Facebook provides adolescents with multiple opportunities to self-disclose information about themselves, one of the most prominent ones being a status update. This qualitative study expanded on existing research related to adolescent self-disclosure on Facebook by exploring ten adolescents\' experiences of self-disclosing on a Facebook status when upset or distressed. Using thematic analysis, prominent themes emerged which included the decision making process in making such a post, concerns of privacy, impacts on peer relationships, perceptions and feelings of others, sense of community and support systems. Limitations of the study, clinical implications and suggestions for future research are also discussed. / Master of Science

Background: Wheezing is one of the most common respiratory illnesses in children worldwide. Severe wheeze can result in significant morbidity, caregiver burden and increased health care costs. In addition, early childhood wheeze may be associated with reduced lung function, diminished airway responsiveness, increased risk of asthma in late childhood and subsequent respiratory disease including asthma in adulthood. This is particularly true in those experiencing recurrent wheeze episodes, which in the presence of viral respiratory tract infections, are believed to lead to asthma diagnosis. Thus, it is imperative to understand the risk factors for early childhood wheeze to reduce the increasing burden of respiratory illness. Recent research has seen a shift to maternal psychosocial risk factors and the impact these have on child respiratory health outcomes, such as wheeze. Various studies, largely conducted in High Income Countries (HIC), have found associations between antenatal or postnatal psychosocial risk factors, such as depression, psychological distress, and Intimate Partner Violence (IPV), and child wheeze and/or asthma diagnosis in early stages of life. However, these studies predominantly considered those in low-income urban regions that were predisposed to respiratory illnesses, including wheeze and asthma. Utilising the techniques and knowledge gained from previous studies, this research considers the relationship between antenatal or postnatal maternal psychosocial exposures and the onset and recurrence of child wheeze in a South African setting. In the study population used for this research, the reported prevalence of antenatal psychological distress and depression was 23% and 20%, respectively, while 34% of the women were exposed to antenatal IPV. Often those suffering from poor mental health in these contexts are not recognised and therefore remain untreated. In addition, service provision in these settings is also generally poor. The combination of low levels of social and psychiatric support, with unique political and socio-economic risk factors, may result in more persistent and severe forms of psychosocial exposure in Low Middle Income Countries (LMIC). Given the high prevalence of psychosocial risk factors, as well as the high prevalence of child wheeze, South Africa provides an excellent platform to investigate the association between maternal antenatal or postnatal psychosocial exposure and the development and recurrence of child wheeze in an LMIC context. Methods: The data used for this research was provided by the Drakenstein Child Health Study (DCHS), a prospective birth cohort study conducted in the Drakenstein region, a peri-urban region outside of Paarl in the Western Cape of South Africa. Pregnant women over 18 years old, between 20-28 weeks' gestation, living in the region were enrolled in a parent study, in order to investigate the epidemiology and aetiology of respiratory illnesses in children. The parent study considered various risk factors, including psychosocial risk factors such as maternal depression, psychological distress and IPV, which were measured antenatally and postnatally by validated questionnaires. In the context of this research, wheeze was considered to be present if it was identified during any routine study follow-up visit, as well as at an unscheduled lower respiratory tract infection (LRTI) episode visit during the first two years of life. Recurrent wheeze was defined as experiencing two or more episodes of wheeze in a 12-month period. Logistic regression was used to investigate the relationship between antenatal and postnatal psychosocial risk factors and child wheeze. Results: From the results, postnatal psychological distress and IPV were associated with experiencing at least one episode of child wheeze (adjusted OR = 2.10, 95% CI: 1.16-3.79 and 1.60, 95% CI: 1.11-2.29 respectively) and recurrent wheeze (adjusted OR = 2.33, 95% CI: 1.09- 4.95 and 2.22, 95% CI: 1.35-3.63 respectively), within the first two years of life. No associations were found between antenatal psychosocial risk factors and child wheeze. Of clinical covariates explored, maternal smoking and household smoke exposure, birth weight, gestational age, sex and population group were associated with the presence of wheeze. All of these clinical covariates, as well as alcohol consumption were associated with recurrent child wheeze. Conclusion: Maternal postnatal psychological distress and postnatal IPV had the strongest impact on predicting wheeze outcomes. These findings suggest that screening and treatment programs which address maternal postnatal psychosocial risk factors may lessen the burden of childhood wheeze in LMIC settings.

The study examines six factors identified by previous studies as having the potential to influence the outcome of turnarounds of firms. The six factors identified are efficiency strategy, severity, free assets, size, changes on the top management and black economic empowerment (BEE). This study is based on the propositions that the identified factors will influence the turnaround outcomes of the firms that were restructured by the Industrial Development Corporation. A sample of 78 firms was obtained for the study. The sample consisted of 46 successful turnaround and 31 failed turnaround. Logistic regression was used to test the sample. A significant finding of this study is that BEE is the only factor that has a positive influence on the outcome of the turnaround. This study is of use in identifying factors are useful to take into account when considering turning around a firm. The results of the study differ with most of the literature reviewed. Copyright / Dissertation (MBA)--University of Pretoria, 2010. / Gordon Institute of Business Science (GIBS) / unrestricted

Trait mindfulness has been found to be a beneficial characteristic of athletes. However, the research on mindfulness interventions has been limited, poorly described, and poorly designed. The current study sought to determine whether a brief mindfulness intervention improves distress tolerance among athletes. In addition, this experiment tested the impact of cultivating mindfulness on psychological variables that may be important for sport such as anxiety, happiness and capacity for stress. Athletes were randomly assigned to one of the three intervention conditions (brief mindfulness, sham mindfulness and no-intervention control). All participants completed distress tolerance measures, a motor performance measure under distressing conditions, and self-reported psychological measures. These measures were administered at pre- and post-intervention. Results indicated that the brief mindfulness intervention did not result in significant improvements in the primary outcome variables, in comparison to the sham mindfulness and no-intervention control groups. Strengths and limitations of the study, as well as future directions are provided.

Stigma has a negative effect on individuals, which may include psychological distress, anxiety, and social isolation (Pachankis, 2007). Stigma can be either concealable or visible. A concealable stigma is an attribute that is not visibly apparent, but would be devalued if known by others (e.g., sexual orientation, Page 30 2014 Appalachian Student Research Forum mental illness, sexual abuse). Some believe that individuals with a concealable stigma do not face prejudice and discrimination because the stigma is not apparent to others. However, research suggests that those with a concealable stigma may feel the constant need to hide that identity or characteristic, and this may increase distress and anxiety due to the threat of discovery (Pachankis, 2007). We hypothesized that individuals with a concealable stigma will have higher levels of stigma, rejection sensitivity, distress, and anxiety as well as lower levels of self-esteem, relative to those individuals with a visible stigma. The current sample was taken from a larger study (N=408) and consist of participants (n=70) who selfidentified a stigmatizing characteristic. The self-reported characteristics were independently coded by two research assistants as concealable or visible and finally, the assistants collectively assigned the characteristics to each group. Our sample consists of 35.7% concealable (e.g., sexuality, mental illness, history of abuse) and 64.3% visible (e.g., physical appearance, physical disability, race/ethnicity). To test our hypotheses, we used an independent t test to assess the differences in levels of stigma, self-esteem, distress, anxiety, and rejection sensitivity between concealable and visible stigma groups. Results show that self-stigma (t(68)=-.798, p=.428), public stigma (t(68)=-.149, p=.882), and self-esteem (t(68)=-1.320, p=.191) do not differ between groups. By contrast, and in support of our hypotheses, those with concealable stigma reported more rejection sensitivity (t(68)=2.315, p=.024) and anxiety (t(68)=3.030, p=.003) than those with visible stigma. Contrary to our hypotheses, distress (t(68)=-2.599, p=.011) was higher for those with visible stigma than concealable stigma. Future research should be conducted to examine levels of anxiety and rejection sensitivity in individuals with concealable stigma to understand the differences among stigmatized identities and characteristics.

The negative physical effects of night shift work are well understood. Research into psychological problems associated with night shift work, however, is sparse. The purpose of this study was to evaluate the difference in psychological symptom patterns between day and night shift workers. Data were obtained on 121 undergraduate volunteers. The sample consisted of 39 male and 82 female volunteers between the ages of 18 and 58 years. All participants were organized into two shift types: Day and Night. Day (n = 65) was classified as working hours primarily in the daytime (7 AM – 5PM). Night (n = 56) was classified as working hours primarily in the nighttime (6 PM – 6 AM). A two-way between-subjects MANOVA was used to assess the influence of gender and shift on the nine SCL-90-R subscale T-scores. The gender main effect was not significant, F(9, 109) = .668, p = .736. No significant difference in SCL-90-R subscale scores as a function of shift was observed, F(9, 109) = 1.141, p = .34. The gender x shift interaction was not significant, F(9, 109) = 1.308, p = .241. Results showed no significant difference between day and night shift worker distress levels. Further research into this topic is recommended.

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Distress tolerance is often defined as one’s ability to tolerate and withstand negative and/or uncomfortable emotional states (Simons & Gaher, 2005; Zvolensky et al., 2001). However, after nearly two decades of research, there is still no consensus on how to best conceptualize and measure distress tolerance. A historical account of the conceptualization and measurement of distress tolerance demonstrates that the distress tolerance literature may have missed a crucial step in theory development: obtaining a thorough understanding of the concept in question (Dubin, 1969). Without adequately addressing this important step in theory development, it is likely that continued efforts to research distress tolerance will ultimately fail to progress science in a meaningful way. Thus, the goal of this study was to conduct an in-depth, mixed methods investigation into how individuals define key terms used in self-report measures of distress tolerance: “distress” and “upset,” and what (if any) intraindividual or domain-specific differences they report. Thematic analysis showed no consensus on participants’ understandings of the key terms—a finding that poses deep questions regarding its potential utility to advance knowledge in the field of psychopathology. The thematic analysis revealed important intraindividual differences in distress tolerance that can aid in future investigation.

No / National guidelines in the United Kingdom recommend training Clinical Nurse Specialists in psychological skills to improve the assessment and intervention with psychological problems experienced by people with a cancer diagnosis (National Institute for Health and Clinical Excellence, 2004). This pilot study evaluated a three-day training program combined with supervision sessions from Clinical Psychologists that focused on developing skills in psychological assessment and intervention for common problems experienced by people with cancer. Methods: Questionnaires were developed to measure participants’ levels of confidence in 15 competencies of psychological skills. Participants completed these prior to the program and on completion of the program. Summative evaluation was undertaken and results were compared. In addition, a focus group interview provided qualitative data of participants’ experiences of the structure, process, and outcomes of the program. Results: Following the program, participants rated their confidence in psychological assessment and skills associated with providing psychological support as having increased in all areas. This included improved knowledge of psychological theories, skills in assessment and intervention and accessing and using supervision appropriately. The largest increase was in providing psycho-education to support the coping strategies of patients and carers. Thematic analysis of interview data identified two main themes including learning experiences and program enhancements. The significance of the clinical supervision sessions as key learning opportunities, achieved through the development of a community of practice, emerged. Significance of results: Although this pilot study has limitations, the results suggest that a combined teaching and supervision program is effective in improving Clinical Nurse Specialists’ confidence level in specific psychological skills. Participants’ experiences highlighted suggestions for refinement and development of the program. Opportunities for further research and developments in this area are discussed.