Donice M. Banks

Is TV Traumatic for All Youths? The Role of Preexisting Posttraumatic-Stress Symptoms in the Link Between Disaster Coverage and Stress

In youths, watching TV coverage of a disaster is associated with traumatic-stress symptoms. However, the role of predisaster symptoms in this link has not been addressed. In this study, urban-school youths who had experienced both Hurricanes Katrina and Gustav (N = 141; grades 4–8) were assessed 12 months and 6 months before Gustav and then 1 month after Gustav. The amount of TV viewing was associated with post-Gustav stress symptoms, controlling for pre-Gustav symptoms. However, pre-Gustav stress symptoms interacted with TV viewing in predicting post-Gustav symptoms such that for youths with higher preexisting symptoms, there was a stronger association between TV viewing and level of post-Gustav symptoms. The results advance the literature on the role of media coverage in stress reactions by showing that preexisting symptoms can be an important component of identifying which children are likely to be most negatively affected by TV coverage.

Memories of traumatic events in childhood fade after experiencing similar less stressful events: results from two natural experiments.

The long-term stability of youth reports of traumatic events is largely unknown. Translational animal research suggests that there may be an alteration of memories for traumatic events via memory reconsolidation processes, whereas clinical research suggests memory alteration may occur through augmentation by negative emotions. In this report, 2 natural experiments test reconsolidation model and augmentation model predictions about the course of traumatic memories in youth. Data are from 2 prospective studies that assessed reports of an initial traumatic event (Hurricane Katrina) and tested recall both pre and post a similar event (Hurricane Gustav). In the 1st (Sample 1; n = 94, initial Grade 9 followed to 11), youth were assessed at 4 time points: Times 1-3 were 13, 20, and 26 months post-Katrina and then Time 4 was 5 months post-Hurricane Gustav. In the 2nd (Sample 2; n = 141, Grades 4 through 8), youth were assessed at 12 months pre-Gustav (Time 1; 24 months post-Katrina) and then again at 1 month (Time 2) and 8 months (Time 3) post-Gustav. Those with relatively high Gustav exposure showed more stability in their reports of Katrina exposure events, whereas in those with low Gustav exposure, reports of Katrina events decreased. Time spans between recall, age, gender, symptoms of posttraumatic stress disorder, or cognitive/learning ability did not explain changes in the reports. The study provides the 1st long-term data on the consistency of youth reports of disaster-related experiences and provides initial evidence for the ecological validity of memory reconsolidation theory applied to traumatic events in youth.

Fitting Anxious Emotion-Focused Intervention into the Ecology of Schools: Results from a Test Anxiety Program Evaluation

Emotion-focused prevention and intervention efforts in schools have been promoted as a significant developmental and public health priority. This paper reports the results of a longitudinal study testing central premises of a school-based prevention model aimed at promoting positive emotional development through targeting test anxiety. Test anxiety interventions may be a practical strategy for conducting emotion-focused prevention and intervention efforts because of a natural fit within the ecology of the school setting. At-risk youth (n = 1,048) from urban public schools were screened and 325 with elevated test anxiety were offered the intervention in one of two waves (immediate intervention vs. waitlist). The intervention was associated with decreases in test anxiety, anxiety disorder, and depression symptoms. Critically, results suggest high participant satisfaction and growth curve analysis of follow-up assessments (end of the year, the next school year, and a subsequent school year) demonstrated positive developmental trajectories consistent with predictions (e.g., initial change in test anxiety predicted change in other symptoms). Findings provide evidence for the ecological validity of targeting test anxiety in school-based, emotion-focused prevention efforts.

Identity Distress Among Youth Exposed to Natural Disasters: Associations with Level of Exposure, Posttraumatic Stress, and Internalizing Problems

Identity distress involves intense or prolonged upset or worry about personal identity issues including long-term goals, career choice, friendships, sexual orientation and behavior, religion, values and beliefs, and group loyalties. Research suggests that trauma exposure and subsequent posttraumatic stress disorder (PTSD) symptoms may negatively affect identity development and psychological adjustment. However, little is known about their specific associations with identity distress and internalizing problems among disaster-exposed adolescents. This study aimed to examine these associations in a sample of 325 adolescents (60% female; 89% African American) who experienced a major natural disaster and its aftermath. The results indicated that identity distress was positively associated with age, hurricane exposure, PTSD symptoms, and internalizing problems. Linear regression analyses also showed that identity distress was uniquely associated with internalizing symptoms and that there was an indirect effect of hurricane exposure on identity distress via PTSD symptoms. PTSD symptoms moderated the link between identity distress and internalizing symptoms, with a significant positive slope found for youth with more PTSD symptoms. Findings were generally consistent with previous work and predictions, and they add to the extant knowledge about identity distress by providing data on the linkages among disaster exposure, posttraumatic stress, and internalizing problems in adolescents.

Severe Stress and Anxiety Disorders in Adolescence: The Long-Term Effects of Disasters

This chapter provides an overview of research conducted on the emotional consequences of stress exposure in youth, focusing on the development of anxiety and related problems among youth exposed to disasters. An ecological needs-based perspective is used as a framework to review research on the effects of severe stress on anxiety and related disorders. The chapter focuses primarily on research with natural disasters, especially youth affected by Hurricane Katrina with an emphasis on long-term consequences (studies more than 1 year from the event). The research suggests that there are substantial effects of disaster exposure on youth. Researchers have also begun to define and identify multiple trajectories: chronicity, characterized by a sharp elevation in symptoms and functional impairment leading to chronic dysfunction; resilience or healthy adjustment, indicated by transient symptoms and minimal impairment; recovery, characterized by initial elevations in symptoms and distress that gradually decrease over months; and delayed distress, exemplified by moderate elevations in symptoms and distress following a traumatic event that gradually worsen over time. Data are emerging to identify factors at multiple levels of analysis associated with these different long-term outcomes.

Developmental differences in the linkages between anxiety control beliefs and posttraumatic stress in youth

Anxiety control beliefs have emerged as a trans‐diagnostic risk factor for anxiety disorders and a potential mechanism of change in cognitive and behavioral therapies. The purpose of this study was to examine the association between anxiety control beliefs and anxiety disorder symptoms following exposure to hurricanes in youth and test a developmental hypothesis about those associations.

Anxiety, Hostile Attributions, and Differences in Heart Rate Response to Ambiguous Situational Vignettes in Adolescents.

Theoretically, subjective levels of anxiety and hostile attributions of intent may affect physiological responding to ambiguous social situations. This study examined youths’ (n = 80 aged 11–17 years; 51% female; 37.5% African American) physiological responding (i.e., heart rate [HR]) to a series of animated vignettes depicting ambiguous social situations. Anxiety, aggression, hostile attributional bias (HAB), and their interactions were tested as predictors of differential physiological responding to the vignettes. Results indicated that there was differential physiological responding to the vignettes such that, as predicted, participants’ hearts rates showed a pattern of deceleration followed by acceleration, similar to a threat response. There was support for elevated anxiety as a significant predictor of responses, but only among those participants with higher levels of HABs such that HRs remained elevated with very little deceleration across time. These results suggest a pattern of physiological hyperarousal and blunted reactivity for those with high anxiety and HABs indicating that that youths’ interpretation of a situation may interact with subjective levels of anxiety to predict heart rate responses.