Disordered Eating in Women of Color: Some Counseling Considerations

There is little attention devoted to studying eating disorder symptoms in racially and ethnically diverse groups despite the fact that the prevalence rates among women of color for eating disorder symptoms are similar to those of European American women. This article reviews research related to eating disorders in women of color, including a discussion of sociocultural factors that could influence the manifestation of eating disorders in women of color. Considerations for counseling practice and research are provided.     

Is there evidence for the use of art therapy in treatment of psychosomatic disorders,eating disorders and crisis? A comparative study of two different systems for evaluation

A comparative study of two different systems for evaluation. Scandinavian Journal of Psychology 53, 47-53. As with any type of treatment the requirement for evidence based practice (EBP) has also affected art therapy (AT) when used as an intervention. This review evaluates the available evidence for using AT for psychosomatic disorders, eating disorders and crisis. The search in Cochrane, Best Practice, AMED, CINAHL, PION, PsycINFO and PubMed from 1987 until now resulted in a huge number of articles but only 32 articles met our criteria for evaluations. The articles were assessed with two evaluation systems, the GRADE system used by the Swedish Council on Health Technology Assessment (SBU) and the US Preventive Services Task Force (USPSTF/Task Force). When comparing the results we found that the GRADE evaluation system rejected the quality in 84% of the 32 studies and the USPSTF/Task Force 41% of these studies. An evidence base for AT was found only according to the criteria of USPSTF/Task Force. Hence, the evidence concept is not explicit, which means that effective treatments run a risk of not being implemented in health care. We suggest a broader view of what constitutes evidence in order to make it possible to include different types of research designs and methods.     

Mental health problems and post-migration stress among multi-traumatized refugees attending outpatient clinics upon resettlement to Norway

Refugees have often been exposed to multiple traumas making them prone to mental health problems later. The aim of this study is to describe the prevalence and symptom load of psychiatric disorders in refugees admitted to psychiatric outpatient clinics and to investigate the relationship between multiple exposure to traumatic events, the severity of traumatic symptoms and post-migration stressors. A clinical sample of 61 refugee outpatients from psychiatric clinics in Southern Norway was cross-sectionally examined using three structured clinical interviews (SCID-PTSD, SIDES and MINI) and self-report psychometric instruments (HSCL-25, IES-R). Post-traumatic Stress Disorder (PTSD) was diagnosed in 82% of the patients, while Disorders of Extreme Stress Not Otherwise Specified (DESNOS) was present in 16% of them. Comorbidity was considerable; 64% of the patients had both PTSD and major depression disorder (MDD) and 80% of those who had PTSD had three or more additional diagnoses. Multi-traumatized refugees in outpatient clinics have high prevalence of PTSD, DESNOS, comorbid depression and anxiety disorders. A more severe symptomatology was found in patients diagnosed with both PTSD and DESNOS, than in those diagnosed with only PTSD. Higher rates of unemployment, weak social network and weak social integration were also prevalent in these outpatients, and related to increased psychiatric comorbidity and severity of symptoms. Further research may clarify the existence of a cumulative relationship between pre-resettlement traumas and post-resettlement stressors in the mental health of refugees, which in turn may help to improve therapeutic interventions.     

Co-localisation of abnormal brain structure and function in specific language impairment

We assessed the relationship between brain structure and function in 10 individuals with specific language impairment (SLI), compared to six unaffected siblings, and 16 unrelated control participants with typical language. Voxel-based morphometry indicated that grey matter in the SLI group, relative to controls, was increased in the left inferior frontal cortex and decreased in the right caudate nucleus and superior temporal cortex bilaterally. The unaffected siblings also showed reduced grey matter in the caudate nucleus relative to controls. In an auditory covert naming task, the SLI group showed reduced activation in the left inferior frontal cortex, right putamen, and in the superior temporal cortex bilaterally. Despite spatially coincident structural and functional abnormalities in frontal and temporal areas, the relationships between structure and function in these regions were different. These findings suggest multiple structural and functional abnormalities in SLI that are differently associated with receptive and expressive language processing.     

A Different View of Anger: The Cognitive‐Neoassociation Conception of the Relation of Anger to Aggression

The common, everyday understanding of anger is problematic in a number of respects—in its inattention to the prototypic nature of this emotional state; in its failure to recognize the important role often played by the critical event's aversiveness; and in its neglect of the frequently close connection between anger arousal and aggression‐related motor impulses. This article discusses all of these matters from the point of view of my cognitive‐neoassociation perspective [Berkowitz, 1990, 1993, 2010; Berkowitz and Harmon‐Jones, 2004]. The role of automatic, nonconscious reactions is considered, and it is also emphasized that angry feelings are linked to approach motivation—movement toward the perceived source of the anger. The article also briefly summarizes relevant research dealing with the self‐regulation of anger reactions. This broad review hopefully will prompt further inquiries into the arousal, nature, and operation of anger. Aggr. Behav. 38:322‐333, 2012. © 2012 Wiley Periodicals, Inc.     

Measurement invariance and age-related differences of trait anger across the adult lifespan

The present study examined measurement invariance of trait anger with respect to age. In addition, age-related differences in latent variables (factor variances, factor covariances, and factor means) were investigated. A sample of 1216 participants, divided into six age groups, ranging from under 30 to over 70 years, was tested using the angry temperament and angry reaction scales from the State-Trait Anger Expression Inventory (STAXI; Spielberger, 1988). Results show that strong measurement invariance held across the six age groups. For both angry temperament and angry reaction, factor variances tended to decrease into middle age and then increase again into old age. Factor correlations decreased into old age, implying a differentiation of trait anger. Finally, regarding factor means, older adults showed less anger than younger adults, suggesting higher levels of self-regulation or less exposure to anger-provoking contexts in later life.     

Dispositional pessimism but not optimism is related to sickness absence caused by musculoskeletal symptoms

Musculoskeletal disorders account for a higher proportion of sickness absence from work in the European Union than any other health condition. The present study examined the associations between work environment, dispositional optimism/pessimism and medically certified sickness absence caused by musculoskeletal complaints in a sample of employees from the Norwegian Armed Forces (N = 1190, 77.5% men). Dispositional pessimism, but not optimism, predicted the amount of absence also when taking into account the effects of age and the work environment. Overall, our results support previous studies suggesting that pessimism is a more salient predictor of physical health than optimism. Our results also suggest that it may be beneficial for employers to combine medical treatment of musculoskeletal symptoms with psychological treatment targeting pessimistic outcome expectancies in order to reduce the amount of sickness absence.     

Mood-congruent thoughts and personality disorder pathology

The primary aim of this research was to investigate associations that depression severity and trait anxiety have with reactions to specific, identifiable thoughts experienced by persons with varying levels of personality disorder (PD) pathology as they went about their day-to-day lives. Ninety-eight psychotropic medication-free persons participated in an experience sampling assessment procedure over four consecutive days, during which participants recorded specific thoughts experienced moments before a page signal was received and corresponding ratings of thought discomfort. Thought discomfort, regarded as an emotional reaction to thoughts or their evaluation, was moderately associated with several forms of PD pathology, particularly Cluster C pathology. Once depression severity and trait anxiety were controlled, however, associations between PD pathology and thought discomfort were eliminated. Findings from this research generally support the mood-congruence of negatively valenced thoughts in relation to PD pathology.     

Happy to See Me,Aren’t You,Sally? Signal Detection Analysis of Emotion Detection in Briefly Presented Male and Female Faces

Using signal detection methods, possible effects of emotion type (happy, angry), gender of the stimulus face, and gender of the participant on the detection and response bias of emotion in briefly presented faces were investigated. Fifty-seven participants (28 men, 29 women) viewed 90 briefly presented faces (30 happy, 30 angry, and 30 neutral, each with 15 male and 15 female faces) answering yes if the face was perceived as emotional and no if it was not perceived as emotional. Sensitivity [d', z(hit rate) minus z(false alarm rate)] and response bias (β, likelihood ratio of "signal plus noise" vs. "noise") were measured for each face combination for each presentation time (6.25, 12.50, 18.75, 25.00, 31.25 ms). The d' values were higher for happy than for angry faces and higher for angry-male than for angry-female faces, and there were no effects of gender-of-participant. Results also suggest a greater tendency for participants to judge happy-female faces as emotional, as shown by lower β values for these faces as compared to the other emotion-gender combinations. This happy-female response bias suggests, at least, a partial explanation to happy-superiority effects in studies where performance is only measured as percent correct responses, and, in general, that women are expected to be happy.