Emotional distress and the perceived interference of menstruation

The relation of perceived interference of menstruation on expected behaviors to emotional distress was examined. It was predicted that the perceived interference of menstruation would be more predictive of emotional distress associated with menstruation than either menstrual or premenstrual pain. Participants completed measures of menstrual pain and visual analogue scales of emotional distress (anger, frustration, depression, anxiety, fear). Measures of perceived ability to tolerate the pain, the perceived interference of the pain, and attitudes toward menstruation were also collected. Results indicated that perceived interference was the strongest predictor of emotional distress secondary to menstrual pain. Ratings of menstrual and premenstrual pain were also significant predictors of emotional distress. Results supported the major hypothesis of the study and provide evidence that the appraisal of interference imposed by a particular condition or Stressor may be an important factor in stress and coping processes.     

Personal Growth Initiative and Mental Health: A Meta-Analysis

Personal growth initiative (PGI) is an individual's active and intentional desire to grow in personally important areas. In the past 20 years, a body of literature has emerged examining PGI's relationship to mental health. We conducted the first meta-analyses to synthesize this literature. Two meta-analyses examined the relationship between PGI total scores and distress (k = 22) and wellness (k = 37). Both average effect sizes were significant. We also examined the potential impact of nine moderators. The type of outcome assessed was a significant moderator for PGI and distress, and the PGI measure used was a significant moderator for PGI and wellness, accounting for 61% and 15% of the overall variance, respectively. Meta-analyses examining the relationship between the four PGI subscales (Readiness for Change, Planfulness, Using Resources, and Intentional Behavior) and distress (k = 4) and wellness (k = 7) yielded similar results to the total score analyses.     

Effects of occupational future time perspective on managing stressful work situations

According to the socioemotional selectivity theory (SST; Carstensen, 2006), older adults perceive their future time as increasingly limited, which motivates them to focus more on emotional goals and prefer passive emotion‐focused strategies. This study aims to investigate the effect of occupational future time perspective (OFTP) on the use of problem‐solving strategies in stressful work situations and to examine the effectiveness of these strategies on psychological well‐being. A sample of 199 Chinese clerical workers responded to a structured questionnaire on problem‐solving strategy use in relation to hypothetical work scenarios. Results revealed that relative to those with limited OFTP, workers with expansive OFTP preferred problem‐focused and proactive strategies in both low‐ and high‐emotionally salient scenarios. Workers with limited OFTP consistently preferred passive strategies irrespective of emotional salience. OFTP moderated the effect of problem‐focused strategies on psychological distress. In particular, there was a significant negative relationship between problem‐focused strategies and psychological distress among workers with expansive OFTP, but such pattern of relationship was not observed among workers with limited OFTP. Findings of this study inform the training strategies employed by practitioners to fit the developmental goals of workers in order to maximise their strengths at work.     

Social anxiety and interpersonal stress generation: the moderating role of interpersonal distress

Background and Objectives: Existing models of social anxiety scarcely account for interpersonal stress generation. These models also seldom include interpersonal factors that compound the effects of social anxiety. Given recent findings that two forms of interpersonal distress, perceived burdensomeness and thwarted belongingness, intensify social anxiety and cause interpersonal stress generation, these two constructs may be especially relevant to examining social anxiety and interpersonal stress generation together.

Design: The current study extended prior research by examining the role of social anxiety in the occurrence of negative and positive interpersonal events and evaluated whether interpersonal distress moderated these associations.

Methods: Undergraduate students (N?=?243; M?=?20.46 years; 83% female) completed self-report measures of social anxiety, perceived burdensomeness, and thwarted belongingness, as well as a self-report measure and clinician-rated interview assessing negative and positive interpersonal events that occurred over the past six weeks.

Results: Higher levels of social anxiety were associated only with a higher occurrence of negative interpersonal dependent events, after controlling for depressive symptoms. This relationship was stronger among individuals who also reported higher levels of perceived burdensomeness, but not thwarted belongingness.

Conclusions: It may be important to more strongly consider interpersonal stress generation in models of social anxiety.     

The association between biopsychosocial factors and disability in a national health survey in South Africa

The association between psychosocial factors and disability is less clear. This study investigated the biological and psychosocial (employment and psychological distress) factors associated with level of disability in an adult sample in South Africa. Data were analysed from a cross-sectional survey among adults aged 18–64 (n = 4974). Multiple linear regression was used to investigate the associations of the selected variables with disability. The mean percentage score on the WHODAS scale of disability was 5.31% (95% CI: 4.74–5.88). Age (p < 0.001) and race (p = 0.0002) were significantly associated with disability, and history of stroke (β = 7.19, 95% CI: 3.19–11.20) and heart-related conditions (β = 2.08, 95% CI: [0.23–3.93) showed positive associations. Of the psychosocial variables, psychological distress (β = 10.49 [8.63–12.35]) showed a strong positive association while employment (?1.62 [?2.36 to ?0.88]) showed a negative association with disability. The association between demographic factors, medical conditions and increased disability confirms the findings in the literature. The finding that psychological distress is associated with increased disability has not been frequently reported. This study highlights specific psychosocial targets that may be usefully addressed by health policies and interventions in order to improve disability management.     

Maternal Personality and Distress as Predictors of Child Neglect

Previous studies suggest that maternal personality problems predict child neglect. However, these studies have not distinguished between the common and unique contributions of various maternal personality dimensions, nor have they compared the contribution of maternal personality with maternal emotional distress. The current study addresses these issues using data collected by James Gaudin and distributed by the National Data Archive on Child Abuse and Neglect at Cornell University. Information was extracted on 94 neglectful and 101 comparison mothers. Logistic regression analyses revealed that a composite score reflecting maternal empathic capacity inversely predicted child neglect, whereas maternal depressive symptoms and loneliness did not. Results are discussed in terms of the importance of distinguishing between common and unique contributions of maternal personality dimensions to clinical and social outcomes and in terms of the relative contribution of maternal personality and emotional distress to child neglect.     

Dementia and Suffering in Nursing Homes

SUMMARY

This paper uses case studies of challenging behaviour associated with dementia to demonstrate, firstly, that disturbed behaviour is often a manifestation of suffering caused by multiple phenomena such as medical problems or the care environment. Addressing these causes instead of simplistically ‘treating the behaviour’ usually reduces the behaviour. Secondly, staff distress with a particular difficult resident is often caused by more general fundamental problems such as a lack of support or knowledge. Addressing these problems reduces staff distress. Finally, results from a Swedish intervention study are presented. They show that suffering for both staff and residents can be reduced, and quality of life improved, by providing increased autonomy for hands-on staff, systematic emotional support, and collaboratively developing care plans based on each resident's emotional and physical needs, rather than the problems they present.     

The Dark Night of the Soul: spiritual distress and its psychiatric implications

The Dark Night of the Soul is an expression describing phases in a person's spiritual life associated with a crisis of faith or spiritual concerns about the relationship with God, and which has intrinsic aspects of spiritual growth. This paper is concerned with the way in which those going through periods of angst and disillusionment do not see them as pathological phenomena. On the contrary, through a process of attribution of religious meaning they view them as opportunities for reflecting on their lives and as agents for beneficial change. Similarities and differences between the Dark Night and a depressive episode are discussed and illustrated using the accounts of five important religious figures. Their narratives have been constructed using original texts and their biographies. The Dark Night has clinical implications owing to the risk of its being pathologised, serving as a reminder of the importance of incorporating existential issues into clinical practice.     

Perceptions of stressful life events as turning points are associated with self-rated health and psychological distress

Abstract

We test the hypothesis that changes in physical and psychological health are associated with construals of stressful life events. At two points in time, approximately 10 years apart, participants (n=1038) rated their physical health and psychological distress. At the second assessment, participants also reported their most stressful life event since the first assessment and indicated whether they considered the event a turning point and/or lesson learned. Lower self-ratings of health and higher ratings of psychological distress, controlling for baseline health and distress, and relevant demographic factors, were associated with perceiving the stressful life event as a turning point, particularly a negative turning point. The two health measures were primarily unrelated to lessons learned. How individuals construe the most stressful events in their lives are associated with changes in self-rated health and distress.     

Genetic Counseling Outcomes: Perceived Risk and Distress After Counseling for Hereditary Colorectal Cancer

Genetic counseling may turn risk information into cancer prevention behavior by modifying health beliefs and cancer-related distress. We assessed the effect of genetic counseling on these factors in 101 adult first-degree-relatives of colorectal cancer patients from families with known or suspected hereditary nonpolyposis colorectal cancer. Before counseling and once afterward, subjects completed self-report measures of perceived lifetime risk and cancer-distress. Most persons overestimated their cancer risk, and higher perceived risk was associated with believing that colorectal cancer cannot be prevented. Individual perceived risk changed after counseling, although mean perceived risk was unchanged. After adjusting for baseline risk, older persons and those with higher estimated objective cancer risk had larger postcounseling decreases. Distress after counseling was positively correlated with baseline distress and anxiety symptoms, and inversely correlated with tolerance for ambiguity. The findings suggest counseling interventions that should increase the likelihood of screening and offer hypotheses for future research.