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Specifically, younger age, concurrent substance use, and practical concerns (e.g., balancing multiple life roles) emerged as factors that consistently contributed to treatment dropout. Other findings were mixed (e.g., pretreatment symptom severity and presence of traumatic brain injury). While factors contributing to dropout are complex and interact uniquely for each veteran, improved understanding of these factors in combination with innovative strategies for treating OEF/OIF/OND veterans utilizing EBPs is needed to enhance treatment engagement, retention, and outcomes. Implications for these factors are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).Although rape has been linked to risk for suicidal ideation and attempts, there are scant data on the efficacy of brief interventions to reduce suicidality among recent rape victims. This secondary analysis of a randomized controlled trial investigated whether a video intervention delivered in the emergency department (ED), cortisol measured at the ED, and prior rape history predicted postrape suicidal ideation independently or in combination with the other predictors. Participants were 235 women aged 15-71 years who presented to the ED for a sexual assault medical forensic examination and were randomly assigned to either receive a video intervention that addressed avoidance and promoted healthy coping strategies or standard care prior to the examination. Participants also provided a blood sample for cortisol and completed at least one of three follow-ups at 6 weeks, 3 months, or 6 months postrape. The intervention conferred protection against suicidal ideation among women with elevated cortisol and a prior rape; however, it did not reduce risk for women without a prior rape, particularly those with elevated cortisol. It may be important to consider the influence of prior rape and neuroendocrine reactivity in developing treatments to address suicidal ideation among rape victims. More specifically, there appears to be value in screening victims for prior rape and administering this brief intervention to reduce suicidal ideation; however, other avenues should be explored for victims without a prior rape history. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The aims of this study were to assess COVID-19 outbreak-related emotions, to identify vulnerable groups within health care workers (HCW) and to study the relationship between the emotional state and some environmental features.

We conducted a cross-sectional study on March 29 to April 5, 2020 based on a national online survey using snowball sampling techniques. A list of emotional states was compared in HCW and non-HCW and within HCW roles. The relationship between COVID-19 related symptoms, information, and protective measures and the emotional state was analyzed.

Fear (

< .001, φ

= .11), irritability (

= .001, φ

= .08), frustration (

< .001, φ

= .10), anger (

= .013, φ

= .06), and helplessness (

< .001, φ

= .13) appear significantly more frequently in HCW compared to non-HCW. Within HCW, a higher percentage of physicians, especially the less experienced, significantly perceived uncertainty and frustration (

= .001, φ

= .13 and

= .025, φ

= .10, respectively), whilef therapeutic approaches in future similar situations of pandemic or outbreak of the current one. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Embitterment can occur as a reaction to unjust life events which damage the person's life values. It can lead to impairment of work ability and participation in life generally. MRT68921 molecular weight Methods to reduce embitterment have been developed and tested in clinical samples. Perspective-change is a core method which can be trained in order to get distance from a hurting event and reduce embitterment.

This experimental study investigates whether perspective-change can be used as a 1-shot mini-intervention to reduce subclinical embitterment. People (

= 155) from the general population completed the experiment. They were first asked about their life values, whether they had experienced and were still affected by a hurting event, and their degree of embitterment. Then a fictive unjust situation (downgrading at work) was presented, and the person was asked to project his or her thoughts into the described situation. Randomly, one half of the participants were given instructions for a perspective change in order to relativizf perspective-change. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Theory suggests that self-conscious emotions (guilt and shame) may play a role in the development/maintenance of posttraumatic stress. Propensities to experience these emotions (i.e., proneness) may confer risk for posttraumatic stress, while difficulties tolerating or coping with them (i.e., aversion) may maintain or exacerbate symptoms. However, no research to date has examined the importance of guilt aversion or shame aversion in posttraumatic stress.

A total of 336 participants provided open-ended information on their experience of potentially traumatic events; a team of trained raters determined that a final sample of 186 participants had a clinically significant history of trauma. These participants completed measures of posttraumatic stress, along with measures of proneness for and aversion to both guilt and shame. Negative affect and experiential avoidance were assessed as covariates.

Zero-order correlations indicated that guilt-proneness and guilt aversion were not associated with posttraumaticortant treatment goal for some individuals with posttraumatic stress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Suicide is a problem on college campuses. One of the strongest predictors of suicide risk is symptoms of borderline personality disorder (BPD). Additional factors, such as trauma, also increase risk for suicide. One type of trauma that is especially insidious is 1 in which people are betrayed by others on whom they depend for support or protection (betrayal traumas). However, there is little research on the incremental effects of BPD symptoms and trauma with varying degrees of betrayal on suicide risk.

In this study, we examined the relative effects of BPD symptoms and traumatic experiences with varying degrees of betrayal on suicide risk in a sample of college students (

= 915) using a Bayesian approach to multiple linear regression.

Results suggest that BPD symptoms and traumas with high and medium degrees of betrayal have incremental effects on suicide risk, although this effect differs by sex.

These findings highlight the utility of assessing history of trauma over and above BPD symptoms in the prediction of suicide risk and have implications for future research and clinical intervention.

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