Thesis (Ph.D. (Pastoral))--North-West University, Potchefstroom Campus, 2006.

Thesis (Ph.D.)--University of Missouri-Columbia, 2006. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (February 26, 2007) Vita. Includes bibliographical references.

Social anxiety is associated with an unusually high level of negative affect, yet little is known about the strategies used by socially anxious individuals to manage and regulate their emotions. The present research examined differences in trait and state levels of expressive emotion suppression in high- and low- socially anxious participants, and explored possible causes and consequences of such suppression across two studies. Using self-reports of trait-like characteristics, Study 1 examined a theoretical model positing that individuals high in social anxiety would report greater emotion suppression than those low in social anxiety; and that authenticity, in turn, would predict diminished well-being. Study 2 used self-report measures administered following a brief social interaction in the laboratory to examine group differences in state-like emotion suppression and the effects of such differences on situational authenticity. Additionally, Study 2 investigated the contributions of state negative affect and acceptance of mood to help explain possible increases in emotion suppression in socially anxious participants. The results of Study 1 supported the hypothesis that diminished well-being in individuals with social anxiety is partially accounted for by low authenticity, which, in turn, is partially accounted for by high emotion suppression. Study 2 revealed that socially anxious participants suppressed their emotions more, and felt less authentic than, controls during the social interaction. However, state negative affect and acceptance of mood did not significantly mediate the relationship between group status and state-like emotion suppression. Implications of the present findings are discussed in terms of contemporary cognitive-behavioural theory and treatment, with indications for future directions for research.

Social anxiety is associated with an unusually high level of negative affect, yet little is known about the strategies used by socially anxious individuals to manage and regulate their emotions. The present research examined differences in trait and state levels of expressive emotion suppression in high- and low- socially anxious participants, and explored possible causes and consequences of such suppression across two studies. Using self-reports of trait-like characteristics, Study 1 examined a theoretical model positing that individuals high in social anxiety would report greater emotion suppression than those low in social anxiety; and that authenticity, in turn, would predict diminished well-being. Study 2 used self-report measures administered following a brief social interaction in the laboratory to examine group differences in state-like emotion suppression and the effects of such differences on situational authenticity. Additionally, Study 2 investigated the contributions of state negative affect and acceptance of mood to help explain possible increases in emotion suppression in socially anxious participants. The results of Study 1 supported the hypothesis that diminished well-being in individuals with social anxiety is partially accounted for by low authenticity, which, in turn, is partially accounted for by high emotion suppression. Study 2 revealed that socially anxious participants suppressed their emotions more, and felt less authentic than, controls during the social interaction. However, state negative affect and acceptance of mood did not significantly mediate the relationship between group status and state-like emotion suppression. Implications of the present findings are discussed in terms of contemporary cognitive-behavioural theory and treatment, with indications for future directions for research.

The main objective of this study has been to explore how art therapists experience the visual art´s that can be used in the promotion of health among people with depression - and anxiety disorders. The concept of SOC- sense of coherence has been a central term and a link between imaging and SOC were identified in the study. The underlying method in the study was a qualitative form, where semi-structured interviews were used. Through a strategic- sample five female art therapist were contacted, who all came to participate in the study. The study is essentially based on hermeneutical method and the analysis of interview material has been analyst by using thematic analysis. The results indicate that the therapists experiences shows that  visual art can be a support for people with depression- and anxiety disorders. The SOC- concept made its mark in the result and it came to show that the visual art´s may be a support for people with depression- and anxiety disorders. Visual art can help people with depression- and anxiety disorders to get more understanding and tools to manage their state according to the therapists.

Emotional disorders of anxiety and depression have been recognized as the most prevalent mental disorders in children and adolescents. High rates of co-morbidity between anxiety and depression have been reported in both adults and youths. Clark and Watson (1991) proposed a tripartite model to explain both the overlap and distinctiveness of anxiety and depression. In that model, negative affectivity (NA) is experienced in both anxiety and depression; lack of positive affectivity (PA) is specific to depression; and high physiological hyperarousal (PH) is unique to anxiety. Two decades of research among adults have supported the utility of the tripartite model. However, its applicability to children and adolescents has been studied less, and the results have been controversial. This controversy could be caused by two main issues. First, early youth research on the tripartite components has had to borrow adult measures to represent the tripartite constructs. Second, even after child-specific measures for the tripartite constructs were developed, relatively few studies have examined all three tripartite components together. In particular, PH has received less attention than NA and PA. The present study addresses these issues. First, this study assesses all three components of the tripartite model among Chinese children and adolescents in Hong Kong schools. A deliberate attempt is made to use measures of the tripartite constructs that are specific to children in order to improve the construct validity of the measurements. Finally, special attention is paid to the differential utility of the PH construct. Results partially supported the Clark and Watson’s tripartite model (1991). NA is a common component to both anxiety and depression. However, both PA and PH are also common components to both anxiety and depression. In addition, high correlations were found among anxiety, depression, and PH. These results tend to suggest more intricate relationships among anxiety, depression, and somatic symptoms. To conclude, this study suggests an alternative transdiagnostic approach to the tripartite model, which emphasizes clustering of anxiety, depression, and somatic symptoms. / published_or_final_version / Clinical Psychology / Doctoral / Doctor of Psychology

This work was conducted in an effort to better understand the role that activational mechanisms in memory play in the etiology and maintenance of anxiety disorders. The affect of word stimuli characteristics, such as affective valence and semantic association with worry, on the association between inhibition and trait worry was investigated under different types of induced thought. Previous research has demonstrated that worry is associated with negative affect, and that worry may be semantically organized in memory. Based on these findings, it was hypothesized that words would be differentially inhibited in association with trait worry when worry was induced compared to neutral thought. Stimuli characteristics including the positive or negative affective valence of words, and their semantic association with common domains of worry were expected to moderate the relationship between inhibition and trait worry. In order to investigate these hypotheses, 86 undergraduate students from the University of Texas at Austin completed a series of memory tasks designed to measure inhibition for either negative or positive words, both associated and unassociated with worry. They underwent either idiopathic worry or neutral thought induction prior to completing each memory task, and completed questionnaires assessing trait worry and thought suppression. The findings provide partial support for the hypotheses. Higher levels of trait worry were associated with less inhibition of negative words, but more inhibition of positive words semantically associated with worry. Contrary to predictions, differential induction of worry did not affect the relationship between inhibition and trait worry. The research and clinical implications of these findings are discussed. / text

<p>Bruxism is an oral parafunctional habit involving clenching and grinding of the teeth that occurs mainly unconsciously, diurnally and nocturnally. It is considered an important contributory factor in the aetiology of myofascial pain (MFP) and temporomandibular disorders (TMD). The aetiology of bruxism is considered to be multifactorial, involving physiological and psychological factors. The aim of this study was to examine the relationship between the subthreshold symptoms (subtle, prodromal, atypical and subclinical symptoms of which the severity precludes diagnosis as a disorder) of anxiety and bruxism in a sample of subjects using a spectrum model.</p>

Despite growing evidence that anxiety can be a significant problem in late-life, information regarding the use of mental health services by older adults for anxiety is lacking. The current research project consists of three studies focusing on this issue. The first study examines the rates of mental health service use among older adults with anxiety disorders and high levels of anxiety symptoms, as well as individual characteristics associated with this use. The second study examines various aspects of social support as correlates of anxiety disorders in older adults, and the role of social support as an enabling resource for mental health service use. Finally, the third study examines three important outcomes of service use among older adults: treatment satisfaction, perceived treatment effectiveness, and dropout. The data for these studies came from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2), a national population-based survey that includes 12,792 respondents aged 55+ years. This research found that older adults with significant anxiety were less likely to use services than those with mood disorders, and that indicators of need for services were the strongest predictors of use. Lower levels of functional social support were related to the presence of anxiety disorders among older adults, and lower levels of perceived emotional/informational support and positive social interactions predicted greater use of services for adults throughout the lifespan. Finally, older adults were generally satisfied with services, perceived them as helpful, and were likely to remain in treatment. Analyses indicated that individual characteristics likely play only a small role in these outcomes. In general, this project provides new and important information that can inform policy, clinical work, and future research regarding late-life anxiety.

The central theoretical argument of the study is that faith can heal or help counselees to cope with mood and anxiety disorders. In the meta-theoretical perspective a literature study of recent research on mood and anxiety disorders and the therapeutic approaches to each within the disciplines of psychiatry, psychology, and medicine was done. It was found that there are a number of different causes and treatments for depression and anxiety with different disciplines emphasising different perspectives. An empirical study consisting of qualitative structured interviews and observations of a selected group of counselees struggling with depression and anxiety was also carried out. It was established that faith had played a significant role in the healing of the counselee's depression and anxiety or in their ability to deal with their illnesses. The goal with the basis-theoretical perspectives was to explore what the Bible has to teach about 'depression", faith and healing and to research the revelation historical stance on this. Expositional studies of a selected core of biblical references pertaining to depression were undertaken and key biblical figures who suffered from “depression" were studied. It was concluded that although the Bible does not speak of depression and anxiety per se, it describes people who might have been suffering from it. Valuable insights that can be used in helping counselees to deal and/or cope with their depression and anxiety were gained by studying these biblical characters and passages (2 Corinthians 1:3-11, Philippians 4:4-13 and Lamentations). In the practice-theoretical perspective an integrative model which can be used by pastoral counsellors for dealing with depression in a faith-based context and for equipping depression sufferers to constructively deal with their depression and anxiety was developed. This was accomplished by utilising the basis- and meta-theoretical perspectives in a hermeneutical interaction to formulate a holistic faith-based model. / Thesis (Ph.D. (Pastoral))--North-West University, Potchefstroom Campus, 2006