Time intensive cognitive behavioural therapy for a specific phobia of vomiting: A single case experimental design

An Examination of the Association between Emotion Regulation and Emetophobia Symptoms

BACKGROUND

Specific phobia of vomiting, referred to as emetophobia, is a specific phobia characterized by persistent and severe fear of vomit. Individuals with emetophobia engage in a variety of emotional and behavioral avoidance strategies to distance themselves from perceived vomit-related threat. As such, individuals may struggle to effectively use emotion regulation (ER) skills; however, to date, limited work has examined the association between emotion regulation and emetophobia symptoms. The present study aimed to address this gap in the literature and examine the association between ER and emetophobia symptoms.

METHODS

Participants (N = 508) were a remote, clinical sample of individuals recruited via social media forums dedicated to the disorder who self-identified as experiencing emetophobia. Hierarchical linear regressions were used to assessed unique contributions of ER to emetophobia symptoms. Age, gender, and depressive symptoms were entered as covariates in the hierarchical regression.

RESULTS

Results demonstrated ER was significantly related to emetophobia symptoms above and beyond the effects of depressive symptoms, age and gender in the current sample.

CONCLUSIONS

The findings provide initial support for an association between ER and emetophobia, and suggest future directions for refining the conceptualization of emetophobia. Limitations and considerations include the recruitment strategy via social media websites for individuals with emetophobia, limited diversity of the sample, and cross-sectional nature.

The impact of leader safety communication on work engagement under pandemic: The effect of OBSE and anxiety based on COVID-19

Introduction

The outbreak of COVID-19 has a great impact on employees daily work and psychology. Therefore, as leaders in organization, how to alleviate and avoid the negative impact of COVID-19 so that employees can maintain a positive working attitude has become a problem to be worthy paying attention.

Methods

In this paper, we adopted a time-lagged cross-sectional design to test our research model empirically. The data from a sample of 264 participants in China were collected using existing scales in recent studies, and were used for testing our hypothesizes.

Results

The results show that leader safety communication based on COVID-19 will positively affect employees' work engagement (b = 0.47, p < 0.001), and organization-based self-esteem plays a full mediating role in the relationship between leader safety communication based on COVID-19 and work engagement (0.29, p < 0.001). In addition, anxiety based on COVID-19 positively moderates the relationship between leader safety communication based on COVID-19 and organization-based self-esteem (b = 0.18, p < 0.01), that is, when anxiety based on COVID-19 is at higher level, the positive relationship between leader safety communication based on COVID-19 and organizational-based self-esteem is stronger, and vice versa. It also moderates the mediating effect of organization-based self-esteem on the relationship between leader safety communication based on COVID-19 and work engagement as well (b = 0.24, 95% CI = [0.06, 0.40]).

Discussion

Based on Job Demands-Resources (JD-R) model, this paper investigates the relationship between leader safety communication based on COVID-19 and work engagement, and examines the mediating role of organization-based self-esteem and the moderating role of anxiety based on COVID-19.

Chinese college students COVID-19 phobia and negative moods: Moderating effects of physical exercise behavior

Objective

We investigated the effects of COVID-19 fear on negative moods among college students, and assessed the efficacy of physical exercise behavior as a moderator variable.

Methods

This was a cross-sectional study. Students from three colleges and universities in Shangqiu City, Henan Province and Yangzhou City, Jiangsu Province were enrolled in this study, which was performed during the COVID-19 pandemic using an online questionnaire. A total of 3,133 college students completed the questionnaire. Measurement tools included the COVID-19 Phobia Scale (C19P-S), Depression-Anxiety-Stress Self-Rating Scale (DASS), and the Physical Activity Behavior Scale (PARS-3).

Results

During the COVID-19 pandemic, the rates of depression, anxiety, and stressful negative moods among college students were 35.5, 65.5, and 10.95%, respectively; there was a positive correlation between COVID-19 fear and negative moods among college students (r = 0.479, p < 0.001), which was negatively correlated with physical exercise behavior (r = -0.4, p < 0.001); the regulating effects of physical exercise behavior were significant (ΔR2 = 0.04, p < 0.001).

Conclusion

The rate of negative moods among college students is high, and the fear for COVID-19 is one of the key factors that lead to negative moods. Physical exercise can modulate the impact of COVID-19 fear among college students on negative moods. Studies should elucidate on mental health issues among different populations during the COVID-19 pandemic.

Specific fear of vomiting (SPOV) in early parenthood: assessment and treatment considerations with two illustrative cases

Specific phobia of vomiting (SPOV) can be a severe and debilitating anxiety disorder and affects women in the childbearing years. The perinatal period and early parenthood is a time of increased risk for the onset or exacerbation of anxiety problems, which can have an impact on both the woman and the developing child. There are particular issues pertinent to the physical experience of pregnancy and tasks of early caregiving that women with SPOV may find difficult or distressing to confront, but these are not well documented. Cognitive behavioural therapy (CBT) focused on exposure to vomit cues and processing distressing early memories of vomiting is an effective treatment for SPOV. This paper describes the successful CBT treatment of two young mothers with SPOV, outlining the challenges faced by parents at this time and the need to take this into account in treatment, using illustrative case material.

Key learning aims

(1)

Brain and COVID-19 Crosstalk: Pathophysiological and Psychological Manifestations

The world is experiencing one of the major viral outbreaks of this millennium, caused by a plus sense single-stranded RNA virus belonging to the Coronaviridae family, COVID-19, declared as pandemic by WHO. The clinical manifestations vary from asymptomatic to mild symptoms like fever, dry cough, and diarrhea, with further increase in severity leading to the development of acute respiratory distress syndrome. Though primary manifestations are respiratory and cardiac, various studies have shown the neuroinvasive capability of this virus resulting in neurological complications, which sometimes can precede common typical symptoms like fever and cough. Common neurological symptoms are headache, dizziness, anosmia, dysgeusia, confusion, and muscle weakening, progressing toward severe complications like cerebrovascular disease, seizures, or paralysis. Older adults and critically ill people are in the high risk group and have shown severe neurological symptoms upon infection. COVID-19 also has a profound impact on the mental health of people across the world. In this review, we briefly discuss the neurological pathologies and psychological impact due to COVID-19, which has not only stressed the physical health of people but has also created social and economic problems resulting in mental health issues.

The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S)

Researchers predict that the negative effects of the novel coronavirus 2019 (COVID-19) pandemic will continue . These negative effects are not solely limited to psycho-pathological problems. Serious physiological, social, and economical difficulties due to COVID-19 have already been observed in various nations. In this study, we suggest a new type of specific phobia, which may be categorized under DSM-V 300.29. The current study developed a self-report instrument whose items address the specific phobia diagnosis criteria of the DSM-V and tested its initial psychometric properties. Results show that the scale has initial evidence of construct, convergent, and discriminant validity, and internal consistency reliability. The scale should be further tested; however, the COVID-19 Phobia Scale (C19P-S) items provide support for assessing the levels of phobia reactions among a wide range of age groups.