Gender Differences in Mental Health: The Mediating Role of Perceived Personal Discrimination

Why is women's mental health inferior to that of men? This study hypothesized that women's mental health is not as good as men's because women perceive more personal discrimination. It was confirmed that women obtained higher scores than did men on a subjective scale of psychological distress. Additionally, women perceived greater personal and group discrimination than did men. Perceived personal discrimination proved to be the more robust predictor of psychological distress. This was evident when results of a mediation analysis revealed that gender differences in subjective distress were mediated by the measure of perceived personal discrimination, but not by the measure of group discrimination.     

Emotional response to abortion: a critical review of the literature

Anti-abortion groups in the US cite the existence of a post-abortion syndrome--a sense of loss, emptiness, and grief similar to that reported by trauma survivors. Although research on the longterm effects of induced abortion is marred by methodological errors, most studies have found no adverse psychological sequelae; rather, there appears to be a sense of relief and opportunity for personal growth. Nevertheless, there is a small group of women who do experience emotional distress after abortion and it is important to identify the demographic, social, and psychological factors that place women at risk of such a reaction. In terms of demographic factors, young age (adolescence), low or nulliparity, 2nd-trimester procedures, and Catholicism have been characteristics of women who suffered post-abortion depression. Of the social variables that have been examined, a lack of support from significant others (parents or partner) has been linked in some studies to emotional distress after abortion. A relatively consistent finding is that women who feel coerced to abort or are ambivalent about their decision at the time of the procedure are most likely to experience regret, depression, and anger. Women whose coping style involves avoiding responsibility are also prone to post-abortion distress. As noted, the literature does not support the contention that abortion causes longterm trauma. On the other hand, given the fact that 1.5 million abortions take place each year in the US, the existence of some post-abortion distress in even as small percentage of acceptors is enough to indicate a need for pre- and post-abortion counseling to help women determine the meaning of the experience and own their decisions.     

Race,psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder

Background/Objectives: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health. Methods/Design: Mediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD. Results: Despite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only. Conclusions: Altogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.     

Some demographic,personality, and role variables as correlates of women's well-being

This study examined the contributions of some demographic (age and education), personality (extraversion and neuroticism), and role variables (role occupancy and role quality) as predictors of happiness and symptoms of psychological distress in a sample of employed and non-employed English women (N= 145). Using multiple regression analysis, the results showed that personality variables accounted for the largest proportion of explained variance in the well-being measures. The results, however, did not support the predictions made by the transactional model of stress and that the three sets of predictor variables (demographic, personality and roles) combined additively in their effects on women's psychological well-being. Finally, the results showed that happiness and distress, though related, had different correlates. These findings are discussed in relation to current issues within the literature on women's work and family roles in relation to their well-being.     

Correlates of Readiness to Change in Victims of Intimate Partner Violence

Intimate partner violence (IPV) is a social problem associated with significant morbidity; however, victims do not always utilize treatment and resources. One's readiness to change might be one variable impacting his or her pursuit of treatment and other resources. This study investigated correlates of readiness to change, and readiness to change's impact on treatment utilization. Data were collected from 223 women residing in battered women's shelters. Correlational analyses find that generally victims with more psychopathology and distress, as well as more social support, were more ready to change. Posttraumatic stress disorder symptoms, overall distress, and social support were the strongest predictors of readiness to change. Finally, victims higher in readiness to change were more likely to seek mental health treatment and other IPV-related services.     

Post Abortion Syndrome is a Clinical Reality: A Critical and Methodological Reflection on the Politics,Biology and Phenomenology of Unwanted Pregnancy and Abortion

Macleod (2009) criticizes Boulind and Edwards (2008) for using the concept of post-abortion syndrome (PAS) in their conceptualization of the case of Grace. This article responds to this by arguing the following points: 1) the appropriation of PAS into anti-abortion rhetoric is not sufficient reason to abandon it since this rhetoric distorts the facts, 2) methodological difficulties cited by Macleod in identifying the nature of the distress experienced by some women post-abortion are an artifact of the use of multivariate statistical methods which are not appropriate for answering these questions; 3) the well documented process of maternal foetal attachment, which has a neurobiological basis, shapes a pregnant women's experience of the foetus in the direction of experiencing it in personal terms; 4) the incorporation of this into the clinical concept of PAS carries no implications about foetal personhood; 5) there is considerable documentation of the loss of a foetus being experienced as a bereavement by some women and giving rise to a traumatic grief response; 6) there is a difference between a formal diagnosis in a diagnostic manual and a clinical syndrome which can guide case formulation. It is concluded that the presentation of the case of Grace, rather than offering evidence that supports a pro-life stance on abortion, is an example of the kind of emancipatory theory and practice that is advocated by Macleod.     

Membership in a Devalued Social Group and Emotional Well-Being: Developing a Model of Personal Self-Esteem,Collective Self-Esteem,and Group Socialization

We proposed and tested a theoretical model that links membership in a devalued social group to emotional health. People who identify with devalued social groups (e.g., ethnic minorities, gay men/lesbians, bisexuals, women) may be at increased risk for distress via 3 different pathways. First, some members of devalued groups may internalize negative stereotypes about their group, which negatively impact personal self-esteem. Second, being devalued simply on the basis of one's group membership could lead to emotional distress independent of one's own personal self-esteem. Third, some members of devalued groups may be socialized to develop attitudes and behaviors that increase their risk for emotional distress. Data were collected from a sample of White, middle-to-upper-class undergraduate women and men with respect to personal self-esteem, collective self-esteem on the basis of their gender group, attitudes and behaviors associated with female socialization, and emotional distress. Results supported the direct effect of each pathway in predicting concurrent depression and partially supported the prediction of concurrent anxiety. Each pathway fully accounted for women's greater levels of depression relative to men's. Implications for the study of devalued groups are discussed.     

Job-role quality and women's psychological well-being: Locus of control and social support as moderators

Despite the recognition that the stress-buffering effect of social support may in part be due to its relation to locus of control, no study on women's roles to date has considered both locus of control and social support in the prediction of psychological functioning. The present study was intended to test the three-way interaction between job-role quality, locus of control and support in relation to two measures of women's psychological well-being (happiness and symptoms of distress). This study was based on cross-sectional data. In the English sample of 109 employed women, the results provided evidence of the threee-way interaction between job challenge, locus of control and work support in predicting happiness. Neither locus of control nor work support independently moderated the effects of job challenge. However, locus of control and work support combined interactively to moderate the impact of job challenge on happiness. As predicted, support interacted with job challenge only for internals; no such interaction effect was observed for externals. For distress, no significant interaction was found.     

Effects of personal goal disturbance on psychological distress

Numerous theories postulate that an individual's quality of life is linked to personal goal regulation (Diener et al., 1997). More specifically, studies which used idiographic methodologies have shown that the degree of importance given to personal goals, their valence (avoidance or approach) and the level of disruption are all involved in the prevalence of psychological distress (Emmons, 1996, Carver and Scheier, 1998, Maes and Karoly, 2005). In addition, Diener and Fujita (1995) postulate that personal goal disturbance would mediate the effect of a person's resources on his quality of life. The objective of this study is to evaluate the role of personal goal importance, the valence of these goals, and personal goal disturbance on psychological distress using a nomothetic evaluation of personal goals. In addition, the study aims to test the hypothesis that personal goal disturbance mediates the effect of daily hassle on an individual's psychological distress. Three hundred and thirty-two members of the public answered the Daily Hassle Scale (Badoux-Levy and Robin, 2002), the Goal Importance Facilitation Scale (GIFS, Maes et al., 2002), and the General Health Questionnaire (GHQ-12, Goldberg, 1972). The statistical analyses revealed that a large number of daily hassles as well as strong personal goal disturbance significantly accounted for high levels of psychological distress and showed a mediating effect of personal goal disturbance on the relationship between daily hassles and psychological distress.     

Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.     

Distress and aggression during dating conflict: A test of the coercion hypothesis

Research with clinically depressed and maritally discordant couples suggests that women's distressed behaviors function to suppress their partners' subsequent aggressive responses. We applied this coercion hypothesis to a nonclinical sample of dating couples (N = 288). We further examined whether these effects were gender‐specific, and whether distressed and aggressive behaviors differ within physically violent versus nonviolent relationships. Women but not men reported engaging in elevated rates of distress in response to partner aggression during past dating conflicts. However, both women and men expected distressed behavior to suppress partner aggression during future conflicts. Expectations about the functional effects of distressed behavior did not differ for participants with physically violent partners versus nonviolent partners. However, participants in violent relationships reported enacting more distressed behaviors and had greater expectations for partner verbal aggression during future conflicts than did participants in nonviolent relationships. Future research may identify the early onset of dysfunctional interaction patterns in couples and concomitant psychological distress.     

The Buffering Role of Social Support Perceptions in Relation to Eating Disturbances among Women in Abusive Dating Relationships

Abuse is often associated with diminished social support networks, which typically serve to buffer individuals against stress-related outcomes, including eating disorders. The goal of the present study was to examine whether eating disturbances among women in abusive dating relationships varied as function of perceived social support. Although both physical and psychological aggression in women's (N=83) dating relationships was associated with symptomatic dieting and bulimic symptoms, only psychological aggression predicted unique variance. Although psychological aggression was directly related to eating symptoms, support from friends diminished the relation to bulimic symptoms, possibly because such support facilitated women's ability to distract themselves from their abusive situations. In contrast, perceived parental support buffered women in physically abusive relationships from disturbed eating patterns. Thus, depending on the nature of abuse women experienced, social support resources were differentially effective in buffering women from eating disturbances.     

Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth

This longitudinal study examined the role of coping strategies and posttraumatic growth (PTG) on the psychological adjustment to breast cancer trajectory. The participants were 50 women assessed at the time of surgery (T1), during adjuvant treatment (T2) and six months after the end of treatment (T3). Women completed questionnaires assessing coping strategies, PTG and psychological adjustment (psychological quality of life, anxiety and depression). Results showed that the greatest impact of breast cancer on women's adjustment occurred at T1, when patients were significantly more anxious than in the other phases of the disease. The type of surgery and adjuvant treatment did not account for the course of PTG and adjustment. Coping through seeking social support and using cognitive strategies at T1 were linked to psychological quality of life and depression at T3 via PTG dimension of personal resources and skills at T2. Findings emphasise the value of promoting adaptive coping strategies and PTG in order to improve psychological adjustment in breast cancer patients.     

Personal Resources Moderate the Relationship Between Work Stress and Psychological Strain of Submariners

Work stress and personal resources that protect against personal strain and psychological distress were surveyed in 78 Royal Australian Navy submariners. We hypothesized that work stress and distress would be greater for senior than junior ranks, for married than single personnel, and for submariners with few personal resources. We also hypothesized that distress, and the moderating effects of personal resources, would be greater at sea than ashore. Work stress and psychological distress were greater for senior than junior ranks, both at sea and ashore. As well, psychological distress was greater at sea than ashore, particularly for senior ranks, but was moderated by personal resources. These findings have important implications for improving work conditions and individual well-being for submariners.     

Violence et qualité de vie : étude de l’effet du genre dans un contexte tunisien

This study aims at a better understanding of concrete violence phenomena and their implication, particularly in matters of men's and women's health and quality of life. Our study was carried out in Tunisia with a sample population of 720 male and female adults from different age groups and various socio-economic contexts. Diverse forms of violence (physical, psychological, and sexual) undergone during different phases of life (childhood, adolescence, and adulthood) were measured in a bid to investigate their linkage with the quality of the population's personal life. The results tend to corroborate that the violence one undergoes at a specific moment in one's life affects the quality of one's personal life. It is more particularly women who are the ones most affected and the quality of their personal lives is of a poor quality in comparison with men's.     

Direct and moderating effects of community context on the psychological well-being of African American women

The effects of community characteristics on well-being were examined among 709 African American women. Direct and moderating effects of neighborhood characteristics on distress were tested. Aggregate-level ratings of neighborhood cohesion and disorder were significantly related to distress, although the relation between cohesion and distress became nonsignificant when individual risk factors were statistically controlled. Aggregate-level neighborhood variables interacted significantly with individual risk and resource variables in the prediction of distress, consistent with trait-situation interaction theories (D. Magnusson & N. S. Endler, 1977). Community cohesion intensified the benefits of a positive life outlook. Community disorder intensified both the benefits of personal resources and the detrimental effects of personal risk factors. Results showed evidence of resilience among African American women.     

The contribution of personal resources to physical and mental health: looking into age and gender effects

In this study, a model that specified the effects of socioeconomic and psychological resources on physical and mental health was investigated. It was hypothesized that (a) both kinds of resources would affect physical and mental health more strongly in older than in younger adults, and that (b) socioeconomic resources would exert stronger effects in men, whereas psychological resources would exert stronger effects in women. Data were collected in an Israeli national sample. Structural modeling analyses indicated that the model fit the data. A comparison of 4 groups of participants (2 age groups--18-39 and 40-84--and both genders) showed that, for men, the respective effects of socioeconomic and psychological resources on physical and mental health were strong in the older, but not in the younger, group. For women, socioeconomic resources had nonsignificant effects, whereas psychological resources had strong effects on mental health in both age groups; psychological resources also had a moderate effect on physical health in the older group. The results suggest that the contribution of personal resources to health is regulated by the joint impact of age and gender, presumably involving shifting roles and vulnerabilities of men and women across the life span.     

Duration of unemployment and psychological well-being in young men and women

Previous research has typically failed to support the plausible expectation that lower psychological well-being accompanies longer unemployment. Two cohorts of recent school-leavers were interviewed over two years, and five data sets were available for investigation. Measures of both psychological distress and self-esteem were found to be uncorrelated with duration of unemployment for young men. For young women no relationships with self-esteem were observed, and in one cohort longer female unemployment was associated with lower distress. This was shown to be due to women's withdrawal from the labour market because of pregnancy and child care. It is suggested that the expected association between duration and well-being may be restricted to older samples and longer periods out of work.     

The Impact of Women's Studies Courses on College Students of the 1990s

This study assessed the personal impact ofwomen's studies courses for college students of the1990s. The sample consisted of 124 women and 41 menenrolled in courses at a medium-sized Midwesternuniversity. Of a sample totaling 165 participants, 138reported that they were white caucasians, whereas 27self-classified as an ethnic minority. Comparisons weremade between the responses of students enrolled in women's studies courses versus those enrolledin content courses that did not emphasize diversityissues. Changes detected were a more progressive genderrole orientation and an increased locus of control. These changes were similarly experienced byboth men and women enrolled in women's studiescourses.