Coping and Regulating Emotions: A Pilot Study of a Modified Dialectical Behavior Therapy Group Delivered in a College Counseling Service

Abstract

Objective: To analyze the efficacy of a pilot program, aimed at treating college students with borderline personality disorder (BPD) using short-term, modified group dialectical behavior therapy at an Australian college counseling service (CCS). Participants: Seventeen enrolled college students aged between 18 and 28 (76.5% female), with a diagnosis of BPD completed the program between November 2009 and November 2010. Methods: Participants attended 8 2-hour group therapy sessions, held at the CCS during semester. Participants were assessed for levels of depression, anxiety, BPD traits, and coping strategies, at commencement and completion of the program. Results: There was a reduction in symptoms of depression and BPD traits, and an increase in adaptive coping skills, including problem solving, and constructive self-talk. There was no reduction in anxiety. Conclusions: The findings indicate promise for short-term treatment of college students with BPD. Implications and limitations are discussed, with emphasis on replication with a control group.     

Inappropriate Comparisons: The LGB Population's Missing Reference Group

ABSTRACT

Given that many professional organizations emphasize the need for comparing assessment results to appropriate reference groups in their codes of ethics, we consider this practice through an ecological perspective as it applies to the lesbian, gay, and bisexual (LGB) population. The purpose of norming and types of assessment bias is discussed with respect to LGB population, which frequently lack specific norming data. The authors discuss whether the LGB population has characteristics similar to other commonly normed for groups and explore how group-shared constructs such as minority stress and internalized homophobia may introduce bias and affect the validity of assessments. A social anxiety assessment as well as a personality disorder inventory are examined for bias as case examples explaining how these assessments may exhibit bias when used with the LGB population. Increases in validity and effects on treatment planning are discussed as benefits of providing LGB-specific norms. Risks of providing these norms, such as minimizing subgroup differences and possibly increasing the risk of discrimination are also addressed before providing clinicians with recommendations as to how they may minimize the risk of bias in their assessment process.     

Books Nominated for the 1997 AFGAGMAS Citation of Excellence

Abstract

A demographic questionnaire and 7 psychometric tests were administered to 32 self-identified Bondage/Domination/SadoMasochism (BDSM) practitioners. Although psychoanalytic literature suggests that high levels of certain types of psychopathology should be prevalent among BDSM practitioners, this sample failed to produce widespread, high levels of psychopathology on psychometric measures of depression, anxiety, obsessive-compulsion, psychological sadism, psychological masochism, or PTSD. In fact, on measures of clinical psychopathology and severe personality pathology, this sample appeared to be comparable to both published test norms and to DSM-IV-TR estimates for the general population. There were, however, some exceptions to this general pattern, most notably the higher-than-average levels of narcissism and nonspecific dissociative symptoms found in the sample. This study also raises significant concern about the appropriateness of the diagnosis of sexual masochism and sadism in the Diagnostic and Statistical Manual of the American Psychiatric Association or, minimally, the diagnostic criteria of these disorders.     

Brief Psychiatric Treatment and Symptom Improvement in University Students

Abstract

A total of 242 university students seen in an outpatient mental health clinic were evaluated for symptom changes during treatment using both a self-report inventory and chart notations. Specific clusters of major presenting and major improving symptoms, based on combined frequency and severity measures, were obtained for each of the largest diagnostic groups. Self-rated improvement on major symptoms ranged from 81.8 to 88.4% for patients with anxiety neurosis, depressive neurosis, and adjustment reaction, while personality disorder patients reported 54.5% improvement. Chart-based overall improvement rates were uniformly lower (36.4 to 77.3%) than corresponding self-report figures for each diagnostic group. The extent to which chart-rated overall improvement correlated with self-rated improvement on specific symptoms was analyzed.     

Comparison of two approaches to prevention of mental health problems in college students: Enhancing coping and executive function skills

Objective: College students face a significant number of stressors, increasing risk for internalizing and externalizing psychopathology. The current study examines two promising avenues of intervention aimed to reduce stress and prevent psychopathology in this population: a coping skills group and a cognitive training program. Participants: 62 undergraduate students from two universities were recruited from 2013 to 2015. Methods: Students were randomized to a 6-week coping skills group or cognitive training program and completed measures of stress, coping, executive function, and symptoms of anxiety, depression and Attention-Deficit Hyperactivity Disorder (ADHD) at pre- and post-intervention. Results: Participants in both conditions reported significant decreases in social stress, executive function difficulties, and anxiety symptoms post-intervention. Students in the cognitive program improved significantly more on measures of behavior regulation and ADHD symptoms compared to the coping group at post-intervention. Conclusions: Brief stress management interventions targeting coping and executive function may benefit college students at risk for psychopathology.     

Peer Substance Use Associated With the Co-occurrence of Borderline Personality Disorder Features and Drug Use Problems in College Students

Abstract

Objective: To determine if the substance use patterns of one's close friends and romantic partners would be a significant contributor to the co-occurrence of borderline personality disorder (BPD) features and drug use problems above and beyond impulsivity and negative emotionality. Participants: Participants were 2,202 undergraduates who attended a large southeastern university between 2003 and 2006. Methods: All subjects completed measures assessing the presence of BPD symptoms, drug use problems, general personality traits, and the proportion of their friends and partners who had used illicit drugs within the past 12 months. Results: The illicit drug use patterns of one's friends and romantic partners was a significant contributor to the co-occurrence of BPD features and drug use problems even when controlling for levels of impulsivity and negative emotionality. Conclusions: These findings suggest possible additional avenues for treatment focusing on helping students with BPD and drug use problems modify their social group.     

Personality Comparisons of College Students Reporting Previous Sexually Transmissible Disease Infection and Students Never Infected

Abstract

This study determined if college students reporting previous sexually transmissible disease infection can be identified as possessing particular personality characteristics. The Cattell Sixteen Personality Factor questionnaire was administered to students in health education classes at seven U.S.A. universities. Students indicated if they had ever contracted an STD through sexual contact outside of marriage. The data were analyzed by the discriminant function analysis. Previously infected females (N = 47) and males (N = 49) were differentiated by personality from their counterparts reporting no previous infection. Six personality factors were the major discriminators between the female groups, with previously infected females being more sober, placid, trusting, affected by feelings, experimenting, and forthright. Five factors differentiated the two male groups, with previously infected males being more tender-minded, assertive, relaxed, practical, and expedient than never infected males. All of the personality factors for the STD groups were within the “average” range for college students. Therefore, the STD groups apparently had no greater psychological difficulties/deviations than other college students. Focusing control efforts on population groups with particular personality characteristics would appear not to be appropriate.     

Anxiety and organization: what I learned about anxiety in a psychiatric ward in the 70s that turned out to be useful for managers in daily practice

ABSTRACT

This essay is a contribution to ‘de-pathologizing’ anxiety, reaffirm it into organization studies, and cast light on some findings on anxiety among staff members in a psychiatric ward. I will endeavor to reveal how I as a young researcher examined anxiety influences that have proven helpful to managers, suggesting that (1) anxiety comes in cold and warm forms, (2) organization is a way to deal with primordial anxiety, (3) organization causes systems anxiety, and (4) a socio–psycho personality dimension mediates the relationship between anxiety and organization. Managers need both anxiety and security – feeling secure enough to dare venture, and anxious enough to have the energy to perform effectively. I hope the essay will be a contribution to the task of bringing the concept of anxiety more out and into the light, helping organizational members to become safer and more successful in their different roles as leaders and co-workers.     

A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

Depression,anxiety, and tobacco use: Overlapping impediments to sleep in a national sample of college students

ABSTRACT

Objectives: To examine how tobacco use and depression/anxiety disorders are related to disturbed sleep in college students. Participants: 85,138 undergraduate respondents (66.3% female, 74.5% white, non-Hispanic, ages 18–25) from the Spring 2011 American College Health Association–National College Health Assessment II database. Methods: Multivariate analyses of tobacco use (none, intermediate, daily) and mental health (diagnosed and/or symptomatic depression or anxiety) were used to predict sleep disturbance. Results: Daily tobacco use was associated with more sleep problems than binge drinking, illegal drug use, obesity, gender, and working >20 hours/week. Students with depression or anxiety reported more sleep disturbances than individuals without either disorder, and tobacco use in this population was associated with the most sleep problems. Conclusions: Tobacco use and depression/anxiety disorders are both independently associated with more sleep problems in college students. Students with depression and/or anxiety are more likely to be daily tobacco users, which likely exacerbates their sleep problems.     

Pathological Gambling in Estonia: Relationships with Personality,Self-Esteem,Emotional States and Cognitive Ability

Due to changes in gambling accessibility during the last decade gambling has become more widespread in Estonia and the prevalence of pathological gambling has sharply increased. The present study attempts to identify psychological characteristics of Estonian pathological gamblers. It has been shown that a wide range of social, economic, and individual factors (e.g. personality traits and emotional states) predict the likelihood of becoming a pathological gambler. In the present study, pathological gamblers’ (N = 33) personality traits, self-esteem, self-reported emotional states and cognitive ability were compared to the respective characteristics in a non-gambling control group (N = 42) matched for age, gender and educational level. It was found that compared to controls, pathological gamblers had higher scores on Neuroticism (especially on its immoderation facet) and lower scores on Conscientiousness (especially on its dutifulness and cautiousness facets) and on self-esteem scale. They reported more negative emotional states during the previous month (especially depression and anxiety). Finally, pathological gamblers had lower general cognitive ability. In a logistic regression model, the likelihood of being a pathological gambler was best predicted by high immoderation score and low cognitive ability.

Anxiety and depression among college students with attention-deficit/hyperactivity disorder (ADHD): Cross-informant,sex, and subtype differences

Objective: This study examined symptoms of anxiety and depression among college students with attention-deficit/hyperactivity disorder (ADHD). Participants: Data were collected between March 2011 and March 2016 from 150 college students with ADHD and 150 college students without ADHD. Method: Participants with ADHD were compared to a sex- and ethnicity-matched control group. For the ADHD group, parent and self-report of anxiety and depression were also compared. Results: College students with ADHD self-reported significantly higher anxiety and depressive symptoms than did students without ADHD. Scores on parent-report measures of anxiety and depressive symptoms were significantly higher than scores on self-report measures. Significant sex differences were found for participants with ADHD, with females showing higher depressive and anxiety symptoms than males. Parent-reported anxiety symptoms were higher for those with inattentive type ADHD compared to combined type ADHD. Conclusion: The current study highlights the importance of multi-informant assessment in ADHD evaluations for college-aged adults.     

Psychological Distress and Related Factors in Female College Students

Abstract

Objective: This study assessed the psychological distress in Spanish college women and analyzed it in relation to sociodemographic and academic factors. Participants and Methods: The authors selected a stratified random sampling of 1,043 college women (average age of 22.2 years). Sociodemographic and academic information were collected, and psychological distress was assessed with the Symptom Checklist-90–Revised. Results: This sample of college women scored the highest on the depression dimension and the lowest on the phobic anxiety dimension. The sample scored higher than women of the general population on the dimensions of obsessive-compulsive, interpersonal sensitivity, paranoid ideation, psychoticism, and on the Global Severity Index. Scores in the sample significantly differed based on age, relationship status, financial independence, year of study, and area of study. Conclusion: The results indicated an elevated level of psychological distress among college women, and therefore college health services need to devote more attention to their mental health.     

Effect of Seminar on Compassion on student self-compassion,mindfulness and well-being: A randomized controlled trial

ABSTRACT

Objective: Mindfulness-based interventions have been shown to have psychological benefits in college students. We explored the effects of an academic Seminar on Compassion on student psychological health. Participants: Forty-one participants (14 male, 27 female, mean age 19.8 ± 1.4 years) were assessed pre- and post- spring semesters 2013 and 2014. Methods: Students were randomized to the Seminar on Compassion or a wait-list control group. Participants completed self-report measures on anxiety, depression, perceived stress, self-compassion, compassion and mindfulness. Salivary alpha-amylase was also assessed. Results: At baseline, self-compassion and mindfulness were negatively correlated with depression, anxiety, and perceived stress. There were significant changes between the intervention and control group from Time 1 to Time 2 in mindfulness, self-compassion, compassion, and salivary alpha-amylase; however, there were no significant changes in depression, anxiety, and perceived stress. Conclusions: The course was effective in increasing mindfulness, self-compassion and compassion, and decreasing a salivary marker of stress.     

Evaluating a Web-Based Cognitive-Behavioral Therapy for Maladaptive Perfectionism in University Students

Abstract

Objective: This study assessed a Web-based cognitive-behavioral therapy (CBT) for maladaptive perfectionism, investigating perfectionism, anxiety, depression, negative automatic thoughts, and perceived stress. Participants: Participants were undergraduate students defined as maladaptive perfectionists through a screening questionnaire at an urban university. The data were collected from July 2009 to August 2010. Methods: Forty-seven maladaptive perfectionists were randomly assigned to a 12-week CBT or a wait-list control group and assessed via questionnaires at pre- and postintervention. Statistical procedures included t tests, Pearson correlations, and analysis of covariance. Results: At the postintervention measure, the CBT group demonstrated significant decreases in anxiety sensitivity and negative automatic thoughts compared to the control group. Within the CBT group, changes in perfectionism scores were significantly correlated with positive changes in depression, anxiety, stress, and automatic thoughts. Conclusions: The treatment group improved on psychological outcomes, demonstrating the effectiveness of a Web-based CBT for perfectionism in a university setting.     

Intrinsic and Extrinsic Motivation in Personality: Assessing Knowledge Profiling and the Work Preference Inventory in a Thai Population

Abstract

Personality trait theories are often used to identify particular personality or behavioural characteristics of potential employees by human resource management departments. However, this can be enhanced by understanding how motivation plays a role in personality, and particularly within the context of knowledge-based personality processes. The paper draws on knowledge management theory called Knowledge Profiling (KP) in which a theoretical construct has been developed representing personality through a set of three traits and their polar values. This model has previously been linked to the trait theory of personality called Myers-Briggs Type Indicator (MBTI). This research adopts KP, develops its linkage with MBTI, and elaborates on its connection with motivation. The resulting model, referred to as Knowledge Profiling Motivational (KPM) model, is developed by connecting it with the Work Preference Inventory (WPI), which assesses individual differences in Intrinsic and Extrinsic motivational orientations. Analysis indicates that KPM is an improvement on the KP model in representing personality. Moreover, the research suggests that personality traits are not limited to a bipolar relationship but that there are relationships between traits as well.     

Concept of ‘personality disorder’ and its relationship to social work

Abstract

Inherently difficult to define and apply in a valid and reliable way, the concept of ‘personality disorder’ is, nonetheless, a very important psychological construct in the assessment and treatment of clients. This paper discusses the nature and limitations of personality disorder diagnoses. It also refers to data suggesting a paucity of formal training and research on personality disorders, and mental health in general, within Australian social work. The authors call for greater research, analysis and debate by social work educators and the profession on these issues.     

Personality characteristics of sexual addicts and pathological gamblers

Personality characteristics of three groups were compared: sexual addicts (N=32, 6 females, 26 males, ¯x age=36.37), pathological gamblers (N=32, 13 females, 19 males, ¯x age=46.15), and non-addicts (N=38, 13 females, 25 males, ¯x age=39.65). The sexual addict group was significantly more anxious, depressed, obsessive-compulsive and interpersonally sensitive than the non-addict control group. The sexuai addict group was significantly more depressed than the pathological gambler group. The pathological gambler group was significantly more depressed than the non-addict control group, but was not significantly more anxious, obsessive-compulsive, or interpersonally sensitive. Neither addict group scored higher on levels of sensation-seeking or self-defeating behaviors than did the non-addict control group. The results supported the view that sexual addiction can be explained as a means of coping with anxiety, depression, obsessive-compulsiveness and interpersonal sensitivity whereas pathological gambling may be used as an anti-depressant but there is no significant relationship between that addiction and the other above-mentioned personality characteristics.     

Comparing the effectiveness of individual and group therapy for students with symptoms of anxiety and depression: A randomized pilot study

Abstract

Objective: To examine the effectiveness of individual versus group therapy for anxiety and depression among university students. Participants: Forty-one university students experiencing moderate to severe symptoms of anxiety and/or depression participated during one of three academic semesters from 2015 to 2016. Methods: Participants were randomly assigned to either 6-weeks of individual or group therapy and completed outcome measures at pre-and-post-treatment. Results: Significant reductions in both depression and anxiety scores were found across time, with no significant difference between group and individual therapy outcomes. Exploratory analysis of attitudes toward therapy found that while individual therapy was rated more favorably than group therapy overall, attitudes toward therapy became more favorable from pre to post-treatment for all participants. An interaction showed differences in attitudes toward individual and group therapy according to participants’ randomly assigned treatment. Conclusions: These findings support the increased usage of group therapy within university counseling centers, with implications for stepped care discussed.     

A Strange Kind of Science: Making Sense of the Millennium Villages Project

Abstract

The Millennium Development Goals (MDGs) are often critiqued as a strategy of social engineering. This analysis would seem to be supported by the case of the Millennium Villages Project (MVP), the world's leading programme for the achievement of the MDGs. At the level of its discursive articulation, the MVP appears as a scientific ‘proof of concept’ for the comprehensive engineering of neoliberal social orders. But its evaluation methodology has been widely criticised for a lack of scientific rigour, and field research that I conducted in the Ruhiira Millennium Village in Uganda in 2013 revealed serious problems of implementation. I argue that the MVP is better understood not as a strategy of social engineering but as the staging of a social fantasy in which the constitutive antagonisms of capitalist development are concealed. In this fantasy space, the MDGs function to fill the gap between the promise of development and the impossibility of capitalism without poverty.