Posttraumatic stress and physical health among adults: The role of coping mechanisms

The purpose of the present study was to examine whether coping mechanisms predict physical health, after controlling for posttraumatic stress disorder (PTSD) symptom clusters in a non-clinical sample of adults. Data were collected from 483 adults through an online survey. Most of the participants (66.7%) reported lifetime exposure to at least one traumatic event. The final sample of this study included 319 trauma-exposed individuals. Results indicated that PTSD symptoms on the avoidance and hyperarousal clusters had significant positive relationships with self-reported physical health symptoms. After controlling for gender and PTSD, denial, behavioral disengagement, and self-blame significantly and positively predicted physical health symptoms.     

高中生心理健康水平及其影响因素的研究

采用ＳＣＬ－９０量表评定了５００名高中生的心理健康状况,运用因素分析的方法探讨了影响高中生心理健康的主要因素。结果表明：有１０．８％的高中生存在着各种明显的心理健康问题;高中生的心理健康问题主要表现为强迫、敌对、偏执、人际关系敏感和忧郁等症状;影响高中生心理健康的主要因素为学校教育、家庭环境、社会文化及学生自身等方面的生活事件;高中生不同的心理健康问题有其不同的影响因素。     

先前情绪和过度自信对灾难事件后继风险决策的影响

研究考察了先前情绪和过度自信对灾难事件后继风险决策的影响。结果发现：(1)先前情绪的主效应显著, 积极情绪比消极情绪的个体在灾后风险决策时更加倾向于风险寻求;过度自信的主效应显著, 高过度自信比低过度自信个体在灾后风险决策时更加倾向于风险寻求。(2)先前情绪和过度自信水平交互影响灾难事件后继风险决策。高过度自信者在积极情绪状态下比在消极情绪状态下更倾向于风险寻求; 消极情绪状态下过度自信水平不同的个体之间没有显著差异。     

自尊水平、事件效价与时距对过去事件时距估计的影响

在西方文化背景下提出的时间自我评价理论认为,人们为了维护当前积极自尊,主观上会远离过去失败而亲近过去成功。本研究采用线段评估法,选取311名中国大学生被试,通过两个实验考察自尊水平、事件效价与时距对过去事件时距估计的影响,以检验该理论的文化普适性。结果表明:对过去事件的时距估计,自尊水平、事件效价及其交互作用在同一时距里均不存在显著差异;时距的主效应及其与事件效价的交互作用均显著,在负效价水平上存在显著时距差异,在正效价水平上无显著时距差异。研究结果不支持基于西方文化背景下的时间自我评价理论。     

字谜与远距离联想解决中认知成分的比较

采用自发顿悟范式,通过事件相关电位(ERPs)探讨字谜和远距离联想（RAT）两类顿悟问题解决中的认知差异。结果发现,两类任务的正确反应时均在4000ms左右;解决两类任务的初期都在170ms时出现了正成分,且两类任务在此成分上没有显著差异;在600~700ms内,字谜比RAT诱发了一个更正的ERP成分,主要激活了中后部的脑区;在按键前的800~400ms内,字谜较RAT在右前额诱发了更正的脑电成分。结果表明,字谜顿悟和RAT顿悟存在相似的加工过程,但在重构阶段和啊哈体验上存在差异;两类任务在解决问题时重构过程的不同可能是造成情绪体验差异的原因     

Religious Service Attendance Aids Coping by Providing a Sense of Continuity: A Test of the Stress‐Support Matching Hypothesis Using Mental Health Outcome Measures

We propose that religious service attendance (RSA) serves as a coping resource by providing a sense of continuity. As a source of continuity, and per the stress‐support matching hypothesis, RSA should consistently buffer the negative mental well‐being impacts of stressors related to discontinuity—the disruption of regular routines and relationships. Most, but not all, of the relevant previous studies we reviewed found that RSA served as an effective buffer for the negative mental health impacts of discontinuity stressors (such as unemployment, terminated relationships, etc.). This variability in previous findings warranted a formal exploration of the relationship between RSA and specific stressors. To that end, we conducted a series of OLS regression path analyses on a sample of Americans age 40 and older (N = 2,579). RSA was found to consistently buffer the negative impact of discontinuity stressors on mental well‐being but failed to do so for other stressors. Overall, our observations are (a) consistent with the stress‐support matching hypothesis, (b) suggest that RSA is particularly effective for reducing the negative impacts of discontinuity stressors, and (c) found no instance in which RSA exacerbated (i.e., made more severe) the effects of life event stressors on mental well‐being.     

Fear of self-annihilation and existential uncertainty as predictors of worldview defense: Comparing terror management and uncertainty theories

Terror management theory (TMT) proposes that thoughts of death trigger a concern about self-annihilation that motivates the defense of cultural worldviews. In contrast, uncertainty theorists propose that thoughts of death trigger feelings of uncertainty that motivate worldview defense. University students (N = 414) completed measures of the chronic fear of self-annihilation and existential uncertainty as well as the need for closure. They then evaluated either a meaning threat stimulus or a control stimulus. Consistent with TMT, participants with a high fear of self-annihilation and a high need for closure showed the greatest dislike of the meaning threat stimulus, even after controlling for their existential uncertainty. Contrary to the uncertainty perspective, fear of existential uncertainty showed no significant effects.     

Optimizing Exposure Therapy for Pathological Health Anxiety: Considerations From the Inhibitory Learning Approach

Exposure therapy has demonstrated its efficacy in the treatment of pathological health anxiety—however, psychotherapy research reveals that many patients do not show a clinically significant change. Therefore, improvements are necessary to optimize psychotherapy for pathological health anxiety. Most treatment rationales refer to habituation during exposure as the central mechanism of change. However, there is evidence that extinction learning is mediated by inhibitory learning processes. Targeting these processes may help to improve treatment outcomes in pathological health anxiety. The aim of this review was to adapt, from the inhibitory learning approach and empirical findings, the most promising strategies for the exposure-based treatment of pathological health anxiety. The exposure-optimizing strategies adapted are expectancy violation, combination, variability in contexts and stimuli, affect labeling, and removal of safety signals. A case example illustrates how to implement these methods for patients with pathological health anxiety.     

First‐line therapy for post‐traumatic stress disorder: A systematic review of cognitive behavioural therapy and psychodynamic approaches

Background

Despite evidence supporting cognitive behavioural therapy (CBT)‐based interventions as the most effective approach for treating post‐traumatic stress disorder (PTSD) in randomised control trials, alternative treatment interventions are often used in clinical practice. Psychodynamic (PDT)‐based interventions are one example of such preferred approaches, this is despite comparatively limited available evidence supporting their effectiveness for treating PTSD.

Aims

Existing research exploring effective therapeutic interventions for PTSD includes trauma‐focused CBT involving exposure techniques. The present review sought to establish the treatment efficacy of CBT and PDT approaches and considers the potential impact of selecting PDT‐based techniques over CBT‐based techniques for the treatment of PTSD.

Results

The evidence reviewed provided examples supporting PDT‐based therapy as an effective treatment for PTSD, but confirmed CBT as more effective in the treatment of this particular disorder. Comparable dropout rates were reported for both treatment approaches, suggesting that relative dropout rate should not be a pivotal factor in the selection of a PDT approach over CBT for treatment of PTSD.

Conclusion/Implications

The need to routinely observe evidence‐based recommendations for effective treatment of PTSD is highlighted and factors undermining practitioner engagement with CBT‐based interventions for the treatment of PTSD are identified.     

Exposure to Traumatic Events and PTSD in a Postconflict and Disaster-Prone Area

The present study examines lifetime exposure to traumatic events and the rate of PTSD among university students living in a postconflict and disaster-prone area. Two self-report questionnaires, namely the Life Events Checklist and a PTSD screening tool, were used in the study. PTSD was found in 21% of respondents. Approximately 96% of the respondents have been exposed to traumatic events during their lifetime. Both genders have the same rate of PTSD (p?=?0.9) and exposure to traumatic events (p?=?0.327). Findings suggest that lifetime exposures to traumatic events are high among students living in this region.