Impact of emotional approach coping and hope on PTSD and depression symptoms in a trauma exposed sample of Veterans receiving outpatient VA mental health care services

The present investigation evaluates the relationship between coping style, dispositional hope, and posttraumatic stress disorder (PTSD) and depression symptom severity in a trauma-exposed Veteran sample. Specifically, we evaluated the adaptive value of emotional avoidant and approach coping strategies and perceptions of hope in a sample of 209 trauma-exposed Veterans receiving outpatient mental health care at a VA facility. Participants completed a life events questionnaire and inventories assessing coping, dispositional hope, and PTSD and depression symptom severity. Hierarchical regression analyses were conducted controlling for relevant demographic variables. Greater levels of emotional avoidance and lower levels of emotional expression were significantly associated with increased PTSD and depression symptom severity. Dispositional hope was positively associated with depression symptoms only and perceptions of hope moderated the association between emotional avoidance coping and depression symptoms. Findings highlight the value of emotional coping strategies and perceptions of hope in posttraumatic adjustment. Specifically, employing coping techniques that encourage emotional expression may promote improved adjustment among trauma-exposed individuals, while reduced perceptions of hope and the use of avoidant coping strategies may place individuals at greater risk for depression following exposure to traumatic events.     

An Approach to Examining the Proximal and Intermediate Outcomes of an Intensive Family Preservation Program

This study examined the effects of the Boys Town In-Home Family Program (BT-IHFP) on parenting skills, family functioning, and child behavior for at-risk families involved with child protective services. The BT-IHFP is designed as a home-based, family-centered alternative to out-of-home placement with the goal of improving family functioning, keeping families together, and preventing further involvement with child protective services. The model uses a hands-on cognitive-behavioral approach, promotes family engagement, provides 24/7 services to families, and links families to community resources. While it is essential to examine ultimate, long-term outcomes such as family preservation, it is also important to investigate the proximal and intermediate outcomes that address the key changes in behavior that support successful long-term outcomes. The goals of this study were to (1) examine the pre-post change of proximal and intermediate outcomes and (2) examine if improvements in parenting skills, parental roles, and parental stress (proximal outcomes) will be related to improvements in child behavior at home, child behavior at school, and family functioning (intermediate outcomes). Inspecting intake and discharge data for 44 families, 94% were intact at discharge and significant pre-post improvements were found in proximal and intermediate outcomes. These findings suggest that this six-week intensive BT-IHFP holds promise for teaching at-risk families skills to promote positive family functioning.     

In and out of consciousness: Sustained electrophysiological activity reflects individual differences in perceptual awareness

Although significant advances in our understanding of the cognitive and neural processes involved in conscious awareness have occurred in recent years, the precise mechanisms that support consciousness remain elusive. Examining the neural correlates associated with the moment a stimulus enters or exits conscious awareness is one way to potentially identify the neural mechanisms that give rise to consciousness. In the present study, we recorded neural activity using electroencephalography (EEG) while participants observed a bilateral shape-from-motion (SFM) display. While the display is in motion, the observer perceives an object that is immediately segregated from a noisy background. After the motion stops, the observer's experience of the object remains momentarily in awareness, before it eventually fades out of consciousness back into the noisy background. Consistent with subjective reports of perceptual experience, we observed a prominent sustained posterior contralateral negativity known as the contralateral delay activity (CDA). This activity was sustained only in conditions associated with sustained awareness. Interestingly, the amplitude of the CDA was correlated with individual differences in visual awareness, suggesting that this activity plays a significant role in the maintenance of objects in consciousness. The CDA is typically associated with visual short-term memory (VSTM), suggesting that conscious visual awareness may be mediated by the same neural and cognitive mechanisms that support VSTM. Our results demonstrate that the CDA may reflect the contents of conscious awareness, and therefore can provide a measure to track when information moves in and out of consciousness.     

Weighing in on risk factors for body dissatisfaction: a one-year prospective study of middle-adolescent girls

Body dissatisfaction is a common problem among adolescent girls that is linked to serious outcomes, including the development of eating disorders. This study tested to what degree five theorized risk factors (weight-related teasing, thin-ideal internalization, body mass index [BMI], self-esteem, and perfectionism) predicted prospective changes in body dissatisfaction. At baseline, 393 10th and 11th grade girls (M = 15.8 years) completed questionnaires and had their height and weight measured. One year later, 316 participants’ body dissatisfaction was reassessed (80.4% retention). Results suggested that self-esteem was the most potent risk factor, followed by BMI, when used to categorize girls into high- and low-risk groups for body dissatisfaction at follow-up. However, weight-related teasing, thin-ideal internalization, and perfectionism did not prove to be risk factors. These results suggest self-esteem and BMI are relevant variables for helping to identify middle-adolescent girls who may be at risk for subsequent increases in body dissatisfaction.     

Maternal Treatment Acceptability and Preference of Room Time-Out and Deferred Time-Out Escape Contingencies

ABSTRACT

Maternal preference and acceptability were examined for two methods of addressing time-out escape behavior: room time-out (RTO) and deferred time-out (DTO). With respect to preference, mothers were split about evenly. Spanking frequency and previous effectiveness using privilege removal were associated with preference for DTO while previous effectiveness using RTO was associated with preference for RTO. Child age was negatively associated with acceptability for either treatment and lax parenting style was negatively associated with acceptability for DTO. Results suggest that DTO could provide an alternative escape contingency for mothers who spank their children or who have been unsuccessful using RTO.     

Predicting Prosocial Behavior Toward Sex-Trafficked Persons: The Roles of Empathy,Belief in a Just World,and Attitudes Toward Prostitution

Human trafficking has been identified as a global human rights violation. This study aimed to investigate the predictors of prosocial behaviors toward sex-trafficked persons. Participants were 223 undergraduates randomly assigned to read a vignette and answer follow-up questions along with measures of empathy, just world belief, attitudes toward prostitution, and proactive behavior. Empathy was highest for trafficked women, regardless of citizenship status. Trafficked foreign women received the highest empathy, and U.S. prostitutes received the least. Path analysis results indicate just world belief, beliefs about prostitutes, and family values relating to prostitution had direct effects on empathic concern; in turn, empathic concern had a direct effect on proactive behavior. Explanations for the results are discussed, along with educational and clinical implications.     

When less is more: Line drawings lead to greater boundary extension than do colour photographs

Is boundary extension (false memory beyond the edges of the view) determined solely by the schematic structure of the view or does the quality of the pictorial information impact this error? To examine this, colour photographs or line-drawings of 12 multi-object scenes (Experiment 1: N=64) and 16 single-object scenes (Experiment 2: N=64) were presented for 14 s each. At test, the same pictures were each rated as being the “same”, “closer-up”, or “farther away” (five-point scale). Although the layout, the scope of the view, the distance of the main objects to the edges, the background space and the gist of the scenes were held constant, line drawings yielded greater boundary extension than did their photographic counterparts for multi-object (Experiment 1) and single-object (Experiment 2) scenes. Results are discussed in the context of the multisource model and its implications for the study of scene perception and memory.     

Challenging ‘Belief’ and the Evangelical Bias: Student Christianity in English Universities

Abstract

Popular and academic accounts of university-based religion tend to privilege evangelical Christianity, presented as a morally conservative, conversionist movement at odds with university contexts, which are widely assumed to be vehicles for a progressive Western modernity. This is especially the case in the UK, given the association of higher education with secularisation, yet virtually no research has studied this interface by examining the lives of students. This article discusses findings from the three-year project “Christianity and the University Experience in Contemporary England”, including a nation-wide survey of undergraduate students, in examining how the experience of university shapes on-campus expressions of Christian identity. We argue that a sizeable constituency of undergraduates self-identify as ‘Christian’, but evangelicals emerge not as the dominant majority, but as a vocal minority. The emerging internal complexity is masked by a public discourse that conceives of religion in terms of propositional belief and presents evangelicalism as its pre-eminent form.     

Representation of mental illness in Christian self-help bestsellers

The present study examined messages about mental illness in 14 contemporary Christian self-help bestsellers. Content analysis revealed that most texts focused upon depression. Categories of textual units included Underlying Assumptions Regarding Depression, Representations of Depression, Roots/Causes/Reasons for Depression, and Christian Responses to Depression. Demonic influence was the most frequently cited reason for depression. Other reasons included negative cognitions, failure as a Christian, and negative emotions. Christian responses to depression included trusting God, religious activity, and individual willpower. Discussion of these results focused upon the problematic impact of these messages upon individuals with depression, and upon suggestions for reducing mental illness stigma in religious communities.     

A mediation model linking attachment to God,self-compassion,and mental health

Attachment theory posits that insecure attachment is a risk factor for the development of anxiety and depression and ample evidence supports this idea. Research has also demonstrated links between attachment to God and mental health, but little is known about the emotion regulatory mechanism that underlies this relationship. The present study explored the explanatory role of self-compassion in the relation between attachment to God and anxiety, depression, and life satisfaction in a sample of 181 adults who completed an online survey. Elevated attachment anxiety and avoidance were associated with higher depression and anxiety, and lower life satisfaction. Self-compassion mediated these associations (in an inverse direction for anxiety and depression), suggesting that people who feel uncomfortable depending on God, or who fear God's rejection, have difficulty extending kindness to themselves. Possible interventions are discussed in the context of these results.