Mindfulness and Its Impact on Adaptive Coping and Psychological Well-Being: an Intervention for Undergraduate Students

Total Page:16

File Type:pdf, Size:1020Kb

Mindfulness and Its Impact on Adaptive Coping and Psychological Well-Being: an Intervention for Undergraduate Students Old Dominion University ODU Digital Commons Psychology Theses & Dissertations Psychology Summer 8-2020 Mindfulness and Its Impact on Adaptive Coping and Psychological Well-Being: An Intervention for Undergraduate Students Charles Bradley Freligh Old Dominion University, [email protected] Follow this and additional works at: https://digitalcommons.odu.edu/psychology_etds Part of the Clinical Psychology Commons, Educational Psychology Commons, and the Mental and Social Health Commons Recommended Citation Freligh, Charles B.. "Mindfulness and Its Impact on Adaptive Coping and Psychological Well-Being: An Intervention for Undergraduate Students" (2020). Doctor of Philosophy (PhD), Dissertation, Psychology, Old Dominion University, DOI: 10.25777/cp49-pz13 https://digitalcommons.odu.edu/psychology_etds/356 This Dissertation is brought to you for free and open access by the Psychology at ODU Digital Commons. It has been accepted for inclusion in Psychology Theses & Dissertations by an authorized administrator of ODU Digital Commons. For more information, please contact [email protected]. MINDFULNESS AND ITS IMPACT ON ADAPTIVE COPING AND PSYCHOLOGICAL WELL-BEING: AN INTERVENTION FOR UNDERGRADUATE STUDENTS by Charles Bradley Freligh M.A. December 2012, New York University B.S. May 2008, James Madison University A Dissertation Submitted to the Graduate Faculties of Eastern Virginia Medical School Norfolk State University Old Dominion University in Partial Fulfillment of the Requirement for the Degree of DOCTOR OF PHILOSOPHY CLINICAL PSYCHOLOGY VIRGINIA CONSORTIUM PROGRAM IN CLINICAL PSYCHOLOGY August 2020 Approved by: Robin J. Lewis (Director) Scott M. Debb (Chair) Barbara A. Winstead (Member) Paul Harrell (Member) Steven Emmanuel (Member) ABSTRACT MINDFULNESS AND ITS IMPACT ON ADAPTIVE COPING AND PSYCHOLOGICAL WELL-BEING: AN INTERVENTION FOR UNDERGRADUATE STUDENTS Charles Bradley Freligh Virginia Consortium Program in Clinical Psychology, 2020 Director: Dr. Robin J. Lewis The concept of mindfulness has been shown to positively imPact psychological well-being, and one application of mindfulness-based interventions has been the development and implementation of courses specifically for college students, a population that has been shown to be particularly vulnerable to the negative imPacts of stress. While these interventions have displayed beneficial outcomes, the mechanisms of how mindfulness exerts its impact remain unclear. One potential mechanism of mindfulness’ enhancement of well-being may be through its cultivation of an adaptive coping style in which an individual becomes more likely to approach and investigate stressors rather than avoid them. In this study, an online mindfulness-based intervention for college students was developed and imPlemented. Course participants were assessed before and after the course to investigate the course’s imPact on mindfulness, psychological well-being, and adaptive coping (defined as higher approach coping and lower avoidant coping scores), and to assess the potentially mediating role of adaPtive coPing in the relationship between mindfulness and psychological well-being. Results revealed significant increases in mindfulness and in one domain of Psychological well-being (environmental mastery) following the course but did not reveal significant imProvements in other well-being domains nor significant changes in adaptive coping. Therefore, the planned mediation analysis was not conducted. A post-hoc hierarchical regression analysis revealed significant relationships between mindfulness and adaptive coping in the hyPothesized directions while controlling for ParticiPants’ scores before the course. This may indicate that ParticiPants who develoPed significantly in their caPacity for mindfulness Practice may indeed have demonstrated the impact uPon adaPtive coping hypothesized in this study. Future research should continue to investigate these potential changes and their imPact on the often-stressful lives of college students. iii Copyright, 2020, by Charles Bradley Freligh, All Rights Reserved. iv This dissertation is dedicated to my parents Deborah and Steve Freligh for always supporting me, to my wife Lindsay for being my perfect puzzle piece, and to my brother Jojo for being my best friend. v ACKNOWLEDGEMENTS There are many who have contributed to the completion of this dissertation. First, I would like to thank my dissertation chair and research mentor Dr. Scott M. Debb. Thank you for your support and willingness to let me explore the path I am most interested in, and for giving me encouragement when I needed it. I would also like to thank my committee members Drs. Barbara A. Winstead, Steven Emmanuel, and Paul Harrel for serving on my committee and helping me with valuable feedback and being generous with their personal time, and kindness, throughout the dissertation process. vi TABLE OF CONTENTS Page LIST OF TABLES ......................................................................................................................viii LIST OF FIGURES .......................................................................................................................ix Chapter I. INTRODUCTION .......................................................................................................................1 MINDFULNESS ................................................................................................................2 PSYCHOLOGICAL WELL-BEING .................................................................................9 ADAPTIVE COPING .......................................................................................................12 MINDFULNESS TRAINING ..........................................................................................17 COLLEGE STUDENT VULNERABILITY TO STRESS ..............................................24 MINDFULNESS INTERVENTIONS FOR COLLEGE STUDENTS ............................25 RESEARCH AIMS AND HYPOTHESES ......................................................................28 II. METHOD .................................................................................................................................30 PARTICIPANTS ..............................................................................................................30 PROCEDURE ...................................................................................................................32 MEASURES .....................................................................................................................34 III. RESULTS ...............................................................................................................................38 DATA ANALYSIS AND DESCRIPTIVE STATISTICS ...............................................38 HYPOTHESES .................................................................................................................40 IV. DISCUSSION .........................................................................................................................46 IMPLICATIONS ..............................................................................................................47 STRENGTHS AND LIMITATIONS ...............................................................................50 FUTURE DIRECTIONS ..................................................................................................52 V. CONCLUSION ........................................................................................................................54 REFERENCES .............................................................................................................................55 APPENDICES ..............................................................................................................................71 A. INFORMED CONSENT FORM .................................................................................71 B. DEMOGRAPHIC SURVEY .......................................................................................75 C. THE FIVE FACET MINDFULNESS QUESTIONNAIRE ........................................77 D. THE COPE INVENTORY ..........................................................................................79 E. THE RYFF SCALES OF PSYCHOLOGICAL WELL-BEING .................................82 F. THE POSITIVE AND NEGATIVE AFFECT SCHEDULE .......................................85 G. THE DEPRESSION ANXIETY AND STRESS SCALES .........................................86 H. COURSE SYLLABUS ................................................................................................87 vii I. STUDENT FEEDBACK/EVALUATION OF THE COURSE ....................................91 VITA .............................................................................................................................................97 viii LIST OF TABLES Table Page 1. Demographic characteristics of participant group sample ........................................................31 2. Descriptive statistics for independent and dependent variables ...............................................38 3. Zero-order correlations among study variables pre- and post-intervention ..............................41 4. Hierarchical regression analysis of mindfulness predictors of Time 2 avoidant and approach coping ............................................................................................................................................43 5. Multiple hierarchical regression analysis of FFMQ facet
Recommended publications
  • A Multi-Method Examination of the Effects of Mindfulness on Stress Attribution, Coping, and Emotional Well-Being
    Journal of Research in Personality 43 (2009) 374–385 Contents lists available at ScienceDirect Journal of Research in Personality journal homepage: www.elsevier.com/locate/jrp A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being Netta Weinstein a,*, Kirk W. Brown b, Richard M. Ryan a a Clinical and Social Sciences in Psychology, 336 Meliora Hall, University of Rochester, Rochester, NY 14627, United States b Department of Psychology, Virginia Commonwealth University, 806 West Franklin St., Richmond, Virginia, 23284, United States article info abstract Article history: Mindful individuals orient to ongoing events and experiences in a receptive, attentive manner. This expe- Available online 27 December 2008 riential mode of processing suggests implications for the perception of and response to stress situations. Using laboratory-based, longitudinal, and daily diary designs, four studies examined the role of mindful- Keywords: ness on appraisals of and coping with stress experiences in college students, and the consequences of Mindfulness such stress processing for well-being. Across the four studies (n’s = 65 À 141), results demonstrated that MAAS mindful individuals made more benign stress appraisals, reported less frequent use of avoidant coping Stress strategies, and in two studies, reported higher use of approach coping. In turn, more adaptive stress Coping responses and coping partially or fully mediated the relation between mindfulness and well-being. Impli- Avoidance Well-being cations for the role of mindfulness in stress and well-being are discussed. Ó 2008 Elsevier Inc. All rights reserved. 1. Introduction and by facilitating the use of adaptive forms of coping with stress- ful situations.
    [Show full text]
  • SPECIAL ISSUE Taking Human Performance to the Next Level (With FLARE)
    Vancouver Neurotherapy Health Services Inc. 2-8088 Spires Gate, Richmond, BC, V6Y 4J6. (604)730-9600; Fax (604)244-VNHS www.neurofeedbackclinic.ca Biofeedback ÓAssociation for Applied Psychophysiology & Biofeedback Volume 44, Issue 3, pp. 111–120 www.aapb.org DOI: 10.5298/1081-5937-44.3.10 SPECIAL ISSUE Taking Human Performance to the Next Level (with FLARE) Inna Khazan, PhD, BCB1,2 1Harvard Medical School, Boston, MA; 2Boston Center for Health Psychology and Biofeedback, Boston, MA Keywords: biofeedback, mindfulness, optimal performance, reappraisal, FLARE This paper introduces a comprehensive methodology for you be saying to yourself as you prepare for speaking? You achieving optimal human performance in a variety of may be surprised to hear that, as shown by recent research, professional settings, including highly challenging ones. most of our ideas about what to do to optimize our This methodology harnesses the power of empirically performance are wrong. We spend a lot of time and put validated biofeedback and mindfulness techniques. As part much emphasis on efforts that are not only not helpful to of this methodology, I present a step-by-step approach to our performance, but are, in fact, detrimental to it. A 2014 training, including an easy-to-use technique called FLARE. study by Alison Wood Brooks showed that over 90% of participants hold the belief that the key to optimizing Introduction performance is to relax and/or calm down. It seems pretty Imagine yourself . Sitting in the front row of a large natural to say ‘‘just relax’’ prior to an important academic, conference room, waiting for the current speaker to finish, professional, or athletic performance.
    [Show full text]
  • To Revise Canon Law Code
    Pope appointscommission to reviseCanon Law Code Vr\'l'tCAN Cl'llY--llis llolitter;s Pope John XXlll has sct tup tr commissiou o{ 30 cnltlirtals lo levise the Corlc nf Canou Ltrrv. Anrong tlie 30 ale Caldinetl Irrancis Sipellman, Arch- bishop of Norv Yolli, ;rutl (iartlinal P:tul Legcr, Alchbishop of A'lotttt'citl. soon supcrscrlcd all eallicl col lcctions. Ry tlur beginning of tlre ?Oth ccntrrly carron larv rvas again in a statc ol' eonfusion. At thc Ii'ilsL Vatican f.louncil ( 186$.1870) con- tliliorrs harl I)l'cvonlr'(l thc 1l:rssing of disciplinar'1' larvs ol consitlcll- liou oI thc bislrops'rt'qrrcst Ior codilication of those allc;rtly irr I| RIGIII' SP0'I': fr'IEDICIA\II l0fcc, Itilt in lt)0.[ l'opc fit, l,ius X attuorrrrccrl lris dctcrnrinttion lo have a conrplete an<l olrlerlv corli[iciltion ol all cxisting ('hur.clr Indianapoliscivil la*'s, rights 'l'ltc rvith obsolt'tc lnd outrlalctl tasli ol' llrtt ttt'rr' ('()tlltllls- on(rs r,lirnirrntcrl arrrl othcr.s sion rlill l)('to glrtl)cr an(l pl'e- btrtugltt into t'onfolnritl' rvith palc nralclial lirr a rctisiott oi lltc tuodcln conrlilions. 6 canon larr, <:otlc accot'tling to thc rlilcclilr:s ol llto ct:tltttt'ttical cotttt- HE APPOINTED 'l'hc u t,unrrrrissiorr cil. t'evisiott rvill ;rp1rl1'ottl.t' rePorL ol calrlin:tls trrrrlcr ltis orvn and clrair.. good bad' ttttrt'itt [rrt'ttc itt tlttl to tltc cotlc nranship. ()n llalr:lr 25, 19().{,the Catlttt' l,atin lt itc. [,)nstct'tt Itite tvrrr'lrl's alchbi,slrops rvcle askctl g()\'ofttc(l lt1';t lics llr: sttllat'atc lo conlr'r' uith thcil sulfr.agan lroenle<l u itrtesses rltrlin;1 thc c0(l('.
    [Show full text]
  • Does the Exposure Method Used in Cognitive Behavioural Therapy for Panic Disorder with Agoraphobia Affect Treatment Outcome?
    Review Does the Exposure Method used in Cognitive Behavioural Therapy for Panic Disorder with Agoraphobia Affect Treatment Outcome? Ar ekspozicijos metodika, naudojama taikant kognityvinę ir elgesio terapiją panikos sutrikimo su agorafobija gydymui, turi įtakos terapijos efektyvumui? Giedre zalyte1, Julius NEverauskas1, William Goodall2 1Behavioral Medicine Institute, Lithuanian university of Health Sciences, Palanga, Lithuania 2Department of Psychiatry, university of Dundee Medical School, Dundee, united Kingdom Summary SANTRAuKA Panic disorder (PD) is characterized by the presence of recurrent Įvadas. Panikos sutrikimas (PS) yra liga, kurios metu pacientai unexpected panic attacks and persistent worrying about the occurrence patiria stipraus nerimo (panikos) priepuolius, lydimus nuolatinio of a new panic attack. 30 to 60 % of PD sufferers develop agoraphobia nerimavimo ir baimės, kad ištiks kitas priepuolis. Iki 60 proc. [PD(A)], a condition characterised by avoidance of anxiety-provoking sergančiųjų patiria ir agorafobiją, t.y. baimę ir vengimą būti situations, such as public transport, open or enclosed places or leaving situacijose, provokuojančiose nerimą. Kognityvinė ir elgesio terapija the home alone. Cognitive Behavioral Therapy (CBT) is an effective (KET) yra efektyvus panikos sutrikimo su agorafobija (PSA) gydymo psychological treatment for PD(A). One of its key components is būdas, kurio vienas iš svarbiausių komponentų yra ekspozicija, t.y. exposure, a method for systematically approaching anxiety-provoking laipsniško artėjimo prie nerimą provokuojančio stimulo metodika. stimuli. However, up to 30% of PD(A) sufferers find traditional in Tačiau iki 30 proc. sergančiųjų PSA tradicinę ekspoziciją gyvai vivo exposure (IVE) procedures too aversive. One way to increase the laiko atgrasia, todėl vienintelis būdas padidinti ekspozicijų tikimybę likelihood of sufferers engaging in exposure assignments is to carry yra atlikti jas terapinių sesijų metu.
    [Show full text]
  • Post Traumatic Stress Disorder Sourcebook.Pdf
    The Post-Traumatic Stress Disorder SOURCEBOOK Second Edition ALSO BY GLENN R. SCHIRALDI World War II Survivors: Lessons in Resilience The Self-Esteem Workbook The Anger Management Sourcebook Conquer Anxiety, Worry and Nervous Fatigue: A Guide to Greater Peace Ten Simple Solutions for Building Self-Esteem Facts to Relax By: A Guide to Relaxation and Stress Reduction Hope and Help for Depression: A Practical Guide Stress Management Strategies The Post-Traumatic Stress Disorder SOURCEBOOK Second Edition @ A GUIDE TO HEALING, RECOVERY, AND GROWTH @ Glenn R. Schiraldi, Ph.D. @ New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2009 by Glenn R. Schiraldi. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, with- out the prior written permission of the publisher. ISBN: 978-0-07-161495-5 MHID: 0-07-161495-8 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-161494-8, MHID: 0-07-161494-X. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs.
    [Show full text]
  • Putting Feelings Into Words Affect Labeling Disrupts Amygdala Activity in Response to Affective Stimuli Matthew D
    PSYCHOLOGICAL SCIENCE Research Article Putting Feelings Into Words Affect Labeling Disrupts Amygdala Activity in Response to Affective Stimuli Matthew D. Lieberman, Naomi I. Eisenberger, Molly J. Crockett, Sabrina M. Tom, Jennifer H. Pfeifer, and Baldwin M. Way University of California, Los Angeles ABSTRACT—Putting feelings into words (affect labeling) physical health (Hemenover, 2003; Pennebaker, 1997). Al- has long been thought to help manage negative emotional though conventional wisdom and scientific evidence indicate experiences; however, the mechanisms by which affect that putting one’s feelings into words can attenuate negative labeling produces this benefit remain largely unknown. emotional experiences (Wilson & Schooler, 1991), the mecha- Recent neuroimaging studies suggest a possible neuro- nisms by which these benefits arise remain largely unknown. cognitive pathway for this process, but methodological Recent neuroimaging research has begun to offer insight into limitations of previous studies have prevented strong in- a possible neurocognitive mechanism by which putting feelings ferences from being drawn. A functional magnetic reso- into words may alleviate negative emotional responses. A nance imaging study of affect labeling was conducted to number of studies of affect labeling have demonstrated that remedy these limitations. The results indicated that affect linguistic processing of the emotional aspects of an emotional labeling, relative to other forms of encoding, diminished image produces less amygdala activity than perceptual pro- the response of the amygdala and other limbic regions cessing of the emotional aspects of the same image (Hariri, to negative emotional images. Additionally, affect labeling Bookheimer, & Mazziotta, 2000; Lieberman, Hariri, Jarcho, produced increased activity in a single brain region, right Eisenberger, & Bookheimer, 2005).
    [Show full text]
  • An Examination of Experiential Avoidance
    Eastern Michigan University DigitalCommons@EMU Master's Theses, and Doctoral Dissertations, and Master's Theses and Doctoral Dissertations Graduate Capstone Projects 2014 An examination of experiential avoidance as a vulnerability factor for posttraumatic stress symptoms and excessive behaviors in parent and young adult child dyads Meaghan M. Lewis Follow this and additional works at: http://commons.emich.edu/theses Part of the Psychology Commons Recommended Citation Lewis, Meaghan M., "An examination of experiential avoidance as a vulnerability factor for posttraumatic stress symptoms and excessive behaviors in parent and young adult child dyads" (2014). Master's Theses and Doctoral Dissertations. 828. http://commons.emich.edu/theses/828 This Open Access Thesis is brought to you for free and open access by the Master's Theses, and Doctoral Dissertations, and Graduate Capstone Projects at DigitalCommons@EMU. It has been accepted for inclusion in Master's Theses and Doctoral Dissertations by an authorized administrator of DigitalCommons@EMU. For more information, please contact [email protected]. An Examination of Experiential Avoidance as a Vulnerability Factor for Posttraumatic Stress Symptoms and Excessive Behaviors in Parent and Young Adult Child Dyads by Meaghan M. Lewis Thesis Submitted to the Department of Psychology Eastern Michigan University in partial fulfillments of the requirements for the degree of MASTER OF SCIENCE in Clinical Behavioral Psychology Thesis Committee: Tamara M. Loverich, Ph.D., Chair Ellen I. Koch, Ph.D., Member Flora Hoodin, Ph.D., Member July 15, 2014 Ypsilanti, Michigan Parent and Young Adult Child Experiential Avoidance and Traumatic Stress ii Acknowledgments My thanks go primarily to my advisor, Dr.
    [Show full text]
  • Free Fall Test Review
    Free Fall Test Review Important Formulas that will given on the test: 2 2 2 Vf = Vi + at Vf = Vi + 2a Δx Δx = ½ (Vi + Vf)t Δx = Vit + ½ a t Important questions to be answered by the end of the unit: • What are the basic motion equations for motion at constant acceleration? • How does one use the constant acceleration equations to solve motion problems? • What criteria are necessary to define “free fall” near the Earth’s surface? • What is the commonly used SI value for the acceleration of gravity near the Earth’s surface? • How does one use the constant acceleration equations to solve motion problems involving free fall? Upon completion of the unit: 1. Compare uniform motion to non-uniform motion a. What does the motion diagram of an object moving with the same speed vs an object changing its speed compare Same speed a= 0m/s2 a= 0m/s2 - + v= 2m/s v= 2m/s v= 2m/s Changing its speed a= 2m/s2 a= 2m/s2 - + v= 2m/s v= 4m/s v= 6m/s 2. Define acceleration and show acceleration on a: a. Acceleration definition: Acceleration is the change in velocity in a particular amount of time. Acceleration is caused by a change in the net force b. Motion diagram: a= 2m/s2 a= 2m/s2 - + v= 2m/s v= 4m/s v= 6m/s c. Velocity-Time graph: http://www.thetrc.org/pda_content/texasphysics/e- BookData/BookInd-847.html d. Other graphs for acceleration 3. Use slope formula to find the average acceleration from a velocity time graph a.
    [Show full text]
  • Avoidance and Depression: Evidence for Reinforcement As a Mediating Factor
    University of Tennessee, Knoxville TRACE: Tennessee Research and Creative Exchange Doctoral Dissertations Graduate School 12-2011 Avoidance and Depression: Evidence for Reinforcement as a Mediating Factor John Paul Carvalho University of Tennessee - Knoxville, [email protected] Follow this and additional works at: https://trace.tennessee.edu/utk_graddiss Part of the Clinical Psychology Commons Recommended Citation Carvalho, John Paul, "Avoidance and Depression: Evidence for Reinforcement as a Mediating Factor. " PhD diss., University of Tennessee, 2011. https://trace.tennessee.edu/utk_graddiss/1172 This Dissertation is brought to you for free and open access by the Graduate School at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Doctoral Dissertations by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. To the Graduate Council: I am submitting herewith a dissertation written by John Paul Carvalho entitled "Avoidance and Depression: Evidence for Reinforcement as a Mediating Factor." I have examined the final electronic copy of this dissertation for form and content and recommend that it be accepted in partial fulfillment of the equirr ements for the degree of Doctor of Philosophy, with a major in Psychology. Derek R. Hopko, Major Professor We have read this dissertation and recommend its acceptance: Kristina Coop Gordon, John S. Wodarski, John Lounsbury Accepted for the Council: Carolyn R. Hodges Vice Provost and Dean of the Graduate School (Original signatures are on file with official studentecor r ds.) To the Graduate Council: I am submitting herewith a dissertation written by John Paul Carvalho entitled “Avoidance and Depression: Evidence for Reinforcement as a Mediating Factor.” I have examined the final electronic copy of this dissertation for form and content and recommend that it be accepted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, with a major in Psychology.
    [Show full text]
  • The Role of Avoidant Coping in the Treatment of Rape-Related
    THE ROLE OF AVOIDANT COPING IN THE TREATMENT OF RAPE-RELATED POSTTRAUMATIC STRESS DISORDER by AMY SELVIG LEINER (Under the Direction of Joan Lynne Jackson) ABSTRACT Although there are a number of empirically supported therapies for posttraumatic stress disorder (PTSD), a large minority of those treated fail to respond. Many researchers have attempted to identify variables (participant variables, trauma variables, and treatment variables) that impact PTSD treatment outcome. A review of this literature suggested that there are few, if any, variables that consistently impact PTSD treatment outcome and that few studies are driven by theoretical models of PTSD or its recovery. The cognitive theory of PTSD suggests that a decrease in the avoidance of trauma-related information is required for successful treatment. The current investigation studies the role of a related construct, avoidant coping, in the treatment of rape-related PTSD. Women with PTSD following rape (N = 62) received nine sessions of an empirically supported PTSD treatment (prolonged exposure or eye movement desensitization and reprocessing). PTSD severity was assessed before, during, and after treatment. Avoidant coping was measured before and after treatment. Results indicated that avoidant coping decreased during the course of treatment and that changes in PTSD symptoms were correlated with changes in avoidant coping. Contrary to hypothesis, pretreatment avoidant coping was negatively associated with posttreatment PTSD severity when pretreatment severity was taken into account. Likewise, high levels of pretreatment avoidant coping were associated with a more rapid decline of PTSD symptoms during treatment. Finally, pretreatment avoidant coping did not predict dropout or posttreatment diagnostic status. This study suggests that PE and EMDR are particularly effective at reducing symptom severity for women with initially high levels of avoidant coping.
    [Show full text]
  • Guay Guilt Plea Taken to 2Nd Degree Murder
    TUESDAY,. NOVEMBEE 19, 196S Averaf 6 Dafly Net P r « « Ron The Weather rereeo(rt of U. 8. Weather P 4 S H For the Wertc Bnded iianrlf^Bt^r lEn^nittg November 16. 1668 Inoreaelaa oloOdiiieM '.towlghi. was oottduobad OoL 36, a/t which, Low tai the 40ik. ThorMiay moot- IW OaiT la a' ly ctoody and mild wflh, roln io- Hm planniiig oominittee ef Wi (Sardner St., the diort, un­ Sodality Plans time throe commltiteaa were 13,891 tlM Second A nnual Antique paved. and very ateap atriiet' oneaibsd but no membera named. veloptaiK by oventng. Hl*ti 56 to About Town TPC Rejects MAYRON'S Member e< the Audit 66. Show, aponaored by tba Second from Gardner to Highland Sts. Weddings NRC chairman FTancIa Dahs^ OmgregwUnal Church Oouptaa Tha oommiaaion also ap­ Social, Bake Sale B an n a of Obraolnttaa proved applications for faderai Feta of Manchaater has alnoa Mtmcheater^A City of ViUago Charm M t » Cteptar, RAM, will CM), wfil meet tonight at 8:30 Two Changes nm ed membara to each com- BAKE SHOE m a t t a itorrow «t 7:M pjn. at at tlM home of Mr. and Mha. grants for atudiee of the pro­ •' Prey - Davis The SodaUty the Blaased posed Parker Village treatment mtttea By commlitteo, they era: Ifaa M a m ie 1>fnple when the Walter Smith, 16 OenterfleM S t Saiorament of SC John’s Polkh Organiaa'tton: Robert Gorton, (Ulaaolfled Advertioing on Fage M) PRICE SEVEN CENTS n m t miMlenC maeter maeon TTw .Town Plantiing Oommia* plant and relief trunk aewer, National OathoUc Church will LEMON FLUFF VOL.
    [Show full text]
  • Wishing Well Demonstration
    Wishing Well Demonstration Tim Brooke Margaret Morris Intel Corporation Intel Corporation JF3-377 2111 N.E. 25th Ave. JF3-377 2111 N.E. 25th Ave. Hillsboro, OR 97124 USA Hillsboro, OR 97124 USA +1 503 264 8512 +1 503 264 8512 [email protected] [email protected] ABSTRACT The technology concept described in this paper addresses This paper will address one of these themes: the need for needs that emerged from ethnographic research on the temporal orientation, specifically orientation to the distant health needs of tomorrow’s elders, specifically the need future, and the corresponding opportunity area of to envision and plan for the later phase of life. The “lifespan mapping”. By lifespan mapping we mean tools difficulties of old age are often experienced as sudden that will allow people to reflect on time in very personal shifts which are managed in a reactive, crisis-driven style. and expansive terms – from recollecting the past, to The gap between this need for future planning and focusing on the present and near future, to envisioning the existing tools motivated the concept of “lifespan distant future. We are exploring a host of interfaces that mapping” – engaging interfaces to invite reflection about will make all of these activities more engaging, textured, desirable ways to live out the later phases of life. The and less daunting than current planning tools. “wishing well” concept described in this paper is one component of a larger life-span mapping concept that encourages ideation about the future. Users select an The Wishing Well, the concept explored in this paper, is a image that they find appealing by moving a stone onto probe to invite envisioning and reflection of the future.
    [Show full text]