Recurrence of Posttraumatic Stress Disorder in Late Life: A Cognitive Aging Perspective

Clinical experience with older adults shows that many will experience PTSD symptoms in older adulthood because of trauma exposure early in life. Some of these patients struggled with PTSD in the distant past and remained symptomfree for decades only to have a recurrence of PTSD in late life. This paper outlines a cognitive aging explanation for the recurrence of PTSD. It is proposed that the age-related decreases in attention make the intrusion of trauma-related memories more likely. The increase in intrusive memories, combined with age-related decreases in working memory, explicit memory, and prospective memory, increases the subjective distress associated with the memories and results in a recurrence of PTSD.     

The Psychological Benefits of Humor

In Men and Their Religion: Honor, Hope, and Humor (2002), I proposed that men have two primary ways of being religious—the religion of honor and the religion of hope. I also proposed that because these two religions do not always have their desired outcomes, men have developed a third way of being religious, the religion of humor. In A Time To Laugh (2005) I have expanded on my claim in Men and Their Religion that if men have three religions—honor, hope, and humor—the greatest of these is humor. In the course of doing the necessary research for a book on humor, I acquired and read a few books and a host of articles that explored the psychological benefits of humor. While I did not report on these studies in the book, I believe they are relevant to the assumption that a religion will have psychological benefits for those who embrace it. This article therefore provides a review of empirical studies of the psychological benefits of humor in order to answer the question whether a religion of humor is likely to have psychological benefits and, if so, what these might be.     

Sexual Harassment,Racial Harassment,and Well-Being among Asian American Women: An Intersectional Approach

ABSTRACT

Harassment of Asian American (AA) women has received little attention in popular culture and academic research despite their long legacy of sexualized racial stereotyping (e.g., Geisha, sexually submissive; Shimizu, 2007) and additional risk of mistreatment due to their membership in both marginalized gender and racial groups (Beale, 1970 Beale, F. (1970). Double jeopardy: To be Black and female. In T. C. Bambara (Ed.), The Black woman: An anthology (pp. 90–100). New York: New American Library. [Google Scholar]; Settles & Buchanan, 2014 Settles, I. H., & Buchanan, N. T. (2014). Intersectionality: Multiple categories of identity and difference. In V. Benet-Martinez and Y. Hong (Eds.), The Oxford Handbook of Multicultural Identity (pp. 160–180). New York, NY: Oxford University Press, Inc. [Google Scholar]). This study addresses this dearth of research using an intersectional theoretical framework to comprehensively examine sexual and racial harassment with a sample of AA women. Results validated the underlying factor structure of the Sexual Experiences Questionnaire (Fitzgerald, Gelfand, & Drasgow, 1995 Fitzgerald, L. F., Gelfand, M. J., & Drasgow, F. (1995). Measuring sexual harassment: Theoretical and psychometric advances. Basic and Applied Social Psychology, 17, 425–445. doi:10.1207/s15324834basp1704_2[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) and the Racial Acts, Crimes, and Experiences Scale (RACES; Bergman & Buchanan, 2008 Bergman, M., & Buchanan, N. T. (2008). Development of the Racial Acts, Crimes, and Experiences Survey (RACES). Unpublished instrument. [Google Scholar]) for AA women. Additionally, our results replicated previous research indicating that participants often reported experiencing behaviors that constitute harassment, but did not label them as such. This supports the use of behavioral measures over items that require individuals to label their experiences as harassment. Finally, we examined the associations between these forms of harassment and two indicators of psychological well-being, depression, and posttraumatic stress (PTS). Our results found that gender harassment was associated with more depression, whereas unwanted sexual attention, sexual coercion, and racial harassment were associated with increased PTS. This supports the utility of including both sexual and racial harassment in providing a more nuanced understanding of AA women’s harassment experiences overall and the relationship of harassment to psychological well-being. We discuss theoretical and clinical implications of these findings.     

术后乳腺癌患者体象对创伤后应激障碍和创伤后成长的影响：反刍的中介作用

为探讨乳腺癌患者反刍这一认知情绪调节方式在体象和创伤后应激障碍（PTSD）、创伤后成长（PTG）之间的中介作用,采用体象量表（BIS）、认知情绪调节问卷中文版（CERQ-C）、创伤后应激障碍量表（PSS）和创伤后成长问卷（PTGI）对150名乳腺癌术后患者进行研究。结果发现：（1）乳腺癌患者的体象可以正向预测PTSD和PTG;（2）乳腺癌患者的反刍在体象和PTSD的闯入性症状、回避性症状中起中介作用,在体象与PTG中的中介作用不显著。结果表明,体象既可以正向预测乳腺癌患者的PTSD和PTG,也可以通过反刍的中介作用影响PTSD。     

Conflict Buffers and Marital Satisfaction: On the Effects of Different Forms of Social Support

This paper deals with the deterioration in the subjective quality of life of women as a result of marital conflict. Whereas primary and secondary prevention are generally targeted at maintaining or increasing the current level of marital happiness this paper focuses on the possibilities for buffering the negative impact of conflict on women’s quality of life. In particular, this paper is interested in the conflict buffering effects of various forms of social support such as home visiting by professional social workers or informal contacts with peers. In order to assess and compare the effectiveness of these forms of tertiary prevention, data from interviews with young mothers in the city of Zurich (Switzerland) will be reanalyzed. The data confirm the phenomenon of stress buffering from social support and reveal variation with regard to the effectiveness of different stress buffers. Female peer support e.g. seems to be at least as successful as home visiting by professional nurses and social workers.     

高职院校教师职业压力的初步研究

本研究采用自编压力问卷和SCL-90问卷对397名高职院校教师进行测验,发现高职院校男女教师在总体职业压力方面并无显著差异,中青年组教师压力最大,各项压力因子与心理健康状况存在显著相关。根据调查结果,本文探讨了高职院校教师压力的原因与对策。     

Fragile self-esteem and affective instability in posttraumatic stress disorder

Temporal fluctuations in self-esteem and affect are prominent features of several clinical conditions (e.g., depression), but there is an absence of empirical work examining their role in posttraumatic stress disorder (PTSD). Individuals who experience large fluctuations in self-evaluations and affect are considered more vulnerable to psychopathology than individuals able to adequately modulate their self-image and emotional responses. We examined the relevance of self-esteem and affective instability to PTSD. Veterans with and without PTSD completed 14 daily ratings of self-esteem, positive affect, negative affect, and gratitude. Compared to veterans without PTSD, veterans with PTSD exhibited more temporal fluctuations in self-esteem, negative affect, and gratitude, with a smaller effect for positive affect. For all veterans, self-esteem and negative affective instability was associated with diminished well-being. Except for self-esteem instability, most findings were substantially reduced after accounting for variance attributable to PTSD diagnoses and mean intensity levels over the 14-day monitoring period. These data suggest self-esteem instability is important in understanding the lives of veterans with and without PTSD.     

Goal Motives, Well-Being, and Physical Health: Happiness and Self-Realization as Psychological Resources Under Challenge

An integrative model of goal motives, well-being, and physical health was tested within three studies. Study 1 demonstrated that pursuing autonomous goals was positively associated with both happiness and self-realization, whereas pursuing controlled goals was negatively associated with self-realization, but unrelated to happiness. Study 1 further revealed that self-realization was negatively associated with physical symptoms, whereas happiness was unrelated to the symptoms. Study 2 replicated the findings of Study 1 while showing that academic stress mediated the relationship between self-realization and physical symptoms. Finally, Study 3 replicated the findings of Studies 1 and 2 and additionally demonstrated that academic coping mediated the relationship between self-realization and academic stress. These findings are discussed in terms of their theoretical implications and directions for future research are proposed.

The possible benefits of difficulty: how stress can increase and decrease subjective well-being

This study explores the effects of stress, trauma, coping and growth orientation on subjective well-being. Based on cognitive stress theory, it was hypothesized that adversity may contribute to increased or decreased well-being, depending on the subsequent meaning these experiences are given. Survey data from Norwegian UN/NATO veterans (N= 142) showed that stress and well-being were negatively associated (r=-0.20, p < 0.05) at the level of zero-order correlations. However, a full structural equation model revealed that the effect of stress on well-being was mediated positively through a problem-focused coping process combined with a growth component. Stress was negatively mediated through an avoidant-focused coping process and a distress component. The effect from stress was fully mediated in the model. The hypothesis that stress can produce both increased and decreased subjective well-being was confirmed.