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.     

Career and Family Outcomes for Women Graduates of Single-Sex Versus Coed Colleges

This study compares educational, career, and family outcomes by gender composition of college and race/ethnicity of women who graduated in 1993 from three selective U.S. colleges (two single-sex; one coed). It also compares these graduates?? assessments of their college experience. The 60 White women and 60 Women of Color were interviewed as traditional-age seniors and surveyed annually for 16 years. In 2009, 76.7% responded. All groups were happy with their alma maters, although they assessed the advantages and disadvantages somewhat differently. Single-sex graduates more frequently indicated that their college had provided a supportive environment and complained that it provided a limited social life. Coed graduates more frequently indicated that their college provided cultural broadening and positive social relationships. Coed White graduates were in touch with more college friends than single-sex White graduates; there was no significant difference by type of college for Women of Color graduates. Results indicate no significant differences in advanced degrees or career status or STEM field involvement by gender composition of college or race/ethnicity. Nor were any differences in marriage or motherhood variables found. The similarity in outcomes supports the primacy of status of college and is interpreted as positive indication that U.S. colleges have become more hospitable to women.     

What’s In a Name? Marital Name Choice Revisited

In two studies we assessed the percentage of brides who chose nontraditional marital names and characteristics that were related to name choice. In Study 1 we analyzed wedding announcements from The New York Times, 1982–2002. In Study 2 we surveyed the name choices, reasons for them, and associated characteristics of a sample of 126 college-educated women who have been part of a longitudinal study since 1993. A substantial minority of brides (29%) chose nontraditional names in Study 1, whereas 46% did in Study 2; the difference reflects the higher proportion of Women of Color and the higher educational level of women in Study 2. Other characteristics associated with nontraditional naming were: older age at marriage, more feminist attitudes, higher career commitment, and less value of the role of mother.     

Wanting It All: Career, Marriage, and Motherhood During College-Educated Women's 20s

College women's expectations for career, marriage, and motherhood were assessed during the senior year, and their outcomes were assessed 7 years later. In 1993, 118 White women and 82 Women of Color were randomly selected from 5 northeastern colleges and interviewed in person. In 2000, 178 (89%) were reached for second interviews by telephone. Results indicate that as seniors the women wanted careers, marriage, and motherhood. Career development was the priority of their 20s. At the 7-year point, marital status was unrelated to advanced degrees attained or to career status, but mothers had significantly fewer advanced degrees and lower career status than nonmothers. Socioeconomic status, race, and intentions concerning career and family were related to career status and motherhood status.     

Balancing Act: Career and Family During College-Educated Women’s 30s

We assessed career, marriage, and motherhood expectations of 118 White Women and 82 Women of Color in 1993, when they were seniors at five northeastern U.S. colleges. Sixteen years later, in 2009, 77.5 % responded to our survey and answered questions about their career, marriage, motherhood, attitudes, and life satisfaction outcomes. As seniors, they wanted it all, career, marriage, and motherhood. In 2009, nearly two thirds were employed full time, 91 % had married, nearly three quarters were mothers, and about 57 % were combining full-time employment and motherhood. Comparisons are made among three role-status outcome groups: Have It All (mothers, employed full time); Traditional (mothers, employed part time or not at all), and Employed Only (childfree, employed full time). Educational level of the women did not predict role status. Spouses’ educational level relative to the women’s predicted role status, with Have It All women more likely to be married to less educated spouses than Traditional or Employed Only women. The role-status groups did not differ in their attitudes toward women in general, but Have It All mothers had lower levels of employment-related concerns about separation from their children than Traditional mothers. Most of the women still wanted to have it all. Many Traditional women looked forward to returning to employment, and many of the Employed Only women wanted to have children. Being a mother was associated with higher life satisfaction than being childfree. Results are discussed in terms of multiple-role theory and the positive influence of having family roles in the mix.