Food Insecurity and Adjustment Problems in a National Sample of Adolescents1

This study examined a structural equation model of the associations among food insecurity, parental emotional distress, quality of parenting, and adolescents’ adjustment problems, controlling for socioeconomic status (SES), sex, and race/ethnicity. Additionally, we examined the relative effects of food insecurity, SES, parental emotional distress, and quality of parenting on adjustment problems. A sample of 11,139 12–17-year-olds selected from the 2002 National Survey of American Families data set were used. The results revealed the following: first, the model exhibited a reasonable fit to the data. Second, heightened food insecurity was associated with increased parental emotional distress, poor quality of parenting, and increased adjustment problems. Third, increased parental emotional distress was associated with poor quality of parenting and with higher levels of adjustment problems; and better quality of parenting was associated with lower levels of adjustment problems. Fourth, food insecurity had an indirect effect on adjustment problems through its effect on parental emotional distress and quality of parenting. Finally, parental emotional distress and quality of parenting had stronger total effects on adjustment problems than did food insecurity. The implications of these findings for policy are also discussed.     

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.     

Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area

Why do racial differences in many indicators of mental and emotional well-being show inconsistent patterns? We propose that mental and emotional well-being are influenced by aspects of the social context, including experiences of unfair treatment and the concentration of households with incomes below the poverty level, and that differential exposure to these factors influences racial differences in mental well-being. We analyze the reporting of psychological distress and life satisfaction in a multistage area probability sample of 1,139 African American and white residents of the Detroit metropolitan area aged 18 and older. Both psychological distress and life satisfaction are significantly associated with exposure to unfair treatment and with the proportion of households in the census block group that were below the poverty level. Racial differences in psychological distress and life satisfaction were eliminated or reversed once differentials in the percent of households living below the poverty line and exposure to unfair treatment were accounted for. These findings contribute to a growing body of evidence that "race" effects operate through multiple pathways that include race-based residential segregation and its attendant economic disinvestment at the community level, and interpersonal experiences of unfair treatment.     

Treating distressed couples with coexisting mental and physical disorders: directions for clinical training and practice

Relationship difficulties frequently coexist with significant emotional, behavioral, and physical health problems in one or both partners. Moreover, couple therapists report individual emotional and behavioral disorders as among the most difficult problems that they encounter in clinical practice. In this article, we summarize empirical evidence regarding the association between relationship distress and the onset, course, and treatment of mental and physical health problems. Based on these findings, we propose five critical implications for clinical training and the practice of couple therapy.     

Childhood maltreatment and motivation for treatment in girls in compulsory residential care

The first objective of the current study was to examine the relationship between childhood maltreatment, trauma-related symptoms and motivation for treatment in girls in compulsory residential treatment facilities. The second objective was to examine the extent to which various forms of childhood maltreatment, trauma-related symptoms and motivation for treatment predicted (time to) dropout from these facilities. Participants were 154 adolescent girls recruited from three residential treatment settings in The Netherlands. Multiple linear regression analysis revealed that age and ethnicity were associated with motivation for treatment. Furthermore, emotional abuse contributed to motivation for treatment. In addition, internalizing symptoms (e.g., anxiety and depression) significantly predicted level of distress; symptoms of dissociation predicted doubt about treatment. Logistic regression analyses with multiple imputation and competing risk regression analyses revealed no significant predictors for (time to) dropout. The findings suggest that clinicians and therapists should focus on experiences of emotional abuse, traumatic symptoms and treatment motivation in girls in compulsory residential care settings.     

Distress in response to relationship infidelity: The roles of gender and attitudes about relationships

According to the evolutionary model of psychology, biological influences may be a force behind many gender differences in relationship strategies and responses to relationship issues. For example, prior research has shown that males indicated more distress in relation to sexual infidelity, whereas females indicated more distress at the emotional infidelity of their partner. The current study attempted to replicate and extend this previous research by also examining relevant attitudinal factors possibly related to responses to infidelity. Participants (N = 156) were surveyed regarding probable responses to relationship infidelity (sexual vs. emotional infidelity), and measures of participants’ sexual attitudes and romantic beliefs were obtained. Results indicate a clear gender difference: Women were more likely to choose emotional infidelity as most distressing, while more men chose sexual infidelity as most distressing. For the men and women who did choose the same type of infidelity as most distressing, their ratings of the intensity of the distress did not differ. Sexual attitudes were found to be significant in predicting distress caused by either type of infidelity. Romantic beliefs were only significant in predicting distress due to emotional infidelity.     

Cocaine Abusing Women Who Report Sexual Abuse: Implications for Treatment

ABSTRACT

Four hundred seventy-three substance-abusing women were assessed for histories of sexual abuse. The results of bivariate analysis indicated that Sexual Abuse Survivors (SAS) had higher levels of depression, anxiety, and psychological distress. A greater number of SAS reported histories of emotional and physical abuse. They also had greater severity on ASI scales of alcohol, drug, medical, and family/social difficulty. Logistic regression analysis indicated that women who were survivors of sexual abuse were more likely to have histories of emotional and physical abuse, higher levels of addiction severity, and more family members who used drugs. Implications for research and treatment are discussed.     

The Relationship Between Self-Reported Levels of Distress of Parents and Victims in Incest Families

A common clinical observation is that a "special" relationship exists between the father/perpetrator and child victim of incest. The purpose of this study was to test empirical indicants that father/perpetrators and child victims are involved in close, enmeshed relationships, specifically concerning symptoms of emotional distress. The primary hypothesis was that stronger associations would be obtained on indicants of distress (i.e., depression, fear, and anxiety) for father-victim dyadic relationships than for mother-victim dyadic relationships. Subjects in this study were 32 families referred from community agencies. Results indicated that victims' self-reported levels of anxiety were significantly related to both maternal and paternal indicants of distress; maternal, rather than paternal, distress was associated with victim's self-reported fears, and no significant associations were obtained between parental distress and victims' self-reported depression. Additionally, no significant differences were noted in the magnitudes of correlations between father/victim and mother/victim levels of distress. In contrast to clinical accounts, the study failed to find evidence of emotional enmeshment between victim and father/perpetrator. Rather, the results suggested that a dynamic of familial enmeshment is present in incest families.     

Distress in Emerging Adults: Further Evaluation of the Painful Feelings About Divorce Scale

Young adults from divorced families experience clear emotional distress despite most not meeting diagnostic criteria for emotional disorders. Laumann-Billings and Emery (2000) developed the Painful Feelings About Divorce (PFAD) scale to assess the emotional distress emerging adults feel regarding childhood parental divorce. The study sample is undergraduates predominately between the ages of 18 and 22. This study adds to the literature by (a) further demonstrating the PFAD scale reliability and validity, (b) including participants with both divorced and separated but never married parents, and (c) assessing generalizability of the PFAD with a more diverse socioeconomic sample.     

Factors associated with emotional distress and suicide ideation among international college students

Abstract

Objective: To identify risk and protective factors associated with greater emotional distress and suicide ideation among international college students. Participants: International students (n?=?435) from two Midwestern and two Southeastern universities in the US. Methods: Online surveys were administered that measured emotional distress, past-year suicide ideation, entrapment, cultural stress, family conflict, perfectionism, ethnic discrimination, interpersonal needs, ethnic identity, and cultural sanctions against suicide. Results: In final linear regression analyses, higher levels of entrapment, unmet interpersonal needs, and ethnic discrimination were significantly associated with increased emotional distress. Only unmet interpersonal needs remained significantly associated with greater past-year suicide ideation in a multivariate regression analysis. Conclusions: Clinicians working with international students and prevention programmers targeting this population should address students’ perceptions of entrapment, ethnic discrimination, and especially unmet interpersonal needs in efforts to decrease or prevent students’ feelings of emotional distress and suicide ideation.     

MOTHER'S EMPLOYMENT DEMANDS, WORK-FAMILY CONFLICT, AND ADOLESCENT DEVELOPMENT

This study revisited the old research question of whether or not maternal employment would adversely affect children's development. We reframed the question by asking how a mother's temporal employment demands might be linked to child development. We used longitudinal data from a sample of 340 white, lower- to middle-class, dual-earner families living in the rural Midwest of the United States. The data were obtained from questionnaires and videotaped observations, and were informed by the mother, the father, the adolescent child, and a trained observer. As predicted, we found a strong relationship between a mother's temporal employment demands and work-family conflict, which was significantly associated with her emotional distress. A husband's egalitarian gender ideology was found to reduce the mother's emotional distress. Maternal distress was then negatively associated with nurturant and involved parenting, which in turn predicted a reduction in the adolescent child's emotional and behavioral problems over time.     

Motherhood of Battered Women: The Struggle for Repairing the Past

The purpose of this study was to describe and analyze battered women's subjective perceptions of their own motherhood. Although there is substantial knowledge about the negative effects of children witnessing their mothers' abuse by their fathers, there is little research available on the motherhood of battered women. Examining this issue in the clinical, ethical, and research domains is a complex process. Yet, increasing our understanding of battered women's own perspective is essential if we want to implement comprehensive and effective treatment. The present study is based on semi-structured in-depth interviews with 20 battered women. The finding show that battered women describe a basic mission in their life that structure the core meaning of their motherhood, namely, to repair the negative experiences of physical and emotional distress caused by their parents. Such repair is seen as compensating for the past and as building a positive and safe emotional reality for their children's future.     

If You Go Down to the Woods Today: Infants’ Distress During a Teddy Bear's Picnic in Relation to Peer Relations and Later Emotional Problems

Infants’ emotional reactions to an unusual event were assessed at a simulated birthday party during which two costumed characters enacted a Teddy Bear's Picnic. Two hundred and fifty‐eight firstborn infants in a representative British community sample were observed at a mean age of 12.8 months in the presence of their parents and other participating families, in a laboratory sitting room decorated with balloons and banners. The picnic scenario was followed by free play with the other participating infants. At a mean of 36 months of age, mothers, fathers, and another informant who knew the child well completed the Child Behaviour Check List (CBCL). The majority of infants showed no vocal distress during the picnic scenario. A minority of infants expressed strong distress, which was correlated with elevated heart rate and production of cortisol. Infants who were not distressed were more likely to direct social behavior to their peers and especially likely to use physical force against peers. In comparison with strongly distressed and nondistressed infants, those who had shown mild distress during the picnic scenario were least likely to manifest later emotional problems. This pattern was particularly marked for boys. Taken together, the findings indicate that infants’ strong distress during naturalistic encounters that are meant to be entertaining can suppress sociability and might indicate risk for subsequent emotional problems.     

Child abuse: differential diagnosis, differential treatment

This study assessed the relationship between treatment intensity and rehabilitation at discharge of child abusers whose MMPI profiles revealed high levels of psychological distress. It should be noted that this sample does not represent the child abuser who requires only a support group or outpatient counseling. Because of repeated failures at other social service agencies coupled with the court selection process, this sample may be described as having been screened for intransigence, severity of symptomatology, and resistance to previous attempts at treatment. It is noteworthy that participation in treatment was court-ordered, thereby diminishing the possibility of improvement because of subject characteristics, emotional availability or stamina in the treatment process. In this exploratory study, the association between treatment intensity and assessed rehabilitation yielded a positive and statistically significant relationship. The client who received intense weekly treatment for longer durations was assessed as having a higher degree of rehabilitation. This finding is important particularly for a population that exhibited an abnormally high degree of psychological distress. As an initial investigation, results support the need for differential diagnosis and subsequent differential treatment of child abusers. Without differential diagnosis, treatment needs may go unrecognized; without intense and sustained treatment, the needs of the highly distressed child abuser may go unmet.     

Beliefs About Others’ Perceptions—Gender Typicality: Scale Development and Relationships to Gender Nonconformity,Sexual Orientation,and Well-Being

The purpose of this study was to develop a measure of “other-perceived” gender typicality and test its relationship with gender nonconformity, sexual orientation, and psychological distress. Data on these variables were collected from 632 participants (142 heterosexual men, 77 gay men, 50 bisexual men, 174 heterosexual women, 85 lesbian women, and 104 bisexual women). We designed a Beliefs About Others’ Perceptions—Gender Typicality (BOP-GT) scale on which participants reported how masculine or feminine they thought other people perceived their gendered behavior, interests, appearance, and activities. Factor analysis identified five factors: appearance, emotional response, sporting interests, occupational interests, and interpersonal style. Recalled childhood gender nonconformity (CGN) was significantly associated with each BOP-GT subscale. Heterosexual men rated that other people perceived them to be more masculine scoring on the BOP-GT compared to heterosexual women. Gay men and lesbian women showed cross-sexed patterns on the BOP-GT total scale, appearance, emotional response, and sporting interests scores. Bisexual men and women were generally no different from the other male and female groups, respectively. Bisexual women had greater distress scores, and the BOP-GT emotional response subscale was associated with somewhat greater distress scores. The BOP-GT measure may have use in future research on understanding gendered self-concepts.     

Linking Financial Strain to Marital Instability: Examining the Roles of Emotional Distress and Marital Interaction

Using a sample consisting of 4,997 married couples from the National Survey of Families and Households, individual emotional distress, the occurrence of couple disagreements, couple fighting, and couple quality time together mediated the relationship between financial strain and personal assessments of marital instability. The overall results suggest that financial strain influences both positive and negative forms of couple interaction which are stronger mediators than personal emotional distress of the relationship between financial strain and marital instability. The results further suggest that there were no gender differences among these linkages.     

Emotions into Disorder: Anxiety Disorders and the Social Meaning of Fear

This article explores what we refer to as norm-stimuli-state discrepancies, which are disparities between people's physical-emotional responses to emotional cues and the normative meanings of those cues. Drawing on forty qualitative interviews and participant observation research at support groups, we show that people with anxiety disorders describe two forms of norm-stimuli-state discrepancies. The first form involves discrepancies of type, in which people label fearful emotional states as deviant for being caused by the “wrong” stimuli. The second involves discrepancies of intensity, in which people label fearful states as deviant for involving feelings or displays of “too much” anxiety in response to an “appropriate” stimuli. The article further addresses the role of stimuli in prompting treatment seeking. Unexpected and intense emotional distress in combination with the falling away of external cues—which we refer to as “stimuli-less fear”—serve as a critical juncture on the path to an anxiety disorder diagnosis.     

The Effect of the Primary Caretaker's Distress on the Sexually Abused Child: A Comparison of Biological and Foster Parents

Secondary trauma experienced by sexually abused children has only recently been explored in the literature. The scant findings suggest that out-of-home placement, the family's reaction to disclosure, and the emotional functioning of mothers may impact upon the emotional well-being of the sexually abused child. This study reports findings of data collected from 26 biological and 45 non-relative primary caretakers of molested children (n = 71). The data indicate significant differences between the two groups of caretakers with regard to maternal distress and support, and a strong relationship between the distress of the caretaker and symptomatology of the child. Significant predictors of child symptomatology and maternal support are reported, and recommendations for practice and policy applications are discussed.     

Neuropsychological correlates of domestic violence

Neuropsychological functioning was assessed in 39 males who had committed domestic violence (batterers) and compared to 63 nonviolent (both maritally discordant and satisfied) subjects recruited by advertisement. Subjects were subsequently divided into two groups (head injured, nonhead injured) and these groups were also contrasted as a function of batterer status. Tests were administered to assess for cognitive and behavioral functions, including executive dysfunction, hypothesized to be a factor contributing to propensity for violence. Questionnaires and structured clinical interviews were used to assess marital discord, emotional distress, and violent behaviors. Batterers differed from nonbatterers across several cognitive domains: executive, learning, memory, and verbal functioning. Batterers were reliably discriminated from nonbatterers based on three neuropsychological tasks: Digit Symbol, Recognition Memory Test-Words, Wisconsin Card Sorting Test. Neuropsychological performance was the strongest correlate of domestic violence of all clinical variables measured. However, the inclusion of two other variables, severity of emotional distress and history of head injury, together with the neuropsychological indices provided the strongest correlation with batterers status. Among batterers, neuropsychological performance did not vary as a function of head injury status, indicating that while prior head injury was correlated with batterer status, it was not the sole basis for their impairments. The findings suggest that current cognitive status, prior brain injury, childhood academic problems, as well as psychosocial influences, contribute along with coexisting emotional distress to a propensity for domestic violence.     

Boundary-spanning work demands and their consequences for guilt and psychological distress

Using data from a national survey of working Americans (Work, Stress, and Health Survey; N = 1,042), the authors examine the associations between boundary-spanning work demands and self-reported feelings of guilt and distress. The authors document gender differences in the emotional and mental health consequences of boundary-spanning work demands, as indexed by the frequency of receiving work-related contact outside of normal work hours. Specifically, the authors observe that frequent work contact is associated with more feelings of guilt and distress among women only. Analyses also demonstrate that guilt accounts for the positive association between the frequency of work contact and distress among women. Statistical adjustments for levels of guilt reduce the positive association between frequent work contact and distress among women to nonsignificance. The findings underscore the importance of focusing on gender and emotions in work-family interface processes, as well as their implications for psychological health.