1
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Pepping CA, Belmont N, Cronin TJ. Romantic relationships buffer minority stress in transgender and non-binary adults: Effects on depressive symptoms and suicidality. J Affect Disord 2024:S0165-0327(24)00994-7. [PMID: 38901693 DOI: 10.1016/j.jad.2024.06.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 06/07/2024] [Accepted: 06/17/2024] [Indexed: 06/22/2024]
Abstract
BACKGROUND Transgender and non-binary (TNB) individuals are at greater risk of mental health concerns relative to their cisgender peers due to experiences of minority stress. Thus, it is critically important to identify factors that may be protective and buffer the effects of minority stress. This study examined whether romantic relationship involvement and quality buffered effects of TNB minority stress on depressive symptoms and suicidal ideation. METHODS A large international sample (n = 1156) of TNB adults (n = 654 partnered; n = 502 single) reported on minority stress experiences, relationship status and quality, and mental health outcomes (i.e., depressive symptoms and suicidal ideation). RESULTS The effects of victimization and rejection on depressive symptoms and suicidal ideation were attenuated among partnered individuals. However, once relationship quality was considered, the buffering effects of relationship involvement applied only to those in more satisfying relationships; the stress-buffering effects were not observed among those in distressed relationships. Of particular importance, general interpersonal satisfaction did not act as a minority stress buffer, suggesting there may be unique stress-buffering effects of being in a satisfying romantic relationship on depressive symptoms and suicidal ideation. LIMITATIONS The cross-sectional nature of the current study precludes definitive conclusions regarding causation. CONCLUSIONS These findings suggest that romantic involvement may serve a stress-buffering role for TNB adults, but only when these relationships are satisfying. Our results have important theoretical and clinical implications, and further research is needed to investigate the utility of relationship interventions to buffer the effects of TNB minority stress on depressive symptoms and suicidality.
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Affiliation(s)
| | - Natasha Belmont
- School of Psychology and Public Health, La Trobe University, Australia
| | - Timothy J Cronin
- School of Psychology and Public Health, La Trobe University, Australia
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2
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Siegel JA, Mendoza RR, Tesselaar JM, DeJesus J, Elbe CI, Caravelli NS, Troy L, Fenton M, Victoria B, Herrera J, Blashill AJ. "I felt so powerful to have this love in me": A grounded theory analysis of the experiences of people living with and recovering from eating disorders while in diverse romantic relationships. Body Image 2024; 49:101709. [PMID: 38615591 DOI: 10.1016/j.bodyim.2024.101709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 03/17/2024] [Accepted: 03/21/2024] [Indexed: 04/16/2024]
Abstract
Romantic partners have the potential to influence attitudes and behaviors related to body image and disordered eating. However, the role that romantic relationships can play in eating disorder (ED) recovery has not been comprehensively investigated. The present study aimed to explore the ways that people living with and recovering from EDs experience their romantic relationships, with the specific objective of developing a novel theoretical framework, grounded in the experiences of people in diverse romantic relationships, to guide future research on the topic. Semi-structured individual interviews were conducted with 66 people (45 cisgender women, 11 cisgender men, 9 nonbinary people, and 1 transgender man) living with and recovering from EDs while in romantic relationships. Our grounded theory analysis yielded a theoretical model of ED management in romantic relationships, revealing that Individual and Relationship Characteristics intersected with Relationship-Related Stressors and were navigated using Eating Disorder and Relationship Management Strategies. Combined with Partner Support and Tensions, these management strategies were related to Relationship and Mental Health Outcomes, which affected and were affected by Future Concerns. Future researchers should continue to build on, expand, and modify this model and further explore the role of romantic relationships in the experience of people living with EDs.
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Affiliation(s)
| | | | | | | | - Connor I Elbe
- Department of Psychology, San Diego State University, USA
| | | | - Lynae Troy
- Department of Psychology, San Diego State University, USA
| | - Margo Fenton
- Department of Psychology, San Diego State University, USA
| | | | | | - Aaron J Blashill
- Department of Psychology, San Diego State University, SDSU/UCSD Joint Doctoral Program in Clinical Psychology, USA
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3
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Barden EP, Mattson RE, Mastroleo N, Balderrama-Durbin C. The impact of emotion regulation and dyadic coping within posttraumatic stress symptoms and risky drinking patterns on relationship distress among trauma-exposed individuals. J Trauma Stress 2024. [PMID: 38803095 DOI: 10.1002/jts.23057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 04/07/2024] [Accepted: 04/07/2024] [Indexed: 05/29/2024]
Abstract
Individuals with posttraumatic stress symptoms (PTSS) often consume alcohol to manage PTSS-related discomfort, which can negatively impact individual and interpersonal functioning. Processes including emotion regulation and dyadic coping may influence the effects of PTSS and drinking patterns on relationship functioning. The present study examined how PTSS and risky drinking may function through the associations between maladaptive individual and interpersonal coping strategies and relationship distress among trauma-exposed individuals. Participants were 237 adults in a romantic relationship who endorsed lifetime trauma exposure and alcohol consumption within the past year and completed an online battery of self-report measures. Path analyses showed mixed support for the hypothesized theoretical causal model. PTSS was associated with maladaptive emotion regulation, β = .537, p = .010, and negative dyadic coping, β = .264, p = .009, whereas risky drinking was only related to negative dyadic coping, β = .193, p = .024. Negative dyadic coping was significant in the pathways between PTSS and relationship distress, β = .021, p = .009, and risky drinking and relationship distress, β = .030, p = .014. Exploratory analyses based on trauma type did not significantly change the overall model; however, a direct path suggested PTSS may have a stronger negative impact on relationship distress among individuals who experienced assault trauma (e.g., physical or sexual assault), β = .340, p = .012. Findings highlight the interrelations among intra- and interpersonal regulation and provide clinical targets of maladaptive emotion regulation and dyadic coping strategies for individuals with PTSS and harmful drinking.
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Affiliation(s)
- Eileen P Barden
- Behavioral Science Division, National Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA
- Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA
| | - Richard E Mattson
- Department of Psychology, Binghamton University, Binghamton, New York, USA
| | - Nadine Mastroleo
- Department of Psychology, Binghamton University, Binghamton, New York, USA
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4
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Stein CH, Redondo RA, Simon S, Silverman ZJ. Strengths, Struggles, and Strategies: How Adults with Serious Mental Illness Navigate Long-Term Romantic Relationships. Community Ment Health J 2024:10.1007/s10597-024-01288-1. [PMID: 38713315 DOI: 10.1007/s10597-024-01288-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 04/23/2024] [Indexed: 05/08/2024]
Abstract
Married individuals and those in committed romantic relationships generally report having better mental health outcomes than their single or divorced counterparts. However, studies of romantic relationships for adults with mental illness have often ignored rewarding aspects of romantic relationships and have focused primarily on relationship difficulties. In this study, 23 adults with serious mental illness in long-term romantic relationships described their relationship strengths and struggles in small focus group discussions. Content analysis was used to characterize themes from participant accounts. Overall, participants described deep emotional bonds with their partners, a mutual willingness to work on their relationship, and good communication skills as relationship strengths. Mental health symptoms and internalized stigma were identified as major contributors to relationship struggles. Participants spontaneously identified intentional strategies that they used to navigate mental health challenges in their relationship that included self-directed, partner-directed, and couple-directed actions. Implications of findings for research and practice are discussed.
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Affiliation(s)
- Catherine H Stein
- Department of Psychology, Bowling Green State University, Bowling Green, OH, 43403, USA.
| | - Rachel A Redondo
- Department of Psychology, Bowling Green State University, Bowling Green, OH, 43403, USA
| | - Sharon Simon
- Department of Psychology, Bowling Green State University, Bowling Green, OH, 43403, USA
| | - Zachary J Silverman
- Department of Psychology, Bowling Green State University, Bowling Green, OH, 43403, USA
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5
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Zhang D, Zheng W, Li K. The relationship between marital status and cognitive impairment in Chinese older adults: the multiple mediating effects of social support and depression. BMC Geriatr 2024; 24:367. [PMID: 38658842 PMCID: PMC11040757 DOI: 10.1186/s12877-024-04975-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 04/15/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Marital status is a potentially essential factor for cognitive impairment. Relevant research examining the potential pathways through which the marital status of spouseless older people is associated with cognitive impairment needs to be more adequate. Therefore, this study aims to investigate the serial mediating effects of various forms of social support and depression between marital status and cognitive impairment in older Chinese people. METHODS This study involved a secondary analysis of data from the 2014-2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), with a total of 2,647 Chinese older adults and 53.6% being males. Mediation analysis using the SPSS process macro was conducted. RESULTS The results indicated that marital status was significantly predictive of cognitive impairment among older people, and those with a spouse exhibited higher cognitive functioning. Informal social support and depression were found to play partial mediating roles in the association between marital status and cognitive impairment. The findings also revealed that marital status was unrelated to formal social support, and no association between formal social support and cognitive impairment was found. CONCLUSIONS The study findings highlight the need for social service providers to design programs for promoting connections associated with informal support to reduce their risk of depression and cognitive impairment and for policymakers to develop effective formal social support systems for older people without spouses. This study indicated that older people could regain the benefits of marriage to lower the risk of depression and improve their mental health.
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Affiliation(s)
- Donghang Zhang
- Department of Innovative Social Work, Faculty of Humanities and Social Sciences, City University of Macau, Macao, China
| | - Wenhao Zheng
- Faculty of Humanities and Social Sciences, City University of Macau, Avenida Padre Tomás Pereira Taipa, 999078, Macao, China
| | - Keyang Li
- Faculty of Humanities and Social Sciences, City University of Macau, Avenida Padre Tomás Pereira Taipa, 999078, Macao, China.
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6
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Sun Q, Geeraert N, Lamarche VM. Home is Where the Heart is: Implications of Dyadic Acculturation for Migrant Couples' Personal and Relational Well-Being. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2024; 50:550-570. [PMID: 36524703 DOI: 10.1177/01461672221139083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Acculturation-the process through which people adopt the sociocultural values of their heritage and settlement cultures-is a complex experience, particularly within family structures. Although the consequences of acculturation gaps between parents and children have been studied extensively, the consequences for migrant couples are often overlooked. We propose that acculturation gaps in migrant couples are likely detrimental for personal and relational well-being. To test this, a study of 118 migrant couples with the same heritage culture and now living in the United Kingdom was conducted. Acculturation gaps in our studies were conceptualized as both within person and within couple, and their impact on personal well-being and relationship quality was tested using Actor-Partner Interdependence Model (APIM). Results suggest that although within-couple acculturation gaps negatively impacted personal well-being, they were not necessarily harmful to relationship quality. Interestingly, within-person acculturation gaps had dyadic consequences, with one person specifically contributing to their partner's personal well-being.
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Affiliation(s)
- Qian Sun
- Zhejiang Normal University, Jinhua, China
- University of Essex, Colchester, UK
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7
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Caiada M, Felix S, Guionnet S, Valery KM, Bonilla-Guerrero J, Destaillats JM, Prouteau A. Promoting Intimate Relationships in Mental Illness: A Systematic Review of Interventions. Community Ment Health J 2024; 60:536-551. [PMID: 38015269 DOI: 10.1007/s10597-023-01204-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 10/30/2023] [Indexed: 11/29/2023]
Abstract
Although persons with Serious Mental Illness (SMI) express a need for intimate relations with others, they still suffer from a severe lack of social participation in this domain. However, these unmet needs have received little attention until recently. This study reviews interventions that aim to facilitate the development and the maintenance of intimate relationships (IR) of persons with schizophrenia, bipolar disorder and major depression. A systematic review following PRISMA guidelines was conducted. Studies published in Scopus, PubMed, EBSCO (Psych INFO, Psych ARTICLES, Psychology and Behavioral Sciences Collection) from January 1, 2000, to December, 2021, were screened. The search using terms referring to "schizophrenia", "bipolar disorder", "major depression", "IR" and "interventions" revealed 11 studies. Among them, 10 reported interventions for persons with depression, including 9 for couple therapy. Most interventions targeted satisfaction with couple relationships as the main therapeutic objective. Heterogeneity in study design precludes any firm conclusions about their efficacy. Interestingly, only one intervention focused on single persons interested in developing IR. The results highlight the lack of interventions: (i) aimed at promoting IR, (ii) designed for single persons, and (iii) targeting persons with psychotic disorders. This result may reflect the persisting stigmatization of persons with psychotic disorders, and the taboo associated with the IR and sexuality of persons with mental illness. Further studies are needed to develop inclusive interventions promoting the development of IR in persons with mental illness.
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Affiliation(s)
- Meryl Caiada
- Laboratory of Psychology, LabPsy, UR 4139, University of Bordeaux, 33000, Bordeaux, France.
| | - Simon Felix
- Laboratory of Psychology, LabPsy, UR 4139, University of Bordeaux, 33000, Bordeaux, France
- Department of Adult Psychiatry, Jonzac Hospital, Jonzac, France
| | - Sarah Guionnet
- Laboratory of Psychology, LabPsy, UR 4139, University of Bordeaux, 33000, Bordeaux, France
| | - Kevin-Marc Valery
- Laboratory of Psychology, LabPsy, UR 4139, University of Bordeaux, 33000, Bordeaux, France
| | | | | | - Antoinette Prouteau
- Laboratory of Psychology, LabPsy, UR 4139, University of Bordeaux, 33000, Bordeaux, France
- Department of Adult Psychiatry, Jonzac Hospital, Jonzac, France
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8
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Vigl J, Strauß H, Talamini F, Zentner M. Trajectories of relationship and sexual satisfaction over 2 years in the Covid-19 pandemic: A latent class analysis. J Pers 2024. [PMID: 38501439 DOI: 10.1111/jopy.12928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 02/02/2024] [Accepted: 02/27/2024] [Indexed: 03/20/2024]
Abstract
OBJECTIVE Previous research on the impact of the Covid-19 pandemic on romantic relationships has mainly concentrated on short-term effects and average trends of change. This study aimed to explore different trajectories of relationship and sexual satisfaction from April 2020 to March 2022. METHOD Including a cross-national sample of 2859 individuals, a latent class approach was applied to identify subgroups of sexual and relationship satisfaction trajectories. Participants' satisfaction levels, attachment style, psychological symptoms, life satisfaction, and living arrangements were taken into account. RESULTS Three latent classes were identified for both relationship and sexual satisfaction: (1) a group with high satisfaction levels but a slightly declining trajectory, (2) a group with low satisfaction levels but an ascending trajectory, and (3) a fluctuating group. Living apart, having children, psychological symptoms, low life satisfaction, and avoidant attachment characterized the two groups with low or fluctuating trajectories. CONCLUSIONS The findings suggest that there were different trajectories of relationship and sexual satisfaction during the pandemic, which can be predicted by individual dispositions. Even 2 years after the pandemic, its effects had not disappeared.
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Affiliation(s)
- Julia Vigl
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Hannah Strauß
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | | | - Marcel Zentner
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
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9
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Wei M, Adler-Baeder F, McGill JM, Novak JR. Healthy couple, better sleep: Exploring connections and changes in couple relationship education participants. FAMILY PROCESS 2024. [PMID: 38459791 DOI: 10.1111/famp.12987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 01/31/2024] [Accepted: 02/05/2024] [Indexed: 03/10/2024]
Abstract
Considerable evidence suggests couple relationship education (CRE) programs are effective in improving couples' relationship functioning, yet few studies have examined the implications of CRE programs on indicators of physical health despite substantial research supporting links between relational and physical health. This study utilized a sample of 308 couples randomly assigned to a CRE curriculum to explore the dyadic links between conflict management and self-care skills (emphasized in CRE), stress, and sleep dysfunction concurrently. We prospectively tested whether changes in skills drove changes in sleep dysfunction or vice versa, for both self and partner. Results from a series of structural equation models indicated indirect links for men and women between conflict management and self-care skills and sleep dysfunction through lower stress level at program start. Dyadically, men's and women's better conflict management skills were associated with partners' lower stress, which was in turn associated with partners' lower sleep dysfunction. Men's better self-care skills were linked with partners' lower stress levels, which were linked with partners' lower sleep dysfunction. Tests of dyadic prospective cross-lagged effects among changes in sleep and changes in skills indicated that initial improvements in both partners' sleep predicted improvements in their own conflict management skills 1 year later. Initial improvements in women's conflict management skills predicted reduced sleep dysfunction for themselves. Additionally, for both partners, early changes in self-care predicted later reductions in sleep dysfunction. Dyadically, immediate improvements in men's self-care predicted reduced sleep dysfunction for their partner a year later. Implications for research and practice are discussed.
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Affiliation(s)
- Menglin Wei
- Department of Human Development and Family Science, Auburn University, Auburn, Alabama, USA
| | - Francesca Adler-Baeder
- Department of Human Development and Family Science, Auburn University, Auburn, Alabama, USA
| | - Julianne M McGill
- Department of Human Development and Family Science, Auburn University, Auburn, Alabama, USA
| | - Josh R Novak
- Department of Human Development and Family Science, Auburn University, Auburn, Alabama, USA
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10
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Karantzas GC, Toumbourou JW, Knox L, Greenwood CC, Westrupp EM. Predicting the Trajectories of Parents' Relationship Well-Being During COVID-19 Lockdowns and Beyond: a Vulnerability, Stress and Adaptation Model Perspective. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024; 25:213-229. [PMID: 36976437 PMCID: PMC10043525 DOI: 10.1007/s11121-023-01498-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2023] [Indexed: 03/29/2023]
Abstract
Strict lockdowns have been employed by many of the world's nations as a public health response to COVID-19. However, concerns have been expressed as to how such public health responses disturb the human ecosystem. In this paper, we report on findings from a longitudinal study of Australian parents in which we investigated how state differences in government-mandated lockdowns affect the relationship well-being (i.e., relationship satisfaction and loneliness) of parents. We situated the study of the relational effects of strict lockdowns within the Vulnerability Stress Adaptation Model (VSAM, Karney & Bradbury, 1995) that considers the role of parents' pre-existing vulnerabilities (i.e., psychological distress and attachment insecurity), life stressors (pre-pandemic and COVID-19 stressors), and adaptive relationship processes (constructive communication and perceived partner support). A total of 1942 parents completed 14 waves of assessments of relationship satisfaction and loneliness over a 13.5-month period as well as baseline assessments of personal vulnerabilities, life stressors, and adaptive relationship processes. Parents with high relationship adaptations and low vulnerabilities evidenced the highest relationship well-being (i.e., high satisfaction and low loneliness) during changes in lockdown restrictions, while parents with moderate relationship adaptations and vulnerabilities experienced the poorest well-being. Differences in state lockdown restrictions (i.e., Victoria [long and strict lockdown policy] vs all other states) were associated with differences in relationship well-being for parents with high relationship adaptations. Specifically, Victorian parents experienced significant declines in relationship well-being compared to non-Victorian parents. Our findings provide novel insights into how government-mandated social restrictions can disrupt the relational ecology of parents.
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Affiliation(s)
- Gery C Karantzas
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia.
- Centre for Social and Early Emotional Development, Deakin University, VIC, Geelong, 3220, Australia.
| | - John W Toumbourou
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia
- Centre for Social and Early Emotional Development, Deakin University, VIC, Geelong, 3220, Australia
| | - Laura Knox
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia
- Centre for Social and Early Emotional Development, Deakin University, VIC, Geelong, 3220, Australia
| | - Christopher C Greenwood
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia
- Centre for Social and Early Emotional Development, Deakin University, VIC, Geelong, 3220, Australia
| | - Elizabeth M Westrupp
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia
- Centre for Social and Early Emotional Development, Deakin University, VIC, Geelong, 3220, Australia
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11
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Mengzhen L, Lim DHJ, Berezina E, Benjamin J. Navigating Love in a Post-Pandemic World: Understanding Young Adults' Views on Short- and Long-Term Romantic Relationships. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:497-510. [PMID: 37985563 DOI: 10.1007/s10508-023-02738-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/22/2023]
Abstract
The uncertain future due to the COVID-19 pandemic and the technological advancements may have altered young adults' experiences of romantic relationships. It is unclear whether individuals will continue to prefer traditional long-term romantic relationships (LTRR) or opt for short-term ones (STRR). This research describes how young adults in Malaysia perceive LTRR and STRR. Using the structured approach of the theory of social representations, data were collected from 512 participants; 238 (46.48%) male; Mage 21.75; majority were heterosexual and students, and analyzed using prototypical analysis to reveal high consensus elements. Five observations were made: (1) females prioritize "love" in both STRR and LTRR, while males prioritize "love" only in LTRR; (2) females prioritize "marriage" in LTRR, while males prioritize "trust," "comfort," and "stability." Males do not consider "marriage" as part of a LTRR; (3) both males and females view STRR positively, while LTRR are viewed more practically; (4) "sex" is a core element in STRR but is absent in LTRR; (5) males differentiate between STRR and LTRR with no overlapping elements. These findings provide insight into the social representations of romantic relationships among young adults in Malaysia and suggest future directions for research in the field.
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Affiliation(s)
- Lim Mengzhen
- Graduate School of Arts and Letters, Meiji University, 1-1 Kanda Surugadai, Chiyoda-ku, Tokyo, 101-8301, Japan.
- Psychological Studies Program, Temple University, Tokyo, Japan.
| | | | | | - Jaime Benjamin
- Department of Psychology, Lancaster University, Lancaster, UK
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12
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Allen JP, Costello MA, Hellwig AF, Stern JA. Pathways from adolescent close friendship struggles to adult negative affectivity. Dev Psychopathol 2024:1-10. [PMID: 38174423 PMCID: PMC11222304 DOI: 10.1017/s0954579423001542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
This 19-year prospective study applied a social development lens to the challenge of identifying long-term predictors of adult negative affectivity. A diverse community sample of 169 individuals was repeatedly assessed from age 13 to age 32 using self-, parent-, and peer-reports. As hypothesized, lack of competence establishing and maintaining close friendships in adolescence had a substantial long-term predictive relation to negative affectivity at ages 27-32, even after accounting for prior depressive, anxious, and externalizing symptoms. Predictions also remained robust after accounting for concurrent levels of depressive symptoms, indicating that findings were not simply an artifact of previously established links between relationship quality and depressive symptoms. Predictions also emerged from poor peer relationships within young adulthood to future relative increases in negative affectivity by ages 27-32. Implications for early identification of risk as well as for potential preventive interventions are discussed.
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Affiliation(s)
- Joseph P Allen
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Meghan A Costello
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Amanda F Hellwig
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Jessica A Stern
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
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13
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Landolt SA, Weitkamp K, Roth M, Sisson NM, Bodenmann G. Dyadic coping and mental health in couples: A systematic review. Clin Psychol Rev 2023; 106:102344. [PMID: 37866090 DOI: 10.1016/j.cpr.2023.102344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 09/13/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023]
Abstract
Globally, one out of three people suffer from a mental health issue during their lifetime. In romantic relationships, impaired mental health does not only affect the individual but also their partner and therefore needs to be coped with dyadically. In this systematic review, we summarize research examining dyadic coping (DC) in the context of mental health and individual and relational outcomes. We searched for peer-reviewed articles published between January 1990 and April 2023 on PsycInfo, Medline, and PSYNDEX on DC and mental health within romantic relationships. A total of 60 qualitative, quantitative, and intervention studies met the inclusion criteria, reporting on 16,394 individuals and 4,945 dyads. To synthesize the studies, we used a narrative synthesis approach. Overall, stress expression and positive DC yielded beneficial individual and relational outcomes, whereas, for negative DC, the opposite was true. Results differed between mental health clusters and context played an important role (e.g., symptom severity, life phase). Due to the great diversity of studies and variables, further research should focus on understudied mental health clusters (e.g., anxiety disorders). Clinicians are advised to view mental health issues as a dyadic rather than an individual phenomenon ("we-disease") and develop tailored couple-centered interventions.
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Affiliation(s)
| | | | - Michelle Roth
- Department of Psychology, University of Zurich, Switzerland
| | - Natalie M Sisson
- Department of Psychology, University of Toronto Mississauga, Canada
| | - Guy Bodenmann
- Department of Psychology, University of Zurich, Switzerland
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14
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Cassidy K, Ronis ST. Predictors of Individual and Interpersonal Adjustment Among Non-offending Partners of Individuals With Histories of Sexual Offenses. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2023:10790632231213832. [PMID: 37950804 DOI: 10.1177/10790632231213832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2023]
Abstract
Recent research indicates that the consequences of sexual offenses extend beyond target victims, including to non-offending partners of individuals with sexual offense histories. However, little research has focused on non-offending partners' wellbeing and relationships with persons with sexual offense histories leading up to and following acts of sexual aggression. Non-offending partners may be secondary victims of their partners' offenses in managing psychological difficulties (e.g., guilt, shame), social stigma and isolation, fear for their safety, or difficulties in their romantic relationships resulting from their partners' sexual offenses, often with minimal supports. The current study examined key correlates of individual and interpersonal adjustment among 207 non-offending partners of individuals with histories of sexual offenses who were residing in Canada (n = 36) or the United States (n = 171). Findings indicate that positive changes due to the offense (i.e., improved finances), self-esteem, interpersonal adjustment, instrumental support, lower levels of acceptance, and humor positively predicted individual adjustment. Interpersonal adjustment was predicted by trust, intimacy, partner's stress communication, and problem-focused and emotion-focused common dyadic coping. Findings highlight the need for services for non-offending partners, including interventions that address self-esteem and practical difficulties resulting from the offense, and couples therapy to address trust issues, intimacy concerns, and shared coping with stressors related to the offense.
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Affiliation(s)
- Katie Cassidy
- University of New Brunswick, Fredericton, NB, Canada
| | - Scott T Ronis
- University of New Brunswick, Fredericton, NB, Canada
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15
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Tesselaar JM, Mendoza RR, Siegel JA, Elbe CI, Caravelli NS, DeJesus J, Fenton M, Victoria BS, Blashill AJ. A qualitative analysis of relationship advice from the perspective of people living with and recovering from eating disorders while in diverse romantic relationships. Eat Disord 2023; 31:632-650. [PMID: 37194296 DOI: 10.1080/10640266.2023.2206753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Eating disorders (EDs) have adverse consequences across life domains, ranging from physical health to interpersonal relationships. While research suggests that romantic partners have the potential to support ED recovery, partners to those with EDs often report feeling confused and helpless in the face of the condition. The extant literature on EDs in relationships centers on the experiences of cisgender, heterosexual women. The present study aimed to garner a more comprehensive understanding of the types of support people with EDs believe are most helpful from romantic partners by analyzing relationship advice from a diverse group of individuals with EDs who were in romantic relationships. As part of a larger study on romantic relationships in ED recovery, we analyzed responses to the question, "If you had to give one piece of advice to someone who learns that their partner has an ED, what would it be?" Through Consensual Qualitative Research-Modified, we identified 29 themes, which we grouped into 7 domains: Foster Open Communication, Create an Environment of Emotional Intimacy, Let Your Partner Guide You, Educate Yourself, Be Compassionate with Yourself, Use Caution when Discussing Food and Bodies, and a Miscellaneous domain. These findings highlight the importance of patience, flexibility, psychoeducation, and self-compassion for individuals working to support their partner's ED recovery, and can inform future couples-based treatments and interventions for EDs.
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Affiliation(s)
- Juliana M Tesselaar
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Rebecca R Mendoza
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Jaclyn A Siegel
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Connor I Elbe
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Nicolas S Caravelli
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Jennifer DeJesus
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Margo Fenton
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Brianna S Victoria
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Aaron J Blashill
- Department of Psychology, San Diego State University, San Diego, California, USA
- SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California, USA
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Gorelik M, Szepsenwol O, Doron G. Promoting couples' resilience to relationship obsessive compulsive disorder (ROCD) symptoms using a CBT-based mobile application: A randomized controlled trial. Heliyon 2023; 9:e21673. [PMID: 38027836 PMCID: PMC10656241 DOI: 10.1016/j.heliyon.2023.e21673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
Relationship Obsessive Compulsive Disorder (ROCD) is a disabling form of obsessive-compulsive disorder (OCD) centering on interpersonal relationships. Previous findings suggest ROCD symptoms are particularly detrimental to romantic relationships. In this randomized controlled trial (RCT), we assessed influence a CBT-based mobile application used by both partners on resilience to ROCD symptoms, cognitions, and relationship dissatisfaction. The app consists of brief, daily exercises targeting OCD symptoms, related cognitions and attachment insecurities. Heterosexual couples (Ncouples = 103; Mage = 26.15) were randomly assigned to individually use a mobile application for 15 days (n = 49 couples) or to a control group (n = 54 couples). All participants completed questionnaires at baseline (T1), 15 days from baseline (T2), and 45 days from baseline (T3). All couples also underwent an ROCD resilience task at T2. Intention-to-treat analyses revealed that, in contrast to the control group, couples who used the app exhibited enhanced resilience in the resilience task, as well as measures of ROCD symptoms, cognitions, and relationship dissatisfaction. These observed effects persisted even at the 1-month follow-up. Concurrent use of brief mobile delivered cognitive training by both romantic partners may foster resilience in romantic couples.
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Affiliation(s)
- Milana Gorelik
- Baruch Ivcher School of Psychology, Reichman University (IDC), Herzliya, Israel
| | | | - Guy Doron
- Baruch Ivcher School of Psychology, Reichman University (IDC), Herzliya, Israel
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Singh S, Thomas E. Interparental Conflict and Young Adult Romantic Relationships: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:2630-2647. [PMID: 35732581 DOI: 10.1177/15248380221109787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
In the last two decades, researchers have been progressively investigating the impact of interparental conflict (IPC) on young adults romantic relationships. This systematic review aimed to synthesize literature on IPC and romantic relationship outcomes among young adults and highlight mechanisms found in this link. Following the PRISMA protocol, 3232 studies were identified using Boolean searches on ProQuest, PubMed, EBSCOhost, Jstor, Cochrane, and Google Scholar, and 17 met the eligibility criteria. To be included, in addition to having IPC and romantic relationship outcomes as variables, studies had to be quantitative in design, have a mean sample age of 18-25, include only participants in romantic relationships at the time of the study, and be published in English with full text available. The review found that IPC is associated with negative conflict management, both perpetration and victimization of aggression, worse communication, negative conflict behaviors, and poor relationship quality. Other outcomes like relationship satisfaction, commitment, as well as mediator variables in the link between IPC and young adult romantic relationship outcomes, such as attitudes towards marriage and conflict attributions, yielded varied results. Several shortcomings in the methodology of the reviewed articles, such as the research sample and measures, were discovered. To deal with the impact of IPC on offspring's romantic relationships, preventive interventions should be designed and evaluated, and more research with different variables and study designs, with more men, other ethnicities, and more representative sample frames are needed to detect crucial mediators and obtain reliable and generalizable results.
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Vigl J, Talamini F, Strauss H, Zentner M. A prospective study of relationship and sexual satisfaction during the first year of the COVID-19 pandemic: The role of dispositional vulnerabilities and external stressors. J Pers 2023; 91:1152-1170. [PMID: 36308046 DOI: 10.1111/jopy.12790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 09/21/2022] [Accepted: 10/26/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The COVID-19 pandemic had a strong impact on many aspects of life, particularly social relationships. Although there is some evidence regarding short-term effects of the pandemic on cohabitating couples or individuals, it is unclear to what extent these effects persist over time and whether they also apply to noncohabitating individuals. The purpose of this study was to investigate changes in relationship and sexual satisfaction among both cohabitating and noncohabitating individuals during the first year of the pandemic and to examine the extent to which these changes could be accounted for by personal vulnerabilities, pandemic-related stressors, and their interaction. METHOD We assessed relationship and sexual satisfaction longitudinally with a cross-national sample (N = 2859) that included five prospective measurement time points and analyzed the data with multilevel models. RESULTS We observed a decrease in relationship satisfaction over the course of the study, especially among noncohabitants. Sexual satisfaction, in turn, conformed to a quadratic trend among noncohabitants while changing only minimally in cohabitating individuals. Of the individual vulnerabilities examined, attachment avoidance was the greatest risk factor for both relationship and sexual satisfaction. Among pandemic-related stressors, mobility restrictions had a negative impact into the relationship and sexual satisfaction of noncohabitating individuals. CONCLUSIONS Although the pandemic generally showed negative effects on close relationships, these effects varied depending on the type of couple (cohabitants or noncohabitants), the component of relationship satisfaction (relationship satisfaction or sexual satisfaction), the time interval (curfew period or not), and also individual dispositions (especially attachment avoidance).
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Affiliation(s)
- Julia Vigl
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | | | - Hannah Strauss
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Marcel Zentner
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
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Joshi D, Aschner A, Atkinson L, Halili-Sychangco D, Duku E, Puffer ES, Rieder A, Tonmyr L, Gonzalez A. Predictors of harsh parenting practices and inter-partner conflict during the COVID-19 pandemic in Ontario, Canada: a cross-sectional analysis from the Ontario Parent Survey. BMJ Open 2023; 13:e066840. [PMID: 37640470 PMCID: PMC10462979 DOI: 10.1136/bmjopen-2022-066840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 08/16/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES Guided by the bioecological model, the purpose of this study was to examine the associations of (1) individual level factors (sociodemographic, health behaviour and mental health), (2) family (micro) level COVID-19 experiences (difficulty with household management, managing child mood and behaviour, and pandemic-related positive experiences) and (3) community (macro) level factors (residential instability, ethnic concentration, material deprivation and dependency, an indicator of age and labour force) with harsh parenting practices and inter-partner conflict during the early lockdown of the COVID-19 pandemic in Ontario, Canada. DESIGN A cross-sectional analysis of data from the Ontario Parent Survey. SETTING A convenience sample of 7451 caregivers living in Ontario, Canada, at the time of baseline data collection (May-June 2020). PARTICIPANTS Caregivers aged 18 years and older with children 17 years or younger. OUTCOME MEASURES Parenting practices over the past 2 months was assessed using a published modification of the Parenting Scale. The frequency of inter-partner conflict over the past month was assessed using the Marital Conflict scale. RESULTS Individual (sociodemographic factors, alcohol use, and higher depressive and anxiety symptoms) and family (difficulties with managing the household and child mood and behaviour) level factors were positively associated with inter-partner conflict and harsh parenting practices. Having fewer positive experiences (eg, performing activities with children), and economic adversity at the family level were positively associated with inter-partner conflict but inversely associated with harsh parenting. At the community level, residential instability was negatively associated with harsh parenting practices. CONCLUSIONS Individual and family level factors were associated with harsh parenting and inter-partner conflict. The associations of fewer positive experiences and economic hardship with harsh parenting practices may be more complex than initially thought. Efforts that raise awareness and address caregiver mental health concerns are needed as part of the pandemic response to promote positive inter-partner and parent-child interactions.
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Affiliation(s)
- Divya Joshi
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Amir Aschner
- Department of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Leslie Atkinson
- Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada
| | | | - Eric Duku
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
- Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Eve S Puffer
- Department of Psychology & Neuroscience, Duke University, Durham, North Carolina, USA
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
| | - Amber Rieder
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Lil Tonmyr
- Family Violence Surveillance, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Andrea Gonzalez
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
- Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
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Wootton AR, Soled KRS, Puckett JA, Garrett-Walker JJ, Hill AP, Delucio K, Veldhuis CB. Community (dis)connectedness and identity among LGBTQIA+ people during the COVID-19 pandemic: A qualitative cross-sectional and longitudinal trajectory study. PSYCHOLOGY & SEXUALITY 2023; 15:170-192. [PMID: 38800743 PMCID: PMC11114605 DOI: 10.1080/19419899.2023.2241868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 06/27/2023] [Indexed: 05/29/2024]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic and associated shelter-in-place ordinances passed in the first year of the pandemic rapidly limited access to in-person social interactions, raising concerns of diminishing social support and community cohesion while psychological stressors increased. For LGBTQIA+ people, connectedness to the LGBTQIA+ community is known to buffer against the harmful effects of stressors and decrease risks for poor psychological and behavioral health outcomes. The current study uses qualitative cross-sectional and trajectory analysis methods to characterize how LGBTQIA+ people's perceptions of community connectedness shifted during the first year of the pandemic. A convenience sample of LGBTQIA+-identified people in the U.S. completed an initial online survey in September 2020 (n = 298 and a follow-up survey in September 2021 (n = 129). The survey included changes in connectedness to the LGBTQIA+ community since the pandemic's beginning. Thus, we used both cross-sectional (between-person analyses) and longitudinal trajectory (within-person analyses) qualitative approaches to understanding changes in LGBTQIA+ people's sense of connection to the LGBTQIA+ community across the first two years of the COVID-19 pandemic. Eight cross-cutting themes (related to identity shifts/exploration, disconnection, online connections, and increased awareness of social justice issues) were identified and then organized within each level of the Social-Ecological Model of LGBTQIA+ wellbeing (i.e., the individual-, couple-, interpersonal-, organizational-, community-, and chronosystem- level). Given the importance of social support for LGBTQIA+ wellbeing, more longitudinal research is needed to determine whether these changes persist after the resolution of the acute phase of the pandemic.
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Affiliation(s)
- Angie R Wootton
- School of Social Welfare, University of California, Berkeley, California, USA
| | - Kodiak R S Soled
- Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
| | - Jae A Puckett
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - J J Garrett-Walker
- Ontario Institute for Studies in Education, University of Toronto, Toronto, Canada
| | - Aaron Perry Hill
- School of Social Welfare, University of California, Berkeley, California, USA
| | - Kevin Delucio
- Fairhaven College of Interdisciplinary Studies, Western Washington University, Bellingham, WA, USA
| | - Cindy B Veldhuis
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA
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21
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King EM, Carter A, Loutfy M, Webster K, Muchenje M, Murray MCM, de Pokomandy A, Ding E, Li J, Kaida A. Sexual Satisfaction of Midlife Women Living With HIV in Canada: A Prospective Cohort Analysis. J Acquir Immune Defic Syndr 2023; 93:272-281. [PMID: 37019076 DOI: 10.1097/qai.0000000000003204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 03/16/2023] [Indexed: 04/07/2023]
Abstract
BACKGROUND Although sexual activity and function decline in older women living with HIV, positive dimensions of sexual health, such as satisfaction, are relatively unexplored. We evaluated the prevalence of sexual satisfaction for midlife women with HIV and assessed its relation to women's physical, mental, and sociostructural experiences. SETTING We studied women in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) over 3 survey waves (2013-2018). METHODS We included women living with HIV aged ≥45 years who reported ever having consensual sex. Sexual satisfaction was assessed using an item from the Sexual Satisfaction Scale for Women and was dichotomized into satisfactory ("completely/very/reasonably satisfactory") and not satisfactory ("not very/not at all satisfactory"). Probable depression was based on CES-D ≥10. Multivariable logistic regression and fixed effects models determined correlates of sexual satisfaction. Reasons for sexual inactivity and alternate forms of sexual expression were also explored. RESULTS Among 508 midlife women, 61% were satisfied with their sexual lives at baseline. Women with probable depression had lower odds of sexual satisfaction than those without (aOR: 0.44; 95% CI: 0.27 to 0.71) and worsening depressive symptoms over time were associated with poorer sexual satisfaction ( P = 0.001). Increased sexual activity was associated with higher sexual satisfaction (aOR: 2.75; 95% CI: 1.54 to 4.91); however, 51% of women reporting sexual satisfaction were sexually inactive. Sexually inactive women engaged in alternate forms of sexual expression such as self-pleasure (37%) and intimate relationships without sex (13%). CONCLUSION Midlife women with HIV have high rates of sexual satisfaction, even in the absence of sexual activity. Depressive symptoms were closely associated with sexual dissatisfaction, alerting providers to the importance of screening for depression and sexual health together.
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Affiliation(s)
- Elizabeth M King
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Women's Health Research Institute, British Columbia (BC) Women's Hospital, Vancouver, Canada
| | - Allison Carter
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
| | - Mona Loutfy
- Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Kathleen Webster
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Women's Health Research Institute, British Columbia (BC) Women's Hospital, Vancouver, Canada
- Division of Infectious Diseases, Department of Medicine, University of British Columbia (UBC), Vancouver, Canada
- Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
- Australian Human Rights Institute, Faculty of Law, UNSW Sydney, Sydney, Australia
- Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
- Oak Tree Clinic, BC Women's Hospital, Vancouver, Canada
- McGill University Health Center, Montreal, Quebec, Canada; and
- BC Center for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Marvelous Muchenje
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Women's Health Research Institute, British Columbia (BC) Women's Hospital, Vancouver, Canada
- Division of Infectious Diseases, Department of Medicine, University of British Columbia (UBC), Vancouver, Canada
- Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
- Australian Human Rights Institute, Faculty of Law, UNSW Sydney, Sydney, Australia
- Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
- Oak Tree Clinic, BC Women's Hospital, Vancouver, Canada
- McGill University Health Center, Montreal, Quebec, Canada; and
- BC Center for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Melanie C M Murray
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Women's Health Research Institute, British Columbia (BC) Women's Hospital, Vancouver, Canada
- Division of Infectious Diseases, Department of Medicine, University of British Columbia (UBC), Vancouver, Canada
- Oak Tree Clinic, BC Women's Hospital, Vancouver, Canada
| | | | - Erin Ding
- BC Center for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Jenny Li
- BC Center for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Angela Kaida
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Women's Health Research Institute, British Columbia (BC) Women's Hospital, Vancouver, Canada
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Hagen AEF, Nogueira-Arjona R, Sherry SB, Rodriguez LM, Yakovenko I, Stewart SH. What explains the link between romantic conflict with gambling problems? Testing a serial mediational model. Front Psychol 2023; 14:1018098. [PMID: 37502746 PMCID: PMC10370473 DOI: 10.3389/fpsyg.2023.1018098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 03/09/2023] [Indexed: 07/29/2023] Open
Abstract
Introduction While individuals have many motives to gamble, one particularly risky motive for gambling is to cope with negative affect. Conflict with one's romantic partner is a strong predictor of negative affect, which may elicit coping motives for gambling and, in turn, gambling-related problems. Support for this mediational model was demonstrated in relation to drinking-related problems. We extended this model to gambling. Method Using a cross-sectional design, we examined links between romantic conflict (Partner-Specific Rejecting Behaviors Scale), negative affect (Depression, Anxiety, and Stress Scales-21), coping gambling motives (Gambling Motives Questionnaire, coping subscale), and gambling-related problems [Problem Gambling Severity Index (PGSI)] in 206 regular gamblers (64% men; mean age = 44.7 years; mean PGSI = 8.7) who were in a romantic relationship and recruited through Qualtrics Panels in July 2021. Results Results supported our hypothesis that the association between romantic conflict and gambling-related problems would be sequentially mediated through negative affect and coping gambling motives, β = 0.38, 95% CI [0.27, 0.39], and also showed a strong single mediation pathway through negative affect alone, β = 0.27, 95% CI [0.17, 0.38]. Discussion Negative affect and coping gambling motives partially explain the link between romantic conflict and gambling-related problems. Interventions should target both negative affect and coping gambling motives in response to romantic conflict to reduce gambling-related problems in partnered gamblers.
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Affiliation(s)
- Amanda E. F. Hagen
- Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada
| | | | - Simon B. Sherry
- Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada
| | - Lindsey M. Rodriguez
- Department of Psychology, University of South Florida St. Petersburg Campus, Tampa, FL, United States
| | - Igor Yakovenko
- Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Psychiatry, Dalhousie University, Halifax, NS, Canada
| | - Sherry H. Stewart
- Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Psychiatry, Dalhousie University, Halifax, NS, Canada
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Carter B, Jordan A, Forgeron P, Qualter P, Saron H. A shared love: reciprocity and hopefulness in romantic relationships of young adults with chronic pain. FRONTIERS IN PAIN RESEARCH 2023; 4:1179516. [PMID: 37389227 PMCID: PMC10303136 DOI: 10.3389/fpain.2023.1179516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 06/02/2023] [Indexed: 07/01/2023] Open
Abstract
Introduction Chronic pain (≥3 months) creates pain-related challenges that may negatively affect how young adults perceive themselves, and, indeed, they often report feeling different compared to peers and prospective romantic partners. Most studies of romantic relationships in young adults living with a long-term condition (including pain), do not consider the perspective of their partner. We present the findings of a qualitative, exploratory interview study (Phase 2 of a mixed methods study). This qualitative phase aimed to explore how young adults with chronic pain and their partners navigate romantic relationships. We focused on how young adults perceive and experience their romantic relationships and the impact, challenges, and benefits associated with living with chronic pain. Methods This study used remote (videoconferencing) photo-elicitation interviews with a convenience sample of young adults with chronic pain (aged 18-25 years, UK and Canada) and their partners. Recruitment occurred via social media, pain-related websites and organizations, and professional networks. Five young adults with chronic pain from the UK and Canada formed the e-Advisory Group and provided detailed advice throughout the study. Data analysis used the principles of inductive reflexive thematic analysis to explore the dimensions and meaning of romantic relationships from the views of young adults with chronic pain and their romantic partners. Findings Sixteen young adults participated (seven couples plus two young adults with pain who were interviewed without their partner). The young adults with chronic pain were ages 18-24 years (mean 21.88 years, SD 2.23). Four major interpretive themes were generated: Kindred spirits-we just sort of work; Loving in everyday acts-it's not above and beyond, it's concerned supportiveness; It's OK to be vulnerable with each other-we can talk it through; and You can't see over the horizon-hopes and fears for the future. Discussion Hopefulness and reciprocity were key to the stories shared by the young adults in the current study. Despite the challenges and limitations imposed by chronic pain, their relationships were characterized by partnership and reciprocity, and they were able to be vulnerable with each other and offer each other support.
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Affiliation(s)
- Bernie Carter
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom
| | - Abbie Jordan
- Centre for Pain Research and Department of Psychology, University of Bath, Bath, United Kingdom
| | - Paula Forgeron
- School of Nursing, University of Ottawa, Ottawa, ON, Canada
| | - Pamela Qualter
- Manchester Institute of Education, University of Manchester, Manchester, United Kingdom
| | - Holly Saron
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom
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Shen Z, Lan R. Agreeableness moderates the association between intimate partner behavior control and intimacy quality. PERSONALITY AND INDIVIDUAL DIFFERENCES 2023. [DOI: 10.1016/j.paid.2023.112179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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25
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Halpern-Meekin S, Turney K. Romantic Unions and Mental Health: The Role of Relationship Churning. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2023; 64:243-260. [PMID: 36259176 DOI: 10.1177/00221465221126091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The stress process perspective suggests that romantic relationship transitions can be stressors that impair mental health. Research on romantic relationships and mental health has ignored one common stressor, on-again/off-again relationships, or churning. Using five waves of data from the Fragile Families and Child Wellbeing Study (N = 3,176), we examine associations between relationship churning and mothers' mental health. We find that mothers experiencing relationship churning have worse mental health than mothers in stably together relationships, net of characteristics associated with selection into relationship instability; these associations persist over four years. Mothers experiencing relationship churning have similar mental health as their counterparts who experience union dissolution (with or without repartnering). Current relationship status and quality explain some of the differences between churning and stably together mothers. Findings emphasize attending to multiple types of family stressors-even stressors and instability in ongoing relationships-and the micro-level ecological factors that shape mental health.
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Wong JJ, Timko C, Heinz AJ, Cronkite R. Sharing the Blues: Longitudinal Influences of Depression within Couples. CONTEMPORARY FAMILY THERAPY 2023. [DOI: 10.1007/s10591-023-09664-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
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27
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Yew RY, Hooley M, Stokes MA. Factors of relationship satisfaction for autistic and non-autistic partners in long-term relationships. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2023; 27:13623613231160244. [PMID: 36924337 PMCID: PMC10576901 DOI: 10.1177/13623613231160244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
LAY ABSTRACT Previous research has found that autistic people report lower satisfaction in their romantic relationships compared to non-autistic people. However, the majority of this research has focused on autistic traits as barriers to relationship satisfaction, while overlooking the role of their partners in these relationships. Our study explored a range of factors in both autistic people and non-autistic partners of autistic people and how they may be linked to long-term relationship satisfaction. These factors included social and communication skills, personality traits, social loneliness, partner responsiveness, and sexual satisfaction. We found that partner responsiveness was a strong predictor of relationship satisfaction for both autistic and non-autistic partners, suggesting that rather than focusing intervention solely on the autistic person, the role of their partner should also be considered. Service providers who work with couples involving an autistic person to enhance their relationship satisfaction could focus on assisting their clients to identify each other's needs and how best to meet them.
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Benjamin SN, Crandall AL, Hirsch JS. Sex 101: A Rapid Review of Research in the United States on the Impacts of College Sexual Health Curricula. SEX EDUCATION 2023; 24:272-289. [PMID: 38390516 PMCID: PMC10881205 DOI: 10.1080/14681811.2023.2171001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 01/18/2023] [Indexed: 02/24/2024]
Abstract
Comprehensive sexuality education (CSE) has been shown to have a wide range of positive impacts for K-12 students. Despite its demonstrated benefits, many K-12 students in the USA do not receive CSE. Because of this, college may be an opportune time to teach this information. However, little is known about the impact of CSE at institutions of higher education. To synthesise knowledge about the impacts of college-level sexual health courses in the USA, a review of the topic was conducted. A review searching Ebscohost, ProQuest, PubMed, and Google Scholar was undertaken. Following the search, a second coder reviewed the articles to confirm eligibility. 13 articles, published between 2001 and 2020, met the inclusion criteria and were included in the review. A wide range of outcomes were reported. These included increased health promoting behaviours, less homophobic and judgemental attitudes around sexuality, improved communication and relationships, and increased understanding of sexual violence. College sexual health courses have high potential efficacy to provide CSE and fill gaps in US students' sexual health knowledge. Future research should corroborate the existing outcomes using randomisation and more diverse samples and examine whether these courses are effective in preventing sexual assault.
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Affiliation(s)
- Shoshana N. Benjamin
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University New York, NY, USA
| | - Amy L. Crandall
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University New York, NY, USA
| | - Jennifer S. Hirsch
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University New York, NY, USA
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Westrupp EM, Bennett C, Berkowitz T, Youssef GJ, Toumbourou JW, Tucker R, Andrews FJ, Evans S, Teague SJ, Karantzas GC, Melvin GM, Olsson C, Macdonald JA, Greenwood CJ, Mikocka-Walus A, Hutchinson D, Fuller-Tyszkiewicz M, Stokes MA, Olive L, Wood AG, McGillivray JA, Sciberras E. Child, parent, and family mental health and functioning in Australia during COVID-19: comparison to pre-pandemic data. Eur Child Adolesc Psychiatry 2023; 32:317-330. [PMID: 34417875 PMCID: PMC8379590 DOI: 10.1007/s00787-021-01861-z] [Citation(s) in RCA: 54] [Impact Index Per Article: 54.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 08/13/2021] [Indexed: 02/07/2023]
Abstract
The COVID-19 pandemic presents significant risks to population mental health. Despite evidence of detrimental effects for adults, there has been limited examination of the impact of COVID-19 on parents and children specifically. We aim to examine patterns of parent and child (0-18 years) mental health, parent substance use, couple conflict, parenting practices, and family functioning during COVID-19, compared to pre-pandemic data, and to identify families most at risk of poor outcomes according to pre-existing demographic and individual factors, and COVID-19 stressors. Participants were Australian mothers (81%) and fathers aged 18 years and over who were parents of a child 0-18 years (N = 2365). Parents completed an online self-report survey during 'stage three' COVID-19 restrictions in April 2020. Data were compared to pre-pandemic data from four Australian population-based cohorts. Compared to pre-pandemic estimates, during the pandemic period parents reported higher rates of parent depression, anxiety, and stress (Cohen's d = 0.26-0.81, all p < 0.001), higher parenting irritability (d = 0.17-0.46, all p < 0.001), lower family positive expressiveness (d = - 0.18, p < 0.001), and higher alcohol consumption (22% vs 12% drinking four or more days per week, p < 0.001). In multivariable analyses, we consistently found that younger parent age, increased financial deprivation, pre-existing parent and child physical and mental health conditions, COVID-19 psychological and environmental stressors, and housing dissatisfaction were associated with worse parent and child functioning and more strained family relationships. Our data suggest wide-ranging, detrimental family impacts associated with the COVID-19 pandemic; and support policy actions to assist families with financial supports, leave entitlements, and social housing.
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Affiliation(s)
- E M Westrupp
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia.
- Department of Paediatrics, University of Melbourne, Victoria, Australia.
- Judith Lumley Centre, La Trobe University, Victoria, Australia.
| | - C Bennett
- Judith Lumley Centre, La Trobe University, Victoria, Australia
| | - T Berkowitz
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - G J Youssef
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Murdoch Children's Research Institute, Victoria, Australia
| | - J W Toumbourou
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - R Tucker
- Deakin HOME Research Hub, Victoria, Australia
| | - F J Andrews
- Deakin HOME Research Hub, Victoria, Australia
| | - S Evans
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - S J Teague
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - G C Karantzas
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - G M Melvin
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Centre for Educational Development Research and Appraisal, University of Warwick, Coventry, UK
| | - C Olsson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Department of Paediatrics, University of Melbourne, Victoria, Australia
- Murdoch Children's Research Institute, Victoria, Australia
| | - J A Macdonald
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Department of Paediatrics, University of Melbourne, Victoria, Australia
- Murdoch Children's Research Institute, Victoria, Australia
| | - C J Greenwood
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - A Mikocka-Walus
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - D Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Murdoch Children's Research Institute, Victoria, Australia
- The National Drug and Alcohol Research Centre, University of Sydney, New South Wales, Australia
| | - M Fuller-Tyszkiewicz
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - M A Stokes
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - L Olive
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- IMPACT Institute, School of Medicine, Faculty of Health, Deakin University, Victoria, Australia
| | - A G Wood
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- College of Health and Life Sciences, Aston University, Birmingham, UK
| | - J A McGillivray
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
| | - E Sciberras
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, 221 Burwood Highway, Geelong, VIC, 3216, Australia
- Department of Paediatrics, University of Melbourne, Victoria, Australia
- Murdoch Children's Research Institute, Victoria, Australia
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Rosenbach N, Sokol Y, Rosensweig C, Bernstein D, Salamon MJ, Schechter I. Struggles in the Orthodox Jewish shidduch dating system-A large-scale qualitative analysis. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:486-506. [PMID: 35869957 DOI: 10.1002/jcop.22921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 12/25/2021] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
Marriage is an important life goal and is highly valued among Orthodox Jews. Shidduch dating refers to the arranged dating system that is typically used within the community. Previous research and anecdotal evidence suggest that the shidduch system has become difficult and challenging for many individuals, yet there is a dearth of evidence on the subject. This study set out to explore issues related to dating and marriage within the Orthodox Jewish community using a large sample size. Participants included 889 Orthodox individuals across diverse demographic groups who responded to an optional question within a larger survey inquiring about their thoughts and experiences on the subject. An inductive qualitative analysis was conducted, and this paper focuses on the seven most prevalent themes that emerged. These themes include issues related to superficial criteria in mate selection, gender segregation, perceived surplus of females, pressure to marry before feeling ready, the formal structure of shidduch dating, the exclusion of specific groups from the process and lack of education in areas of intimacy and sexuality. This study is important in promoting clinical awareness regarding the struggles that many Orthodox Jewish daters face and underscores the need for communal change addressing these issues.
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Affiliation(s)
- Naomi Rosenbach
- Department of Clinical Psychology, Hofstra University, Hempstead, New York, USA
| | - Yosef Sokol
- Department of Clinical Psychology, Icahn School of Medicine at Mt. Sinai, New York, New York, USA
| | - Chayim Rosensweig
- Ferkauf Graduate School of Psychology, Yeshiva University, New York, New York, USA
| | - Devorah Bernstein
- Department of Clinical Psychology, The Feeling Good Institute, New York, New York, USA
| | - Michael J Salamon
- Department of Clinical Psychology, ADC Psychological Services, Hewlett, New York, USA
- Department of Clinical Psychology, North Shore University Hospital, a division of Northwell Health, Manhasset, New York, USA
| | - Isaac Schechter
- Department of Clinical Psychology, Achieve Behavioral Health, New York, New York, USA
- Department of Clinical Psychology, Institute for Applied Research and Community Collaboration (ARCC Institute), New York, New York, USA
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Benham-Clarke S, Ewing J, Barlow A, Newlove-Delgado T. Learning how relationships work: a thematic analysis of young people and relationship professionals' perspectives on relationships and relationship education. BMC Public Health 2022; 22:2332. [PMID: 36514023 PMCID: PMC9745266 DOI: 10.1186/s12889-022-14802-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 10/17/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Relationships in various forms are an important source of meaning in people's lives that can benefit their health, wellbeing and happiness. Relationship distress is associated with public health problems such as alcohol misuse, obesity, poor mental health, and child poverty, whilst safe, stable, and nurturing relationships are potential protective factors. Despite increased emphasis on Relationship Education in schools, little is known about the views of relationship professionals on relationship education specifically, and how this contrasts with the views of young people (YP). This Wellcome Centre for the Cultures and Environments of Health funded Beacon project seeks to fill this gap by exploring their perspectives and inform the future development of relationship education. METHODS We conducted focus groups with YP (n = 4) and interviews with relationship professionals (n = 10). The data was then thematically analysed. RESULTS Themes from YP focus groups included: 'Good and bad relationships'; 'Learning about relationships'; 'the role of schools' and 'Beyond Relationship Education'. Themes from interviews with relationship professionals included: 'essential qualities of healthy relationships'; 'how YP learn to relate' and 'the role of Relationship Education in schools'. CONCLUSIONS YP and relationship professionals recognised the importance of building YP's relational capability in schools with a healthy relationship with oneself at its foundation. Relationship professionals emphasised the need for a developmental approach, stressing the need for flexibility, adaptability, commitment and resilience to maintain relationships over the life course. YP often presented dichotomous views, such as relationships being either good or bad relationships, and perceived a link between relationships and mental health. Although not the focus of current curriculum guidance, managing relationship breakdowns and relationship transitions through the life course were viewed as important with an emphasis on building relational skills. This research suggests that schools need improved Relationship Education support, including specialist expertise and resources, and guidance on signposting YP to external sources of help. There is also potential for positive relationship behaviours being modelled and integrated throughout curriculums and reflected in a school's ethos. Future research should explore co-development, evaluation and implementation of Relationship Education programmes with a range of stakeholders.
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Affiliation(s)
- Simon Benham-Clarke
- grid.8391.30000 0004 1936 8024School of Education, University of Exeter, Exeter, UK ,grid.8391.30000 0004 1936 8024School of Medicine and Health, University of Exeter, St Luke’s Campus, Room 2.05, South Cloisters, Exeter, EX1 2LU UK
| | - Jan Ewing
- grid.8391.30000 0004 1936 8024Law School, University of Exeter, Exeter, UK
| | - Anne Barlow
- grid.8391.30000 0004 1936 8024School of Medicine and Health, University of Exeter, St Luke’s Campus, Room 2.05, South Cloisters, Exeter, EX1 2LU UK
| | - Tamsin Newlove-Delgado
- grid.8391.30000 0004 1936 8024School of Medicine and Health, University of Exeter, St Luke’s Campus, Room 2.05, South Cloisters, Exeter, EX1 2LU UK
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Hynek KA, Abebe DS, Liefbroer AC, Hauge LJ, Straiton ML. The association between early marriage and mental disorder among young migrant and non-migrant women: a Norwegian register-based study. BMC Womens Health 2022; 22:258. [PMID: 35761261 PMCID: PMC9237981 DOI: 10.1186/s12905-022-01836-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 06/16/2022] [Indexed: 11/10/2022] Open
Abstract
Background Marriage is considered beneficial for mental health when stable and of high quality. Yet, it is unclear whether marriage is equally advantageous for everyone regardless of marital timing or migrant background. This study aimed to investigate the association between early marriage and mental disorder, defined by outpatient mental healthcare (OPMH) service use, and whether the association varies between migrant and non-migrant women.
Methods Using data from four Norwegian national registers, we applied discrete-time logistic regression analyses to study the aims of interest, among 602 473 young women aged 17–35 years. All women were followed from 2006 or the year they turned 17, and until first OPMH consultation, 2015 (study end), the year they turned 35, when emigrated, died, or changed marital status from married to separated, divorced, or widowed. Results Results show that unmarried and early married women had increased odds of mental disorder when compared to on-time married women. However, the differences between the early and on-time married women were explained by differences in educational level. There was no significant interaction between marital status and migrant background. Conclusions Differences in mental health between early- and on time married women are attributed to poorer educational attainment of women who marry early. Furthermore, migrant background seems to have a limited role in the association between marital timing and mental disorder. The promotion of formal education among young women could contribute to the accumulation of socioeconomic and psychosocial resources, thus, reducing the risk of mental disorder, also among early married women. Supplementary Information The online version contains supplementary material available at 10.1186/s12905-022-01836-5.
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Jennings EA, Chinogurei C, Adams L. Marital experiences and depressive symptoms among older adults in rural South Africa. SSM - MENTAL HEALTH 2022; 2:100083. [PMID: 36277994 PMCID: PMC9581082 DOI: 10.1016/j.ssmmh.2022.100083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
This paper advances the understanding of how marital transitions may influence mental health by investigating these associations among a population of rural, Black South Africans aged 40+ that was directly impacted by apartheid. Using two waves of data from 4,176 men and women in Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI), we investigated associations between marital experiences and depressive symptoms, by gender, and explored whether economic resources is a moderator of these associations. We found that experiencing a marital dissolution was associated with more depressive symptoms than remaining married for both men and women. We also found that men, but not women, report greater depressive symptoms if they remained separated/divorced, remained widowed, or remained never married between waves. We found no evidence that a decline in wealth moderated the impact of marital dissolution on depressive symptoms for women or men. These findings suggest that the documented benefits of marriage for mental health, and differences by gender in those benefits, may extend to older, rural South Africans, despite the unique experiences of this population.
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Affiliation(s)
- Elyse A. Jennings
- Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, USA
- Corresponding author.
| | - Chido Chinogurei
- School of Public Health and Family Medicine, University of Cape Town, South Africa
| | - Leslie Adams
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Relações entre a saúde mental e a conjugalidade de gestantes primíparas. PSICO 2022. [DOI: 10.15448/1980-8623.2022.1.38230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Este estudo avaliou as relações entre variáveis sociodemográficas, saúde mental da mulher e conjugalidade durante a gestação. Participaram desta pesquisa correlacional 50 mulheres primíparas, que coabitavam com o genitor do bebê e que estavam no segundo ou terceiro trimestre de gestação do primeiro filho. Os sintomas de transtornos mentais comuns foram avaliados pelo Self-Reporting Questionnaire (SRQ-20) e os sintomas depressivos pelo Inventário Beck de Depressão (BDI-I). A conjugalidade foi avaliada com a Escala de Ajustamento Diádico. Os resultados de testes de correlação e de comparação de grupos mostraram que a presença de sintomas de transtornos mentais comuns e de depressão esteve associada a menor nível de ajustamento diádico. Discute-se a importância de identificar problemas na saúde mental da mulher e no ajustamento diádico durante a gestação, para favorecer o bem-estar da tríade mãe-pai-bebê na transição para a parentalidade.
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Jennings EA, Farrell M, Liu Y, Montana L. Associations between cognitive function and marital status in the U.S., South Africa, Mexico, and China. SSM Popul Health 2022; 20:101288. [DOI: 10.1016/j.ssmph.2022.101288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 10/11/2022] [Accepted: 11/09/2022] [Indexed: 11/19/2022] Open
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Westrupp EM, Greenwood CJ, Fuller-Tyszkiewicz M, Olsson CA, Sciberras E, Mikocka-Walus A, Melvin GA, Evans S, Stokes MA, Wood AG, Karantzas GC, Macdonald JA, Toumbourou JW, Teague SJ, Fernando JW, Berkowitz TS, Ling M, Youssef GJ. Parent and child mental health trajectories April 2020 to May 2021: Strict lockdown versus no lockdown in Australia. Aust N Z J Psychiatry 2022; 56:1491-1502. [PMID: 34930045 DOI: 10.1177/00048674211065365] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To control a second-wave COVID-19 outbreak, the state of Victoria in Australia experienced one of the world's first long and strict lockdowns over July-October 2020, while the rest of Australia experienced 'COVID-normal' with minimal restrictions. We (1) investigate trajectories of parent/child mental health outcomes in Victoria vs non-Victoria and (2) identify baseline demographic, individual and COVID-19-related factors associated with mental health trajectories. METHODS Online community sample of 2004 Australian parents with rapid repeated assessment over 14 time-points over April 2020 to May 2021. Measures assessed parent mental health (Depression, Anxiety and Stress Scales-21), child depression symptoms (13-item Short Mood and Feelings Questionnaire) and child anxiety symptoms (four items from Brief Spence Children's Anxiety Scale). RESULTS Mental health trajectories shadowed COVID-19 infection rates. Victorians reported a peak in mental health symptoms at the time of the second-wave lockdown compared to other states. Key baseline predictors, including parent and child loneliness (standardized regression coefficient [β] = 0.09-0.46), parent/child diagnoses (β = 0.07-0.21), couple conflict (β = 0.07-0.18) and COVID-19 stressors, such as worry/concern about COVID-19, illness and loss of job (β = 0.12-0.15), predicted elevated trajectories. Effects of predictors on parent and child mental health trajectories are illustrated in an online interactive app for readers (https://lingtax.shinyapps.io/CPAS_trend/). CONCLUSION Our findings provide evidence of worse trajectories of parent and child mental health symptoms at a time coinciding with a second COVID-19 outbreak involving strict lockdown in Victoria, compared to non-locked states in Australia. We identified several baseline factors that may be useful in detecting high-risk families who are likely to require additional support early on in future lockdowns.
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Affiliation(s)
- Elizabeth M Westrupp
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Judith Lumley Centre, La Trobe University, Burwood, VIC, Australia
| | - Christopher J Greenwood
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Craig A Olsson
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
| | - Emma Sciberras
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
| | - Antonina Mikocka-Walus
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Glenn A Melvin
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK
| | - Subhadra Evans
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Mark A Stokes
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Amanda G Wood
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia.,College of Health and Life Sciences, Aston University, Birmingham, UK
| | - Gery C Karantzas
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Jacqui A Macdonald
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
| | - John W Toumbourou
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia
| | - Samantha J Teague
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Julian W Fernando
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Tomer S Berkowitz
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - Mathew Ling
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia
| | - George J Youssef
- School of Psychology Deakin University Geelong Australia.,Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, VIC, Australia.,Murdoch Children's Research Institute, Melbourne, VIC, Australia
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Pauly T, Lüscher J, Berli C, Scholz U. Dynamic associations between stress and relationship functioning in the wake of COVID-19: Longitudinal data from the German family panel (pairfam). JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2022; 39:3183-3203. [PMID: 38603129 PMCID: PMC9047667 DOI: 10.1177/02654075221092360] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
Individuals all across the world experienced significant disruptions in their personal and family life with the outbreak of the new coronavirus disease 2019 (COVID-19). The current study investigated dynamic associations between stress and relationship functioning over time in the face of the COVID-19 pandemic. Perceived stress, relationship satisfaction, and relationship quality (appreciation, intimacy, conflict) were reported by 1483 young to middle-aged participants who were in a romantic relationship and lived with their partner in 2018/2019 and in May-July 2020 (a few months after the onset of COVID-19). Data were analyzed using bivariate latent change score models. Relationship functioning (satisfaction, appreciation, intimacy) showed small decreases from before to during the pandemic. Contrary to expectations, levels of perceived stress also decreased on average from before to during the pandemic. Changes in relationship functioning were correlated with changes in stress over time, so that participants with greater decreases in relationship satisfaction, appreciation, and intimacy and greater increases in conflict from before to during the pandemic showed lesser decreases/greater increases in stress. Higher pre-pandemic relationship satisfaction was associated with greater decreases/lesser increases in stress from before to during the pandemic. Pre-pandemic levels of other measures of relationship functioning or stress were not associated with changes in outcomes over time. Results add to the literature demonstrating that stress is closely intertwined with the functioning of intimate relationships. Furthermore, they suggest that greater relationship satisfaction may serve as a protective factor for stressful life events.
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Affiliation(s)
- Theresa Pauly
- Department of Psychology, University of Zurich, Zurich, Switzerland
- University Research Priority
Program “Dynamic of Healthy Aging”, University of Zurich, Zurich, Switzerland
| | - Janina Lüscher
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Corina Berli
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Urte Scholz
- Department of Psychology, University of Zurich, Zurich, Switzerland
- University Research Priority
Program “Dynamic of Healthy Aging”, University of Zurich, Zurich, Switzerland
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38
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Sisson NM, Willroth EC, Le BM, Ford BQ. The Benefits of Living With Close Others: A Longitudinal Examination of Mental Health Before and During a Global Stressor. Clin Psychol Sci 2022; 10:1083-1097. [PMID: 36398105 PMCID: PMC9663493 DOI: 10.1177/21677026211053320] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 06/17/2021] [Indexed: 11/22/2023]
Abstract
For better or worse, the people one lives with may exert a powerful influence on one's mental health, perhaps especially during times of stress. The COVID-19 pandemic-a large-scale stressor that prompted health recommendations to stay home to reduce disease spread-provided a unique context for examining how the people who share one's home may shape one's mental health. A seven-wave longitudinal study assessed mental health month to month before and during the pandemic (February through September 2020) in two diverse samples of U.S. adults (N = 656; N = 544). Preregistered analyses demonstrated that people living with close others (children and/or romantic partners) experienced better well-being before and during the pandemic's first 6 months. These groups also experienced unique increases in ill-being during the pandemic's onset, but parents' ill-being also recovered more quickly. These findings highlight the crucial protective function of close relationships for mental health both generally and amid a pandemic.
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Affiliation(s)
| | - Emily C. Willroth
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine
| | - Bonnie M. Le
- Department of Psychology, University of Rochester
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Barton AW, Lavner JA, Sutton NC, Smith SM, Beach SRH. African Americans' relationship quality and depressive symptoms: A longitudinal investigation of the Marital Discord Model. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:1061-1072. [PMID: 35099234 PMCID: PMC9665872 DOI: 10.1037/fam0000967] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The present study was designed to examine the complex bidirectional associations between relationship quality and depressive symptoms among African American couples. Informed by the Marital Discord Model, particular attention was devoted to understanding the unique associations of positive and negative dimensions of relationship functioning with depressive symptoms over time, the time frames over which these effects occur, and the model's applicability for African American couples. One hundred seventy-four African American couples (N = 348 individuals) provided information on depressive symptoms, relationship satisfaction, ineffective arguing, and partner support four times over a 25-month period. Hypotheses were tested using Random-Intercept Cross-Lagged Panel Models to separate between- and within-person effects. Results indicated that between-person associations with depressive symptoms were significant for relationship satisfaction (negative association) and ineffective arguing (positive association), but not partner support. Within-person concurrent effects were also significant with depressive symptoms and each of the relationship processes under investigation. Within-person 8-month lagged effects were only significant for partner support and depressive symptoms (negative association); these effects were significant in both directions, but stronger from support to depressive symptoms than from depressive symptoms to support. Study findings provide increased conceptual and analytic precision for understanding the association between couples' relationship quality and African Americans' mental health, including malleable relationship factors that can be targeted in family-focused interventions to promote individual and couple well-being. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Allen W. Barton
- Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign
| | | | - Naya C. Sutton
- Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign
| | - Shardé McNeil Smith
- Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign
| | - Steven R. H. Beach
- Department of Psychology, University of Georgia, Athens
- Center for Family Research, University of Georgia, Athens
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40
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Jaurequi ME, Kimmes JG, Ledermann T, Seibert G, Pocchio K, Tawfiq D. Relationship satisfaction and sleep problems among college students: Serial indirect effects via relationship mindfulness and negative emotional symptoms. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:2143-2151. [PMID: 33258741 DOI: 10.1080/07448481.2020.1845183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 10/25/2020] [Indexed: 06/12/2023]
Abstract
ObjectiveThis study examined relationship mindfulness and negative emotional symptoms as serial mediators between relationship satisfaction and sleep problems. Participants: Participants were 242 college students currently in a romantic relationship recruited from a large southeastern university. Methods: Participants completed self-report measures of relationship satisfaction, relationship mindfulness, negative emotional symptoms and sleep disturbances. Serial mediation analyses were conducted, covarying age and attachment orientations. Results: Students who reported higher relationship satisfaction experienced lower sleep problems. Helping explain this association a significant serial mediation model was supported by which relationship mindfulness and subsequent negative emotional symptoms mediated relationship satisfaction and sleep problems. Conclusions: The degree to which a person is more mindful during interactions with a romantic partner appears to play a key role in how relationship satisfaction and negative emotional symptoms are linked to sleep problems.
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Affiliation(s)
- Matthew E Jaurequi
- Department of Family and Consumer Sciences, California State University Long Beach, Long Beach, California, USA
| | - Jonathan G Kimmes
- Department of Family and Child Sciences, Florida State University, Tallahassee, Florida, USA
| | - Thomas Ledermann
- Department of Family and Child Sciences, Florida State University, Tallahassee, Florida, USA
| | - Gregory Seibert
- Department of Psychiatry, University of California San Diego, La Jolla, California, USA
| | - Kinsey Pocchio
- Department of Family and Child Sciences, Florida State University, Tallahassee, Florida, USA
| | - Dania Tawfiq
- Department of Family and Child Sciences, Florida State University, Tallahassee, Florida, USA
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41
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Bahamondes J, Barrientos J, Guzmán-González M, Garrido-Rojas L, Gómez F, Espinoza-Tapia R. The negative effects of internalized homonegativity on sexual satisfaction: dyadic effects and gender-based differences in Chile. JOURNAL OF LESBIAN STUDIES 2022; 27:22-40. [PMID: 36103623 DOI: 10.1080/10894160.2022.2122197] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Heterosexism is not only expressed through sexual prejudice as an external stressor, but also as an internalized rejection toward one's own (and others') sexually diverse identity. That is, lesbian women and gay men themselves internalize negative societal attitudes toward their sexual orientation and identity-a phenomenon called internalized homonegativity. A wealth of research shows that internalized homonegativity negatively affects the health and social adjustment of gay and lesbian people. However, the literature has documented this trend from an individual (over a dyadic) perspective, and largely among gay (over lesbian) samples. To address this oversight, we analyzed data from 210 gay and lesbian couples in Chile to examine both actor and partner effects of internalized homonegativity on their sexual satisfaction. Results from moderation analyses from an actor-partner interdependence model (APIM) approach show that partners' internalized homonegativity negatively affects actor sexual satisfaction, a pattern significantly moderated by gender; that is, only observed among lesbian couples. Our results further demonstrated that these effects hold above and beyond the actor and partner effects of age and relationship satisfaction, as well as relationship length. These results are consistent with the broader literature, which discusses the specific features of internalized homonegativity in lesbian women, characterized-among other aspects-by restrictive social demands over their sexuality. Accordingly, our findings highlight the deleterious relational consequences of internalized homonegativity and offer a relevant empirical contribution to the understanding of specific minority stress dynamics among lesbian women.
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Affiliation(s)
- Joaquín Bahamondes
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
| | - Jaime Barrientos
- Escuela de Psicología, Universidad Alberto Hurtado, Santiago, Chile
| | | | | | - Fabiola Gómez
- Escuela de Psicología, Pontificia Universidad Católica, Santiago, Chile
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42
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The partner in the plate: the association between changes in partnership status and protein consumption among older people in Europe. AGEING & SOCIETY 2022. [DOI: 10.1017/s0144686x22001040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Abstract
Experiencing a change in partnership status at older ages might have detrimental effects on an individual's habits, including eating behaviours. Prior studies presented evidence that widowhood is related to altered diets with a decrease in the amount of protein consumed, which is considered to be an important risk factor of frailty among older people. Using data from Waves 4–8 of the Survey of Health, Ageing and Retirement in Europe (N = 134,313), we investigate the association between stability and changes in partnership status and changes in the frequency of protein consumption at older ages. We also explore the potential moderating role played by changes in economic resources. Having never been married, being divorced and being widowed were significantly associated with a lower frequency of protein consumption among both men and women. The transition to widowhood was significantly associated with a reduction in the frequency of protein consumption, while this same association was not found in the transition to divorce. Subjective evaluation of economic resources did not moderate the relationship between changes in partnership status and frequency of protein consumption. In short, changes in eating behaviours after having experienced the loss of a partner due to widowhood might contribute to accounting for health differentials between those ageing alone and those with a partner.
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43
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Mitchell EA, Roberson PNE, Amer Z, Garcia DJ, Cordova JV, Gordon KC. Couple variables predicting retention in a brief intervention and research. FAMILY PROCESS 2022; 61:1180-1194. [PMID: 35605638 DOI: 10.1111/famp.12783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 04/13/2022] [Accepted: 04/14/2022] [Indexed: 06/15/2023]
Abstract
Therapy is an effective form of treatment for couple distress; yet, research shows that 20%-60% of couples terminate treatment prematurely. Predictors of couple retention in therapy and research are unclear, particularly for couples from marginalized populations, which has important implications for the quality and generalizability of research results, and the benefits derived from therapy are limited when participants are not retained. The purpose of this study (N = 1310) was to identify couple-level variables that predict (1) retention in a brief, two-session couple intervention (The Relationship Checkup) delivered as a home visitation program and (2) retention in research participation at 1- and 6-month follow-up. Hypotheses were tested using a two-level multi-level model. Couples are significantly less likely to be retained in the brief intervention if (1) at least one partner identifies as Asian, Pacific Islander, or Native American, (2) at least one partner identifies as Hispanic/Latinx, or (3) both partners report mental or emotional health as a concern in their relationship. Couples are significantly less likely to be retained in research if (1) at least one partner identifies as Asian, Pacific Islander, or Native American (1 month only), (2) at least one partner identifies as Hispanic/Latinx (1 and 6 months), (3) if either partner reports clinically significant relationship distress at baseline (1 and 6 months), or (4) if either partner reports relationship aggression at baseline (6 months only). These findings are discussed with relevance to clinicians and researchers to recruit and retain more diverse and marginalized participants in couple interventions and follow-up research.
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Affiliation(s)
- Erica A Mitchell
- College of Education, Health, and Human Sciences, The University of Tennessee, Knoxville, Tennessee, USA
| | | | - Zahra Amer
- Psychology Department, The University of Tennessee, Knoxville, Tennessee, USA
| | - Darren J Garcia
- The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - James V Cordova
- Francis L. Hiatt Department of Psychology, Clark University, Worchester, Massachusetts, USA
| | - Kristina Coop Gordon
- College of Education, Health, and Human Sciences, The University of Tennessee, Knoxville, Tennessee, USA
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Bar‐Shachar Y, Lopata S, Bar‐Kalifa E. Relationship satisfaction during COVID-19: The role of partners' perceived support and attachment. FAMILY RELATIONS 2022; 72:FARE12767. [PMID: 36246206 PMCID: PMC9539370 DOI: 10.1111/fare.12767] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 06/24/2022] [Accepted: 07/10/2022] [Indexed: 05/31/2023]
Abstract
Objective The main goal of this study was to examine the interplay between individuals' attachment insecurity and their perceptions of their partners' COVID-related behaviors (supportive and negative behaviors) in predicting their relationship satisfaction. Background Stress is a well-documented risk factor for relationship satisfaction. COVID-19 related stressors thus pose a challenge to maintaining relationship satisfaction. Although partners' supportive behaviors can play a central role in mitigating these stressors, enduring individual vulnerabilities, such as attachment insecurity, are likely to moderate the effectiveness of supportive (or negative) behaviors. Method In this two-wave study, conducted at the start of the COVID-19 pandemic in Israel, 239 participants in cohabiting Israeli couples reported their current relationship satisfaction and perceived partners' supportive and negative behaviors in response to COVID-related stress. Participants' pre-COVID reports of relationship satisfaction and attachment orientations were used to assess the extent to which partners' supportive/negative behaviors interacted with attachment orientations to predict relationship satisfaction maintenance during the first lockdown in Israel. Results Higher levels of support and lower levels of negative behaviors were associated with greater relationship satisfaction maintenance. Anxiously attached individuals showed greater sensitivity to their partners' support, whereas avoidantly attached individuals manifested lower reactivity to their partners' negative behaviors. Conclusions Perceived partners' supportive and negative behaviors can predict relationship satisfaction during stressful times. However, high attachment anxiety and low attachment avoidance may render individuals more sensitive to such behaviors. Implications The results suggest that during times of stress, it is essential to target partners with attachment insecurity to strengthen their supportive skills.
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Affiliation(s)
- Yael Bar‐Shachar
- The Department of PsychologyBen‐Gurion University of the NegevBeer‐ShevaIsrael
| | - Sagi Lopata
- The Department of PsychologyBen‐Gurion University of the NegevBeer‐ShevaIsrael
| | - Eran Bar‐Kalifa
- The Department of PsychologyBen‐Gurion University of the NegevBeer‐ShevaIsrael
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45
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Siegel M, Randall AK, Lannutti PJ, Fischer MS, Gandhi Y, Lukas R, Meuwly N, Rosta-Filep O, van Stein K, Ditzen B, Martos T, Schneckenreiter C, Totenhagen CJ, Zemp M. Intimate Pride: a Tri-Nation Study on Associations between Positive Minority Identity Aspects and Relationship Quality in Sexual Minorities from German-Speaking Countries. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2022; 8:1-29. [PMID: 35936990 PMCID: PMC9344453 DOI: 10.1007/s41042-022-00070-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 07/01/2022] [Indexed: 11/29/2022]
Abstract
Investigations into the intimate relationships of sexual minorities are proliferating, but often adopt a deficit-oriented and US-centered perspective. In this tri-nation online study with sexual minority participants from Austria, Germany, and Switzerland (N = 571), we (i) assessed the construct validity of the German version of a well-known measure for positive minority identity aspects (the Lesbian, Gay, Bisexual Positive Identity Measure; LGB-PIM), and (ii) explored associations between these aspects (self-awareness, authenticity, community, capacity for intimacy, and social justice) and self-reported relationship quality. Model fit of the German version of the LGB-PIM was deemed acceptable. Higher levels of positive minority identity aspects showed small to moderate associations with higher levels of relationship quality in bivariate analyses, but only capacity for intimacy was linked to relationship quality in higher-order models (controlling for country, age, sexual orientation, gender identity, relationship length, and psychological distress). Results remained robust in several sensitivity analyses. Our results highlight the differential role of positive identity aspects for relationship functioning, with capacity for intimacy as a fruitful leverage point for therapeutic work.
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Affiliation(s)
- Magdalena Siegel
- Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
- Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
| | - Ashley K. Randall
- Counseling and Counseling Psychology, Arizona State University, Tempe, USA
| | | | - Melanie S. Fischer
- Institute of Medical Psychology, Heidelberg University Hospital & Heidelberg University, Heidelberg, Germany
| | - Yuvamathi Gandhi
- Counseling and Counseling Psychology, Arizona State University, Tempe, USA
| | - Raphaela Lukas
- Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
| | - Nathalie Meuwly
- Department of Psychology, Institute for Family Research and Counseling, University of Fribourg, Fribourg, Switzerland
| | | | - Katharina van Stein
- Institute of Medical Psychology, Heidelberg University Hospital & Heidelberg University, Heidelberg, Germany
| | - Beate Ditzen
- Institute of Medical Psychology, Heidelberg University Hospital & Heidelberg University, Heidelberg, Germany
| | - Tamás Martos
- Department of Personality, Clinical and Health Psychology, University of Szeged, Szeged, Hungary
| | | | - Casey J. Totenhagen
- Human Development and Family Studies, University of Alabama, Tuscaloosa, USA AL
| | - Martina Zemp
- Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
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46
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Sisson NM, Wang GA, Le BM, Stellar JE, Impett EA. When We're Asked to Change: The Role of Suppression and Reappraisal in Partner Change Outcomes. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2022; 39:2388-2407. [PMID: 35872975 PMCID: PMC9294439 DOI: 10.1177/02654075221078881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Receiving a request to change from a romantic partner can evoke intense emotional responses that hinder change progress and conflict resolution. As such, investigating how those being asked to change (i.e., change targets) regulate their emotions through key intrapersonal strategies (i.e., suppression and reappraisal) will lend crucial insight into promoting change success. Utilizing laboratory-interaction (Study 1; N = 111 couples) and experience-sampling methods (Study 2; N = 2178 weekly reports from an 8-week diary), we assessed targets' regulation strategies, change progress, and the extent to which they met their partner's ideals. Preregistered analyses demonstrated that targets' use of suppression was not linked to better or worse change outcomes. However, targets' use of reappraisal was linked to better change outcomes as rated by both partners. Additional analyses revealed that targets' suppression was linked to targets meeting their partner's ideals more in the short term but less over time, whereas targets' reappraisal was linked to targets meeting their partner's ideals more in both the short term and over time. These findings highlight reappraisal as a key strategy for promoting successful partner change.
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Leung T, Dacus JD, Johnson MO. Relationship Quality and Health Among Black Same-Sex Male Couples: Protocol for a Symbolic Netnography Study. JMIR Res Protoc 2022; 11:e29589. [PMID: 35657652 PMCID: PMC9206204 DOI: 10.2196/29589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 02/06/2022] [Accepted: 03/08/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Across a range of studies, health scientists have found that being in a romantic relationship can have positive and negative influences on one's health. A couple's health outcomes are often influenced by relationship quality-or how they perceive the positive or negative character of their relationship. These findings have important implications for how scientists and interventionists may leverage romantic relationships facilitating good health among couples. However, in general, couples research has not included Black same-sex male couples in large enough numbers to make previous studies' findings relevant to them. This represents a gap in the scientific literature and, more importantly, a missed opportunity to understand how romantic relationships influence health for a group that must navigate distinct, multilevel health and social inequities. OBJECTIVE This study aims to (1) decode and understand the ways in which Black same-sex male couples express their romantic relationships in virtual contexts via symbolic indicators, (2) determine how Black same-sex male couples describe the quality of their romantic relationships, and (3) explore how Black same-sex male couples make meaning of their relationship quality and its impact on their relational and individual health. METHODS We will use joint dyadic interviews embedded within a symbolic netnography research design to accomplish our aims. We will use grounded theory to analyze our qualitative data. We will then triangulate our findings to determine how well they answer our research questions. RESULTS This study received ethical approval on October 8, 2020 and we began data collection in November 2020. Results are expected to be available no later than December 31, 2022. CONCLUSIONS This study will apply novel symbolic netnographic qualitative methods to further our understanding of Black same-sex male couples' romantic relationships and how they contribute to their health. The findings will be used to develop programs to improve Black same-sex male couples' health in community and virtual settings. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/29589.
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Affiliation(s)
| | - Jagadīśa-Devaśrī Dacus
- Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, United States
| | - Mallory O Johnson
- Department of Medicine, University of California, San Francisco, San Francisco, CA, United States
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Radavelli-Bagatini S, Sim M, Blekkenhorst LC, Bondonno NP, Bondonno CP, Woodman R, Dickson JM, Harms C, Magliano DJ, Shaw JE, Daly RM, Hodgson JM, Lewis JR. Higher Consumption of Fruit and Vegetables Is Associated With Lower Worries, Tension and Lack of Joy Across the Lifespan. Front Nutr 2022; 9:837066. [PMID: 35586735 PMCID: PMC9108498 DOI: 10.3389/fnut.2022.837066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/11/2022] [Indexed: 12/03/2022] Open
Abstract
Background and Aims Higher total fruit and vegetable (FV) intakes have been associated with lower perceived stress. However, the relationship of FV intake with domains of perceived stress is unclear. The aim of this cross-sectional study was to explore the relationship between consumption of FV and four perceived stress domains (worries, tension, lack of joy and demands) in a population-based cohort of Australian adults. Methods Participants (n = 8,640) were men and women aged ≥25 years from the Australian Diabetes, Obesity and Lifestyle (AusDiab) Study. Dietary intake was assessed using a 74-item validated Food Frequency Questionnaire. Perceived stress domains were determined using a validated 20-item version of the Perceived Stress Questionnaire, with higher scores representing higher perceived stress. Cut-offs for high perceived stress domains were obtained from the highest quartiles of each domain for each sex. Multivariable-adjusted logistic regression was performed to investigate cross-sectional associations. Results The mean age of participants (50.1% females) was 47.8 (SD 15) years. Those with higher intakes of FV, combined and separately, had a significantly lower odds (16–36%) for higher worries, tension and lack of joy, independent of other lifestyle factors. Conclusion In Australian adults, higher consumption of FV was associated with lower odds of worries, tension and lack of joy. Following the dietary guidelines for the recommended intake of FV may help improve feelings of worries, tension and lack of joy, which are linked to mental health problems.
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Affiliation(s)
- Simone Radavelli-Bagatini
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- *Correspondence: Simone Radavelli-Bagatini
| | - Marc Sim
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Medical School, The University of Western Australia, Perth, WA, Australia
| | - Lauren C. Blekkenhorst
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Medical School, The University of Western Australia, Perth, WA, Australia
| | - Nicola P. Bondonno
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Danish Cancer Society Research Centre (DCRC), Copenhagen, Denmark
| | - Catherine P. Bondonno
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Medical School, The University of Western Australia, Perth, WA, Australia
| | - Richard Woodman
- Flinders Centre for Epidemiology and Biostatistics, Flinders University, Adelaide, SA, Australia
| | - Joanne M. Dickson
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- School of Arts and Humanities (Psychology), Edith Cowan University, Perth, WA, Australia
| | - Craig Harms
- School of Arts and Humanities, Psychology and Criminology, Edith Cowan University, Perth, WA, Australia
| | - Dianna J. Magliano
- Diabetes and Population Health, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
- Clinical Diabetes and Epidemiology, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
| | - Jonathan E. Shaw
- Diabetes and Population Health, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Robin M. Daly
- School of Exercise and Nutrition Science, Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC, Australia
| | - Jonathan M. Hodgson
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Medical School, The University of Western Australia, Perth, WA, Australia
| | - Joshua R. Lewis
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Medical School, The University of Western Australia, Perth, WA, Australia
- Centre for Kidney Research, School of Public Health, Sydney Medical School, Children's Hospital at Westmead, The University of Sydney, Sydney, NSW, Australia
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49
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Cienfuegos-Szalay J, Moody RL, Talan A, Grov C, Rendina HJ. Sexual Shame and Emotion Dysregulation: Key Roles in the Association between Internalized Homonegativity and Sexual Compulsivity. JOURNAL OF SEX RESEARCH 2022; 59:610-620. [PMID: 34410183 PMCID: PMC8976551 DOI: 10.1080/00224499.2021.1963649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Sexual minority men (SMM) are at increased risk for mental health problems due to effects of sexual minority stigma (e.g., internalized homonegativity (IH)). Both IH and emotion dysregulation are contributors to sexual compulsivity; however, the role of feelings of sexual shame have not been examined in this association. A sample of 982 HIV-negative SMM completed online surveys (Mage = 42.4, SD = 13.74). Path analyses indicated significant direct effects of IH on sexual shame (β = 0.44, p < .001), emotion dysregulation (β = 0.19, p < .001), and sexual compulsivity (β = 0.22, p < .001). Modeled simultaneously, the association between sexual shame and sexual compulsivity (β = 0.26, p < .001) was significant, as was the association between emotion dysregulation and sexual compulsivity (β = 0.27, p < .001). Finally, an indirect effect of IH on sexual compulsivity through both sexual shame (p < .001) and emotion dysregulation (p < .001) was significant, and the association between IH and sexual compulsivity was reduced to non-significant (β = 0.01, p = .74). Targeting feelings of sexual shame and emotion dysregulation in clinical interventions may help reduce the negative health impact of sexual compulsivity among SMM.
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Affiliation(s)
- Jorge Cienfuegos-Szalay
- Department of Psychology, Hunter College of the City University of New York (CUNY)
- Health Psychology and Clinical Science PhD Program, The Graduate Center of the City University of New York (CUNY)
| | - Raymond L Moody
- Department of Psychology, Hunter College of the City University of New York (CUNY)
- Health Psychology and Clinical Science PhD Program, The Graduate Center of the City University of New York (CUNY)
| | - Ali Talan
- Department of Psychology, Hunter College of the City University of New York (CUNY)
| | - Christian Grov
- Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy
| | - H Jonathon Rendina
- Department of Psychology, Hunter College of the City University of New York (CUNY)
- Health Psychology and Clinical Science PhD Program, The Graduate Center of the City University of New York (CUNY)
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Banandur P, Gopalan K, Pai SG, Arelingaiah M, Velu RS, Garady L, Koujageri JM, Naik V, Sajjanar SL, Ramesh MS, Srinivas K, Gopalkrishna G. Factors affecting relationship issues among clients attending youth mental health promotion services in India. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:123. [PMID: 35677259 PMCID: PMC9170197 DOI: 10.4103/jehp.jehp_809_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 09/02/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND India today is home for the largest youth population in the world. Youth is a formative phase transitioning from childhood to adulthood. Relationship is fundamental for a healthy and satisfactory life. Relationships assume importance and maturity during adolescence and youth. Relationships and mental health have a bidirectional effect. The effect of relationships on mental health is stronger than vice versa. MATERIALS AND METHODS Two-year case record analysis of 8595 beneficiaries aged 15-35 years attending youth guidance centers (Yuva Spandana Kendras) in Karnataka, India, was undertaken to understand factors affecting relationship issues among them. Multivariate logistic regression was performed with any beneficiary having a relationship issue as outcome. RESULTS Being a student (adjusted odds ratio [AOR] = 1.49; 95% confidence interval [CI] = 1.18-1.89), occupation (AORbusiness/salaried = 3.04; 95% CI = 2.10-4.40 and AORothers = 1.72; 95% CI = 1.22-2.44), marital status (AORmarried = 1.42; 95% CI = 1.06-1.90 and AORothers = 3.44; 95% CI = 1.45-8.15), having health and lifestyle issues (AOR = 3.61; 95% CI = 3.05-4.27), personality issues (AOR = 2.88; 95% CI = 2.43-3.41), safety issues (AOR = 6.28; 95% CI = 5.01-7.87), gender, sex, and sexuality issues (AOR = 3.10; 95% CI = 1.93-4.98), suicidality (AOR = 1.82; 95% CI = 1.17-2.85), alcohol use (AOR = 5.43; 95% CI = 3.92-7.41), and different emotions experienced (AOR ranging from 0.37 to 3.50), had significant association with relationship issues. CONCLUSION Investing in health promotion interventions focusing on these precursors of relationship issues among youth seems strategic. Our findings have implications for other states in India and other low-middle-income countries like India.
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Affiliation(s)
- Pradeep Banandur
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
| | - Kalpana Gopalan
- Department of Youth Empowerment and Sports, Government of Karnataka, Bengaluru, Karnataka, India
| | - Shikha G. Pai
- Department of Psychology, APS University, Rewa, Madhya Pradesh, India
| | - Mutharaju Arelingaiah
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
| | - R. Sathya Velu
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
| | - Lavanya Garady
- Department of International Centre for Public Health Innovations, RAMAIAH, Bengaluru, Karnataka, India
| | - Jyoti M. Koujageri
- Management and Commerce, CMR Institute of Management Studies, Bengaluru, Karnataka, India
| | - Vani Naik
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
| | - Sateesh L. Sajjanar
- Department of Youth Empowerment and Sports, Government of Karnataka, Bengaluru, Karnataka, India
| | - M. S. Ramesh
- Department of Youth Empowerment and Sports, Government of Karnataka, Bengaluru, Karnataka, India
| | - K. Srinivas
- Department of Youth Empowerment and Sports, Government of Karnataka, Bengaluru, Karnataka, India
| | - Gururaj Gopalkrishna
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
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