Effectiveness of Cognitive Behavioral Therapy for Anxiety and Depression Among Orthodox Jews

Several clinical papers have provided clinical recommendations for how to provide cognitive behavioral therapy (CBT) for obsessive-compulsive symptoms among Orthodox Jewish individuals. However, no published studies have described culturally adapted CBT for anxiety or depression in this population or quantified the effectiveness of such approaches. We evaluated the effectiveness of CBT for symptoms of generalized anxiety and depression in a sample of Orthodox Jews (n = 65) and a comparison sample (n = 42) presenting to the Center for Anxiety, a private outpatient clinic with three offices in the New York area (www.centerforanxiety.org). A chart review revealed that all patients received CBT-based interventions with appropriate religious-cultural adaptations of treatment, which we present in two case studies. We observed statistically and clinically significant treatment gains from pretreatment to midtreatment (anxiety: t = 8.56, p < .001; depression: t = 8.01, p < .001), and again from midtreatment through termination (anxiety: t = 3.68, p < .001; depression: t = 3.62, p < .001). No significant differences in anxiety or depression were observed between Orthodox Jewish patients and controls at any time point or for treatment effects (anxiety: Wilks’ Lambda = .950, F = 2.65, p = .076, η_p² = .050; depression: Wilks’ Lambda = .99, F = 2.00,p = .49, η_p² = .014). This paper offers clinical insight into delivery of CBT to Orthodox Jewish patients, as well as preliminary support for the effectiveness of CBT in treating symptoms of generalized anxiety and depression within this population.     

Sexual well-being and perceived stress in couples transitioning to parenthood: A dyadic analysis

Background/ObjectiveThe transition to parenthood encompasses several psychological and relational changes that might contribute to couples’ high levels of stress postpartum. Although common across the postpartum, couples’ sexual changes are frequently overlooked.MethodWe surveyed 255 mixed-sex new parent couples to examine the associations between sexual well-being—sexual satisfaction, desire, and postpartum sexual concerns—and perceived stress postpartum. Couples completed self-report questionnaires assessing perceived stress and sexual well-being.ResultsFor both mothers and fathers, greater sexual satisfaction was associated with their partners’ lower perceived stress and, for fathers, this was also associated with their own lower perceived stress. For mothers, greater partner-focused sexual desire was associated with their own lower perceived stress whereas, for fathers, greater partner-focused sexual desire was associated with their partners’ higher perceived stress. In addition, greater solitary sexual desire and postpartum sexual concerns were associated with both parents’ own higher perceived stress.ConclusionsThis study highlights the association between sexual well-being and couples’ postpartum stress, suggesting that more positive sexual experiences are linked to lower perceptions of stress across this vulnerable period. Couples’ sexual well-being may be an important target for interventions aimed at helping postpartum couples cope with stress.     

Student characteristics and motivational and process factors in relation to styles of career development

In this study student background characteristics and certain personological characteristics, including motivations for schooling and types of learning strategies employed, are investigated in relation to affective and cognitive aspects of adolescent career development. A Career Development Inventory, Learning Process Questionnaire, Word Knowledge test and General Information Questionnaire (addressing demographic and career decision-making topics) were administered to national random samples of 14-year-old and grade 11 students. Canonical correlation analyses distinguished at least three styles of career development (possibly four), and associations with student characteristics suggested the motives and strategies that might plausibly enter into the various modes.     

Capacity increase and chunking in the development of short-term memory

The possibility of an age-related increase in the capacity of the short-term store was examined in two short-term memory experiments, and an M-operator model was proposed to account for the data. In the first experiment, lists of 8, 10, and 12 consonants were presented to 10-, 12-, and 14-year-olds. Despite the fact that the amount of chunking was monitored and kept constant across ages, there was a definite developmental increase in short-term memory performance. The size of the increase corresponded to the prediction of Pascual-Leone's M-operator theory. An M-operator model was proposed to account for the relation between performance level and list length at each age, as well as the developmental increase. Predictions of adult performance were tested in a second experiment. Together the two experiments show that an important part of short-term memory development can be explained as a growth in short-term store capacity.