Dysfunctional attitudes and psychosocial stress: The differential prediction of future psychological symptomatology

The interactive effects of dysfunctional attitudes, stressful life events, and social support on symptoms of depression and general psychological distress were investigated in the present study. Self-report measures of these five constructs were administered to 57 female undergraduates twice, with 3 months between testing sessions. Whereas the interactions of dysfunctional attitudes with stressful life events and with social support were expected to predict the subsequent severity of symptoms of depression, it was hypothesized that these two-way interactions would not predict symptoms of general psychological distress. These predictions were confirmed, with the exception that the interaction between dysfunctional attitudes and stressful life events was not a significant predictor of depressive symptoms. Specifically, it was found that the combination of a high number of dysfunctional attitudes measured at Time 1 with a low level of social support measured at Time 2 was positively related to the level of depressive symptoms assessed at Time 2. These results suggest that dysfunctional attitudes moderate the relationship between stress and mild depressive symptomatology. The implications of these findings for an interactional model of depression, as well as for directions for future research, are discussed.Preparation of this article was facilitated by a Medical Research Council of Canada Studentship to the first author, and by Grant MA-8574 from the Medical Research Council of Canada to the second author.     

Chronic parenting stress: moderating versus mediating effects of social support

The present study contrasted the widely cited "buffer" model of social support with an alternative mediator model. Distinctions were drawn between the functions of social support under chronic vs. acute stress conditions, and between situation-specific stressors and major life events. Ongoing parenting stress was assessed in 96 mothers of deaf children and 118 matched controls. Tests of the competing models showed no moderating effects for social support. However, path analyses suggested that social support mediated the relationship between stressors and outcomes. Chronic parenting stress was associated with lowered perceptions of emotional support, and greater symptoms of depression and anxiety. Furthermore, parenting stress accounted for a substantial proportion of the variance in psychological distress scores in contrast to life event stress, which was only weakly related to psychological outcomes. The implications of mediational models for understanding adaptation to chronic stress are discussed.     

Distressing Relationships,Anger, and Stress Amplification in a Sample of Young Adult African Americans

This study examined the impact of relationship distress in a sample of 637 African American young adults from the Family and Community Health Study. Using data from privately collected, in-depth interviews, we assessed how distress in nonmarital romantic partnerships and best friendships influence anger. While social support researchers have examined the stress buffering influence of supportive relationships, we utilized the principle of negative potency to test the stress amplification effect of relationship distress through an assessment of stressful life events and racial discrimination. Our analysis showed that distress in relationships was associated with anger, while the presence of these relationships was not. Support for the stress amplification hypothesis was found as men and women who experience intense racial discrimination coupled with a more hostile best friend had elevated levels of anger. Gender differences were also evident and discussed.     

The Role of Cardioprotective Avoidance Beliefs in Noncardiac Chest Pain and Associated Emergency Department Utilization

This study examined cardioprotective avoidance beliefs and general panic/agoraphobia variables among 45 Emergency Department patients with a primary complaint of noncardiac chest pain (NCCP) in the absence of coronary artery disease or other medical explanation. Cardioprotective beliefs about the dangerousness of work and physical activity were assessed with the Fear-Avoidance Beliefs Questionnaire (FABQ). Additional measures assessed complaints of cardiac distress and panic, anxiety sensitivity, panic-related beliefs, agoraphobic avoidance, and depressive symptoms. Hierarchical regression analysis indicated that cardiac distress symptoms are a function of panic symptoms and cardioprotective beliefs concerning both physical activity and work, with 62% of the total variance explained. The predictors also explained 57% of the variance in Emergency Department utilization, which was significantly related to cardiac distress symptoms, number of illnesses, and work-avoidance beliefs. Neither outcome was related to demographics, depression symptoms, general anxiety sensitivity, general panic cognitions, or agoraphobic avoidance. Results suggest that current behavioral understandings of NCCP might be advanced by further examination of cardiac-specific avoidance beliefs and behavior and the potential role these factors play in both symptom experience and medical utilization.     

Mental health problems among internally displaced persons in Darfur

War victims are regarded as one of the highest risk groups for mental disturbances. This study investigated the effects of the Darfur conflict on mental health of 430 internally displaced persons (IDPs) from three camps located around Fasher and Nyala towns. A stratified random sampling technique was used to select participants. Male participants represented 50.6% of the sample while female participants represented 49.4%. The Posttraumatic Stress Disorder Checklist and the General Health Questionnaire (GHQ-28) were used in addition to a questionnaire measuring demographic variables and living conditions. It was hypothesized that high prevalence of posttraumatic stress disorder (PTSD) symptoms and of nonpsychotic psychiatric symptoms will be evident. Results showed a high dissatisfaction rate (72%) with living conditions among IDPs. There was also high prevalence of PTSD (54%) and general distress (70%) among IDPs. Female participants showed more somatic symptoms than their male counterparts. Married participants were more distressed, anxious, and showed more social dysfunction, while single ones reported more avoidance symptoms. Significant differences related to date of displacement were found in PTSD and hyperarousal. The group of IDPs displaced in 2003 scored higher on these scales than those displaced in 2004 and 2005. There was also significant difference related to date of displacement in distress, somatic symptoms, depression, anxiety, and social dysfunction. IDPs displaced in 2003 scored higher on these scales. Results are discussed in light of the study hypotheses and previous findings. It is concluded that three factors might affect the dissatisfaction of IDPs with living conditions inside camps. These are: lack of employment, unsuitability of food items, and lack of security around camps. It was recommended that psychological support services should be among the prime relief services provided by aid agencies.     

Mindfulness,General Trust,and Social Support Among Trauma-Exposed College Students

The purpose of the present study was to examine whether mindfulness predicts general trust and social support among trauma-exposed college students, as well as to examine the potential moderating effect of posttraumatic stress on these relationships. Participants consisted of 536 trauma-exposed college students attending a public university in the southeast United States. After controlling for PTSD symptoms and type of trauma, mindfulness was positively associated with general trust and social support at low and mean levels of PTSD symptomatology; however, the relationships between mindfulness and these variables were nonsignificant at high levels of PTSD symptomatology.     

Medical students' and residents' gender bias in the diagnosis, treatment, and interpretation of coronary heart disease symptoms.

Two competing hypotheses explaining gender bias in cardiac care were tested. The first posits that women's coronary heart disease (CHD) symptoms are simply misinterpreted or discounted. The second posits that women's CHD symptoms are misinterpreted when presented in the context of stress. In two studies, medical students and residents randomized to 2 (male vs. female) x 2 (stress vs. nostress) experiments read vignettes of patients with CHD symptoms and indicated their diagnosis, treatment, and symptom origin interpretation. Both studies disconfirmed the first hypothesis and strongly supported the second. Only when stress was added did women receive significantly lower CHD diagnoses and cardiologist referrals than men and did the origin interpretation of women's CHD symptoms (e.g., chest pain) shift from organic to psychogenic. Neither participants' gender nor their attitude toward women influenced assessments.     

Differential social support and life change as contributors to the social class-distress relationship in older adults

Four hypotheses previously put forth to explain the strong association between social class and mental health in the general population were examined in 1,326 older adults (55 years and older). Respondents were interviewed 3 times at 6-month intervals. Lower class was associated with more past life changes (occurring before Wave 1) and more subsequent life events (occurring between Waves 1 and 3); these changes were predictive of distress, supporting the differential exposure hypothesis. Lower class was associated with weaker social support (embeddedness), which was related to distress, supporting the resource deterrent hypothesis. There was little evidence that people of the lower classes were more vulnerable to stress or that their status was due to their weaker social support; thus, the differential vulnerability and applied buffering hypotheses were not consistently supported. Social support does appear to be a versatile resource for older adults. A significant portion of the class-distress relationship was not accounted for by life change, social support, or the interaction between these factors.     

Distress in spouses of Vietnam veterans: associations with communication about deployment experiences

Emerging literature shows a consistent pattern of relationship and psychological distress in spouses or partners of combat veterans with symptoms of posttraumatic stress disorder (PTSD). One possible mechanism of partners' distress posited in clinical literature is that excessive discussion of traumatic events from deployment may have negative effects on partners. At the extreme, some partners are suggested to develop PTSD-like symptoms, or secondary traumatic stress. Despite these hypotheses, there have been few empirical tests of the effects of communicating about such events. In a sample of 465 combat veterans and their spouses who participated in the Family Interview Component of the National Vietnam Veterans Readjustment Study, we explored how the extent of couples' deployment-related communication was associated with partner relationships and psychological distress, and whether such associations were moderated by the severity of veterans' PTSD symptoms. Results showed that Vietnam-specific communication correlated negatively with relationship distress, but the effect was negligible after controlling for overall communication in the relationship. On the other hand, Vietnam-specific communication did not correlate with psychological distress, but the association was significantly moderated by veterans' PTSD symptom severity. Specifically, communication about Vietnam was increasingly and positively associated with partners' psychological distress as veterans' symptoms of PTSD rose into the clinical range, but nonsignificantly and negatively associated with such distress as PTSD symptoms decreased below this level. The findings support previous clinical recommendations that couples' discussions of potentially traumatic events be approached cautiously, and they suggest a need to attend to the content of couples' communications when conducting dyadic interventions for PTSD.     

Predicting Parenting Stress in Families of Children with ADHD: Parent and Contextual Factors

We examined parental ADHD symptoms and contextual (parental education, social support, marital status) predictors of parent domain parenting stress (parental distress) as a function of child ADHD symptoms in a sample of 95 parents of 8 to 12 year-old children with and without ADHD. Parents’ perceptions of parental distress and social support were inversely-related. Parental ADHD symptomatology was the strongest predictor of parental distress of the variables considered. Models using teacher reports of child ADHD symptomatology and oppositionality differed from ones using parent reports, in that child oppositionality was only predictive of parental distress in the parent-report model. A post-hoc analysis showed that child factors did not predict parental distress over and above parent ADHD symptoms and contextual factors. These results suggest that parental ADHD symptomatology and parenting stress reduction should be considered in development of interventions for families of children with ADHD.     

Self-supporting personality and psychological symptoms: The mediating effects of stress and social support

This study examined relations among self-supporting personality, stress, social support, and psychological symptoms in a sample of 782 Chinese undergraduate students using the Self-Supporting Personality Scale for Adolescent Students (SSPS-AS), Adolescent Self-Rating Life Event Checklist (ASLEC), Multidimensional Scale of Perceived Social Support (MPSSS), and Symptoms Check List 90 (SCL-90). As predicted, results from cross-sectional structural equation analyses suggested that stress and social support mediate the relationship between four self-supporting personality traits and psychological symptoms; an alternative stress-moderation model was not supported.     

Personality,social support,and anxiety among adolescents preparing for university entrance examinations in turkey

This study aimed to investigate the importance of different sources of perceived social support, sociotropic and autonomic personality dispositions, achievement expectation, and importance of academic achievement in predicting anxiety symptoms of male and female students who were preparing for the university entrance exam. Three hundred and forty students with ages varying from 16 to 21 participated in the study. Separate multiple regression analyses were run for males and females in predicting anxiety symptoms. The total Sociotropy score and the total Social Support score predicted anxiety for females, whereas for males, anxiety was predicted by four variables, namely, Achievement Expectancy, Concern over Approval, Social Support from Family, and Social Support from Friends. Implications of these results were discussed. This study was supported by the Turkish Academy of Sciences under the Young Scientist Award Program. (TG-TUBA-GEB>P/2002-l-ll).     

Informative sources of math‐related self‐efficacy expectations and their relationship with math‐related self‐efficacy,interest, and preference

In this study, by using the hypotheses of social‐cognitive career theory (SCCT), the relationship between informative sources of math‐related self‐efficacy expectations and self‐efficacy, interest, and math‐weighted major preferences were investigated. The participants in this study were students (N = 590) from high schools in Southern Turkey. Participants completed measures of sources of math‐related self‐efficacy, self‐efficacy, interest, and choice consideration related to math‐weighted majors. While running analyses, sampling was split in half at random and psychometric analyses of the scales were run with the first half (n = 298); the second half (n = 292) was used to test the hypotheses. By doing this, the testing of hypotheses would not be affected by just one specific sampling characteristic. A structural equation model was tested and findings indicated general support for hypotheses that these sources predict self‐efficacy beliefs and these beliefs also predict interest. However, contrary to SCCT's predictions, math‐weighted major preferences are not predicted by math‐related self‐efficacy expectations and interest. In the Discussion, first, the reasons why the measurement of vicarious learning or modelling did not significantly predict self‐efficacy expectations focus on the relationships between personal accomplishments and persuasion and reported physiological arousal and personal accomplishments. Some information is given as to how counsellors and math teachers can work collaboratively to raise perceptions about informative sources. Second, explanations are given about why self‐efficacy and interest did not predict math‐weighted preferences. It is mentioned that this could be the reason for the constrained and complex system of the university entrance exams and placement in Turkey. The importance of investigating environmental variables on SCCT in developing countries was emphasized. Suggestions are also given for further research. It is concluded that this theory should be tested in developing countries like Turkey.     

Personality, social support, and anxiety among adolescents preparing for university entrance examinations in turkey

This study aimed to investigate the importance of different sources of perceived social support, sociotropic and autonomic personality dispositions, achievement expectation, and importance of academic achievement in predicting anxiety symptoms of male and female students who were preparing for the university entrance exam. Three hundred and forty students with ages varying from 16 to 21 participated in the study. Separate multiple regression analyses were run for males and females in predicting anxiety symptoms. The total Sociotropy score and the total Social Support score predicted anxiety for females, whereas for males, anxiety was predicted by four variables, namely, Achievement Expectancy, Concern over Approval, Social Support from Family, and Social Support from Friends. Implications of these results were discussed. This study was supported by the Turkish Academy of Sciences under the Young Scientist Award Program. (TG-TUBA-GEB>P/2002-l-ll).     

A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients

Psychosocial factors are increasingly recognized as risk indicators for coronary artery disease (CAD) prognosis and they are likely interrelated. The objective of this study is to simultaneously test the relationship between key psychosocial constructs as independent factor scores and recurrent events in CAD patients. There were 1268 CAD outpatients of 97 cardiologists surveyed at two points. Recurrent events or hospitalization in the intervening nine months were reported. Factor analysis of items from the Hospital Anxiety and Depression Scale, Perceived Stress Scale, the ENRICHD Social Support Inventory, and Hostile Attitudes Scale was performed to generate orthogonal factor scores. With adjustment for prognostic variables, logistic regression analysis was performed to examine the relationship between these factor scores and recurrent events. Factor analysis resulted in a six-factor solution: hostility, stress, anxiety, depressive symptoms, support, and resilience. Logistic regression revealed that functional status and anxiety, with a trend for depressive symptoms, were related to experiencing a recurrent event. In this simultaneous test of psychosocial constructs hypothesized to relate to cardiac prognosis, anxiety may be a particularly hazardous psychosocial factor. While replication is warranted, efforts to investigate the potential benefits of screening and to investigate treatments are needed.     

Gender and well-being in the Czech Republic

American women are stressed by network events and men by economic events outside the home, with women internalizing distress symptoms and men externalizing them. This gender pattern of stress-distress in the United States was tested in the 1990–1991 Czech Republic with a two-wave panel based on 294 households, 90% of which are Czech. This analysis is restricted to the 192 respondents who completed questionnaires in the second wave, 1991. The country was in the shock phase of its transition from state socialism to democracy and a market economy, and people were experiencing economic hardship and uncertainty. Czech women and men reported similar exposure to economic and network stress and were similar in their vulnerability to stress (mastery and social support) as well. Women reported higher levels of internalized distress symptoms (depression, anxiety, and somatization) than men, but there were no significant gender differences in externalized symptoms (hostility). The effects of economic and network stress on the distress symptoms were the same for women and men. Mastery buffered the relationship between economic stress and somatization and hostility, but social support was not a buffer between the stressors and distress, and these were true for both men and women. Interpretations of the results rest on the convergence of gender roles in the Czech Republic since 1948, which exposed Czech women and men equally to the shock phase of the post-communist transformation.Research for this paper was supported by the National Institutes of Mental Health (MH50369), NATO, and IREX, with funds provided by the Andrew W. Mellon Foundation, the National Endowment for the Humanities, and the U.S. Department of State. Partial support was provided by Iowa State University and the Agriculture University of Prague as well. Lorenz was also funded by the Iowa Agricultural and Home Economics Experimentation Station. None of these organizations is responsible for the views expressed.     

An interpersonal perspective on depression: the role of marital adjustment, conflict communication, attributions, and attachment within a clinical sample

Previous studies have focused on the difficulties in psychosocial functioning in depressed persons, underscoring the distress experienced by both spouses. We selected conflict communication, attribution, and attachment as important domains of depression in the context of marital adjustment, and we analyzed two hypotheses in one single study. First, we analyzed whether a clinical sample of couples with a depressed patient would differ significantly from a control group on these variables. Second, we explored to what degree these variables mediate/moderate the relationship between depressive symptoms and marital adjustment. The perspectives of both spouses were taken into account, as well as gender differences. In total, 69 clinical and 69 control couples were recruited, and a series of multivariate analyses of variance and regression analyses were conducted to test both hypotheses. Results indicated that both patients and their partners reported less marital adjustment associated with more negative perceptions on conflict communication, causal attributions, and insecure attachment. In addition, conflict communication and causal attributions were significant mediators of the association between depressive symptoms and marital adjustment for both depressed men and women, and causal attributions also moderated this link. Ambivalent attachment was a significant mediator only for the female identified patients. Several sex differences and clinical implications are discussed.     

Religious support and psychosocial well-being among a religious Jewish population

The three subscales of the Religious Support Scale assess perceived support from a person’s religious community, religious leaders, and God. This three-factor structure was replicated in the current study with a sample of 277 religious Jewish persons residing in Israel. Hierarchical canonical analysis showed that, even after controlling for general social support, Religious Leader and God Support were related to lower emotional distress, Religious Leader and Religious Community Support contributed to a higher level of life satisfaction, and Religious Community and God Support contributed to the prediction of perceived health. Findings are discussed in terms of religious support’s generalizability as a psychosocial resource for persons of various faiths.     

Stressors and child and adolescent psychopathology: moving from markers to mechanisms of risk

In the first half of this review, the authors critically evaluate existing research on the association between stressors and symptoms of psychopathology in children and adolescents. This analysis reveals (a) problems with conceptualizations of stress, (b) variability in measurement of stressors, and (c) lack of theory-driven research. To address these problems, the authors propose a general conceptual model of the relation between stressors and child and adolescent psychopathology. The authors examine basic tenets of this general model in the second half of this article by testing a specific model in which negative parenting mediates the relation between economic stressors and psychological symptoms in young people. Results generally provide support for the specific model as well as for the broader model.     

Coping with a threat to life: A longitudinal study of self-concept,social support,and psychological distress

The relationship of self-concept (self-esteem and mastery) and social support to psychological distress was studied among 68 Israeli women immediately prior to undergoing biopsy for suspected cancer (acute stress) and 3 months later for the noncancer group (everyday stress). It was predicted that women with stronger self-concepts and more social support would experience less state depression and state anxiety during the acute crisis than women with weaker self-concepts and less social support. It was further predicted that self-concept would be more critical than social support due to the acute nature of the event. Finally, self-concept was predicted to be related to psychological distress both during the acute and everyday stress situations (a direct effect), while social support was predicted to be related to psychological distress only during the acute stress situation (a buffering effect). The hypotheses were generally confirmed. However, self-concept and social support were seen as complexly related to psychological distress during the acute phase, one not necessarily being more critical than the other. The selective employment of available resistance resources to fit the situation and implications for preventive intervention were discussed.