One in four adults over the age of 60 suffers from diabetes. Around 85%-90% of individuals who have diabetes suffer from Type II diabetes. The prevalence of individuals with diabetes is expected to increase. This paper addresses the influence spousal support, friend support, and religion all have on diabetes mellitus. Gender difference in relation to spousal support benefits has also received limited attention. The limited amount of studies that have examined gender differences in relation to spousal support and diabetes management indicate that diabetic men benefit the most from spousal support due to their wives active involvement in meal preparation and grocery shopping. The results showed that neither spousal support nor religious salience was significantly related to diabetes management. There were observed gender differences in religious salience (males = 4.84, females = 5.36, p < .001) and positive spousal support (males = 3.19, females = 3.02, p <.001), but none of the major hypotheses were supported.

The concept of decentering originated with Piaget, who defined decentering as a feature of operational thought, the ability to conceptualize multiple perspectives simultaneously. Feffer applied Piaget’s concept of decentering to the cognitive maturity of social content. This study used Feffer’s Interpersonal Decentering scoring system for stories told about TAT pictures to investigate the developmental hierarchy of decentering for children and adolescents. The participants originated from the Berkeley Guidance Study, a longitudinal sample of more than 200 individuals followed for more than 60 years by the Institute of Human Development at the University of California, Berkeley. The hypotheses tested were: (1) chronological age will be positively related to Decentering as reflected in Feffer’s Interpersonal Decentering scores obtained annually between ages 10 and 13 and at 18; (2) children born into higher class homes would have higher Age 12 Decentering scores; (3) children born later in birth order will have higher Age 12 Decentering scores; (4) children whose parents were observed to have closer bonds with their children at age 21 months will have higher Age 12 Decentering scores; (5) adolescents with higher scores from the Decentering Q-sort Scale (derived from adolescent Q-sorts) will have higher Age 12 Decentering scores; and (6) …

Depression is heterogeneous, however, depression measures conceptualize it as homogeneous. To help fulfill NIMH's strategic plan to focus on components of depression, this study analyzed the psychometrics of factor-based subscales in the BDI-II, CES-D, IDAS, and IDS. CCA was also used to explore redundancy across measures. Using a diverse sample of symptomatic undergraduates, this study found the IDAS to be the best measure, with complete DSM-IV symptom coverage and psychometrically sound subscales. The other measures did not have consistent subscales or coverage of symptoms. Furthermore, CCA revealed low levels of redundancy across measures. These results serve to disabuse the field of a perception that different measures of equivalently measure depression. Conversion tables were provided to empirically compare scores from different measures.

The purpose of the current study was to investigate the factor structure of the Spouse Observation Checklist-Revised using attachment theory as an organizational framework. The study used archival data from a community sample of 92 heterosexual childless couples married 1-5 years and 4 lesbian couples (N = 192). Separate exploratory factor analysis on the Perception of Self-Behavior and Perception of Partner-Behavior items revealed symmetrical 4-factor structures with factors reflecting emotional support, physical intimacy, instrumental support, and disengagement. Separate analyses examined associations of the four identified factors with the Experiences in Close Relationships Scale and the Dyadic Adjustment Scale to begin to place the SOC-R within a nomological network.

The eating disorder literature has long suggested that sociocultural experiences specific to women influence development of bulimic pathology; however, models have differed on the type of experiences that are important and what other variables interact with these experiences to lead to eating pathology. Broader sociocultural theory and objectification theory represent two such differing models, and more recently Moradi hypothesized that integrating elements from both models would provide a better picture of eating disorder development. The present study, therefore, sought to compare these three different models of bulimic pathology development to determine which one provides the best explanation for bulimic outcomes. The sample consisted of 682 undergraduate women between the ages of 18 and 24, recruited from a large southwestern university. Data were collected on-line using a series of questionnaires to measure the constructs of interest and analyzed using structural equation modeling. All three models fit the data well and explained approximately 50% of bulimic outcomes; however, the model based on Moradi’s integrated model provided the most information about the relationships between constructs within the model. The development of bulimic symptomatology appears best explained by a model that focuses on the sociocultural experience of pressures about weight and body size, but …

Experiential avoidance (EA) is a process in which a person attempts to avoid, dismiss, or change experiences such as emotions, behaviors, and thoughts. EA is associated with a number of psychological disorders and is generally harmful to psychological well-being. Various studies have explored the role of EA as a mediator, while others have studied EA as a moderator. The current study aimed to further understand and broaden the knowledge of the role of EA in regard to trauma, substance abuse, aggression, and impulsivity by examining relationships between these variables with EA as a mediator and as a moderator. Experientially avoidant behaviors (i.e., substance abuse, aggression, and impulsivity) were related to higher levels of EA. EA was found to partially mediate the relationship between the number of traumatic experiences and posttraumatic stress disorder (PTSD) symptoms, as well as the relationship between substance abuse and PTSD. EA was also found to moderate the relationship between PTSD symptoms and aggression. Findings from the present study as well as its limitations and future directions for research are discussed.

Previous research indicates that women prefer orgasms triggered by penile-vaginal intercourse (PVI) as compared to those triggered by direct manual stimulation of the clitoris. However, for reasons that are not well understood, most women are unable to reach PVI orgasms as often as they desire. In addition, it is unclear why many women prefer PVI orgasms to those triggered by direct clitoral stimulation. This study developed a more precise measure of PVI orgasm frequency and evaluated key predictors of this frequency, including duration of intercourse, physical and psychological health, and partner traits with implications for either mating quality or relationship quality. The present study also measured PVI orgasm importance and investigated why it is important for many women. The sample consisted of 835 adult women with experience in PVI. Mean PVI orgasm frequency was 50%, with 39.4% of women never or rarely having PVI orgasms, 37.1% sometimes having PVI orgasms, and 23.5% almost always or always having PVI orgasms. As a median response, women believed that PVI orgasm was “very important” and perceived importance was correlated with orgasm frequency (r = .31, p < .001), as were reasons for importance. Duration of intercourse showed a linear relationship with PVI orgasm …

While advancements in treatment have made HIV a more manageable disease, only recently have psychosocial variables associated with the health of persons living with HIV (PLH) began to receive increased scrutiny. HIV-related stigma, considered by some researchers to be a “second epidemic,” is one such psychosocial variable and is associated with negative physiological and psychological health outcomes. In an effort to alleviate the effects of stress, increased research attention has focused on forgiveness as a teachable coping strategy. Current forgiveness interventions demonstrate encouraging results in decreasing anger and neutralizing stress but have not been applied to HIV-positive populations. In this study, Lazarus and Folkman’s transactional model of stress and coping (1984) and Prochaska and Velicer’s transtheoretical model of health behavior (1997) were utilized as theoretical frameworks to inform a randomized clinical trial that examines coping skills, particularly forgiveness, in PLH and perceived HIV-related stigma. An ethnically diverse sample of HIV-positive adults (n = 57) was randomized into a treatment or control group. The treatment group participated in six weeks of cognitive-behavioral group therapy that focused on the teaching of forgiveness as an effective coping tool while the control group was psychoeducational in nature and did not involve mention of forgiveness. …

Despite strong evidence supporting the existence of posttraumatic growth (PTG), some investigators question whether the construct measured by the Posttraumatic Growth Inventory (PTGI) is that of perceived growth or “actual” growth. In a replication of a recent investigation, the present study sought to refine the methodology used by employing the construct of event centrality. Due to its limited sample size, the results of this analysis did not provide strong evidence in support of the hypothesis that limiting analyses to individuals rating their trauma as high in event centrality improves the ability of the PTGI to reflect “actual” growth. However, results did support the idea that investigations of PTG conducted immediately following a trauma may be more reflective of a coping process, rather than growth. Further research is warranted to investigate the role of event centrality in posttraumatic growth, and the effect of time on the progression of growth following trauma.

This study examined the potentially differing emotional consequences of sexual versus non-sexual traumas in both a student and a community residing treatment seeking sample of women. The extent to which a trauma survivor considers the traumatic event central to her identity (CES) was examined as a potential mediator between traumatic events and PTSD. Additionally, the extent to which a women views herself and her body as a sexual object, to be valued based on her appearance and sexual usefulness to others (sexual self-objectification: OBCS), was examined as a potential mediator between traumatic event and event centrality. Study results showed survivors of sexual assault reported greater CES and PTSD symptoms (PCL-S) than non-sexual trauma survivors in the student population. Mediation results showed sexual self-objectification (OBCS-Shame) significantly mediated the relationship between trauma type and CES, and CES significantly mediated the relationship between type of trauma and PTSD symptoms in the student population only. Data from the community sample did not support these conclusions as women from this sample reported higher PCL-S, CES, and OBCS-Shame scores across categories of trauma.

AD/HD medications are shown to be significantly more successful at enhancing attention/concentration performance in individuals with AD/HD than placebo treatments. Few studies, however, have investigated the possibility of a placebo reaction in both medication and placebo groups by comparing placebo treatments to no treatment at all. Using an undergraduate population, I evaluated the effect of expectations about a treatment's efficacy on performance in an attention/concentration task. In addition to cognitive performance outcome measures, I included several physiological measures, such as heart rate variability (HRV) through respiratory sinus arrhythmia (RSA). Contrary to expectations, no differences were observed in performance on attention tasks or physiological measurements as a result of the believed efficacy of an orally administered placebo treatment.

Although, in the United States HIV infectivity has increased, survival rates have also improved due to highly active antiretroviral therapies (HAART). Adherence to HAART successfully prevents the progression of AIDS and AIDS-related morbidity for many living with HIV. Unfortunately, HAART’s permeability into the central nervous system (CNS) is limited; thus, the prevalence of HIV-associated neurocognitive disorders (HAND) still persists. The health belief model (HBM) is the theory often used to explain and predict behavior in relation to chronic illness. This model incorporates perceptions of susceptibility, vulnerability, and severity towards a particular illness, and beliefs regarding perceived efficacy and benefits of treatment. This study expands the existing model. Many who live with HIV have a long history of negative experiences, such as stigmatization, traumatic events, and discrimination. I examined supplementary psychosocial and physiological predictor variables, such as stigma, trauma, ethnicity, general medical conditions, HIV-opportunistic infections, and falls; all relevant to disease progression in HIV. Previous researchers found links between stigma and immune function, trauma and memory, ethnicity and neuropsychological impairment, and symptom load and CNS-related alterations. Therefore, this study examined how these different psychosocial predictor variables are associated with HIV-related neurocognitive impairment. My model explained 38.6% of the variance in the …

As increasing emphases are placed on the importance of a muscular male physique in Westernized culture, more men are experiencing eating, exercise, and body image (EEBI) disturbances. Clinician-researchers have identified a syndrome, termed muscle dysmorphia (MD), in which individuals, usually men, are pathologically preoccupied with their perceived lack of muscularity. The current study tested a modified version of an extant theoretical model of MD symptomatology as well as an alternative model of MD symptomatology. Over 700 adult men completed a demographic questionnaire, a symptom inventory, a self-esteem questionnaire, a measure of perfectionism, a measure of the media’s influence on EEBI disturbances, and measures of body dissatisfaction and MD symptoms. Structural equation modeling (SEM) was used to examine the goodness of fit of the proposed models. Overall, the first model demonstrated poor fit with the data. Conversely, the alternative model fit the data adequately. The alternative model was cross validated with a second sample, and also fit this data adequately.

The purpose of this study was to better understand value development in an emerging adult, college student population, and to further define, identify and clarify family characteristics that influence values. Theories have sought to examine the developmental influences in emerging adulthood, but little research exists examining the role of the family, particularly in regards to value development. The current study reviewed the literature on emerging adulthood, values, and self-determination theory with attention to family influence. Questions addressed in this study included: 1) are perceived parent values predictors of emerging adult values, 2) will the quality of communication between parents and emerging adults and the presence of an emotionally supportive relationship with both mother and father moderate the relationship between the perception of parent values and emerging adult values, and 3) does the family environment influence the types of values emerging adults perceive to be important to their parents? For this purpose, 200 college students completed 5 different self-report questionnaires measuring the constructs of values, perceived parent values, family environment variables, family communication variables, and quality of relationship with both father and mother. Parents of college students completed a self-report questionnaire measuring their socialization values for their children and a questionnaire …

While sleep loss has been shown to have detrimental effects on cognitive, physiological, and psychological processes, it has only recently been investigated as a possible causal factor of risk-taking behavior (i.e., a conscious choice to engage in dangerous behavior despite knowledge of possible loss or harm). Among the few studies that have been conducted in this field, the majority found that as individuals become sleepier, their propensity to engage in risk-taking behavior increased. The results of the current study indicated a positive relationship between increased sleep loss and two measures of specific risk-taking behavior (i.e., substance use, sexual compulsivity), but no significant relationship between sleep loss and measures of general risk-taking behavior. There was some evidence for temporal stability of the Iowa Gambling Task (IGT), though scores on the IGT were not related to scores on other measures of risk-taking, nor to measures of sleep loss. Negative mood was found to partially mediate the relationship between sleep loss and substance use, as well as the relationship between sleep loss and sexual compulsivity.