Support during birth interacts with prior trauma and birth intervention to predict postnatal post-traumatic stress symptoms

Background: Many women experience childbirth as traumatic and 2% develop post-traumatic stress disorder. This study examined the role of health practitioner support and personal control during birth as predictors of post-traumatic stress (PTS) symptoms, adjusting for vulnerability factors of prior trauma, depression, control beliefs and birth intervention. It also investigated interactions between support, prior trauma and birth intervention and their association with PTS symptoms.

Methods: A prospective longitudinal survey of 138 women recruited from UK NHS maternity clinics. Measures were taken in pregnancy, 3 weeks and 3 months after the birth.

Results: Support and control during birth were not predictive of postnatal PTS symptoms. However, support was predictive of PTS symptoms in a subset of women with prior trauma (β?=??0.41, R ²?=?16%) at both 3-weeks and 3-months postpartum. The interaction of birth intervention and support was associated with PTS symptoms 3 months after birth, the relationship between support and PTS symptoms was stronger in women experiencing more intervention.

Conclusions: Low support from health practitioners is predictive of postnatal PTS symptoms in women who have a history of trauma. Longer term effects of low support on postnatal PTS symptoms are also found in women who had more intervention during birth.     

Randomised trial of expressive writing for distressed metastatic breast cancer patients

Women with metastatic breast cancer and significant psychological distress (N?=?87) were assigned randomly to engage in four home-based sessions of expressive writing or neutral writing. Women in the expressive writing group wrote about their deepest thoughts and feelings regarding their cancer, whereas women in the neutral writing group wrote about their daily activities in a factual manner. No statistically significant group differences in existential and psychological well-being, fatigue and sleep quality were found at 8-weeks post-writing. However, the expressive writing group reported significantly greater use of mental health services during the study than the neutral writing group (55% vs. 26%, respectively; p?<?0.05). Findings suggest that expressive writing may improve the uptake of mental health services among distressed cancer patients, but is not broadly effective as a psychotherapeutic intervention.     

Examination stress and changes in mood and health related behaviours

Abstract

The present exploratory study evaluated the effect of stress (an examination period) on changes in mood and health related behaviours. 83 medical students completed measures of mood and health related bchaviours at baseline and four weeks later either during their examinations period (the stress condition) or after a comparative control period (the control condition). All subjects also completed ratings of stress mediating variables: social support, perceived control and coping style at baseline. The results showed deterioration in mood in terms of increases in depression and anxiety and changes in health related behaviours in terms of increased numbers of subjects who identified thcmsehes as smokers, and dcmascs in alcohol consumption, exercise and food intake in subjects in the stress condition. The results also suggest that social support moderated the effects of the examination stress and was related to greater decreases in smoking, decrcases in alcohol craving and increases in eating behaviour. In addition, an avoidance coping style (problem avoidance, wishful thinking) was related to greater decreases in eating behaviour. 'Ihe nsults an discussed in the context of the stress/illness link and the role of behavioural change.     

The Effect of Psychological Skills Training (PST) on Self-Regulation Behavior,Self-Efficacy,and Psychological Skill Use in Military Pilot-Trainees

Set within B. J. Zimmerman’s (1989 Zimmerman, B. J. (1989). A social cognitive view of self-regulated academic learning. Journal of Educational Psychology, 81, 329–339.[Crossref], [Web of Science ®] , [Google Scholar], A social cognitive view of self-regulated academic learning, Journal of Educational Psychology, Vol. 81, pp. 329–339; and B. J. Zimmerman, 2000 Zimmerman, B. J. (2000). Attaining self-regulation: A social–cognitive perspective. In M. Boekaerts, P. Pintrich, &; M. Seidner (Eds.), Self-regulation: Theory, research, and applications (pp. 13–39). Orlando, FL: Academic Press.[Crossref] , [Google Scholar], Attaining self-regulation: A social-cognitive perspective, in M. Boekaerts, P. Pintrich, &; M. Seidner, Eds., Self-Regulation: Theory, Research, and Applications, pp. 13–39, Orlando, Florida, Academic Press) cyclical model of self-regulation and social–cognitive theory, this study tested the hypothesis that multi-modal psychological skills training (PST) would increase self-regulation behavior, self-efficacy, and psychological skill use in military pilot-trainees experiencing course-related learning difficulties. From pre- to post-intervention, findings showed that specific self-regulation behavior increased linearly. Likewise, significant increases in self-efficacy and psychological skill use occurred, along with concomitant reductions in anxiety and worry. Changes were generally retained at 2-month follow-up. PST highlights potential in modifying pilot-trainee cognitive and behavioral strategies to underpin learning, improve individual/cohort responsiveness, and importantly, cost effectiveness in training provision.     

Deployment Stress and Well-Being Among Military Spouses: The Role of Social Support

The demands of military service, including the intensity and frequency of military operations, can have numerous effects on military families. Evidence suggests that spousal support may play an important role in the resiliency of military families. The present study examined the roles of deployment stress and social support in the psychological well-being of spouses of deployed military personnel (N = 639). The results showed that deployment stress and perceived social support from family, nonmilitary friends, and military partner played independent roles in the psychological wellbeing of military spouses. This evidence suggests the importance of taking perceived social support into account when explaining the variance in the psychological wellbeing of military spouses. Results are discussed in light of some methodological constraints, and the potential implications related to heightening families’ perceptions of interpersonal relationships are emphasized.     

Personal resources at the juncture of culture and life satisfaction

This study investigates cultural group differences (Israeli Arab vs. Jewish) in personal resources and life satisfaction. Arab students evidenced lower levels of life satisfaction, as well as perceived personal resources, when compared to their Jewish counterparts. Furthermore, personal resources mediated the effects of culture on life satisfaction. The role of personal resources at the juncture of culture and life satisfaction was discussed.     

Adaptive midlife defense mechanisms and late-life health

A growing body of research suggests that personality characteristics relate to physical health; however, this relationship has primarily been tested in cross-sectional studies that have not followed the participants into old age. The present study utilizes data from a 70-year longitudinal study to prospectively examine the relationship between the adaptive defense mechanisms in midlife and objectively assessed physical health in late life. In addition to examining the direct effect, we test whether social support mediates this relationship. The sample consisted of 90 men who were followed for over seven decades beginning in late adolescence. Health ratings from medical records were made at three time points (ages 70, 75, and 80). Defense mechanisms were coded from narratives by trained independent raters (Vaillant, Bond, & Vaillant, 1986). Independent raters assessed social supports between ages 50 and 70. More adaptive defenses in midlife were associated with better physical health at all three time points in late life. These relationships were partially mediated by social support. Findings are consistent with the theory that defense maturity is important for building social relationships, which in turn contribute to better late-life physical health. Psychological interventions aimed at improving these domains may be beneficial for physical health.     

Understanding the role of social support in trajectories of mental health symptoms for immigrant adolescents

This longitudinal study of 286, urban residing, first- and second-generation immigrant adolescents examined the degree to which acculturative stress is related to the developmental trajectories of mental health problems and the role of social support in this process. Participants were recruited when they entered 10th grade and two additional waves of data were gathered at 12-month intervals. Using individual growth curve modeling, the results show significant decline in internalizing mental health problems during the high school years. At the same time, greater exposure to acculturative stress predicted significantly more withdrawn/depressed, somatic, and anxious/depressed symptoms. Additionally, social support moderated the relation between acculturative stress and anxious/depressed symptoms. Gender and generation status differences were found only at baseline (10th grade).     

Psychometric properties of an experimental test for the assessment of basic arithmetic calculation efficiency / Propiedades psicométricas de una prueba experimental para la evaluación de la eficacia del cálculo aritmético básico

Abstract

In this article the ‘Arithmetic Calculation Efficiency Test’ (Test de Eficacia en el cálculo aritmético – TECA), a test for the assessment of arithmetic efficiency in terms of precision and speed in school-aged subjects, is introduced. The test aims to contribute to educational practices and the diagnosis of students who are at risk of Learning Difficulties in Calculations (LDC). Psychometric properties of the test items were analysed based on a sample of 331 subjects from grade 1 to 6 from Primary School. Analysis of content validity, item analysis, dimensionality and reliability have provided evidence of the validity of a one-dimensional structure consistent with the theoretical framework.