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Foreign Countries; Asian Culture; Mental Disorders; Cultural Influences; Anxiety; Intimacy; Social Isolation; Self Concept; Psychophysiology; Psychotherapy; Non Western Civilization; Western Civilization; Classification; Psychological Patterns; Human Body; Olfactory Perception; Academic Achievement; Adolescents; Context Effect; Attachment Behavior

Abstract:
First conceptualized in the 1960s, the term culture-bound disorders refers to a classification of mental disorders or syndromes that are considered specific or closely related to cultural factors and or particular ethnocultural groups. In Japan, two culture-bound disorders, "taijin kyofusho" and "hikikomori," have seized the interest of researchers and professionals due to their prevalence in Japanese society. The first disorder, "taijin kyofusho," is a culture-bound social anxiety disorder that has been documented in Japan since the 1930s. It is characterized by the experience of anxiety in, and often avoidance of, social and interpersonal situations for fear of offending others through blushing, eye-to-eye contact, body deformity, and/or emitting body odor. The second disorder, "hikikomori," has only emerged in the last 30 years, but afflicts a substantial portion of the Japanese population. It is clinically distinguished by symptoms of social withdrawal, self-confinement in one's home, no intimate relationships with family members, and the absence of engagement in social activities. Because the symptomatology of both disorders closely resemble several of the "Diagnostic and Statistical Manual of Mental Disorders" ("DSM-IV-TR," American Psychiatric Association, 2000) diagnoses, research on the prevalence and culture-bound specificity of the disorders are investigated, as well as the efficacy of pharmacotherapy, individual and group psychotherapy, and psychosocial rehabilitation treatments. Finally, drawing upon research describing the relationship between mental illness and shame, and shame's inextricable relationship to Japanese history and culture, it is proposed that "taijin kyofusho" and "hikikomori" are sequelae of shame in Japanese society. (Contains 1 table.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Psychopathology; Child Abuse; Cognitive Ability; Risk; Anxiety; Depression (Psychology); Posttraumatic Stress Disorder; Brain Hemisphere Functions; Diagnostic Tests; Mental Disorders; Ethnicity; Physiology; Reinforcement; Decision Making; Health Behavior; Correlation; Children

Abstract:
Background: Childhood maltreatment is strongly associated with increased risk of psychiatric disorder. Previous neuroimaging studies have reported atypical neural structure in the orbitofrontal cortex, temporal lobe, amygdala, hippocampus and cerebellum in maltreated samples. It has been hypothesised that these structural differences may relate to increased psychiatric vulnerability. However, previous studies have typically recruited clinical samples with concurrent psychiatric disorders, or have poorly characterised the range of maltreatment experiences and levels of concurrent anxiety or depression, limiting the interpretation of the observed structural differences. Methods: We used voxel-based morphometry to compare grey matter volume in a group of 18 children (mean age 12.01 years, SD = 1.4), referred to community social services, with documented and well-characterised experiences of maltreatment at home and a group of 20 nonmaltreated children (mean age 12.6 years, SD = 1.3). Both groups were comparable on age, gender, cognitive ability, ethnicity and levels of anxiety, depression and posttraumatic stress symptoms. We examined five a priori regions of interest: the prefrontal cortex, temporal lobes, amygdala, hippocampus and cerebellum. Results: Maltreated children, compared to nonmaltreated peers, presented with reduced grey matter in the medial orbitofrontal cortex and the left middle temporal gyrus. Conclusions: The medial orbitofrontal cortex and the middle temporal gyrus have been implicated in reinforcement-based decision-making, emotion regulation and autobiographical memory, processes that are impaired in a number of psychiatric disorders associated with maltreatment. We speculate that grey matter disturbance in these regions in a community sample of maltreated children may represent a latent neurobiological risk factor for later psychopathology and heightened risk taking. (Contains 1 table and 1 figure.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Sexuality; Females; Well Being; Sexual Identity; Homosexuality; Depression (Psychology); Self Esteem; Least Squares Statistics; Interpersonal Attraction; Social Support Groups; Anxiety; Correlation; Scores; Prediction; Rating Scales

Abstract:
Identity-based conceptualizations of sexual orientation may not account adequately for variation in young women's sexuality. Sexual minorities fare worse in psychosocial markers of wellbeing (i.e., depressive symptoms, anxiety, self esteem, social support) than heterosexual youth; however, it remains unclear whether these health disparities exclusively affect individuals who adopt a sexual minority identity or if they also may be present among heterosexually-identified youth who report same-sex attractions. We examined the relationship between sexual attraction, sexual identity, and psychosocial wellbeing in the female only subsample (weighted, n = 391) of a national sample of emerging adults (age 18-24). Women in this study rated on a scale from 1 (not at all) to 5 (extremely) their degree of sexual attraction to males and females, respectively. From these scores, women were divided into 4 groups (low female/low male attraction, low female/high male attraction, high female/low male attraction, or high female/high male attraction). We explored the relationship between experiences of attraction, reported sexual identity, and psychosocial outcomes using ordinary least squares regression. The results indicated sexual attraction to be predictive of women's psychosocial wellbeing as much as or more than sexual identity measures. We discuss these findings in terms of the diversity found in young women's sexuality, and how sexual minority status may be experienced by this group. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Adolescents; Substance Abuse; Mental Disorders; Personality Traits; Conceptual Tempo; Anxiety; Symptoms (Individual Disorders); Risk

Abstract:
There is a high overlap between substance misuse and mental health disorders in adolescents. Certain personality traits (i.e., sensation seeking, impulsivity, hopelessness, and anxiety sensitivity) may be related to increased risk for mental health symptoms and/or substance misuse. The current study examined the relationships between personality and both substance use problems and externalizing and internalizing mental health symptoms in two clinical samples of adolescents. One sample consisted of adolescents receiving treatment for a primary mental health disorder, while the other sample included adolescents receiving treatment for a primary substance use disorder. A total of 116 participants (58 for each sample) completed the Substance Use Risk Profile Scale (SURPS), to examine personality factors, the Brief Child and Family Phone Interview- Self-Report, to examine mental health disorder symptoms, and the Personal Experience Screening Questionnaire, to examine substance use problems. After controlling for age, gender, and sample, sensation seeking and impulsivity were positively related to substance use problems, impulsivity was positively related to symptoms of externalizing disorders, and anxiety sensitivity and hopelessness were positively related to symptoms of internalizing disorders. These findings support the utility of the SURPS in predicting theoretically relevant symptoms in clinical samples of adolescents. Moreover, they extend previous research that has focused on using the SURPS as a predictor of substance misuse to its utility in also predicting mental health disorder symptoms. These findings have implications for improving mental health and addictions treatment services for adolescents. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Anxiety Disorders; Undergraduate Students; Hygiene; Anxiety; Behavior; Psychopathology; Foreign Countries

Abstract:
Background: Extreme fear of contamination within obsessive compulsive disorder (OCD) is traditionally conceptualised as a physical phenomenon. More recent research has supported the notion of "mental" contamination (MC) in which people feel contaminated in the absence of physical contact. The current research sought to determine whether feelings of contact contamination (CC) and MC could be induced within a non-clinical sample, whether the impact of MC and CC was comparable in terms of associated feelings and behaviour, and whether related psychopathology related to the impact of the tasks. Methods: Undergraduate students (n = 60) completed OCD relevant measures and were randomly assigned to either a CC condition (moving a bucket of fake vomit) or an MC condition (thinking about a bucket of vomit). Results: Both manipulations induced feelings of contamination. Participants in the contact condition had significantly greater urge to wash than those in the mental condition. Neutralising behaviour did not differ across conditions. Conclusions: Feelings of contamination can be induced in the absence of physical contact and for those in the MC group some aspects of OCD-relevant psychopathology were related to the impact of the manipulation. These findings have implications for the understanding and treatment of contamination-related fears in OCD. (Contains 2 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Pain; Associative Learning; Stress Variables; Physiology; Correlation; Brain Hemisphere Functions; Stimulation; Patients; Path Analysis; Anxiety

Abstract:
Recent theories have suggested that chronic pain could be partly maintained by maladaptive physiological responses of the organism facing a recurrent stressor. The present study examined the associations between basal levels of cortisol collected over seven consecutive days, the hippocampal volumes and brain activation to thermal stimulations administered in 16 patients with chronic back pain and 18 healthy control subjects. Results showed that patients with chronic back pain have higher levels of cortisol than control subjects. In these patients, higher cortisol was associated with smaller hippocampal volume and stronger pain-evoked activity in the anterior parahippocampal gyrus, a region involved in anticipatory anxiety and associative learning. Importantly, path modelling--a statistical approach used to examine the empirical validity of propositions grounded on previous literature--revealed that the cortisol levels and phasic pain responses in the parahippocampal gyrus mediated a negative association between the hippocampal volume and the chronic pain intensity. These findings support a stress model of chronic pain suggesting that the sustained endocrine stress response observed in individuals with a smaller hippocampii induces changes in the function of the hippocampal complex that may contribute to the persistent pain states. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Factor Analysis; Validity; Self Efficacy; Questionnaires; Anxiety; Factor Structure; Elementary School Students; Competition; Correlation; Goodness of Fit; Team Sports; Athletes

Abstract:
The purpose of the present study was to test the validity evidence of the Child Sport Cohesion Questionnaire (CSCQ). To accomplish this task, convergent, discriminant, and known-group difference validity were examined, along with factorial validity via confirmatory factor analysis (CFA). Child athletes (N = 290, M[subscript age] = 10.73 plus or minus 1.13 years) from six elementary schools completed the CSCQ (Martin, Carron, Eys, & Loughead, 2012), a sport satisfaction questionnaire (Duda & Nicholls, 1992), the Competitive State Anxiety Inventory--2 Children (Stadulis, MacCracken, Eidson, & Severance, 2002), and a Self-Efficacy Questionnaire--Soccer (Munroe-Chandler & Hall, 2004). Results indicated that cohesion was positively related to satisfaction and negatively related to anxiety in children, providing support for convergent validity. Additionally, as hypothesized, social cohesion was less correlated to self-efficacy than task cohesion, supporting discriminant validity. Finally, support for the factorial validity of the CSCQ was demonstrated through acceptable fit indices. (Contains 5 tables and 1 figure.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Factor Analysis; Validity; Physical Activities; Measures (Individuals); Anxiety; Psychometrics; College Students; Factor Structure; Test Reliability; Self Efficacy; Human Body; Fear; Multivariate Analysis; Reliability; Prediction; Exercise

Abstract:
This study examined the psychometric properties of the Self-Presentational Efficacy Scale (SPES) developed by Gammage, Hall, and Martin Ginis (2004). University students (196 men and 269 women) completed the SPES and measures of social physique anxiety, fear of negative evaluation, and physical activity. Participants also completed the SPES a second time. A series of multivariate data analyses were conducted to examine the SPES's factor structure. Confirmatory factor analysis indicated a 3-factor model, with each factor representing a distinct latent variable. Acceptable internal consistency and test-retest reliability were found. Evidence of concurrent validity with respect to sex and exercise status was demonstrated. Convergent validity was also shown, as relationships to exercise participation and self-presentational anxiety were found. Future research should assess the reliability and validity of the SPES in other samples and the relative and unique contribution of the three factors in predicting exercise-related outcomes. (Contains 4 tables and 1 figure.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Homosexuality; Phenomenology; Focus Groups; Social Attitudes; Social Behavior; Social Theories; Hermeneutics; Educational Administration; Administrators; Interviews; Fear; Social Bias; Administrator Education; Policy Formation; Anxiety; Emotional Response

Abstract:
Purpose: The article's purpose is to highlight a national qualitative study that generated a model for understanding how society's actions and attitudes affect and inform the lived experiences of lesbian/gay (LG) educational leaders. Research Methods/Approach: Three bodies of literature informed the methods of the study: queer legal theory, critical phenomenology, and poststructural hermeneutics. Seventeen volunteer participants identified as out or closeted LG educational leaders and replied via e-mail (to a safe contact) to a national invitation to participate. To provide anonymity, a virtual laboratory allowed participants to interact anonymously through the use of focus groups, interviews, written responses, and private/public messaging tools. Data analysis was conducted after themes or categories emerged and data was coded and categorized. Findings: The findings culminated in conclusions illustrated in the "Cycles of Fear" model. First, study participants moved from silence to voice and back again, with varying intensity. Second, participants move beyond oppression was extremely difficult. Third, participants conquered fear and oppression, thereby creating gains. Fourth, experiences of fear were integrated into participants' very being--their identity. Fifth, as leaders' strength/visibility increased, society's homophobic fears created increased intolerance and hostility. Finally, when a new fear cycle began, the leaders became stronger and more resilient. Implications for Research and Practice: The discussions, conclusions, and the model drawn from this study's findings are instructive for (a) LG educational leaders who have had very little support in their professional and personal lives, (b) leadership preparation programs/professors that/who in the past have ignored this populations' existence and oppression, (c) policy makers, and (d) further research--the model can serve as a data analysis tool for future studies, and the anonymous research design could be duplicated to lower the risk for LGBT participants. (Contains 1 table, 1 figure, and 9 notes.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Attention Deficit Hyperactivity Disorder; Social Environment; Anxiety; Clinical Diagnosis; Personal Narratives; Adults; Psychological Patterns; Self Concept

Abstract:
This study systematically analyzed life stories of adults with attention-deficit hyperactivity disorder (ADHD) who were diagnosed in adulthood, using an adapted version of Labov's textual-analysis method. These life stories provided an opportunity to examine the processes experienced by these individuals before and after the diagnosis of ADHD, from their perspective. The results indicate that the narrators experienced repeated failures in many aspects of life. Many of them internalized negative views to which they have been subjected to in their social environment. Consequently, they developed self-blame that subsequently further hampered their functioning. Once diagnosed with ADHD, these adults were able to construct a more coherent view of their life and of their difficulties, move beyond guilt, and understand that they could overcome their challenges. Consequently, many of them began to take a more positive view of themselves and of the course of their lives, and to admit to some positive aspects of having ADHD. (Contains 1 table.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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