Stressors, Stress Mediators, and Emotional Weil-Being Among Spouses of Soldiers Deployed to the Persian Gulf During Operation Desert Shield/Storm

The Family Factors Field Study of Operation Desert Shield/Storm (ODS) was designed to collect data on the impact of the Persian Gulf deployment on soldier/family well-being, and the effectiveness of Army and community resources in assisting and supporting families of deployed soldiers. In October 1990, a task force was assembled, and multi-agency research teams visited several Army installations. Informal individual and group interviews were conducted with spouses, unit family support leaders, unit rear detachment personnel, garrison leaders, and local Army program/service providers. The questions were aimed at identifying key stressors which spouses and children experienced in relation to the sudden deployment, as well a stress mediators such as social supports and personal coping skills. Anecdotal information collected during the site visits, combined with findings from previous research on Army families, was used to develop a questionnaire designed to quantify those variables which emerged as relevant to a study of stressors and stress mediators in the context of the ODS deployment.     

Openness to psychological explanations and treatment among people with Fibromyalgia versus Rheumatoid Arthritis

Objective: The classic perspective in the psychosomatic literature is that patients with medically unexplained syndromes do not acknowledge psychologically-based causes for their conditions and will not engage in psychological treatments. These assumptions were tested by contrasting the illness models and reported treatment experiences of individuals with fibromyalgia (FM), a syndrome with a currently unknown organic origin, with those of individuals with rheumatoid arthritis (RA), a ‘legitimate’ (i.e. organic) condition.

Method: 193 patients with FM and 176 with RA completed measures assessing their views about the causes of their condition, the treatments they had used and their judged effectiveness.

Results: Contrary to prediction, compared to patients with RA, patients with FM were more likely to endorse psychological causes for their condition and reported having used more psychological management approaches. Moreover, patients with FM considered psychological approaches to be more effective than narcotics.

Conclusion: These findings indicate that patients with FM do not react defensively to the implication of psychogenic causes. Rather, as a group, they tend to acknowledge both the psychosocial influences on and the effectiveness of psychological management approaches for their condition.     

NECESSITY, APRIORITY, AND LOGICAL STRUCTURE

Logical structure may explain the necessity and a priori knowability of such truths as that if A is red then A is either red or green. But this explanation cannot be extended to sentences that, while necessary and knowable a priori, do not wear the appropriate logical structure on their sleeves – sentences like 'if A is a point and A is red, then A is not green,' or 'if A is a sphere, then A is not a cube.' The real origin of these sentences' necessity and a priori knowability is a relationship between the meanings of their component atomic sentences – a relationship which cannot be systematically reduced to logical structure by translating those atomic sentences into any kind of 'ideal' language. Moreover, this kind of relationship is one to which any atomic sentences are susceptible if they have a classifying, or comparison-implying, content. Arguably, then, all atomic sentences are capable of being related to others in ways that are necessary and knowable a priori.     

Primary Care Provider Familiarity with Binge Eating Disorder and Implications for Obesity Management: A Preliminary Survey

Current guidelines for the evaluation and treatment of obesity recommend referring individuals with binge eating disorder (BED) to a mental health professional. However, it is unclear how familiar primary care providers are with BED. The purpose of this study was to assess providers' familiarity with BED diagnosis and treatment. Providers in two primary care clinics completed a questionnaire, which assessed perceived familiarity with BED and demonstrated familiarity with BED diagnosis and treatment. Results indicated that 61% of respondents demonstrated familiarity with the essential symptoms of BED, and 80% reported familiarity with the diagnosis of BED. However, 35% of respondents who perceived themselves as familiar with BED did not demonstrate familiarity with the most basic symptoms. These results demonstrate that while many providers in primary care are familiar with BED, steps to improve provider familiarity with the disorder and provide appropriate mechanisms to address BED are warranted.     

Non-motor aspects of Parkinson's disease

Parkinson's disease is primarily considered to be a movement disorder and is defined by its motor signs. Yet, the behavioral manifestations of the disease are often more debilitating than its motor complications. This review will focus on the non-motor aspects of Parkinson's disease, including mood, psychosis, cognitive, sleep, fatigue, apathy, delirium, and repetitive disorders, that may occur. The phenomenology, pathology, and treatment of the behavioral symptoms of Parkinson's disease will be discussed.     

EMPLOYMENT AND ROLE SATISFACTION

A path analytic model was used to examine the impact of three domains of life satisfaction and three employment-related variables on general well-being in a sample of 1,145 Army wives. The life domains included marital, financial, and role satisfaction. The employment-related variables included: (a) time spent employed (none, part, or full); (b) role fit; and (c) satisfaction with overall career development prospects. The employment-related variables were hypothesized to impact on general well-being both directly and indirectly through their relationship to role satisfaction. Time spent employed and role fit were found to be significantly related to role satisfaction, which in turn, was significantly related to general well-being. One variable–satisfaction with overall career development prospects–had a significant direct impact on general well-being.     

Parental Divorce and the “Switching” of Religious Identity

This article examines the impact of parental divorce on the likelihood that an individual has changed their religious identify. Using data from the National Survey of Family and Households, we use a theoretical framework of family structure and community ties to test the hypothesis that religious mobility is more likely among children of divorce compared to those from intact families. Distinguishing between parental divorce in childhood and parental divorce in adulthood allows us to assess the impact of parental divorce on religious socialization. For individuals raised as either moderate Protestant, conservative Protestant or Catholic, parental divorce increases the likelihood of both switching to another religion and apostasy. The impact of divorce is particularly strong for Catholics and conservative Protestants, who are, in general, less likely to be religious mobile. These findings add religious disaffiliation to the set of likely sequelae of parental divorce. In addition, the results of the study highlight the need to consider the relationship between family structure and religious processes in a community context.