Positive functioning as an outcome in its own right.
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4926 to 4950 of 6,178Life satisfaction, distress, and resiliency across the life span of women.
Objective: This study aimed to determine (1) the relationship between life satisfaction, mental disorders, and aging in the female community and (2) to identify the impact of vulnerability factors, personal (resilience, self-esteem), and social resources on life satisfaction and distress.
Methods: A stratified random sample of the German female population (N = 2,540) was investigated using standardized questionnaires of life satisfaction (Questions on Life Satisfaction), depression, anxiety (Patient Health Questionnaire), resilience scale (RS-11), and self-esteem (Rosenberg Self-Esteem Scale).
Results: When participants were divided into six age groups (18-30, 31-40, 41-50, 51-60, 61-70, and >70 y), we found lower life satisfaction, satisfaction with partnership, and sexuality beyond the age of 50 years. Satisfaction with health was decreased already at early adulthood. Although the impo…
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Agreement on intimate partner violence among a sample of blue-collar couples.
This study assessed agreement level about the occurrence of past-year male-to-female partner violence (MFPV) and female-to-male partner violence (FMPV) among a sample of 897 blue-collar couples. Intimate partner violence (IPV) was measured with the Physical Assault subscale of the revised Conflict Tactics Scales (CTS2). Agreement level was assessed with Cohen's kappa statistic. Lower-bound estimates (based on couple agreement that an IPV event occurred) and upper-bound estimates (based on uncorroborated reports from either partner that an IPV event occurred) were calculated. Results indicated low agreement for most IPV behaviors (kappa < .40). Estimated lower- and upper-bound rates for MFPV were 6.7% and 21.2%, for FMPV, 7.1% and 24.2%, and for any IPV, 10.1% and 30.2%. Findings suggest that single-point IPV prevalence estimates are biased; lower- and upper-bound estimates using collater…
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What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+.
Objectives: The study investigates whether markers of life satisfaction identified in a cross-sectional study-quality of social network, self-rated health, depressive symptoms, locus of control and widowhood, in addition to financial satisfaction and the personality traits of extraversion and neuroticism-predict change in life satisfaction (LSI-Z) across four measurement occasions during a 6-year period in individuals aged 80+.
Method: Data were drawn from the Swedish OCTO-Twin-study of individuals aged 80 and older.
Results: Growth curve analysis showed a relatively consistent significant linear decline in life satisfaction, but certain markers predicted change in life satisfaction. The loss of spouse, in particular in men, and higher levels of depressive symptoms were related to lower levels of life satisfaction over time.
Conclusion: The results from the study question the notion of a…
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McGinn MM, McFarland PT, Christensen A (2009)MEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)8 citations Antecedents and consequences of demand/withdraw.
The authors examined the immediate antecedents and consequences of the demand/withdraw interaction pattern within naturally occurring conflicts. Both partners in 75 couples, including gay, lesbian, and straight couples, were interviewed individually regarding 2 recent conflicts, 1 chosen by each partner, and completed postinterview questionnaires. Interviews were coded for antecedents (e.g., upset prior to conflict), consequences (e.g., resolution of conflict), and demand/withdraw behaviors. In the postinterview questionnaires, participants rated demand/withdraw behaviors and their satisfaction with the outcome of the discussion. Results demonstrated that demand/withdraw behavior shifts depending on whose issue is under discussion, but other proximal antecedents did not significantly predict demand/withdraw. Regarding consequences, results indicated that most conflicts do not result in r…
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Does it pay to be smart, attractive, or confident (or all three)? Relationships among general mental ability, physical attractiveness, core self-evaluations, and income.
The authors investigated core self-evaluations and educational attainment as mediating mechanisms for the influence of appearance (physical attractiveness) and intelligence (general mental ability) on income and financial strain. The direct effects of core self-evaluations on financial strain, as well as the indirect effects through income, were also considered. Longitudinal data were obtained as part of a national study, the Harvard Study of Health and Life Quality, and proposed models were evaluated with structural equation modeling. Results supported a partially mediated model, such that general mental ability and physical attractiveness exhibited both direct and indirect effects on income, as mediated by educational attainment and core self-evaluations. Finally, income negatively predicted financial strain, whereas core self-evaluations had both a direct and an indirect (through inco…
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How relevant is marital status and gender variables in coping with colorectal cancer? A sample of middle-aged and older cancer survivors.
Objective: While the population in the western world is aging and cancer survival rates are increasing, there is a lack of knowledge concerning factors affecting social support and its relation to coping and distress among older patients. The aim of the current study is to assess the impact of marital status and gender upon levels of psychological distress, coping, and social support among middle-aged and older unmarried (divorced/widowed) and married colorectal cancer patients.
Methods: Samples of 339 male and female colorectal patients were recruited from three major cancer centers in Israel. Participants' psychological distress, coping styles and social support were assessed using four self-report standardized instruments.
Results: Two-way MANOVAs and Pearson's correlation coefficient were used to assess the relationships between the study variables. High levels of distress were found…
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Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study.
Objective: ADHD is a childhood-onset psychiatric condition that often continues into adulthood. Stimulant medications are the mainstay of treatment; however, additional approaches are frequently desired. In recent years, mindfulness meditation has been proposed to improve attention, reduce stress, and improve mood. This study tests the feasibility of an 8-week mindfulness training program for adults and adolescents with ADHD.
Method: Twenty-four adults and eight adolescents with ADHD enrolled in a feasibility study of an 8-week mindfulness training program.
Results: The majority of participants completed the training and reported high satisfaction with the training. Pre-post improvements in self-reported ADHD symptoms and test performance on tasks measuring attention and cognitive inhibition were noted. Improvements in anxiety and depressive symptoms were also observed.
Conclusion: Mindf…
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A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women.
Introduction: Despite their widespread prevalence, there are no existing evidence-based psychological treatments for women with sexual desire and arousal disorder. Mindfulness, the practice of relaxed wakefulness, is an ancient eastern practice with roots in Buddhist meditation which has been found to be an effective component of psychological treatments for numerous psychiatric and medical illnesses. In recent years, mindfulness has been incorporated into sex therapy and has been found effective for genital arousal disorder among women with acquired sexual complaints secondary to gynecologic cancer.
Aim: The aim of this study was to adapt an existing mindfulness-based psychoeducation (PED) to a group format for women with sexual desire/interest disorder and/or sexual arousal disorders unrelated to cancer.
Methods: Twenty-six women participated in three 90-minute sessions, spaced 2 weeks…
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The syndrome of functional memory disorder: definition, etiology, and natural course.
Objectives: Nonorganic, functional memory disorder (FMD) is frequent in memory clinic patients, and is an important differential diagnosis to prodromal dementia. The authors propose a definition of FMD as an acquired medical and psychological condition that is closely related to psychosocial burden and distress.
Design: Prospective follow-up study, aimed to evaluate the natural course of FMD.
Setting: University hospital memory clinic.
Participants: Seventy-three patients who suffered memory deficits and psychological distress and had normal test results. Forty-six attended a follow-up examination after a mean delay of 20.1 months.
Measurements: FMD severity was assessed with a structured inventory and an overall self-rating scale. Objective performance was assessed by standardized tests of memory and attention.
Results: Identified causes of distress were overwork, interpersonal conflict…
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Demographic and illness-related variables associated with HIV-related fatigue.
Fatigue is one of the most debilitating symptoms suffered by those with HIV infection, yet little is known about its correlates. The primary aims of this study were to describe the degree to which fatigue affects daily functioning and the demographic and illness-related predictors of fatigue. The sample (n = 128) was composed of primarily poor, unemployed people of color. Fatigue most often interfered with the ability to think quickly, perform household chores, exercise, work, engage in recreational activities, walk, plan activities, and think clearly. The consequences of fatigue were highest for lowered motivation, difficulty concentrating, increased drowsiness, losing patience, and interference with work, family, and social life. Multiple linear regression analyses showed statistically significant associations of employment status, monthly income, current antidepressant use, and number…
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Saxbe DE, Repetti RL, Nishina A (2008)MEDLINE-indexed journal, not yet read by usHealth psychology : official journal of the Division of Health Psychology, American Psychological Association63 citations Marital satisfaction, recovery from work, and diurnal cortisol among men and women.
Design: Multilevel modeling was used to model relationships between salivary cortisol, daily diary ratings of work experiences, and Marital Adjustment Test scores (Locke & Wallace, 1959), in a sample of 60 adults who sampled saliva 4 times per day over 3 days.
Results: Among women but not men, marital satisfaction was significantly associated with a stronger basal cortisol cycle, with higher morning values and a steeper decline across the day. For women but not men, marital satisfaction moderated the within-subjects association between afternoon and evening cortisol level, such that marital quality appeared to bolster women's physiological recovery from work. For both men and women, evening cortisol was lower than usual on higher-workload days, and marital satisfaction augmented this association among women. Men showed higher evening cortisol after more distressing social experiences at …
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Interaction and relationship development in stable young couples: effects of positive engagement, psychological aggression, and withdrawal.
This study tested associations among observed interaction patterns and relationship satisfaction in a subsample of young at-risk couples (n=47) from the Oregon Youth Study who remained stable over 7 years; each partner's positive engagement, psychological aggression, and withdrawal within a particular conflict structure (his vs. her topic) was used to predict satisfaction over time using multilevel growth curve modeling. Women's positive engagement during both topics predicted higher satisfaction for both partners at within-couple and between-couple levels. Women's psychological aggression showed topic-specific associations with lower satisfaction for each partner, and increases in both men's and women's psychological aggression during their partner's topic related to lower satisfaction over time for women. Both partners' withdrawal during men's topics predicted less decline in satisfact…
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Suicide attempts among people living with HIV in France.
This study examined the prevalence and characteristics of attempted suicide among a representative sample of French Human Immunodeficiency virus (HIV) infected individuals. In 2003, a face-to-face survey was conducted among people living with HIV/AIDS (PLWHA) selected in a random, stratified sample of French hospital departments. Among solicited individuals, 2,932 agreed to participate and were asked if they had ever AS. Among the respondents, 23% had AS. Female gender, younger age, native French citizenship, reporting household financial difficulties, having been HIV-contaminated through homosexual contact or through injection drug use and suffering from lipodystrophy-related symptoms were all independently associated with AS. HIV-discrimination and the lack of social support from family remained independently associated with AS. Our findings indicate a high level of AS among PLWHA and …
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Gender differences in response to sexual expectancies and changes in sexual frequency: a short-term longitudinal study of sexual satisfaction in newly married couples.
This longitudinal study of 72 newlywed couples examined the effects of spouses' expectancies for their sexual satisfaction and changes in their sexual frequency on changes in their sexual satisfaction over 6 months. At Time 1 (baseline), both spouses reported their levels of sexual satisfaction and sexual frequency and completed a 7-day diary of their expectancies for sexual satisfaction. At Time 2 (6 months later), spouses again reported their sexual satisfaction and sexual frequency. Based on evidence that women's sexual satisfaction is more contextually based, wives' initial sexual satisfaction expectancies were expected to predict changes in their reports of sexual satisfaction. Based on evidence that men's sexual satisfaction is more grounded in the physical aspects of sex, in contrast, changes in sexual frequency were expected to predict changes in husbands' sexual satisfaction. Bo…
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"If sex hurts, am I still a woman?" the subjective experience of vulvodynia in hetero-sexual women.
Vulvodynia has recently been recognized as a significant health problem among women, with a considerable proportion experiencing psychological distress and sexual dysfunction for many years. This study used a material-discursive framework and a qualitative methodology to investigate women's subjective experience of vulvodynia within the context of a hetero-sexual relationship, and their negotiation of coitus, commonly associated with vulvar pain. Seven women, who had experienced vulvodynia between 2 and 10 years, took part in in-depth interviews. Thematic decomposition drawing on a Foucauldian framework for interpretation identified that six of the seven women took up subject positions of "inadequate woman" and "inadequate partner," positioning themselves as failures for experiencing pain during coitus, which they interpreted as affecting their ability to satisfy their partners sexually,…
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Hope, optimism, and self-care among Better Breathers Support Group members with chronic obstructive pulmonary disease.
The objective of this study was to determine the levels of hope, optimism, and self-care of persons with chronic obstructive pulmonary disease (COPD) who attend community-based Better Breathers Support Group (BBSG) meetings. A convenience sample of 68 BBSG members from 14 groups in three southeastern states participated. The data were collected with a questionnaire set composed of a demographic form and three previously tested research instruments: the Herth Hope Index (HHI), the Alberto Chronic Obstructive Pulmonary Disease Self-care Behavior Inventory (COPDSC), and the Life Orientation Test--Revised (LOT-R). The findings (n = 68) include a significant and positive relationship between the HHI and COPDSC (r = .39; p > .01), between the LOT-R and COPDSC (r = .41; p > .001), and between the LOT-R and HHI (r = .59; p > .001). So, those participants with higher Hope and Optimism have higher…
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Gattis KS, Simpson LE, Christensen A (2008)MEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)16 citations What about the kids? Parenting and child adjustment in the context of couple therapy.
Little research examines parenting and children's adjustment when couples engage in therapy. We examined how couples with and without children improve with couple therapy and whether they also report improvements in parenting and child adjustment. With up to twenty six sessions of couple therapy, 134 couples, 68 of whom had children, showed improved marital satisfaction during treatment, which was ultimately maintained over the 2-year follow-up, regardless of whether they had children. Couples married relatively longer, both with and without children, evidenced greater improvement. Couples with children reported less conflict over child rearing and better child adjustment during treatment, but only improvements in the former were maintained. Conflict over child rearing mediated the relationship between marital distress and child adjustment over therapy and the 2-year follow-up. These pre…
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Determinants of burden in those who care for someone with dementia.
Objectives: Caregiver burden is a key measure in caregiver research and is frequently used as a baseline measure in intervention studies. Previous research has found numerous factors associated with caregiver burden such as the relationship quality between carer and patient, the patient's cognitive ability, behavioural and psychological symptoms displayed by the patient, caregiver gender, adverse life events to name a few. Many studies have investigated these factors singularly however current thought suggests a multi-factorial role and inter-dependence of these factors. Based on this it was decided to investigate factors associated with caregiver burden using a multiple regression analysis in order to ascertain the predictive quality of these factors of caregiver burden.
Method: Cross-sectional study using validated measures of a patient's cognitive ability, ability to carry out day-to-…
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Patients' perceptions and satisfaction with treatment in a UK osteopathic training clinic.
This study was a descriptive and exploratory investigation of patient perceptions of treatment at an osteopathic training clinic. An open text questionnaire survey was administered by post in 2000 to all 292 patients attending the clinic in south-east England in 1998-2000. The response rate was 62%. The data were transcribed and the concepts within the data were coded using grounded theory, within an interpretive phenomenological approach. The emergent core theme "underlying personal values" describes how patients manage their search for health. Four main themes were associated with the therapeutic relationship: hope, communication, respect, and trust. Two further themes emerged: one related to the environment of a teaching clinic; and a cross-checking theme described comparisons of the clinic with NHS services and other services. The majority of patients expressed satisfaction with trea…
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An ecological momentary assessment of comparison target as a moderator of the effects of appearance-focused social comparisons.
This research examined whether comparison target moderates the effects of naturally occurring appearance-focused social comparisons on women's affect, appearance esteem, and dieting thoughts. During daily activities, body-satisfied (BS) women and body-dissatisfied (BD) women recorded their comparison targets and reactions to comparison information. For BS women, upward comparisons with peers were associated with more positive affect (PA) and appearance esteem and less guilt than upward comparisons with media images and downward comparisons with peers were associated with less PA than downward comparisons with media images. For BD women, upward comparisons with peers were associated with more appearance esteem and diet thoughts than upward comparisons with media images and downward comparisons with peers were associated with less PA, appearance esteem, and diet thoughts and more guilt tha…
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The sunny side of fairness: preference for fairness activates reward circuitry (and disregarding unfairness activates self-control circuitry).
Little is known about the positive emotional impact of fairness or the process of resolving conflict between fairness and financial interests. In past research, fairness has covaried with monetary payoff, such that the mental processes underlying preference for fairness and those underlying preference for greater monetary outcome could not be distinguished. We examined self-reported happiness and neural responses to fair and unfair offers while controlling for monetary payoff. Compared with unfair offers of equal monetary value, fair offers led to higher happiness ratings and activation in several reward regions of the brain. Furthermore, the tendency to accept unfair proposals was associated with increased activity in right ventrolateral prefrontal cortex, a region involved in emotion regulation, and with decreased activity in the anterior insula, which has been implicated in negative a…
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Perfectionism in depression, obsessive-compulsive disorder and eating disorders.
High levels of perfectionism have been observed in major depression, anxiety disorders and eating disorders. Though few studies have compared levels of perfectionism across these disorders, there is reason to believe that different dimensions of perfectionism may be involved in eating disorders than in depression or anxiety [Bardone-Cone, A. M. et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 84-405]. The present study compared patients with major depression, obsessive-compulsive disorder, and eating disorders on dimensions of perfectionism. Concern over Mistakes was elevated in each of the patient groups while Pure Personal Standards was only elevated in the eating disorder sample. Doubts about Actions was elevated in both patients with obsessive-compulsive disorder and eating disorders, but not in depressed patient…
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Supportive care needs of women with gynecologic cancer.
Gynecologic cancers often place a heavy emotional and physical burden on patients. However, there is a lack of information about the types of supportive care needs that these patients have, the services that are available, and whether patients want help with their needs. The aims of this cross-sectional, descriptive study were to (1) identify the supportive care needs (physical, emotional, social, spiritual, psychological, informational, and practical) of women with gynecologic cancer who attended a comprehensive, outpatient cancer center in Ontario, Canada, and (2) determine if patients wanted assistance in meeting those needs. A total of 103 patients participated in this study by completing a self-report questionnaire. Sixty-five of the women were no longer on treatment at the time of completing the survey. Eight of the top 10 most frequently reported needs were non physical, such as f…
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Empathic and nonempathic interaction in chronic pain couples.
Objectives: Empathy and empathic response are receiving greater attention in pain research as investigators acknowledge that other forms of interaction may impact the pain process. The purpose of this study was to examine validation and invalidation as forms of empathic and nonempathic responses in chronic pain couples.
Methods: Participants were 92 couples in which at least one spouse reported chronic musculoskeletal pain. Each couple participated in 2 videotaped interactions about the ways in which the pain has impacted their lives together. Trained raters then coded interactions for each partner's use of validation and invalidation. Couples also completed surveys on spouse responses to pain, marital satisfaction, and perceived spousal support.
Results: Correlations demonstrated validation by spouses of persons with pain was associated with punishing, solicitous, and distracting spouse…
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Physical and mental comorbidity of headache in a nationally representative sample of US adults.
Objective: To investigate the contribution of comorbidity to health utilization and negative health perception in a large-scale population-based study. Comorbidity of headache with physical and mental disorders has been reported frequently in clinical samples.
Methods: This concern was addressed using combined 6-year data from the 1999 to 2004 National Health Examination and Nutrition Survey (n = 31,126 adults), nationally representative datasets of the US population. Measures of physical disorders were based on standardized interviews of chronic conditions, and mental disorders were assessed by the Composite International Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition.
Results: The 3-month prevalence of severe headaches or migraine in the US general population was 22.73%, with females and young adults having greater rates than males and older…
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