Health-Related Quality of Life in College Undergraduates with Learning Disabilities: The Mediational Roles of Anxiety and Sadness

Little research has examined health-related quality of life (HRQoL) in adults with learning disabilities in post-secondary settings and the potential relationship between a learning disability and anxiety or sadness. This study examined HRQoL in 68 undergraduate students: 34 students who reported having been diagnosed with a “learning disability” were compared to 34 students who indicated they had not been diagnosed with a learning disability. Participants completed an online survey of anxiety, sadness, and HRQoL, including the SF-36. ANCOVAs on the Emotional Well-Being and Role Limitations Due to Emotional Problems scales from the SF-36 revealed that students reporting a diagnosis of a learning disability were significantly more impaired in Emotional Well-Being. Regression analyses suggested that impairment in Emotional Well-Being was mediated by separate ratings of both anxiety and sadness. Results indicated that those undergraduates reporting learning disabilities suffered from an impaired sense of well-being associated with anxious and sad feelings. A portion of these data were presented at the 2005 annual meetings of the Association for Behavioral and Cognitive Therapies (ABCT).     

Changes in Distress Intolerance and Treatment Outcome in a Partial Hospital Setting

Despite the well-established role of distress intolerance (DI) in a wide range of psychological disorders, few studies have examined whether DI improves during treatment and whether these changes are associated with symptom outcomes. Patients (N = 626) enrolled in a brief cognitive-behavioral partial hospital program completed pre- and posttreatment measures of DI. Results indicated that DI decreased significantly during treatment, with more than 30% of the sample exhibiting a reduction of more than 2 standard deviations from the sample mean. Women reported higher DI than men at baseline; however, there were no gender differences in changes in DI over time. Participants also completed a pre- and posttreatment measure of depression and a subset completed a measure of anxiety (n = 167). DI was associated with more severe depression and anxiety at pre- and posttreatment, with participants who reported a decrease in DI also reporting lower depression and anxiety symptoms at post-treatment. These results further highlight the transdiagnostic relevance of DI and suggest that DI may be a relevant factor in treatment outcome for depression and anxiety.     

Chapter 6. Greater Satisfaction with Post-Injury Male Gender Roles

ABSTRACT

Shaken Baby Syndrome is a serious form of child abuse, involving infants under the age of six months. Deliberately shaking an infant is often associated with frustration or anger, particularly when an infant will not stop crying. The shaking results in numerous initial and long-term consequences for the developing infant. In its most severe form Shaken Baby Syndrome results in the death of the infant. A case study detailing the clinical findings and treatment of a six-month-old infant with Shaken Baby Syndrome who received inpatient occupational therapy services is presented.     

Gender differences in severity of writing and reading disabilities

Gender differences in mean level of reading and writing skills were examined in 122 children (80 boys and 42 girls) and 200 adults (115 fathers and 85 mothers) who showed behavioral markers of dyslexia in a family genetics study. Gender differences were found in writing and replicated prior results for typically developing children: Boys and men were more impaired in handwriting and composing than were girls and women, but men, who were more impaired in those writing skills, were also more impaired in spelling than women. Men were more impaired than women in accuracy and rate of reading passages orally, but boys were not more impaired than girls on any of the reading measures. Males were consistently more impaired than females in orthographic skills, which may be the source of gender differences in writing, but not motor skills. Population-based studies that report gender differences in reading in children with dyslexia may be confounding reading and writing disorders—the latter being the true source of gender differences in both children and adults with dyslexia.     

Gender Schemas, Gender Roles, and Expressive Writing: Toward a Process-focused Model

Range and Jenkins (2010) timely and compelling review of Pennebaker’s (1989, 1993) Expressive Writing Paradigm (EWP) provides a valuable framework for conceptualizing the role of gender-related variables in EWP studies, and for examining these variables in the context of gender schema theory, social role theory, and gender socialization theory. This comment contributes to Range and Jenkins efforts by integrating their analysis with: 1) findings regarding multimodal assessment of individual differences and outcomes; and 2) process-focused studies of participants’ responses to different psychological assessment tools. When multimodal assessment procedures are coupled with experimental manipulations that differentially impact different measures, researchers’ understanding of the benefits of trauma writing will increase and the efficacy of disclosure interventions in applied settings will be enhanced.     

Familial Association and Frequency of Learning Disabilities in ADHD Sibling Pair Families

In a sample of 235 families with at least two children with Attention-Deficit/ Hyperactivity Disorder (ADHD), the frequency and familial association of learning disabilities (LD) were assessed. Familiality was examined both between sibling pairs and between parents and their children. Two methods for defining LD, a discrepancy-based and a low-achievement model, were employed to examine the occurrence of LD in this sample. The specific types of LD examined included Reading Disability (RD), Math Disability (MD), and Writing Disability (WD). The prevalence rates were highest for RD, followed by WD then MD. The two definitions of LD yielded similar prevalence rates but identified different groups of children with vastly different IQ scores. Strong familial association was demonstrated for RD both between sibling pairs and between parents and children, with weaker association for WD. There was evidence of nonrandom mating for LD among parents, but not for ADHD or for ADHD + LD. Despite the high comorbidity of ADHD and LD among parents, the presence of ADHD in the parents did not predict child LD supporting independent familial factors underlying ADHD and LD.     

The Development of Gender Identity,Gender Roles,and Gender Relations in Gifted Students

This article describes the interaction of giftedness with gender identity, gender role, and gender relations. The authors explored ways in which many gifted educational practices are gendered, a model for the development of talent in the context of gender and gender relations, and ways of reducing gender inequities in the realization of potential for both male and female students. Issues that are unique to gifted individuals are aligned with suggestions for counseling interventions.     

Difference Scores in the Identification of Children with Learning Disabilities It's Time to Use a Different Method

In this article, we identify ten reasons why discrepancy scores (based on differences between IQ and reading achievement scores) provide an inadequate means for identifying children with reading disabilities. We recommend instead that children be identified simply on the basis of problems in reading skills, regardless of their IQs.     

Stepparents and Parenting Stress: The Roles of Gender,Marital Quality,and Views about Gender Roles

Previous research suggests that stepparenting can be stressful, although the mechanisms that contribute to the experience of parenting stress in stepfamilies are less clear. This study examines gender, marital quality, and views about gendered family roles as correlates of parenting stress among 310 stepmothers, stepfathers, and biological mothers and fathers. Findings suggest that stepparents, and especially stepmothers, experience higher levels of parenting stress than biological parents. Findings also suggest that less traditional views about gendered family roles and higher dyadic adjustment are associated with lower parenting stress for stepparents, particularly in combination. Stepparents reporting both of these protective factors were indistinguishable in terms of parenting stress from biological parents. These findings indicate potential pathways to mitigate the stress associated with stepparenting.     

Gender Roles in the Arab World: Development and Psychometric Properties of the Arab Adolescents Gender Roles Attitude Scale

Scant research has been conducted on gender in the Arab world; one explanation is due to a lack of Arabic measures on gender-related issues. To advance scientific work on gender in the Arab world, we developed the Arab Adolescents Gender Roles Attitude Scale (AAGRAS), the first known reliable and valid Arabic measure of gender-role attitudes. To develop this measure, we conducted two studies based on data collected from 776 high school students 15–19 years-old from the state of Qatar. Exploratory factor analysis and confirmatory factor analysis produced 12 items divided equally into two subscales. One subscale assesses traditional gender-role attitudes, whereas the other measures egalitarian gender-role attitudes. Our findings indicate that young men are more likely to resist gender equality than young women are. Moreover, those who hold traditional attitudes are more likely to disapprove of women occupying positions of authority. The AAGRAS is a useful assessment tool that policymakers, researchers, practitioners, and educators can use to study gender-role attitudes in the Arab world and to develop educational and intervention programs that encourage adolescents to identify, confront, and avoid prejudice and discrimination against women and ultimately adopt more egalitarian gender roles.     

Traditional Roles in a Non-Traditional Setting: Genetic Counseling in Precision Oncology

Next generation sequencing technology is increasingly utilized in oncology with the goal of targeting therapeutics to improve response and reduce side effects. Interpretation of tumor mutations requires sequencing of paired germline DNA, raising questions about incidental germline findings. We describe our experiences as part of a research team implementing a protocol for whole genome sequencing (WGS) of tumors and paired germline DNA known as the Michigan Oncology Sequencing project (MI-ONCOSEQ) that includes options for receiving incidental germline findings. Genetic counselors (GCs) discuss options for return of results with patients during the informed consent process and document family histories. GCs also review germline findings and actively participate in the multi-disciplinary Precision Medicine Tumor Board (PMTB), providing clinical context for interpretation of germline results and making recommendations about disclosure of germline findings. GCs have encountered ethical and counseling challenges with participants, described here. Although GCs have not been traditionally involved in molecular testing of tumors, our experiences with MI-ONCOSEQ demonstrate that GCs have important applicable skills to contribute to multi-disciplinary care teams implementing precision oncology. Broader use of WGS in oncology treatment decision making and American College of Medical Genetics and Genomics (ACMG) recommendations for active interrogation of germline tissue in tumor-normal dyads suggests that GCs will have future opportunities in this area outside of research settings.     

Gender,Gender Roles,and Personality: Gender Differences in the Prediction of Coping and Psychological Symptoms

Path models of the effects of gender, gender roles, and personality variables (achievement and affiliation orientation, locus of control, empathy) on coping and symptoms were tested to explore the risk and protective effects of gender roles and personality on psychological symptoms, and to test whether or not gender roles or personality accounted for gender differences in coping and symptoms. In a sample of university undergraduates (35% Asian American, 59% European American or Caucasian, 6% other ethnic/racial background), masculinity predicted lower depression but higher antisocial and substance use problems, whereas femininity predicted lower antisocial and substance use problems. Personality variables did not account for the effects of gender or gender roles on coping or symptoms, but rather gender roles and personality each predicted unique variance in those variables. Significant gender differences in the relations among gender roles and personality emerged; however, there were no gender differences in the relations between coping and symptoms. Findings highlight the importance of studying gender differences in the effects of gender roles and personality on coping and symptoms, because it appears that gender roles and personality operate differently for males and females.     

Gender and Relationship Roles in the Analects and the Mencius

In this paper I argue that the conception of gender as illustrated in the Analects and the Mencius is basically a functional one that assigns women a domestic role. I show how this conception might imply the exclusion of women from the moral ideal of chun-tzu, which would result in the further subordination of women as wives to men as husbands in the context of the Confucian role system. On the other hand, I show how the Confucian role system can have a positive influence on the status of women through its elements of reciprocity and respect. Finally, I argue that the conception itself is not justified.     

Scholarship on Gender and Sport in Sex Roles and Beyond

In this paper we critically review how research on girls or women and sport has developed over the last 35 years. We use a post-positivist lens to explore the content of the papers published in Sex Roles in the area of women, gender and sport and examine the shifts in how gender and sport have been conceptualized in these accounts. In order to initiate a broader dialogue about the scholarly analysis of gender and sport, we subsequently explore ideas inspired by feminist theorizing that have dominated/guided related research in other outlets over this time period but have received relatively little attention in papers published in Sex Roles. We conclude by briefly making suggestions for further research in this area.     

Self‐Harm and Conventional Gender Roles in Women

A total of thirty‐two women admitted to a general hospital for medical treatment after self‐harming completed measures of conventional positive and negative masculinity and femininity. Comparisons were made with two control groups with no self‐harm history; 33 women receiving psychiatric outpatient treatment and a nonclinical sample of 206 women. Multinomial logistic regression analyses showed that those with lower scores on Instrumentality and Unmitigated Agency (positive and negative masculinity) and higher scores on Insecurity (negative femininity) had greater odds of self‐harming. Relationships were weaker after accounting for generalized self‐efficacy. Results are discussed in relation to previous findings and suggestions for prevention are made.     

Mothering Children with Schizophrenia in a Village Setting: A Multiple Case Study

This study reports on the experiences of mothers (n=8) raising children with schizophrenia in a rural South African village. The mothers were individually interviewed at their homes, using in-depth, phenomenological methods. Data were thematically analysed. Mothers of children with schizophrenia indicated that they are facing the following challenges on their process of caregiving: mothers' emotional reactions, blaming witchcraft, dealing with the children's violence and destructiveness, poverty and unemployment, financial support, isolation and social support, effects of schizophrenia on the mother-child relationship, and the loss that mothers go through.     

Training Family Therapists in a Multicultural Setting

Authors describe a multicultural training model for family therapists and psychologists at a traditionally conservative Afrikaans speaking university in South Africa. Black psychologists are now receiving high priority in a masters degree program that leads to professional registration licensure because of the needs of the population. The authors emphasize the importance of being able to think multidimensionally and creating a context in which students can do the same in such contexts.     

Gender Roles,Suicide Attempts,and Substance Abuse

In this article, the focus is on a comparison of suicide attempts and substance abuse in the United States. It is argued that suicide attempts and substance abuse may function as psychologically equivalent but gender-specialized forms of self-injurious behaviors. Possible explanations for the gender segregation of suicide attempts and substance abuse are reviewed, and the benefits of crossover theories and treatments are presented.