TFA, examine the relationship between PTG, perinatal grief and coping, and determine the predictors of PTG.

Design: An online, retrospective survey was conducted with 161 women.

Methods: Eligible participants were women over 18 who had undergone TFA. Participants were recruited from a support organisation. They completed the Brief COPE, Short Perinatal Grief Scale and Posttraumatic Growth Inventory. Data were analysed using regression analyses.

Results: Moderate levels of PTG were observed for “relating to others,” “personal strengths” and “appreciation of life.” “Positive reframing” was a significant predictor of PTG. Despite using mainly “adaptive” coping strategies, women’s grief levels were high.

Conclusions: “Adaptive” coping strategies such as, “positive reframing” are relevant to TFA. They may act as protective factors against distress and as foundations for growth, implicating that interventions such as Cognitive Behavioural Therapy, which aim to reframe women’s experience, may be beneficial.     

Space for GRRAACCEESS: some reflections on training for cultural competence

This article is focused on a particular exercise that helped to reinforce the learning about social difference on the Relate Institute's Systemic Practice Year 1 course. This exercise helped move students into a reflexive position in their learning. Positive outcomes were shown from course feedback, and the subsequent application of learning into written assignments.     

A systematic review and narrative synthesis of occupational therapy-led interventions for individuals with anxiety and stress-related disorders

Anxiety and stress-related disorders are highly prevalent and impede participation in life activities. Occupational therapists work extensively with people diagnosed with these disorders but the effectiveness of their interventions is unclear. A systematic search strategy identified 19 papers describing 13 studies. Studies varied in methodology, intervention type, and theory base. The results show the potential for lifestyle approaches, occupational science-based programs, and skill-building to improve mental health. The variety of interventions and methodologies of many studies means that the effectiveness of occupational therapy interventions for this population is not yet determined. High-quality research is required to replicate interventions with emerging potential for effectiveness.     

Older adults with chronic disease: benefits of group-mediated counseling in the promotion of physically active lifestyles.

In this 12-month trial standard exercise training was compared with a group-mediated cognitive-behavioral (GMCB) intervention with respect to effects on long-term adherence and change in physical function of older adults who were either at risk for or had cardiovascular disease. Participants (147 older men and women) were randomized to the 2 treatments. Outcomes included self-reportedphysical activity, fitness, and self-efficacy. The GMCB treatment produced greater improvements on all outcomes than did standard exercise therapy. Regardless of treatment assignment, men had more favorable change on the study outcomes than did women. Analysis of a self-regulatory process measure in the GMCB group revealed that change in barriers efficacy was related to change in physical activity and fitness. Results suggest that teaching older adults to integrate physical activity into their lives via GMCB leads to better long-term outcomes than standardized exercise therapy.     

READING IN VOCATIONAL SUBJECTS: AN ANALYSIS OF STUDENTS’ READING ABILITY AND CLASSROOM PERFORMANCE

The study investigated the reading ability and classroom performance of vocational students enrolled in the second year of study in auto mechanics, carpentry, electronics, graphics, and masonry. Performance on the California Achievement Test showed average reading achievement for electronics students and below average reading achievement for students in the remaining vocational areas. Students’ ability to read their vocational textbook was measured by a cloze task, with auto mechanics students showing an adequate level of comprehension for instruction. Carpentry, graphics, and masonry students showed performance below instructional level. Significant differences were found in reading achievement between electronics students and the other four areas, and between auto mechanics and masonry. Vocational students in the present sample represented, to some extent, separate groups for reading achievement rather than the traditional view of homogeneity across vocational subjects. Teachers’ evaluations of students’ classroom performance showed statistically significant correlations with textbook reading ability in only two subjects, auto mechanics and carpentry. Correlations suggested that success may not always be dependent on the ability to comprehend the textbook, and that the vocational teachers sampled may not have placed a high value on reading ability as an indicator of competence in a vocational subject.