Psychological distress among black and white Americans: differential effects of social support, negative interaction and personal control

This study examines the relationships among social support, negative interaction, financial strain, traumatic events, personal control, personality, and psychological distress among African American and white adults. These analyses: (1) test the overall adequacy of various models (i.e., main, mediator, and artifactual effects) of these effects, (2) examine the role of social support and negative interaction within the context of financial strain and traumatic events, and (3) verify possible indirect effects of social interaction on distress by assessing their impact on personal control. Data from The National Comorbidity Survey were used to examine these relationships using structural equation modeling techniques. Findings indicated different models of these relationships for African Americans and whites. Overall, personal control mediated the relationship between negative interaction and psychological distress. For whites, negative interaction was an overall stronger predictor of distress and contributed to the impact of financial strain and traumatic events on psychological distress. Among African Americans, social support was a stronger predictor of distress. The findings suggest that the underlying models of these relationships are different for African Americans and whites.     

Integrating cognitive-behavioral and expressive therapy interventions:applying the trauma outcome process in treating children with sexually abusive behavior problems

This article presents intervention strategies based on the Trauma Outcome Process, an integrated treatment model for guiding clinical practice with children with sexually abusive behavior problems. The steps for completing a comprehensive assessment are reviewed, and strategies are presented to help clinicians create a therapeutic alliance and increase these children's self-awareness of their thoughts, feelings, and body sensations. Treatment techniques based on an integrated approach combining cognitive-behavioral and expressive therapy approaches are described. These exercises help children accept responsibility for sexually inappropriate behavior and select adaptive responses for coping with the effects of traumatic experiences.     

Negotiating Family

Abstract

This study sought to determine how several child-rearing behaviors within the Chinese parent-adolescent relationship were predictive of youthful self-esteem through either collectivistic or individualistic socialization approaches. Theoretically based relationships were tested with structural equation modeling to examine whether dimensions of parental behavior (i.e., support, reasoning, monitoring, and punitiveness) influenced the self-esteem of Chinese adolescents through the mediating influences of either conformity (i.e., collectivism) or autonomy (i.e., individualism) in reference to parents. The sample for this study consisted of 497 adolescents from Beijing, China, ranging in age from 12-19 years of age. Data were acquired with self-report questionnaires administered in school classrooms. Results provided support for parental behaviors as predictors of self-esteem development through individualistic patterns of socialization. Although collectivistic parent-adolescent patterns did not predict the self-esteem of Chinese adolescents, several results supported a collectivistic conception of socialization through significant relationships involving parental behaviors as predictors of adolescent conformity to parents. Some results of this study highlight the significance of parental support and dimensions of moderate parental control (e.g., reasoning and monitoring) within the Chinese parent-adolescent relationship, while identifying only a minimal role for punitive behavior.     

Facilitating achievement by social capital in Japan

Social capital, as a comprehensive concept, comprises structural components representing social networks and functional components, which register past and future help, reciprocity, and trust. One assumption is that these various components interact and reinforce one another to enhance an individual's expected achievement. To validate the conceptualization and examine the consequences of social capital, the present study analyzed a set of data collected from 201 residents based in Japan. The results demonstrated that conceptualization proves to be valid in view of its adequacy in internal consistency and stability in the confirmatory factor model. The structural equation modeling likewise revealed contributions of the social capital components both individually and interactively. Notably, the Japanese respondents expected greater achievement with higher levels of both structural social capital and anticipatory functional social capital, which consequently tapped expected help, trust, and reciprocity. Structural social capital appeared to be a basis for functional social capital.     

Responses to Economic Pressure by Low-Income Families: Financial Distress and Hopefulness

Based on Boss’ family stress model, the study examined whether financial adaptations and locus of control mediated levels of financial distress and hopefulness for low-income consumers experiencing economic pressure. Data were collected online from 221 low-income, Midwestern consumers. Structural equation modeling explored relationships. Those reporting more economic pressure reported higher financial distress, less hopefulness. When locus of control was more internal, however, participants reported less financial distress and more hopefulness. Those making more financial adjustments had more financial distress, but also more hopefulness, indicating that while the current situation was grim, adaptive responses fostered hopefulness that things would improve. Educators can emphasize financial behaviors that improve financial outcomes, facilitating greater perceived control over finances, more hopefulness, and reduced financial distress.     

Feasibility,Acceptability, and Initial Efficacy of an Online Sexual Health Promotion Program for LGBT Youth: The Queer Sex Ed Intervention

Lesbian, gay, bisexual, and transgender (LGBT) youth experience multiple sexual health inequities driven, in part, by deficits in parental and peer support, school-based sex education programs, and community services. Research suggests that the Internet may be an important resource in the development of sexual health among LGBT youth. We examined the feasibility of recruiting youth in same-sex relationships into an online sexual health intervention, evaluated intervention acceptability, and obtained initial estimates of intervention efficacy. LGBT youth (16 to 20 years old) completed Queer Sex Ed (QSE), an online, multimedia sexual health intervention consisting of five modules. The final sample (N = 202) completed the pretest, intervention, and posttest assessments. The primary study outcomes were sexual orientation identity and self-acceptance (e.g., coming-out self-efficacy), sexual health knowledge (e.g., sexual functioning), relationship variables (e.g., communication skills), and safer sex (e.g., sexual assertiveness). Analyses indicated that 15 of the 17 outcomes were found to be significant (p < .05). Effect sizes ranged from small for sexual orientation (e.g., internalized homophobia) and relationship variables (e.g., communication skills) to moderate for safer sex (e.g., contraceptive knowledge) outcomes. This study demonstrated the feasibility, acceptability, and initial efficacy of QSE, an innovative online comprehensive sexual health program for LGBT youth.     

Social Support, Traumatic Events, and Depressive Symptoms Among African Americans

Structural equation modeling was used to examine the relationships among stress, social support, negative interaction, and mental health in a sample of African American men and women between ages 18 and 54 (N = 591) from the National Comorbidity Study. The study findings indicated that social support decreased the number of depressive symptoms, did not mitigate the effects of stress, and was reduced in response to financial strain. Financial strain and traumatic events were associated with increased negative interaction with relatives and depressive symptoms. The findings verify that stressful and traumatic events have direct influences on levels of depressive symptoms and affect the quality of social interactions and suggest how social interaction processes contribute to mental health.     

Marital Relationships Following the Korean Economic Crisis: Applying the Family Stress Model

In response to the recent economic crisis in Korea and its negative effects on families, the current study examined the interrelationships among economic pressure, emotional distress, marital conflict, and marital satisfaction for 236 Korean couples. The family stress model ( Conger & Elder, 1994 ; Conger, Rueter, & Conger, 2000 ; Conger, Rueter, & Elder, 1999 ) was tested using structural equation modeling. The results generally supported the theoretical model, showing that economic pressure negatively affects marital satisfaction via emotional distress and marital conflict. The results also implied cultural differences in the process of family stress. Korean husbands' emotional distress did not affect marital conflict or marital satisfaction, suggesting that Korean husbands may differ from their wives in their reaction to emotional distress from economic pressure.     

Longitudinal Test of a Multiple Domain Model of Adolescent Condom Use

A comprehensive multiple domain model (MDM) to understand condom use in adolescents was proposed and tested using structural equation modeling of data at three time points. The proposed model integrates social psychological theory, demographic and personality factors, social environment, and situational/contextual variables. Adolescents who were sexually active at time 2 (6 months after baseline) and time 3 (1 year after time 2) and completed surveys at all three time points were included in the analyses (N = 511). An iterative process of model testing resulted in a structural equation model that provided a good fit to the data (CFI = .92, RMSEA = .04). Models comparing gender and race as moderators also were calculated and supported the generalizability of the model. Results provide support for an MDM that goes beyond traditional social psychological models for a broader understanding of condom use in adolescents. Implications for further theory testing and safer sexual interventions are discussed.     

THE THERAPEUTIC ALLIANCE IN HOME‐BASED FAMILY THERAPY: IS IT PREDICTIVE OF OUTCOME?

This study examined the association between the therapeutic alliance in family therapy and changes in symptom distress, interpersonal relationships, and family coping. The participants (N = 81) were members of low socioeconomic status families referred to a university clinic for in-home family therapy. Participants completed the Outcome Questionnaire, Family Crisis Oriented Personal Evaluation, and the Family Therapy Alliance questionnaires. Regression analyses revealed that the therapeutic alliance explained 19% of the variance in symptom distress changes for mother, 55% for fathers, and 39% for adolescents. The implications of these findings for practicing and researching family therapy are presented.     

Economic Crisis and Marital Problems in Turkey: Testing the Family Stress Model

This paper applied the family stress model to the case of Turkey in the wake of the 2001 economic crisis. Using structural equation modeling and a nationally representative urban sample of 711 married women and 490 married men, we tested whether economic hardship and the associated family economic strain on families resulted in greater marital problems. Our results showed a modified family stress model applies to Turkey. In contrast to most previous research, economic strain had a direct effect on marital problems, and the indirect effect of strain, via emotional distress, was only significant for women. The results were interpreted in light of social and cultural factors that condition how economic distress affects marital relations.     

Positive Feelings After Casual Sex: The Role of Gender and Traditional Gender-Role Beliefs

The purpose of this study was to identify predictors of positive and negative affect following casual sex. Specifically, the primary goal was to investigate how traditional gender-role beliefs, peer approval of casual sex, perceptions of others, sexual assertiveness, and sexual pleasure influence affective experiences. Second, we aimed to determine the extent to which these associations were comparable for men and women. Although we expected mean differences on many of these constructs (e.g., men perceiving more peer approval), we expected the relationships between these constructs to be comparable for women and men. Participants ages 18 to 35 (N = 585) were recruited from a large university and Amazon Mechanical Turk (MTurk) and described their most recent casual sex experience in a self-report questionnaire. Structural equation modeling (SEM) analyses indicated that gender-role beliefs were significantly associated with less sexual assertiveness and more negative perceptions of others; for women they were also associated with less peer approval of casual sex. For women and men, sexual assertiveness predicted sexual pleasure; and sexual pleasure was associated with affect. To decrease the gender discrepancy in positive affect and sexual pleasure, it is important to develop a comprehensive understanding of the interrelationships among norms, casual sex experiences, and affect.     

GENDER, RELIGIOSITY, AND REACTIONS TO STRAIN AMONG AFRICAN AMERICANS

Drawing on Broidy and Agnew's (1997 ) extension of general strain theory to explain gender differences in deviance and crime, we tested hypotheses explaining why women are more distressed than men, but less likely to commit deviance in reaction to strain. Applying structural equation modeling to analyze data from a national survey of African Americans, we find that African-American women are more distressed than men, but less likely to engage in interpersonal aggression, because they are better protected by religiosity's distress buffering as well as deviance-reducing effects, and more likely to experience self-directed distress (depression and anxiety) in response to strain, which is less likely to lead to other-directed deviance, like interpersonal aggression, than other-directed distress (anger).     

ETHNIC DIVERSITY, SEGREGATION, AND INEQUALITY: A Structural Model of Ethnic Prejudice in Bosnia and Croatia

Widespread ethnic prejudice is an incomplete explanation for the development of war in the former Yugoslavia. However, high levels of prejudice in ethnic enclaves played an important role in increasing ethnic tensions and facilitating the outbreak of war. The purpose of this article is to explain county differences in average levels of ethnic prejudice in Bosnia and Croatia prior to the wars of national separation. We focus on structural characteristics of counties, such as ethnic diversity, economic conditions, and ethnic segregation and inequality, to explain county differences in average levels of prejudice. We also consider the possibility that compositional differences among counties (e.g., differences in average levels of education) explain county differences in ethnic prejudice. We combine survey data and county-level census data collected immediately prior to the wars of national separation and use hierarchical linear modeling techniques to analyze these data. Results suggest that ethnic diversity and ethnic occupational segregation decrease ethnic prejudice while ethnic economic inequality increases ethnic prejudice. Thus, structural characteristics account for some of the county differences in average levels of prejudice. County compositional differences, however, explain a majority of the county variation in ethnic prejudice. These results provide important clues to the origins of pockets of intense ethnic prejudice within diverse societies.     

Posttreatment 12-Step Program Affiliation and Dropout: Theoretical Model and Qualitative Exploration

ABSTRACT

Treatment outcome research has repeatedly demonstrated that involvement in twelve-step (TS) programs (e.g., Alcoholics Anonymous or Narcotics Anonymous) following treatment is associated with improved substance use outcomes. Treatment providers widely encourage TS program attendance during treatment and for aftercare; yet, evidence suggests that minimal and sporadic attendance or complete dropout is the more common occurrence. Providers would benefit from knowledge that would contribute to a greater understanding of factors that influence posttreatment TS program affiliation or dropout to guide treatment strategies. This article reviews the literature on TS affiliation, advances theory and a model to explain affiliation, and reports findings from a qualitative research study focused on understanding what people in TS facilitative treatment report as good (the pros) and not so good (the cons) about TS program involvement. Results suggest that unresolved ambivalence as well as socio-cultural barriers to support contribute to poor TS program utilization.     

Personality, Negative Interactions, and Mental Health

Research suggests that an individual's personality traits may mediate the relationship between social support and mental health. This study uses two national data sets to test a conceptual model that integrates personality, social support, negative interactions, and psychological distress. Results suggest that, beyond the influence of personality, social support is negatively associated with psychological distress, and negative interactions are positively associated with such distress. The findings also suggest that personality has direct and indirect effects, through social support and negative interactions, on psychological distress. Findings specify how positive and negative facets of relationships and personality influence mental health outcomes.     

A Dyadic Approach to Understanding the Link Between Sexual Functioning and Sexual Satisfaction in Heterosexual Couples

Researchers have demonstrated that several dimensions of sexual functioning (e.g., sexual desire, arousal, orgasm) are associated with the sexual satisfaction of individuals in a committed mixed-sex (male–female) relationship. We extended this research by comparing a dyadic model that included both own (i.e., actor effect) and partner (i.e., partner effect) domains of sexual functioning to an individual model that included only actor effects. Participants were 124 mixed-sex couples who completed online measures of sexual functioning and sexual satisfaction. Data analysis using the actor–partner interdependence model (APIM) and structural equation modeling (SEM) indicated that the dyadic model had a better fit than the individual model. Women’s sexual desire and orgasm and men’s erectile functioning were significant positive predictors of both own and partner’s sexual satisfaction. These results are discussed in terms of the importance of taking a dyadic approach to research and clinical work related to sexual satisfaction.     

Systemic alliance in individual therapy: factor analysis of the ITAS-SF and the relationship with therapy outcomes and termination status

Clients providing systematic feedback to therapists via self-report measures of psychological distress and working alliance have been shown to increase therapy outcomes. However, there are few systemic-based measures that are feasible for therapists to use. Recently, Pinsof et al. (Family Process, 2008, 47, 281) developed a brief systemic alliance measure (ITAS-SF) for individual therapy. The current study tested the factor structure of this measure and examined whether the subscales related to clients' therapy outcomes and termination status (N = 570). The results demonstrated supported a 3-factor model for the ITAS-SF (as compared to the seven factors proposed by Pinsof et al.). In the first factor, content combined the goals for therapy, the tasks or methods to reach those goals and bond between the client and therapist. The second factor reflected how clients perceive the relationship with the therapist (i.e., interpersonal dimension-self/therapist), and the third factor reflected how clients perceive the alliance between their social network and the therapist (i.e., interpersonal dimension others/therapist). The two interpersonal factors were related to therapy outcome and termination status.     

Reunions of Adoptees Who Have Met Both Birth Parents: Post-Reunion Relationships and Factors that Facilitate and Hinder the Reunion Process

Eighteen adoptees who had met both their birth mothers and birth fathers were surveyed in order to determine the types of post-reunion relationships they developed with each birth parent and the factors that facilitated or hindered their reunions. While adoptees were more likely to develop a personal rather than nonpersonal relationship with birth mothers, relationships with birth fathers were more evenly divided between personal and nonpersonal relationships. Thematic analysis revealed some similarities in the factors that influence reunions with each birth parent (e.g., birth parent characteristics, support from others), though some differences also emerged (e.g., reactions to pregnancy and relinquishment). Issues of kinship, identity, and family structure are discussed, along with implications for counseling.     

Emotion Identification Skill and Social Support During Adolescence: A Three‐Year Longitudinal Study

Emotion identification skill (EIS) has been correlated with social support, but little research has examined the extent that EIS is a developmental precursor to supportive relationships. The present study investigated the longitudinal relationships between EIS and social support in adolescence. Participants were 903 (464 males; 439 females) Australian high school students, with 314 participating in all four waves. Students completed questionnaires annually from Grade 9 to Grade 12, including self‐report measures of (1) EIS, (2) social support network size, and (3) quality of social support. Cross‐lagged structural equation modeling supported a reciprocal influence model, with social support and EIS mutually influencing each other's development. We discuss the implications of this finding for the positive development of EIS and social support.