An investigation of the Ehlers-Clark cognitive theory of PTSD and the phenomenon of mental pollution

Cognitive models have successfully added to our understanding of the onset and maintenance of many anxiety disorders. I tested one component of a recent cognitive model of posttraumatic stress disorder (Ehlers & Clark, 2000) and examined the related phenomenon of mental pollution in a sample of 50 female sexual assault victims. Results indicated that sexual assault appraisals were strongly and positively related to PTSD symptoms. These relations remained significant after statistically controlling for the severity of the assault. Appraisals of the sexual assault and its sequelae explained a significant amount of the variance in PTSD symptoms even after the variance attributable to sexual assault severity was accounted for. Sixty percent of the women interviewed reported some feelings of mental pollution subsequent to the assault. Feelings of mental pollution related to post-assault washing behaviour. Deliberate recall of the assault resulted in stronger feelings of dirtiness and the urge to wash than deliberate attention to a pleasant memory or scene. In response to deliberate recall of the assault memory, nine women reported washing their hands. These findings support the cognitive model of PTSD proposed by Ehlers and Clark, and suggest that the phenomenon of mental pollution is important to our understanding of sexual assault trauma.Arts, Faculty ofPsychology, Department ofGraduat

Open Relationship Prevalence, Characteristics, and Correlates in a Nationally Representative Sample of Canadian Adults

Open relationships are those in which individuals agree to participate in sexual and/or emotional and romantic interactions with more than one partner. Accurate estimates of the prevalence of open relationships, based on representative, unbiased samples, are few, and there are none from outside of the United States. We present findings from a nationally representative sample of 2,003 Canadian adults, administered in 2017 via an online questionnaire. Overall, 2.4% of all participants, and 4.0% of those currently in a relationship, reported currently being in an open relationship. One-fifth of participants reported prior engagement in an open relationship, and 12% reported open as their ideal relationship type. Men, compared with women, were more likely to report prior open relationship engagement and to identify open as their ideal relationship type. Younger participants were more likely both to engage in and to prefer open relationships. Relationship satisfaction did not differ significantly between monogamous and open relationships. Having a match between one's actual relationship type and one's preferred relationship type was associated with greater relationship satisfaction. Findings suggest that, while currently only a small proportion of the population is in an open relationship, interest in open relationships is higher, particularly among younger adults, and open appears to be a viable and important relationship type.</p

The Childbirth Fear Questionnaire and the Wijma Delivery Expectancy Questionnaire as Screening Tools for Specific Phobia, Fear of Childbirth

Background: Perinatal anxiety and related disorders are common (20%), distressing and impairing. Fear of childbirth (FoB) is a common type of perinatal anxiety associated with negative mental health, obstetrical, childbirth and child outcomes. Screening can facilitate treatment access for those most in need. Objectives: The purpose of this research was to evaluate the accuracy of the Childbirth Fear Questionnaire (CFQ) and the Wijma Delivery Expectations Questionnaire (W-DEQ) of FoB as screening tools for a specific phobia, FoB. Methods: A total of 659 English-speaking pregnant women living in Canada and over the age of 18 were recruited for the study. Participants completed an online survey of demographic, current pregnancy and reproductive history information, as well as the CFQ and the W-DEQ, and a telephone interview to assess specific phobia FoB. Results: Symptoms meeting full and subclinical diagnostic criteria for a specific phobia, FoB, were reported by 3.3% and 7.1% of participants, respectively. The W-DEQ met or exceeded the criteria for a “good enough” screening tool across several analyses, whereas the CFQ only met these criteria in one analysis and came close in three others. Conclusions: The W-DEQ demonstrated high performance as a screening tool for a specific phobia, FoB, with accuracy superior to that of the CFQ. Additional research to ensure the stability of these findings is needed.Medicine, Faculty ofNon UBCFamily Practice, Department ofReviewedFacultyResearche

Screening for Perinatal Anxiety Using the Childbirth Fear Questionnaire: A New Measure of Fear of Childbirth

Fear of childbirth affects as many as 20% of pregnant people, and has been associated with pregnancy termination, prolonged labour, increased risk of emergency and elective caesarean delivery, poor maternal mental health, and poor maternal-infant bonding. Currently available measures of fear of childbirth fail to fully capture pregnant people’s childbirth-related fears. The purpose of this research was to develop a new measure of fear of childbirth (the Childbirth Fear Questionnaire; CFQ) that would address the limitations of existing measures. The CFQ’s psychometric properties were evaluated through two studies. Participants for Study 1 were 643 pregnant people residing in Canada, the United States, and the United Kingdom, with a mean age of 29.0 (SD = 5.1) years, and 881 pregnant people residing in Canada, with a mean age of 32.9 (SD = 4.3) years for Study 2. In both studies, participants completed a set of questionnaires, including the CFQ, via an online survey. Exploratory factor analysis in Study 1 resulted in a 40-item, 9-factor scale, which was well supported in Study 2. Both studies provided evidence of high internal consistency and convergent and discriminant validity. Study 1 also provided evidence that the CFQ detects group differences between pregnant people across mode of delivery preference and parity. Study 2 added to findings from Study 1 by providing evidence for the dimensional structure of the construct of fear of childbirth, and measurement invariance across parity groups (i.e., the measurement model of the CFQ was generalizable across parity groups). Estimates of the psychometric properties of the CFQ across the two studies provided evidence that the CFQ is psychometrically sound, and currently the most comprehensive measure of fear of childbirth available. The CFQ covers a broad range of domains of fear of childbirth and can serve to identify specific fear domains to be targeted in treatment.Medicine, Faculty ofNon UBCFamily Practice, Department ofReviewedFacultyResearche

Perinatal anxiety disorders screening study: a study protocol

Abstract Background The anxiety and their related disorders (AD) are the most common of all mental health conditions, and affect approximately 20% of pregnant and postpartum people. They are associated with significant distress and life interference for sufferers, as well as negative consequences for fetal and infant development. At present, little if any routine screening for prenatal AD is being conducted and data regarding the most effective tools to screen for these disorders is lacking. The majority of screening studies suffer from methodological difficulties which undermine the confidence needed to recommend measures for population distribution. The primary purpose of this research is to identify the most accurate self-report tool(s) to screen for perinatal AD. Methods A large, prospective cohort of pregnant people (N = 1,000) is being recruited proportionally across health service delivery regions in British Columbia (BC). The screening accuracy of a broad range of perinatal AD self-report measures are being assessed using gold standard methodology. Consenting individuals are administered online questionnaires followed by a semi-structured diagnostic interview between 16- and 36-weeks’ gestation, and again between 6 and 20 weeks postpartum. Questionnaires include all screening measures, measures of sleep and unpaid family work, and questions pertaining to demographic and reproductive history, COVID-19, gender role burden, and mental health treatment utilization. Interviews assess all current anxiety disorders, as well as obsessive–compulsive disorder, and posttraumatic stress disorder. Discussion This research is in response to an urgent demand for accurate perinatal AD screening tools based on high quality evidence. AD among perinatal people often go unidentified and untreated, resulting in continued suffering and life impairment. Findings from this research will inform healthcare providers, policymakers, and scientists, about the most effective approach to screening for anxiety and related disorders in pregnancy in the postpartum period