This study was designed to explore the cognitive-perceptual roots of attrition from substance abuse treatment. Previous research on interpersonal issues among substance abusers and attachment theory suggested areas for investigation: the perception of early parental care, current interpersonal functioning, and perception of the substance abuse treatment program.

Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.

Guided by attachment theory and principles of positive psychology, a conceptual model was developed depicting the direct and indirect effects of attachment insecurity, state hope, belongingness, and meaning in life on wellness indicators (i.e., life satisfaction, physical health, and depression) of first generation Latino immigrants in the U.S. Specifically, the present study proposed that the effects of attachment insecurity on Latino immigrants' wellness would be mediated by two tiers of factors. The first tier consisted of state hope (i.e., general state hope, spiritual state hope, mastery state hope) and sense of belonging (i.e., general belongingness; connectedness with mainstream/ethnic community), which represented individual-level and relational factors, respectively, salient in Latino culture. Greater attachment insecurity was hypothesized to contribute to a compromised MIL and poorer wellness by decreasing state hope and sense of belongingness. A total of 352 first-generation Latino immigrants from Texas participated in this study. The exploratory factor analysis on the Experiences in Close Relationships Scale revealed a two-factor factor structure that is different from the two factors of adult attachment typically found with American samples (i.e., anxiety and avoidance). The emerged two factors represent anxious-distancing attachment and comfort-seeking attachment. Results from structural equation modeling analysis showed adequate model fit …

The effect of psychoeducation on opinions about mental illness, attitudes toward help seeking, and expectations about psychotherapy were investigated. One group served as a control, one group read a written lecture on information about mental illness, and one group read a written lecture on information about psychotherapy. The control group, and experimental groups immediately after reading the lecture, completed demographic information, Attitudes Toward Help Seeking-Short Form, Expectations About Counseling-Brief Form, Nunnally Conceptions of Mental Illness Questionnaire, and three College Adjustment Scales (Depression, Anxiety, Self Esteem). Participants were asked to complete the same measures four weeks after the initial assessment. Results: No significant improvement in attitudes toward help seeking was demonstrated in either experimental group, at either time of testing. Expectations about psychotherapy were significantly improved in both experimental groups, which remained significant at Time 2. Opinions about mental illness demonstrated an immediate significant improvement in attitudes with the mental illness lecture group, however this effect did not remain at Time 2. The psychotherapy lecture group did not have significantly improved opinions about mental illness at either time of testing. The control group did not produce any significant changes between Time 1 and Time 2 testing. Experimental group scores demonstrated similarity …

The purpose of this study was to explore the effects of perceived family competence on late adolescent problem-solving abilities, family relationships, and affective experience. Specific areas of interest were perceived confidence in problem-solving and approach rather than avoidance of problems; intergenerational intimacy, intergenerational individuation, and personal authority in the family system as the adolescent relates to parents; and level of depression. Subjects were 256 late adolescents whose parents were still married and living together. Results indicated that perceived family competence had an effect on the dependent variables in the expected directions. Specifically, individuals who scored high on perceived family competence were high on perceived problem-solving confidence, approached problem-solving, were high on intergenerational intimacy, intergenerational individuation, and personal authority in relation to parents, and had less depression than individuals low on perceived family competence. Several sex differences were noted. Females had significantly higher approach to problem-solving than did males. Women reported significantly higher intergenerational intimacy with parents than did men. There was a significant interaction on personal authority such that for the high perceived family competence group, women scored higher than men. However, there were no significant differences between males and females in the low perceived family competence group.

In the United States, familial caregivers provide approximately 80% of the long term elderly care and are at risk for mental health problems. As family members provide care, relationships shift from mutual support to increasing dependency on the caregivers, who in turn often experience a shift in self-concept from their prior relational role to include identification as caregiver for the care recipient. Affectional solidarity, or emotional relationship quality, can influence how caregivers experience their shifting role in relationship to a loved one. The study examined whether role importance is associated with caregiver depression over time, and tested the moderating role of affectional solidarity in this association. A subset of caregivers (N = 57) from the Longitudinal Study of Generations constituted the sample from which role importance, affectional solidarity, and Center for Epidemiological Studies Depression reports were analyzed using longitudinal hierarchical regression. Findings did not support hypotheses. Results suggested that affectional solidarity may be important to consider among familial caregivers as a potential protective factor for depression. Implications for future research and practitioners are discussed.

This study investigated the relationship between the depressive attributional style described by Beck and Seligman and elevation of mood. It was proposed that mood elevation would reduce the level of depression and, in addition, would reduce the number of negative attributions. The reduction of negative attributions was assumed to be a more cognitively mediated process and was proposed to occur subsequent to mood change. These assumptions are contrary to the current cognitive theories of depression and attribution which view attributional style as a prerequisite to both the development and reduction of depression. Subjects were 30 undergraduate students between the ages of 19 and 40 years old who volunteered to participate in the study. They were screened on the basis of demonstrated depression (13 and above on the Beck Inventory) and susceptibility to hypnosis (high susceptibility on the Harvard Group Scale of Hypnotic Susceptibility) . Subjects were randcmly assigned to one of three groups; (1) hypnosis with mood elevation, (2) hypnosis with relaxation, and (3) no treatment control. The results supported the hypothesis that mood elevation would reduce level of depression. The mood elevation group demonstrated a lowering of depression. The effects of the treatment procedure did not appear until the …

Attempts to measure self concept in the elderly have been characterized by a variety of differing definitions of self concept, and differing methodological procedures. Previous investigations have used instruments which are stereotypic and not ecologically valid for elderly, test formats which make excessive demands on some elderly persons' cognitive and sensory-motor abilities, and administration procedures which penalize the less psychologically sophisticated older person, factors precluding adequate assessment of self concept in the elderly. In order to address the limitations of previous research, the present investigation developed and tested the Ecological Q-sort, a self concept instrument designed especially for use with the elderly. Items for the Ecological Q-sort were life situations which were ecologically representative and meaningful for older persons as self-defined by them. Two forms of the Ecological Q-sort were developed: the pictorial form consisting of pictorial representations of situations plus one sentence descriptions of situations; another form consisted of only one sentence written descriptions of situations.

The purpose of the present study was to compare 42 community-dwelling spouse and child Alzheimer's Disease caregivers with 38 community-dwelling potential caregivers on salience of illness symptoms, and accuracy of judging symptoms of illnesses.

Client self-acceptance is a crucial element of mental health and a goal of psychotherapy. It has been demonstrated that client self-disclosure in psychotherapy is instrumental in the promotion of self-acceptance. Reflection, probing, and paradoxical therapist responses frequently are used to elicit self-disclosure. Cognitive dissonance theory was used to provide a theoretical understanding of these techniques and their use in the promotion of self-acceptance. Reflection, probing, and paradoxical responses were conceptualized as providing a client with different perceptions of choice over self-disclosure that may affect the occurrence of self-acceptance. This study compared the effects of the reflection, probing, and paradoxical techniques on self-acceptance and anxiety following self-disclosure.

The purpose of this study was to functionally define and empirically test a model of psychological distress for mothers of children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD). This model delineates characteristics of the child, the parent, and the environment that may affect mothers' psychological symptomatology.

Traditionally, body image research has focused on young women. However, there are indications of cultural shifts which extend physical appearance pressures to both men and women, as well as to middle-aged and older adults. Two hundred and ten subjects were administered objective body image measures including the Figure Rating Scale, the Body Shape Questionnaire, and the Multidimensional Body-Self Relations Questionnaire, as well as projective measures including the Holtzman Inkblot Technique and the Draw-A-Person. The NEO-Five Factor Inventory and the Social Anxiety Subscale were also used to explore variables which might covary with body image. A 3 X 2 X 2 Multivariate Analysis of Covariance (MANCOVA) was utilized with social desirability as the covariate.

The acquirement of a disability (e.g., spinal cord injury, traumatic brain injury, amputation, multi trauma) is a risk factor for psychological disturbance (e.g., depression). Research has established that social support and secure attachment are protective factors against psychological disturbance. Attachment patterns have also been associated with differences in perceived social support. Secure attachment and higher perceived social support have been implicated in greater levels of resilience but need to be validated with a population of individuals who have acquired a disability. The Experiences in Close Relationships, Social Provisions Scale, Connor-Davidson Resilience Scale, Personal Health Questionnaire - 9 Depression Scale, and a Demographic were administered to 102 adult inpatients at a rehabilitation hospital undergoing an individualized rehabilitation program. Two MANOVAs were conducted to examine the direct associations of attachment classifications with the major dependent variables, as well as the various social support subscales. Path analysis tested two mediational models suggested by literature. Model 1 assessed the mediating role of attachment anxiety and attachment avoidance on the effect of social support on depression and resilience. Model 2 assessed the mediating role of social support on the effect of attachment anxiety or attachment avoidance on depression and resilience. Partial support was obtained for …

To investigate the effects of emotional arousal on information processing strategy, three different moods (sadness, anger, and happiness) were hypnotically induced at three different levels of intensity (high, medium, and low) in 29 male and female undergraduate students, while engaging them in a visual information processing task. Subjects were screened for hypnotic susceptibility and assigned to either a high susceptibility group or low susceptibility group to account for the attentional bias associated with this trait. All subjects were trained to access the three emotions at the three levels of intensity. During separate experimental sessions, subjects were hypnotized, and asked to access a mood and experience each level of intensity while being administered the Navon Design Discrimination Task, a measure of global and analytic visual information processing. Scores were derived for global processing, analytic processing, and a percentage of global to analytic processing for each level of mood and intensity. Two (hypnotic susceptibility) x 3 (emotion) x 3 (intensity level) repeated measures ANOVAs were computed on the global, analytic, and percentage scores. In addition, two separate ANCOVAs were computed on each dependent measure to account for the effects of handedness, and cognitive style. None of these analyses revealed significant main effects …

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 …

This study explored the caregiving styles of 306 grandparents raising grandchild across three ethnic groups (164 European Americans, 65 Latinos, and 77 African Americans). Significant differences were found in caregiving styles between European Americans and African Americans. Caregiver appraisal (burden, satisfaction, and Mastery) was found to be predictive of caregiving style across the entire sample, and differentially by ethnic group. Caregiver style was predictive of grandchild functioning across the entire sample, and differentially by ethnic group. Lastly, caregiver style was found to be predictive of grandparent well-being across the entire sample, and differentially by ethnic group. Implications are discussed in terms of the complex, multidimensional and culturally embedded nature of the caregiving experience and the importance of considering culture for optimal outcomes.

The present study examined the links between whole family interaction patterns, parent-child attachment, and child emotional adjustment in a sample of 86 community families with children between the ages of 8 and 11. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Target children completed the Children’s Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005), and the Behavior Assessment System for Children- 2nd Edition, Self Report of Personality (BASC-2 SRP; Reynolds &Kamphaus, 2004). Results of hierarchical regressions indicated that Secure and Avoidant attachment each independently predicted children’s emotional symptoms in some models. Family Cohesion and Positive Affect moderated the relationship between father-child attachment and children’s emotional symptoms. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and treating children’s emotional outcomes.

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 purpose of this study was to examine how parental separation is related to eating disturbances and assertiveness in females who struggle with bulimic symptoms. Two-hundred ninety-two undergraduate females from the University of North Texas comprised the subject group. Using pen and paper measures of assertiveness, bulimia, and parental separation, support was found for the prediction that there would be a relationship between assertiveness and parental separation. Likewise, partial support was found for the prediction that there would be a relationship between bulimia and parental separation. Parental separation was found to affect levels of bulimia and assertiveness. Finally, it was found that subjects endorsed greater emotional independence from fathers than from mothers.

Given the centrality of body dissatisfaction in the manifestation of health risk behaviors (e.g., eating disorders, muscle dysmorphia) and psychological distress in men, the ability to measure it accurately is essential. Across two studies, the psychometric properties and factor structure of a new measure of male body satisfaction were established. The Body Parts Satisfaction Scale for Men (BPSS-M) was found to have three scores: full body muscularity and leanness (18 items), upper body (12 items), and legs (4 items). All three scores were internally and temporally reliable, and support was found for the convergent, discriminant, and concurrent validity of the scores. The BPSS-M represents an advance in the measurement of male body image, providing researchers and clinicians with a versatile and valid way to assess this important construct.

Extant literature has provided evidence suggesting that ethnic minority individuals experiencing discrimination report poor mental health outcomes, including depression, anxiety, and an overall lower sense of belongingness with the majority culture, but empirical research examining how ethnic identity affects this relationship is extremely scarce. The first goal of the current study was to replicate the results of previous studies demonstrating a strong relationship between discrimination and selected wellbeing indicators: meaning in life, American affirmation, depression, and life satisfaction. The second goal of the study was to examine a moderation model and two moderated moderation models that depict the relationships among adult attachment, the affective component of ethnic identity, exploration and commitment to ethnic identity, and wellbeing indicators. Data was collected from 206 students who were recruited from undergraduate psychology courses. Findings provided partial support to the direct effects of discrimination on various wellbeing indicators but did not support the moderating effect of ethnic identity. Additionally, adult attachment, ethnic identity, and discrimination were not found to significantly interact, but the relationship between discrimination, ethnic identity, and American affirmation was found to be significantly moderated by the affective component of ethnic identity. Discussion on the findings, limitations of the study, future research …

The purpose of this project was to clarify the methodological considerations involved in the posttreatment follow-up evaluation of alcohol-abuse patients. A two-part project was undertaken in an attempt to answer the follow-up questions of how and when to measure treatment effects with discharged alcoholics. In Part I, a large-scale survey was utilized to examine return rates across various program evaluation methods and time frames. In Part II, the predictive validity of scores received at short-term follow-up in relation to scores received at 1-year follow-up was assessed for measures of psychosocial functioning and alcohol consumption.

The term dementia refers to a progressive decline in cognitive functioning resulting in a significant impairment in daily living. Given the devastating impacts of the disease and lack of a cure, it is reasonable to expect people fear developing a dementia. Alzheimer's disease ranks high among the most feared diseases in national samples of the American population. As a topic of study, little is known about the determinants of fear of Alzheimer's disease and how this fear may change as a function of aging, time, or experience. The current study sought to fill this gap by investigating the nature of changes in fear of Alzheimer's disease by following participants (N = 227) over the course of two years. Volunteers completed measures on fear of dementia, knowledge about Alzheimer's disease, knowledge about the aging process, personality traits, memory self-efficacy, anxiety about aging, and Alzheimer's-related experiences (i.e., family history, caregiving experience, number of people known with the disease, personal diagnosis, etc.). Results supported the notion that fear for becoming a burden to others, a component of fear of dementia, decreased over the two years. In addition, personality traits and memory self-efficacy mediated the two-year change in concerns about perceived symptoms of cognitive …