The Trauma Outcome Process Assessment Model: A Structural Equation Model Examination of Adjustment

This investigation sought to operationalize a comprehensive theoretical model, the Trauma Outcome Process Assessment, and test it empirically with structural equation modeling. The Trauma Outcome Process Assessment reflects a robust body of research and incorporates known ecological factors (e.g., family dynamics, social support) to explain internalizing distress (e.g., anxiety, depression), externalizing distress (e.g., aggression), and recovery outcomes following traumatic events. Results revealed that expected relationships among the variables were significantly related in the expected direction, and the measures mapped well onto the expected latent constructs. Following optimal specification of the relationships within the Trauma Outcome Process Assessment, structural equation modeling revealed strong support for the Trauma Outcome Process Assessment as a comprehensive identification and treatment model to explain the differential outcomes of those exposed to traumatic stressors.     

PR in the ER: Managing internal organization–public relationships in a hospital emergency department

Focusing on a university-affiliated emergency department, this case study investigates the antecedents and outcomes of internal organization–public relationships as well as the cultivation strategies used to manage internal organization–public relationships (OPRs). The case study includes interviews with members of the emergency department's (ED) dominant coalition and focus groups with ED staff, as well as field observations in the ED itself. Findings illustrate that structural and policy antecedents acted as barriers to relationship maintenance, that a reliance on asymmetrical cultivation strategies culminated in poor internal OPRs, and that these poor relationships fostered negative attitudes, non-compliant behavior, and an arguably toxic organizational culture. Also, there was some evidence of symmetrical cultivation strategies (e.g., positivity and networking) fostering positive OPR perceptions among some employees. This case study can be used to guide best practices in internal public relations and answers the call for more research on public relations and health communication. Moreover, the current study suggests avenues for extending the relationship management perspective by considering organizational culture as a possible outcome of internal relationships.     

Exploring Gender and Racial/Ethnic Differences in the Effects of Child Sexual Abuse

Child sexual abuse (CSA) has been linked to a number of adverse effects including hypersexuality (HYP), substance use (SUB), suicidality (SUI), and depression (DEP). Despite a plethora of research on CSA, little is known about how it affects adolescents and the cultural factors that influence their coping styles. This study was founded on social-cultural coping theory and the model of traumagenic dynamics of sexual abuse, suggesting that CSA consequences lead to maladaptive coping mechanisms influenced by sociocultural factors. Using archival data, loglinear analysis was conducted to examine gender differences within racial/ethnic groups in HYP, SUI, DEP, and SUB among adolescent survivors of CSA in a National sample of 13,583 male and female high school students. The purpose of the study was to identify differences in the effects of CSA as manifested by variations of maladaptive coping across racial/ethnic groups and gender. Boys were significantly more likely to use substances, while girls were more likely to experience depressive symptoms and suicidality. Notably, this study did not reveal any significant racial/ethnic differences in adolescent coping. These findings can inform treatment planning and interventions for adolescents who may present with DEP, SUI, SUB, or risky sexual behaviors, but may have underlying trauma from CSA. This study contributes to the knowledge base about the processes that take place within adolescent CSA survivors, shedding light on cultural nuances among adolescent coping and informing culturally competent practice.     

Dyadic Supervision Evaluation: An Actor–Partner Relational Model

This article contributes to research practices in marital and family therapy, specifically the dyadic and development over time in clinical supervision, and describes and applies methodological strategies to develop measurements congruent with the systemic and developmental principles of the field. This project evaluates the psychometric properties of the dyadic supervision evaluation (DSE) in terms of measurement equivalence and causality. A structural equation analysis is conducted utilizing the actor–partner interdependent model resulting in a goodness of fit. This study presents a longitudinal model for evaluating the supervisory relationship and proposes a model of clinical supervision evaluation. The relationship among latent constructs in the DSE and its limitations related to inference and application are discussed.     

Depression Level in Inner-City Asian American Adolescents

Summary

This study examines the effects of cultural orientation and interpersonal relationships on depression among inner-city Asian American adolescents, controlling for demographic variables. Data were obtained from 144 high school students. The mean CES-D was 19.24. Cultural orientation and interpersonal relationships were significant predictors of depression. Individuals who were separated (had a high orientation towards ethnic culture and low orientation towards mainstream culture) experienced greater depression than those who were assimilated (had a high orientation towards American culture and low orientation towards ethnic culture). In addition, the presence of a more positive parent and peer relationship predicted lower depression levels. None of the demographic variables were significant predictors of depression in the overall model, although late immigrants (those who immigrated after the age of 12) were more depressed than American-born adolescents in the bivariate analysis. Implications of findings are discussed.     

The role of social relationships in the association between adolescents' depressive symptoms and academic achievement

While research has established that depression interferes with academic achievement, less is understood about the processes by which social relationships may buffer the relationship between depression and academic outcomes. In this study we examined the role of positive relationships in the school, family and peer contexts in the association between depressive symptoms and academic achievement among 894 adolescents aged 12–17 years living in Santiago, Chile. Depressive symptoms were associated with lower levels of academic achievement; parental monitoring, school belonging, positive mother relationships, and having academically inclined peers moderated this relationship, though some interactions differed by sex and age. Implications for promoting the academic success of adolescents experiencing depressive symptoms are discussed.     

A Structural Equation Modeling Analysis of the Relationships between Depression,Anxiety, and Sexual Problems over Time

Sexual dysfunctions are related to depressive and anxiety disorders, but the nature of these relationships remains unclear. This study examined the relationship among symptoms of these disorders over time by comparing (a) a model that included causal relationships, (b) a model that accounted for change over time with a shared underlying factor (or latent liability) among all the disorders, and (c) a model that conceptualized sexual dysfunctions as unrelated to depressive and anxiety disorders over time. Participants (n = 1,012) completed online self-report measures of sexual dysfunctions and depressive and anxiety disorders across six time points at either weekly or monthly intervals. Models 1 and 2 provided equal best fit for men and women based on data collected four weeks apart, but there were no evident causal relationships in Model 1. Subsequent analyses using data collected one week and six months apart found Model 2 provided robust fit for women, but these data were not examined for men due to inadequate sample sizes. The results are consistent with a shared latent liability of internalizing psychopathology driving the change in these disorders over time, which provides a clear direction for an empirically driven nosology and for future research into transdiagnostic treatments.     

Assessing Lesbian,Gay, and Bisexual Affirmative Training in Couple and Family Therapy: Establishing the Validity of the Faculty Version of the Affirmative Training Inventory

This study established the validity and factor structure of the Faculty Version of the Affirmative Training Inventory (ATI‐F), which assesses faculty members’ perceptions of the level of lesbian, gay, and bisexual (LGB) affirmative training that occurs in clinical programs. Additionally, this study examined the latent associations among the subscales of the ATI‐F and three convergent validity items utilizing a sample of 117 faculty members from accredited family therapy programs. The findings provide empirical support for the relationship between including classroom content on LGB affirmative therapy and faculty members’ beliefs about LGB individuals and relationships. Specifically, faculty members who report more positive beliefs about LGB clients appear to be more likely to include LGB affirmative therapy content in the courses they teach.     

Unpack the relational and behavioral outcomes of internal CSR: Highlighting dialogic communication and managerial facilitation

This study examines how corporate social responsibility (CSR) communication and management contributes to internal public relationship building and employees’ megaphoning behaviors. Specifically, it investigates how organization-public dialogic communication (OPDC) about CSR and organizational leaders’ facilitation behaviors for employees’ CSR engagement influence employees’ perceptions of two distinct types of organization-public relationships: communal and exchange relationships. Structural equation modeling results of 660 online survey responses suggest that OPDC has a positive association with communal relationships and negative association with exchange relationships. Facilitation behavior positively contributes to exchange relationships. Both communal and exchange relationships are positively associated with employees’ positive megaphoning. Yet, negative megaphoning is negatively linked with communal relationships and positively linked with exchange relationships. This study contributes to the growing body of literature on internal CSR communication and management. More importantly, it uncovers the nuanced effects of CSR on employee-organization communal and exchange relationship building.     

Financial Strain and Depression Among Farm Operators: The Role of Perceived Economic Hardship and Personal Control1

Abstract The causal processes accounting for the relationship between farm financial strain and depression are not well understood. Using data from a statewide survey of North Carolina farm operators, we develop a covariance structure model that specifies relationships among farm financial strain, perceived economic hardship in the household, personal control, and depression. Analyses reveal that the relationship between farm financial strain and depression is mediated by perceptions of economic hardship and personal control. Results point to the importance of differential resilience to objective economic problems instead of differential exposure to these problems.     

Transformational Leadership in Labor Organizations: The Effects on Union Citizenship Behaviors

This study suggests that transformational leadership influences union citizenship behavior by fostering a covenantal relationship between the union and the union member. A framework for covenantal relationships is developed from social exchange and social identity theories. Transformational leadership behavior was found to be strongly related to perceived union support, a social exchange construct. The results also indicated that there are positive and significant relationships between other social exchange constructs such as felt obligation and trust. Social identity theory is used to augment social exchange theory in explaining the process by which transformational leadership behaviors relate to union citizenship behaviors through union-based self-esteem. Limitations of the study, implications for union management, and directions for future research issues are discussed.     

Self-Concept,Attitudes Toward Career Counseling,and Work Readiness of Malaysian Vocational Students

The authors examined the relationship between self-concept, attitudes toward career counseling, and work readiness among 574 Malaysian vocational students. Attitudes toward career counseling have been studied in Western cultures; however, little is known about how career counseling is perceived in Eastern cultures. Attitudes toward career counseling were examined as a potential mediator of the relationship between self-concept and work readiness. The authors applied structural equation modeling to explain these relationships. Value of career counseling was found to significantly mediate the link between self-concept and work readiness. Results supported a direct relationship between positive self-concept and work readiness skills. This may be due, in part, to a heightened value of career counseling among vocational students that increases career awareness and thus enhances work readiness. Future research could include samples with more female participants and additional constructs, such as self-efficacy and career adaptability.     

Parental Attachment Among Korean–American Adolescents

The present study examined the relationship between parental care and control perceived by Korean–American adolescents, and further investigated the relationships between parental attachment styles and mental health measures including self-esteem, depression, and social support. The relationship between parental care and parental control resulted in a significantly negative correlation. Parental care showed significantly positive correlations with self-esteem and social support, and a negative correlation with depression. Parental control showed a significantly negative correlation with self-esteem, and a significantly positive correlation with depression. The analysis demonstrated that optimal parenting showed significantly higher self-esteem, lower depression, and higher social support than the other groups.     

Examining the role of parental factors on depression among Urban African American youth living in public housing

This study examined the potential risk and protective parental factors associated with depression among African American youth living in public housing. Utilizing a community-based participatory research approach, 239 African-American youth surveys were collected during 2013–2014 in two urban public housing developments with low socioeconomic profiles. Over half (52.3%) of the sample was in high school and female (58%). 65.3% reported living with their mother while 38% reported being employed. Bivariate analysis revealed significant correlations between depression and maternal substance abuse, paternal monitoring, parent-child relationship, and family time. Results from the regression analyses indicated that higher depression scores were significantly associated with youth who reported poor parent-child relationships, low levels of paternal supervision and high levels of maternal drug abuse. These findings provide support for claims about the importance of parent-child relationship and paternal monitoring as a protective factor for depressive symptoms, particularly during adolescence. Moreover, findings suggest that interventions which are targeted towards urban African American youth should address parental factors as a pathway to decrease depression among this population.     

Latent Profiles of Residential Stepfamily Relationship Quality and Family Stability

Stepfamilies are an increasingly common context in which adults and children reside. Past research has examined family processes that promote family resilience, such as dyadic relationships marked by warmth, positive communication, satisfaction, and closeness. What remains less clear is whether various profiles of dyadic relationship quality within stepfamilies exist and operate to influence stepfamily stability. Using data from the National Longitudinal Study of Adolescent to Adult Health, we conducted a latent profile analysis of mother–child, stepfather–child, and stepcouple relationship quality among a sample of 1,646 adolescents residing in married and cohabiting mother–stepfather families. Results favor a 4-profile solution, labeled high-quality, high-quality couple relationship, high-quality parent–child relationships, and low-quality. The identified latent profiles displayed differences with respect to family stability, or rates of remaining an intact family system 1 year later.     

The Relationship Between Work-Life Policies and Practices and Employee Loyalty:A Life Course Perspective

Using a representative sample of 3,381 American workers, this study investigates relationships among work/life policies, informal support, and employee loyalty over the life course (defined by age and parental status and age of youngest child). The central thesis is that our understanding of the impact of work/life policies on employee loyalty will be enriched by consideration of the non-work and work contexts that influence employee attitudes and behavior. The relationship between employee child care policies and loyalty varies for women and men at different stages of parenthood. Flexible-time policies have a consistent, positive association with employee loyalty with some variation based on life stage. Informal support (via supervisors and co-workers) has the greatest positive relationship with employee loyalty.     

The Effects of Resources, Decision Making, and Decision Implementing on Perceived Family Well-Being in Adjusting to an Economic Stressor

This article examines the relationships of personal resources, decision-making, and decision-implementing behaviors that were measured in time one with perceived family well-being that was measured one year later. The sample included 323 farm men and women who had experienced the same economic stressor event. A structural equation model was posited based upon the theoretical frameworks of family resource management. The results indicated the theoretical model fit the data well for both men and women. LISREL analyses revealed strong positive relationships among perceived financial and emotional resources, decision making, and perceived family well-being. A positive relationship was found between decision making and decision implementing, but no relationship was found between decision implementing and perceived family well-being. Gender differences were present only in the measurement model among the indicators of decision implementing and family well-being.     

The longitudinal effects of parental monitoring and self-control on depression in Korean adolescents: A multivariate latent growth approach

The purpose of this study was to examine the longitudinal effects of parental monitoring and self-control on depression. To address this purpose, this study investigated the interrelationships among depression, perceived parental monitoring, and self-control—as well as their developmental changes from the eighth to the twelfth grades—by repeated assessment of 3449 Korean adolescents. The data from Korea Youth Panel Survey (KYPS) of the eighth graders who were followed for five years were analyzed using latent growth modeling. The univariate latent growth models showed that adolescents experience an increase in both parental monitoring and self-control but a decline in depression over the five years. In addition, the multivariate latent growth model suggested that the initial level of parental monitoring had significant effects, both directly and indirectly through self-control, on the initial level of depression. The linear changes in parental monitoring were associated with the linear changes in self-control; likewise, the linear changes in self-control were related to those in depression. These results imply that parental monitoring and self-control need to be emphasized as a strategy in order to prevent or alleviate adolescents' depression.     

Sexual functioning in women with chronic pelvic pain: the impact of depression, support, and abuse

Many studies have documented associations between sexual functioning, depression, experiences of childhood sexual abuse, relationship support, and chronic pelvic pain, but none have addressed the interrelationships among all of these variables in a unified model. The aim of this preliminary study was to construct an integrative model predicting sexual functioning for women with chronic pelvic pain. Sixty-three women with chronic pelvic pain completed measures of sexual functioning for use as the criterion variable, and measures of the impact of chronic pain, depression, experiences of sexual abuse, and relationship support as predictors. The primary finding was that depression mediated the effects of child sexual abuse and partially mediated the effects of relationship support on sexual behavior and satisfaction with the sexual relationship. In addition to its indirect relationship through depression, relationship support also independently predicted sexual function. Thus, in this nonclinical sample, the effects of child sexual abuse on sexual function depended on the extent of depressive symptoms, while the influence of relationship support depended in part on depression.     

Sexual Minority Adults: A National Survey on Depression,Religious Fundamentalism,Parent Relationship Quality & Acceptance

Sexual minority persons from religious families may experience low acceptance by parents, however, little is known about the relationship of religiosity and parent relationships on mental health into adulthood. This study sought to test a moderated mediation model predicting depression based on religious fundamentalism, parent acceptance, and parent‐child relationship quality. Sexual minority adult participants (n = 384) from across the U.S. completed a web‐based, anonymous survey. Results found a conditional indirect effect of religious fundamentalism on depression through parent acceptance with the parent‐child relationship quality moderating the relationship between parent acceptance and depression. This was significant up to age 52. Clinical implications and future research with sexual minority adults and their families are explored.