The impact of childhood psychopathology interventions on subsequent substance abuse: Policy implications, comments, and recommendations.

This article makes observations about policy implications and offers a combination of commentary and recommendation regarding the special issue on the impact of childhood psychopathology interventions on subsequent substance abuse. The authors mention forward-looking directives to expand the mandate for early intervention, to expand the research agenda for randomized clinical trials, and to develop a policy-oriented evidence base. They also note topics that require consideration and offer recommendations with regard to how to proceed. The special issue, as well as this discussion, will spark thought and action directed toward the evaluation of interventions for youths to assess the degree to which treating mental disorders has beneficial effects on the sequelae of the initial intervention target. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological vulnerability and stress: The effects of self-affirmation on sympathetic nervous system responses to naturalistic stressors.

Objective: Everyday stressors can threaten valued aspects of the self. Self-affirmation theory posits that this threat could be attenuated if individuals affirm alternative self-resources. The present study examined whether self-affirmation would buffer cumulative stress responses to an ongoing academic stressor. Design: Undergraduate participants provided 15-hr urine samples on the morning of their most stressful examination and baseline samples 14 days prior to the examination. Participants were randomly assigned to the self-affirmation condition where they wrote two essays on important values over the 2-week period prior to exam, or a control condition. Main Outcome Measures: Samples were analyzed for urinary catecholamine excretion (epinephrine, norepinephrine), an indicator of sympathetic nervous system activation. Participants also indicated their appraisals of the examination experience. Results: Participants in the control condition increased in cumulative epinephrine levels from baseline to examination, whereas participants in the self-affirmation condition did not differ from baseline to examination. The buffering effect of self-affirmation was strongest among individuals most concerned about negative college evaluation, those most psychologically vulnerable. Conclusion: The findings demonstrate that sympathetic nervous system responses to naturalistic stressors can be attenuated by self-affirmation. Discussion centers on psychological pathways by which affirmation can reduce stress and the implications of the findings for health outcomes among chronically stressed participants. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Firefighters, critical incidents, and drinking to cope: The adequacy of unit-level performance resources as a source of vulnerability and protection.

The authors investigated the moderating role of unit-level performance resources on the distress-mediated relationship between the intensity of involvement in workplace critical incidents and problematic drinking behavior (i.e., drinking to cope). Building on recent developments in hierarchical linear modeling, the authors tested a cross-level, moderated-mediation model using data from 1,481 firefighters in 144 companies. The findings indicate that (a) there is a significant, distress-mediated association between intensity of involvement in such incidents and drinking to cope, which varies by company (i.e., unit), and (b) the adequacy of unit-level performance resources explains much of this cross-unit variance and attenuates both individual-level mediation stages (i.e., intensity of involvement in critical incidents 3 distress, and distress 3 drinking to cope). Implications regarding the role of unit resources adequacy as a vulnerability factor in stressor-strain relations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Socioeconomic Status, Resources, Psychological Experiences, and Emotional Responses: A Test of the Reserve Capacity Model.

The current study used ecological momentary assessment to test several tenets of the reserve capacity model (L.C. Gallo & K. A. Matthews, 2003). Women (N = 108) with varying socioeconomic status (SES) monitored positive and negative psychosocial experiences and emotions across 2 days. Measures of intrapsychic and social resources were aggregated to represent the reserve capacity available to manage stress. Lower SES was associated with less perceived control and positive affect and more social strain. Control and strain contributed to the association between SES and positive affect. Lower SES elicited greater positive but not negative emotional reactivity to psychosocial experiences. Women with low SES had fewer resources relative to those with higher SES, and resources contributed to the association between SES and daily experiences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Actual neurosis and PTSD: The impact of the other.

The authors argue that posttraumatic stress disorder (PTSD) is not an automatic consequence of a trauma. A review of empirical research demonstrates that there must be subjective mediating factors. On the basis of a conceptual reasoning, the existence of an actual-neurotic structure prior to the traumatic event is put forward as a precondition for the development of PTSD. Freud's theory on actual neurosis is interpreted as the impossibility to process the arousal coming from the drive in a symbolic way. The reason for this impossibility is sought in the failure of the primary caretakers in presenting the child with the necessary symbolic tools for drive regulation. The therapeutic implications of the presence of an actual-neurotic structure are important, because it can lead to a failure of free association. Suggestions for a more fruitful approach are formulated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supporting and treating families with children on the autistic spectrum: The unique role of the generalist psychologist.

Research findings indicate that intensive behavior therapy (e.g., applied behavioral analysis, or ABA) represents an effective treatment for autistic spectrum disorders. Unfortunately, children with autism represent an underserved patient population. Parents often make treatment decisions with insufficient information and report problems in establishing and maintaining treatment programs. This practice review asserts that psychologists, including those without professional certification or coursework in ABA, are in a unique position to assist affected children and their families. Psychologists can provide critical information about evidence-based treatment; offer assistance in overcoming barriers to intensive treatment, including personnel selection; and provide ongoing support to family members. Case examples also illustrate how psychologists can help families address specific barriers to intensive treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer": Reply.

Replies to comments offered by J. C. Coyne and A. Kagee (see record 2001-05135-009) on the M. H. Antoni et al (see record 2000-14051-003) study on cognitive-behavioral stress management intervention's role in decreasing the prevalence of depression among women being treated for breast cancer. The authors of this article dispute the claim that patients in need cannot access interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Repeated exposure to stress across the childhood-adolescent period alters rats' anxiety- and depression-like behaviors in adulthood: The importance of stressor type and gender.

This research tests the hypothesis that specific forms of adversity in early life map onto behavioral signs analogous to depression versus anxiety in later life. Male and female rats were exposed to either severe sporadic stress or chronic mild stress during the childhood-adolescent period, and their behavior was tested in adulthood. Males in the severe sporadic stress group showed exaggerated anxiety-related behaviors, as indicated by increases in shock-probe burying and escape-like responses (jumps) from the open arms of the elevated plus-maze. Females exposed to severe sporadic stress displayed no change in burying behavior but did display increases in escape behavior. These same females also exhibited behaviors analogous to depression that manifested as decreased sucrose consumption. The chronic mild stress regime produced effects only in females, including reduced burying, decreased sucrose consumption, and an exaggerated corticosterone response to cold-water immersion stress. Findings reiterate the importance of early life experience to the development of adult psychopathologies and emphasize the need to consider both the type of early experience and gender differences in these analyses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)