Resilience and Disaster: Flexible Adaptation in the Face of Uncertain Threat.

Disasters cause sweeping damage, hardship, and loss of life. In this article, we first consider the dominant psychological approach to disasters and its narrow focus on psychopathology (e.g., posttraumatic stress disorder). We then review research on a broader approach that has identified heterogeneous, highly replicable trajectories of outcome, the most common being stable mental health or resilience. We review trajectory research for different types of disasters, including the COVID-19 pandemic. Next, we consider correlates of the resilience trajectory and note their paradoxically limited ability to predict future resilient outcomes. Research using machine learning algorithms improved prediction but has not yet illuminated the mechanism behind resilient adaptation. To that end, we propose a more direct psychological explanation for resilience based on research on the motivational and mechanistic components of regulatory flexibility. Finally, we consider how future research might leverage new computational approaches to better capture regulatory flexibility in real time.

Delta-beta correlation predicts adaptive child emotion regulation concurrently and two years later.

Emotion regulation (ER), the ability to flexibly monitor and modify emotions, is related to positive adjustment throughout the lifespan. Biological indexes of ER in childhood that predict behavior are valuable for clinical applications and our understanding of affective neurodevelopment. Delta-beta correlation (DBC), or the coupling between resting state slow-wave (delta) and fast-wave (beta) neural oscillations derived from EEG, may be a metric of the functional coherence between subcortical and cortical neural circuitry implicated in ER. Yet, little is understood about how DBC corresponds to observed ER during emotional challenges. To address this question, in the present study, resting-state EEG was recorded to generate DBC when children were 5-7 years old (T1) and again two years later (T2). Children also completed two emotionally challenging behavioral tasks [delay of gratification (DoG) task and waiting task (WT)] from which observed ER strategies were subsequently coded. Results showed that higher DBC was associated with greater use of adaptive, and relatively active, ER strategies. Specifically, higher frontal DBC at T1 longitudinally predicted greater use of the ER strategy alternative activity engagement and greater parent-reported positive ER at T2. These findings add to growing evidence supporting the use of resting state DBC as a neurophysiological index of ER with clinically and developmentally relevant predictive power.

Anxiety and resilience in the face of natural disasters associated with climate change: A review and methodological critique.

In the past two decades, climate change-related natural disasters, such as hurricanes, floods, and droughts have become increasingly frequent and severe, impacting the emotional and psychological well-being of those who are directly or indirectly exposed to them. Despite great interest in understanding differences in anxiety and resilience in response to natural disasters, enthusiasm appears to outstrip empirical clarity, as there remains considerable ambiguity as to determinants of resilient or pathological outcomes following exposure to natural disasters. In addition, there are several major methodological limitations in climate change and related natural disaster research, including the use of univariate analyses, cross-sectional design, and retrospective measures. Keeping these limitations in mind, we first review literature examining the mental health outcomes of natural disasters. Findings suggest that, overall, resilience is more common than pathological outcomes. Second, we use a multi-dimensional framework of resilience to selectively review factors at the event, individual, as well as family and community levels that could help inform resilient or pathological outcomes. Finally, we consider key limitations and future directions for research and practice in the field of anxiety and resilience in response to climate disasters.

Posttraumatic stress symptoms and access to services among human rights advocates: The mediating roles of organizational encouragement of support seeking and occupation-related appraisals.

Human rights advocates are routinely exposed to direct and secondary trauma. In addition, a growing body of research has found that trauma exposure in human rights work is associated with depression, burnout, and posttraumatic stress disorder (PTSD) in human rights advocates. Despite the potential mental health risks associated with advocacy, little is known about the ways in which organizational and individual factors contribute to mental health symptoms, such as PTSD, in this population. Human rights advocates (N = 346) completed an online survey assessing access to psychological services, perceived organizational encouragement of support seeking, occupation-related appraisals, and symptoms of PTSD. Structural equation modeling revealed an indirect association between access to psychological services and lower levels of PTSD through perceived organizational encouragement of support seeking and less negative occupation-related appraisals. This study is the first to demonstrate that access to mental health support in human rights organizations may contribute to a reduction in PTSD symptoms when advocates feel a sense of efficacy and support from their organization to seek help. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Neuropsychological Predictors of Trauma Centrality in OIF/OEF Veterans.

This study examined whether reduced performance on two neuropsychological tasks, cognitive flexibility and working memory, were associated with higher levels of trauma centrality. A growing body of research has shown that trauma centrality, the extent to which a person believes a potentially traumatic event has become central to their self-identity and life story, is associated with post-traumatic stress disorder (PTSD). Furthermore, PTSD is often associated with alterations in neuropsychological functioning. The relationship between neuropsychological processes and trauma centrality, however, has yet to be explored. OEF/OIF combat veterans (N = 41) completed the Post-traumatic Diagnostic Scale (PDS), the Beck Depression Inventory-II (BDI-II), the Centrality of Event Scale (CES), and on-line measures of cognitive flexibility and working memory assessed via WebNeuro. Bivariate Pearson correlations showed that CES scores were positively correlated with PDS and BDI scores, and negatively correlated with cognitive flexibility and working memory. Linear regressions revealed that working memory significantly predicted CES when controlling for depression and PTSD severity while cognitive flexibility approached significance when controlling for these same variables. This study employed a cross-sectional design, precluding causality. The small sample size, entirely male sample, and use of an online neuropsychological assessment warrant follow-up research. Although numerous studies have found an association between CES and PTSD, this is the first to suggest that neuropsychological processes underlie the construct of trauma centrality. Given the importance of maladaptive cognitive processes underlying the pathogenesis of PTSD, these data suggest that future studies aimed at examining the link between neuropsychological processes and maladaptive cognitive processes, such as trauma centrality, may help to characterize and treat PTSD.

Adaptation and Psychometric Evaluation of the Italian Version of the Attitude to Personality Disorder Questionnaire (APDQ).

The aim of the current study was to validate the Italian version of the Attitude to Personality Disorder Questionnaire (APDQ), assess its psychometric properties, and investigate nurses' attitudes toward patients with personality disorders. An Italian version of the APDQ was produced and administered to nurses working in the Bologna Mental Health Department. The instrument demonstrated good psychometric proprieties and a robust structure and supported the five-factor solution of the original English version. Findings showed that nurses experience negative feelings toward patients with personality disorders and found them difficult to care for. Attitude was found to be better among less experienced nurses and among those working in inpatient settings. The Italian version of the APDQ appears to be a useful instrument for assessing clinicians' attitudes in a variety of settings. Italian nurses were inclined to perceive these patients in a negative manner, frequently expressing aversive feelings.

Tropical cyclones in a year of rising global temperatures and a strengthening El Niño.

The year 2015 is notable for the coincidence of several strong climate indicators that having bearing on the occurrence and intensity of tropical cyclones worldwide. This year, 2015, is clearly on track to become the warmest on record in terms of global temperatures. During the latter half of 2015, a very strong El Niño has formed and is predicted to build impressively, perhaps rivaling the memorable El Niño of 1997/1998. Warm Pacific Ocean temperatures, coupled with a strengthening El Niño, have supported the proliferation of Western North Pacific basin typhoons and Eastern/Central North Pacific Hurricanes. Most notable among these, Hurricane Patricia formed on October 20, 2015 and experienced extremely rapid intensification to become the strongest hurricane in the history of the Western Hemisphere and then weakened just as abruptly before dissipating on October 24, 2015. Rather than an aberration, these climate patterns of 2015 represent an ongoing trend with implications for the disaster health of coastal populations worldwide.