Anat Shoshani

Efficacy of a school-based primary prevention program for coping with exposure to political violence

A paradigm conceptualizing resilience as factors moderating between political violence exposure and psychological distress administered in a 7-year research project yielded a profile of factors promoting Israeli childrens coping in conflict conditions. Three factors — social support mobilization, selfefficacy, and meaning attribution — were incorporated into a school-based primary intervention program. In a repeated measures design, the study assessed pre to post-test modifications in the three resilience factors and psychological distress in a primary and control intervention condition and the interaction of actual political violence exposure on distress reduction. Results validated modification only of the mobilization of support factor, but nonetheless confirmed the primary programs efficacy in moderating psychological distress particularly among children with low actual political violence exposure, who showed greater distress increases in the control condition. Findings reinforce the educational systems role in promoting resilience among children in conflict environments.

The Effect of Acculturation and Discrimination on Mental Health Symptoms and Risk Behaviors Among Adolescent Migrants in Israel

This study examines the role of acculturation, perceived discrimination, and self-esteem in predicting the mental health symptoms and risk behaviors among 1.5 and second generation non-Jewish adolescents born to migrant families compared with native-born Jewish Israeli adolescents in Israel. Participants included n = 65 1.5 migrant adolescents, n = 60 second generation migrant adolescents, and n = 146 age, gender, and socioeconomic matched sample of native-born Jewish Israelis. Participants completed measures of acculturation pattern, perceived discrimination, and self-esteem as well as measures of mental health symptoms and risk behaviors. Results show that migrant adolescents across generations reported worse mental health symptoms compared with native-born Jewish Israelis. However, only the 1.5 generation migrants reported higher engagement in risk behaviors compared with second generation migrants and native-born Jewish Israelis. Our findings further showed that acculturation plays an important role in predicting the mental health status of migrant youth, with those characterized with integrated acculturative pattern reporting lower mental health symptoms compared with assimilated acculturation pattern. Importantly, contextual factors, such as higher perception of discrimination in the receiving culture as well as individual factors such as lower self-esteem and female gender were strongly associated with worse mental health symptoms. The findings manifest the complex relationship between contextual factors and individual level variables in the acculturative process of migrants as well as the importance of examining the effect of migration generation on mental health outcomes.

The Drama of Media Coverage of Terrorism: Emotional and Attitudinal Impact on the Audience

The symbiotic relationship between terrorism and its media coverage is explored from the perspective of audience reactions. In an empirical study, effects of television broadcasts of terrorism on viewers’ emotional and attitudinal reactions are examined. Participants were 300 Israeli adults randomly allocated to terrorism or violent nonterrorism broadcasts. Anxiety, anger, stereotypes, and enemy perception were measured prior and subsequent to media exposure. Findings revealed higher levels of both emotional and attitudinal measures consequent to the terrorism versus nonterrorism media exposure. These findings reflect the significant emotional and attitudinal impact on the audience of terrorisms mechanism of self-empowerment via the media.

Psychiatric effects of protracted conflict and political life events exposure among adolescents in Israel: 1998-2011.

This cross-sectional study investigated relations between conflict exposure and psychiatric symptoms among 8,727 Jewish Israeli adolescents aged 12-17 years from 1998-2011. This 14-year span included periods of terrorism, missile attacks, wars, relocations, military operations, and relative quiet, reflecting a dynamically changing, primarily violent climate. Annual samples from the same cities, geographical regions, and schools throughout the country were assessed for personal political life events (PLE) exposure and for psychiatric symptoms using the Brief Symptom Inventory (BSI; Derogatis & Spencer, ). Data were divided into 8 exposure periods: (a) pre-Intifada 1998-2000, (b) Intifada peak 2001-2003, (c) Intifada recession 2004, (d) evacuation 2005, (e) missiles and the 2006 Lebanon war, (f) peak missiles 2006-2007, (g) Operation Cast Lead 2008-2009, and (h) global terrorism 2010-2011. Results confirmed a relation between type of exposure period, PLE exposure, and psychiatric symptoms. In addition, PLE exposure was positively correlated with psychiatric symptoms (β = .49). A moderating effect of gender on the relationship between PLE exposure and the psychiatric index was found, with elevated symptoms among females (β = .30).

The pillars of strength for first-grade adjustment – Parental and children's character strengths and the transition to elementary school

The present study aimed to explore the relations between parental and childrens character strengths and childrens school adjustment during the critical period of school entry. Participants were 479 parents and 16 first-grade teachers of 479 first-grade schoolchildren from five public elementary schools in Israel. Childrens and parents’ character strengths were measured by parental questionnaires, based on the Values in Action inventories of strengths. In addition, teachers completed questionnaires about their students’ cognitive, social, emotional, and behavioral school adjustment. Findings showed that parents’ intellectual, interpersonal, and temperance strengths were positively related to their childrens school adjustment. In addition, childrens intellectual, interpersonal, group-interaction, temperance, and transcendence strengths were positively related to broad aspects of first-grade adjustment. The present study provides an initial exploration of the contribution of personal and parental strengths to young childrens optimal adjustment to elementary school.

Living in the crossfire Effects of exposure to political violence on Palestinian and Israeli mothers and children

This study examined children’s psychological symptoms, particularly aggression, in the context of family characteristics, exposure to political violence, and nationality. We examined the association among Palestinian and Israeli children’s and mothers’ attachment (measured by self-report questionnaires), exposure to political violence, and psychopathology. The sample consisted of 29 Palestinian mother–child dyads from the West Bank, and 21 Israeli mother–child dyads, from the south and center of Israel. Results revealed that when exposed to high levels of political violence, nonsecure mothers suffered from significantly higher levels of depression, anxiety, and stress symptoms compared to secure mothers, a gap that was significantly reduced under conditions of low exposure. In addition, children’s symptoms were correlated with maternal level of depressive symptoms and stress severity.

The association between acculturation patterns and mental health symptoms among Eritrean and Sudanese asylum seekers in Israel.

Past research has documented the role acculturation plays in the process of adjustment to new cultures among migrants. Yet little attention has been paid thus far to the role of acculturation in the context of forced migration. In this study we examined the association between acculturation patterns and mental health symptoms among a convenience sample of Eritrean and Sudanese asylum seekers (n = 118) who accessed health services at the Physicians for Human Rights Open-Clinic in Israel. Participants completed measures on sociodemographic information as well as detention history, mental health symptoms, exposure to traumatic events, and acculturation pattern, in their native language upon accessing services. Consistent with our predictions, findings showed that acculturation predicted depressive symptoms among asylum seekers beyond the effect of history of detention and reports of experiences of traumatic events. Assimilated compared with integrated asylum seekers reported higher depressive symptoms. Findings draw attention to the paradox of assimilation, and the mental health risks it poses among those wishing to integrate into the new culture at the expanse of their original culture. Asylum seekers may be particularly vulnerable to the risks of assimilation in the restrictive policies that characterize many industrial countries in recent years.

The relation between actual exposure to political violence and preparatory intervention for exposure to media coverage of terrorism

Abstract This laboratory study examined differential effects of television broadcasts of terrorism on viewers’ anxiety according to their actual exposure history, and differential efficacy of a preparatory intervention in moderating elevated anxiety for high or low actual exposure. Participants were 80 young Israeli adults, randomly allocated to a terrorism or non-terrorism media broadcast, and for each type of exposure, to a preparatory or control intervention. Actual political violence and terrorism exposure history was assessed, and anxiety measured explicitly and indirectly prior and subsequent to the intervention and media exposure manipulation. Results showed that in the terrorism media exposure, participants with high more than low actual political life events (PLE) exposure showed higher post-test levels of indirectly measured anxiety. Clinical intervention before the terrorism media exposure moderated indirectly measured anxiety among participants with high PLE exposure, but increased anxiety for low PLE. Findings outline preparatory measures that could maximize coping for the high PLE actual exposure at-risk sector.

The Resilience Function of Character Strengths in the Face of War and Protracted Conflict

This study investigated the role of character strengths and virtues in moderating relations between conflict exposure and psychiatric symptoms among 1078 adolescents aged 13–15 living in southern Israel, who were exposed to lengthy periods of war, terrorism and political conflict. Adolescents were assessed for character strengths and virtues, political violence exposure using the Political Life Events (PLE) scale, and psychiatric symptoms using the Brief Symptom Inventory and the UCLA PTSD Index. Results confirmed that political violence exposure was positively correlated with psychiatric symptoms. Interpersonal, temperance and transcendence strengths were negatively associated with psychiatric symptoms. Moderating effects of the interpersonal strengths on the relation between political violence exposure and the psychiatric and PTSD indices were confirmed. The findings extend existing knowledge about the resilience function of character strengths in exposure to protracted conflict and have important practical implications for applying strength-building practices for adolescents who grow up in war-affected environments.

Efficacy of clinical interventions for indirect exposure to terrorism.

Two clinical interventions to moderate negative responses to media exposure to terrorism were tested. Participants were 300 young Israeli adults randomly allocated to a terrorism or nonterrorism televised news clip and assigned to 1 of 3 preexposure intervention conditions—cognitive, emotional, or c