The present investigation evaluated whether dispositional use of emotional approach coping partially accounts for the association between parental response to emotional expression and posttraumatic stress symptoms (PTSS) in a sample of 252 trauma-exposed individuals drawn from a pool of college students and college-age members of the community at-large. An online survey assessed parental reactions to participants' negative emotions during childhood (i.e., offspring retrospective report), as well as participant trauma history, PTSS, and use of emotional approach coping. Findings complement literature illustrating the long-lasting implications of the parent-child relationship, such that both supportive and unsupportive parenting were related to PTSS. Supportive parental reactions also were related to emotional expression, but not emotional processing, and unsupportive reactions did not significantly relate to either aspect of emotional approach coping. Notably, emotional approach coping strategies were unrelated to PTSS in the full sample, and thus the indirect effects models were not supported. Post hoc analyses indicated preliminary support for the indirect effect of emotional expression on the relation between supportive parenting and PTSS in the local college student sample (n = 117). Limitations and implications for future research are discussed.
Nearly 700,000 suspects with mental disorders are arrested and Mirandized each year. The current study systematically examined the effects of cognitive deficits and psychological symptoms on both Miranda comprehension and reasoning. The current sample was comprised of 85 adult psychiatric inpatients recruited from University Behavioral Health (UBH), a private psychiatric hospital in North Texas. Unexpectedly, most inpatients demonstrated pervasive deficits in their immediate recall of a representative Miranda warning, omitting approximately four-fifths of its content. In addition, the majority of inpatients evidenced damaging errors in their reasoning about waiver decisions. As a result, 64.7% waived and subsequently confessed after only a 3-5 minute interrogation. Interestingly, impaired verbal ability but not the severity of their symptoms predicted greater deficits in Miranda comprehension.
In the current study, the relation of the frequency of sport participation and gender to CRF, muscular strength and flexibility, body composition, physical activity self-efficacy, and physical self-concept in a sample of 629 sixth graders were examined. Because both physical activity and sport participation have been related to similar outcomes, activity through physical education was controlled by including only 6th graders who were part of a required school class. MANCOVA analyses demonstrated that sport involvement was significantly related to improvements in physical fitness (i.e., CRF and muscular strength), physical activity self-efficacy, and physical self-concept (CRF and muscular strength). The interaction between sport involvement and gender was not significant, suggesting these relationships existed equally for the boys and girls.
Emerging adulthood is a term coined to recognize 18 to 25 year-olds who engage in self-exploration while not yet fully identifying as adults. Many emerging adult college students experience stress, anxiety, and depression. Although many colleges provide affordable and available mental health resources for students, many students who need help appear to not utilize these services. Gaining greater understanding of underlying processes that influence psychological treatment-seeking behavior is imperative. The current study sought to explore the role experiential avoidance (EA) plays as a treatment-seeking barrier in the context of emerging adulthood. Undergraduate students completed online measures of emerging adulthood dimensions, psychological symptoms, EA, self-stigma of, perceived public stigma of, intentions to, and attitudes and beliefs towards seeking treatment, treatment seeking behavior, and a demographics questionnaire. Binomial hierarchical logistic regressions and correlational analyses examined the relationship of EA and treatment-seeking behaviors, accounting for known barriers and emerging adult characteristics. After controlling for demographic variables, results indicated that EA was significantly positively correlated with self-stigma (r = .187), p < .001), perceived public stigma (r = .178, p < .001), intentions (r - .207, p < .001), psychological symptoms (r = .713, p < .001), and attitudes and beliefs (r = .009, p = .003). These and other findings are discussed further, along with the study limitations and implications, as well as possible future directions for work in this area.
The purpose of the present study was to assess if combining the two frameworks would account for more variance in PTSS than could be accounted for using the frameworks separately. An online community sample from Amazon.com's Mechanical Turk (N = 437), who reported experiencing a prior traumatic event, completed measures that reflected the constructs of narrative centrality, negative affectivity, and death concerns, along with a measure of PTSS. PTSS was regressed on the latent variables of death concerns, narrative centrality, and negative affectivity, along with the latent variable interactions between narrative centrality*death concerns and narrative centrality*negative affectivity. Death concerns was not be predictive of PTSS, whereas narrative centrality and negative affectivity were found to uniquely and interactively account for 77% of the variance in PTSS. Death concerns was found to be a separate construct from negative affectivity. The implications of these findings for the two frameworks are discussed along with future directions. By considering aspects of narrative centrality and negative affectivity, substantial portions of PTSS can be accounted for.
The ability to monitor client change in psychotherapy over time is vital to quality assurance in service delivery as well as the continuing improvement of psychotherapy research. Unfortunately, there is not currently a comprehensive, affordable, and easily utilized outcome measure for psychotherapy specifically normed and standardized for use in psychology training clinics. The current study took the first steps in creating such an outcome measure. Following development of an item bank, factor analysis and item-response theory analyses were applied to data gathered from a stratified sample of university (n = 101) and community (n = 261) participants. The factor structure did not support a phase model conceptualization, but did reveal a structure consistent with the theoretical framework of the research domain criteria (RDoC). Suggestions for next steps in the measure development process are provided and implications discussed.
Elevated social anxiety (SA) is linked to issues with emotional distress, substance use, and social anxiety disorder (SAD). Notwithstanding concerns of how sexuality has been defined in the extant literature, emerging evidence suggests that the prevalence of SA and related challenges may be disproportionately present among sexual minorities, including lesbians, gay men, and bisexuals (LGBs). This trend may be especially relevant within the developmental context of emerging adulthood, an important period for development of sexual identity, and a time when individuals are already predisposed to heightened feelings of SA. The present study examined the relationship between sexual orientation (measured using sexual identity, sexual attraction, and past romantic and sexual behavior) and social anxiety (related to social interaction and social performance) among emerging adults. minority sexual identities [Welch's F(5,48.08) = 5.56, p = .002, ηp2 = .02.], same-sex attraction [Welch's F(4,108.06) = 11.27, p < .001, ηp2 = .04], and same-sex romantic [Welch's F(5,85.91) = 6.88, p < .001, ηp2 = .03] and sexual experiences[F(5,61.95) = 8.88, p < .001, ηp2 = .04], particularly among those who indicated attraction to multiple sexes. Findings support research that indicates that sexual minority adults experience higher levels of SA than majority (i.e., heterosexual, opposite-sex oriented) adults, and that assessment of sexuality may reflect number of sexual minorities identified. Future directions including intersections of race/ethnicity and gender are discussed.
Mutations of three genes encoding amyloid precursor protein (APP), presenilin-1 (PSEN1), and presenilin-2 (PSEN2) have been shown to reliably result in familial early-onset Alzheimer's disease (FAD); a rare, but catastrophic, subtype of Alzheimer's disease (AD) marked by symptom emergence before age 65 as well as accelerated cognitive deterioration. The current study represents the first known meta-analysis on the association of APP, PSEN1 or PSEN2 on neurocognitive variables. A total of 278 FAD mutation-carriers (FAD-MC) and 284 cognitively healthy non-mutation-carriers (NC) across 10 independent investigations meeting inclusion criteria were chosen for the current meta-analysis (random effects design). Findings revealed an overarching trend of poorer performance by FAD-MC individuals compared to NC individuals across the majority of cognitive domains identified. Significant differences in effect sizes suggested FAD-MC individuals exhibited worse performance on measures of attention, explicit memory, fluency, primary memory, verbal, and visuospatial functioning. Findings indicative of differential sensitivity to cognitive domain impairments across FAD-MC and NC groups inform neuropsychological descriptions of individuals in preclinical phases of FAD.
Psychological assessment relies on accurate and forthright reporting to determine valid clinical presentations. However, it has long been recognized that examinees may be motivated to present a "better picture" through Positive Impression Management (PIM). Within the PIM domain, two distinct motivations (i.e., defensiveness and social desirability) emerge that have not been clearly differentiated in empirical literature. This thesis addressed the research gap for detecting PIM distortion of personality pathology, utilizing the Personality Inventory for DSM-5 (PID-5). In this investigation, 106 psychiatric inpatients were recruited from the adult Co-Occurring Disorders and Trauma Programs at University Behavioral Health. Using a mixed within- and between-subjects design, participants engaged in simulation via scenarios to be considered for a highly valued rehabilitation program (defensiveness) or employment (social desirability). As expected, inpatients showed elevated levels of problematic personality traits when reporting genuinely, but suppressed them under PIM conditions. These findings highlight that the PID-5, like all multiscale inventories, is highly vulnerable to intentional PIM distortion. Interestingly, respondents in the social desirability condition generally engaged in more total denial than those in the defensiveness condition. Empirically- and theoretically-based validity scales were developed to identify simulators and differentiate between conditions. Besides PIM, higher levels of experienced stigma were associated with more personality pathology, particularly the domain of Detachment. In addition, ancillary analyses showed strong convergence of the PID-5 with its hierarchical trait model to the DSM-IV categorical model. Continued research to detect PIM distortion, and more importantly to differentiate between PIM motivations, is essential for accurate clinical assessment of personality disorder traits and effective treatment planning.
The current study examined the impact of resilience and self-compassion on the relationship between combat exposure and psychological outcomes, specifically post-traumatic stress and post-traumatic growth. Service members and veterans with combat exposure (N = 143) completed an online survey, through which they were administered a Background Questionnaire, the Combat Exposure Scale, the PTSD Checklist for DSM-5, the Posttraumatic Growth Inventory, the Connor-Davidson Resilience Scale, and the Self-Compassion Scale. Results of a path analysis revealed a positive direct effect of combat exposure on post-traumatic stress symptoms and post-traumatic growth and a negative direct effect of self-compassion on post-traumatic stress symptoms. Furthermore, self-compassion moderated the relationship between combat exposure and post-traumatic growth. Implications of these findings and future directions for research are discussed.
Agtarap, Wright, Mlynski, Hammad, and Blackledge took an initial step in providing support for the predictive validity of a new conceptual analysis concerned with behavioral restraint, defined as active resistance against a behavioral impulse or urge. The current study was designed to partially replicate and extend findings from their study, employing a common film protocol and a procedure for inducing low- and high levels of fatigue. Analyses on key data indicated that the fatigue manipulation was ineffective. On the other hand, they supported the suggestion that behavioral restraint should be proportional to the strength of an urge being resisted so long as success is perceived as possible and worthwhile. Analyses also provided evidence of gender differences for this behavioral restraint task. Women showed relatively enhanced CV responses to my manipulation of urge magnitude, performed less well, rated the behavioral restraint challenge as harder, and rated success on the more difficult behavioral restraint task as more important. A broad indication is that men and women can differ in the strength of impulses they experience in response to stimulus presentations as well as in the importance they place on resisting the impulses.
Previous research has shown that adult attachment anxiety and attachment avoidance are associated with both coping strategy use and the parent-child relationship. Additionally, research has shown that coping strategy is associated with aspects of the parent-child relationship. The current study aimed to further examine associations between parental romantic attachment, coping strategy use, and the parent-child relationship. It was hypothesized that coping strategy use would mediate the relationship between parental romantic attachment and aspects of the parent-child relationship. Participants included 86 heterosexual couples (N = 176 parents) from the Family and Kid Connection project archival dataset. Instruments included a demographic questionnaire, the Experiences in Close Relationships Scale, a brief measure of coping, and the Attachment and Relational Frustration Subscales of the Parenting Relationship Questionnaire. An actor-partner independence model was proposed and tested via multilevel modeling. Higher levels of parental attachment anxiety predicted poorer parent-child relationships. Father's attachment avoidance also predicted poorer father-child relationships. Higher levels of both parental attachment dimensions predicted greater use of avoidant emotional coping. Finally, greater use of avoidant emotional coping predicted poorer parent-child relationships. Results partially supported proposed mediational hypotheses. Two mediational paths were supported by results: an actor-actor path in which fathers' avoidant emotional coping mediated the association between fathers' romantic attachment avoidance and father-child attachment, and an actor-actor path in which mothers' avoidant emotional coping mediated the association between mothers' romantic attachment anxiety and mother-child attachment.
Mindfulness meditation is a growing area of interest for both mental health professionals and the general public alike. Beneficial outcomes are associated with these practices, although the variety of measurement techniques makes research difficult to interpret. Definitions of these constructs are varied, and anecdotal accounts point to the idea that many people hold misconceptions about mindfulness and meditation, even when meanings are made clear. Still, no formal research has been published on misconceptions of mindfulness – or, if they exist, how such misinformation affects acquisition of related skills. Furthermore, mindfulness has been incorporated into therapeutic modalities without much consideration for context, including the client's learning history. The current analogue study examined how the presentation of mindfulness meditations (i.e., inaccurate rationale/meditation and accurate rationale/meditation) affects an individual's practice. Specifically, self-reported mindfulness and meditation skills, mood questionnaires, a matching-to-sample task, and qualitative measurements were used to assess acquisition. Although primary hypotheses did not yield significant findings, results from both preliminary and exploratory analyses demonstrate significant findings with regard to teaching, learning, and measurement related to mindfulness meditation. The results, future directions, and limitations are discussed.
Adolescents spend much of their time using the internet and electronic media. Since its inception, the use of online social networking (OSN) sites by adolescents continues to grow. With the proliferation of OSN, it is critical to examine how this activity affects psychological development, but better measurement tools are needed. As researchers struggle to keep up with this rapidly growing field, many gaps remain in the literature investigating the interrelations between adolescent's OSN use and mental health outcomes. Research examining the relationship between OSN and mental health outcomes, specifically depression and anxiety, has produced mixed results suggesting that other factors influence this association. A large research literature documents associations between attachment and mental health. Given that attachment also affects interpersonal communication, several studies have investigated links between attachment and OSN use in adult and college populations. Results indicated that even though attachment to father was independently related to anxiety and depression symptoms, it was not a significant moderator for mental health and OSN. Attachment to mother was a significant moderator for anxiety and depression and several OSN subscales. Based on this information, a greater focus on youth's interpersonal connection and social skills both online and offline may be beneficial when treating adolescents experiencing anxiety or depression.
Grit is defined as "perseverance and passion for long-term goals." Although studied in relation to various outcomes, such as retention and academic performance, few studies have examined variables that may contribute to grit's development. Further, few studies have examined this construct in relation to sport performance or within athletic environments, despite its clear connection to sport-related constructs like mental toughness and resilience. Thus, based in achievement motivation theory, this study examined the relations of the perceived motivational climate as defined by athletes' perceptions of the coaches' behaviors (task vs. ego), athletes' perceptions of their achievement goal orientation (task vs. ego), athletes' perceptions of their implicit theory (i.e., fundamental beliefs regarding whether or not ability can change; growth vs. fixed), and athletes' perception of their level of grit. Male varsity soccer players (N = 81; Mage = 15.80 ± .81) from a large metropolitan area in the south central U.S. completed questionnaires measuring these achievement motivation constructs. The full regression model was significant, accounting for 18% of the grit variance, F(6, 74) = 2.77, p = .017. Within the full model, having a growth mindset (β = .25, p = .035) and endorsing a task goal orientation (β = .36, p = .004) predicted higher levels of grit for the athletes. Neither the coach-created motivational climate, nor the athletes' ego orientation or fixed mindset, were significantly predicted their grit scores. Consistent with Dweck and Duckworth, components of achievement motivation theory, particularly related to a task or growth perspective, may play an important role in athletes' developing a perspective that allows them to work effectively and diligently toward long-term goals.
There is an extensive amount of research on career development, but most of the constructs studied have focused on content-oriented variables rather than process-oriented variables. While some of the studies have examined samples from ethnic minority populations, the majority of studies use ethnic minority populations as comparison groups, studying between-group differences as opposed to within-group differences. The literature is especially deficient in the are of Latino career development. The current study will examine how family and culture influence the career development of Latino emerging adults. This study will explore the influence of socioeconomic status and acculturation on the career salience and career maturity of Latino emerging adults. The quality of the parent-emerging adult relationship will also be explored for its influence on career development outcomes in this population. One hundred fifty Latino undergraduate students ages 18-24 will be recruited for participation in this study. The participants will complete questionnaires regarding demographic information, acculturation, the quality of the parent-emerging adult relationship, career salience, and career maturity.
Findings on the relationship between engagement in lifestyle and cognitive functioning are not consistent; some authors report that engagement in lifestyle predicts an individual's cognitive functioning; while other report that an individual's cognitive functioning predicts the type and level of engagement an individual participates in. The current study will use longitudinal data (N = 235) to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Despite inconsistent findings it is proposed that cognitive functioning may be better understood when examining how stimulation of activity, need for cognition, and openness to experience affect engagement in an active lifestyle. As such the current study will investigate if stimulation of activity, need for cognition, and openness to experience moderate the relationship between engaged lifestyles and cognitive functioning. The results, limitations and implications are discussed.
Spirituality and religiosity can play key roles in individual lives through influencing health, social relationships, political views, as well as many other facets (Newberg, D'Aquili & Rause, 2001; Milevsky & Levitt, 2004; Hirsh, Walberg & Peterson, 2013). As important as religious and spiritual beliefs are to societies, cultures, and individuals, little is known about which psychological factors determine choices of faith. Although there are likely many determinants of religious, spiritual, atheist or agnostic beliefs, this study explored four possible factors: critical thinking skills, need for cognition, need for emotional comfort/security, and need for closure. Participants included an undergraduate sample and a community sample. It was hypothesized that religious and spiritual individuals will have lower critical thinking skills, lower needs for cognition, higher needs for emotional comfort/security and higher needs for closure than agnostic and atheist individuals. Hypotheses also included potential interactions between these variables in predicting each faith path. Religiosity was measured using the I/E Religious Orientation Scale - Revised (Gorsuch & McPherson, 1989) and Spirituality was measured utilizing the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) (Fetzer Institute, 1999). These two faith paths were also self -reported by participants after definitions of each were provided. Atheist and Agnostic beliefs were only measured through self-report. Results indicated that both measures of logic (critical thinking skills and need for cognition) and emotional comfort/security (Need to Belong and Religious Motivations) predicted various faith paths. Limitations included sample characteristics and small numbers of Atheist and Agnostic individuals. A better understanding of the motivations for choosing either spiritual or non-spiritual paths may assist in further explanation of the multiple roles each faith choice plays in individual lives.
Contemporary masculinity research has focused on the ways in which socialized masculine ideologies influence, especially negatively, the lives of men. Adherence to traditional masculine norms has been inversely associated with psychological help-seeking yet positively related to psychological distress and substance use. Though sport has been conceptualized as an environment in which masculine ideologies (e.g., emphasis on competition) are learned and reinforced, few studies have quantitatively explored how, or if, masculinity differs in athletes and nonathletes. Using a sample of male collegiate athletes (n = 220) and nonathletes (n =205), this study explored: (a) differences in masculinity between athletes and nonathletes; (b) relations between masculinity and psychological/behavioral outcomes (e.g., depression, substance abuse) in athletes and nonathletes; and (c) the mediational role of self-stigma in the relation between masculinity and help-seeking in athletes and nonathletes. Athletes endorsed greater conformity to masculine norms (CMN) and experienced greater gender role conflict (GRC) than nonathlete peers. Masculinity variables also predicted depressive symptomology and alcohol use in both groups, though accounted for greater variance in nonathletes. Furthermore, self-stigma mediated the relationship between CMN and help-seeking intentions for both athlete and nonathlete men. Clinical implications of these findings and potential directions for future research are discussed. Using a sample of male collegiate athletes (n = 220) and nonathletes (n = 205), this study explored: (a) differences in masculinity between athletes and nonathletes; (b) relations between masculinity and psychological/behavioral outcomes (e.g., depression, substance abuse) in athletes and nonathletes; and (c) the mediational role of self-stigma in the relation between masculinity and help-seeking in athletes and nonathletes. Athletes endorsed greater conformity to masculine norms (CMN) and experienced greater gender role conflict (GRC) than nonathlete peers. Masculinity variables also predicted depressive symptomology and alcohol use in both groups, though accounted for greater variance in nonathletes. Furthermore, self-stigma mediated the relationship ...
The purpose of the current study was to examine neuropsychological functioning in patients with bipolar disorder (BD) with psychotic features. Data from a large, epidemiological study of patients with first-episode psychosis was used to examine verbal learning and working memory 10 years after onset of psychosis in patients with BD relative to patients with schizophrenia (SZ) and patients with psychotic major depressive disorder (MDD). Cross-sectional comparisons of verbal learning and working memory at the 10-year follow-up mirrored findings of relative performance at the 2-year follow-up (Mojtabai, 2000), as patients with SZ performed significantly worse than patients with psychotic affective disorders. When FEP patients' cognitive performance was examined longitudinally, all groups showed non-significant decline over time, with no significant diagnostic group differences after accounting for current symptoms. More frequent hospitalizations and longer treatment with antipsychotics were associated with poorer performance on cognitive testing 10 years after illness onset, but these associations disappeared when controlling baseline cognitive performance. Within the BD sample, current positive and negative psychotic symptoms were associated with poorer performance on cognitive testing. After controlling for baseline cognitive performance, markers of clinical course were unrelated to cognitive performance, consistent with existing literature on longitudinal cognitive functioning in patients with BD. The current findings support a neurodevelopmental model of verbal learning and working memory deficits in patients with bipolar disorder.
Custodial grandmothers and grandchild (aged 4 to 12) dyads (N = 170) completed self-report, other-report, and an observational task that captured child HI, expressive social support, and custodial grandmother-grandchild compliance variables. A multivariate analysis of covariance tested differences between high and low hyperactivity-inattention on observed parenting variables while controlling for child age. While overall results were not significant, there were significant differences between child age and observed parenting variables. A hierarchical regression model revealed that, when controlling for age, child hyperactivity-inattention does not moderate the relationship between commands given by a custodial grandmother and child compliance, but revealed that direct commands from the grandmother predicted compliance. A second hierarchical regression model suggested that encouragement and praise (versus criticism and discouragement) from a grandmother moderated the relationship between grandmother commands and child compliance, when controlling for child age. It appeared that when grandmothers gave indirect commands more frequently, encouragement and praise instead of criticism was associated with greater compliance. In dyads with frequent direct commands given, compliance was high, however dyads who scored high in direct commands with criticism and discouragement were most likely to comply. This study adds to the literature by providing insight into the challenges and strengths for this unique, growing population.
Recent estimates suggest that a large percentage of the population experiences some type of traumatic event over the course of the lifetime, but a relatively small proportion of individuals develop severe, long-lasting problems (e.g., posttraumatic stress disorder; PTSD). One major goal for trauma researchers is to understand what factors contribute to these differential outcomes, and much of this research has examined correlates of posttraumatic stress disorder (PTSD) symptom severity. An important next step in this line of research is the development of conceptual frameworks to foster a deeper understanding of the relationships among these diverse predictors of PTSD and their predictive power in relation to each other. A framework proposed by Rubin, Boals, and Hoyle centers on the influence of narrative centrality (construal of a traumatic experience as central to one's identity and to the life story) and negative affectivity (the tendency to experience negative emotion and to interpret situations and experiences in a negative light), suggesting many variables may correlate with PTSD symptoms via shared variance with these two factors. With a sample of 477 participants recruited from Amazon Mechanical Turk, this dissertation project extended the work of Rubin and colleagues by a) utilizing structural equation modeling techniques to simultaneously examine relationships among variables, b) investigating the utility of the model with a carefully-selected list of PTSD correlates, c) extending the model by including PTSD symptom severity, and d) exploring both direct and indirect effects to assess the roles of narrative centrality and negative affectivity as they relate to known PTSD correlates and PTSD symptom severity. PTSD correlates included social support quality and quantity, peritraumatic dissociation, negative posttraumatic cognitions, perceived injustice, and negative religious coping. Hypotheses were partially supported, and there was some evidence that the model may be effective in distinguishing between variables more and less germane to ...
Given the alarmingly high rates of premature termination in training clinics, research aimed at understanding the course of change and treatment outcomes in training clinics deserves considerable attention. Additionally, more research is needed to understand the effectiveness of psychotherapy training and whether more training is actually associated with better client outcomes. Thus, this study sought to investigate whether clinicians' level of training and experience were related to a variety of clients' outcomes (e.g., well-being, symptom reduction, and life functioning) based on the phase model of psychotherapy. Unfortunately, confirmatory factor analysis of the OQ45.2 did not support the three-factor conceptual model paralleling the phase model. Rather, a two-factor model of best fit was identified. Neither clinicians' level of clinical training nor therapeutic orientation were found to be related to client improvements. However, this finding may have been attenuated by limited variance in client outcomes. Implications for clinical training and future outcome research methodologies are discussed.
Disordered eating is a general term that describes a wide range of behaviors from diagnosable eating disorders to subclinical patterns of behavior that do not meet criteria for diagnosis (e.g., problematic weight loss behaviors, excessive dieting, bingeing, purging). Disordered eating is prevalent and has a wide range of physical and psychological consequences. Negative self-conscious emotions such as shame and guilt have been implicated in the development and maintenance of disordered eating. Positive attitudes toward the self (i.e., self-forgiveness, self-compassion, self-acceptance) may be helpful in reducing shame, guilt, and disordered eating symptoms. In this dissertation, I explored the associations between positive attitudes toward the self, negative self-conscious emotions, and disordered eating in a sample of college students and adults (N = 477). Positive attitudes toward the self were associated with lower levels of disordered eating symptoms, and this relationship was partially mediated by lower levels of negative self-conscious emotions. I concluded by discussing areas for future research and implications for clinical practice.
Discordance between weekday and weekend sleep schedules is common (Bonnet & Arand, 1995; Breslau, Roth, Rosenthal, & Andreski, 1997; Machado, Varella, & Andrade, 1998; Strauch & Meier, 1988; Tsai & Li, 2004). Brief retrospective self-report measures are essential for epidemiological research studies (Moul, Hall, Pilkonis, & Buysse, 2004), but self-reports are prone to error in recall, and the greater the variability in nightly sleep, the less reliable are retrospective reports (Babkoff, Weller, & Lavidor, 1996). More accurate self-report responses may be possible if measures prompt participants to consider variations in sleep schedules that are consistent (i.e., weekday and weekend sleep schedules). The current study experimentally examined whether Bifurcated (Weekday and Weekend) retrospective assessments of sleep are more accurate than Unitary (Past Week) assessments. Participants were randomly assigned to complete one of the two versions (Bifurcated vs. Unitary) of the Sleep Questionnaire. One hundred and thirty-one participants were included in the analyses. Results of a a series of analyses demonstrated that the Bifurcated version of the Sleep Questionnaire provided more accurate and less variable estimates of total sleep time than the Unitary version of the Sleep Questionnaire. Differences between the versions of the Sleep Questionnaire for other sleep variables were less consistent, and the increased length of the Bifurcated version of the Sleep Questionnaire may have contributed to increased missing and unusable data in this group. Overall, the findings suggest that in both research and clinical work, retrospective measures that examine weekday and weekend sleep separately may offer advantages over retrospective measures that do not differentiate between weekday and weekend sleep.
Currently, the etiology of obesity is conceptualized as a confluence of environmental, socioeconomic, behavioral, biological and genetic factors. With regard to behavioral factors, some have suggested that a failure of self-control may contribute to the difficulty of an overweight/obese individual because of their inability to resist food or maintain physical activity. Recent research proposed that self-control could be described as similar to a muscle that can be fatigued. Thus, if an individual engages in a self-control task they have lessened ability to utilize self-control on a subsequent task. Theory also suggests self-control may be fueled by a finite resource, identified as blood glucose. The role blood glucose plays is important to understand, especially in overweight and obese populations, as they may be more likely to be insulin resistant. In effect overweight and obese individuals are less likely to adequately process glucose. Therefore overweight/obese individuals might react to self-control tasks differently than normal weight individuals. Participants who were considered normal weight, overweight, and obese were recruited from the UNT research pool. They answered questions about their trait self-control in daily life and engaged in either a task that required them to exert self-control (e.g., resist crossing out a letter unless criteria is met) or a control task (e.g., cross out a letter without restriction). All participants then engaged in a subsequent self-control task to assess if engaging in the initial self-control task reduced performance on the subsequent self-control task compared to the control task. The current research findings were not in line with previous research, in that a depletion effect in self-control was not observed; in neither the normal weight individuals nor the overweight and obese groups. There were several limitations that may have contributed to these findings including; higher DSC than observed in the general population and a possible adaptation ...
HIV is a potentially fatal virus that affects over 1,148,200 people in the United States. Due to the minority status that comes with living with HIV, PLH (people living with HIV) often encounter various aspects of stigma due to HIV, which contributes to suppressed overall psychological quality of life (PQOL).While the relationship between stigma and PQOL in PLH is well documented, little research examines mediators of this relationship. We hypothesized that spirituality (as measured by sense of peace, forgiveness of self and perceived fulfillment of life's goal) mediates the relationship between stigma and PQOL (as measured by depression, mental health and stress). We used an explanatory sequential mixed methods design which utilizes two distinct phases of the research process: quantitative (QUANT) analysis followed by qualitative (QUAL) analysis. Results of the QUANT phase suggest spirituality is a partial mediator in the relationship between stigma and PQOL in PLH. In the QUAL phase, we interviewed 15 PLH to elaborate on the relationships between the three constructs. We found PLH endorsed personalized stigma most frequently. Similarly, our results also indicate PLH experience stress, depression and anxiety as a result of their HIV status. Lastly, participant's interviewed most commonly described their spiritual beliefs as relating to religion or God, which is in contrast to how spirituality was conceptualized in the quantitative portion of our study. In all, QUAL results confirmed QUANT findings, with the one main difference between how spirituality was conceptualized between the QUANT and QUAL qualitative portions of our study. Results highlight the importance of clinicians inquiring about PLH's PQOL, experiences of stigma and spiritual beliefs.
While a significant amount of research illustrates the overall positive effects of therapists' general use of mindfulness, very few studies have addressed whether therapists' use of mindfulness translates to improved psychotherapy outcomes. The present study utilized a randomized-controlled design to test whether a brief mindfulness training program and pre-session mindfulness practice could have a positive impact on therapy; in particular, we hypothesized that mindfulness training and practice would improve ratings on therapeutic presence as rated by clients and therapists and session effectiveness as rated by clients. The present study also examined whether clients' subjective ratings of therapy outcome and therapists' theoretical orientation impacted outcome measures after therapists completed mindfulness training. The 20 participating therapists were randomly assigned to either the mindfulness training (MT) group or control group according to a computer generated randomization list. Results indicated that clients did not significantly improve on outcome measures after completing the mindfulness training. Clients' subjective ratings on a psychotherapy outcome measure did predict changes in their ratings of therapeutic presence. This finding may have important implications for future research examining client characteristics that may moderate the relationship between therapeutic presence and session outcomes. Limitations of the present study and future directions are discussed.
Despite research documenting the association between shame and aspects of poor psychological functioning, shame's adverse effects have remained largely invisible in modern societies. Shame has been described as the "attachment emotion" (Lewis, 1980), yet, there is little research that examines the relationship between attachment style and shame, and conclusions from this research are tempered by methodological limitations. The current study aimed to address methodological limitations with a quasi-experimental design and employed measures of state and trait shame, shame coping styles, an Emotional Stroop task for assessing implicit shame, and a shame mood induction procedure (MIP). This methodology provided a basis to examine differences by attachment style for 271 university students in state, trait, and implicit shame, as well as the use of maladaptive shame coping styles at baseline and following a shame MIP. Additionally, a qualitative analysis of the shame MIP written responses was conducted to provide a more nuanced understanding of the task used to elicit feelings of shame and individual differences in events identified as shame-triggering. Results revealed that students evidencing an insecure attachment style (i.e., preoccupied, fearful, or dismissive). reported significantly more state and trait shame compared to students evidencing a secure attachment style after the shame MIP. Individuals with an insecure attachment also demonstrated significant increases in state shame from baseline to post-MIP. Additionally, students with a preoccupied or fearful attachment style were also significantly more likely to endorse utilizing maladaptive shame coping strategies compared to students with a secure attachment style. Clinical implications, limitations, and future research directions are discussed.
Within an achievement motivation theoretical framework, there are factors thought to most heavily influence performance and task difficulty selection. More specifically, motivational climates, feedback, confidence, and anxiety have all been identified as important factors influencing outcomes within performance settings. Much of the literature in the area of achievement motivation has focused on on the effects of mastery- and ego-oriented feedback on performance within academic settings and has received limited attention in the sport psychology literature within an athletic setting. Given the demonstrated effects of mastery- and ego-oriented feedback on performance, the importance of performance within the athletic context, and the scant literature examining the effects of feedback on athletic performance, the influence of feedback on sport performance needed to be empirically examined. The primary aim of this study was to provide a clearer understanding of the relationship of factors influencing athletic performance, with the ultimate goal of moving research toward a greater understanding of how optimal performance is achieved. As a result, this research may prove applicable to researchers, coaches, and athletes working toward optimal performance. In this study, I examined how mastery- and ego-oriented feedback influenced youth athletes' soccer performance, task difficulty selection, confidence, and anxiety. Youth soccer athletes (n = 71) participated in a soccer kicking task consisting of two trials. Between subjects ANCOVA analyses revealed athletes receiving mastery-oriented feedback performed significantly better on the soccer kicking task than athletes receiving ego-oriented feedback. No differences were discovered on task difficulty selection, confidence, or anxiety. Providing athletes mastery-oriented feedback before or after skill execution could be helpful in the development of athletic skill development and performance. Limitations of the present study and questions to examine in future research are also discussed.
The goal of this project was to understand ethnic and generational differences in attitudes towards caregiving and expected burden while taking into consideration factors such as gender, generation, familism, and acculturation. One hundred and sixteen young adults (ages 18-25) and 93 middle-age adults (ages 38-62) were enrolled in the study. Participants included European Americans, African Americans, and Hispanics. Using moderation analysis, two hypotheses were investigated: 1) Ethnicity relates to attitudes towards caregiving, moderated by gender, generation, familism, and acculturation. 2) Ethnicity and expected burden relate to each other, moderated by gender, generation, familism, and acculturation. Familism emerged as a moderator in the relationship between ethnicity and expected burden. Results suggested that the strength of the relationship between being African American and expecting burden was less for those with moderate familism (R =.078), slightly higher for low familism (R = .176), and the highest for high familism (R= .261). Additional results indicated that the strength of the relationship between being Hispanic, as opposed to being European American, and expected burden, was higher for middle-aged adults (R =.23) when compared to young adults (R =.19). The current findings lend support to the recently established idea that familism is not protective against burden as it increases one's sense of obligation towards family (Knight & Sayegh, 2010).
Although research on attachment theory has grown exponentially in the field of psychology, few studies exist that examine this theory among young Muslim-American adults, despite the fact that Muslim-Americans represent a significant and growing segment of the U.S. population. The first goal of the current study was to replicate the results of previous studies demonstrating a strong relationship between attachment and the selected wellbeing indicators of psychological symptoms and life satisfaction. The second goal of the proposed study was to examine the relationships among maternal attachment, Islamic religiosity, and psychological wellbeing. Findings provided partial support to the direct effects of attachment and religiosity variables on particular outcome variables but did not support the moderating effect of religiosity. High maternal Control was found to be predictive of less psychological distress, whereas both maternal control and care were found to be negatively associated with an interpersonal behaviors aspect of religiosity. In addition, those who endorsed practicing Islamic rituals were found to report less life satisfaction, and individuals who viewed the world through an Islamic lens reported higher psychological distress. Discussion on the findings, limitations of the study, future research directions, and counseling implications are addressed.
A growing body of research has documented associations between personality disorders (PDs) and attachment disturbance, and yet, attachment disturbance does not necessarily guarantee the development of PD pathology. Thus, understanding the mechanisms mediating the relationship between attachment disturbance and PD pathology remains an open area of research. One area with sound theoretical and empirical evidence has shown that attachment disturbances are associated with emotion regulation difficulties, as well as maladaptive interpersonal patterns of behavior. However, the research conducted thus far has predominately focused on borderline personality disorder, at the exclusion of other PD domains, and also has not broadened the scope of research to include other relevant psychological processes that may clarify how personality pathology and attachment disturbance are interrelated. Using a large independent sample of college (n = 946) and community-based individuals (n = 271), the current study aimed to (1) examine how the Personality Inventory for DSM-5 (PID-5) PD trait domains would be differentially associated with maladaptive attachment processes and emotion regulation problems, and (2) explore whether deficits in mindfulness and emotion regulation mediated the relationship between disturbed attachment and PD trait domains. Findings suggested that the PID-5 PD trait domains have general and specific relations to attachment insecurity, impairments in emotion regulation, and decreased mindfulness. Overall, the current study suggests that improving emotion regulation skills and increasing dispositional mindfulness may limit the expression of pathological personality traits. Implications of these findings and directions for future research are discussed.
Research indicates that some college students may be strongly motivated to feign AHDD symptoms for desired external incentives, such as stimulant medication or academic accommodations. To date, literature examining feigned ADHD has been primarily focused on ADHD specific self-report measures (e.g., CAARS) and continuous performance tests (e.g., CPTs); however, little attention has been devoted to the use of multi-scale inventories in detecting feigned ADHD. For CPT measures, virtually no literature exists on the effectiveness of the TOVA to identify feigned ADHD, despite its frequent clinical use for establishing this diagnosis. The current study utilized a between-subjects simulation design to validate feigning cut scores on ADHD-specific measures using 66 feigners and 51 confirmed ADHD cases. As prior literature suggested, the results convincingly demonstrated that face-valid ADHD assessment measures were easily faked. Across both TOVA modalities (e.g., Auditory and Visual), the ADHD simulators performed significantly poorer than those diagnosed with ADHD. As an innovative approach, a Dissimulation-ADHD (Ds-ADHD) scale was developed and initially validated. The Ds-ADHD is composed of ten MMPI-2-RF items mistakenly believed to be clinical characteristics associated with ADHD. Requiring cross-validation, Ds-ADHD optimized cut scores and classification of ADHD feigners appears promising. They were clearly distinguishable from ADHD client, as well as those feigning general psychopathology. Recommendations for the utilization of the Ds-ADHD scale, and future directions for research are discussed.
An individual's perceptions of various aspects of one's romantic relationship (irrespective of whether or not the perceptions align with reality) often play a critical role in romantic relationship satisfaction. Research has demonstrated that the accuracy of an individual's perception of his or her partner is generally positively related to the individual's romantic relationship satisfaction. However, when perceiving negative or conflictual messages from a partner, an individual's accuracy of perception is negatively associated with his or her romantic relationship satisfaction. Researchers have suggested that poor accuracy in perceiving negative messages might diffuse the negative intention in a way that is less impactful to the relationship. The present study was designed to investigate accuracy in the perception of sexual topics, specifically masturbatory habits. A sample of 93 married couples (186 individuals) responded to questions about (a) their own masturbatory behaviors and (b) their perception of their partners' masturbatory behaviors to determine the accuracy of each partner's perception of his or her partner. The association between accuracy and romantic and sexual relationship satisfaction was explored, along with one potential moderating variable: attitudes toward masturbation. Perceived reason for masturbating, perceived target of arousal during masturbation, and partner's actual reason for masturbating all positively predicted an individual's relationship satisfaction. Partner's actual openness about masturbatory behaviors moderated the association between accuracy of partner perception of openness about masturbation and both relationship and sexual satisfaction. When partners were more open about masturbation, accuracy was a stronger positive predictor of relationship and sexual satisfaction than when partners were less open about masturbation. Results, limitations, areas for future research, and clinical implications are discussed.
The effectiveness of memory specificity training (MeST) was compared with standard cognitive processing therapy (CPT) in treatment of individuals with posttraumatic stress disorder. Eighteen adults aged 18-36 were randomly assigned to the MeST intervention (n = 9) or to the active control group (n = 9) of CPT. Both treatments were administered in group format across 6 weeks. MeST consisted of 6 weekly sessions, while CPT consisted of 12 biweekly sessions. The trial was undertaken in the Psychology Clinic of the University of North Texas, with randomization to conditions accomplished via computer random number generator. The primary outcome measure was change in PTSD symptoms post-treatment from baseline. Sixteen individuals (13 women and 3 men; MeST n = 8 and CPT n = 8) completed treatment and their data was analyzed. MeST significantly decreased PTSD symptomology at post-treatment and these results were maintained at 3 months post-treatment. MeST was found to be as effective as the established CPT intervention at reducing PTSD symptomology. Both MeST and CPT significantly increased participants' ability to specify memories upon retrieval at post-treatment, with results maintained at follow-up. There were no significant effects of MeST or CPT in ability to increase overall controlled cognitive processing at post-treatment or follow-up. No individual in either group reported any adverse effects during treatment or at 3 months follow-up. MeST appears to hold promise as an efficacious treatment option for PTSD. MeST was as effective as CPT in reducing symptoms of PTSD, but required only half the number of treatment sessions to accomplish these gains. Replication of these findings in larger samples is encouraged.
Currently sibling research is burgeoning, yet there is virtually no literature regarding outcomes associated with witnessing the abuse of a sibling. The present study aimed to address this gap in the literature. A sample of 284 university students were surveyed regarding traumatic experiences in childhood and adulthood, the quality of childhood sibling relationships, and the experience of trauma symptoms in adulthood. Regression and moderation analyses were conducted to examine the relationship between witnessing the abuse of a sibling in childhood and trauma symptoms in adulthood and to assess whether sibling relationship quality moderates the association between sibling abuse and trauma symptomology. Results showed that witnessing the abuse of a sibling was associated with depression symptoms in the overall sample and for females reporting about a brother. Also, sibling conflict moderated the relationship between witnessed sibling abuse and externalization in sister-sister dyads. These associations should be considered in terms of the systemic abuse to which participants were exposed. Implications for clinical practice working with sibling-related victimization are discussed.
The work group editing trauma disorders for the upcoming edition of the International Classification of Diseases (ICD-11) made several changes. Specifically, they significantly simplified the guidelines for post-traumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). The new domains for PTSD and the addition of CPTSD require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (Complex Trauma Inventory; CTI) according to the proposed ICD-11 domains, creating several items to assess each domain. We examined the factor structure of the CTI (using both exploratory and confirmatory factor analyses) in two separate samples of diverse college students (n1 = 501; n2 = 500), reducing the original 53 trauma items in the item pool to 21 items. Confirmatory factor analyses supported two highly-correlated second-order factors (PTSD and complex factors), with PTSD (i.e., re-experiencing, avoidance, hyper-arousal) and complex factors (i.e., affect dysregulation, alterations in self-perception and alterations in relationships with others) each loading on three of the six ICD-11-consistent first-order factors (RMSEA = .08, CFI = .92, GFI = .87, SRMR = .06). Internal consistency for PTSD (α = .92) and complex factors (α = .93) are excellent.
Current evidence suggests that non-medical prescription stimulant (NMPS) use is on the rise, particularly among college students. Identifying individuals at risk for regular and problematic use is a critical step towards the development of effective intervention efforts. A growing body of work has noted that individuals with elevated levels of social anxiety (SA) or social anxiety disorder are at an enhanced risk for developing substance use problems, including NMPS use disorder. Despite the relevance of SA and NMPS use among college students, no studies have attempted to examine subclinical SA or the relation between SA and NMPS use among college students specifically. Thus, the present study sought to extend this area by testing the relation of SA symptoms and NMPS use frequency among college students. A large online study of college students was conducted (N=1604) to identify 252 NMPS users (18-25 years; 68.3% female). A hierarchical linear regression was used to test the moderation of positive prescription stimulant expectancies on SA symptoms in predicting past year NMPS use frequency. A subsample of 15 participants was also brought into the lab to assess subjective (State Anxiety) and physiological (salivary cortisol) responding to a social stressor task. Overall, the current study did not provide evidence that SA, via retrospective self-report or real-time responding was related to past year NMPS use frequency. Additional research is needed to resolve the discrepancies between the present findings and prior work.
Posttraumatic stress disorder (PTSD) is a trauma-related disorder that may develop in response to traumatic or stressful events. Dysfunction of the Hypothalamic-Pituitary-Adrenal (HPA) axis has been implicated in the disorder. Studies support such dysfunction as being a consequence of PTSD, rather than a precursor. However, most studies of the HPA are either cross-sectional or have been carried out in adults. The aim of the present study was to identify whether HPA dysregulation interacts with stressful experiences to increase the likelihood of developing PTSD symptoms in a community-recruited sample of healthy adolescent girls. Adolescent girls (N = 550) and one of their parents participated. Adolescents’ clinical symptoms were assessed at baseline and at a nine month follow-up. Saliva samples were collected from all adolescent participants at waking, 30 minutes after waking, and 8 pm on 3 consecutive days. Flattened diurnal slope of cortisol at baseline was associated with increased PTSD symptoms nine months later. Baseline cortisol awakening response (CAR) per se was not prospectively related to developing PTSD symptoms, but its interactions with stressful experience was associated with elevated PTSD symptoms at follow-up. Effects were small and need to be replicated in samples with more severe stressors, as well as more clinical levels of PTSD. Nevertheless, findings suggest that dysregulated basal HPA functioning may be involved in the development of PTSD symptoms.
Since 2002, the number of veterans enrolled in universities has nearly doubled, although 30-40% of veterans fail to complete their degree. While research efforts to understand the challenges veterans face transitioning from military life to college has increased in recent years, few studies have looked beyond the effects of post-traumatic stress disorder (PTSD). Insomnia is the most frequently reported symptom of combat veterans and can have serious implications for college students. The purpose of this study was to examine the role of insomnia and student veteran adaptation to college relative to civilian students. College students (N = 588) were administered a Background Information Questionnaire, the Insomnia Severity Index, the Deployment Risk and Resilience Inventory, and the Student Adaptation to College Questionnaire. Results revealed that students with insomnia reported significantly lower adaptation to college than students without insomnia. Student veterans reported better academic and personal-emotional adaptation to college than civilian students, while civilians reported better social adjustment than veterans. Although combat veterans without insomnia scored consistently higher academic adjustment than non-combat veterans and civilian students, when present insomnia seemed to have a greater negative effect on combat veterans’ academic adjustment relative to civilian students. Furthermore, insomnia mediated the relationship between combat exposure and veteran’s personal-emotional adjustment to college. Implications and future directions for research are discussed.
In the current study, we aimed to explore the relationship between perceived stress, spirituality and self-esteem and how they are related to psychological QOL. We found that our overall model accounted for 58% of the total variance in psychological QOL (adj. R2 = .58, F(10, 136) = 21.79, p < .001) with stress (β = -.37, p < .01) and self-esteem (β = .45, p < .01) as the significant predictors. Additionally we found that spiritual beliefs and practices moderate the relationship between stress and QOL (adj. R2= .49, F(11, 135) = 13.88, p < .001). Lastly, we conducted a principle component analysis (PCA) on our three variables of interest and outcome variable to determine whether the proposed structure of our measures holds true for our sample (i.e., LGB populations).
The current case involves a female rape victim. Research has shown the level of victim blaming can be elevated if the victim is a lesbian woman compared to a heterosexual woman. Mock jurors’ responses to personality trait questionnaires (e.g., Belief in a Just World, Attitudes Toward Women, Attitudes Toward Lesbians) and amount of contact they have with homosexual people were employed as predictors of how they would decide victim blaming and perpetrator guilt. Personality trait findings were not good predictors; however, greater contact with homosexuals did decrease negative attitudes toward lesbian victims. Limitations and implications for future research are addressed.
Grit and achievement motivation have been predictors of behavior in academia and military settings (Duckworth, Matthews, Peterson, & Kelly, 2007), but to date, research on their effects on sport performance has been limited. Given grit's predictive role in other performance domains, grit may be influential in athletes' long-term goal attainment, interacting with their achievement motives and leading to better performances. Athletes' trait levels of grit may influence how they understand and respond to messages received within motivational climates from key personnel such as from coaches and teammates. We examined potential moderating effects of grit on the relationship between motivational feedback and high school soccer players (N = 71, Mage = 15.81) performance on a soccer task, their desire to persist in the task, and their choices of task difficulty. We used hierarchical multiple regression to test the main effects of feedback and grit and to determine if grit moderated the effects of feedback on performance. Grit was a significant moderator of the feedback-shooting performance relationship, accounting for 3.9% of variance. Simple slopes analysis revealed a significant effect for low (B = 13.32, SEb = 4.44, p = .004, t = 2.99), but not high, (B = 2.11, SEb = 4.31, p = .63, t = .49), grit on task success. Grit was not a significant moderator of task difficulty selection or task persistence. These results suggest that for those high in grit, feedback about natural ability or hard work is not particularly influential on performance. However, for low grit athletes, type of feedback matters.
Bipolar disorder is a serious illness affecting approximately 2-4% of the population and is one of the world’s leading causes of disability. In individuals with bipolar disorder, medical comorbidity associated with cardiovascular, respiratory and endocrine disorders is related to increased rates of mortality. Recent updates to multi-system inflammatory related conceptualizations of bipolar disorder focus on the unique power that medical illness and biological processes may play as factors associated with course and outcome in bipolar disorder. The current study examined medical comorbidity and its associations with various demographic and psychological variables in individuals with bipolar disorder, schizophrenia, and major depressive disorder with psychotic features followed for 10 years from their first hospital admission. When compared to an age, gender and race-matched control sample from the population, those with bipolar disorder had significantly higher medical comorbidity across a range of medical diagnoses both at 6 months and 10 years after first hospital admission. Ten years following initial hospitalization, individuals in all three diagnostic groups reported increased rates of diabetes (OR: 2.0 – 3.7), stroke (OR: 4.6 – 7.0) and asthma (OR: 1.9 - 3.1), and individuals with bipolar disorder reported increased rates of cancer (OR = 2.1). A number of psychological and demographic symptoms were examined for their ability to predict the development of medical illness across the assessment interval. Overall rates of medical illness were elevated both early in illness course and 10 years after diagnosis, suggesting that broad sequelae of multi-system inflammation are present early and progress over time.
Female collegiate athletes have been established as a high-risk group for the development of eating disorders due to the high prevalence rates of clinical and subclinical eating disorders, which have ranged from 1.9% to 16.6% and 4.0% to 26.1%, respectively. Collegiate athletes appear to meet criteria for ED-NOS more often than anorexia or bulimia nervosa, and frequently engage in pathogenic weight control behaviors (e.g., dieting, excessive exercise). To date, only a few studies have examined the long-term stability of eating disorders in collegiate female athletes. The current study investigated the prevalence of eating disorders (i.e., eating disordered, symptomatic, and asymptomatic) and pathogenic weight control behaviors (e.g, binging, vomiting, laxative use) in 325 NCAA-DI female collegiate gymnasts and swimmers/divers across two time points – the beginning of their competitive seasons (Time 1) and during the final two weeks of their competitive seasons (Time 2). By Time 2, 90% of the athletes classified as eating disordered at Time 1 (n = 20) maintained clinical or subclinical eating disturbances. Of the 83 athletes originally symptomatic, 37.3% remained so and 10.8% became eating disordered. Significantly more athletes became satisfied with their bodies over the course of the season than became dissatisfied. The athletes reported using exercise and dieting/fasting as the most frequent forms of weight control behaviors, each of which were used less frequently at Time 2 than at Time 1. The results support overall stability of eating disorder behaviors and classification over the course of a competitive season. Limitations and implications are discussed.
COPD is the third leading cause of death in the United States and is the sixth leading cause of death for low-to middle income countries (Downs & Appel, 2006; GOLD, 2011). COPD is a largely preventable disease due to the lifestyle factors that heavily contribute to disease onset and severity. Although traditionally COPD research has focused on health outcomes related to risk factors, compliance, comorbid psychological and physical conditions, and treatment interventions, a growing body of research suggests religious and spiritual factors may play an equally important role in health outcomes for several medical conditions, including pulmonary disease. However, studies of this kind have not specifically examined COPD nor have they examined the role of religious and spiritual beliefs in COPD management among ethnic minority patients. As such, the current study aimed to examine whether spiritual ethnic minority patients with COPD hold religious fatalistic attitudes and less active religious problem solving . A sample of 35 ethnic minority patients from the Louis. B. Stokes Cleveland VA Medical Center (LSCVAMC) Outpatient Pulmonary Clinic in Cleveland, OH. were recruited to participate in the study. Due to the acknowledgeable limitations of the present study, results are preliminary but convey associations between religious health fatalistic beliefs and religious problem solving approaches. Implications and areas of future study are discussed.
When a romantic relationship ends in dissolution, the ex-partners may experience distress similar to post-traumatic stress or complex grief (i.e., dysphoric mood, feelings of loss, intrusive memories, negative rumination regarding the relationship, and a loss of self-esteem). Interventions designed to reduce post-breakup distress have historically attempted to foster integration of the breakup into the self-narrative through techniques such as expressive writing. Recent research indicates centrality, or heightened integration of an event or concept into an individual’s identity, predicts heightened levels of distress in the case of negative life events, including romantic relationship dissolution. Given the role romantic relationships themselves play in identity formation, exploration is warranted of the potential distress resulting from over-identification with a romantic relationship itself, or relationship centrality, after a breakup has occurred. Furthermore, if an individual has overly-integrated a relationship into their identity, the effectiveness of interventions focusing on further integration of the breakup is called into question. This study explored the centrality of participants’ previous romantic relationships, the distress resulting from the dissolution of those relationships, and the role of expressive writing as a distress reduction tool when centrality is taken into account.
Sexual minorities experience higher levels of stress than heterosexuals, which in turn affects coping and psychological quality of life (PQOL). Although many sexual minorities remain mentally healthy, a higher prevalence of mental disorders among members of the lesbian, gay and bisexual (LGB) communities exists; thus, LGB PQOL becomes an important area to examine. Several key factors are related to PQOL: shame due to heterosexism, self-esteem and perceived stress. Using minority stress model, I hypothesized that shame due to heterosexism and perceived stress are negatively correlated with PQOL, while self-esteem is positively correlated with PQOL. I hypothesized that collectively shame due to heterosexism, self-esteem and perceived stress account for a significant proportion of the variance in PQOL, that self-esteem moderates the relationship between perceived stress and PQOL and that age moderates the relationship between shame due to heterosexism and PQOL. I calculated Pearson product-moment correlation coefficient and found shame due to heterosexism was negatively correlated with PQOL (r(146) = -.21, p = .009), perceived stress was negatively correlated with PQOL (r (146) = -.69, p < .001) and self-esteem was positively correlated with PQOL (r(146) = .72, p < .001). I conducted a regression analysis and found our model accounted for 59% of the variance in PQOL (adj. R2 = .59, F(3, 144) = 68.88, p < .001). Self-esteem did moderate the relationship between perceived stress and PQOL (p = .029), but age did not moderate the relationship between shame due to heterosexism and PQOL. Results suggest perceived stress and self-esteem play key roles in sexual minorities’ PQOL. Implications are discussed.
This study directly tested implications of motivation intensity theory on effort to restrain against a behavioral urge or impulse (i.e. restraint intensity). Two factors were manipulated—magnitude of an urge and the importance of successfully resisting it—with cardiovascular (CV) responses related to active coping measured. Male and female undergraduate students were presented with a mildly- or strongly evocative film clip with instructions to refrain from showing any facial response. Success was made more or less important through coordinated manipulations of outcome expectancy, ego-involvement, and performance assessment. As expected, systolic blood pressure responses assessed during the performance period were proportional to the evocativeness of the clip when importance was high, but low regardless of evocativeness when importance was low. These findings support a new conceptual analysis concerned with the determinants and CV correlates of restraint intensity. Implications of the study and associations with current self-regulatory literature are discussed.
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