Evaluation of an intervention promoting emotion regulation skills for adults with persisting distress due to adverse childhood experiences

This phase II trial evaluated psychosocial and health outcomes of an intervention designed to improve emotion regulation skills in adults suffering from Adverse Childhood Experiences (ACEs). The study utilized a pretest-posttest design in which 92 adults enrolled in the community-based program completed pretest measures, attended either a faith-based or secular version of the 12-week ACE Overcomers program, and then completed posttest measures. The theory-guided program involved group sessions providing education and skills training to improve emotion regulation, self-awareness, resilience, and social functioning. Pretest and posttest surveys included measures of emotional regulation (suppression, rumination, cognitive reappraisal, and mindfulness), resilience (ego resilience and general self-efficacy), emotional experiences (perceived stress, moods, and depressive symptoms), quality of life (the SF-36 domains), and physical symptoms and illness (symptom load and sick days). Analyses revealed significant improvements from pretest to posttest in all facets of emotion regulation (p < .01), psychological resilience (p < .001), mental well-being (p < .001) and physical symptoms and illness (p < .001), and in specific facets of quality of life (p < .001). The faith-based and secular versions of the program yielded comparable improvements in well-being. Improvements were comparable for older versus younger participants, except that younger participants reported greater improvements in perceived stress (p < .05). These preliminary findings support the application of an emotion regulation perspective to interventions for adults with high ACEs. The study, with its single-group design, represents a promising step in the translational research pathway and provides support for further studies utilizing comparison groups.     

Distress Tolerance and Emotion Regulation: Promoting Maternal Well-Being Across the Transition to Parenthood

Objective. This study examined the association between newborns’ daily crying and five measures of new mothers’ emotional states. Design. One hundred seven new mothers responded via a one-time, anonymous, online survey that assessed their stress, well-being, emotion regulation, frustration, and coping skills. Mothers also reported their infant’s daily cry duration. Results. Average daily crying was related to mothers’ emotional experiences, and relations also existed among the five mental health measures. Regression models indicate the strongest predictors of frustration were infant’s average cry duration, maternal well-being, and infant’s health status at enrollment. Conclusion. Mental health professionals can support families through the normative, but often stressful, experience of their infant’s cries. However, a re-evaluation of the clinical criteria for excessive crying is needed, as the results suggest that mothers whose infants cry considerably less than the widely used Wessel’s 3-hour-per-day criterion for excessive crying experience significant negative mental health.     

Emotional distress when studying sensitive topics in psychology,and its relationship with hardiness and mental health

This observational, cross-sectional study examined students’ retrospective recall of emotional distress when studying sensitive topics in psychology, and whether hardiness had a mediated pathway to emotional distress through a mental health condition (MHC). Psychology undergraduates (155 women, 34 men) from South Australian universities completed self-report questionnaires assessing hardiness, retrospective measures of emotional distress when studying a range of topics, their concurrent MHC and lifetime cumulative trauma. As hypothesised, students reported more emotional distress to sensitive topics relative to nonsensitive ones, p?r?=??.69). Hardiness was significantly negatively correlated with MHC, p?r?=??.38). Causal mediation analysis revealed, as predicted, that MHC mediated the effect of hardiness on emotional distress (p?相似文献   

Are Greek school students flourishing?

ABSTRACT

Schools have a key role in promoting student social and emotional development and are encouraged to serve as a primary source of support, especially for those learners in need of special attention for addressing their needs. Young people’s subjective emotional-social well-being is a general indicator of their mental health status. In this article, we present an assessment of the emotional, psychological and social well-being of Greek adolescent students, determine whether they are flourishing or languishing and investigate whether well-being varies by gender, age and year level. Analysis of data from over 500 Greek adolescent students (year levels 6–10) who completed the Mental Health Continuum (MHC) scale indicated that over half of the participants were flourishing, while only a small proportion were languishing and the remainder had moderate mental health. Gender differences were identified with female students reporting more challenges to their well-being than their male peers. Additionally, younger students were more likely to be flourishing than older students.     

Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis

Growing evidence suggests that toxic stressors early in life not only convey developmental impacts but also augment risk of proliferating chains of additional stressors that can overwhelm individual coping and undermine recovery and health. Examining trauma within a life course stress process perspective, we posit that early childhood adversity carries a unique capacity to impair adult psychological well-being both independent of and cumulative with other contributors, including social disadvantage and stressful adult experiences. This study uses data from a representative population-based health survey (N = 13,593) to provide one of the first multivariate assessments of unique, cumulative, and moderated effects of adverse childhood experiences (ACEs) toward explaining 3 related yet distinct measures of adult mental health: perceived well-being, psychological distress, and impaired daily activities. Results demonstrate support for each set of hypothesized associations, including exacerbation and amelioration of ACEs effects by adult stress and resilience resources, respectively. Implications for services and future research are discussed.     

Trauma-related impairment in children—A survey in Sri Lankan provinces affected by armed conflict

ObjectivesThe present study examined traumatic experiences, PTSD, and co-morbid symptoms in relation to neuropsychological and school performance in school children affected by two decades of civil war and unrest.MethodThe epidemiological survey of children's mental health included a representative sample of 420 school children. Local teachers were trained to administer a translation of the UCLA-PTSD Index Form. The instrument and the epidemiological findings were validated by assessment through clinical expert interview, school grades, and neuropsychological testing in a subsample (N = 67).ResultsNinety-two percent of the children surveyed had experienced severely traumatizing events such as combat, bombing, shelling, or witnessing the death of a loved one. Twenty-five percent met the criteria for a diagnosis of PTSD. Traumatized children reported lasting interference of experiences with their daily life, which was corroborated by memory testing, scores in school performance and ratings of social withdrawal. Depressive symptoms and poor physical health were frequent in these children. The majority of trained teachers achieved valid results in the structured interviews.ConclusionPerformance and functioning in children are related to the total load of traumatic events experienced. An important component of psychosocial programs in post-conflict areas should include increasing community-based awareness of the consequences of traumatic stress, both as a preventative measure and as a way of decreasing stigmatization of affected individuals.     

小学教师的心理压力、社会支持与主观幸福感的关系

为了解小学教师群体所感受到的心理压力、获得的社会支持以及主观幸福感的基本状况,探讨三者的相互关系和不同心理压力下的小学教师其社会支持与主观幸福感的差异。用压力状况问卷、社会支持量表和幸福感指数量表对城乡272名小学教师进行团体施测。结果发现,小学教师普遍存在较大的职业心理压力而且压力源较多;小学教师的社会支持存在城乡差异,主观幸福感指数在城乡和性别差异上未达显著水平;小学教师的心理压力、社会支持与幸福感指数均有显著相关;高压力组同中低压力组的小学教师比较,其社会支持总分和主观幸福感指数得分都较低。因此,应该关注小学教师的职业心理压力状况,帮助其建立完善的社会支持系统,使其在职业生活中获得更高的满意度和积极的情感体验。     

Adverse childhood experiences among Latina women and its association with mastery of stress and health

BackgroundAdverse childhood experience (ACE) and intimate partner violence (IPV) have sustained, deleterious effects on physical and mental health. Few studies have examined how to help Latina survivors of ACEs and/or IPV regain control of their health.ObjectiveTo inform interventions for this population, we examined whether mastery of stress and patient activation mediate the relationship between a history of ACE and/or IPV and mental and physical health.Participants and settingWe recruited 235 Latina women (M age = 29.6, SD = 5.75) from primary care clinics.MethodFor this cross-sectional study, we used linear regressions to examine the association between ACEs, history of IPV, and health, and the sobel’s test to determine whether patient activation and mastery of stress mediated the relationships between ACEs, IPV, and health.ResultsMost women reported at least one ACE (61.7%, n = 137) and 22.2% (n = 55) reported a history of IPV. Mastery of stress mediated the relationship between ACE and physical health (b= -3.16 p = .002) and mental health (b= -3.83, p < .001). Mastery of stress also mediated the relationship between history of IPV and physical health (b= -2.62, p = .008) and mental health (b= -2.74, p = .006). Patient activation was not associated with a history of trauma or mental health.ConclusionWhile past experiences of trauma cannot be changed, results from this study suggest that improving an individual’s mastery of stress may be a point of intervention for improving mental and physical health among survivors of ACEs and IPV.     

Parental Sexual Orientation and Children's Psychological Well-Being: 2013–2015 National Health Interview Survey

Debate persists about whether parental sexual orientation affects children's well-being. This study utilized information from the 2013 to 2015 U.S., population-based National Health Interview Survey to examine associations between parental sexual orientation and children's well-being. Parents reported their children's (aged 4–17 years old, N = 21,103) emotional and mental health difficulties using the short form Strengths and Difficulties Questionnaire (SDQ). Children of bisexual parents had higher SDQ scores than children of heterosexual parents. Adjusting for parental psychological distress (a minority stress indicator) eliminated this difference. Children of lesbian and gay parents did not differ from children of heterosexual parents in emotional and mental health difficulties, yet, the results among children of bisexual parents warrant more research examining the impact of minority stress on families.     

Evaluating Emotional Literacy in Schools: The Development of the School Emotional Environment for Learning Survey

In this article the author outlines the recent increase in initiatives related to young people's emotional and mental health, for example emotional health and well-being. He examines these concepts and ideas, arguing that there are negative as well as positive aspects to their widespread introduction in schools, and that in adopting mental health approaches and terminology care must be taken before programmes are implemented.     

Exacerbated vulnerability in existential changes: the essence of dealing with reduced working capacity

The purpose of this phenomenological study was to explore people’s experience of reduced working capacity and their encounters with professionals in that life situation. We collected data through in-depth interviews with eight individuals. The main finding of the current research is how illness and accident impairing work capacity exacerbate vulnerability during the recovery process as people experienced uncertainty, depression, anxiety, social isolation, fear and stress. We conclude that counseling and support from respectful, professional, caring and human professionals is extremely valuable in such a context.     

Workplace support for newly qualified doctors and secondary school teachers: A comparative analysis

Doctors and teachers in their first year of practice face steep learning curves and increased stress, which can induce poor mental health, burnout and attrition. Informal workplace support from colleagues can help smooth transitions and aid professional development. A three-phase comparative research design was used to explore who provides informal workplace support to early-career professionals, types of support and influencing factors. Phase 1 was a systematic secondary analysis of interviews and audio diaries from 52 UK doctors in their first year of foundation training (F1s). Phase 2 involved new narrative interviews with 11 newly qualified teachers (NQTs) from English secondary schools. Phase 3 was a comparative analysis to produce a model of workplace support. Given barriers to accessing senior doctors, F1 doctors drew upon nurses, pharmacists, microbiologists, peers/near-peers and allied healthcare professionals for support. NQTs gained support from allocated mentors and seniors within subject departments, as well as teaching assistants, allied support staff and wider professional networks. Support types for both professions included information and advice on practice, orientation to local settings, collaborative development activities, observation and feedback, and socioemotional support. Influencing factors included variable departmental cultures, limited opportunities for informal contact, sometimes negative inter-group perceptions and the agentic responses of novices. The resulting workplace model of support could underpin future research and evaluations of support in similar ‘hot-action’ environments. In medicine and teaching, greater utilisation of near-peers and allied staff, improved role understanding and communication, increased informal contact and sharing successful strategies across professions could enhance supportive relationships.     

Institutional abuse of children in the Austrian Catholic Church: Types of abuse and impact on adult survivors’ current mental health

The aim of this study was to explore the nature and dimensions of institutional child abuse (IA) by the Austrian Catholic Church and to investigate the current mental health of adult survivors. Data were collected in two steps. First, documents of 448 adult survivors of IA (M = 55.1 years, 75.7% men) who had disclosed their abuse history to a victim protection commission were collected. Different types of abuse, perpetrator characteristics, and family related risk factors were investigated. Second, a sample of 185 adult survivors completed the Posttraumatic Stress Disorder Checklist (PCL-C) and the Brief Symptom Inventory (BSI). Participants reported an enormous diversity of acts of violent physical, sexual, and emotional abuse that had occurred in their childhood. The majority of adult survivors (83.3%) experienced emotional abuse. Rates of sexual (68.8%) and physical abuse (68.3%) were almost equally high. The prevalence of PTSD was 48.6% and 84.9% showed clinically relevant symptoms in at least one 1 of 10 symptom dimensions (9 BSI subscales and PTSD). No specific pre-IA influence was found to influence the development of PTSD in later life (e.g. poverty, domestic violence). However, survivors with PTSD reported a significantly higher total number of family related risk factors (d = 0.33). We conclude that childhood IA includes a wide spectrum of violent acts, and has a massive negative impact on the current mental health of adult survivors. We address the long-term effects of these traumatic experiences in addition to trauma re-activation in adulthood as both bear great challenges for professionals working with survivors.     

Trajectories of traumatic stress reactions in children exposed to intimate partner violence

BackgroundUnderstanding different longitudinal patterns of traumatic stress reactions in children exposed to intimate partner violence (IPV) can promote early identification of at-risk children.ObjectiveOur study aims to explore trajectories of traumatic stress reactions following childhood IPV exposure, and their relation with parental traumatic stress and child emotional security in the interparental subsystem.Participants and SettingThe sample comprised 303 children (age 3–10, M = 6.20) from families referred to institutions for IPV. Data were collected at home.MethodsThree waves of parent-reported questionnaire data were analyzed using latent class growth analysis and linear regression.ResultsFive trajectories were identified: ‘resilient’, ‘moderate stable’, ‘struggling’, ‘improving’, and ‘elevated adjusting’. Only the ‘struggling’ trajectory had dysfunctional symptom levels at the final wave. Higher parental traumatic stress predicted ‘improving’ trajectory membership (β = 0.17, p = .033), whereas lower parental traumatic stress (β = −0.20, p = .003) and child emotional insecurity (β = −0.45, p = < .001) predicted ‘resilient’ trajectory membership. Higher child emotional insecurity predicted membership in trajectories with higher initial traumatic stress (improving: β = 0.26, p < .001; struggling: β = 0.31, p < .001; elevated adjusting: β = 0.27, p < .001). Child emotional security did not buffer the effect of parental traumatic stress on likelihood of dysfunctional trajectory membership (β = 0.04, p =.380).ConclusionsChildren exposed to IPV show different trajectories of traumatic stress reactions, partly corresponding to trajectories identified in other populations. Child emotional security and parental traumatic stress predict trajectory membership.     

Reinforcing the ‘diminished’ subject? The implications of the ‘vulnerability zeitgeist’ for well-being in educational settings

Abstract

Pessimistic discourses about crises in youth and children's well-being, mental health and vulnerability permeate English educational policy and practice. These generate vague and slippery elisions of wellbeing and mental health, and the related rise of an ad hoc, confusing market of psycho-emotional interventions promoted by new types of 'pay-experts'. Revisiting earlier arguments that these developments depict a ‘diminished’ human subject, we propose that the incoherent state of policy, much research and practice in this area warrants robust challenge and critique. In particular, more precision about key concepts of social and emotional learning, mental health and wellbeing, a reining in of universal programmes, and serious interest in the types of curriculum that can offer richer, more meaningful alternatives to developing wellbeing in educational settings.     

心理健康的新诠释：幸福感视角

人类对幸福感的探索和实践,"有一个漫长的过去,只有一个短暂的历史"。在心理学意义上,作为幸福感主要成分的主观幸福感、心理幸福感和社会幸福感,与人们的学习生活、情绪情感、自我意识、人际关系和社会适应等心理健康要素紧密相关;而心理健康本身就是一种幸福状态,又使它与幸福感直接发生关联。实际上,从内涵上审视,心理健康与幸福感属仲、伯之间;从溯源上考察,心理健康需要幸福感的支撑;从目标上解析,心理健康的价值追求就是幸福感;从结果上考察,心理健康应是幸福感的副产品。一句话,幸福感是心理健康的本质特征和核心所在。可以说,正是对幸福感的不懈追求,人们开始重视心理健康,生命也藉此完成质的飞跃。显然,幸福感与心理健康及其要素相互促进,且已成为新时代心理健康的一种新诠释、一抹新亮色。     

A compassion framework: the role of compassion in schools in promoting well-being and supporting the social and emotional development of children and young people

ABSTRACT

Our current social and political context is awash with pronouncements about the growing number of children and young people with mental health issues. This paper explores how school culture that is founded upon a compassion framework is well placed to support the promotion of pupils’ mental health and well-being. Drawing upon experiences of being a senior leader in a specialist social, emotional and mental health (SEMH) educational setting and of supporting a wide range of mainstream schools in the area of SEMH and well-being, this paper outlines some of the conflicting interests and ubiquitous tensions that present challenges in the contemporary UK education system. Conceptualisations of compassion and other relevant theoretical perspectives are referred to in order to illustrate how the, often, at times, competing needs of different constituencies (pupils, teaching and non-teaching staff, management, parents and carers) within school communities are best served when disentangled from each other and addressed with attention and clarity.     

University staff mental health literacy,stigma and their experience of students with mental health problems

Despite high rates of mental disorders in university students, very few seek professional help. University teaching staff are well placed to connect students with mental health care. However, little is known about university staff attitudes to and knowledge about mental health problems, or whether these factors influence their experience with and assistance of students with these problems. A total of 224 teaching staff members at the Australian National University, Canberra completed an anonymous online survey via an email link (16.4% response rate from N ~ 1370). Measures included demographic and professional information, experiences with student mental health, knowledge of depression (literacy) and attitudes to depression (stigma). Strength of stigmatising attitude did not predict whether a teaching staff member would approach a student to assist with mental health problems. Teaching staff with higher levels of depression literacy (OR = 1.14, p = 0.007) were more likely to feel sufficiently informed to help students with mental health problems. Ensuring staff complete mental health literacy training and have adequate skills to respond appropriately to students with mental health problems may help in connecting young people to appropriate care in a university context.