Eating disorders and related psychological features among Arabs and Jews in Israel: Does culture play a moderating role?

Eating disorders (EDs) have been documented in various cultural settings. A continuous increase in ED' rates among non-Western cultures (e.g., Arab cultures and East-Asian cultures) has been reported. We aimed to investigate the relations among culture, ED symptoms, and psychological features that are highly relevant in EDs through a cultural comparison of three groups. The groups included female university students in Israel with varying levels of exposure to Westernization: 118 Jewish students, 132 Arab students studying at a mixed university with a Jewish majority, and 111 Arab students studying at Sakhnin College, a college for Arab students only. The groups differed significantly on the Conservation Value dimension from the Short Portrait Values Questionnaire. Four psychological features were examined as predictors of ED symptoms: Interoceptive-deficits, Ineffectiveness, Asceticism, and Maturity-fear. The results revealed a comparable prevalence of self-reported ED symptoms among Arabs and Jews, with a small exception for bulimic symptoms, which were less prevalent among those in the Sakhnin group, who also scored lower on Ineffectiveness and higher on asceticism than the other groups. Testing the relations between the four psychological features and ED symptoms revealed that culture played a moderating role in predicting the strength of ineffectiveness and maturity-fear. Ineffectiveness was not a predictor among the Sakhnin group, whereas maturity-fear was not a predictor in the least conservative Jewish group. Asceticism and interoceptive-deficits predicted ED symptoms across all study groups. Our findings indicate that the problem of EDs may be similar among Arab and Jewish women in Israel. Moreover, despite some similarities in the relevance of some ED-related psychological features, other features are moderated by culture.

Psychological resilience: Predictors and measurement among Israel Defense Force combat officer candidates.

The goal of the current study was to develop a resilience selection tool for combat officers that would augment the test battery at the Israel Defense Force (IDF) Officer Selection Center (OSC). To enable this goal, we sought to explore the underlying structure of resilience in a diverse number of resilience predictors. Participants were 1,533 male candidates at the IDF OSC. Using Exploratory Factor Analysis followed by Confirmatory Factor Analysis, 159 items from 13 separate resilience scales were refined into a single, 18-item psychological resilience scale. The new scale emphasizes self-efficacy, competency and overall positive self-perception. The new scale is tailored specifically to military combat officers. Initial construct validity was demonstrated against Big Five dimensions and psychological evaluations at IDF OSC. Predictive validity was demonstrated against command and peer evaluations from IDF Officer Training School (OTS). Medium to strong positive correlations were found between the resilience scale and Big Five dimensions of Extroversion and Conscientiousness, as well as a medium negative correlation with Neuroticism. Low but significant correlations were found between the resilience measure and psychological evaluations of combat officer vocational congruence. Low but significant correlations were also found with command and peer evaluations from Officer Training School. Resilience scale scores were found to predict OTS commander evaluations, but not OTS peer evaluations, beyond standard OSC scores when controlling for demographic variables. The theoretical importance of findings as well as implications for military officer selection are discussed.

The association between deficiencies in paternal and maternal reflective functioning and anorexia nervosa symptomatology.

BACKGROUND: A large theoretical body of knowledge exists emphasizing the importance of parental mentalizing in the context of anorexia-nervosa (AN). However, the empirical support to these assumptions is still scarce. The aim of the present study was to examine whether parents of patients with AN are characterized by a lower mentalizing ability, and whether it is associated with impaired mentalizing, AN symptomatology and eating disorder (ED) related psychological traits in the daughters. METHODS: Thirty-two family triads (fathers, mothers, and daughters) of female adolescent and young adult inpatients with AN were compared with thirty-three non-clinical family triads (N = 195). The mentalizing ability of all the participants was assessed using semi-structured interviews and coded using the Reflective Functioning Scale (RFS). Self-report questionnaires were administered to the daughters to evaluate ED symptomatology and ED related psychological traits (e.g., low self-esteem, interpersonal insecurity, emotional dysregulation). RESULTS: Decreased reflective functioning (RF) levels were found among mothers and fathers of patients with AN compared to their control peers. Examining the entire sample, clinical and non-clinical groups together, showed that both paternal and maternal RF were associated with the daughters' RF and each were found to have a significant and distinct contribution to the daughters' RF. Significant associations were found between lower levels of maternal and paternal RF and increased ED symptoms and ED related psychological traits. The use of a mediation model suggested a serial relationship in which low maternal and paternal RF contributes to the daughters' low RF, which in turn is associated with higher levels of psychological maladjustment, and ultimately contributes to the increased severity of ED symptoms. CONCLUSIONS: The present results provide strong empirical support for theoretical models that suggest that deficits in parental mentalizing may represent important correlates of the presence and severity of ED symptoms in AN. Furthermore, the results highlight the relevance of fathers' mentalizing ability in the context of AN. Finally, clinical and research implications are discussed.

The goal of the study was to examine the relationship between deficits in parents' ability to reflect on their own and others' emotional experience and the severity of their daughter's eating disorder and psychological maladjustment. A clinical group of young female inpatients diagnosed with anorexia-nervosa and both their biological parents was compared to a control group of young females without eating disorder and their parents. Personal interviews assessed the participants' reflective ability and self-report questionnaires assessed the daughters' eating disorder severity and psychological difficulties. The results show that patients with anorexia nervosa and their parents are less able to reflect on their emotional experiences compared to the control group. The parents' reflective ability was found to be related to their daughter's reflective ability. For both fathers and mothers, the less able the parent is to reflect on his or her emotional experiences the higher the severity of the daughter's eating disorder symptoms and psychological maladjustment are. The results imply that deficits in the parents' ability to process their own and others' emotional experiences are related to the severity of eating disorders symptoms and psychological maladjustment among daughters.. The study results highlight the importance of assessing reflective abilities of fathers.

Mentalizing ability, mentalizing impairments, and anorexia nervosa: Validation of the Hebrew version of the Movie for the Assessment of Social Cognition (MASC).

The goal of this study was to validate the Hebrew version of the Movie for the Assessment of Social Cognition (MASC)-an ecological measure for assessing mentalizing ability-among patients with anorexia nervosa (AN) and healthy individuals. We examined the validity of the MASC's general mentalizing ability scale and of its mentalizing impairments subscales using validated measures of mentalizing ability (Reading the Mind in the Eyes test, Cambridge Mindreading Face-Voice Battery, and Reflective Function questionnaire) among female patients with AN (N = 35) and control participants (N = 42). ED symptoms were assessed via self-report questionnaires. The MASCHeb correlated with measures of mentalizing ability and was found to significantly differentiate patients with AN from controls. In addition to differing on general mental ability, the groups differed on hypomentalizing (but not hypermentalizing). Based on our findings, the MASCHeb proved to be an ecologically valid tool for assessing mentalizing ability and impairments among patients with AN. Moreover, our findings demonstrated the role played by general mentalizing ability in EDs and specifically pointed to the importance of hypomentalization in EDs. These findings have therapeutic implications, as outlined in the Discussion section.

The moderating effects of self and other mentalizing on the relationship between distress and disordered eating: A cross-cultural examination.

OBJECTIVE: Cross-cultural comparisons that focus on underlying psychological mechanisms in disordered eating (DE) are lacking. With the aim of addressing this gap, we investigated the interplay between mentalizing, distress, and DE in two cultural groups: the ultra-Orthodox and secular Jewish societies in Israel. METHOD: A combination of performance-based and self-report measures of two mentalizing-related constructs (emotional awareness and alexithymia), along with self-report measures of distress, DE, and values preferences, were employed in a community sample (N = 300) of ultra-Orthodox and secular Jewish women. RESULTS: Distress predicted DE in both cultural groups, yet there were cultural differences in the moderating role of mentalizing. Both mentalizing measures moderated the distress-DE link in the secular group, but not in the ultra-Orthodox group. Furthermore, there were cultural differences in the moderating effects of self versus other mentalizing. CONCLUSIONS: The results suggest cultural differences in the underlying psychological mechanism of DE.

Individual Resilience: A Major Protective Factor in Peer Bullying and Victimization of Elementary School Children in Israel.

Peer violence in school has become a major issue for schools around the world. The present study examined the impacts of cultural settings and of protective individual attributes on peer bullying and victimization in school. These protective attributes were self-esteem, sense of autonomy, emotional regulation, and individual resilience. Participants were 112 Jewish and 55 Arab Bedouin pupils 10 to 11 years old. It was hypothesized that Jewish pupils would score lower than Bedouin pupils on bullying and on victimization, and will score higher than them on these protective individual attributes. It was also hypothesized that despite these differences, the investigated attributes would correlate with reduced peer violence in both groups. It was hypothesized further that individual resilience will be the major predictor of both bullying and victimization in both groups. Results have generally supported these hypotheses, suggesting alternative ways for curtailing peer aggression in school.

Transcranial direct current stimulation (tDCS) targeting the left inferior frontal gyrus: Effects on creativity across cultures.

Although evidence points to the existence of cultural differences in creativity, the mechanisms that underlie these differences are largely unknown. The twofold model of creativity posits two recursive stages: a generation phase and an evaluation phase. Considering that recent studies suggest that the left inferior frontal gyrus) L-IFG(may inhibit creativity during the evaluation phase, we hypothesized that manipulating IFG activity would affect participants' level of creativity. We further predicted that the IFG may be "hyperactive" in a culture that typically discourages uniqueness (e.g., Japan) as compared to a Western culture (e.g., Israel); therefore the effect of inhibiting the L-IFG was expected to be higher in Japanese. To support this hypothesis we altered L-IFG activation using tDCS (transcranial direct current stimulation) in 30 Japanese and 30 Israeli participants and examined the effect of anodal and cathodal stimulation on divergent thinking (DT). Regardless of culture, cathodal stimulation increased creativity compared to sham, while anodal stimulation diminished creativity. Although cultural differences were found in DT scores, stimulation had no differential effect between the cultures. Taken together, the results confirm that the L-IFG plays a key role in creativity across cultures. The null findings regarding the expected interaction between stimulation and culture are discussed.

The neural underpinnings of cross-cultural differences in creativity.

Whereas Western individualistic cultures emphasize uniqueness, collectivistic East-Asian cultures discourage it. Here we examined whether cross-cultural differences in creativity as measured by a task of divergent thinking (DT) are explained by enhanced activity in brain regions that mediate inhibitory control (e.g., the left inferior frontal gyrus [L-IFG]). We therefore predicted that the L-IFG would be "hyperactive" among individuals from East-Asian cultures compared to Western ones. In Study 1, Israeli and South Korean participants were compared on a classic DT task (AUT; "Alternate uses: Manual of instructions and interpretation"). Israelis generated more original ideas compared to South Koreans. In Study 2, Israeli participants and South Korean participants currently living in Israel were scanned while performing the AUT. In line with previous studies, the results indicate that generation of original ideas across cultures is associated with activation of the posterior cingulate cortex (PCC), which is part of the default mode network (DMN). As hypothesized, South Koreans showed enhanced activation of the L-IFG compared to Israelis. This enhanced activation was associated with lower originality scores. The cultural dimension of traditionalism, being higher in the South Korean sample than in the Israeli Sample, was related to enhance L-IFG activity, further supporting our hypothesis regarding cultural influences on inhibitory control. Furthermore, functional connectivity analysis indicated that activation of the L-IFG was positively coupled with PCC activity among Israelis and with preSMA activity among South Koreans. The results suggest that cross-cultural differences in creativity might be explained by variations in inhibitory control.

How Good Am I? Implicit and Explicit Self-Esteem as a Function of Perceived Parenting Styles Among Children With ADHD.

OBJECTIVE: To investigate implicit and explicit self-esteem and academic self-evaluation among children with ADHD as a function of parenting styles, namely, authoritarian, authoritative and permissive parenting. METHOD: Participants included 43 children with ADHD and 35 non-ADHD controls who filled out self-concept and perceived parenting style questionnaires. They also took an Implicit Association Test (IAT) that measured unacknowledged self-esteem. RESULTS: Lower self-esteem was found among children with ADHD than among controls, with stronger effect on the implicit level. Perceived authoritarian parenting was related to lower implicit self-esteem among children with ADHD. Higher self-esteem was found in the authoritative than in the permissive parenting groups in the non-ADHD control group but not among children with ADHD. CONCLUSION: The role of parental support versus authoritarian parenting in terms of implicit self-esteem points to the importance of promoting responsiveness strategies among parents in the treatment of children with ADHD.

Perspectives on Filial Responsibility Among Uprooted Families From South Lebanon.

This study focuses on filial responsibilities among uprooted families. Views of 20 mothers and 20 adolescents and young adults from southern Lebanon residing in Israel were compared to identify the roles that adolescent children assume and the perceived effects of these roles. Eight domains of filial responsibilities were agreed upon: language broker, cultural broker, financial supporter and breadwinner, surrogate parent and sibling caretaker, emotional supporter of parents, mediator of family conflicts, heritage transmitter, and role model. The roles had simultaneous positive effects and negative effects. The discussion illustrates the importance of cultural context of country of origin and the host culture. Moreover, it suggests implications of the findings for research and practice.

Family obligations and individuation among immigrant youth: Do generational status and age at immigration matter?

Immigrant children and adolescents often assume parental roles in their families and may feel guilty about psychologically separating and individuating from the family. However, little is known about this phenomenon and youth' generational status and age at immigration. We investigated various aspects of family obligations (instrumental and emotional roles, language and culture brokering, perceived unfairness) and individuation among 302 immigrants from the former Soviet Union in Israel: first-generation (n = 44) and second-generation immigrant adolescents (n = 56); young adults who had arrived in Israel before the age of nine (n = 72) and from this age onward (n = 130). Immigrants who had arrived at age nine and older reported adopting more family obligations than other groups. Among the second-generation immigrants, family obligations were related to lower individuation compared to the first-generation immigrants. Possible explanations for the relations between family obligations and individuation according to generational status are suggested.

Mothers' Dreams, Children Realities: The Case of Uprooted Families from South Lebanon.

In this exploratory qualitative study, 15 mothers and 18 adolescents who, as family members of the South Lebanon Army, were uprooted from that country and now living in Israel, were interviewed separately. The mothers described their image of the adaptive adult, which stressed the positive values of loyalty to the family, orientation toward the group, respect, and acceptance of hierarchy and guided their child-rearing goals and socialization. The children shared similar attitudes about the importance of family loyalty and orientation toward the group, but differed from their mothers with regard to the issues of respect and obedience. We discussed the notion of "liminality," to further our understanding of the families in transition and suggest how it applies to the uprooted members of South Lebanon army. We suggest that different time orientations and contextual factors influence the participating mothers' image of the adaptive adult and the degree to which their children accept it. Implications for research and interventions are also explored.

Adjustment enhancer or moderator? The role of resilience in postmigration filial responsibility.

The current study investigated resilience factors in filial responsibility and their relationships to adjustment indicators. Young adult immigrants from the former Soviet Union to Israel (N = 220) completed the Comprehensive Filial Responsibilities Inventory and 4 proxy measures of adjustment: An adapted version of the Brief Symptom Inventory, the Satisfaction With Life Scale, the General Self-Efficacy Scale, and selected items from the General Life Functioning Inventory. The resilience factors examined included individual characteristics of Sense of Coherence, Optimism, and perceived social support from an adapted version of the Multidimensional Scale of Perceived Social Support. In general, the resilience factors diminished the relationship between filial responsibility and some of the adjustment indicators. Overall, resilience factors make a strong and meaningful contribution to young immigrants' adjustment when main effects are considered. However, the resilience factors did not moderate the effect of filial responsibility in a protective way. The results contribute to an understanding of interrelations between postmigration filial responsibility and adjustment. Implications for social and clinical work with young-adult immigrants who have experienced filial responsibility in their family of origin are addressed.

When role reversal and brokering meet: filial responsibility among young immigrants to Israel from the former Soviet Union.

Traditional conceptualizations of role reversal and brokering (language and cultural in immigration), in which children assume culturally atypical adult responsibilities, have developed as different scholarly domains, despite their theoretical similarity. The purpose of the present article is to increase the integration between the two bodies of literature to achieve a better understanding of filial responsibilities children assume upon immigration and their differential correlates with adjustment. The structure of filial responsibility in immigration, interrelations between its distinct components, and the ability of the brokering roles to add significantly to the predicting of adjustment are studied. Young adult immigrants from the former Soviet Union to Israel (n = 220) completed the Comprehensive Filial Responsibilities Inventory (CFRI), the Brief Symptom Inventory, and the self-efficacy inventory. Factor analysis identified six CFRI domains with satisfying psychometric properties. The factors are dominance in family, cultural brokering, language brokering, emotional support to parents, self-reliance, and money issues. Hierarchical regression analyses showed a contribution of the brokering roles to prediction of psychological distress above and beyond traditional roles. The results support the validity of the CFRI and contribute to the understanding of interrelations among the various filial responsibilities, including brokering roles.

Parent-child role reversal and psychological adjustment among immigrant youth in Israel.

Parent-child role reversal and its relation to psychological adjustment was investigated in Israel among immigrants from the former Soviet Union. Study 1 examined immigrant and Israeli-born college students (n = 184), and Study 2 examined adolescents (n = 180) by means of self-report questionnaires. Two major factors of role reversal emerged: child dominance and family support. The results of both studies clearly showed that immigrants assume more dominant roles and parental responsibilities in their families and receive less support from their parents than their Israeli-born peers. Role reversal dimensions had differential relations with adjustment. Child dominance was mostly not related to adjustment, except for a positive correlation with psychological distress among immigrants. Familial support appeared to be the most important factor related to better adjustment among all studied groups, immigrants included. It is interesting that language brokering (i.e., translating for parents), although associated with child dominance, was negatively related to self-perceptions. Possible explanations within the Israeli context are suggested for negative language brokering correlates, with support from the interviews conducted among the immigrants.

Self-enhancement, self-regulation and self-improvement following failures.

Two studies tested the relations between self-enhancement and self-improvement. Within these studies, two self-improvement stages were distinguished: the recognition stage and the action stage. The first study (N=132), conducted in a laboratory setting, investigated self-improvement processes that took place following bogus negative feedback as a function of self-enhancement. The second study (N=72) was conducted in a natural setting that investigated self-improvement processes among students following receipt of unsatisfactory grades in mathematics. Both studies showed that relevant self-enhancement measures were not related to the recognition stage (i.e. the perceived need to change), but were positively related to the action stage, which referred to relevant improvement behaviours. In both studies the improved behaviour was related to improved performance, suggesting that overall self-enhancement is positively related to improved performance. Study 2 also investigated the strength of negative emotional reaction to failures, which was (negatively) related only to the perceived need to change.

Acculturation attitudes, perceived attitudes of the majority, and adjustment of Israeli-Arab and Jewish-Ethiopian students to an Israeli University.

The authors investigated adjustment to an Israeli university by students from two minority groups, Israeli Arabs and Jewish Ethiopians, as a function of their different acculturation attitudes (J. W. Berry, 1990). Social adjustment of both Arabs and Ethiopians was contingent on acculturation attitudes supporting participation with the majority. Psychological adjustment of both groups was negatively associated with personal acculturation preferences that deviated from the shared acculturation attitudes of the respective in-group (i.e., assimilation in the Arab group, and separation in the Ethiopian group). The perceived attitude of the majority also contributed to the psychological adjustment of both groups. Major theoretical implications are that both attitudes of the majority and adjustment to the in-group play an important role in psychological adjustment of immigrants.

The role of perceived specificity level of failure events in self-enhancement and in constructive self-criticism.

Three studies tested the role played by perceived specificity level of failures in self-enhancement and in constructive self-criticism. The first study demonstrated that perceived specificity level of events can serve as a self-protection mechanism (N = 137). The second study, based on retrospective reports of past failures and their implications, showed that perception of failures as specific induced a higher level of constructive self-criticism (N = 171). The third study tested reactions to failures induced in the laboratory. It was found that self-improvement processes are more pronounced and negative emotional reaction is weaker in failures that are specific (shape perception test) than in those that are global (intelligence test). Statistical control over perceived severity of the failure diminished the difference between the two conditions in negative emotional reaction but not in self-improvement (N = 84).