The most effective and useful way to diagnose and subtype depression has been a long debated topic which even now does not have a definite answer. The biopsychosocial approach to diagnosis may be a solution to this problem by linking various etiologies to symptom presentation. The biopsychosocial model, in regard to depression, takes into account biological risk factors/contributors, psychological or cognitive risk factors/contributors, and social risk factors/contributors to depression when making diagnosis and subtyping determinations. However, the most effective way to use this model in the assessment, diagnosis, and treatment of depression is not yet clear. In this study, the utility of the biopsychosocial model as an effective approach to conceptualizing and treating depression was assessed by testing hypotheses that showed that etiological contributors are related to the presence and differential presentation of depression, and that these etiologically-based subtypes of depression respond differently to different forms of treatment. These hypotheses were tested using data from the National Comorbidity Survey - Replication (NCS-R). Results showed that the biopsychosocial model can effectively predict the presence, severity and chronicity of depression, and may inform specific biopsychosocially-based subtypes. No conclusions could be drawn regarding success in treatment based on the biopsychosocial model. Future directions …

The current study examined the role of self-reported and child-reported maternal lack of acceptance in increasing the likelihood of developing internalizing and externalizing symptoms among children with ADHD symptomatology. The effects of a social desirability bias on mother’s self-reports of rejection were controlled for. Mother-child agreement about parenting behaviors like warmth/affection, hostility/aggression and indifference/neglect was also investigated. In addition, variables with the potential to affect agreement (i.e., parents’ social desirability bias, child age, child sex) were examined. Participants included 120 boys and 90 girls, 6 to 11 years old (M = 8.25, SD = 1.18) with and without ADHD and their primary parent/guardian (N = 209). Parent and child participants completed self-report instruments separately. Results indicate that the relationship between mother-and-child-reported ADHD symptoms and internalizing symptoms is strongest when mothers exhibit low levels of rejection. Among the ADHD subsample, maternal lack of acceptance acts as a risk factor by strengthening the relationship between hyperactive/impulsive symptoms and externalizing symptoms. In addition, mothers and their children report significantly different levels of parenting behaviors. Child age and child sex were significant predictors of parent-child disagreement.

The purpose of the current study is to investigate the extent to which mindfulness (observing and describing), dispositional optimism and personal meaning are associated with self-efficacy for managing a chronic disease (SEMCD) among 57 people living with HIV in the DFW Metroplex. Several statistical analyses, including a hierarchical linear regression analysis, were conducted. Results indicate, after controlling for age and gender, the overall model accounted for a significant proportion of the variance (adjusted R2 = .39) in self-efficacy for managing chronic disease, F (6, 50) = 5.80, p < .01. Both subscales of mindfulness were significantly related to self-efficacy. However, observing was negatively, associated with SEMCD (β = -0.44, p < .05), and describing was positively associated with self-efficacy (β = 0.60, p < .01). As a result, incorporating these mindfulness skills into self-efficacy based self-management programs may greatly improve self-management, thus positively influencing psychological and physiological health outcomes that are essential to the health and wellbeing of people living with HIV/AIDS. Future research should investigate methods of manipulating observing and describing, and determine what proficiency in these skills is most beneficial to improve self-efficacy.

Complex posttraumatic stress disorder (CPTSD) integrates symptoms common to victims of "complex" traumas, like childhood physical or sexual abuse, with the diagnostic criteria of posttraumatic stress disorder (PTSD). It was hypothesized that a history of witnessing interparental violence would be related to adulthood CPTSD symptoms. Results from hierarchical multiple regressions with 287 college students showed that witnessing interparental violence and experiencing child physical abuse predicted higher levels of CPTSD, PTSD, and depression symptoms. After controlling for child abuse, witnessing interparental violence predicted higher levels of traditional PTSD symptoms, but it did not predict an increase in overall CPTSD symptom severity or depression. Results suggest that the traditional PTSD construct, rather than CPTSD, best accounts for the symptoms of those who witnessed interparental violence in childhood.

Thirty-four parents were referred by their CPS caseworkers to participate in one of two ACT for Parenting workshops. These workshops followed a 12 hour treatment protocol based on an acceptance and commitment therapy philosophy of parenting. Briefly, an ACT philosophy of parenting maintains that effective parenting requires awareness and acceptance of thoughts and feelings as they occur in the context of the parent-child relationship. An ACT philosophy of parenting also relies heavily on the identification and commitment to parenting values. Participants were asked to track acceptance and valuing behavior on a daily basis for 25 days prior to the intervention and 25 days post-intervention, as well as to complete a package of self-report instruments designed to measure both ACT specific and general psychological processes, at three different points (pre-, post- and follow-up). Nineteen parents received the treatment, and of those, seventeen provided follow-up data 3-4 months post-intervention. Results indicate statistically significant changes in the expected directions for scores on the BASC-2 Externalizing Composite as well as on the Meta-Valuing Measure. A total of 10 parents also evidenced clinically significant change in the expected directions on a variety of outcome measures.

Currently, only the TSI assesses complex traumatic reactions and patient response styles. However, its feigning scale, ATR, uses a flawed detection strategy and is potentially confounded by experiences of complex PTSD. As a consequence, clinicians using the TSI to evaluate severely traumatized patients have no useful method for discriminating genuine and feigned responding. Several detection strategies have demonstrated utility within evaluations of feigned trauma including the assessment of rare symptoms, symptom combinations, symptom selectivity, and symptom severity. The current study created scales on the TSI according to these strategies using a development sample of 107 severely traumatized patients. Validation of all TSI feigning scales was then performed with a second independent sample of 71 severely traumatized patients using a mixed simulation design. Results found support for each scale's convergent validity with SIRS primary scales (M rs = .52) and discriminant validity with measures of defensiveness on the SIRS (M rs = -.07) and TSI (M rs = -.19). Each scale also produced expectedly mild to moderate relationships with SADS-C clinical scales (M rs = .32) and the SCID-IV PTSD module (M rs = -.02). Support for their criterion validity was only moderate (M ds = .69) when comparing the scores …

Objectification theory (Fredrickson & Roberts, 1997) has been used to explain how mechanisms related to socialization, sexual objectification, and psychological variables interact to predict mental health difficulties. Among a sample of 626 undergraduate women (age 18-24), this study empirically tested components of Moradi and Huang’s (2008) model and extended it by including additional socialization experiences (i.e., sexual abuse, societal pressures regarding weight and body size). Structural equation modeling analyses suggested that the model provided a good fit to the data and the model was tested in the confirmatory sample. Across the two samples, high levels of Body Shame and low levels of Internal Bodily Awareness directly led and high levels of Societal Pressures Regarding Weight and Body Size, Internalization of Cultural Standards of Beauty, and Self-objectification indirectly led to increased Bulimic Symptomatology and accounted for 65 to 73% of the variance in Bulimic Symptomatology. A history of sexual abuse and sexual objectification were not consistently supported within the model and do not appear to be as salient as the experience of societal pressures regarding weight and body size in understanding women’s experience of bulimic symptomatology. Implications for practice and future research are discussed.

The aim of the current study was to examine how thinking about qualitatively different social network members may differentially affect cardiovascular reactivity to a subsequent stressor. Eighty-two undergraduates were asked to think and write about different types of relationships preceding a social stressor. No differences between conditions in CVR were found during social support induction phase or the stressor task. Women in the supportive condition were found to have slower SV recovery than those in the ambivalent condition. The results of this study are inconsistent with previous evidence for a relationship between mental representations of social ties and CVR. Future research should seek to rule out confounding variables and clarify this effect.

The purpose of this study was to develop a manualized therapy group for wives or significant others of veterans with posttraumatic stress disorder and to evaluate its effectiveness in reducing wives' psychological symptoms. A second aim of the study was to determine if women's involvement in the wives group resulted in decreases in their husbands' PTSD symptoms. Women recruited for the study were administered pre-test measures during a screening session. They then participated in a 9-session manualized therapy group designed by the researcher that included psychoeducational, process, and support components. Examples of group topics included psychoeducation regarding PTSD, assertiveness and communication, intimacy, self-care, and stress management. After completing the group sessions, participants were asked to complete post-test measures. Other factors explored in this study included marital satisfaction, perceived social support, general satisfaction with the group, and demographic variables. Results indicated that wives who participated in the group treatment exhibited significant decreases in secondary stress symptoms and increases in marital satisfaction from pre-test to post-test. The majority of participants also reported high levels of satisfaction with the group process. Therefore, it appears that the group protocol presented in this study could be a useful tool in the treatment of wives of …

Traditional conceptualizations of psychopathy highlight the importance of affective features of the syndrome in perpetuating social deviance. However, little research has directly investigated the callousness that psychopathic offenders display toward society and their victims. The current study investigated the roles of empathy and alexithymia in psychopathy among male and female incarcerated offenders, particularly in distinguishing psychopathy from antisocial personality disorder. Gender differences were also investigated. Regarding empathy, as predicted, group differences were largest between psychopathic and non-psychopathic offenders; no reliable differences emerged between psychopathic and APD-only offenders. In contrast, alexithymia robustly distinguished between offenders with prominent psychopathic traits, those with only APD, and those with neither condition. Psychopathic females unexpectedly exhibited slightly higher levels of alexithymia than their male counterparts, while empathic deficits were relatively consistent across genders. These findings are discussed in terms of improving assessment methods for the accurate identification and treatment of offenders with prominent psychopathic features.

The parent-child relationship is significant throughout the life course, although both positive and negative changes occur as children reach adulthood and develop an identity independent of their family of origin. Grief resulting from parental loss during this time may be a product of many variables including age, relationship quality, and sex roles. The current study examined several variables potentially influencing grief after the death of a parent. As part of a larger study, adults (n = 180) completed measures assessing parental involvement, personal grief and adjustment, as well as sex role preferences. The archival data were subjected to analyses of covariance, taking into account time since the death and children’s sex role preferences (traditional or egalitarian). Female sex of the child was significant in predicting several aspects of grief, suggesting that women have a stronger emotional experience of grief. This may be a result of young women’s stronger emotional bonds with parents when compared to men, feelings of exclusion from college peers during bereavement, or vulnerability for rumination. Sex role preferences were also influential in several aspects of grief. Sex of the parent was not significant, although the interaction for sex of the parent and sex of the child was, …

Researchers raise concerns that the diagnostic approach can create stigma and lead to clinical inferences that focus on dispositional characteristics at the expense of situational variables. From social cognitive theory to strict behavioral approaches there is broad agreement that situation is at least as important as disposition. The present study examined the clinical inferences of graduate student clinicians randomly presented a diagnosis (borderline PD) or no diagnosis and either randomly given context information or no context information before watching a videotaped clinical interaction of a fabricated client. Responses to a questionnaire assessing dispositional or situational attributions about the client’s behavior indicated a diagnosis of borderline personality disorder did not significantly increase dispositional attributions and did not significantly moderate the importance of contextual factors. A notable difference between the attributions made by psychodynamic and third wave behavioral respondents was observed. Conceptual and experimental limitations as well as future directions are discussed.

Recent trauma research argues trauma results in distinct positive and negative consequences, however; many trauma variables positively correlate with both outcomes. This study examined posttraumatic growth (PTG) and post-traumatic stress disorder (PTSD) symptoms as positive and negative trauma outcomes. Behavioral, cognitive, and demographic correlates and predictors were assessed to help clarify differences between the two outcomes. While several behavioral factors were common to both PTG and PTSD symptoms, centrality of event and problem focused coping were the strongest PTG predictors, whereas centrality of event and avoidant coping were the strongest PTSD predictors. These findings indicate while greater incorporation of a trauma/stressful event into one’s identity is a key component of both PTG and PTSD development, behavioral response may be a determining factor between growth or debilitation.

To qualify for a diagnosis of posttraumatic stress disorder the DSM-IV requires that individuals report dominant emotions of fear, helplessness, and horror during the trauma. Despite this stipulation, traumatic events can elicit a myriad of emotions other than fear such as anger, guilt or shame, sadness, and numbing. The present study examined which emotional reactions to a stressful event in a college student sample are associated with the highest levels of PTSD symptoms. Results suggest mixed support for the DSM-IV criteria. Although participants who experienced a dominant emotion of fear reported high PTSD symptomatology, participants who experienced anger, disgust-related emotions, and sadness reported PTSD symptoms of equivalent severity. Participants also reported experiencing other emotions more frequently than they reported experiencing fear. Coping style was unrelated to dominant emotion experienced; however, dysfunctional coping was associated with worse outcomes in terms of PTSD symptoms. These results have diagnostic and treatment limitations.

Acceptance and commitment therapy (ACT) was developed to specifically target experiential avoidance (EA) rather than any specific diagnostic category. A functional ACT manual was presented and used to treat diagnostically diverse clients in a large sliding fee-for-service training clinic. A multiple baseline across participants and behaviors research design was used to evaluate session-by-session changes in EA, values identification, valued action, and clinical distress. The Acceptance and Action Questionnaire-2 (AAQ2), Valued Living Questionnaire (VLQ), and Outcome Questionnaire (OQ-45) were given to measure processes and outcomes given the functional ACT model presented in the introduction to the paper. Baseline included the Structured Clinical Interview for DSM-IV Axis I and II Disorders given across 2-5 50- minute sessions. The treatment phase consisted of 7-10 50-minute sessions. Participants were 10 clients. Four participants completed sufficient treatment sessions (4-9) to test the study hypotheses. Participants generally improved across time, but most improvements could not be attributed to the functional application of ACT due to changes during baseline for AAQ, VLQ-Consistency, and OQ-45. VLQ-Importance significantly improved for all participants given ACT.

The purpose of this study was to examine the roles that values and the family environment play in young adult engagement in risky behavior. One hundred seventy-two male and female college students between the ages of 18-25 completed a demographics questionnaire, the Aspirations Index which measures seven life-goal contents that represent different values, the Cognitive Appraisal of Risky Events that assesses young adults’ perceptions of the risks and benefits associated with involvement in risky activities as well as past involvement in risky behaviors and the Family Environment Scale to assess participants' perceptions of their current family environment. A series of regression analyses were then used to assess the relationship between three dimensions of the family environment and risky behavior involvement and the relationship between participants' intrinsic and extrinsic values and perceived positive consequences and negative consequences of risky behavior. Results from this study supported the idea that certain dimensions of the family environment are related to risk-taking behavior in emerging adults; however, contrary to previous research, the relationship dimension of the family environment was not predictive of young adult risk-taking. Moreover, family activities that communicate family values did not contribute any additional information to the prediction of risk-taking behavior. Findings …

Third culture kids are children raised in globally mobile families who have left their culture of origin to reside in a host culture. As this relocation occurs during childhood, the child combines the values, traditions, and norms of both cultures thereby creating a third culture, a unique culture created by the parent’s integration of the home culture, the host culture, and the domains of the organizational culture. Emotional Stability was found to mediate the relationship between family of origin Expression and Composite distress. Though this was the only hypothesized model that was supported, other interesting findings include that when participants were categorized by industry, statistically significant differences were found between Military, Missions, and the Other group on all of the scales. These differences are likely due to a cohort effect, given that the military family mean age was as much as twenty years higher than the other groups.

Many substance users deny their substance use to avoid negative consequences, thus diluting the accuracy of assessment. To address this issue, indirect items are often included on substance use measures to identify those who deny their use. The purpose of this study was to examine the effect of complete denial and partial denial on substance use measures. Partial denial, also termed denial of effects, is the denial of substance use interfering in multiple domains of a person's functioning. The study used a mixed within- and between-subjects design with participants from a dual diagnosis inpatient unit. Each participant completed the study under two different conditions which include an honest condition and an experimental condition (either complete denial or partial denial). Results show that partial denial is distinctly different from complete denial across three self-report substance use measures. Importantly, substance users engaging in these denial conditions were often undetected by these measures.

Previous research has shown that alcohol abuse may cause a deficit in frontal lobe functioning, specifically, areas of the frontal lobe that are related to executive function. Additionally, problems with executive function have been related to increased difficulty in managing cravings to addictive substances. The current study explored the relationship between alcohol use and performance on measures of executive functioning in a sample of 121 traditional college students. Students were given 5 measures of executive function designed to explore mental set shifting, updating, inhibition, sustained attention, and planning. These measures were used to examine the relationship between executive function and craving as measured by the Obsessive Compulsive Drinking Scale. Levels of alcohol use were also examined using the Alcohol Use Disorders Identification Test in relation to executive function performance and family history of alcohol abuse.

Job satisfaction has, and continues to be an important construct of interest to researchers and practitioners alike. However, conflicting operational definitions and inconsistent measurement systems have reduced the efficacy of the construct in predicting important job-related outcomes for organizations and their employees. The Facet Satisfaction Scale (FSS) was designed to overcome these deficiencies by creating a facet-based measure that assesses job satisfaction in accordance with recent definitions of the construct. Reliability and validity analyses were conducted on both the complete and shortened version of the scale. The FSS exhibited evidence of reliability (ranging from .52 to .93 for the shortened FSS, and .53 to .96 for the complete FSS). Evidence of scale validity was also obtained through the use of construct, content, and criterion-related validity measures. Implications of the study on future research on job satisfaction are discussed.

Nearly 10% of college students experience chronic insomnia. Cognitive-behavioral therapy for insomnia (CBTi) is an empirically validated multi-component treatment that has been demonstrated to produce reliable and durable benefits in the general adult population. However, there have been no studies examining the effectiveness of multi-component CBTi in a college student population, even though many studies have examined the efficacy of single treatment modalities. These young adults are different from the general adult population because they are in a unique transitional developmental phase as they are maturing from adolescence into adulthood, they are sleepier than adults, they tend to have irregular sleep schedules, and their living situations are often different from the general adult population. In this study college students with chronic insomnia were randomly assigned to either six sessions of CBTi or a wait list control (WLC) group. All participants completed sleep diaries, sleep measures, and psychosocial measures. The results indicated students who received CBTi showed improvements in sleep efficiency (SE), sleep onset latency (SOL), number of awakenings (NWAK), time awake after sleep onset (WASO), and sleep quality (SQ). They also had decreased insomnia severity (ISI), dysfunctional beliefs about sleep (DBAS), and general fatigue (MFI), as well as increases in …