Earthquake Aftershock Anxiety: An Examination of Psychosocial Contributing Factors and Symptomatic Outcomes

This study examined the direct and indirect effects of cognitions and anxiety associated with aftershocks on psychological symptoms (anxiety, depression, acute stress) and daily functioning (general and relationship). Participants were 600 adults from Christchurch, New Zealand. Data collection was approximately four months after the fatal 2011 earthquake. Path analysis was used for modelling. Socioeconomic status was directly associated with appraisals of uncontrollability of response to aftershocks. These cognitions were directly related to aftershock anxiety, which heightened general anxiety, depression, and acute stress symptoms. These symptoms were directly associated with relationship and general life dysfunction. Aftershock anxiety plays a significant role in ongoing psychological distress associated with earthquakes.     

Consciousness: The transcendentalist manifesto

Phenomenal consciousness, what it is like to have or undergo an experience, is typically understood as an empirical item – an actual or possible object of consciousness. Accordingly, the problem posed by phenomenal consciousness for materialist accounts of the mind is usually understood as an empirical problem: a problem of showing how one sort of empirical item – a conscious state – is produced or constituted by another – a neural process. The development of this problem, therefore, has usually consisted in the articulation of an intuition: no matter how much we know about the brain, this will not allow us to see how it produces or constitutes phenomenal consciousness. Developing a theme first explored by Kant, and then later by Sartre, this paper argues that the real problem posed by phenomenal consciousness is quite different. Consciousness, it will be argued, is not an empirical but a transcendental feature of the world. That is, what it is like to have an experience is not something of which we are aware in the having of that experience, but an item in virtue of which the genuine (non-phenomenal) objects of our consciousness are revealed as being the way they are. Phenomenal consciousness, that is, is not an empirical object of awareness but a transcendental condition of the possibility of there being empirical objects of awareness.     

Cognitive-behavioural therapy for adolescents with bulimic symptomatology: The acceptability and effectiveness of internet-based delivery

Background

The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited.

Aims

To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology.

Method

101 participants were recruited from eating disorders clinics or from beat, a UK-wide eating disorders charity. The programme consisted of online CBT sessions (‘Overcoming Bulimia Online’), peer support via message boards, and email support from a clinician. Participants' bulimic symptomatology and service utilisation were assessed by interview at baseline and at three and six months. Participants' views of the treatment package were also determined.

Results

There were significant improvements in eating disorder symptoms and service contacts from baseline to three months, which were maintained at six months. Participants' views of the intervention were positive.

Conclusions

The intervention has the potential for use as a first step in the treatment of adolescents with bulimic symptomatology.     

Enactivism and the Extended Mind

According to the view that has become known as the extended mind, some token mental processes extend into the cognizing organism’s environment in that they are composed (partly) of manipulative, exploitative, and transformative operations performed by that subject on suitable environmental structures. Enactivist models understand mental processes as (partly) constituted by sensorimotor knowledge and by the organism’s ability to act, in appropriate ways, on environmental structures. Given the obvious similarities between the two views, it is both tempting and common to regard them as essentially variations on the same theme. In this paper, I shall argue that the similarities between enactivist and extended models of cognition are relatively superficial, and the divergences are deeper than commonly thought.

Impact of average household income and damage exposure on post‐earthquake distress and functioning: A community study following the February 2011 Christchurch earthquake

Post‐traumatic stress, depression and anxiety symptoms are common outcomes following earthquakes, and may persist for months and years. This study systematically examined the impact of neighbourhood damage exposure and average household income on psychological distress and functioning in 600 residents of Christchurch, New Zealand, 4–6 months after the fatal February, 2011 earthquake. Participants were from highly affected and relatively unaffected suburbs in low, medium and high average household income areas. The assessment battery included the Acute Stress Disorder Scale, the depression module of the Patient Health Questionnaire (PHQ‐9), and the Generalized Anxiety Disorder Scale (GAD‐7), along with single item measures of substance use, earthquake damage and impact, and disruptions in daily life and relationship functioning. Controlling for age, gender and social isolation, participants from low income areas were more likely to meet diagnostic cut‐offs for depression and anxiety, and have more severe anxiety symptoms. Higher probabilities of acute stress, depression and anxiety diagnoses were evident in affected versus unaffected areas, and those in affected areas had more severe acute stress, depression and anxiety symptoms. An interaction between income and earthquake effect was found for depression, with those from the low and medium income affected suburbs more depressed. Those from low income areas were more likely, post‐earthquake, to start psychiatric medication and increase smoking. There was a uniform increase in alcohol use across participants. Those from the low income affected suburb had greater general and relationship disruption post‐quake. Average household income and damage exposure made unique contributions to earthquake‐related distress and dysfunction.