Military spouses speak up: A qualitative study of military and Veteran spouses’ perspectives

ABSTRACT

The purpose of this qualitative study was to examine military family life through the lens of military and Veteran spouses. Twenty-two female, active-duty military and Veteran spouses provided extensive written responses to essay questions as part of an online survey that were analyzed with qualitative data analysis methods. Findings revealed seven main themes: how military life has influenced health care access, spouses’ identities as caregivers, marital relationships, health outcomes, social support, spouses’ educational and career opportunities, as well as their personal growth. In summary, their experiences indicate that military service affects all aspects of their lives. Spouses gave numerous suggestions as to how service providers can address their unique experiences to improve the supports they offer military families, including ensuring the spouse is involved in health care, and providing support programs that focus on the entire family.     

The Presence of Memory-Enriched Environments for Cognitively Impaired Nursing Home Residents

Abstract

Enriched living environments that contain a wide array of personal memorabilia and memory-stimulating cues have the potential to support cognitive functioning. The purpose of this ethnographic research was to describe the care environments of older adults with cognitive impairment living in nursing homes (n?=?42), to evaluate the degree to which these environments contained memory-stimulating cues, and to understand the extent to which these environments were cognitively stimulating for older adults with dementia. Results indicated varying levels of enrichment both within and between homes, with nearly a quarter of the residents living in environments that contained no memory-enhancing stimuli.     

African American Stepfather–Stepchild Relationships,Marital Quality,and Mental Health

ABSTRACT

This study examined associations between stepfather–stepchild relationship quality, stepfathers’ depressive symptoms, and two aspects of marriage: marital quality and positive marital interactions. Marital quality was assessed in terms of commitment, trust, passionate and friendship-based love, and happiness. Marital interactions were assessed in terms of intimacy, shared activities, and verbal communication. Using data collected from 149 recently married African American stepfathers, structural equation modeling revealed that when stepfathers reported more positive relationships with their stepchildren, they also reported more positive marital quality and a higher frequency of positive marital interactions (relationship-solidifying activities), and that, in turn, was associated with stepfathers experiencing fewer depressive symptoms.     

Predicting Spouses’ Perceptions of Their Parenting Alliance

This study used marital‐ and individual‐level variables to predict spouses’ perceived parenting alliance. One hundred married couples completed measures of parenting alliance, marital consensus, marital power, and depression. Analyses revealed that marital consensus was a significant predictor of parenting alliance for both parents, and that depression also was a significant predictor for wives. Analyses using both spouses’ data indicated that wives’ perceptions of consensus and depression significantly predicted both spouses’ parenting alliance, suggesting that wives are the barometer of the marital relationship ( Floyd & Markman, 1983 ) and of the parenting relationship as well. Implications for research are discussed.     

Attitudes,Knowledge, and Behavior before and after an Undergraduate Health and Lifestyle Course

Abstract

“Marital and Family Therapy for Troubled Physicians and Their Families: A Bridge over Troubled Waters,” Ira D. Glick, et al. Because individual therapy for troubled physicians has been notoriously difficult and often ineffective, we report our experience using a treatment—marital therapy—newly applied to such problems in the medical community. The sample involved 13 male physicians and their spouses with emotional difficulties in themselves and/or their relationships. After marital treatment, there was substantial improvement in more than 92% (12/13) of the physicians, their spouses, and/or their marital relationships. (Journal of the American Medical Association 1984;251:1855–1858.)     

Predictors of Marital Satisfaction Among Korean Immigrant Spouses in the United States

ABSTRACT

This study investigated marital satisfaction among Korean immigrant spouses. Level of acculturation, the number of years of U.S. residence, status inconsistency, annual income, educational level, decision making, division of household tasks, and communication problems were hypothesized to be predictors of marital satisfaction. A snowball sampling strategy yielded 304 respondents. Results showed that level of acculturation was significantly associated with marital satisfaction for Korean immigrant husbands, but not for Korean immigrant wives. Marital decision making was significantly related to marital satisfaction for Korean immigrant wives but not for Korean immigrant husbands. Both acculturation and marital decision making accounted for only 3% of the variance in marital satisfaction. For both spouses, conjugal communication problems were the best predictor of marital satisfaction (16% and 37% of variance explained for husbands and wives, respectively).     

A Test of the Family Stress Model Using a Remarriage Sample

ABSTRACT

The family stress model delineates the connections between economic hardship, economic pressure, marital interactions, marital quality, and, finally, marital instability. This study evaluated the family stress model in a sample of 661 remarried couples using structural equation modeling. The model was evaluated both within and between spouses. Consistent with the family stress model, marital instability and quality were influenced by economic hardship and pressure through decreased spousal warmth and increased spousal hostility. Implications for remarriage education and counseling are discussed.     

Family Support in Nursing Homes Serving Residents with a Mental Health History

Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were found to be in regular contact with their relatives and supportive of their care. In nursing homes, daily contact, an ongoing relationship, involvement in assessment, and being responsible for the resident constitute the model family support. This study advances the understanding of family support in nursing homes and conveys information to guide practice through proposing ways to enhance family support and involvement in nursing homes.     

Housing Canada's Oldest-Old: Correlates of Their Residential Status

ABSTRACT

The authors examined determinants that contribute to keeping Canada's oldest-old (those 85 years and older) living in their own homes by focusing on determinants associated with living in certain types of homes. Multivariate logistic regression was done on a sample of 722 community dwellers aged 85 years and older from the 2001 Participation and Activity Limitation Survey. It was found that gender, marital status, and financial status determine residential status of the oldest-old and that high and low levels of mobility and instrumental activities of daily living foster community living. Previous findings suggest a trajectory of social exclusion (from house to apartment to facility). The current study shows the oldest old as socially stable, living in their homes. New policies to support their residential status and modifications to old policies are critical.     

Stress Hormone Changes and Marital Conflict: Spouses’ Relative Power Makes a Difference

We investigated the impact of relative marital power on 72 newlywed couples’ endocrinological responses to marital conflict. Marital power was determined by comparing spouses’ reports of dependent love for one another. Less powerful spouses displayed elevated adrenocorticotropic hormone (ACTH) responses to a conflict discussion. Shared power appeared to have a beneficial effect on wives’ but not husbands’ ACTH responses. Spouses’ cortisol levels declined over time, except for wives who were less powerful and for husbands who shared power with their wives. Conflict behaviors did not differ as a function of this marital power index. These data suggest that relative levels of general emotional power in relationships may play an important role in spouses’ physiological responses to marital conflict.     

Marrying a Man with “Baggage”

Abstract

Cultural views of previously married men include the assumption that they bring ex-wives and children as “baggage” into subsequent marriages. Analysis of 274 questionnaires of second wives revealed that such baggage was significantly associated with reporting less marital happiness, thinking about divorce, and wishing that they had not married their current husband. Implications for women contemplating marriage to a previously married man include acknowledging the vulnerability of second marriages to marital instability, questioning if living together ensures subsequent marital success, delaying the marriage until issues settle out, and considering moving into a new home or apartment with the new spouse rather than having him move into her home.     

Mutual Influences Among American Parents for Their Values Placed on Children's Conformity in the 1970s and 1980s

Abstract

Relative effects of both spouses' educational levels on the value parents place on children's conformity were examined. Eight General Social Survey samples, covering the 1970s and 1980s, containing information on 3,005 mothers, 2,634 fathers, and their spouses were analyzed simultaneously. Application of “diagonal reference models” showed symmetric influence. Although own educational level had the larger effect on conformity, the effect of spouse's educational level, particularly the father's, was substantive. Among mothers, interdependence was moderated by mother's employment, and marital happiness. Education of mothers who are the sole breadwinners had a smaller effect on own child-rearing values, than education of mothers who are not the sole breadwinners. In addition, education of happily married mothers had a smaller effect on own child-rearing values, than education of unhappily married mothers.     

Gender and marital satisfaction early in marriage: A growth curve approach

The purpose of this study is to assess differences between husbands and wives (N= 526 couples at the first assessment) on (a) growth curves over the first 4 years of marriage for psychological distress, marriage‐specific appraisals, spousal interactions, social support, and marital satisfaction; (b) the strength of intraspouse links and cross‐spouse links involving the initial assessment of the first four variables and the growth curve for marital satisfaction; and (c) differences between spouses headed for divorce versus spouses in stable marriages on the growth curves for all five variables. On the basis of evidence that interspouse differences were largely nonsignificant, there was little support for the view that there are his and her versions of the processes that affect marital outcomes.     

Family Ties and the Discontinuity of Divorce in Black and White Newlywed Couples

This paper explores the relationship of family ties to the marital happiness of husbands and wives from intact and disrupted families of origin and to the likelihood that they will divorce by the 4th year of their marriage. Respondents were 199 Black and 173 White couples interviewed as part of the “Early Years of Marriage” study. Analyses showed differences in family connectedness according to whether the family of origin was disrupted, and some variations by race were also evident. Regression analyses revealed that among all spouses, but especially among wives from divorced families, increased closeness to their husbands' families predicted increased happiness in their marriages. Hazard models showed that when husbands' or wives' parents were divorced or separated, couples' closeness to the husbands' family reduced their risk of divorce. Findings are discussed in the context of family systems theory and gender roles related to the forging of links with kin networks.     

The “Our Homes,Not Nursing Homes” Project

ABSTRACT

The voices of non-elderly adults with disabilities who currently-or used to-reside in nursing homes are rarely heard. A grassroots disability advocacy organization conducts participatory action research in the form of a writing workshop in collaboration with a local community-college. Participants with disabilities describe their lives and their experiences in nursing homes with the help of volunteer scribes. The information provided in their accounts will help strengthen community-organizing efforts of the disability advocacy organization. And participants have been empowered by the realization that their life stories are helping others to leave nursing homes and join community settings.     

Dual Earner Husbands and Wives: Marital Satisfaction and the Workplace Culture of Each Spouse

This article focuses on the relationship between workplace culture and marital satisfaction for dual-earner husbands and wives (N?=?156 couples). We use contagion theory as a framework, and posit that the experiences of both partners contribute to perceptions of marital satisfaction held by individual spouses. Breaking workplace culture into three components (time demands, work pressure, and workplace social support), we find evidence in the full model of both individual (spillover) and spousal (crossover) effects for the marital satisfaction of dual-earner wives, and spousal (crossover) effects for dual-earner husbands. In particular, our analyses highlight the important role played by wives?? workplace social support. Implications of the study are discussed.     

Examining Outpatient Health Care Utilization Among Adults with Severe or Profound Intellectual Disabilities Living in an Urban Setting

Abstract

The present study examined the health status and outpatient health care utilization among 52 adults with severe or profound intellectual disabilities (IDs) living with their families or in group homes in New York City. Bivariate and regression analyses among demographic variables, medical conditions, health care utilization, and type of living situation were conducted. Findings indicate that demographic factors andhealth statuses were similar regardless of living situation, except for ageand the presence of Down Syndrome, that is, younger people and people with Down Syndrome were more likely to live with family than in group homes. The results indicated that regardless of where they lived, individuals had high rates (70%) of overweight/obesity. The mean number of internal medicine, specialty medicine, nursing, and total clinic visits were significantly higher for those living in group homes compared to those living with their families. The findings and their implications are discussed with respect to social work policy and practice.     

Toward a Greater Understanding of the Cohabitation Effect: Premarital Cohabitation and Marital Communication

The goal of the present study was to examine the relationship between premarital cohabitation experience and marital communication in an effort to understand the robust finding known as the cohabitation effect, whereby couples who cohabit before marriage have greater marital instability than couples who do not cohabit. Observed marital problem solving and social support behavior were examined as a function of premarital cohabitation experience in a sample of 92 couples in the first 2 years of their first marriages. Spouses who cohabited before marriage demonstrated more negative and less positive problem solving and support behaviors compared to spouses who did not cohabit. Sociodemographic, intrapersonal, and interpersonal functioning variables did not account for the association between cohabitation experience and marital communication.     

The Story of Carrie and Anne

Abstract

When a woman in a forty-two year old lesbian relationship becomes disabled, her partner becomes her primary caretaker. However, when the caretaker becomes ill, distant family members take over decision-making responsibilities and without regard to their wishes, separate the women in two different nursing homes. A lesbian social worker realizes the nature of the relationship and advocates with the respective families to have the two women placed together shortly before one partner dies.