The role of anxiety sensitivity in the relationship between posttraumatic stress symptoms and negative outcomes in trauma-exposed adults

Background: The development of posttraumatic stress symptoms (PTSs) following a trauma is related to impairment, diminished quality of life, and physical health issues. Yet it is not clear why some trauma-exposed individuals experience negative outcomes while others do not. The purpose of this study was to determine the role of several influential factors related to PTS severity and negative outcomes. Methods: One hundred and twenty-two trauma-exposed adults were administered the following self-report measures: the Posttraumatic Stress Disorder Checklist-Civilian, the Trauma History Questionnaire-Short, the Anxiety Sensitivity Index-3, Depression and Anxiety Stress Scale 21, Sheehan Disability Scale, World Health Organization Quality of Life-BREF, and an abbreviated Patient Health Questionnaire. Primary Results: PTS severity was positively correlated with depressive symptom severity (r = 0.54, p < 0.001), chronicity of the most distressing trauma (r = 0.21, p = 0.017), and number of traumas (r = 0.22, p = 0.012). Main effects were found for PTS severity (β = ?0.38, p < 0.01) and anxiety sensitivity (AS; β = ?0.39, p < 0.01) on quality of life. No interaction was found between PTS severity and AS with any negative outcome. PTS severity mediated the relationship between AS and physical health issues (0.05; 95% CI: 0.02–0.08). Conclusion: This study helps clarify the role of various factors in the relationship between trauma and negative outcomes. Clinical and research implications are discussed.     

Coping styles in adults with cystic fibrosis: implications for emotional and social quality of life

As life expectancy increases, interest has grown surrounding the factors that may influence quality of life (QOL) for people with cystic fibrosis (CF). The aim of the current study was to examine which specific coping styles were positively or negatively associated with social and emotional QOL in a CF sample. One hundred and twenty-two respondents aged 18 and over were recruited through an online support group. Respondents completed the ‘CF Questionnaire-Revised (CFQ-R)’ and the ‘Brief COPE’. The CFQ-R is a disease-specific instrument designed to measure the impact of CF on nine QOL domains and the Brief COPE is a 28 item questionnaire which assesses 14 coping scales. A multivariate regression model revealed that higher substance abuse and disengagement was associated with lower emotional QOL whereas greater use of religion, instrumental coping and acceptance was positively associated with emotional QOL. Active coping was linked to better social QOL and a negative association was reported between distraction coping with both emotional and social domains. Given the burden of CF, ascertaining which factors enhance or diminish emotion and social well-being is now an integral component of QOL research. The current findings may therefore have value in informing clinical interventions which aim to cater for the psychological needs of individuals with CF.     

Quality of life and mental health among women with ovarian cancer: examining the role of emotional and instrumental social support seeking

The purpose of the present study was to examine the role of emotional and instrumental social support seeking in the quality of life (QOL) and mental health of women with ovarian cancer. Participants were recruited through the Pennsylvania Cancer Registry, and one hundred women took part in a mail questionnaire that collected information on their demographics, medical status, social support seeking, QOL and mental health including anxiety, depression and stress. Hierarchical linear regression analyses were conducted to assess the influence of emotional and instrumental social support seeking on QOL and mental health. After controlling for remission status, greater emotional social support seeking was predictive of higher overall QOL, social/family QOL, functional QOL and lower depression scores. Instrumental social support seeking was not significant in the models. The results illustrate that social support seeking as a coping mechanism is an important consideration in the QOL and mental health of women with ovarian cancer. Future studies should examine the psychological and behavioral mediators of the relationship to further understand the QOL and mental health of women with ovarian cancer.     

Factors influencing career maturity in the South African National Defence Force: A diagnostic approach

This study investigated factors influencing the career maturity of young members of the South African National Defence Force (SANDF). A sample of 310 young SANDF members (females=35%, blacks=90%) completed the following measures: career maturity inventory-revised, the career decision self-efficacy scale, the military hardiness scale, and the seven habits profile. They also completed a biographical information form. Data were analysed using multiple regression to predict career maturity from career decision self-efficacy, self-appraisal, occupational information, goal selection, planning, problem solving, hardiness, control, challenge, commitment, conscientiousness, life balance, pro-active behaviour, life goals, self-management, mutual-benefit thinking, listening, teamwork, continuous improvement and life skills. Findings suggest self-efficacy, occupational information, self-appraisal, commitment, challenge, emotional intelligence and continuous improvement have the strongest influence on career maturity. The results indicated that self-efficacy, life skills and personal drive empower young members to seek employment.     

Psychological career resources identity and life orientation among young emerging adults in a Nigerian setting

This study explored whether young emerging adults’ psychological career resources identity predicted their orientation to life. The participants were a random sample of 400 predominantly full-time undergraduate students from four tertiary institutions in Nigeria (47% = female; age range 18 to 30 years). They completed psychological career resources and life orientation measures. The data were analysed by performing multiple regression analysis to explore whether psychological career resources accounted for the variance in life orientation. Overall, the results showed that those participants with well-differentiated career preferences and strong career drivers (sense of career calling, career goals and career intentionality) were likely to have a stronger sense of coherence. Developing a strong psychological career resources identity may potentially assist the young adult in developing a positive orientation to their life-career in developing country employment settings.     

Circling a memory: a layered reflective method for generating subjective knowledge about childhood and teacher identity

This paper describes a memory and life story process engaged in by three former early childhood teachers. The reflective process was based in interpretative phenomenological analysis (IPA) and proceeded in a recursive and layered manner, circling around the participants’ memory narratives. The aims of the study were: (1) to develop a critical approach to generating knowledge about childhood, and (2) to consider a teaching strategy for memory work in teacher education programs.     

Happiness and life satisfaction in Rwanda

This study investigated predictors of happiness and life satisfaction in Rwanda. Data from the World Values Survey and gathered from 3 030 Rwandese (age ranging 16 to 90 years, mean age = 34.2, SD = 12.7; females = 50.5%) were pooled for the analysis. For the comparison, international World Values Survey data were utilised. A fixed effects multilevel regression model was used to predict happiness and life satisfaction from gender, health, socio-economic, and some subjective measures. Males had greater self-rated happiness and life satisfaction scores than females. State of health and sense of freedom of choice predicted both happiness and life satisfaction. Valuing of friends, weekly religious attendance, and national pride positively predicted happiness, whereas household’s financial satisfaction, full-time employment, high-income group, being a student, and sense of trust predicted life satisfaction. This study suggests that health status, household’s financial satisfaction and emancipative values could maximise subjective well-being in Rwanda.     

Healing Faith: A Qualitative Exploration of Latina Breast Cancer Survivors

Latina cancer survivors report higher levels of distress and depression and lower levels of social quality of life and overall health‐related quality of life when compared with all other cancer survivors. Cultural values influence cancer survivorship; however, little research to date has examined how aspects of the Latina culture may be healing during the cancer journey. Therefore, the purpose of this article is to present findings from a qualitative study exploring the influence of culture on quality of life for Latina breast cancer survivors. The authors use consensual qualitative research to understand the lived experiences of Latina breast cancer survivors.     

Still Doing Fine? The Interplay of Negative Life Events and Self‐Esteem During Young Adulthood

This longitudinal study investigated the bidirectional relationship between negative life events and self‐esteem during the transition from adolescence to young adulthood (N = 2272). Drawing on theories of human development over the lifespan and just‐world theory, we analyzed age‐graded changes in self‐esteem and their interplay with negative life events at three measurement points over a 12‐year period. We addressed both the short‐term and the longer term effects of single as well as multiple negative life events on changes in self‐esteem (socialization effects). We further investigated whether the pre‐event level of self‐esteem affected the likelihood of negative life events occurring (selection effects) and, finally, whether it had protective effects in terms of helping people adjust to negative events. Latent change models yielded four main findings: (i) self‐esteem increased during young adulthood; (ii) socialization effects were observed over shorter and longer timespans, but (iii) selection effects were only found for multiple negative life events, with low self‐esteem predicting a high number of negative life events; (iv) high pre‐event self‐esteem acted as a protective factor, attenuating declines in self‐esteem after experience of multiple negative life events. Copyright © 2016 European Association of Personality Psychology