The purpose of the following study was to evaluate sexual trauma and the effects on women veteran's quality of life ratings and current and past coping strategies. Participants were screened for sexual trauma history and divided into five mutually exclusive categories: 1)childhood sexual trauma, 2)civilian adult sexual trauma, 3)military sexual trauma, 4)multiple sexual trauma, and 5)no sexual trauma. Results of the study were mixed, retaining some hypotheses and rejecting others. Results regarding differences in QOL for the sexual trauma groups were rejected, as none of the QOL analyses were significant. Issues of small effect size for the QOL measure and low power to detect differences are discussed as limitations in the current study. Several significant findings were detected in the coping analyses. As predicted, the no trauma group was found to use significantly more approach coping strategies than the sexual trauma group for the past problem. Additionally, the sexual trauma group used significantly more avoidant coping techniques for past problem than the no trauma group. No between group differences were detected for sexual trauma type, however, several significant differences emerged in the comparisons of the multiple sexual trauma and military sexual trauma group's past coping compared to the no sexual …

Grandparent-Grandchild Attachment as a Predictor of Psychological Adjustment among Youth from Divorced Families

The purpose of this study was to determine whether or not children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD) or Central Auditory Processing Disorder (CAPD) can be distinguished from one another on the basis of both objective and subjective assessment of attention and behavior. First, children and adolescents diagnosed with ADHD, CAPD, and concomitant ADHD/CAPD were compared to participants with emotional problems on measures of attention/concentration, depression, anxiety, and parental reports of internalzing and externalizing behaviors. Overall, statistical analyses did not reveal significant differences between performances of children diagnosed with ADHD and those diagnosed with CAPD. However, clinical comparisons across groups of children diagnosed with ADHD, CAPD, comorbid ADHD/CAPD and Affective Disorders revealed condition-specific clinical profiles, thus providing some support for CAPD as a distinct clinical entity. Second, exploratory cluster analysis was performed to further investigate the relationship between ADHD and CAPD. This procedure lead to the identification of four distinct clusters. However, analyses of these clusters revealed no distinct pattern of performance for children diagnosed with either ADHD or CAPD. Rather, participants with these diagnoses were evenly distributed throughout the clusters. Additionally, no cluster clearly represented the expected clinical profile for a diagnosis of CAPD- namely, significant auditory attentional/processing problems …

It has only been in recent years that eating disorder researchers have begun focusing on sexual orientation as a variable that may affect prevalence rates. Heeding the call for studies that extend beyond identification of fixed eating disorder risk factors (e.g., gender), this study was designed to explore factors that contribute to the development of disordered eating among lesbians. In this study, a hypothesized Lesbian Model of Disordered Eating was tested using structural equation modeling. Lesbian Sexual Identity and Social Supports were hypothesized to positively influence Psychological Health. In addition, Internalization of U.S. Societal Norms of beauty and attractiveness was hypothesized to negatively affect Psychological Health. Psychological Health, in turn, was hypothesized to negatively influence Body Image Concerns. Body Image Concerns was then hypothesized to positively affect Disordered Eating. The fit of the model was evaluated and one of the hypothesized pathways, Internalization of Norms was moved to directly predict Body Image Concerns. After adjusting the model, the model accounted for 54% of the variance in disordered eating. Most notably, the results highlight the potential affects of adopting a positive lesbian identity on disordered eating and underscore the importance of including sexual identity as a demographic variable in studies of …

This study examined the distinct effects of partner violence and psychological abuse on women's mental health over time. Latent growth modeling was used to examine stability and change over time, evaluating the course and consequences of each form of abuse. The size of women's social support network was examined as a mediator. The sample consisted of 835 African American, Euro-American, and Mexican American low-income women. Participants who completed Waves 1, 2, 3, and 5 were included in the study (n = 585). In general, partner violence decreased over time for all groups, while psychological abuse decreased over time for only Euro-American women. Whereas initial and prolonged exposure to psychological abuse was related to and directly impacted women's mental health, partner violence was only related to initial levels of mental health. Surprisingly, social support was only related to initial violence and distress and had no impact on the rate of change over time. These results have important implications for researchers and health care professionals. First, differences in the pattern of results were found for each ethnic group, reaffirming the notion that counselors and researchers must be sensitive to multicultural concerns in both assessment and intervention. For example, psychological abuse had a …

The present study compared the career development concerns and other vocationally relevant variables of employees of organizations who have and have not engaged in downsizing within a one year timeframe. The sample consisted of 162 participants, 72 layoff survivors (those who remained in an organization after its downsizing) and 92 non-survivors (employees in organizations who have not downsized within 12 months). Significant results were found that differentiated the career related experiences of participants in the survivors group, survivors from non-survivors, and participants in general regardless of survivorship status. In general, results indicated that non-survivors reported greater job satisfaction and job security than layoff survivors, that being married with children may increase job satisfaction, and social support may buffer the grief reactions that survivors have to the loss of their co-worker friends. Furthermore, Super's age-associated stages within the Life-Span, Life-Space Theory were moderately upheld in the sample, especially for the Exploration stage. However, younger workers demonstrated more Maintenance concerns that would be predicted by the theory. A discussion of the relevant literature is included as well as possible explanations of the results, small sample size, and implications for future research.

Certain sport environments may contribute to the development of disordered eating and those that heavily emphasize weight and/or body shape can be particularly damaging to an athlete's body image, self-concept, and eating behaviors. In particular, female athletes in collegiate sports are at a greater risk for engaging in unhealthy behaviors because they face both societal pressures from Western culture to be thin, in addition to sport pressures that focus on performance and appearance. According to the American Medical Association almost half of American women are trying to lose weight, illustrating that societal pressures alone to be thin and attractive can influence the development of disordered eating. Athletes are exposed to the same sociocultural pressures as their nonathlete counterparts, and would be expected to have similar feelings about their bodies as women in general. Add subsequent pressures like team "weigh-ins," coaches' body comp preferences, judges' critiques, revealing attire, and endurance/strength demands, and the stage is set for the development of disordered eating. In the current study, participants were 414 Division-I female gymnasts, swimmers/divers, and they completed self-report measures assessing sport pressures, body satisfaction and disordered eating behavior to test Petrie & Greenleaf's etiological model. Results indicate that sport pressures do lead …

The current study assessed 125 conjugally bereaved persons using multiple self-report measures as indicators of personal adjustment and bereavement distress across three times of testing (initial, 6-month, and 3-year follow-up). Cross-lagged panel analyses were conducted to examine the causal relationships between adjustment and bereavement distress indicators and overall factors. Exploratory factor analyses indicate measures of adjustment load on a single Adjustment factor and measures of bereavement distress load on a single Grief factor. Considering results using composite scores for each variable, adjustment was significantly more predictive of bereavement distress than bereavement distress was predictive of adjustment for both Time 1 to Time 3 and Time 2 to Time 3. Adjustment issues measured by indicators such as the UCLA, POMS, HSC, BDI, and RSES significantly influenced the extent of grief symptoms as measure by the BEQ and the severity of scope of grief symptoms as assessed by the IOLQ.

This study examined the relationship between physical health, social support, and depression in a married, middle-aged/older adult sample in which at least one partner has heart disease. The data was obtained from a national longitudinal study the Health and Retirement Survey (HRS) and is composed of selected respondents and their spouses. The HRS Wave 1 data that was used for these analyses was collected in 1992 and 1993. This study tested a stress buffer model predicting the relationship between physical health, social support, and depression. For study inclusion, participants must have been diagnosed with cardiovascular disease and received treatment in the last year. A heart disease construct was developed by calculating the level of disease by the number of conditions and medical treatments received within the last year. A second health category for other chronic health conditions included diabetes, arthritis, cancer, and chronic pain. These constructs were combined into a total disease construct, which provided a broad measure of health problems typical of an older adult population. Social support was determined by respondents' satisfaction with friends, neighbors, family, their marriage, and enjoyable time spent with their spouse. Social support was subdivided into two constructs separating spousal support from social support …

Minimal empirical research using longitudinal data to explore integrative models of eating disorder development exists. The purpose of this study was to further explore multidimensional models incorporating parental attachment, history of stress, appraisal/coping processes, internalization of the thin-ideal, negative affect, body image, and eating disordered behavior using prospective, longitudinal data. The models were evaluated using 238 participants who completed an initial series of self-report questionnaires during their first semester in college and completed follow-up questionnaires 6 months and 18 months later. Structural equation modeling was used to examine the relationships among the factors. Analyses confirmed that college freshman with insecure parental attachment relationships and those with a history of previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition; these conditions predicted increased negative affect and increased eating disturbances. Women who reported experiencing negative affect and those that endorsed internalization of the thin-ideal also reported higher levels of body dissatisfaction; these women engaged in more disordered eating attitudes and behaviors. A second model investigating negative affect as mediating the relationship between the appraisal/coping process and eating disturbances also revealed that experiencing difficulties with the transition to college predicted later …

In the current study, I examined the general sociocultural model of eating disorders that suggests that sociocultural pressures leads to internalization, which in turn leads to body dissatisfaction and ultimately disordered eating. Because I am testing this model with a sample of African American women, I also am including acculturation as a variable of interest. Specifically, I hypothesized that (a) the experience of more societal pressure to be thin will be related to greater internalization, (b) higher levels of acculturation will be related to greater internalization, (c) internalization of the thin ideal will be directly and positively related to body image concern, and (d) body image concern will be associated with higher levels of disordered eating. It was determined that there is a direct, negative relationship between Level of Identification with Culture of Origin and Internalization. Perceived Pressure was directly and positively related to both Internalization and Body Image Concerns. Body Concerns and Internalization were both directly and positively related to Disordered Eating. These findings suggest that although many of the same constructs related to disordered eating in other ethnic groups are also related to disordered eating among African American women, the relationships between the factors differs across racial/ethnic groups. …

The research of Stice et al. (1994) and Stice and Shaw (1994) proposed several mechanisms that may mediate the adverse effects of media exposure to the thin ideal including internalization of the thin-ideal, negative affect, and body dissatisfaction. The purpose of this study was to extend initial research of Stice and Shaw (1994) by incorporating two forms of media (e.g., TV and Magazines) to assess the effects of exposure to the media portrayal of ideal body shape on women's mood, body satisfaction, and internalization of societal values concerning attractiveness. The relation of these variables to bulimic symptomatology was examined. The current study improved upon Stice and Shaw's study (1994) by matching participants' scores on BMI, level of negative affect, and level of body satisfaction before random assignment to the experimental conditions. Female undergraduates aged 18 to 25 years participated in premeasure (N = 198) and post measure (N = 164) conditions. Results from repeated mulitvariate analysis indicated media exposure to ideal-body images demonstrated no significant changes in women's affect, body satisfaction or endorsement of the thin ideal. Indirect support for the sociocultural theory of eating disorders was provided by multiple regression analyses that demonstrated lower levels of satisfaction with size …

Children with Attention Deficit Hyperactivity Disorder (ADHD) tend to experience social functioning problems, with girls more likely to encounter peer rejection than boys. The present study investigated gender differences in child, parent, and teacher perceptions of social functioning among ADHD and control children. Participants included 119 children (ages 6-11) and their parents. Sixty-one children were previously diagnosed with ADHD. Parents, teachers, and children completed measures assessing the child's social functioning. The results indicate that the relationship between ADHD status and social functioning differs as a function of rater. Teachers and parents reported that ADHD children had lower social functioning than controls, while ADHD and control children reported similar levels of social functioning. Gender differences were found on the child self-report, with girls reporting lower social functioning than boys. In ADHD children the relationship between social functioning and comorbid depression differed as a function of rater. Specifically, among ADHD children with depression, parents rated children as having lower social functioning than did children or teachers. In ADHD children without comorbid depression, however, there were no rater differences. Additionally, no rater differences in social functioning were found between ADHD children with and without a comorbid psychiatric condition. Overall, the results of the …

Due to demographic shifts and efforts to recruit culturally diverse professionals, it is plausible that more Caucasians will encounter ethnic minority counselors in the future. Yet, the majority of multicultural literature has only emphasized Caucasian counselors' multicultural counseling competence. Research has rarely discussed how ethic minority counselors influence the perceptions of Caucasian clients. The research purpose was to explore how acculturation and gender of Asian and Caucasian counselors influence Caucasians' perceptions of the counselors and counseling services. With an analog research design, 562 Caucasian college students read 1 of 8 randomly assigned counselor descriptions, which were varied by counselor characteristics, and reported their perceptions on dependent measures: Counselor Rating Form - Short Version (CRF-S), Working Alliance Inventory - Short (WAI-S) and 4 Willingness items. With the Attitudes Toward Seeking Professional Psychological Help - Shortened Form as a covariate, 15 hypotheses were expected that Caucasians would prefer high-acculturated, same sex, and same ethnic counselors tested by simple contrast, while an exploratory question, investigating main and interaction effects among independent variables (counselor ethnicity, acculturation and gender, and participant gender) on dependent measures, was examined by MANCOVA and ANCOVA. Although only 2 of 15 hypotheses showed significance, the exploratory investigation revealed: Caucasian participants …

The sociocultural model of eating pathology is an empirically-supported model explaining eating disorder etiology. The model poses that body dissatisfaction and subsequent eating pathology stems from the unrealistic standards formulated by Westernized society. Although the model has strong empirical support, variables within the model do not account for 100% of the variance in disordered eating. Thus, the current researcher attempted to explore potential moderating factors in the sociocultural model of eating disorders that may help to explain variance currently unaccounted for. In particular, the researcher focused on the relationship between sociocultural internalization and body dissatisfaction, given that this relationship has not been previously explored within the literature. Based on theoretical support, the researcher chose several potential variables to test, including perfectionism, neuroticism, body surveillance, and shame. Primary analyses tested each variable for moderating effects using hierarchical moderated regression, but no significant findings were shown. Results of post hoc analyses showed all variables had significant mediating effects, with the exception of self-oriented perfectionism. The discussion section addresses consistency with previous research, limitations of the present study, treatment implications and guidelines for future research.

This study examined the prevalence of undiagnosed dissociative disorders in a sample of 201 adult patients admitted to a private psychiatric hospital in a major metropolitan city in the south-central United States, over an eight-month period. A screening measure, two blind structured interviews, and a blind clinical interview were employed. The lifetime prevalence of dissociate disorders among the interviewed subjects was 40.8%. More specifically, 7.5% were diagnosed with dissociative identity disorder, 15.4% with dissociative disorder not otherwise specified, 13.4% with dissociative amnesia, and 4.5% with depersonalization disorder. Dissociative fugue was not found in this sample. Cohen's kappa reliability coefficients were computed between the three interview measures, resulting in significant findings for the presence of dissociative identity disorder and dissociative disorder not otherwise specified versus no dissociative disorder. The Cohen's kappa reliability coefficients were as follows: DDIS-DES-T = 0.81; SCID-D-DES-T = 0.76; Clinician-DES-T = 0.74, DDIS-SCID-D = 0.74; DDIS-Clinician = 0.71, and SCID-D-Clinician = 0.56. A meeting was conducted at the end of all subject interviews to discuss discrepant findings between measures. Four additional sub-analyses were performed between dissociative and non-dissociative subjects on DSM-IV variables. Patients diagnosed with a dissociative disorder had higher rates of comorbid major depressive disorder, borderline personality …

Childhood sexual abuse (CSA) is associated with negative outcomes in adulthood, including difficulty in relationships. Research has posited CSA may lead to insecure attachment in survivors, which may be the vehicle by which dysfunctional parent-child relationships develop. The purpose of the proposed study was to examine differences in parenting outcomes between CSA and non-CSA mothers utilizing both observational and self-report methods and to examine the unique impact of CSA on parenting attitudes. Abuse status was determined by scores on the Sexual Abuse subscale of the Childhood Trauma Questionnaire (CTQ), with the CSA group comprised of mothers scoring in the moderate to severe range. Mothers self-reported parenting attitudes on the Parent-Parental Acceptance Rejection Questionnaire/Control (P-PARQ/Control) and the Adult Adolescent Parenting Inventory-2 (AAPI-2), while parental depression was assessed with the revised Beck Depression Inventory (BDI-2). Parenting behaviors were observed by coding the Parent-Child Interaction Assessment (PCIA). Hypotheses were not supported until child gender was considered as a third variable. Results of MANCOVA analyses indicated CSA mothers, but not comparison mothers, exhibited significantly poorer limit-setting skills (h² = .21) with male children compared to female children, but did not self-report these differences. Although not statistically significant, small but potentially meaningful effect sizes were …

Grandparent-headed families are diverse in nature and represent a rapidly growing family type. While challenges facing grandparent caregivers are well documented, less is known about the well-being of their grandchildren, with many early studies relying on small samples of convenience. This study used an existing large national database, the National Survey of America's Families (NSAF), to compare differences in well-being of both children and grandparent caregivers across the independent variables of family type, ethnicity, gender, and age. Findings suggested better mental health and less parental aggravation for caregivers in traditional two parent intact families as compared to grandparents co-parenting in a multi-generation home, skipped generation grandparents (raising their grandchild with no parent present) or single parents. Skipped generation grandparents in particular reported most caregiver aggravation. Child physical health was reported to be worse by skipped generation grandparent caregivers. Behavior problems were reported to be worse for children in grandparent headed households than those in traditional families, particularly for teenagers raised in skipped generation households by their grandmothers. Specific results, limitations and future directions for research on grandparent-headed households were discussed.