Anger-associated panic attacks in Cambodian refugees with PTSD; a multiple baseline examination of clinical data

Despite the increasing recognition of the importance of anger as a key aspect of post-traumatic stress disorder (PTSD), the presence of anger-induced panic attacks has been understudied in traumatized groups. The present investigation determines the prevalence of anger-associated panic attacks among Cambodian refugees suffering from PTSD. Specific characteristics of these episodes that were examined included frequency, symptoms, and cognitions (in particular, fear of death from bodily dysfunction). In a survey of 100 Khmer patients suffering PTSD, 58% reported anger-associated panic attacks in the last month. These attacks occurred at a mean rate of 6.2 attacks a month and were characterized by extreme arousal and in 81% of these cases, fears of death due to bodily dysfunction during the anger-induced panic. Mechanisms for this high rate of fear of death during anger arousal are discussed with a focus on culture-specific catastrophic cognitions.     

Toward Developing Laboratory-Based Parent–Adolescent Conflict Discussion Tasks that Consistently Elicit Adolescent Conflict-Related Stress Responses: Support from Physiology and Observed Behavior

Parent–adolescent conflict poses risk for youth maladjustment. One potential mechanism of this risk is that stress in the form of increased arousal during conflict interactions results in adolescents’ impaired decision-making. However, eliciting consistent adolescent stress responses within laboratory-based tasks of parent–adolescent conflict (i.e., conflict discussion tasks) is hindered by task design. This limitation may stem from how conflict topics are assessed and selected for discussion. Within a sample of 47 adolescents (ages 14–17) and parents, we investigated whether a modified version of a conflict discussion task could elicit physiological (i.e., arousal) and behavioral (i.e., hostility) displays of adolescents’ conflict-related stress responses. We assessed parent–adolescent conflict via structured interview to identify topics for dyads to discuss during the task. We randomly assigned dyads to complete a 5-min task to discuss either a putatively benign topic (i.e., control condition) or a conflict topic while undergoing direct assessments of continuous arousal. Trained raters coded dyad members’ hostile behavior during the task. Adolescents in the conflict condition exhibited significantly greater levels of arousal than adolescents in the control condition. We observed an interaction between discussion condition and baseline conflict. Specifically, higher baseline conflict predicted greater hostile behavior for adolescents in the conflict condition, yet we observed the inverse relation for adolescents in the control condition. Our modified laboratory discussion task successfully elicited both physiological and behavioral displays of adolescent conflict-related stress. These findings have important implications for leveraging experimental paradigms to understand causal links between parent–adolescent conflict and adolescent psychopathology, and their underlying mechanisms.     

Toward an intersectional understanding of violence and resilience: An exploratory study of young Southeast Asian men in Alameda and Contra Costa County, California

There is a nascent, but growing, literature on Southeast Asian youth violence that focuses on the role of acculturation, portraying violence as a problem of maladaptation. However, scholars overlook the ways in which violence holds meaning for the youth who experience it and how violence may be related to racial and gender identity formation. We conducted a qualitative study with young Southeast Asian men to elicit the role violence plays in their understanding of what it means for them to be Southeast Asian and male. We conducted focus groups and semi-structured individual interviews with an ethnically diverse group of 21 young Southeast Asian men 13–17 years of age from Alameda and Contra Costa Counties, California. Data were analyzed using the extended case method approach. Our findings illustrate that violence and engagement with community-based organizations are situational tools that these young Southeast Asian men use to navigate their social contexts in an attempt to be resilient in ecological contexts marked by alienation and discrimination, as well as to construct accepted and successful racial and gender identities. Furthermore, we found that their actions were guided by gendered codes of conduct, such as a “code of the street.”     

Multiple Roles of Married Korean Women: Effect on Depression

This study was designed to examine relationships between roles of employed married women in Seoul, South Korea, perceptions of their work role, coping patterns, and levels of depression. The convenience sample contained 382 women, aged 25–55 years, who were living with their husbands and working at least 20 hr weekly. Participants completed five questionnaires: demographic, Center for Epidemiological Studies—Depression Scale, Index of Sex-Role Orientation, Role Sharing, and Coping Strategies. Multiple regression analysis revealed several statistically significant relationships. Higher levels of depression were found in women who perceived motherhood and career roles as incompatible, those who coped by working harder, and those who spent less time helping children with homework. Women who owned their houses had lower levels of depression.     

A Comparison of the Common‐Item and Random‐Groups Equating Designs Using Empirical Data

We designed this study to evaluate several data collection and equating designs in the context of item response theory (IRT) equating. The random‐groups design and the common‐item design have been widely used for collecting data for IRT equating. In this study, we investigated four equating methods based upon these two data collection designs, using empirical data from a number of different testing programs. When the randomly equivalent group assumption was reasonably met, the four equating methods tended to produce highly comparable results. On the other hand, equating methods based upon either of the equating designs produced dissimilar results. Sample size can have differential effects on the equating results produced by the different equating methods. In practice, a common‐item equivalent‐groups design often produces unacceptably large differences in the group mean due to various anomalies such as context effects, poor quality of common items, or a very small number of common items. In such cases, a random‐groups design would produce more stable equating results.