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Psychological

and Physiological

Trauma Research

 

 

Seize Your Journeys

 

_______________________

Traumatic stress is found in many competent, healthy, strong, good people.  No one can completely protect themselves from traumatic experiences.  Many people have long-lasting problems following exposure to trauma.  Up to 8% of persons will have PTSD at some time in their lives. People who react to traumas are not going crazy.  What is happening to them is part of a set of common symptoms and problems that are connected with being in a traumatic situation, and thus, is a normal reaction to abnormal events and experiences.  Having symptoms after a traumatic event is NOT a sign of personal weakness.  Given exposure to a trauma that is bad enough, probably all people would develop PTSD.

By understanding trauma symptoms better, a person can become less fearful of them and better able to manage them. By recognizing the effects of trauma and knowing more about symptoms, a person will be better able to decide about getting treatment.

_______________________

 

FUNCTIONAL NEUROANATOMY

In order to best understand this atlas it is important to have a sense of the functional neuroanatomy of the brain. Over the next several pages there is a brief summary of the 5 major brain systems that relate to behavior, along with the general location seen on SPECT of these areas.


 

The Deep Limbic System


side active view


underside surface view


underside active view

Functions

  • sets the emotional tone of the mind

  • filters external events through internal states (emotional coloring)

  • tags events as internally important

  • stores highly charged emotional memories

  • modulates motivation

  • controls appetite and sleep cycles

  • promotes bonding

  • directly processes the sense of smell

  • modulates libido

Problems

  • moodiness, irritability, clinical depression

  • increased negative thinking

  • perceive events in a negative way

  • decreased motivation

  • flood of negative emotions

  • appetite and sleep problems

  • decreased or increased sexual responsiveness

  • social isolation

The Basal Ganglia System


left side active view


underside active view

Functions

  • integrates feeling and movement

  • shifts and smoothes fine motor behavior

  • suppression of unwanted motor behaviors

  • sets the body's idle or anxiety level

  • enhances motivation

  • pleasure/ecstasy

Problems

  • anxiety, nervousness

  • panic attacks

  • physical sensations of anxiety

  • tendency to predict the worst

  • conflict avoidance

  • Gilles de la Tourette's Syndrome/tics

  • muscle tension, soreness

  • tremors

  • fine motor problems

  • headaches

  • low or excessive motivation

The Prefrontal Cortex


dorsal lateral prefrontal cortex
outside view


inferior orbital prefrontal cortex
outside view


side surface view
dorsal lateral prefrontal area


inferior orbital prefrontal area
inside view


underside surface view
inferior orbital prefrontal area


top-down surface view
dorsal lateral prefrontal area

Functions

  • attention span

  • perseverance

  • judgment

  • impulse control

  • organization

  • self-monitoring and supervision

  • problem solving

  • critical thinking

  • forward thinking

  • learning from experience

  • ability to feel and express emotions

  • influences the limbic system

  • empathy

Problems

  • short attention span

  • distractibility

  • lack of perseverance

  • impulse control problems

  • hyperactivity

  • chronic lateness, poor time management

  • disorganization

  • procrastination

  • unavailability of emotions

  • misperceptions

  • poor judgement

  • trouble learning from experience

  • short term memory problems

  • social and test anxiety

The Cingulate Gyrus


inside side view


side active view


active top-down view


active front-on view

  • allows shifting of attention

  • cognitive flexibility

  • adaptability

  • helps the mind move from idea to idea

  • gives the ability to see options

  • helps you go with the flow

  • cooperation

Problems

  • worrying

  • holds onto hurts from the past

  • stuck on thoughts (obsessions)

  • stuck on behaviors (compulsions)

  • oppositional behavior, argumentative

  • uncooperative, tendency to say no

  • addictive behaviors (alcohol or drug abuse, eating disorders, chronic pain)

  • cognitive inflexibility

  • obsessive compulsive disorder

  • OCD spectrum disorders

  • eating disorders, road rage

The Temporal Lobes


side view


side surface view


underside surface view


active side view

Functions

Dominant Side (usually the left)

  • understanding and processing language

  • intermediate term memory

  • long term memory

  • auditory learning

  • retrieval of words

  • complex memories

  • visual and auditory processing

  • emotional stability

Problems

Dominant Temporal Lobe

  • aggression, internally or externally driven

  • dark or violent thoughts

  • sensitivity to slights, mild paranoia

  • word finding problems

  • auditory processing problems

  • reading difficulties

  • emotional instability

Non-dominant Side (usually the right)

  • recognizing facial expression

  • decoding vocal intonation

  • rhythm

  • music

  • visual learning

  • difficulty recognizing facial expression

  • difficulty decoding vocal intonation

  • implicated in social skill struggles


Either/Both Temporal Lobe Problems

  • memory problems, amnesia

  • headaches or abdominal pain without a clear explanation

  • anxiety or fear for no particular reason

  • abnormal sensory perceptions, visual or auditory distortions

  • feelings of déjà vu or jamais vu

  • periods of spaciness or confusion

  • religious or moral preoccupation

  • hypergraphia, excessive writing

  • seizures

 

 

Secure Attachments as a Defense Against Trauma

 “All people mature and thrive in a social context that has profound effects on how they cope with life’s stresses.  Particularly early in life, the social context plays a critical role in fuffering an individual against stressful situations, and in building the psychological and biological capacities to deal with further stresses.  The primary function of parents can be thought of as helping children modulate their arousal by attuned and well-timed provision of playing, feeding, comforting, touching, looking, cleaning, and resting—in short, by teaching them skills that will gradually help them modulate their own arousal.  Secure attachment bonds serve as primary defenses against trauma-induced psychopathology in both children and adults (Finkelhor & Browne, 1984).  In children who have been exposed to severe stressors, the quality of the parental bond is probably the single most important determinant of long-term damage (McFarlane, 1988).”  van der Kolk, Bessel, Alexander C. McFarlane, and Lars Weisaeth, eds.  1996. Traumatic stress: The effects of overwhelming experience on mind, body, and society.  New York and London: Guilford Press. .p. 185

_______________________

 

 

Sleep Disorders

 

            “The sleep disorders are organized into four major sections according to presumed etiology.  Primary Sleep Disorders are those in which none of the etiologies listed below (i.e., another mental disorder, a general medical condition, or a substance) is responsible.  Primary Sleep Disorders are presumed to arise from endogenous abnormalities in sleep-wake generating or timing mechanisms, often complicated by conditioning factors.  Primary Sleep Disorders in turn are divided into Dyssomnias (characterized by abnormalities in the amount, quality, or timing of sleep) and Parasomnias (characterized by abnormal behavioral or physiological events occurring in association with sleep, specific sleep stages, or sleep-awake transitions).

            Sleep Disorder Related to Another Mental Disorder involves a prominent complaint of sleep disturbance that results from a diagnosable mental disorder (often a Mood Disorder or Anxiety Disorder) but that is sufficiently severe to warrant independent clinical attention.  Presumably, the pathophysiological mechanisms responsible for the mental disorder also affect sleep-awake regulation. 

            Sleep Disorder Due to a General Medical Condition involves a prominent complaint of sleep disturbance that results from the direct physiological effects of a general medical condition on the sleep-wake system.

            Substance-Induced Sleep Disorder involves prominent complaints of sleep disturbance that result from the concurrent use, or recent discontinuation of use, of a substance (including medications).

            That systematic assessment in individuals who present with prominent complaints of sleep disturbance includes an evaluation of the specific type of sleep complaint and a consideration of concurrent mental disorders, general medical conditions, and substance (including medication) use that may be responsible for the sleep disturbance.

            Five distinct sleep stages can be measured by polysomnography:  rapid eye movement (REM) sleep and four stages of non-rapid eye movement (NREM) sleep (stages 1, 2, 3, and 4).  Stage 1 NREM sleep is a transition from wakefulness to sleep and occupies about 5% of time spent asleep in healthy adults.  Stage 2 NREM sleep, which is characterized by specific EEG waveforms (sleep spindles and K complexes), occupies about 50% of time spent asleep.  Stages 3 and 4 NREM sleep (also known collectively as slow-wave sleep) are the deepest levels of sleep and occupy about 10%-20% of sleep time.  REM sleep, during which the majority of typical storylike dreams occur, occupies about 20%-25% of total sleep.

            These sleep stages have a characteristic temporal organization across the night.  NREM stages 3 and 4 tend to occur in the first one-third to one-half of the night and increase in duration in response to sleep deprivation.  REM sleep occurs cyclically throughout the night, alternating with NREM sleep about every 80-100 minutes.  REM sleep periods increase in duration toward the morning.  Human sleep also varies characteristically across the life span.  After relative stability with large amounts of slow-wave sleep in childhood and early adolescence, sleep continuity and depth deteriorate across the adult age range.  This deterioration is reflected by increased wakefulness and stage 1 sleep and decreased stages 3 and 4 sleep.  Because of this, age must be considered in the diagnosis of a Sleep Disorder in any individual.

            Polysomnography is the monitoring of multiple electrophysiological parameters during sleep and generally includes measurement of EEG activity, electroculographic activity, and electromyographic activity.  Additional polysomnographic measures may include oral or nasal airflow, respiratory effort, chest and abdominal wall movement, oxyhemoglobin saturation, or exhaled carbon dioxide concentration; these measures are used to monitor respiration during sleep and to detect the presence and severity of sleep apnea.  Measurement of peripheral electromyographic activity may be used to detect abnormal movements during sleep.  Most polysomnographic studies are conducted during the person’s usual sleeping hours—that is, at night.  However, daytime polysomnographic studies also are used to quantify daytime sleepiness.  The most common daytime procedure is the Multiple Sleep Latency Test (MSLT), in which the individual is instructed to lie down in a dark room and not resist falling asleep; this protocol is repeated fives times during the day.  Sleep latency (the amount of time required to fall asleep) is measured on each trial and is used as an index of physiological sleepiness.  The converse of the MSLT is also used:  In the Repeated Test of Sustained Wakefulness (RTSW), the individual is placed in a quiet, dimly lit room and instructed to remain awake; this protocol is repeated several times during the day.  Again, sleep latency is measured, but is it used here as an index of the individual’s ability to maintain wakefulness.

            Standard terminology for polysomnographic measures is used throughout the test in this section.  Sleep continuity refers to the overall balance of sleep and wakefulness during a night of sleep.  “Better” sleep continuity indicates consolidated sleep and wakefulness; “worse” sleep continuity indicates disrupted sleep with more wakefulness.  Specific sleep continuity measures include sleep latency—the amount of time required to fall asleep (expressed in minutes); intermittent wakefulness—the amount of awake time after initial sleep onset (expressed in minutes); and sleep efficiency—the ratio of actual time spent asleep to time spent in bed (expressed as a percentage, with higher numbers indicating better sleep continuity).  Sleep architecture refers to the amount and distribution of specific sleep stages.  Sleep architecture measures include absolute amount of REM sleep and each NREM sleep stage (in minutes), relative amount of REM seep and NREM sleep stages (expressed as a percentage of total sleep time), and latency between sleep onset and the first REM period (REM latency).

            The text for each of the Sleep Disorders contains a section describing its relationship to corresponding disorders in The International Classification of Sleep Disorders:  (ICSD) diagnostic and Coding Manual, published in 1990 by the American Sleep Disorders Association.

_________________

 

Substance Dependence

Features

The essential feature of Substance Dependence is a cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues use of the substance despite significant substance-related problems.  There is a pattern of repeated self-administration that can result in tolerance, withdrawal, and compulsive drug-taking behavior.  A diagnosis of Substance Dependence can be applied to every class of substances except caffeine.  The symptoms of Dependence are similar across the various categories of substances, but for certain classes some symptoms are less salient, and in a few instances not all symptoms apply (e.g., withdrawal symptoms are not specified for Hallucinogenic Dependence).  Although not specifically listed as a criterion item, “craving” (a strong subjective drive to use the substance) is likely to be experienced by most (if not all) individuals with Substance Dependence.  Dependence is defined as a cluster of three or more of the symptoms listed below occurring at any time in the same 12-month-period.

Tolerance (Criterion 1) is the need for greatly increased amounts of the substance to achieve intoxication (or the desired effect) or a markedly diminished effect with continued use of the same amount of the substance.  The degree to which tolerance develops varies greatly across substances.  Furthermore, for a specific drug, varied degrees of tolerance may develop for its different central nervous system effects.  For example, for opioids, tolerance to respiratory depression and tolerance to analgesia develop at different rates.  Individuals with heavy use of opioids and stimulants can develop substantial (e.g., 10-f0ld) levels of tolerance, often to a dosage that would be lethal to a nonuser.  Alcohol tolerance can also be pronounced, but is usually less extreme than for amphetamine.  Many individuals who smoke cigarettes consume more than 20 cigarettes a day, an amount that would have produced symptoms of toxicity when they first started smoking.  Individuals with heavy use of cannabis or phencyclidine (PCP) are generally not aware of having developed tolerance (although it has been demonstrated in animal studies and in some individuals).  Tolerance may be difficult to determine by history alone when the substance used is illegal and perhaps mixed with various diluents or with other substances.  In such situations, laboratory tests may be helpful (e.g., high blood levels of the substance coupled with little evidence of intoxication suggest that tolerance is likely).  Tolerance must also be distinguished from individual variability in the initial sensitivity to the effects of particular substances.  For example, some first-time drinkers show very little evidence of intoxication with three or four drink, whereas others of similar weight and drinking histories had slurred speech and incoordination.

Withdrawal (Criterion 2a) is a maladaptive behavioral change, with physiological and cognitive concomitants, that occurs when blood or tissue concentrations of a substance decline in an individual who had maintained prolonged heavy use of the substance.  After developing unpleasant withdrawal symptoms, the persons is likely to take the substance to relieve or to avoid those symptoms (Criterion 2b), typically using the substance throughout the day beginning soon after awakening.  Withdrawal symptoms, which are generally the opposite of the acute effects of the substance, vary greatly across the calluses of substances, and separate criteria sets for Withdrawal are provided for most of the classes.  Marked and generally easily measured physiological signs of withdrawal are common with alcohol, opioids, and sedatives, hypnotics, and anxiolytics.  Withdrawal signs and symptoms are often present, but may be less apparent, with stimulants such as amphetamines and cocaine, as well as with nicotine and cannabis.  No significant withdrawal is seen even after repeated use of hallucinogens.  Withdrawal from phencyclidine and related substances has not yet been described in humans (although it has been demonstrated in animals).  Neither tolerance nor withdrawal is necessary or sufficient for a diagnosis of Substance Dependence.  However, for most classes of substances, a past history of tolerance or withdrawals is associated with a more severe clinical course (i.e., an earlier onset of Dependence, higher levels of substance intake, and a greater number of substance-related problems).  Some individuals (e.g., those with Cannabis Dependence) show a pattern of compulsive use without obvious signs of tolerance or withdrawal.  Conversely, some general medical and postsurgical patients without Opioid Dependence may develop a tolerance to prescribed opioids and experience withdrawal symptoms without showing any signs of compulsive use.  The specifiers With Physiological Dependence and Without Physiological Dependence are provided to indicate the presence or absence of tolerance or withdrawal.

The following items describe the pattern of compulsive substance use that is characteristic of Dependence.  The individual may take the substance in larger amounts or over a longer period than was originally intended (e.g., continuing to drink until severely intoxicated despite having set a limit of only one drink) (Criterion 3).  The individual may express a persistent desire to cut down or regulate substance use.  Often, there have been many unsuccessful efforts to decrease or discontinue use (Criterion 4).  The individual may spend a great deal of time obtaining the substance, using the substance, or recovering from its effects (Criterion 5).  In some instances of Substance Dependence, virtually all of the person’s daily activities revolve around the substance.  Important social, occupational, ore recreational activities may be given up or reduced because of substance use (Criterion 6).  The individual may withdraw from family activities and hobbies in order to use the substance in private or to spend more time with substance-using friends.  Despite recognizing the contributing role of the substance to a psychological or physical problem (e.g., sever depressive symptoms or damage to organ systems), the person continues to use the substance (Criterion 7).  The key issue in evaluating this criterion is not eh existence of the problem, but rather the individual’s failure to abstain from using the substance despite having evidence of the difficulty it is causing.

 

Specifiers

            Tolerance and withdrawal may be associated with a higher risk for immediate general medical problems and a higher relapse rate.  Specifiers are provided to note their presence or absence:

With Physiological Dependence.  This specifier should be used when Substance Dependence is accompanied by evidence of tolerance (Criterion 1) or withdrawal (Criterion 2).

Without Physiological Dependence.  This specifier should be used when there is no evidence of tolerance (Criterion 1) or withdrawal (Criterion 2).  In these individuals, Substance Dependence is characterized by a pattern of compulsive use (at least three items from Criteria 3-7).”

 

Diagnostic and Statistical Manual of Mental Disorders. 2000. 4th ed. Washington, D.C.: American Psychiatric Association. P. 193-195.

 

 

 

_______________________

 

PTSD, DID, and EMDR

Posttraumatic Stress Disorder

"The essential feature of Posttraumatic Stress Disorder us the development of characteristic symptoms following exposure to an extreme traumatic stressor involving direct personal experience of an event that involves actual or threatened death or serious injury, or other threat to one's physical integrity; or witnessing an event that involves death, injury, or a threat to the physical integrity of another person; or learning about unexpected or violent death, serious harm, or threat of death or injury experienced by a family member or other close associate (Criteria A1).  The person's response to the event must involve intense fear, helplessness, or horror (or in children, the response must involve disorganized or agitated behavior) (Criterion A2).  The characteristic symptoms resulting from the exposure to the extreme trauma include persistent reexperiencing of the traumatic event (Criterion E), and the disturbance must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning (Criterion F).

Traumatic events that are experienced directly include, but are not limited to, military combat, violent personal assault (sexual assault, physical attack, robbery, mugging), being kidnapped, being taken hostage, terrorist attack, torture, incarceration as a prisoner of war or in a concentration camp, natural or manmade disasters, severe automobile accidents, or being diagnosed with a life-threatening illness.  For children, sexually traumatic events may include developmentally inappropriate sexual experiences without threatened or actual violence or injury.  Witnessed events include, but are not limited to, observing the serious injury or unnatural death of another person due to violent assault, accident, war, or disaster or unexpectedly witnessing a dead body or body parts.  Events experienced by others that are learned about include, but are not limited to, violent personal assault, serious accident, or serious injury experienced y a family member or a close friend; learning about the sudden, unexpected death of a family member or a close friend; or learning that one's child has a life threatening disease.  The disorder may be especially sever or long lasting when the stressor is of human design (e.g., torture, rape). the likelihood of developing this disorder may increase as the intensity of and physical proximity to the stressor increase.

The traumatic event can be reexperienced in various ways.  Commonly the person has recurrent and intrusive recollections of the event (Criterion B1) or recurrent distressing dreams during which the event can be replayed or otherwise represented (Criterion B2). In rare instances, the person experiences dissociative states that last from a few seconds to several hours, or even days, during which components of the event are relived and the person behaves as though experiencing the event at that moment (Criterion B3).  These episodes, often referred to as "flashbacks," are typically brief but can be associated with prolonged distress and heightened arousal.  Intense psychological distress (Criterion B4) or physiological reactivity (Criterion B5) often occurs when the person is exposed to triggering events that resemble or symbolize an aspect of the traumatic event (e.g., anniversaries of the traumatic event; cold, snowy weather or uniformed guards for survivors of death camps in cold climates; hot, humid weather for combat veterans of the South Pacific; entering any elevator for an woman who was reaped in an elevator).

Stimuli associated with the trauma are persistently avoided.  The person commonly makes deliberate efforts to avoid thoughts, feelings, or conversations about the traumatic event (Criterion C1) and to avoid activities, situations, or people who around recollections of it (Criterion C2).  This avoidance of reminders may include amnesia for an important aspect of the traumatic event (Criterion C3).  Diminished responsiveness to the external work, referred to as "psychic numbing" or "emotional anesthesia," usually begins soon after the traumatic event.  The individual may complain of having markedly diminished interest or participation in previously enjoyed activities (Criterion C4), of feeling detached or estranged from other people (Criterion C5), or of having markedly reduced ability to feel emotions (especially those associated with intimacy, tenderness and sexuality) (Criterion C6).  The individual may have a sense of a foreshortened future (e.g., not expecting to have a career, marriage, children, or a normal life span) (Criterion C7).

The individual has persistent symptoms of anxiety or increased arousal that were not present before the trauma.  these symptoms may include difficulty falling or staying asleep that may be to recurrent nightmares during which the traumatic event is relived (Criterion D1), hypervigilance (Criterion D4), and exaggerated startle response (Criterion D5).  Some individuals report irritability or outburst of anger (Criterion D2) or difficulty concentrating or completing tasks (Criterion D3)."

 

Dissociative Identity Disorder (DID)

"The essential feature of Dissociative identity Disorder is the presence of two or more distinct identities or personality states (Criterion A) that recurrently take control of behavior (Criterion B).  There is an inability to recall important personal information, the extent of which is too great to be explained by ordinary forgetfulness (Criterion C).  The disturbance is not due tot eh direct physiological effects of a substance or a general medical condition (Condition D.).  In children, the symptoms cannot be attributed to imaginary playmates or other fantasy play.

Dissociative Identity Disorder reflects a failure to integrate various aspects of identity, memory, and consciousness.  Each personality state may be experienced as if it has a distinct personal history, self-image, and identity, including a separate name.  Usually there is a primary identity that carries the individual's given name and is passive, dependent, guilty, and depressed.  The alternate identities frequently have different names and characteristics that contrast with the primary identity (e.g., are hostile, controlling, and self-destructive).  Particular identities may emerge in specific circumstances and may differ in reported age and gender, vocabulary, general knowledge, or predominant affect.  Alternate identities are experienced as taking control in sequence, ore at the expense of the other, and may deny knowledge of one another, be critical of one another, or appear to be in open conflict.  Occasionally, one or more powerful identities allocate time to the others.  Aggressive or hostile identities may at times interrupt activities or place the others in uncomfortable situations.

Individuals with this disorder experience frequent gaps in memory for personal history, both remote and recent.  The amnesia is frequently asymmetrical.  The more passive identities tend to have more constricted memories, whereas the more hostile, controlling, or "protector" identities have more complete memories.  An identity that is not in control may nonetheless gain access to consciousness by producing auditory or visual hallucinations (e.g., a voice giving instructions).  Evidence of amnesia may be uncovered by reports from others who have witnessed behavior that is disavowed by the individual or by the individual's own discoveries (e.g., finding items of clothing at home that the individual cannot remember having bought).  There may be loss of memory not only for recurrent periods of time, but also an overall loss of biographical memory for some extended period of childhood, adolescence, or even adulthood.  Transitions among identities are often triggered by psychosocial stress.  The time required to switch from one identity to another is usually a matter of seconds, but, less frequently, may b gradual.  Behavior that may be frequently associated with identity switches include rapid blinking, facial changes, changes in voice or demeanor, or disruption in the individual's train of thoughts.  The number of identities reported ranges from 2 to more than 100.  Half of reported cases include the individuals with 10 or fewer identities."

Diagnostic and Statistical Manual of Mental Disorders. 2000.  4th ed. Washington, D.C.: American Psychiatric Association.

EMDR

Eye Movement Desensitization and Reprocessing

"Eye Movement Desensitization and Reprocessing (EMDR)1 integrates elements of many effective psychotherapies in structured protocols that are designed to maximize treatment effects. These include psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies2. EMDR is an information processing therapy and uses an eight phase approach.

During EMDR1 the client attends to past and present experiences in brief sequential doses while simultaneously focusing on an external stimulus. Then the client is instructed to let new material become the focus of the next set of dual attention. This sequence of dual attention and personal association is repeated many times in the session.

Eight Phases of Treatment

The first phase is a history taking session during which the therapist assesses the client's readiness for EMDR and develops a treatment plan. Client and therapist identify possible targets for EMDR processing. These include recent distressing events, current situations that elicit emotional disturbance, related historical incidents, and the development of specific skills and behaviors that will be needed by the client in future situations.

During the second phase of treatment, the therapist ensures that the client has adequate methods of handling emotional distress and good coping skills, and that the client is in a relatively stable state. If further stabilization is required, or if additional skills are needed, therapy focuses on providing these. The client is then able to use stress reducing techniques whenever necessary, during or between sessions. However, one goal is not to need these techniques once therapy is complete.

In phase three through six, a target is identified and processed using EMDR procedures. These involve the client identifying the most vivid visual image related to the memory (if available), a negative belief about self, related emotions and body sensations. The client also identifies a preferred positive belief. The validity of the positive belief is rated, as is the intensity of the negative emotions.

After this, the client is instructed to focus on the image, negative thought, and body sensations while simultaneously moving his/her eyes back and forth following the therapist's fingers as they move across his/her field of vision for 20-30 seconds or more, depending upon the need of the client. Athough eye movements are the most commonly used external stimulus, therapists often use auditory tones, tapping, or other types of tactile stimulation. The kind of dual attention and the length of each set is customized to the need of the client. The client is instructed to just notice whatever happens. After this, the clinician instructs the client to let his/her mind go blank and to notice whatever thought, feeling, image, memory, or sensation comes to mind. Depending upon the client's report the clinician will facilitate the next focus of attention. In most cases a client-directed association process is encouraged. This is repeated numerous times throughout the session. If the client becomes distressed or has difficulty with the process, the therapist follows established procedures to help the client resume processing. When the client reports no distress related to the targeted memory, the clinician asks him/her to think of the preferred positive belief that was identified at the beginning of the session, or a better one if it has emerged, and to focus on the incident, while simultaneously engaging in the eye movements. After several sets, clients generally report increased confidence in this positive belief. The therapist checks with the client regarding body sensations. If there are negative sensations, these are processed as above. If there are positive sensations, they are further enhanced.

In phase seven, closure, the therapist asks the client to keep a journal during the week to document any related material that may arise and reminds the client of the self-calming activities that were mastered in phase two.

The next session begins with phase eight, re-evaluation of the previous work, and of progress since the previous session. EMDR treatment ensures processing of all related historical events, current incidents that elicit distress, and future scenarios that will require different responses. The overall goal is produce the most comprehensive and profound treatment effects in the shortest period of time, while simultaneously maintaining a stable client within a balanced system.

After EMDR processing, clients generally report that the emotional distress related to the memory has been eliminated, or greatly decreased, and that they have gained important cognitive insights. Importantly, these emotional and cognitive changes usually result in spontaneous behavioral and personal change, which are further enhanced with standard EMDR procedures." www.emdr.com

__________________

Major Depressive Disorder

Diagnostic Features

The essential feature of Major Depressive Disorder is a clinical course that is characterized by one or more Major Depressive Episodes without a history of Manic, Mixed, or Hypomanic Episodes (Criteria A and C).  Episodes of Substance-Induced Mood Disorder (due to the direct physiological effects of a drug of abuse, a medication, or toxin exposure) or of Mood Disorder Due to a General Medical Condition do not count toward a diagnosis of Major Depressive Disorder.  In addition, the episodes must not be better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified (Criterion B).

            The fourth digit in the diagnostic code for Major Depressive Disorder indicates whether it is a Single Episode (used only for first episodes) or Recurrent.  It is sometimes difficult to distinguish between a single episode with waxing and waning symptoms and two separate episodes.  For purposes of this manual, an episode is considered to have ended when the full criteria for eh Major Depressive Episode have not been met for at least 2 consecutive months.  During this 2-month period, there is either complete resolution of symptoms or the presence of depressive symptoms that no longer meet the full criteria for a Major Depressive Episode (In Partial Remission).

            The fifth digit in the diagnostic code for Major Depressive Disorder indicates the current state of the disturbance.  If the criteria for a Major Depressive Disorder are met, the severity of the episode is notes as Mild, Moderate, Severe Without Psychotic Features, or Severe With Psychotic Features.  If the criteria for a Major Depressive Episode are not currently met, the fifth digit is used to indicate whether the disorder is In Partial Remission or In Full Remission.

            If Manic, Mixed, or Hypomanic Episodes develop in the course of Major Depressive Disorder, the diagnosis is changed to a Bipolar Disorder.  However, if manic or hypomanic symptoms occur as a direct effect of antidepressant treatment, use of other medications, substance use, or toxin exposure, the diagnosis of Major Depressive Disorder remains appropriate and an addition diagnosis of Substance-induced Mood Disorder, With Manic features (or With Mixed Features), should be noted.  Similarly, if manic or hypomanic symptoms occur as a direct effect of a general medical condition, the diagnosis of Major Depressive Disorder remains appropriate and an additional diagnosis of Mood Disorder Due to a General Medical Condition, With Manic Features (or With Mixed Features), should be noted.” p. 369

Course

Major Depressive Disorder may begin at any age, with an average age at onset in the mid-20s.  Epidemiological data suggest that the age at onset is decreasing for those born more recently.  The course of Major Depressive Disorder, Recurrent, is variable.  Some people have isolated episodes that are separated by many years without any depressive symptoms, whereas others have clusters of episodes, and still others have increasingly frequent episodes as they grow older.  Some evidence suggests that the periods of remission generally last longer early in the course of the disorder.  The number of prior episodes predicts the likelihood of developing a subsequent Major Depressive Episode.  At least 60% of individuals with Major Depresssive Disorder, Single Episode, can be expected to have a second episode.  Individuals who have had tow episodes have a 70% chance of having a third, and individuals who have had three episodes have a 90% chance  of having a fourth.  About 5%-10% of individuals with Major Depressive Disorder, single Episode, subsequently develop a Manic Episode (i.e., develop Bipolar I Disorder).

            Major Depressive Episodes may end completely (in about two-thirds of cases), or only partially or not at all (in about one-third of cases).  For individuals who have only partial remission, there is a greater likelihood of developing additional episodes and of continuing the pattern of partial interepisode recovery.  The longitudinal course specifiers With Full Interepisode Recovery and Without Full Interepisode Recovery may therefore have prognostic value.  A number of individuals have pre-existing Dysthymic Disorder prior to the onset of Major Depressive Disorder, single Episode.  Some evidence suggests that these individuals are more likely to have additional Major Depressive Episodes, have poorer interepisode recovery, and may require additional acute-phase treatment and a longer period of continuing treatment to attain and maintain a more thorough and longer-lasting euthymic state.

            Follow-up naturalistic studies suggested that 1 year after the diagnosis of a major Depressive Episode, 40% of individuals still have symptoms that are sufficiently severe to meet criteria for a full Major Depressive Episode, roughly 20% continue to have some symptoms that no longer meet full criteria for a Major Depressive Episode (i.e., major Depressive Disorder, In Partial Remission), and 40% have no Mood Disorder.  The severity of the initial Major Depressive Episode appears to predict persistence.  Chronic general medical conditions are also a risk factor for more persistent episodes.

            Episodes of Major Depressive Disorder often follow a severe psychosocial stressor, such as the death of a loved one or divorce.  Studies suggest that psychosocial events 9stressors) may play a more significant role in the precipitation of the first or second episodes of Major Depressive Disorder and may play less of a role in the onset of subsequent episodes.  Chronic general medical conditions and Substance Dependence (particularly Alcohol or Cocaine Dependence) may contribute to the onset or exacerbation of Major Depressive Disorder.

            It is difficult to predict whether the first episode of a Major Depressive Disorder in a young person will ultimately evolve into a Bipolar Disorder.  Some data suggest that the acute onset of severe depression, especially with psychotic features and psychomotor retardation, in a young person without prepubertal psychopathology is more likely to predict a bipolar disorder.  A family history of Bipolar Disorder may also be suggestive of subsequent development of Bipolar Disorder.” p. 372-373

 

Diagnostic and statistical manual of mental disorders. 2000. 4th ed.  Washington, D.C.: American Psychiatric Association.

 

________________

Major Depressive Disorder

 “Diagnostic Features

The essential feature of Major Depressive Disorder is a clinical course that is characterized by one or more Major Depressive Episodes without a history of Manic, Mixed, or Hypomanic Episodes (Criteria A and C).  Episodes of Substance-Induced Mood Disorder (due to the direct physiological effects of a drug of abuse, a medication, or toxin exposure) or of Mood Disorder Due to a General Medical Condition do not count toward a diagnosis of Major Depressive Disorder.  In addition, the episodes must not be better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified (Criterion B).

            The fourth digit in the diagnostic code for Major Depressive Disorder indicates whether it is a Single Episode (used only for first episodes) or Recurrent.  It is sometimes difficult to distinguish between a single episode with waxing and waning symptoms and two separate episodes.  For purposes of this manual, an episode is considered to have ended when the full criteria for eh Major Depressive Episode have not been met for at least 2 consecutive months.  During this 2-month period, there is either complete resolution of symptoms or the presence of depressive symptoms that no longer meet the full criteria for a Major Depressive Episode (In Partial Remission).

            The fifth digit in the diagnostic code for Major Depressive Disorder indicates the current state of the disturbance.  If the criteria for a Major Depressive Disorder are met, the severity of the episode is notes as Mild, Moderate, Severe Without Psychotic Features, or Severe With Psychotic Features.  If the criteria for a Major Depressive Episode are not currently met, the fifth digit is used to indicate whether the disorder is In Partial Remission or In Full Remission.

            If Manic, Mixed, or Hypomanic Episodes develop in the course of Major Depressive Disorder, the diagnosis is changed to a Bipolar Disorder.  However, if manic or hypomanic symptoms occur as a direct effect of antidepressant treatment, use of other medications, substance use, or toxin exposure, the diagnosis of Major Depressive Disorder remains appropriate and an addition diagnosis of Substance-induced Mood Disorder, With Manic features (or With Mixed Features), should be noted.  Similarly, if manic or hypomanic symptoms occur as a direct effect of a general medical condition, the diagnosis of Major Depressive Disorder remains appropriate and an additional diagnosis of Mood Disorder Due to a General Medical Condition, With Manic Features (or With Mixed Features), should be noted.” p. 369

 “Course

Major Depressive Disorder may begin at any age, with an average age at onset in the mid-20s.  Epidemiological data suggest that the age at onset is decreasing for those born more recently.  The course of Major Depressive Disorder, Recurrent, is variable.  Some people have isolated episodes that are separated by many years without any depressive symptoms, whereas others have clusters of episodes, and still others have increasingly frequent episodes as they grow older.  Some evidence suggests that the periods of remission generally last longer early in the course of the disorder.  The number of prior episodes predicts the likelihood of developing a subsequent Major Depressive Episode.  At least 60% of individuals with Major Depresssive Disorder, Single Episode, can be expected to have a second episode.  Individuals who have had tow episodes have a 70% chance of having a third, and individuals who have had three episodes have a 90% chance  of having a fourth.  About 5%-10% of individuals with Major Depressive Disorder, single Episode, subsequently develop a Manic Episode (i.e., develop Bipolar I Disorder).

            Major Depressive Episodes may end completely (in about two-thirds of cases), or only partially or not at all (in about one-third of cases).  For individuals who have only partial remission, there is a greater likelihood of developing additional episodes and of continuing the pattern of partial interepisode recovery.  The longitudinal course specifiers With Full Interepisode Recovery and Without Full Interepisode Recovery may therefore have prognostic value.  A number of individuals have pre-existing Dysthymic Disorder prior to the onset of Major Depressive Disorder, single Episode.  Some evidence suggests that these individuals are more likely to have additional Major Depressive Episodes, have poorer interepisode recovery, and may require additional acute-phase treatment and a longer period of continuing treatment to attain and maintain a more thorough and longer-lasting euthymic state.

            Follow-up naturalistic studies suggested that 1 year after the diagnosis of a major Depressive Episode, 40% of individuals still have symptoms that are sufficiently severe to meet criteria for a full Major Depressive Episode, roughly 20% continue to have some symptoms that no longer meet full criteria for a Major Depressive Episode (i.e., major Depressive Disorder, In Partial Remission), and 40% have no Mood Disorder.  The severity of the initial Major Depressive Episode appears to predict persistence.  Chronic general medical conditions are also a risk factor for more persistent episodes.

            Episodes of Major Depressive Disorder often follow a severe psychosocial stressor, such as the death of a loved one or divorce.  Studies suggest that psychosocial events 9stressors) may play a more significant role in the precipitation of the first or second episodes of Major Depressive Disorder and may play less of a role in the onset of subsequent episodes.  Chronic general medical conditions and Substance Dependence (particularly Alcohol or Cocaine Dependence) may contribute to the onset or exacerbation of Major Depressive Disorder.

            It is difficult to predict whether the first episode of a Major Depressive Disorder in a young person will ultimately evolve into a Bipolar Disorder.  Some data suggest that the acute onset of severe depression, especially with psychotic features and psychomotor retardation, in a young person without prepubertal psychopathology is more likely to predict a bipolar disorder.  A family history of Bipolar Disorder may also be suggestive of subsequent development of Bipolar Disorder.” p. 372-373

 Diagnostic and statistical manual of mental disorders. 2000. 4th ed.  Washington, D.C.: American Psychiatric Association.

________________

DID-PTSD-EMDR

Dissociative Identity Disorder (DID)

"The essential feature of Dissociative identity Disorder is the presence of two or more distinct identities or personality states (Criterion A) that recurrently take control of behavior (Criterion B).  There is an inability to recall important personal information, the extent of which is too great to be explained by ordinary forgetfulness (Criterion C).  The disturbance is not due tot eh direct physiological effects of a substance or a general medical condition (Condition D.).  In children, the symptoms cannot be attributed to imaginary playmates or other fantasy play.

Dissociative Identity Disorder reflects a failure to integrate various aspects of identity, memory, and consciousness.  Each personality state may be experienced as if it has a distinct personal history, self-image, and identity, including a separate name.  Usually there is a primary identity that carries the individual's given name and is passive, dependent, guilty, and depressed.  The alternate identities frequently have different names and characteristics that contrast with the primary identity (e.g., are hostile, controlling, and self-destructive).  Particular identities may emerge in specific circumstances and may differ in reported age and gender, vocabulary, general knowledge, or predominant affect.  Alternate identities are experienced as taking control in sequence, ore at the expense of the other, and may deny knowledge of one another, be critical of one another, or appear to be in open conflict.  Occasionally, one or more powerful identities allocate time to the others.  Aggressive or hostile identities may at times interrupt activities or place the others in uncomfortable situations.

Individuals with this disorder experience frequent gaps in memory for personal history, both remote and recent.  The amnesia is frequently asymmetrical.  The more passive identities tend to have more constricted memories, whereas the more hostile, controlling, or "protector" identities have more complete memories.  An identity that is not in control may nonetheless gain access to consciousness by producing auditory or visual hallucinations (e.g., a voice giving instructions).  Evidence of amnesia may be uncovered by reports from others who have witnessed behavior that is disavowed by the individual or by the individual's own discoveries (e.g., finding items of clothing at home that the individual cannot remember having bought).  There may be loss of memory not only for recurrent periods of time, but also an overall loss of biographical memory for some extended period of childhood, adolescence, or even adulthood.  Transitions among identities are often triggered by psychosocial stress.  The time required to switch from one identity to another is usually a matter of seconds, but, less frequently, may b gradual.  Behavior that may be frequently associated with identity switches include rapid blinking, facial changes, changes in voice or demeanor, or disruption in the individual's train of thoughts.  The number of identities reported ranges from 2 to more than 100.  Half of reported cases include the individuals with 10 or fewer identities."

Diagnostic and Statistical Manual of Mental Disorders. 2000.  4th ed. Washington, D.C.: American Psychiatric Association.

PTSD, DID, and EMDR

Posttraumatic Stress Disorder

"The essential feature of Posttraumatic Stress Disorder us the development of characteristic symptoms following exposure to an extreme traumatic stressor involving direct personal experience of an event that involves actual or threatened death or serious injury, or other threat to one's physical integrity; or witnessing an event that involves death, injury, or a threat to the physical integrity of another person; or learning about unexpected or violent death, serious harm, or threat of death or injury experienced by a family member or other close associate (Criteria A1).  The person's response to the event must involve intense fear, helplessness, or horror (or in children, the response must involve disorganized or agitated behavior) (Criterion A2).  The characteristic symptoms resulting from the exposure to the extreme trauma include persistent reexperiencing of the traumatic event (Criterion E), and the disturbance must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning (Criterion F).

Traumatic events that are experienced directly include, but are not limited to, military combat, violent personal assault (sexual assault, physical attack, robbery, mugging), being kidnapped, being taken hostage, terrorist attack, torture, incarceration as a prisoner of war or in a concentration camp, natural or manmade disasters, severe automobile accidents, or being diagnosed with a life-threatening illness.  For children, sexually traumatic events may include developmentally inappropriate sexual experiences without threatened or actual violence or injury.  Witnessed events include, but are not limited to, observing the serious injury or unnatural death of another person due to violent assault, accident, war, or disaster or unexpectedly witnessing a dead body or body parts.  Events experienced by others that are learned about include, but are not limited to, violent personal assault, serious accident, or serious injury experienced y a family member or a close friend; learning about the sudden, unexpected death of a family member or a close friend; or learning that one's child has a life threatening disease.  The disorder may be especially sever or long lasting when the stressor is of human design (e.g., torture, rape). the likelihood of developing this disorder may increase as the intensity of and physical proximity to the stressor increase.

The traumatic event can be reexperienced in various ways.  Commonly the person has recurrent and intrusive recollections of the event (Criterion B1) or recurrent distressing dreams during which the event can be replayed or otherwise represented (Criterion B2). In rare instances, the person experiences dissociative states that last from a few seconds to several hours, or even days, during which components of the event are relived and the person behaves as though experiencing the event at that moment (Criterion B3).  These episodes, often referred to as "flashbacks," are typically brief but can be associated with prolonged distress and heightened arousal.  Intense psychological distress (Criterion B4) or physiological reactivity (Criterion B5) often occurs when the person is exposed to triggering events that resemble or symbolize an aspect of the traumatic event (e.g., anniversaries of the traumatic event; cold, snowy weather or uniformed guards for survivors of death camps in cold climates; hot, humid weather for combat veterans of the South Pacific; entering any elevator for an woman who was reaped in an elevator).

Stimuli associated with the trauma are persistently avoided.  The person commonly makes deliberate efforts to avoid thoughts, feelings, or conversations about the traumatic event (Criterion C1) and to avoid activities, situations, or people who around recollections of it (Criterion C2).  This avoidance of reminders may include amnesia for an important aspect of the traumatic event (Criterion C3).  Diminished responsiveness to the external work, referred to as "psychic numbing" or "emotional anesthesia," usually begins soon after the traumatic event.  The individual may complain of having markedly diminished interest or participation in previously enjoyed activities (Criterion C4), of feeling detached or estranged from other people (Criterion C5), or of having markedly reduced ability to feel emotions (especially those associated with intimacy, tenderness and sexuality) (Criterion C6).  The individual may have a sense of a foreshortened future (e.g., not expecting to have a career, marriage, children, or a normal life span) (Criterion C7).

The individual has persistent symptoms of anxiety or increased arousal that were not present before the trauma.  these symptoms may include difficulty falling or staying asleep that may be to recurrent nightmares during which the traumatic event is relived (Criterion D1), hypervigilance (Criterion D4), and exaggerated startle response (Criterion D5).  Some individuals report irritability or outburst of anger (Criterion D2) or difficulty concentrating or completing tasks (Criterion D3)."

 

EMDR

Eye Movement Desensitization and Reprocessing

"Eye Movement Desensitization and Reprocessing (EMDR)1 integrates elements of many effective psychotherapies in structured protocols that are designed to maximize treatment effects. These include psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies2. EMDR is an information processing therapy and uses an eight phase approach.

During EMDR1 the client attends to past and present experiences in brief sequential doses while simultaneously focusing on an external stimulus. Then the client is instructed to let new material become the focus of the next set of dual attention. This sequence of dual attention and personal association is repeated many times in the session.

Eight Phases of Treatment

The first phase is a history taking session during which the therapist assesses the client's readiness for EMDR and develops a treatment plan. Client and therapist identify possible targets for EMDR processing. These include recent distressing events, current situations that elicit emotional disturbance, related historical incidents, and the development of specific skills and behaviors that will be needed by the client in future situations.

During the second phase of treatment, the therapist ensures that the client has adequate methods of handling emotional distress and good coping skills, and that the client is in a relatively stable state. If further stabilization is required, or if additional skills are needed, therapy focuses on providing these. The client is then able to use stress reducing techniques whenever necessary, during or between sessions. However, one goal is not to need these techniques once therapy is complete.

In phase three through six, a target is identified and processed using EMDR procedures. These involve the client identifying the most vivid visual image related to the memory (if available), a negative belief about self, related emotions and body sensations. The client also identifies a preferred positive belief. The validity of the positive belief is rated, as is the intensity of the negative emotions.

After this, the client is instructed to focus on the image, negative thought, and body sensations while simultaneously moving his/her eyes back and forth following the therapist's fingers as they move across his/her field of vision for 20-30 seconds or more, depending upon the need of the client. Athough eye movements are the most commonly used external stimulus, therapists often use auditory tones, tapping, or other types of tactile stimulation. The kind of dual attention and the length of each set is customized to the need of the client. The client is instructed to just notice whatever happens. After this, the clinician instructs the client to let his/her mind go blank and to notice whatever thought, feeling, image, memory, or sensation comes to mind. Depending upon the client's report the clinician will facilitate the next focus of attention. In most cases a client-directed association process is encouraged. This is repeated numerous times throughout the session. If the client becomes distressed or has difficulty with the process, the therapist follows established procedures to help the client resume processing. When the client reports no distress related to the targeted memory, the clinician asks him/her to think of the preferred positive belief that was identified at the beginning of the session, or a better one if it has emerged, and to focus on the incident, while simultaneously engaging in the eye movements. After several sets, clients generally report increased confidence in this positive belief. The therapist checks with the client regarding body sensations. If there are negative sensations, these are processed as above. If there are positive sensations, they are further enhanced.

In phase seven, closure, the therapist asks the client to keep a journal during the week to document any related material that may arise and reminds the client of the self-calming activities that were mastered in phase two.

The next session begins with phase eight, re-evaluation of the previous work, and of progress since the previous session. EMDR treatment ensures processing of all related historical events, current incidents that elicit distress, and future scenarios that will require different responses. The overall goal is produce the most comprehensive and profound treatment effects in the shortest period of time, while simultaneously maintaining a stable client within a balanced system.

After EMDR processing, clients generally report that the emotional distress related to the memory has been eliminated, or greatly decreased, and that they have gained important cognitive insights. Importantly, these emotional and cognitive changes usually result in spontaneous behavioral and personal change, which are further enhanced with standard EMDR procedures." www.emdr.com

 1Shapiro, F. (2001). Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (2nd ed.). New York: Guilford Press.

2Shapiro, F. (2002). EMDR as an Integrative Psychotherapy Approach: Experts of Diverse Orientations Explore the Paradigm Prism. Washington, DC: American Psychological Association Books.

 

 

 

 

Developmental NeuroBiology

 

Emotional Regulation

Record: 1

Title:

Contrasts, changes, and correlates in actual and potential intercultural adjustment.

Author(s):

Savicki, Victor, Psychology Division, Western Oregon University, Monmouth, OR, US, savickv@wou.edu
Downing-Burnette, Rick, Psychology Division, Western Oregon University, Monmouth, OR, US
Heller, Lynne, AHA-International, Vienna, Austria
Binder, Frauke, AHA-International, Vienna, Austria
Suntinger, Walter, AHA-International, Vienna, Austria

Address:

Savicki, Victor, Psychology Division, Western Oregon University, Monmouth, OR, US, savickv@wou.edu

Source:

International Journal of Intercultural Relations, Vol 28(3-4), May-Jul 2004. pp. 311-329.
Journal URL: http://www.elsevier.com/wps/find/journaldescription.cws_home/535/description#description

Publisher:

Netherlands: Elsevier Science
Publisher URL: http://elsevier.com

ISSN:

0147-1767 (Print)

Digital Object Identifier:

10.1016/j.ijintrel.2004.06.001

Language:

English

Keywords:

intercultural adjustment; emotion regulation; personality traits; coping strategy; studying abroad; students

Abstract:

A comparison was made between students studying abroad (SA) in a foreign culture versus students staying in their home culture (Home) in relation to potential and actual intercultural adjustment. In addition, the SA sample was followed over four time periods from pre-departure, beginning, middle, and end of the study abroad semester. The SA group was higher than the Home group in actual adjustment and most of the measures of potential intercultural adjustment both at the beginning and at the end of the semester. SA students changes in the Intercultural Adjustment Potential Scale (ICAPS) did not support a single theory of adjustment. ICAPS Total and Emotional Regulation scores for the SA group at pre-departure were significantly correlated with actual adjustment three months later at the end of the semester. Clusters of personality traits and coping strategies were significantly related to average measures ICAPS Total, Emotional Regulation, and Satisfaction with Life. Actual and potential intercultural adjustment changed in opposite directions over the course of the foreign sojourn. Discussion focuses on key features that may enhance both actual and potential intercultural adjustment. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Adjustment; *Coping Behavior; *Personality Traits; Culture (Anthropological); Emotional Control; Students

Classification:

Culture & Ethnology (2930)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Age Group:

Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)

Tests & Measures:

12 item Life Orientation Test
Five Factor Personality Questionnaire
Intercultural Adjustment Potential Scale
Satisfaction with Life Scale

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20041025

Accession Number:

2004-19138-006

Number of Citations in Source:

39

 

 

Persistent link to this record:

http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-19138-006&site=ehost-live

 

 

Cut and Paste:

<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-19138-006&site=ehost-live">Contrasts, changes, and correlates in actual and potential intercultural adjustment.</A>

 

 

Database:

PsycINFO


Record: 2

Title:

Thalamic fear.

Author(s):

Emanuel, Ricky, Royal Free Hospital, Department of Child and Adolescent Psychiatry, London, United Kingdom, ricky.emanuel@royalfree.nhs.uk

Address:

Emanuel, Ricky, Department of Child and Adolescent Psychiatry, Royal Free Hospital, Pond Street, London, United Kingdom, NW3 2QG, ricky.emanuel@royalfree.nhs.uk

Source:

Journal of Child Psychotherapy, Vol 30(1), Apr 2004. pp. 71-87.
Journal URL: http://www.tandf.co.uk/journals/routledge/0075417X.html

Publisher:

United Kingdom: Taylor & Francis
Publisher URL: http://www.taylorandfrancis.com/

ISSN:

0075-417X (Print)
1469-9370 (Electronic)

Digital Object Identifier:

10.1080/0075417042000205805

Language:

English

Keywords:

neurobiology; trauma; fear; emotion; psychoanalytic theory; emotional regulation; child psychotherapy

Abstract:

This paper suggests that some neuroscience concepts particularly concerned with brain pathways in trauma and fear, as well as the neurobiology of emotion, provide an additional vertex to the psychoanalytic understanding of patients' material. The role of the body has been neglected in psychoanalytic thought and formulations in favour of purely 'mental' experience. The paper attempts to show how neuro-psychoanalytic understanding, which is conveyed to patients through interpretation, can increase their depth of understanding. Different types of memory are delineated and the paper describes a simplified schema of emotional processing, drawing on Damasio's distinction between emotion as an instinctual body based experience and its mental representation as feeling. Clinical examples are used to illustrate the usefulness of the distinction. The concept of emotional regulation is discussed as well as showing how its failure is associated with the appearance of persecutory superego structures. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Child Psychotherapy; *Emotional Trauma; *Emotions; *Fear; *Neurobiology; Emotional Control; Psychoanalytic Theory; Psychotherapeutic Processes

Classification:

Psychotherapy & Psychotherapeutic Counseling (3310)

Population:

Human (10)

Publication Type:

Journal, Peer Reviewed Journal; Electronic
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040419

Accession Number:

2004-12514-006

Number of Citations in Source:

12

 

 

Persistent link to this record:

http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-12514-006&site=ehost-live

 

 

Cut and Paste:

<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-12514-006&site=ehost-live">Thalamic fear.</A>

 

 

Database:

PsycINFO


Record: 3

Title:

Relations between young children's responses to the depiction of separation and pain experiences.

Author(s):

Walsh, Trudi M., tmwalsh@dal.ca
Symons, Douglas K.
McGrath, Patrick J.

Address:

Walsh, Trudi M., Psychology Department, Dalhousie University, Halifax, NS, Canada, B3H 4J1, tmwalsh@dal.ca

Source:

Attachment & Human Development, Vol 6(1), Mar 2004. pp. 53-71.
Journal URL: http://www.tandf.co.uk/journals/routledge/14616734.html

Publisher:

United Kingdom: Taylor & Francis
Publisher URL: http://www.taylorandfrancis.com/

ISSN:

1461-6734 (Print)
1469-2988 (Electronic)

Digital Object Identifier:

10.1080/14616730410001663489

Language:

English

Keywords:

childrens representations; separation experiences; pain experiences

Abstract:

This study examined relations between young children's representations of separation and pain experiences in 60, 4- and 5-year-old children. Separation representations were assessed with the Separation Anxiety Test (SAT) and pain representations were assessed by examining responses to pictures of children about to experience pain in the presence of parent figures. Results showed that representations of separation and pain experience were systematically related and the patterns were not accounted for by the child's ability to differentiate emotional states, language ability, or reports of emotional regulation. These findings are consistent with Bowlby's (1982) concept of secure base behaviour in response to a variety of distress, and support the hypothetical construct of an internal working model of attachment which organizes children's behaviours, thoughts, and feelings in response to both separation experience and painful events. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Attachment Behavior; *Child Attitudes; *Emotional States; *Pain; *Separation Reactions

Classification:

Psychosocial & Personality Development (2840)

Population:

Human (10)
Male (30)
Female (40)

Age Group:

Childhood (birth-12 yrs) (100)
Preschool Age (2-5 yrs) (160)
Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)
Thirties (30-39 yrs) (340)
Middle Age (40-64 yrs) (360)

Tests & Measures:

Peabody Picture Vocabulary Test

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Electronic
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040405

Accession Number:

2004-11620-005

Number of Citations in Source:

67

 

 

Persistent link to this record:

http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-11620-005&site=ehost-live

 

 

Cut and Paste:

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Database:

PsycINFO


Record: 4

Title:

Neural Correlates of the Classic Color and Emotional Stroop in Women with Abuse-Related Postltraumatic Stress Disorder.

Author(s):

Bremner, J. Douglas, Emory Center for Positron Emission Tomography, Emory Univsrsity School of Medicine, Atlanta, GA, US
Vermetten, Eric, Emory Center for Positron Emission Tomography, Emory Univsrsity School of Medicine, Atlanta, GA, US
Vythilingam, Meena, Mood and Anxiety Disorders Research Program, National Institute of Mental Health, Bethesda, MD, US
Afzal, Nadeem, Emory Center for Positron Emission Tomography, Emory Univsrsity School of Medicine, Atlanta, GA, US
Schmahl, Christian, Emory Center for Positron Emission Tomography, Emory Univsrsity School of Medicine, Atlanta, GA, US
Elzinga, Bernet, Emory Center for Positron Emission Tomography, Emory Univsrsity School of Medicine, Atlanta, GA, US
Charney, Dennis S., Mood and Anxiety Disorders Research Program, National Institute of Mental Health, Bethesda, MD, US

Address:

Bremner, J. Douglas, Emory University, Emory Clinical Neuroscience Research Unit, Emory West Campus, 1256 Briarcliff Road, Atlanta, GA, US

Source:

Biological Psychiatry, Vol 55(6), Mar 2004. pp. 612-620.
Journal URL: http://www.elsevier.com/wps/find/journaldescription.cws_home/505750/description#description

Publisher:

Netherlands: Elsevier Science
Publisher URL: http://elsevier.com

ISSN:

0006-3223 (Print)

Digital Object Identifier:

10.1016/j.biopsych.2003.10.001

Language:

English

Keywords:

neural correlates; Stroop task; childhood sexual abuse; posttraumatic stress disorder; anterior cingulate; women

Abstract:

Background: The anterior cingulate and medial prefrontal cortex play an important role in the inhibition of responses, as measured by the Stroop task, as well as in emotional regulation. Dysfunction of the anterior cingulate/medial prefrontal cortex has been implicated in posttraumatic stress disorder (PTSD). The purpose of this study was to use the Stroop task as a probe of anterior cingulate function in PTSD. Methods: Women with early childhood sexual abuse-related PTSD (n = 12) and women with abuse but without PTSD (n = 9) underwent positron emission tomographic measurement of cerebral blood flow during exposure to control, color Stroop, and emotional Stroop conditions. Results: Women with abuse with PTSD (but not abused non-PTSD women) had a relative decrease in anterior cingulate blood flow during exposure to the emotional (but not color) classic Stroop task. During the color Stroop there were also relatively greater increases in blood flow in non-PTSD compared with PTSD women in right visual association cortex, cuneus, and right inferior parietal lobule. Conclusions: These findings add further evidence for dysfunction of a network of brain regions, including anterior cingulate and visual and parietal cortex, in abuse-related PTSD. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Cerebral Cortex; *Child Abuse; *Posttraumatic Stress Disorder; *Sexual Abuse; *Stroop Effect; Color; Emotional Content; Human Females; Neurophysiology

Classification:

Neuroses & Anxiety Disorders (3215)

Population:

Human (10)
Female (40)

Age Group:

Adulthood (18 yrs & older) (300)

Tests & Measures:

Early Trauma Inventory
Subjective Units of Distress Scale
Clinician-Administered Dissociative States Scale
PTSD Symptom Scale
Structured Clinical Interview for DSM-IV Axis I Disorders

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040419

Accession Number:

2004-12034-008

Number of Citations in Source:

53

 

 

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<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-12034-008&site=ehost-live">Neural Correlates of the Classic Color and Emotional Stroop in Women with Abuse-Related Postltraumatic Stress Disorder.</A>

 

 

Database:

PsycINFO


Record: 5

Title:

The expression and regulation of negative emotions: Risk factors for young children's peer victimization.

Author(s):

Hanish, Laura D., Arizona State University, Tempe, AZ, US, Laura.Hanish@asu.edu
Eisenberg, Nancy, Arizona State University, Tempe, AZ, US
Fabes, Richard A., Arizona State University, Tempe, AZ, US
Spinrad, Tracy L., Arizona State University, Tempe, AZ, US
Ryan, Patti, Arizona State University, Tempe, AZ, US
Schmidt, Shana, Arizona State University, Tempe, AZ, US

Address:

Hanish, Laura D., Department of Family and Human Development, Arizona State University, Box 2502, P. O. Box 872502, Tempe, AZ, US, Laura.Hanish@asu.edu

Source:

Development and Psychopathology, Vol 16(2), Spr 2004. pp. 335-353.
Journal URL: http://www.cambridge.org/uk/journals/journal_catalogue.asp?mnemonic=dpp

Publisher:

US: Cambridge Univ Press
Publisher URL: http://www.cup.org

ISSN:

0954-5794 (Print)
1469-2198 (Electronic)

Language:

English

Keywords:

negative emotions; risk factor; peer victimization; internalization; externalizations; risk factors; anger; aggression; emotional regulation; gender

Abstract:

Using a short-term longitudinal design, internalizing and externalizing emotions were examined as risk factors for being victimized by peers in early childhood. Regulation, aggression, and withdrawal were also tested as mediators. We found that anger, mediated by aggression and regulation, positively predicted being victimized, although the way in which anger related to victimization risk varied for boys and girls and across time. These findings were robust, particularly for girls, attesting to the importance of externalizing variables as risk factors for young children's victimization. Support for internalizing variables as risk factors for being victimized was weak. The implications of the findings for developmental models connecting symptomatology and victimization are discussed. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Emotional Control; *Externalization; *Internalization; *Risk Factors; *Victimization; Aggressive Behavior; Anger; Human Sex Differences

Classification:

Psychosocial & Personality Development (2840)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Age Group:

Childhood (birth-12 yrs) (100)
Preschool Age (2-5 yrs) (160)
School Age (6-12 yrs) (180)

Tests & Measures:

Child Behavior Scale
Children's Behavior Questionnaire

Conference:

Annual Convention of the American Psychological Association, 108th, Aug, 2000, Washington, DC, US

Conference Notes:

An earlier draft of this paper was presented at the aforementioned conference.

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer-Reviewed Status-Unknown; Print
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040927

Correction Date:

20050919

Accession Number:

2004-18149-006

Number of Citations in Source:

57

 

 

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Database:

PsycINFO


Record: 6

Title:

Impairment and coping in children and adolescents with chronic fatigue syndrome: A comparative study with other paediatric disorders.

Author(s):

Garralda, M. Elena, Imperial College, London, United Kingdom, e.garralda@imperial.ac.uk
Rangel, Luiza, Imperial College, London, United Kingdom

Address:

Garralda, M. Elena, Academic Unit of Child and Adolescent Psychiatry, Imperial College, Faculty of Medicine, St Mary's Campus, Norfolk Place, London, United Kingdom, W2 1PG, e.garralda@imperial.ac.uk

Source:

Journal of Child Psychology and Psychiatry, Vol 45(3), Mar 2004. pp. 543-552.
Journal URL: http://www.blackwellpublishing.com/journal.asp?ref=0021-9630

Publisher:

United Kingdom: Blackwell Publishing
Publisher URL: http://www.blackwellpublishing.com

ISSN:

0021-9630 (Print)
1469-7610 (Electronic)

Digital Object Identifier:

10.1111/j.1469-7610.2004.00244.x

Language:

English

Keywords:

chronic fatigue syndrome; illness attitudes; coping mechanisms; pediatric disorders; functional impairment; children; adolescents

Abstract:

The aim of this study was to compare impairment, illness attitudes and coping mechanisms in childhood chronic fatigue syndrome (CFS) and in other paediatric disorders. Participants were 28 children and adolescents with CFS, 30 with juvenile idiopathic arthritis (JIA) and 27 with emotional disorders (ED). Children with CFS reported significantly more illness impairment, especially in school attendance, than those with JIA and ED. On the Kidcope they named school issues (work, expectations, attendance) as illness- or disability-related problems more than the other two groups. Fewer CFS participants reported using problem solving as a strategy to cope with illness and disability than with other problems in their lives. More in the CFS than in the JIA group used emotional regulation to cope with illness and disability. Fewer in the CFS than in the ED groups used social withdrawal to cope with illness and self-criticism for disability, but more used resignation to cope with disability. Severe illness-related impairment, particularly through school non-attendance, and high levels of illness-related school concerns appear specific to CFS. CFS may also have characteristically high levels of generalised illness worry and particular styles of coping with illness and disability. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Ability Level; *Chronic Fatigue Syndrome; *Coping Behavior; *Health Attitudes; *Pediatrics

Classification:

Physical & Somatoform & Psychogenic Disorders (3290)

Population:

Human (10)
Male (30)
Female (40)

Location:

England

Age Group:

Childhood (birth-12 yrs) (100)
School Age (6-12 yrs) (180)
Adolescence (13-17 yrs) (200)
Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer-Reviewed Status-Unknown; Electronic
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040322

Correction Date:

20050919

Accession Number:

2004-11432-012

Number of Citations in Source:

39

 

 

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<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-11432-012&site=ehost-live">Impairment and coping in children and adolescents with chronic fatigue syndrome: A comparative study with other paediatric disorders.</A>

 

 

Database:

PsycINFO


Record: 7

Title:

Emotional resilience in children: Implications for rational emotive education.

Author(s):

Bernard, Michael E., University of Northern Iowa, Albert Ellis Institute, IA, US

Address:

Bernard, Michael E., College of Education, California State University, 1250 Bellflower Blvd., Long Beach, CA, US

Source:

Journal of Cognitive and Behavioral Psychotherapies, Vol 4(1), Mar 2004. pp. 39-52.

Publisher:

Romania: Presa Universitara Clujeana
Publisher URL: http://www.ubbcluj.ro/

ISSN:

1584-7101 (Print)

Language:

English

Keywords:

emotional resilience; child development; rational-emotive behavioral therapy; rational emotive education; emotional self-management; emotional regulation

Abstract:

It is argued that the study of child developmental research into children's ability to regulate their own emotions offers distinctive insights and methods that can be incorporated into rational-emotive behavioral therapy (REBT) and its educational derivative rational emotive education (REE). Research is described that reveals a host of different emotion regulation strategies that children develop as they grow older (e.g., distraction, diversion, seeking social support, exercise) that can be included in REBT and REE in addition to challenging/disputing and teaching of rational beliefs that can lead to greater emotional self-management in children. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Emotional Control; *Emotional Development; *Rational Emotive Behavior Therapy; *Resilience (Psychological); *Self Management

Classification:

Curriculum & Programs & Teaching Methods (3530)

Population:

Human (10)

Age Group:

Childhood (birth-12 yrs) (100)
Adolescence (13-17 yrs) (200)

Publication Type:

Journal, Peer Reviewed Journal; Electronic
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20051024

Accession Number:

2005-10073-003

Number of Citations in Source:

23

 

 

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Database:

PsycINFO


Record: 8

Title:

An Examination of the Contributions of Interactive Peer Play to Salient Classroom Competencies for Urban Head Start Children.

Author(s):

Fantuzzo, John, University of Pennsylvania, Philadelphia, PA, US, johnf@gse.upenn.edu
Sekino, Yumiko, University of Pennsylvania, Philadelphia, PA, US
Cohen, Heather L., University of Pennsylvania, Philadelphia, PA, US

Address:

Fantuzzo, John, Psychology in Education Division, Graduate School of Education, University of Pennsylvania, Philadelphia, PA, US, johnf@gse.upenn.edu

Source:

Psychology in the Schools, Vol 41(3), Mar 2004. pp. 323-336.
Journal URL: http://www.interscience.wiley.com/jpages/0033-3085/

Publisher:

US: John Wiley & Sons
Publisher URL: http://www.wiley.com/WileyCDA/

ISSN:

0033-3085 (Print)
1520-6807 (Electronic)

Digital Object Identifier:

10.1002/pits.10162

Language:

English

Keywords:

interactive peer play; classroom competence; Head Start children; emotion regulation; autonomy; language development

Abstract:

Relations between children's peer play competence and other relevant competencies were investigated using two samples of urban Head Start children. Dimensions of peer play were examined concurrently with emotion regulation, autonomy, and language. Children exhibiting high levels of peer play interaction were found to demonstrate more competent emotional-regulation, initiation, self-determination, and receptive vocabulary skills. Assessments of positive engagement in play early in the year were associated with lower levels of aggressive, shy, and withdrawn adjustment problems at the end of the year. Children who successfully interacted with peers early in the year evidenced greater cognitive, social, and movement/coordination outcomes. Disruptive and disconnected peer play behaviors were associated with negative emotional and behavioral outcomes. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Childhood Play Behavior; *Classroom Behavior; *Peer Relations; *Psychosocial Development; *Social Skills; Emotional Control; Independence (Personality); Language Development; Preschool Students; Project Head Start

Classification:

Classroom Dynamics & Student Adjustment & Attitudes (3560)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Age Group:

Childhood (birth-12 yrs) (100)
Preschool Age (2-5 yrs) (160)

Tests & Measures:

Peabody Picture Vocabulary Test-III

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20040322

Accession Number:

2004-11395-005

Number of Citations in Source:

48

 

 

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Database:

PsycINFO


Record: 9

Title:

Il ruolo dell'autoefficacia percepita nella sfera emotiva come determinante del pensiero positive nel corso di vita.

Translated Title:

Emotional self-efficacy beliefs as determinants of positive thinking over the course of life.

Author(s):

Caprara, Gian Vittorio, Centro Interuniversitario per la Ricerca sulla Genesi e sullo Sviluppo delle Motivazioni Prosociali e Antisociali, Italy
Steca, Patrizia, Centro Interuniversitario per la Ricerca sulla Genesi e sullo Sviluppo delle Motivazioni Prosociali e Antisociali, Italy

Source:

Età Evolutiva, No 77, Feb 2004. pp. 96-104.

Publisher:

Italy: Giunti Gruppo Editoriale SPA
Publisher URL: http://www.giunti.it

ISSN:

0392-0658 (Print)

Language:

Italian

Keywords:

positive thinking; emotional self-efficacy; subjective wellbeing; life satisfaction; self esteem; emotional regulation

Abstract:

The present study tested the posited structural path of influence through which perceived self-efficacy of affect regulation, operate on positive thinking at different times over the course of life. Assessment of subjective wellbeing, results from life satisfaction, optimism and self-esteem measures. 323 males and 318 females, aged between 20 and 92 years, participated to this study. As predicted, a strong sense of efficacy in the regulation of positive and negative affect, resulted associated to higher positive thinking in both males and females over the course of life. Males showed higher levels of self-efficacy beliefs in managing negative emotions as well as on the three measures of positive thinking. However these differences tend to diminish over the course of life with males scoring lower and females higher with aging. Likely females manage better than males the transition from adulthood to old age. In fact they seem to have a better psycho-emotional "equipment", that giants them a better fit to the different, personal and relational, life circumstances. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Emotional Control; *Life Satisfaction; *Optimism; *Self Efficacy; *Self Esteem; Thinking; Well Being

Classification:

Personality Traits & Processes (3120)

Population:

Human (10)
Male (30)
Female (40)

Age Group:

Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)
Thirties (30-39 yrs) (340)
Middle Age (40-64 yrs) (360)
Aged (65 yrs & older) (380)
Very Old (85 yrs & older) (390)

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Print

Document Type:

Original Journal Article

Release Date:

20040906

Accession Number:

2004-12267-008

Number of Citations in Source:

26

 

 

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Database:

PsycINFO


Record: 10

Title:

Resilient Individuals Use Positive Emotions to Bounce Back From Negative Emotional Experiences.

Author(s):

Tugade, Michele M., Department of Psychology, Boston College, Chestnut Hill, MA, US, tugade@bc.edu
Fredrickson, Barbara L., Department of Psychology and Research Center for Group Dynamics at the Institute for Social Research, University of Michigan, MI, US

Address:

Tugade, Michele M., Department of Psychology, Boston College, College, 140 Commonwealth Avenue, Chestnut Hill, MA, US, tugade@bc.edu

Source:

Journal of Personality and Social Psychology, Vol 86(2), Feb 2004. pp. 320-333.
Journal URL: http://www.apa.org/journals/psp.html

Publisher:

US: American Psychological Assn
Publisher URL: http://www.apa.org

ISSN:

0022-3514 (Print)

Digital Object Identifier:

10.1037/0022-3514.86.2.320

Language:

English

Keywords:

psychological resilience; stressful experiences; negative emotional experiences; positive emotions; emotional regulation; positive meaning; cardiovascular recovery

Abstract:

Theory indicates that resilient individuals "bounce back" from stressful experiences quickly and effectively. Few studies, however, have provided empirical evidence for this theory. The broaden-and-build theory of positive emotions (B. L. Fredrickson, 1998, 2001) is used as a framework for understanding psychological resilience. The authors used a multimethod approach in 3 studies to predict that resilient people use positive emotions to rebound from, and find positive meaning in, stressful encounters. Mediational analyses revealed that the experience of positive emotions contributed, in part, to participants' abilities to achieve efficient emotion regulation, demonstrated by accelerated cardiovascular recovery from negative emotional arousal (Studies 1 and 2) and by finding positive meaning in negative circumstances (Study 3). Implications for research on resilience and positive emotions are discussed. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Coping Behavior; *Emotional Control; *Emotional States; *Resilience (Psychological); *Stress; Cardiovascular Reactivity; Experiences (Events); Meaning; Meaningfulness; Positivism; Stress Reactions

Classification:

Personality Traits & Processes (3120)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Age Group:

Adolescence (13-17 yrs) (200)
Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)
Thirties (30-39 yrs) (340)
Middle Age (40-64 yrs) (360)

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Print

Document Type:

Original Journal Article

Release Date:

20040209

Accession Number:

2004-10747-009

Number of Citations in Source:

56

 

 

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Database:

PsycINFO

Full Text Database:

PsycARTICLES


Record: 11

Title:

Risk taking and novelty seeking in adolescence: Introduction to part I.

Series Title:

Annals of the New York Academy of Sciences; Vol. 1021

Author(s):

Kelley, Ann E., Department of Psychiatry, University of Wisconsin-Madison Medical School, Madison, WI, US, aekelley@wisc.edu
Schochet, Terri, Department of Psychiatry, University of Wisconsin-Madison Medical School, Madison, WI, US
Landry, Charles F., Department of Psychiatry, University of Wisconsin-Madison Medical School, Madison, WI, US

Address:

Kelley, Ann E., Department of Psychiatry, University of Wisconsin-Madison Medical School, 6001 Research Park Boulevard, Madison, WI, US, aekelley@wisc.edu

Source:

Adolescent brain development: Vulnerabilities and opportunities. Dahl, Ronald E. (Ed); Spear, Linda Patia (Ed); pp. 27-32.
New York, NY, US: New York Academy of Sciences, 2004. xii, 472 pp.

ISBN:

1-57331-506-0 (hardcover)
1-57331-507-9 (paperback)

Language:

English

Keywords:

risk taking; novelty seeking; adolescent behavior; impulsivity; emotional regulation; cognitive function; brain pathways

Abstract:

(from the chapter) Risk taking and novelty seeking are hallmarks of typical adolescent behavior. Adolescents seek new experiences and higher levels of rewarding stimulation, and often engage in risky behaviors, without considering future outcomes or consequences. These behaviors can have adaptive benefits with regard to the development of independence and survival without parental protection, but also render the adolescent more vulnerable to harm. Indeed, the risk of injury or death is higher during the adolescent period than in childhood or adulthood, and the incidence of depression, anxiety, drug use and addiction, and eating disorders increases. Brain pathways that play a key role in emotional regulation and cognitive function undergo distinct maturational changes during this transition period. It is clear that adolescents think and act differently from adults, yet relatively little is known about the precise mechanisms underlying neural, behavioral, and cognitive events during this period. Increased investigation of these dynamic alterations, particularly in prefrontal and related corticolimbic circuitry, may aid this understanding. Moreover, the investigation of mammalian animal models of adolescence--such as those examining impulsivity, reward sensitivity, and decision making--may also provide new opportunities for addressing the problem of adolescent vulnerability. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Adolescent Development; *Cognitive Development; *Emotional Development; *Risk Taking; *Sensation Seeking; Neural Pathways

Classification:

Developmental Psychology (2800)

Population:

Human (10)

Age Group:

Adolescence (13-17 yrs) (200)

Intended Audience:

Psychology: Professional & Research (PS)

Conference:

Adolescent Brain Development: Vulnerabilities and Opportunities, Sep, 2003, New York, NY, US

Conference Notes:

This volume is the result of the aforementioned conference which was cosponsored by the New York Academy of Sciences and the University of Pittsburgh School of Medicine, Center for Continuing Education.

Publication Type:

Book, Edited Book; Print

Document Type:

Original Chapter

Release Date:

20051219

Accession Number:

2004-16492-003

Number of Citations in Source:

25

 

 

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Database:

PsycINFO


Record: 12

Title:

Neurological and Developmental Outcomes of Prenatally Cocaine-Exposed Offspring from 12 to 36 Months.

Author(s):

Lewis, Marilyn W., Alcohol Research Center, University of Connecticut School of Medicine, Farmington, CT, US
Misra, Sonya, Santa Clara Valley Medical Center, San Jose, CA, US
Johnson, Helen L., Department of Elementary and Early Childhood Education, Queens College, New York, NY, US
Rosen, Tove S., Department of Neonatology, Children's Hospital of New York, New York, NY, US, tsr1@columbia.edu

Address:

Rosen, Tove S., Department of Neonatology, Children's Hospital of New York, 630 W 168th St., New York, NY, US, tsr1@columbia.edu

Source:

American Journal of Drug and Alcohol Abuse, Vol 30(2), 2004. pp. 299-320.
Journal URL: http://www.tandf.co.uk/journals/titles/00952990.asp

Publisher:

United Kingdom: Taylor & Francis
Publisher URL: http://www.taylorandfrancis.com/

ISSN:

0095-2990 (Print)
1097-5754 (Electronic)

Digital Object Identifier:

10.1081/ADA-120037380

Language:

English

Keywords:

prenatal cocaine exposure; infant development; neurology; offspring

Abstract:

Second generation studies of prenatal cocaine exposure failed to find gross deficits after controlling for confounders. Concern remained that exposure could cause subtle deficits. This prospective, cohort study evaluated effects of cocaine on development at 12, 18, 24, and 36 months. From 1991-1993, 361 mother-infant pairs were recruited from the Children's Hospital of New York, Presbyterian Medical Center's prenatal clinic or delivery room suite. Mothers were assigned to the cocaine group based on report of prenatal cocaine use or positive urine toxicology. Control mothers were enrolled from the same clinic and matched for age and socioeconomic status (SES). Women with serious medical problems were excluded from either group. Of the retained cohort, at 12 months, 147 infants were exposed and 89 were unexposed case controls. Both groups were raised in impoverished environments with few supports. Developmental evaluations were conducted blinded to group. Cross-sectional analysis revealed cocaine-related deficits in neurological exams and speech across all time periods, in spite of catch up in weight, length, and head circumference. Overall analysis of development was evaluated using Generalized Estimating Equations regression analysis. Bayley Mental [B-sub(adj) = -6.5 (CI-9.4,- 3.5, p ≤ 0.001)] and Psychomotor [B-sub(adj) = - 3.9 (CI-7.4, - 0.5, p = 0.02)] Developmental Indices showed deficits after controlling for confounders. Males were more vulnerable to cocaine exposure for height, motor development, and emotional regulation. Dose-response relationships existed for abnormal neurological exams (p-sub(trend) < 0.08), Mental Development Index (MDI) (p-sub(trend) < 0.001), and Psychomotor Development Index (PDI) (p-sub(trend) < 0.001) deficits. Although nonexposed children performed poorly, cocaine-exposed children showed worse performance. Both groups showed declines at 18 months in mental and psychomotor development from which only nonexposed children rebounded. Overall, cocaine exposure adds an additional risk to disadvantaged children's development. Cocaine-exposed children are less resilient to effects of these multiple risks. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Cocaine; *Infant Development; *Neurology; *Offspring; *Prenatal Exposure

Classification:

Psychopharmacology (2580)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Age Group:

Childhood (birth-12 yrs) (100)
Infancy (2-23 mo) (140)
Preschool Age (2-5 yrs) (160)
Adulthood (18 yrs & older) (300)
Young Adulthood (18-29 yrs) (320)
Thirties (30-39 yrs) (340)
Middle Age (40-64 yrs) (360)

Tests & Measures:

Center for Epidemiological Study-Depression
Achenbach Child Behavior Check List
Language Development Survey
Bayley Scales of Infant Development

Methodology:

Empirical Study; Followup Study; Longitudinal Study; Prospective Study; Quantitative Study

Publication Type:

Journal, Peer-Reviewed Status-Unknown; Electronic
Format(s) Available: Electronic; Print

Document Type:

Original Journal Article

Release Date:

20050425

Correction Date:

20050907

Accession Number:

2005-03574-006

Number of Citations in Source:

75

 

 

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<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2005-03574-006&site=ehost-live">Neurological and Developmental Outcomes of Prenatally Cocaine-Exposed Offspring from 12 to 36 Months.</A>

 

 

Database:

PsycINFO


Record: 13

Title:

Wen trifft die Wunde?

Translated Title:

Who is hit by the wound?

Author(s):

Wildermuth, Matthias, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Herborn, Germany

Address:

Wildermuth, Matthias, Klinik fur Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Rehbergpark gGmbH, Austr. 40, D-35745, Herborn, Germany

Source:

Analytische Kinder- und Jugendlichenpsychotherapie, Vol 35(123), 2004. pp. 327-350.

Publisher:

Germany: Brandes & Apsel

ISSN:

0945-6740 (Print)

Language:

German

Keywords:

inpatient child psychiatry; inpatient adolescent psychiatry; self harming behavior; psychoanalysis

Abstract:

Following a short overview of specific tasks in in-patient child and adolescent psychiatry I will describe the psychoanalytically informed setting. Phases in the therapeutic process are differentiated. With regard to constructive and destructive processes a bipolar and an integrative model--using psychotherapeutical as well as realistic therapeutical environment--are investigated seeing the whole ward as a stage onto which earlier patterns can be transferred. After that reasons for and psychodynamic aspects of self harming are analyzed. The meaning of these symptoms as a dialogue in conduct is put in concrete terms with regard to the in-patient clientele. The case-vignette of a juvenile female patient with self harming behavior also explains family dynamics. A focus in treatment is necessary as it is to work with emotional regulation within in-patient containing and to mentalize mostly repeated traumas that have not yet been verbalized. (PsycINFO Database Record (c) 2006 APA, all rights reserved)(from the journal abstract)

Subjects:

*Adolescent Psychiatry; *Child Psychiatry; *Psychiatric Hospitalization; *Psychoanalysis; *Self Destructive Behavior

Classification:

Psychoanalytic Therapy (3315)

Population:

Human (10)

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Print

Document Type:

Original Journal Article

Release Date:

20041018

Correction Date:

20060530

Accession Number:

2004-18183-001

Number of Citations in Source:

38

 

 

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<A href="http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-18183-001&site=ehost-live">Wen trifft die Wunde?</A>

 

 

Database:

PsycINFO


Record: 14

Title:

Afrontamiento y regulación emocional de hechos traumáticos: Un estudio longitudinal sobre el 11-M.

Translated Title:

Coping and emotional regulation after the bombing of March 11th.

Author(s):

Campos, Myriam, Universidad del País Vasco, San Sebastián, Spain, miryamcampos@yahoo.es
Páez, D., Universidad del País Vasco, San Sebastián, Spain
Velasco, C., Universidad del País Vasco, San Sebastián, Spain

Address:

Campos, Myriam, Dpto. de Psicologia Social y Metodologia de las Ciencias del Comportamiento, Universidad del Pais Vasco, Apartado 726, 20080, San Sebastian, Spain, miryamcampos@yahoo.es

Source:

Ansiedad y Estrés, Vol 10(2-3), 2004. Special issue: La reacción humana ante el trauma: Consecuencias del 11 de Marzo de 2004 (Human reaction to psychological trauma: Psychological consequences of the March 11th, 2004, terrorist attack in Madrid). pp. 277-286.
Journal URL: http://www.ucm.es/info/seas/Revista/index.htm

Publisher:

Spain: Sociedad Española para el Estudio de la Ansiedad y el Estrés
Publisher URL: http://www.ucm.es/info/seas/

ISSN:

1134-7937 (Print)

Language:

Spanish

Keywords:

coping; emotional regulation; March 11 bombings

Abstract:

A longitudinal study with N=1800 students and relatives (38%) apply a coping scale and Izard's DES or emotional activation one week alter March-Eleven, positive affect PANAS, rumination, reaction to M-11 traumatic event of 11-M (EGAS), self-esteem and personal control, Vaux's social support and UCLA's loneliness scale three weeks and two months after March Eleven. Predictive validity of coping items is contrasted by means of partial correlation between coping items and negative affect, positive affect, self-esteem and control and social integration criterion variables, controlling for the first week emotional arousal level. The longitudinal study show that direct coping, reappraisal and positive revaluation, and partially searching for social support coping strategies are functional. Avoidant, social isolation, rumination and helplessness coping strategies are related to high negative affect, low positive affect, low control, low self-esteem and low social integration - they are globally dysfunctional. However, direct coping, searching for social support and positive reappraisal are not related to low negative affect. (PsycINFO Database Record (c) 2005 APA, all rights reserved)(journal abstract)

Subjects:

*Coping Behavior; *Emotional States; *Terrorism

Classification:

Personality Traits & Processes (3120)
Social Processes & Social Issues (2900)

Population:

Human (10)

Location:

Spain

Tests & Measures:

Izards Differential Emotions Scale
Vauxs Social Support Scale
Positive and Negative Syndrome Scale
UCLA Loneliness Scale

Methodology:

Empirical Study; Longitudinal Study; Quantitative Study

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Print

Document Type:

Original Journal Article

Release Date:

20051011

Accession Number:

2005-07190-010

Number of Citations in Source:

22

 

 

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Database:

PsycINFO


Record: 15

Title:

Afrontamiento y regulación emocional de hechos estresantes. Un meta-análisis de 13 estudios.

Translated Title:

Coping and emotional regulation of stress events. A meta-analysis of 13 studies.

Author(s):

Campos, M., Departamento de Psicología Social, Universidad del País Vasco, Spain, miryamcampos@yahoo.es
lraurgui, J., Módulo de Asistencia Psicosocial de Rekalde, Bilbao, Spain, iraurgi@euskalnet.net
Páez, D., Misma Universidad, Spain, pspparod@ss.ehu.es
Velasco, C., Departamento de Psicología Social, Universidad del País Vasco, Spain

Address:

Campos, M., Facultad de Psicologia, Dpto de Psicologia Social, Avda. de Tolosa, 70, 20018, San Sebastian, Spain, miryamcampos@yahoo.es

Source:

Boletin de Psicología (Spain), Vol 82, 2004. pp. 25-44.

Publisher:

Spain: Editorial Promolibro
Publisher URL: http://www.promolibro.com

ISSN:

0212-8179 (Print)

Language:

Spanish

Keywords:

coping strategies; social support; social withdrawal; emotional regulation; stress events

Abstract:

Twelve coping strategies and functionality are described, based on Skinner, Edge, Altman and Sherwood (2003), Compas, Connor-Smith, Saltzman, Thomsen and Wadsworth (2001) and Penley, Tomaka and Wiebe (2002). A meta-analytical review of 13 local studies (N 1313) analyzes the correlation between a 27 items short mixed version of Folkman & Lazarus' Way of Coping (WOC) and Carver, Scheier & Weintraub's COPE coping items with an index of affect balance (PANAS). The meta-anlytical correlational review shows that direct coping, reappraisal and positive re-evaluation, and partially searching for social support coping strategies are functional. Avoidance, social withdrawal, rumination and helplessness or disengagement are dysfunctional strategies. Avoidant, social isolation, rumination and helplessness coping strategies are related to high negative affect and or low positive affect. All these results are congruent with previous meta-analysis. (PsycINFO Database Record (c) 2006 APA, all rights reserved)(journal abstract)

Subjects:

*Coping Behavior; *Emotional Control; *Social Isolation; *Social Support; *Stress

Classification:

Personality Traits & Processes (3120)

Population:

Human (10)

Tests & Measures:

COPE
Ways of Coping Checklist

Methodology:

Meta Analysis

Publication Type:

Journal, Peer Reviewed Journal; Print
Format(s) Available: Print

Document Type:

Original Journal Article

Release Date:

20060221

Accession Number:

2005-14074-002

Number of Citations in Source:

30

 

 

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Database:

PsycINFO


Record: 16

Title:

Children's understanding and regulation of emotion in the context of their peer relations.

Series Title:

Decade of behavior

Author(s):

Hubbard, Julie A., University of Delaware, Newark, DE, US
Dearing, Karen F., University of Delaware, Newark, DE, US

Source:

Children's peer relations: From development to intervention. Kupersmidt, Janis B. (Ed); Dodge, Kenneth A. (Ed); pp. 81-99.
Washington, DC, US: American Psychological Association, 2004. xvi, 289 pp.
Publisher URL: http://www.apa.org/books

ISBN:

1-59147-105-2 (hardcover)

Digital Object Identifier:

10.1037/10653-005

Language:

English

Keywords:

emotional correlates; emotional understanding; emotional regulation; peer relations; emotional functioning; model of affective social competence

Abstract:

(from the chapter) The primary aim of this chapter is to review existing research on the emotional correlates of peer relations in the context of a model of emotional functioning, or affective social competence (ASC), recently developed by Halberstadt, Denham, and Dunsmore (2001). Throughout this process, we highlight measurement difficulties and corresponding points in the model where empirical data on the emotional correlates of peer relations are lacking. We begin by describing Halberstadt et al.'s (2001) ASC model. Next, we integrate this model with the constructs of understanding and regulation of emotion. In the body of the chapter, we review empirical literature linking emotion understanding and emotion regulation with peer relations at each point of the model. Finally, we conclude by summarizing what this literature suggests about the emotional functioning of children with problematic peer relations. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Emotional Development; *Models; *Peer Relations; *Social Skills; Emotional Adjustment; Emotional Control; Emotional Intelligence

Classification:

Psychosocial & Personality Development (2840)

Population:

Human (10)

Age Group:

Childhood (birth-12 yrs) (100)

Intended Audience:

Psychology: Professional & Research (PS)

Methodology:

Literature Review

Publication Type:

Book, Edited Book; Print

Document Type:

Original Chapter

Release Date:

20041220

Accession Number:

2004-95036-005

Number of Citations in Source:

37

 

 

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Database:

PsycINFO


Record: 17

Title:

Identity, Personality, and Emotional Regulation.

Author(s):

Arciero, Giampiero, Institute of Cognitive Post-Rationalist Psychology and Psychotherapy (IPRA), Rome, Italy
Gaetano, Paola, Institute of Cognitive Post-Rationalist Psychology and Psychotherapy (IPRA), Rome, Italy
Maselli, Paolo, Institute of Cognitive Post-Rationalist Psychology and Psychotherapy (IPRA), Rome, Italy
Gentili, Nicoletta, Institute of Cognitive Post-Rationalist Psychology and Psychotherapy (IPRA), Rome, Italy

Source:

Cognition and psychotherapy (2nd ed.). Freeman, Arthur (Ed); Mahoney, Michael J. (Ed); DeVito, Paul (Ed); Martin, Donna (Ed); pp. 261-272.
New York, NY, US: Springer Publishing Co, 2004. xviii, 381 pp.
Publisher URL: http://www.springerpub.com

ISBN:

0-8261-2225-6 (hardcover)

Language:

English

Keywords:

personality; identity; emotional regulation; narrative identity; attachment style; personal meaning organization; constructivist psychotherapy

Abstract:

(from the chapter) V. F. Guidano's theory of Personal Meaning Organization (PMO) has firmly established itself as a hermeneutic instrument within constructivist psychotherapeutic approaches, as well as a general theory of personality. Recent innovations address this theory's potential risk of losing sight of subjects' personal uniqueness as they assert well-defined categories of personal style. One such innovation is the concept of a Narrative Identity that mediates between the continuous aspects of identity and the variable, unique nature of individual experience. Two modalities of constructing narrative identity, based on particular ways of developing and regulating emotions, have been specified: Inward and Outward. Similar to the four PMO categories these two modalities appear to be determined by the attachment style developed by the child with the primary caregiver, and from an early life-stage determination of one's mode of emotional regulation. The theory of narrative identity adds new insights into the construction of personality, identity, and emotional regulation, building on Guidano's pioneering work. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Emotional Control; *Meaning; *Narratives; *Personality Development; *Self Concept; Attachment Behavior; Constructivism; Psychotherapy

Classification:

Psychosocial & Personality Development (2840)
Psychotherapy & Psychotherapeutic Counseling (3310)

Population:

Human (10)

Intended Audience:

Psychology: Professional & Research (PS)

Publication Type:

Book, Edited Book; Print

Document Type:

Original Chapter

Release Date:

20050314

Accession Number:

2004-17735-012

Number of Citations in Source:

43

 

 

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Database:

PsycINFO


Record: 18

Title:

Temperament and emotional regulation: Multiple models of early development.

Series Title:

Advances in consciousness research

Author(s):

Calkins, Susan D., Department of Psychology, University of North Carolina at Greensboro, Greensboro, NC, US

Address:

Calkins, Susan D., Department of Psychology, University of North Carolina at Greensboro, P. O. Box 26164, Greensboro, NC, US

Source:

Consciousness, emotional self-regulation and the brain. Beauregard, Mario (Ed); pp. 35-59.
Amsterdam, Netherlands: John Benjamins Publishing Company, 2004. xii, 291 pp.

ISBN:

1-58811-458-9 (hardcover)
1-58811-459-7 (paperback)

Language:

English

Keywords:

emotional regulation; early development; temperament

Abstract:

(from the chapter) In this chapter, I focus on the construct of emotional regulation from a developmental perspective, with an emphasis on the temperamental processes or mechanisms that contribute to its development in the early years of life. I begin with a brief overview of recent theorizing about emotional regulation, followed by a description of normative developments in the domain of emotional regulation. Next, I address the specific role of temperament, with consideration of the multiple possible roles that temperament might play in the normative development of emotional regulation skills and in the emergence of individual differences in emotional regulation. Finally, I address implications of this perspective for the empirical study of emotional regulation and its conceptual integration with other dimensions of interpersonal functioning. I consider a multiple-level approach to the study of emotional regulation as a means of consolidating, from a theoretical perspective, what is known about the behavioral and biological processes involved in emotional regulation. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Emotional Control; *Emotional Development; *Personality; *Self Regulation

Classification:

Psychosocial & Personality Development (2840)

Population:

Human (10)

Intended Audience:

Psychology: Professional & Research (PS)

Methodology:

Literature Review

Publication Type:

Book, Edited Book; Print

Document Type:

Original Chapter

Release Date:

20051219

Accession Number:

2004-00113-002

Number of Citations in Source:

97

 

 

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Database:

PsycINFO


Record: 19

Title:

Losing to Win: A Clinical Perspective on the Experience of Loss among Elite Athletes.

Author(s):

Reid, Corinne, Murdoch U, Australia

Source:

Coping and emotion in sport. Lavallee, David (Ed); Thatcher, Joanne (Ed); Jones, Marc V. (Ed); pp. 189-210.
Hauppauge, NY, US: Nova Science Publishers, 2004. x, 285 pp.

ISBN:

1-59454-076-4 (hardcover)

Language:

English

Keywords:

elite athletes; coping resources; emotional experiences; loss experience; team culture

Abstract:

(from the chapter) Loss is a theme that runs through the life stories of most elite athletes--we could go so far as to say that in many cases it is the thread that holds the story together. When we think of champions we like to think of those who have overcome adversity, who have come back from monumental defeat. But it is also true that the experience of loss can be the weak link that relegates potential champions to mediocrity. What is it then that determines whether an athlete's experience of loss will be formative or destructive? Why do some exceptional juniors become paralyzed by fear of failure and fail to make the transition to elite status? Why is injury-related 'depression' an increasingly common referral for psychologists working with elite athletes. This paper will examine the 'loss experience' of the elite athlete based on clinical observations from the author's work with elite athletes and their coaches. The second part of this chapter will reflect on a model for intervention forged during seven years of working with the Australian Women's Hockey Team as they reconciled to a disappointing Olympic campaign in Barcelona in 1992 to move toward two consecutive gold-medal Olympiads. Specifically, it will consider the challenge of how to develop a team 'culture' that recognizes, values and utilizes the experience of loss in the pursuit of excellence. Such a culture understands intense emotional experiences as the bedrock of both compelling personal motivation and paralyzing inertia. It recognizes that these states of being are never far removed from one another and that emotional regulation is one of the core skills required of elite athletes. In its most encompassing clinical sense, emotional regulation is knowing when, where and how to use emotion--and even more fundamentally, what sense to make of it. Well managed emotional processing of loss can manifest in a growing armory of personal coping resources as well as significant personal growth more broadly. (PsycINFO Database Record (c) 2006 APA, all rights reserved)

Subjects:

*Athletes; *Coping Behavior; *Emotional Responses; *Failure; *Teams

Classification:

Sports (3720)

Population:

Human (10)

Intended Audience:

Psychology: Professional & Research (PS)

Publication Type:

Book, Edited Book; Print

Document Type:

Original Chapter

Release Date:

20060814

Accession Number:

2005-05746-011

Number of Citations in Source:

40

 

 

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Database:

PsycINFO


Record: 20

Title:

An exploratory study using self-regulation of arousal and mutual regulation as a paradigm for child treatment and staff training.

Author(s):

Gearity, Anne Redmond, Inst For Clinical Social Work (Chicago), US

Source:

Dissertation Abstracts International Section A: Humanities and Social Sciences, Vol 64(9-A), 2004. pp. 3480.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4209 (Print)

Order Number:

AAI3107349

Language:

English

Keywords:

arousal self-regulation; mutual regulation; child treatment; staff training; aggressive symptoms; disruptive symptoms; child-therapist interactions

Abstract:

This project is a qualitative research study situated in a day treatment program for children, aged three to ten, who present with aggressive and disruptive symptoms that suggest significant difficulties with dysregulation. Their histories included attachment disruptions and exposure to traumatic events. In this study I interviewed therapists working with these children; the actual research voice was the therapist in interaction with children. I asked how an approach to day treatment that focuses on repair of the capacity for emotional regulation, starting with self-regulation of arousal, may be effective, when treatment recognized how moments of dysregulation (asynchrony) in the child-therapist interactions can be used as opportunities to repair., and how consultation supports therapists' positive participation as regulatory partners in this day treatment milieu. The research methodology, Interpretive Interactionism (Denzin, 1989, 2001) relied on the collection of 'thick description' and personal experience stories of problematic human interactions. This methodology permitted me to capture the collective experience of therapists 'being with' children who are difficult to be with, especially during moments of dysregulation and asynchrony. Findings affirmed that this approach had efficacy for these dysregulated and disruptive children. Aggressive behaviors were reconceptualized as representing arousal and disorganization, increasing staff effectiveness and empathy. Therapists worked with 'in the moment' interactions, helping children to read their immediate experiences, to modify perceptions, and to build relational capacity. These activities supported children's increased capacity for self-regulation of arousal and related self-reflection, and permitted remediation of related developmental delays. Valuing asynchronic interactions required therapists to recognize the universal vulnerability to dysregulation. Therapists who were successful identified patience as the essential component of their work; therapists who were not revealed how their own fear interfered with their ability to join these children. Consultation as a parallel regulatory experience was essential for maintaining this potential mutually regulating treatment system. Consultation was also conceptualized as 'in the moment', using the constructs of improvisation and performance to access affective energy. Finally, this study demonstrated how theories of development and psychopathology might be applied to clinical practice with this difficult and traditionally challenging to treat population, and used for staff training. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Aggressive Behavior; *Self Regulation; *Symptoms; *Therapists

Classification:

Health Psychology & Medicine (3360)
Developmental Psychology (2800)

Population:

Human (10)

Age Group:

Adulthood (18 yrs & older) (300)

Methodology:

Empirical Study; Qualitative Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20040830

Accession Number:

2004-99005-141

 

 

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Database:

PsycINFO


Record: 21

Title:

Autonomic and emotion regulation in bereavement: A longitudinal study.

Author(s):

O'Connor, Mary-Frances, U Arizona, US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(1-B), 2004. pp. 448.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI3119972

Language:

English

Keywords:

autonomic regulation; emotional regulation; bereavement; social interaction; respiratory sinus arrhythmia; self-regulation; depression; daily stressors; anxiety

Abstract:

Recent investigations have shown little evidence of differential improvement of written disclosure for bereaved individuals over a control condition. The present study hypothesized that a moderator may interact with disclosure. Vagal tone, as indexed by respiratory sinus arrhythmia (RSA), was proposed to moderate the effect of written disclosure. Vagal tone has been shown as an individual difference in self-regulation in the infant literature, and more recently in adults with depression, anxiety, and daily stressors. The present study investigated thirty-five bereaved participants in a longitudinal design, with participants writing each week for three weeks, a one-week and one-month follow-up. As with previous studies, bereaved participants showed improvement over the two-month period, although no differential improvement was seen in the emotional disclosure group. As hypothesized, however, those participants with the highest RSA benefited most from the written disclosure, while RSA level did not predict outcome for those in the control condition. Future research should investigate if this moderator effect may be present in written disclosure for non-bereaved individuals. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Arrhythmias (Heart); *Cognitive Processes; *Emotional Control; *Grief; *Self Regulation; Anxiety; Social Interaction

Classification:

Health & Mental Health Treatment & Prevention (3300)
Physiological Psychology & Neuroscience (2500)

Population:

Human (10)

Age Group:

Adulthood (18 yrs & older) (300)

Methodology:

Empirical Study; Longitudinal Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20041206

Accession Number:

2004-99014-080

 

 

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Database:

PsycINFO


Record: 22

Title:

Factors affecting the transition to university.

Author(s):

Ritchie, Kerri, U New Brunswick, Canada

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(1-B), 2004. pp. 482.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAINQ87635

Language:

English

Keywords:

university adjustment; transition; parental attachment; university education; emotional adjustment; social loneliness; internal locus of control; social support

Abstract:

Late adolescence is a time in which extensive personal changes may occur. For some, this process takes place in the context of a university education. This study explored the way in which parental attachment predicts university adjustment and GPA, through the mediation of student resources, during students' first and second terms at university. This study also examined whether Term 1 and Term 2 student resources predicted year-end university adjustment and GPA. Three hundred and fourteen students participated in the first term (196 females and 118 males). One hundred and four of these students completed the same questionnaires in Term 2 (59 females and 45 males). In Term 1, higher levels of paternal attachment predicted students' emotional adjustment through its relationship to social loneliness, emotional regulation, and internal locus of control. In Term 2, paternal and maternal attachment combined predicted emotional adjustment, with social support mediating this relationship. In Term 1, social support and social loneliness mediated the relationship between paternal attachment and social adjustment. Although social support predicted social adjustment in the second term, it was no longer related to paternal attachment. Maternal attachment directly predicted academic adjustment in Term 1. The association between paternal attachment and academic adjustment was mediated by internal locus of control. Paternal attachment and internal locus of control predicted academic adjustment in Term 2. However, paternal attachment no longer predicted internal locus of control. Females reported higher levels of academic adjustment in Term 1. They also earned higher GPAs than males in both terms. When both first and second term attachment and student resource variables were used to predict year-end university adjustment and GPA, no significant relationships were obtained for emotional adjustment or GPA. Higher emotional adjustment and lower GPA in Term 1, and lower romantic loneliness in Term 2, predicted higher year-end social adjustment. Higher internal locus of control and lower familial loneliness predicted Term 2 academic adjustment. The developmental needs of students entering university are discussed and suggestions are made for a model of university adjustment that addresses the developmental process of students' university adjustment and performance. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Career Development; *Emotional Adjustment; *Internal External Locus of Control; *School Adjustment; *Social Support

Classification:

Social Psychology (3000)

Population:

Human (10)
Male (30)
Female (40)

Age Group:

Adulthood (18 yrs & older) (300)

Methodology:

Empirical Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20041206

Accession Number:

2004-99014-251

 

 

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Database:

PsycINFO


Record: 23

Title:

Differentiating coping patterns for illness-related and other types of stressors in adolescents with chronic illness.

Author(s):

Pontefract, Amanda, U Ottawa, Canada

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(3-B), 2004. pp. 1561.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAINQ90008

Language:

English

Keywords:

coping strategies; stressors; chronic illness; cognitive appraisals; age differences; gender differences; health; quality of life

Abstract:

The aim of this study was to investigate the personal stressors and patterns of coping in adolescents living with a chronic illness. Primary objectives were to: (1) identify salient stressors and to determine the relation between cognitive appraisals and the degree to which a stressor is perceived as illness-related or typical of adolescence; (2) assess differences in coping strategies used for illness-related and other types of stressors; (3) investigate if gender or age influences the frequency, cognitive appraisals or types of stressors reported, or the nature and the overall number of coping strategies reported. A secondary objective was to assess the extent to which health-related quality of life is related to stressors, coping strategies and coping in general. In the current study, 193 chronically ill adolescents listed up to 20 personal stressors and rated the frequency, control over the cause, perceived impact, control over the outcome, and the extent to which each stressor was related to the chronic illness, and typical of adolescence. Adolescents reported coping strategies (Kidcope) for one self-identified illness related and one non-illness related stressor and for two stressors standardized for the entire sample. Participants also completed a global measure of adolescent coping (A-COPE) and a health-related quality of life measure (Rand 36-item Health Survey). Results showed that the most frequently identified stressors were similar to those reported for healthy adolescents. Moreover, stressors were rated as more typical of adolescence than they were illness-related. Although perceived control over the cause was negatively related to stressor impact for self-identified stressors, neither controllability ratings nor impact were significantly correlated with illness or typical ratings. Considerable consistency in coping was found across self-identified stressors only. Females employed more social support and emotional regulation than did males. Although the number of stressors and the perceived impact of stressors increased with age, consistent age differences in coping were not obtained. Poorer general health perception was associated with greater impact for illness stressors. Perceived controllability over the outcome was associated with increased approach coping for both self-generated and standard stressors. Study limitations, suggestions for future research, and clinical implications are discussed. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Chronic Illness; *Cognitive Appraisal; *Coping Behavior; *Health; *Quality of Life; Age Differences; Human Sex Differences

Classification:

Health & Mental Health Treatment & Prevention (3300)

Population:

Human (10)

Age Group:

Adolescence (13-17 yrs) (200)

Methodology:

Empirical Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20050124

Accession Number:

2004-99018-122

 

 

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Database:

PsycINFO


Record: 24

Title:

Binge eating as a maladaptive method of emotional regulation among those with insecure attachment styles.

Author(s):

Domingo, Angelo S., U Hartford, US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(4-B), 2004. pp. 2091.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI3131342

Language:

English

Keywords:

binge eating; emotional regulation; attachment styles; weight control; childhood trauma; depression

Abstract:

The primary purpose of the present study was to assess the validity of a new attachment-based model of Binge Eating Disorder (BED) development. BED describes chronic binge eating without purging and is a diagnostic category provided for further study in Appendix B of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV). The present study examined BED among 105 clinically obese adults seeking bariatric surgery for weight control. The present study proposed an attachment-based clinical model (see Figure 1) of BED development. The variables making up this model are: (a) childhood trauma histories, (b) adult attachment styles, and (c) emotional eating rates. The relationships between these variables form the model and the six hypotheses based on that model. These hypotheses stated that: meeting BED criteria would be related to attachment pathology, both BED and attachment pathology would be related to higher rates of emotional eating, childhood trauma rates would be correlated with emotional eating rates, and both BED and attachment pathology would be related to higher childhood trauma rates. Additionally, the relationship between dietary restraint and the model variables was investigated to examine what role, if any, restraint plays in the proposed model. Lastly, the efficacy of using emotional eating rates as an indirect measure of emotional dysregulation was examined by attempting to correlate rates of emotional eating with severity of depression. The proposed model was partially supported by the data. Meeting or approaching full DSM-IV (APA, 1994) BED criteria was associated only with attachment pathology. However, as hypothesized, those participants who endorsed insecure adult attachment styles reported higher rates of both childhood trauma and emotional eating. Reported rates of childhood trauma were also significantly correlated with reported rates of emotional eating, as hypothesized. Restraint was unrelated to a diagnosis of BED and the other model variables. The use of emotional eating as a measure of emotional dysregulation was partially supported by demonstrating a high correlation between severity of depression and rates of emotional eating. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Attachment Behavior; *Binge Eating; *Depression (Emotion); *Emotional Trauma; *Weight Control

Classification:

Health & Mental Health Treatment & Prevention (3300)

Population:

Human (10)

Methodology:

Empirical Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20050321

Accession Number:

2004-99020-322

 

 

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Database:

PsycINFO


Record: 25

Title:

The effects of a school-based violence prevention program on children's social and emotional behavior.

Author(s):

La Londe, Shayla Kelley, Wisconsin School Of Professional Psychology, Inc., US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(5-B), 2004. pp. 2633.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI0806403

Language:

English

Keywords:

school based violence prevention; emotional behavior; student behavior; prosocial behavior

Abstract:

The study examined the effects of the St. Michael Hospital Peace Program, a school-based violence prevention program, on the emotional regulation and prosocial behavior skills of children in grades 1-6. Archival data from the 2001-2002 school year were used to investigate the change, if any, that occurred on The Teacher's Report of Children's Behavior over the school year. A total of 403 subjects from four different elementary schools in Milwaukee were studied. The results of the study suggested that the Peace Program was able to promote positive change in students' Emotion Regulation (ER) and Prosocial Behavior (PB) score from the beginning of the school year to the end of the school year. Furthermore, it was found that there was no difference in the amount of change that occurred between students in the younger grades (1-3) and students in the older grades (4-6). This indicated that the Peace Program was equally effective for the young and old students. It also was discovered that males had significantly lower scores when compared to females, as female students' scores were significantly higher at time one and time four. However, contrary to what was predicted, no difference was found between the young and old students when comparing their ER and PB score at time one and time four. Further analysis investigating scores at time one and time four indicated that younger students demonstrated a stronger positive change in their ER score and a higher overall PB score, when compared to older students. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Emotional Development; *Prosocial Behavior; *School Based Intervention; *School Violence; *Student Attitudes

Classification:

Health & Mental Health Treatment & Prevention (3300)

Population:

Human (10)

Location:

US

Age Group:

Childhood (birth-12 yrs) (100)
Preschool Age (2-5 yrs) (160)
School Age (6-12 yrs) (180)

Methodology:

Empirical Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20050404

Accession Number:

2004-99022-400

 

 

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Database:

PsycINFO


Record: 26

Title:

Emotion processing in Borderline Personality Disorders.

Author(s):

Bland, Annie Ruth, U South Carolina, US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 64(7-B), 2004. pp. 3185.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI3098647

Language:

English

Keywords:

emotion processing; borderline personality disorders

Abstract:

BPD is characterized by difficulties in emotional regulation and interpersonal relationships. Recognition of facial affect and the intensity of affect are thought to play roles in these difficulties. The purpose of this study was to examine selected elements of an adapted version of Lewis and Michalson's (1983) Emotion Processing Model in women with BPD. Using convenience sampling, a group of hospitalized women with Borderline Personality Disorder (BPD, n = 35) and a community group of women without psychiatric disorder (WPD, n = 35) were recruited from two Southeastern state psychiatric hospitals and from community organizations within the region. The SCID-1 and SCID-II were administered to validate the DSM-IV diagnosis of BPD in hospitalized patients and to exclude selected psychiatric disorders in both groups. The Pictures of Facial Affect (PFA) and the Affect Intensity Measure (AIM) were administered. The modal subject was 31 years of age and white. Education of the WPD group was significantly higher than in the BPD group and hours of current employment were lower in the BPD group, with almost 75% of the BPD sample reporting zero working hours. The groups did not differ on age or ethnicity. Mean PFA and AIM scores by demographic variables, indicated differences in both scores for educational group (high or low). Hypotheses relating to differences in PFA by diagnostic group were supported, but further exploration indicated that selected negative emotions depicted in the PFA and the negative component of the AIM scale accounted for the significance. The study strongly supports the idea that difficulty with negative emotions is responsible for the emotion processing problems, common among persons with BPD. Implications for practice include (a) developing BPD psychoeducational groups to teach them to more accurately perceive, recognize, and interpret facial affects, (b) educating staff about the difficulty of the patient with BPD with emotion recognition, intensity, and regulation to enable them to deal more objectively and therapeutically with this group, and (c) developing mechanisms to facilitate entry into groups both in the inpatient and outpatient settings. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Borderline Personality Disorder; *Emotional States

Classification:

Personality Psychology (3100)

Population:

Human (10)
Female (40)

Age Group:

Adulthood (18 yrs & older) (300)
Thirties (30-39 yrs) (340)

Methodology:

Empirical Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20040531

Accession Number:

2004-99002-013

 

 

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Database:

PsycINFO


Record: 27

Title:

Stress and coping among Mexican-American migrant and non-migrant college students.

Author(s):

Mejia, Olga Leticia, U Texas At Austin, US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 64(7-B), 2004. pp. 3533.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI3099494

Language:

English

Keywords:

stress; coping; Mexican-American migrants; social support; depressive symptomatology; anxious symptomatology; academic achievement; college students

Abstract:

This study researched stress, social support, depressive and anxious symptomatology, and academic achievement in college students of Mexican heritage. The theoretical framework was the transactional stress and coping model proposed by Lazarus and Folkman (1984), and adapted by Slavin, Rainer, McCreary, and Gowda (1991) by integrating cultural components. The model examines five dimensions of the stress process, and three of those dimensions were examined in this study, i.e. stressful events, coping efforts (social support), and adaptational outcomes (depressive and anxious symptomatology). This study sought to add much needed research with Mexican American college students, particularly with migrant students. Migrant status (migrant, non-migrant) and sex (female, male) differences were examined in terms of the various dependent variables. The sample included 168 participants, all of Mexican heritage. In terms of stress, migrant students reported higher levels of acculturative stress than non-migrant students. Surprisingly, males reported higher levels of acculturative stress than female students. In terms of social support, three indices were examined to better understand usage of this coping strategy. Migrant females and non-migrant males reported lower number of people in their support network. Also, migrant students reported seeking support from teachers and professional help givers more often than non-migrant students, and non-migrant students reported seeking support from religious leaders more often than migrant students. Further, females reported seeking higher levels of the following types of support: instrumental, emotional regulation, active problem solving, esteem enhancement, distraction, cognitive reappraisal, and emotional support. In terms of adaptational outcomes, there were no significant differences when acculturation was used as a covariate in the analysis. However, migrant students reported experiencing higher levels of depressive and anxious symptomatology than non-migrant students when the acculturation covariate was not taken into account. It is important to note that the sample as a whole reported high levels of depressive symptomatology (i.e. scored 16 or higher on the Center for Epidemiologic Studies Depression Scale, CES-D, Radloff, 1977): 55 percent versus the expected 20 percent in the general population (Radloff, 1977). Furthermore, of the total number of participants that scored 16 or higher on the CES-D, 63 percent were migrant participants. Further, although there was no cutoff score for the anxious symptomatology scale, there was a highly significant correlation between anxious and depressive symptomatology ( r = .675, p < .01). In terms of academic achievement, females reported higher grade point average than male students. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*College Students; *Coping Behavior; *Human Migration; *Mexican Americans; *Stress; Academic Achievement; Social Support

Classification:

Health & Mental Health Treatment & Prevention (3300)
Educational Psychology (3500)

Population:

Human (10)
Male (30)
Female (40)

Location:

US

Methodology:

Empirical Study; Quantitative Study

Publication Type:

Dissertation Abstract; Print
Format(s) Available: Print

Release Date:

20040531

Accession Number:

2004-99002-111

 

 

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Database:

PsycINFO


Record: 28

Title:

The disorganized dyad: The roles of mother and child in the development of disorganized attachment.

Author(s):

Padron, Elena, U Minnesota, US

Source:

Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 64(7-B), 2004. pp. 3560.

Publisher:

US: Univ Microfilms International
Publisher URL: http://www.il.proquest.com/umi/

ISSN:

0419-4217 (Print)

Order Number:

AAI3098620

Language:

English

Keywords:

disorganized attachment; newborn organization; maternal personality; maternal attitudes; motherhood; infant development

Abstract:

This study explores the roles of newborn organization as well as maternal personality/attitudes toward motherhood, in the development of disorganized attachment in infancy. In a sample at-risk due to poverty (n = 157), maternal characteristics of aggression and anxiety, measured before birth, were associated with disorganized attachment in infancy, an effect that was mediated specifically by interfering caregiving behavior. Newborn organization measures were not associated with disorganized attachment. However, in a preliminary analysis (n = 37) newborn emotional regulation was especially low only for disorganized infants who displayed anomalous, contradictory or incomplete behaviors (vs. direct indices of apprehension regarding the parent). Findings from the current study support the notion that attachment disorganization represents a different dimension from that of attachment security. While, for attachment organization sensitive caregiving is the best predictor, results showed that maternal interference, rather than sensitivity, best predicted disorganization. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

Subjects:

*Attachment Behavior; *Infant Development; *Mother Child Relations; *Mothers; *Parental Attitudes