The Accuracy of Self-Reports of Condom Use and Sexual Behavior

In a study of the accuracy of self-reports of sexual behavior and condom use, 285 single, young adults in a large metropolitan area were interviewed once a week for 52 weeks, reporting on their sexual behavior each week. At 1-, 3-, 6-, and 12-month intervals, the individuals also provided self-reports of the number of times they had engaged in sex and the number of times they had used condoms since they began participating in the study. These self-reports were compared with aggregates of the weekly data, which served as a comparison standard for accuracy evaluation. The results indicate a fairly high level of accuracy in self-reports, but with 2% to 5% outliers who are highly inaccurate. The results tend to favor the assessment of sexual behavior over moderate time durations (3 or 6 months) rather than short or long durations (1 month or 12 months) when trying to maximize self-report accuracy. Accuracy was attenuated for individuals who tended to engage in sex frequently, especially at the 12-month time durations.     

The Impact of Sexual Victimization on Personality: A Longitudinal Study of Gendered Attributes

Little is known about how sexual victimization may affect a woman’s self-reported personality ratings. In the present study endorsement ratings of gendered attributes, as measured by the Extended Personal Attributes Questionnaire, were examined over a 3-year span using multiple group latent growth modeling. Differences in the endorsement of gendered attributes between college female non-victims (N?=?158) and victims (N?=?158) of sexual aggression were tested. Whereas endorsement of communal and positive agentic attributes were stable across time, victims remained consistently less traditionally feminine (i.e., positively communal and nurturing) than non-victims. Victims also appeared to become relatively more self-focused (i.e., negative masculinity) across time than non-victims. This pattern suggests that sexual victimization may have lasting effects on victims’ ability to focus on the nurturing, trusting aspects of relationships; rather they have a preoccupation with their own needs and goals that appears to strengthen with time. Such a pattern sheds insight into how self-processes may contribute to the relationship difficulties often observed in sexual assault victims. Implications of these results for both personality and sexual aggression researchers are discussed.     

A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes

This paper presents findings from a multi-centre, double-blind, randomized controlled trial that tested the hypothesis that parent and youth mental health improvements would be superior in a family-based intervention for adolescent depression (BEST MOOD) compared to a treatment-as-usual supportive parenting program (PAST). Eligible participants were families with a young person aged between 12 and 18 years who met diagnostic criteria for a depressive disorder (major, minor or dysthymic). Participating families (N = 64; 73.4% of youth were female) were recruited in Victoria, Australia and allocated to treatment condition using a block randomization procedure (parallel design) with two levels of blinding. This paper reports on the trial’s secondary outcomes on youth and parent mental health. General linear mixed models were used to examine the longitudinal effect of treatment group on outcome. Data were analyzed according to intention-to-treat; 31 families were analyzed in BEST MOOD, and 33 families in PAST. Parents in the BEST MOOD group experienced significantly greater reductions in stress and depressive symptoms than parents in the PAST group at 3-month follow-up. A greater reduction in parental anxiety was observed in the BEST MOOD group (d = 0.35) compared with PAST (d = 0.02), although the between-group difference was not significant. Both groups of youth showed similar levels of improvement in depressive symptoms at post-treatment (d = 0.83 and 0.80 respectively), which were largely sustained at a 3-month follow-up. The family-based BEST MOOD intervention appeared superior to treatment-as-usual (PAST) in demonstrating greater reductions in parental stress and depression. Both interventions produced large reductions in youth depressive symptoms.     

Family-Based Intervention with High-Risk Infants and Their Families

A model of family-based intervention for high-risk infants hospitalized in the neonatal intensive care unit and their families is presented. The theoretical underpinnings, principles, and nature of the intervention are described. The adaptation of the model from a clinical–research demonstration project to a clinical consultation service is highlighted, with particular emphasis on the practical application of the model. Domains of the intervention include infant behavior, family organization and functioning, caregiving environment, and home discharge/community resources. Three case illustrations are provided to demonstrate the breadth of the intervention and how it can be individualized based upon the presentation of the infant and family.     

Longitudinal Impact of Communication Patterns on Romantic Attachment and Symptoms of Depression

This study investigated how communication patterns, romantic attachment, symptoms of depression, and perceptions of relationship quality are related concurrently and prospectively within monogamous dating relationships. Participants completed two self-report assessments at six-month intervals. Hierarchical regression analyses revealed that for males, mutual constructive communication was associated with decreases in depressive symptoms, whereas demand-withdraw communication was associated with increases in attachment avoidance and depressive symptoms from T1 to T2. The same variables were not associated with changes in attachment or depressive symptoms for females. Mixed model ANOVAs revealed insecure attachment, symptoms of depression, and negative perceptions of relationship quality were significantly higher for broken up individuals than for those whose relationships remained intact.     

Mock Jurors' Evaluations of Child Sexual Abuse: The Impact of Memory Recovery and Therapeutic Intervention

The present research assessed whether mock jurors' decisions in a case involving allegations of child sexual abuse would be influenced by (1) the nature of the plaintiff's memory of the abuse (repressed, nonrepressed) and (2) therapeutic intervention (present, absent). Participants (N=123) were given a trial summary in which the plaintiff's memory and involvement in therapy were systematically varied to produce four conditions. Although verdicts varied only by sex of participant, some judgments of the plaintiff's claim were more favorable to the plaintiff in the non-repressed condition. Female participants were also less likely to believe that the claim involving memory repression was truthful when the woman was in therapy as opposed to not in therapy. Results also indicated that people who were aware of “False Memory Syndrome” were more likely to think the plaintiff was lying and less likely to think she was telling the truth compared to those who were not aware.     

Recruiting and Retaining High-Risk Adolescents into Family-Based HIV Prevention Intervention Research

The purpose of this study was to examine the effectiveness of evidence-based recruitment and retention strategies for a longitudinal, family-based HIV prevention intervention study targeting adolescents in psychiatric care by (1) determining consent rate (recruitment), rate of participation at the first intervention session (retention), and follow-up attendance rate (retention); and (2) examining socio-demographic factors, family-level processes, sexual risk-related indices, and intervention factors (i.e., treatment arm) associated with study retention. Only one-third of the families contacted ultimately enrolled in the study. 81% of those enrolled participated in the workshop and 72% attended the booster sessions with no significant differences between families on any variable based on attendance. Retention over 1?year was 85% and did not differ by treatment arm. Strategies employed were successful at retaining families once they were enrolled. Findings highlight barriers to enrollment for adolescents in psychiatric care and suggest that it may be critical to integrate HIV prevention programs within community-based mental health services in order to counteract recruitment challenges.     

The Impact of a Brief Bullying Bystander Intervention on Depressive Symptoms

The authors evaluated the impact of a brief bullying bystander intervention (STAC) on depressive symptoms among high school students using a randomized controlled design. Results of path analyses provided support for a mediational model in which the intervention was associated with an increase in sense of school belonging, which in turn was associated with a reduction in depressive symptoms. The authors discuss implications for high school counselors and counselors in other settings working with adolescents.     

Longitudinal Impact of a Family Critical Time Intervention on Children in High-Risk Families Experiencing Homelessness: A Randomized Trial

A randomized trial compared effects of a Family Critical Time Intervention (FCTI) to usual care for children in 200 newly homeless families in which mothers had diagnosable mental illness or substance problems. Adapted from an evidence‐based practice to prevent chronic homelessness for adults with mental illnesses, FCTI combines housing and structured, time‐limited case management to connect families leaving shelter with community services. Families were followed at five time points over 24 months. Data on 311 children—99 ages 1.5–5 years, 113 ages 6–10 years, and 99 ages 11–16 years—included mother‐, teacher‐, and child‐reports of mental health, school experiences, and psychosocial well‐being. Analyses used hierarchical linear modeling to investigate intervention effects and changes in child functioning over time. Referral to FCTI reduced internalizing and externalizing problems in preschool‐aged children and externalizing for adolescents 11–16. The intervention led to declines in self‐reported school troubles for children 6–10 and 11–16. Both experimental and control children in all age groups showed reductions in symptoms over time. Although experimental results were scattered, they suggest that FCTI has the potential to improve mental health and school outcomes for children experiencing homelessness.     

Ambiguous Communication of Sexual Intentions as a Risk Marker of Sexual Aggression

Three studies are reported that explored the role of ambiguous communication of sexual intentions as a risk factor for sexual aggression and victimization. Two main forms of ambiguous communication were distinguished: token resistance (saying no when you mean yes) and compliance (saying yes when you mean no). Two samples of heterosexual men and women and a sample of homosexual men with a total N of 1284 completed a measure of sexual victimization or aggression and indicated whether or not they had ever shown token resistance or compliance in a sexual encounter. Moreover, the heterosexual male respondents indicated whether they had ever perceived token resistance or compliance in a female partner. Logistic regression analyses revealed that the risk of experiencing sexual victimization was significantly increased as a function of token resistance. Two of the three studies also showed compliance to be a risk factor for sexual victimization. For the male respondents, token resistance was consistently linked to a higher likelihood of perpetrating sexually aggressive acts in the three studies. Perceived compliance was also found to increase the risk of sexual aggression in three of four analyses. Support for a link between perceived token resistance and sexual aggression was found in the first study only. Overall, the findings suggest that the use of ambiguous communication in negotiating sexual encounters is associated with an increased risk of sexual victimization as well as perpetration of sexually aggressive acts in both heterosexual and homosexual contacts. The implications of the findings are discussed with respect to the issue of rape prevention.     

A Longitudinal Study of Peer Communication During Job Transfers The Impact of Frequency,Quality, and Network Multiplexity on Adjustment

This longitudinal research examines the impact of peer communication on transferees moving from one location to another within organizations. Based on uncertainty reduction theory, it examines the impact of the frequency of peer communication, the quality of peer communication, and network multiplexity on transferees’adjustment to their new positions. Results suggest that the quality of peer communication is associated with positive adjustment after 1 month and at 3 months; frequency of peer communication is associated with positive adjustment at 3 months and at 1 year; and the network multiplexity has relatively limited impact. These results suggest the importance of examining the impact of peer communication for reducing uncertainty for employees involved in job transitions instead of focusing exclusively on superior-subordinate communication.     

Self-Efficacy and Memory Aging: The Impact of a Memory Intervention Based on Self-Efficacy

ABSTRACT

A multifactorial training program was developed for older adults, to improve self-efficacy and memory performance. Elements designed to raise self-efficacy were integrated into class discussions, homework readings, and practice exercises, including an emphasis on memory potential at any age, self-set goals, and opportunities for mastery. Strategy training focused on association, organization, attention, imagery, and PQRST. Significant improvements for the training group, as compared to a wait-list control group, were observed for memory self-efficacy, locus of control, name recall and story recall. Trained participants were using effective strategies more so than the control group. Final test scores were predicted by self-efficacy, condition assignment, and baseline ability (with some variation across the three tasks). These findings suggest that an integrated and comprehensive training program that incorporates principles of self-efficacy theory has great potential for improving older adults' memory ability.     

Self-Esteem, Teasing and Quality of Life: African American Adolescent Girls Participating in a Family-Based Pediatric Overweight Intervention

Two studies investigated overweight in African American girls. First, African American adolescent girls (BMI was ≥ 85th percentile) and their mothers participated in focus groups addressing weight and eating. Although mothers and daughters shared some similar views on these issues, there were important discrepancies, with mothers expressing greater doubt about the potential success of a healthy weight program. The second study evaluated baseline data from 39 African American girls participating in a weight management program; mothers' reports were also analyzed. In both studies, adolescents reported significant teasing, and in the second study, teasing was inversely associated with social quality of life (β=.55, t=3.01, p=.007). Motivation to participate was positively associated with teasing (r=.50, p < .01). Self-esteem was inversely related to positive health habits (all p < .05). Mothers who viewed their daughters as having higher self-esteem were less concerned about their daughters' weight. Differences in mothers' and daughters' perceptions highlight the importance of a family approach in pediatric overweight interventions. Results provide evidence that overweight African American girls face significant weight stigmatization and suggest areas to target regarding intervention implementation.

Development and Refinement of a Targeted Sexual Risk Reduction Intervention for Women With a History of Childhood Sexual Abuse

Childhood sexual abuse (CSA) is associated with sexual risk behavior in adulthood. Traditional sexual risk reduction interventions do not meet the unique needs of women who have been sexually abused. In the current paper, we describe the four-stage process we followed to develop and refine a targeted sexual risk reduction intervention for this population. First, initial quantitative work revealed that the intervention should address how maladaptive thoughts related to traumatic sexualization, trust, powerlessness, and guilt/shame (traumagenic dynamics constructs) influence current sexual behavior. Second, qualitative interviews with 10 women who reported a history of CSA (M age = 34 years; 90% African American) as well as current sexual risk behavior provided support for targeting maladaptive thoughts associated with these traumagenic dynamics constructs. Third, based on the qualitative and quantitative results, we developed a 5-session, group-delivered intervention to address the maladaptive thoughts that occurred as a result of CSA, as well as the cognitive-behavioral determinants of sexual risk behavior. This intervention drew heavily on cognitive behavioral techniques to address cognitions associated with CSA and the links between these cognitions and current sexual risk behavior. Techniques from trauma-based therapies, as well as motivational techniques, were also incorporated into the intervention. Finally, we refined the intervention with 24 women (M age = 33 years; 79% African American), and assessed feasibility and acceptability. These women reported high levels of satisfaction with the intervention. The resultant intervention is currently being evaluated in a small, randomized controlled trial.     

Classifying a Person as a Sexual Partner: The Impact of Contextual Factors

This study assessed the influence of five factors on respondents' judgments of whether two hypothetical actors, Tom and Lucy, would consider each other to be "sexual partners." The factors were: respondent's gender, actor's gender, type of act (vaginal, anal, or oral intercourse), frequency of act (once, several times), and actors' dating status (not dating, dated once, dated for three months). 223 undergraduates (mean age 22.2 - 2.2 years; 65% female) read 16 hypothetical heterosexual behavior scenarios featuring Tom and Lucy and judged whether Tom (Lucy) would consider Lucy (Tom) to be a "sexual partner." Respondents thought the actors would be more likely to consider each other sexual partners if they had engaged in vaginal or anal intercourse as opposed to oral sex; if they had more frequent sex; or if they were in a steady dating relationship. Researchers and health care professionals should take contextual/situational factors into account when they ask respondents about their sexual partners.     

Observational Research of Negative Communication and Self-Reported Relationship Satisfaction

Clinical researchers suggest more real-world types of data are needed to understand negative communication in couples. This study asked, what is the relationship between partners’ reports of relationship satisfaction and frequencies of observed markers of negative communication? Fifty-three clinical and community couples completed self-report assessments and ten-minute discussions of relationship concerns. Data were analyzed using pooled regression to account for both actor and partner effects of relationship quality scores on hostility, distress-maintaining attributions, dysphoric affect, and withdrawal. Results yielded a significant actor female effect for hostility and a significant male-to-female partner effect for distress-maintaining attribution.     

Pornography's Impact on Sexual Satisfaction1

Male and female students and nonstudents were exposed to videotapes featuring common, nonviolent pornography or innocuous content. Exposure was in hourly sessions in six consecutive weeks. In the seventh week, subjects participated in an ostensibly unrelated study on societal institutions and personal gratifications. On an especially constructed questionnaire, subjects rated their personal happiness regarding various domains of experience; additionally, they indicated the relative importance of gratifying experiences. Exposure to pornography was without influence on the self-assessment of happiness and satisfaction outside the sexual realm (e.g., satisfaction deriving from professional accomplishments). In contrast, it strongly impacted self-assessment of sexual experience. After consumption of pornography, subjects reported less satisfaction with their intimate partners—specifically, with these partners' affection, physical appearance, sexual curiosity, and sexual performance proper. In addition, subjects assigned increased importance to sex without emotional involvement. These effects were uniform across gender and populations.     

The Impact of Legislative Standards on Batterer Intervention Program Practices and Characteristics

Changes in social policy are often pursued with the goal of reducing a social problem by improving prevention efforts, intervention program practices, or participant outcomes. State legislative standards for intimate partner violence intervention programs have been adopted nearly universally across the US, however, we do not know whether such standards actually achieve the intended goal of affecting programs’ policies and practices. To assess the effect that batterer intervention program (BIP) standards have on policies and practices of programs, this study used longitudinal surveys collected as part of an ongoing evaluation conducted from 2001 to the present to compare intervention program (N = 74) characteristics and practices at three time points before and after the adoption of standards in Oregon. Analyses were conducted to examine all BIPs in Oregon at each time point, as well as change among a subset of programs in existence at all survey assessments. Results indicate that across all programs, the use of mixed gender group co-facilitation increased by 14 % between 2004 and 2008, while program length increased by approximately 12 weeks. However, other practices such as programs’ coordination with community partners were unchanged. Analyses of within-program change revealed fewer differences, with only program length increasing significantly over the three assessments. These and other findings indicate that while standards affected program length as intended, other practices commonly addressed by legislative standards remained unchanged. The findings provide needed information regarding programs’ compliance with components of the standards, the potential need for compliance monitoring, and the potential impact of state standards on program effectiveness and on the prevalence of intimate partner violence.