An integrated approach to delivering exposure-based treatment for symptoms of PTSD and depression in OIF/OEF veterans: preliminary findings

Combat-exposed military personnel from the wars in Iraq and Afghanistan report high rates of PTSD and associated psychiatric problems. A formidable body of research supports exposure therapy as a front-line intervention for PTSD; however, relative to studies of civilians, fewer investigations have evaluated the effectiveness of exposure therapy using military samples. Specifically, barriers to care (e.g., stigma associated with receiving mental health services ) may compromise utilization of evidence-based psychotherapy. As such, researchers have argued that veterans with PTSD may require an integrated and innovative approach to the delivery of exposure techniques. This paper presents the rationale for and preliminary data from an ongoing clinical trial that compares the home-based telehealth (HBT) application of a brief, behavioral treatment (Behavioral Activation and Therapeutic Exposure; BA-TE) for veterans with PTSD to the standard, in-person application of the same treatment. Forty OIF/OEF veterans with PTSD and MDD were consented, enrolled, and randomized to condition (BA-TE in-person, or BA-TE HBT) and symptoms of anxiety and depression were assessed at pre- and posttreatment. Participants in both conditions experienced reductions in depression, anxiety, and PTSD symptoms between pre- and posttreatment, suggesting that HBT application of an integrated PTSD treatment may be feasible and effective.     

The Role of Power and Gender in Anger Responses to Sexual Jealousy

Despite a growing interest in intimate conflict, little research has examined the variables that influence anger within an interpersonal context. Using the conflict topic of sexual jealousy, male and female undergraduate students were randomly assigned to high- or low-power conditions prior to listening to an audiotaped conflict between intimates. Analysis of participants' affective responses to the conflict indicated that in spite of no initial differences in anger before hearing the conflict, there was a significant difference between power conditions in postconflict ratings: low-power participants reported more anger than did high-power participants. Similarly, women reported more anger than did men after hearing the conflict despite no preconflict differences. The results are discussed in terms of the influence of power and gender expectations on the anger dynamics of intimate conflict. Of special interest is the extent to which perceptions of power or powerlessness, ostensibly unrelated to the conflict, can shape affective reactions to conflict.     

Expressed emotion and reciprocal affective relationships in families of disturbed adolescents

Relatives' expressed emotion (EE) is a known risk factor for relapse among recovering psychiatric patients. Recent research has focused on the behavioral correlates of EE, seeking better understanding of the family processes associated with this important variable. The present study used sequence analysis to explore interactions of high-EE and low-EE parent-child dyads in a sample of disturbed adolescents. High-EE mother-child interactions were characterized by bidirectional influence, and, in contrast to adolescents in low-EE dyads, adolescents in high-EE dyads had an oppositional style of responding. In Low-EE mother-child interactions, the adolescents showed more temporal consistency (stability) of affect than their high-EE counterparts. Overall, the results suggest that high-EE mother-child dyads constitute more tightly joined emotional systems than low-EE dyads. Consequently, interventions designed to reduce this connectedness might also reduce the risk of adolescent psychiatric problems.     

Strong commitment to traditional Protestant religious beliefs is negatively related to beliefs in paranormal phenomena

Numerous studies have yielded small, negative correlations between measures of paranormal and "traditional religious beliefs". This may partly reflect opinions of Christians in the samples who take biblical sanctions against many "paranormal" activities seriously. To test this, 391 college students (270 women and 121 men) rated their beliefs in various paranormal phenomena and were classified as Believers, Nominal Believers, and Nonbelievers on the strength of their self-rated commitment to key biblical (particularly Protestant) doctrines. As predicted, Believers were significantly less likely than Nominal Believers or Nonbelievers to endorse reincarnation, contact with the dead, UFOs, telepathy, prophecy, psychokinesis, or healing, while the beliefs of Nominal Believers were similar to those of Nonbelievers. Substantial percentages of Nominal and Nonbelievers (30-50%) indicated at least moderate acceptance of the paranormal phenomena surveyed.     

Attending Religious Services and Its Relationship with Coronary Heart Disease and Related Risk Factors in Older Adults: A Qualitative Study of Church Pastors’ and Parishioners’ Perspectives

A qualitative study was undertaken to explain findings of a cross-sectional study of Canadian Community Health Survey (CCHS) 4.1 data showing older persons who attend religious services more than once a week, compared to persons who do not attend at all, have lower prevalences of coronary heart disease (CHD), diabetes and high blood pressure. Twelve semi-structured interviews with ordained pastors and three focus groups with older parishioners from Canadian churches were conducted. Interviews were transcribed and analyzed for emergent themes through a process of direct content analysis. All participants claimed that religious service attendance (RSA): (1) enhances mental health; (2) provides social support and activities; and (3) promotes health and lifestyle behaviours that lower CHD risk. These three themes appear to be underlying mechanisms that help to explain the inverse association between RSA and the prevalence of adverse health outcomes found in the CCHS 4.1 data.     

Conceptual tempo and resolution of social conflict by children

Of 55 boys between 7 and 12 yr. old, 12 most reflective (on the Impulsivity score or conceptual tempo) chose an assertive alternative on the Social Reasoning Inventory more often than the 14 most impulsive boys. The observation replicates prior work but suggests conceptual tempo as a construct has unclear relevance to social reasoning.