Reviewers for the Special Issue

Editorial Board

Reviewers for the Special Issue     

Distress and help-seeking as a function of person-environment fit and self-efficacy: A causal model

Self-efficacy, indicators of distress (state anxiety and frequency of physical symptoms), help-seeking (visits to the campus health center, an outside physician, and a counselor), and two measures of person-environment (P-E) fit were assessed on 152 college students and examined in a LISREL model. The two P-E fit measures were perceived discrepancy, the profile difference score between how each student would like their residence floor and how each viewed it as being, and actual discrepancy, the profile difference score between how each would like the floor to be and the mean rating for how floor residents viewed the floor. It was found that self-efficacy and perceived discrepancy had independent and moderate effects on distress but not on help-seeking, whereas actual discrepancy was found to have a strong effect on help-seeking and no direct effect on distress. Help-seeking was found to have a strong negative effect on distress.     

Vulnerability to economic stress

A stress vulnerability model was applied to the relationship between economic stress and mental health. Longitudinal data were obtained by reinterviewing 291 respondents from a prior community survey of economic change and health (Catalano & Dooley, 1983). The follow-up survey was conducted at the height of the last recession, approximately 1 year after the first. As predicted, increases in self-reported economic stress adversely affected psychological health, controlling for prior mental health status. However, individuals with poor prior mental health status were more vulnerable to economic stress: They were more likely to experience it during this economic contraction and were somewhat less likely to recover from it. Economic stress and mental health appear to have reciprocal effects, suggesting a spiral model of adaptation. Implications for interventions concerning economic change and mental health are discussed.     

Why Me? The Persistence of Negative Appraisals Over the Course of Illness1

This paper examines the relationship of illness appraisals and causal attributions to later psychological adjustment among individuals coping with a chronic illness. Data on threat and challenge appraisals, causal attributions, and depression were collected twice over an 18-month period from patients with recently diagnosed rheumatoid arthritis (RA). Appraisals and attributions were differentially related to psychological adjustment. Challenge appraisals were stable over time but were unrelated to depression. Internal, stable, global attributions about the diagnosis were associated with greater depression at follow-up for subjects who were initially high on the depression measure but were related to lowered depression for individuals with initially low depression. An interaction between initial threat appraisals and depression was also found for depression 18 months later. For individuals with low depression scores initially, threat appraisals were related to greater depression later; when initial depression was high, threat appraisals were unrelated to later depression. In addition, initial threat appraisals mediated the relationship between initial level of depression and rumination (continuing to ask, “Why me?”) 18 months later. These findings are discussed in terms of the failure to achieve some resolution about the place of the illness in one's life and of theories of dysphoric rumination that suggest that negative self-focus contributes to a continuing depressed mood.     

Cross-Lagged Relationships Between Insomnia and Posttraumatic Stress Disorder in Treatment-Receiving Veterans

Insomnia is a risk factor for the development of posttraumatic stress disorder (PTSD) while it is also plausible that PTSD symptoms can maintain insomnia symptoms. The present study examined longitudinal bidirectional relationships between insomnia and PTSD symptoms in treatment-seeking veterans. Participants were 693 ex-serving members of the Australian Defence Force who participated in an accredited, hospital-based outpatient PTSD program. Participants completed self-reported assessments of PTSD and insomnia symptoms at four time points: intake, discharge, 3-month, and 9-months posttreatment follow-up.Cross-lagged pathway analyses indicated significant bi-directional pathways between insomnia symptoms and PTSD symptoms at most time points. A final cross-lagged model between insomnia symptoms and the PTSD symptom clusters indicated that the PTSD symptom paths on insomnia symptoms, between intake and discharge, were attributable to reexperiencing PTSD symptoms. In contrast, across posttreatment follow-up time points there were significant paths of insomnia symptoms on all PTSD symptom clusters except from insomnia at 3-months to avoidance symptom at 9-months. PTSD symptoms and insomnia symptoms have bidirectional associations over time that may lead to the mutual maintenance or exacerbation of each condition following PTSD treatment. Where residual insomnia symptoms are present post-treatment, a sleep-focussed intervention is indicated and a sequenced approach to treatment recommended.     

Educated and underemployed: Refugee integration into the Canadian labour market

This study explores issues of access to high-status occupations in the Canadian labour market, with particular emphasis on refugees who were in professional or managerial positions prior to their arrival in Canada. The study is based on interviews with a sample of 525 adult refugees who were initially resettled in the province of Alberta between 1992 and 1997. About two thirds of the respondents came from former Yugoslavia, the remainder from countries in the Middle East, Central America, Africa, and Southeast Asia. Despite the generally high educational attainment of these refugees, the results show that they experience, much higher rates of unemployment, part-time employment, and temporary employment than do Canadian-born individuals. A variety of structural factors operating in a segmented Canadian labour market help to explain the downward mobility of these highly qualified refugees. The policy implications of these results are examined in detail.     

the interaction of work adjustment and attachment theory: employment counseling implications

Career development is a lifelong process beginning with career choice. However, career choice alone does not guarantee career success. Rather than focus on choosing a career, the theory of work adjustment (TWA) focuses on the process of becoming an exemplary employee through each stage of an individual's career. Within TWA, employee relationships with peers and bosses create reputations that may help or hinder promotion. Understanding attachment theory in relation to TWA may help clients to become more successful in their career. Case examples explain how employment counselors may integrate TWA and attachment theory with clients.     

Long-Term Neuropsychological Outcomes of Childhood Onset Acute Disseminated Encephalomyelitis (ADEM): a Meta-Analysis

The long-term neurocognitive prognosis of childhood onset acute disseminated encephalomyelitis (ADEM) is unclear. This review and quantitative synthesis of the available literature examined whether there are long-term impacts of childhood ADEM on neurocognitive functioning. A search of online databases (MEDLINE, EMBASE, EBSCO CINAHL, PsycINFO and the Cochrane Database of Systematic Reviews) from their inception to October 2015 and reference lists identified 13 papers eligible for inclusion in the systematic review; seven of these were eligible for inclusion in meta-analyses. The systematic review indicated that, at a group level there is a positive long-term neuropsychological outcome from childhood onset ADEM. However, despite the apparent absence of long-term negative impacts of ADEM at a group level, at an individual level impairments in the areas of IQ, attention, executive functioning, processing speed, learning and memory, visuospatial skills and internalising symptoms were found in up to 43% of patients when aggregated across the studies. No significant negative effect of ADEM for any of the neuropsychological domains examined was found in meta-analyses. However, the effects for Processing Speed (r _mean = ?0.296 (CI 95% = ?0.605-0.013)) and Internalising symptoms (r _mean = 0.242 (CI 95% = ?0.014-0.564)) approached significance (p = 0.06), suggesting a trend towards ADEM leading to long-term reduced processing speed and elevated internalising symptoms. Together, our findings suggest that despite a generally positive neurocognitive outcome post childhood ADEM there are a subset of individuals who can suffer from ongoing specific cognitive impairments. Clinical implications and research priorities are discussed.