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This report investigated the potential role of gender in moderating the effects of terror attack exposure on depression symptoms in middle school students from Dimona, Israel (N = 90). Specifically, the effects of three aspects of terror attacks were investigated: physical exposure, relational exposure, and media exposure. Ninety early adolescents were assessed for terror exposure and depression before and after a suicide bombing in a town market. Results indicate that the effects of relational exposure to the suicide bombing--knowing others directly affected by a suicide bombing--on depression symptoms differed by gender. Adolescent girls who knew people affected by the suicide bombing reacted with higher levels of depressive symptoms while similarly exposed adolescent boys did not. It may be that girls, as compared to boys, express greater sympathy for victims, and are hence more vulnerable to disruptions of their social network, resulting in a heightened depressive vulnerability. (Contains 3 tables, 1 note and 1 figure.)

This study investigates how social support may protect Israeli early adolescents who have witnessed community violence from engaging in violent behavior when they have also witnessed terror violence. The study examines how support from parents, school, and friends could serve as protective, despite the interactive risk effects of witnessing community and terror violence. In general, results indicate that support from parents operated as a protective factor, whereas support from friends acted as a risk by increasing the likelihood of violent behavior. Support from school has both a protective and risk effect, depending on the type of violence exposure witnessed. The extent to which these facets of social support operated as risk or protective factors is conditional on whether youth had also witnessed terror violence, and terror violence appear to moderate each of the three facets of support differently. The implications of these findings and intervention initiatives for Israeli youth are discussed. (Contains 2 notes, 3 tables, and 2 figures.)

A one-year follow-up study examined the role of developmental challenges, personality (dependency, self-criticism, and personal efficacy), and support systems in adaptation among Israeli emerging adults (N = 236) participating in a preparatory academic program. Participants were assessed during their enrollment in the preparatory academic program and one year later, after graduation, when their academic success or failure could be determined. Personal efficacy predicted higher levels of goal investment and goal progress, as well as more positive life events. In contrast, self-criticism predicted lower goal investment, higher goal stress, and a reduced number of positive events. Self-criticism also predicted elevated levels of amotivation and an increase in depressive and anxiety symptoms. Paternal social support predicted young people's more favorable adaptation one year later. Among young adult males, academic failure predicted later level of symptoms and more negative events. These findings encourage further examination of the role of personality and family relationships in the transition to adulthood. (Contains 3 tables.)

A prospective study of 29 Israeli middle school students experiencing rocket attacks in Sderot, Israel, examined if higher levels of baseline social support acted as a buffer against the adverse psychological effects of terrorism on adolescent depression. Results demonstrate the importance of community mental health efforts to promote family, school, and peers as protective resources during traumatic stress.

We present what the current state of affairs in Israel concerning psychoanalytic psychotherapy. First, we present a succinct historical account of the unfolding of the psychoanalytic perspective (including psychoanalysis and psychoanalytic psychotherapy) in Israel, with a particular focus on its contentious relationship with other psychotherapy schools of thought. We then locate a two-decade-long developmental process, culminating with the hegemony of the psychoanalytic school within Israeli psychiatry, psychology and psychotherapy, leading to strife and a political fight within the psychology profession to diffuse this hegemony. Somewhat paradoxically, that this fight succeeded eventually has led to the growth of Israeli psychoanalysis. The psychoanalytic school – and psychoanalytic psychotherapy – are now more accessible to applied psychology disciplines beyond clinical psychology (i.e., applied-developmental, educational, rehabilitative, and medical psychology), and psychoanalytic thought informs both the theory and practice of other, non-psychoanalytic schools of psychotherapy (e.g., cognitive-behavioral therapy/CBT). Psychoanalytic training programs are flourishing, and three research universities currently offer a Doctor of Philosophy (Ph.D.) degree in psychoanalytic theory. Psychoanalysis and psychoanalytic psychology also impact the political activism. Future concerns are also discussed, primarily the shrinking (but still very vibrant) representation of psychoanalytic psychotherapy within departments of psychology at research universities in Israel. [ABSTRACT FROM AUTHOR]

We compared 3 hypothetical trajectories of change in both general and coronavirus disease 2019 (COVID-19)-specific anxiety during the first wave of the spread in the state of Israel: panic (very high anxiety, either from the outset or rapidly increasing), complacency (stable and low anxiety), and threat-sensitive (a moderate, linear increase compatible with the increase in threat). A representative sample of 1,018 Jewish-Israeli adults was recruited online. A baseline assessment commenced 2 days prior to the identification of the first case, followed by 6 weekly assessments. Latent mixture modeling analyses revealed the presence of 3 trajectories: 1) "threat-sensitivity" (29% and 66%, for general and virus-specific anxiety, respectively), 2) panic (12% and 25%), and 3) complacency (29% and 9%). For general anxiety only, a fourth class representing a stable mid-level anxiety was identified ("balanced": 30%). For general anxiety, women and the initially anxious—both generally and specifically from the spread of the virus—were more likely to belong to the panic class. Men and older participants were more likely to belong to the complacency class. Findings indicate a marked heterogeneity in anxiety responses to the first wave of the spread of COVID-19, including a large group evincing a "balanced" response. [ABSTRACT FROM AUTHOR]

As the COVID-19 outbreak peaks, millions of individuals are losing their income, and economic anxiety is felt worldwide. In three different countries (the USA, the UK, and Israel: N = 1200), the present study addresses four different sources of anxiety: health-related anxiety, economic-related anxiety, daily routine-change anxiety, and anxiety generated by social isolation. We hypothesized that, economic anxiety would have a similar or greater effect, compared to health anxiety. Results show that in all three countries, the levels of economic and health anxiety were essentially equal, and both surpassed routine-change and isolation anxiety. Although the COVID-19 crisis originated in the health field, this study emphasizes the need to move from a generalized concept of anxiety to specific types of distress, most notably economic anxiety. Economic anxiety results in serious mental and physical health problems and should be attended to by clinical professionals and by policy makers. [ABSTRACT FROM AUTHOR]

Objectives: The COVID‐19 epidemic is affecting the entire world and hence provides an opportunity examine how people from different countries engage in hopeful thinking. The aim of this study was to examine the potentially facilitating role of perceived social support vis‐à‐vis hope as well as the mediating role of loneliness between perceived social support and hope. This mediating model was tested concurrently in the UK, the USA, and Israel. Methods: In April 2020, as the first wave of the virus struck the three aforementioned countries, we assessed perceived social support, loneliness, and hope in 400 adults per country (N = 1,200). Assessments in the UK/USA were conducted via the Prolific platform, whereas in Israel they were conducted via Facebook/WhatsApp. Results: In all three countries, perceived social support predicted elevated hope, although the effect was smallest in the UK. Loneliness mediated this effect in all three countries, although full mediation was attained only in the UK. Conclusions: Perceived social support may facilitate hope in dire times, possibly through the reduction of loneliness. Practitioner Points: Findings are consistent with respect to the potentially protective role of perceived social support vis‐à‐vis hope.Perceived social support may increase hope through decreasing loneliness.In the UK, the above‐noted mediating effect of loneliness appears to be stronger than in Israel and the USA.Elevated levels of perceived social support should serve as a desired outcome in individual and group psychotherapy, as well as in community based interventions. [ABSTRACT FROM AUTHOR]

Based on an established ongoing prospective-longitudinal study examining anxiety in response to COVID-19, a representative sample of 1018 Jewish-Israeli adults were recruited online. A baseline assessment was employed two days prior to the first spread of COVID-19, followed by six weekly assessments. Three classes of general anxiety and virus-specific anxiety were identified: (1) "Panic" (a very high and stable anxiety throughout the spread), (2) "Complacency" (a very low and stable anxiety throughout the spread), and (3) "Threat-Sensitivity" (a linear increase, plateauing at the 5th wave). For general-anxiety only, a fourth, "Balanced," class was identified, exhibiting a stable, middle-level of anxiety. We tested theory-based, baseline, social-cognitive predictors of these classes: self-criticism, perceived social support, and perceptions/attitudes towards the Israeli Ministry of Health. We also controlled for trait anxiety. Multinomial regression analyses in the context of General Mixture Modeling were utilized. Baseline virus-specific anxiety linearly predicted emerging virus-specific anxiety classes. Virus-specific panic has higher trait anxiety than the other two classes. The general anxiety panic class was over-represented by women and exhibited higher baseline general anxiety and self-criticism than all other classes, and higher baseline virus-specific anxiety along with lower perceived support and less positive perceptions of the ministry of health than two of the three other classes. Preexisting anxiety shapes subsequent anxious responses to the spread of COVID-19. The general-anxiety panic class may be markedly demoralized, requiring targeted public-health interventions. • Examined predictors of anxiety during the initial spread of COVID-19 in Israel. • Seven weekly assessments were employed. Baseline was taken before the outbreak. • Pre-outbreak anxiety predicted subsequent general and virus-specific anxiety. • Female gender and self-criticism predicted membership in a "panic" trajectory. • Low levels of positive attitudes toward the Ministry of Health predicted anxiety. [ABSTRACT FROM AUTHOR]

The authors compared the protective effects of 3 sources of perceived social support-from family members, friends, and school personnel-on internalizing and externalizing symptoms in adolescents exposed to rocket attacks. Data were based on 362 Israeli adolescents (median age = 14), chronically exposed to rockets from the Gaza Strip, for whom robust effects of exposure on internalizing and externalizing symptoms were reported during the 2009-2010 period (Henrich & Shahar, 2013). New analyses revealed that perceived family social support assessed in 2009 buffered against the effect of exposure to rocket attacks on depression, aggression, and severe violence during 2009-2010. Findings are consistent with a human-ecological perspective exposure to political violence and encourage the employment of family-based preventive interventions in afflicted areas. [ABSTRACT FROM AUTHOR]

ABSTRACT The aims of this longitudinal study were to examine (a) development of infant sleep and maternal sleep from 3 to 6 months postpartum; (b) concomitant and prospective links between maternal sleep and infant sleep; and (c) triadic links between paternal involvement in infant caregiving and maternal and infant sleep. The study included 57 families that were recruited during pregnancy. Maternal and infant sleep was assessed using actigraphy and sleep diaries for 5 nights. Both fathers and mothers completed a questionnaire assessing the involvement of fathers relative to mothers in infant caregiving. The results demonstrated moderate improvement in infant and maternal sleep percent between 3 and 6 months. Maternal sleep percent at 3 months significantly predicted infant sleep percent at 6 months. Greater paternal involvement in infant daytime and nighttime caregiving at 3 months significantly predicted more consolidated maternal and infant sleep at 6 months. These findings suggest that maternal sleep is an important predictor of infant sleep and that increased involvement of fathers in infant caregiving responsibilities may contribute to improvements in both maternal and infant sleep during the first 6 months postpartum. [ABSTRACT FROM AUTHOR]

Objective: The effects of Israeli adolescents' exposure to rocket attacks over time were examined, focusing on anxiety, depression, aggression, and violence commission. Method: A sample of 362 adolescents from southern Israel was followed from 2008 through 2011 with four annual assessments. Measures included exposure to rocket attacks (gauging whether children were affected by rocket attacks, both directly and indirectly, through friends and family), anxiety (items from the State Anxiety Inventory), depression (the Center for Epidemiological Studies Child Depression Scale), aggression (the Orpinas Aggression Scale), and violence commission (from the Social and Health Assessment). Results: Concurrent and longitudinal findings differed. Wave 1 exposure to rockets attacks was associated with Wave 1 anxiety, depression, and aggression. Longitudinal results evinced only modest effects of exposure on anxiety and depression, no effects on aggression, but robust effects on violence commission. Exposure to terror attacks before the study predicted increased odds of violence commission at the fourth and final wave, controlling for violence commission at the first, second, and third wave. Exposure to rocket attacks in the second wave predicted increased odds of violence commission at the third wave. Conclusion: This is the first longitudinal study attesting to the prospective longitudinal effect of exposure to terrorism on adolescent violence. Findings should serve as a red flag for health care practitioners working in civil areas afflicted by terrorism and political violence. [ABSTRACT FROM AUTHOR]

This study focused on the effects of exposure to terrorist missile attacks on the physical and mental well being of chronic pain patients. In this prospective and longitudinal design, 55 chronic pain patients treated at a specialty pain clinic completed self-report questionnaires regarding their pain, depression and anxiety pre- and post a three week missile attack on the southern region of Israel. In addition, levels of direct and indirect exposure to the attacks were measured. Results of regression analyses showed that exposure to the attacks through the media predicted an increase in pain intensity and in the sensory component of pain during the pre-post war period, but did not predict depression, anxiety or the affective component of pain. These findings contribute to the understanding of the effects of terrorism on physical and emotional distress and identify chronic pain patients as a vulnerable population requiring special attention during terrorism-related stress. [ABSTRACT FROM AUTHOR]

We report surprising findings from a pilot study aimed at assessing the psychological price paid by female medical students who are also involved in serious romantic relationships. Sixty female medical students were assessed as to their depressive symptoms, level of self-criticism, sexual satisfaction, role commitment, and perceived rewards derived from their professional, marital, and domestic roles. The high levels of depressive symptoms found among participants in this study were the sole predictor of low sexual satisfaction. Professional role reward was positively associated with depressive symptoms. Consistent with the notion of multiple roles conflict among self-critical students, role commitment and reward in the professional and domestic domains interacted to predict depressive symptoms. Results suggest that female medical students involved in romantic relationships pay a high emotional price for their conflicting role demands. [ABSTRACT FROM AUTHOR]

Chronic pain may be internalized and integrated into the sufferer's object-relations, thereby influencing sufferer's depression. To examine this, fifty-five women suffering from chronic pain were assessed as to their pain-personification, pain intensity, depression, anxiety, and pain related distress. The assessment protocol included an innovative self-report measure, the Pain Personification Questionnaire (PPQ), measuring pain as an internal 'bad' object. Controlling for level of pain intensity, we found that the PPQ predicts depression, illness intrusiveness, and pain-related distress, but not anxiety. These findings encourage an object-relations approach to the understanding and treatment of depression in chronic illness. [ABSTRACT FROM AUTHOR]

Extant literature on depression in chronic illness points to the association between depression and increased morbidity (Moussavi et al., 2007). There is to date little research on the surmised reciprocal relationship between the two. This longitudinal study of 30 women suffering from systemic lupus erythematosus (SLE) was conducted using self-report measures as well as physical illness markers, in order to place depression among SLE patients within what is known of the psychosocial context of depression. The objective of this study was to differentiate between the broadly illness-related and personality-related aspects of SLE depression. Results show that depression is preceded by concealment of SLE symptoms and by illness intrusiveness, a concept reflecting the subjective illness experience. Furthermore, depression is shown to precede changes in illness intrusiveness. Thus, illness intrusiveness and symptom concealment - but not physical illness markers - emerge as key factors in understanding the co-morbidity of SLE and depression. These findings, viewed within the methodological limitations of this study, indicate the centrality of perceptions, of the 'lived experience' of the illness, in the detection and treatment of depression among women with SLE. [ABSTRACT FROM AUTHOR]

The aim of the present study was to examine the role of ideological commitment and national attachment in distress experienced by Jewish evacuees from Gaza and the West Bank, Israel ("Gush Katif"), 6 years after their forced evacuation. Fifty-one evacuees from Israeli settlements in Gush Katif completed web-administered self-report questionnaires tapping their levels of ideological commitment, national attachment, and psychological distress. [ABSTRACT FROM AUTHOR]

Background: Victimization by bullying among adolescents is a widespread phenomenon associated with depression and suicidal ideation. Coping with bullying may include aggressive responding and self-blame. Aims: The purpose of this study was to examine the role adolescent self-blame and aggression - representing coping with peer bullying - in depression and suicide ideation. Method: We recruited 97 "pure" victims (41 girls; mean age = 12.69, SD = .80) identified from a sample of 505 adolescents (242 girls; mean age = 12.73, SD = .81) from two Israeli high schools. Self-report questionnaires were used to assess victimization, aggressive responses, self-blame, depression, and suicide ideation. Results: Self-blame in the face of peer bullying was uniquely associated with both depression and suicide ideation. The effect was robust even after controlling for level of victimization. No direct effect of aggressive coping or moderating effects of self-blame or aggression on the association between victimization and depression/suicide ideation were found. Limitations: This study used a cross-sectional design and made exclusive use of self-report measures. Conclusion: Adolescents who blame themselves for being bullied might be at a heightened risk for depression and suicidality compared to adolescents who did not use self-blame.

The aim of this study is to examine the role of repeated exposure to rocket attacks in the links between personality vulnerability (dependency and self-criticism) and internalizing/externalizing psychopathology. A main-effect vulnerability model (personality leads to psychopathology) was compared with a main-effect scarring model (psychopathology leads to personality vulnerability). Also, a stress-diathesis pattern (personality vulnerability is activated under stress) was compared to a dual-vulnerability pattern (either personality vulnerability or stress, but not both, lead to psychopathology). Israeli adolescents (N = 362) repeatedly exposed to rocket attacks were assessed annually over 3 years. In 2008 and 2010, personality and psychopathology were assessed. Cumulative exposure was measured as the sums of exposure across the three assessment waves. Theoretical models were tested via Autoregressive Cross-Lagged Structural Equation Modeling analyses. Baseline dependency and self-criticism were associated with an increase in anxiety, whereas baseline depression was associated with an increase in dependency. Under low, not high, levels of rocket exposure, self-criticism and depression were longitudinally associated. Violence commission was associated with an increase in dependency under high, not low, cumulative exposure. Results are consistent with both scarring and vulnerability models, and with both stress-diathesis and dual-vulnerability patterns of adolescent risk and resilience.

Elevated levels of depressive and somatic symptoms have been documented among college students. Over the past two decades, there has been an increase in the number of Bedouin Arab students studying at institutions of higher education in southern Israel. To date, research on coping and mental health problems among students who are members of this ethnic minority has been limited. This study examined the role of three aspects of perceived social support - availability, satisfaction, and the ability to get emotional support - in predicting depressive and somatic symptoms among Jewish Israeli and Bedouin Arab college students. A total of 89 Bedouin and 101 Jewish first-year students participated in this study, which involved two assessment waves 12 to 14 months apart. Participants completed questionnaires assessing depressive symptoms, somatic complaints, three aspects of perceived social support, and demographics. At Time 1, Bedouin students exhibited higher levels of depressive and somatic symptoms and lower levels of all three aspects of social support. Regression analyses showed that level of emotional support was a prospective predictor of somatization at Time 2. Moreover, when levels of emotional support were low, ethnic group predicted depression at Time 2; emotional support predicted depression only among Bedouin Arabs. The present study highlights the importance of the use of emotional support in predicting somatic complaints and depressive symptoms specifically among Bedouin Arab students. Clinical implications on intervention programs for ethnic minority students will be discussed.

Introduction: Despite the accumulated knowledge about suicide, suicidal acts remain difficult to predict, and many suicides are acted out impulsively., Methods: We performed a psychological autopsy study based on inquiries about the deaths of all male soldiers aged 18-21 years who served in the Israeli army and died by suicide between 2009 and 2013 (n = 69). The study population was first divided into two groups: those who had depressive disorder (n = 31); and those who did not (n = 38). Socio-demographic characteristics of the subjects and the characteristics of the suicidal act were compared. Afterwards, the study population was re-divided by the presence or absence of impulsive personality traits (n = 22, and n = 47, respectively), and investigated for distinct suicidal behavior features., Results: No significant socio-demographic differences were found between the depressed and non-depressed suicide victims. The depressed group had showed more signs of planning the act (47% vs. 23%), and had expressed suicidal ideation in the days preceding the suicide (51.6% vs. 21%). One third of the subjects were found to have an impulsive personality trait, with significantly more histories of disciplinary issues, violence and cluster B personality disorders. Alcohol use during the act was significantly more prevalent among impulsive than non-impulsive subjects (45.4% vs. 14.9%)., Conclusion: Identification of distinct clinical groups of suicide victims among young males might help clinicians evaluate high risk cases, and may provide valuable opportunities to alleviate and prevent these events in the future., (Copyright © 2018 Elsevier B.V. All rights reserved.)

The aims of this longitudinal study were to examine (a) development of infant sleep and maternal sleep from 3 to 6 months postpartum; (b) concomitant and prospective links between maternal sleep and infant sleep; and (c) triadic links between paternal involvement in infant caregiving and maternal and infant sleep. The study included 57 families that were recruited during pregnancy. Maternal and infant sleep was assessed using actigraphy and sleep diaries for 5 nights. Both fathers and mothers completed a questionnaire assessing the involvement of fathers relative to mothers in infant caregiving. The results demonstrated moderate improvement in infant and maternal sleep percent between 3 and 6 months. Maternal sleep percent at 3 months significantly predicted infant sleep percent at 6 months. Greater paternal involvement in infant daytime and nighttime caregiving at 3 months significantly predicted more consolidated maternal and infant sleep at 6 months. These findings suggest that maternal sleep is an important predictor of infant sleep and that increased involvement of fathers in infant caregiving responsibilities may contribute to improvements in both maternal and infant sleep during the first 6 months postpartum., (© 2015 The Society for Research in Child Development, Inc.)

Cognitive models of post-traumatic stress disorder (PTSD) posit that negative cognitions regarding the self and the world underlie the disorder. In contrast, scarring models - which postulate that distress brings about an elevation in vulnerability - predict the inverse relationship. Both models were tested amongst 156 Israeli trauma victims. Participants were assessed for PTSD symptoms and trauma-related cognitions (negative thoughts regarding self and world) over 2 weeks (T1), 4 weeks (T2), and 12 weeks (T3) following the traumatic event. A cross-lagged structural equation modeling analysis yielded evidence for both cognitive vulnerability and scarring. Baseline PTSD was prospectively associated with an increase in negative cognitions regarding both the self and the world during the T1-T2 period. Negative cognitions regarding the self were prospectively associated with an increase in PTSD symptoms during both T1-T2 and T2-T3 periods. PTSD symptoms and negative cognitions regarding the self thus appear to form a vicious cognitive-symptomatic cycle which might impede recovery., (Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.)

The relationship between resilience and lucid dreams, which involves awareness of the experience of dreaming, was examined in 79 Israeli young adults. Psychological distress and lucid dreams 3 years prior to exposure to terrorism, and exposure levels and psychological distress 1 week following exposure, were assessed. Both indirect exposure through media and perceived stress predicted an increase in distress during the 3-year interval under low, but not high, levels of lucid dreams. Possible mechanisms are discussed., (Copyright © 2011 International Society for Traumatic Stress Studies.)

General sleep-related experiences (Watson, 2001), including special dream states such as elevated dream recall, nightmares, hypnagogic hallucinations, flying dreams, and waking dreams, have been shown to be associated with life stress and psychopathological distress (Soffer-Dudek & Shahar, 2009). In this study, we attempted to examine these associations within the context of terror-related stress. In the week following operation Oferet Yetzuka in Israel, ninety-one participants filled out questionnaires concerning sleep experiences, psychopathological distress, and degree of exposure to terror. These participants were part of a larger study conducted three years earlier (Soffer-Dudek & Shahar, 2009). General sleep experiences (GSEs) were positively correlated to exposure to terror through media, a link that was mediated through psychopathological symptoms. Surprisingly, GSEs were negatively correlated with physical exposure variables. We suggest that GSEs may be related to a ruminative coping style (i.e., not "letting go," both by day and by night).

In this study, we examined the overlap between pain and depression in a sample of 342 chronic pain patients treated at a specialty pain clinic. Confirmatory factor analysis was conducted to test the differentiation of pain and depression measured as latent factors derived from the subscales of the Short Form McGill Pain Questionnaire and the Center for Epidemiological Studies Depression Scale. The affective pain subscale did not load on latent depression and the somatic depression subscale loaded weakly on latent pain. Although pain and depression are linked, we found that affective pain is distinct from depression, and that somatic depression is distinct from pain. This finding justifies further examination of the casual relationship between pain and depression.

Study Objectives: To assess the links between sleep and pubertal development using a longitudinal design., Design: Three consecutive annual assessments of sleep and pubertal development. Sleep was assessed using a week of home actigraphy., Setting: Naturalistic sleep in the home setting of school children, Tel Aviv Area, Israel., Participants: A sample of 94 (41 boys) typically developing healthy school-age children (age range at first assessment: 9.9-11.2 years)., Intervention: N/A., Measurements and Results: The Petersen's Pubertal Development Scale (PDS) and Sexual Maturation Scale (SMS) were used to assess pubertal development, and a week of actigraphy served to assess naturalistic sleep patterns. The results reflect expected developmental trends: an increase in signs of pubertal maturation, delayed sleep onset, and shorter sleep time. After controlling for age, significant relationships were found between sleep onset time, true sleep time, and number of night wakings at Time 1 and pubertal ratings at Time 2, and pubertal changes from Time 1 to Time 2. Delayed and disrupted sleep at Time 1 predicted faster pubertal changes from Time 1 to Time 2. These results were supported by structural equation modeling. These findings were similar in boys and girls., Conclusions: Based on these longitudinal data, it appears that pubertal changes in sleep (delayed sleep phase and disrupted sleep patterns) antedate bodily changes associated with puberty. The underlying mechanisms explaining these predictive links should be further explored.

Background: Terrorism leads to adolescent depression, but little is known about protective factors. We investigated 90 adolescents (in grades 7-9) residing in Dimona, Israel, before and after their exposure to a suicide bombing., Objective: To examine the prospective effect of social support from friends, parents, and school personnel on the link between bombing-related perceived stress and adolescent depression., Methods: Seven months prior to the suicide bombing, adolescents completed questionnaires as part of an ongoing investigation of youth risk/resilience under stress. The focus of the present study was on the Perceived Social Support Scale. One month subsequent to the suicide bombing, participants were interviewed by telephone about their bombing-related perceived stress (a 1-item measure) and depression (the Center for Epidemiologic Studies Child Depression Scale)., Results: Bombing-related perceived stress was associated with an increase in continuous levels of depression from before to after the bombing (beta = .29; P = .006). Prebombing social support from friends buffered against this effect (beta = -.29; P = .010). Adolescents reporting high bombing-related perceived stress evinced an increase in depression if they reported low levels of friends' support (beta = .61; P < .001) but not high levels of friends' support (beta = .00; P = .98). In addition, social support from friends predicted an increase in adolescent depression over time when bombing-related perceived stress was low (beta = .34; P = .026)., Conclusion: In adolescence, social support from friends might protect against the depressogenic effect of terrorism-related perceived stress.

In the last two decades, online support groups have become a valuable source of help for individuals in suicidal crisis. Their attractiveness is attributed to features that enhance help-seeking and self-disclosure such as availability, anonymity, and use of written communication. However, online support groups also suffer from limitations and potential risks as agents of suicide prevention. The Israeli Association for Emotional First Aid (ERAN) has developed a practical model that seeks to maximize the benefits and minimize the risks of online suicide prevention. The model applies the Action Theory concepts whereby individuals shape their own environment. The present paper presents the model, which is based on an online support group combined with personal chat and a telephonic help line. The online support group is moderated by paraprofessionals who function as both process regulators and support providers. The principles and practice of the model are described, the theoretical rationale is presented, and directions for future research are suggested.