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    Future-Oriented Positive Mental Imagery Reduces Anxiety for Exposure to Public Speaking
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    Abstract:
    Exposure therapy is the recommended treatment for anxiety disorders, but many anxious individuals are unwilling to expose themselves to feared situations. Episodic simulation of future situations contributes to adaptive emotion regulation and motivates behavior. This study investigated whether future-oriented positive mental imagery reduces anticipatory anxiety and distress during exposure, and increases exposure willingness and duration. Forty-three individuals with moderate public speaking anxiety were randomized to a standardized positive mental imagery exercise about future public speaking or no-task. All participants were then asked to present in a virtual reality environment. Anticipatory anxiety reduced in the positive mental imagery group, but not in the control group. Additionally, the positive mental imagery group reported lower distress during exposure than the control group, but groups did not differ in exposure willingness. Due to limited variance, effects on exposure duration could not be tested. Future-oriented positive mental imagery is promising to prepare individuals for exposure to previously avoided situations.
    Failure in dealing with anxiety-provoking situations and stressors in the school setting may have negative consequences not only on children’s performance, but also on their well-being in the future. This research aimed to examine the relationship of forms of anxiety (anticipatory anxiety, school-based performance anxiety, and generalized anxiety) with sources (teacher interactions, academic stress, peer interactions, and academic self-concept) and manifestations (emotional, behavioral, and physiological) of school-based distress. Specifically, our objectives were to examine the correlations between anxiety and school-based distress and, using a person-centered approach, to verify whether different anxiety profiles differed in their levels of distress. The Visual Analogue Scale for Anxiety-Revised (VAA-R) and the School Situation Survey (SSS) were administered to 756 Spanish students (Mage = 9.6, SD = 1.12); 50.3% were girls. Pearson’s correlation coefficients revealed a positive and significant association between each form of anxiety and each source and manifestation of distress. The latent profile analysis identified three anxiety profiles: High Anxiety, High School-based performance Anxiety, and Low Anxiety. The High Anxiety profile scored significantly higher in all sources and manifestations of distress than the Low Anxiety profile. The High Anxiety profile showed significantly higher scores in peer interactions and emotional and behavioral manifestations of distress than the group High School-based performance Anxiety. Suggestions for intervention strategies according to the risk profile are discussed.
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    Association (psychology)
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    Although depression, anxiety, and stress were highly prevalent in the general population during the pandemic, some marginalized groups, including patients with mental disorders might have been overlooked in studies. This study examined the relationship between health anxiety, coping strategies, and mental health outcomes, particularly depressive symptoms, anxiety, and stress. The aim of the current study is to examine the mediator role of coping strategies between health anxiety and mental health outcomes in using data from 80 individuals with mental diagnosis. Also, using 168 healthy controls (N = 248 participants), we sought to investigate whether an individuals’ mental diagnoses was associated with their scores on health anxiety, coping strategies, and mental health outcomes. Sociodemographic Information and Health Data Form, Health Anxiety Inventory – Short Form [SHAI], Ways of Coping Strategies [WCQ], and Depression, Anxiety, Stress Scale [DASS-42] were given to the participants. Results demonstrated that people with mental illnesses had moderate levels of depression, anxiety, and stress, in contrast to healthy controls. Furthermore, mediator analysis revealed that accepting responsibility significantly mediated the relationship between health anxiety, depression, anxiety, and stress in people with mental illnesses. The findings have suggested that individuals with psychological problems are at risk for adverse mental health outcomes. Furthermore, these findings highlight that therapists should prioritize intervention studies focusing on health anxiety, coping strategies, and mental health outcomes during COVID-19.
    DASS
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    This study investigated the relationship between the state anxiety of Sandplay makers and raters, and the raters' impressions of the Sandplay productions. The S-Anxiety subscale of the STAI was administered to college students. One group (N = 20) created Sandplay productions which were photographed. Three works were selected from higher S-Anxiety subjects (H-works) and three from lower S-Anxiety subjects (L-works). Then another group of 58 college students were asked to rate these Sandplay productions using the SD method. Factor analysis extracted three factors of Flexibility, Integration, and Activity. The raters were divided into two groups based on their S-Anxiety scores, and their subscale scores were examined using ANOVA. Significant main effects for the makers involved Flexibility and Activity (L-works < H-works). This suggests that the S-Anxiety and ego function of the makers influence their works. Furthermore, an interaction was found with Integration. Higher S-Anxiety raters rated the Integration of L-works lower than did the lower S-Anxiety raters. This indicates that higher S-Anxiety raters observed the free expression of lower S-anxiety makers from a partial perspective.
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    Background: Worry about physical health is broadly referred to as health anxiety and can range from mild concern to severe or persistent anxiety such as that found in DSM-IV hypochondriasis. While much is known about anxiety regarding physical health, little is known about anxiety regarding mental health. However, recent conceptualizations of health anxiety propose that individuals can experience severe and problematic worry about mental health in similar ways to how people experience extreme worry about physical health. Aims: Given the paucity of research in this area, the aim of the current study was to explore anxiety regarding mental health through validation of the Mental Health Anxiety Inventory (MHAI), a modified version of the Short Health Anxiety Inventory. Method: The MHAI, and measures of state anxiety (Depression, Anxiety and Stress Scales-21), trait worry (Penn State Worry Questionnaire), and health anxiety (Short Health Anxiety Inventory) were administered to 104 adult volunteers from the general community. Results: The MHAI demonstrated high internal consistency, acceptable test-retest reliability, and good construct validity when correlated with other measures of anxiety. Results also indicated that participants worried about their mental health and physical health equally, and that almost 9% of participants reported levels of mental health anxiety that were potentially problematic. Conclusion: Preliminary results suggest that a small proportion of adults in the community may experience high levels of mental health anxiety requiring treatment, and that the MHAI, if validated further, could be a useful tool for assessing this form of anxiety.
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    This study examined the impact of COVID-19 in the early stages of the pandemic on university students in the U.S. by: (1) characterizing COVID-19-related disruptions; (2) evaluating health anxiety, obsessive-compulsive (OC), depression, and stress symptoms; and (3) analyzing the unique role of COVID-19 anxiety on mental health outcomes, after accounting for relevant variables.Participants included 263 students (63.9% female).Data were collected online between March 19, 2020 and May 1, 2020.Participants screened positive for health anxiety (6.5%), OC symptoms (48.7%), or depression (29.7%). COVID-19 anxiety was positively associated with mental health symptoms. After controlling for demographics and COVID-19 impact, COVID-19 anxiety accounted for significant variance in health anxiety, OC symptoms, and stress.Findings demonstrate the vast impact of COVID-19 on mental health among university students and provide guidance for identifying mental health priorities in the context of public health crises.
    Pandemic
    Depression
    Most of the research on intergroup anxiety has examined the impact of people's own anxiety on their own outcomes. In contrast, we show that in intergroup interactions, one's partner's anxiety is just as important as one's own anxiety (if not more important). Using a diary study among college roommates, we show that partners' anxiety predicts respondents' anxiety across time on a daily basis, as well as respondents' interest in living together again the next year. We discuss the importance of taking a relational approach to understanding intergroup interactions.