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Studies suggest that racism affects the type and quality of health care that patients who are Black receive, perhaps in part because poorer patient-provider communication and less provider encouragement of patient involvement have been consistently reported for patients of color. In particular, Black women are 3-4 times more likely to experience dangerous and even life-threatening complications, and more likely to report mistreatment and neglect from medical providers and staff, during childbirth. Experiences with gendered racism during childbirth, which in itself is a vulnerable, intense, and potentially traumatic experience when proper support is absent, may lead to posttraumatic stress reactions. Psychotherapy can help affected clients to process gendered racial and childbirth traumas through (a) the establishment of a safe, trusting, and collaborative therapeutic relationship, in which careful attention is paid to repairing alliance ruptures caused by cultural misunderstandings or gendered racial microaggressions, and (b) framing experiences and "symptoms" as understandable reactions to gendered race-based traumatic stress during childbirth. In addition to direct therapeutic intervention, therapists should collaborate with doulas and/or medical providers on patient care, and, separately, advocate for systemic-level change, supporting clients' lived experiences outside of the therapy room. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Chronic pain management services are often provided in group formats, as they are cost effective, increase access to care, and provide unique and needed social support to patients, but mixed outcomes for these groups indicate room for improvement. A small but growing body of research suggests routine assessment of and feedback on group cohesion may improve individual patient outcomes, though this has not been studied among chronic pain groups. Provided in this article is a rationale for assessing group cohesion in pain management programs, along with considerations for how and when to use routine outcome monitoring of cohesion in clinical practice. (PsycInfo Database Record (c) 2021 APA, all rights reserved).For primates, the ability to efficiently detect threatening faces is highly adaptive; however, it is not clear exactly how faces are detected. This study investigated whether chimpanzees show search asymmetries for conspecific threatening faces featuring scream and bared teeth expressions. Five adult female chimpanzees participated in a series of touchscreen matching-to-sample visual search tasks. In Experiment 1, search advantages for scream versus neutral targets and scream versus bared teeth targets were found. A serial search strategy indicated greater difficulty in disengaging attention from scream versus neutral distractors. In Experiments 2a and 2b, search advantages for scream versus neutral targets remained when the mouth was darkened, suggesting that the brightness contrast of the mouth was not critical for the efficient detection of scream targets. In Experiments 3a and 3b, search advantages for inverted scream versus neutral targets disappeared, indicating configural processing. Together, exclusion of the brightness contrast of the mouth as a low-level perceptual confound, and evidence of configural processing, suggested the scream faces may have been perceived as threatening. However, the search advantage for scream faces is most likely explained by the presence of teeth, independently of threat. The study provides further support that an attentional bias toward threatening faces is a homologous trait, which can be traced back to at least the last common ancestor of Old World monkeys and apes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The aim of this study was to evaluate the efficacy of an internet-based treatment for Genito-Pelvic Pain/Penetration Disorder (GPPPD) which adversely affects women's sexuality and is associated with reduced well-being and mental health comorbidities.

Two-hundred women with GPPPD (no penetrative intercourse ≥6 months) were randomly allocated to the intervention group (IG) or a waitlist control group (WCG). The intervention included eight modules and one booster session and was delivered through an eHealth platform. Participants were supported by an eCoach regarding treatment adherence. The primary outcome was intercourse penetration behavior. Online assessments were scheduled at baseline (T1), after Session 8/12 weeks (T2), and 6 months (T3) after randomization. Intention-to-treat analyses were reported.

Significantly more participants (31.00%, n = 31/100) in the IG were able to have sexual intercourse at T2 compared to those in the WCG, 13.00%, n = 13/100; χ²(1) = 9.44, p < .01. At T3, still more participants in the IG had sexual intercourse (29%) compared to those in the WCG (20%) but the groups no longer differed significantly, χ²(1) = 2.19, p = .19. Genital pain, painful and noncoital penetration behavior, and negative penetration-related cognitions significantly improved with medium to large effects at T2 (d = 0.66-1.25) and small to large effects at T3 (d = 0.23-1.32), whereas fear of sexuality, overall sexual functioning, trait anxiety, and well-being improved with small to medium effects (T2 d = 0.20-0.49, T3 d = 0.23-0.46) in the IG compared to the WCG. On average, participants completed 79% of the intervention.

Internet-based treatment has been shown to be effective for GPPPD symptoms and could therefore be a promising treatment modality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Internet-based treatment has been shown to be effective for GPPPD symptoms and could therefore be a promising treatment modality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Co-rumination is the act of perseverating on problems or negative emotions with another person. Past research has shown that co-rumination has tradeoffs, as it is related to more anxiety and depressive symptoms, yet also heightened feelings of closeness and better relationship quality. However, there has been little repeated measures work, leaving unknown the influence of within-person changes in co-rumination on individuals' functioning. Using data from 1,504 adolescents collected as part of a seven-wave study over 4 years, we hypothesized that at times when adolescents coruminated above their own average level of co-rumination, they would report more anxiety and depressive symptoms, as well as increased closeness with friends at concurrent timepoints. Moreover, we investigated heterogeneity in these effects, exploring whether there was variability in whether adolescents experienced simultaneous costs and benefits of increased co-rumination. AcFLTDCMK The results reveal that the average adolescent reported associated increases in anxiety symptoms, depressive symptoms, and closeness with friends at times when they reported coruminating at higher-than-typical levels. Yet, there was significant heterogeneity in these effects, as some adolescents solely experienced costs of co-rumination and others experienced just benefits. Moreover, adolescents who experienced stronger-than-average effects of co-rumination on anxiety and depressive symptoms reported less of an increase in closeness with friends. These findings offer important insight into how co-rumination is associated with social-emotional functioning and have implications for recommending best practices for seeking support and discussing problems with close others. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Previous work has generally conceptualized emotion regulation as contributing to mental health outcomes, and not vice versa. The present study challenges this assumption by using a prospective design to investigate the directionality of underlying relationships between emotion regulation and mental health in the context of a major population-level stressor. We surveyed a large nationally representative sample of adults (18-91 years, N = 704) at three 1-month intervals across the acute lockdown phase of the COVID-19 pandemic in Australia, using standardized measures of depression and anxiety symptoms. At each time point, we also measured the use of two emotion regulation strategies-cognitive reappraisal and emotional suppression-previously associated with adaptive and maladaptive mental health outcomes, respectively. We found cognitive reappraisal was unrelated to mental health symptoms. In contrast, greater emotional suppression was robustly associated with higher symptom levels for both depression and anxiety. Longitudinal analyses revealed this association reflected bidirectional relationships. Higher symptoms of depression and anxiety each predicted greater subsequent use of emotional suppression, and greater use of emotional suppression predicted higher subsequent symptoms. This bidirectionality suggests emotional suppression is both symptomatic and predictive of psychological distress. The lack of a relationship for cognitive reappraisal is discussed with respect to the pandemic context and evidence that high stress might reduce people's ability to use this strategy effectively. Given the strong emphasis on reappraisal in clinical practice, there is a critical need to understand for whom, what and when this strategy is helpful. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Recent research has demonstrated a counterproductive attentional bias toward threat-related stimuli under conditions in which fixating on a color distractor stimulus sometimes resulted in an immediate shock, participants were nevertheless more likely to look at this threat-related distractor than a neutral distractor matched for physical salience. However, participants in that prior research may not have realized that their own actions caused delivery of aversive outcomes, such that monitoring for the threat-related distractor may not have been counterproductive from participants' perspective. In Experiment 1 of the current study, we demonstrate that the attentional bias to the threat-related distractor persists (and indeed, becomes stronger) when participants are made explicitly aware that looking at this stimulus is the sole cause of aversive events, which are otherwise avoidable. In Experiment 2 we replicate the bias in informed participants under conditions in which there is additional (reward-driven) motivation to avoid attending to distractors. Taken together with prior findings, the observation of an attentional bias toward the threat-related distractor under these explicitly counterproductive conditions provides strong support for the idea that threat-related stimuli are automatically prioritized by our attentional system. (PsycInfo Database Record (c) 2022 APA, all rights reserved).The current research tests the links between emotion regulation and psychological and physical health during the COVID-19 pandemic. In Study 1, parents (N = 365) who had reported on their psychological and physical health prior to the pandemic completed the same health assessments along with their use of emotion regulation strategies when confined in the home with their school-aged children during a nationwide lockdown. In Study 2, individuals (N = 1,607) from a nationally representative panel study completed similar measures of psychological and physical health and use of emotion regulation strategies one-year prior to the lockdown and then again during the lockdown. Accounting for prepandemic psychological health, greater rumination and emotional suppression were independently associated with poorer psychological health (greater depressive symptoms and psychological distress, lower emotional and personal well-being), even when controlling for the emotional challenges of the pandemic (emotion control difficulties, perceived support; Studies 1 and 2) and a range of demographic covariates (Study 2).