Psychological and social consequences of HIV exposure: Homosexuals in southern california

Abstract

The purpose of this study was to identify the psychological and social consequences experienced by apparently healthy homosexual men who learn that they have positive results on the HIV antibody test, but who have not yet developed AIDS or ARC. Employing a census survey of the male membership of three homophile organizations in a Southern California county (n=1905), 30 HIV positives and 55 negatives completed a biographical questionnaire, the IPAT Anxiety Scale Questionnaire, the IPAT Depression Scale, and the Coping Strategies Inventory. Results indicate that HIV positives show considerable disorganization after hearing test results, have clinically high levels of anxiety (n=10), and clinically high levels of depression (n=14) when compared to the normative samples. Positives also reported pervasive changes in their sexual activity (n=30), and experienced negative consequences in social (n=15) and occupational functioning (n=10). Twelve subjects reported suicidal ideation after they heard the results of their testing, with one subject reporting a suicide attempt. The methodological limitations of the study were examined, with an emphasis on the limitations of the survey method. Speculations to account for the reported behaviors were discussed.     

Associations of self‐esteem and temperament traits to self‐ and teacher‐reported social status among classmates

Hintsanen, M., Alatupa, S., Pullmann, H., Hirstiö‐Snellman, P. & Keltikangas‐Järvinen, L. (2010). Associations of self‐esteem and temperament traits to self‐ and teacher‐reported social status among classmates. Scandinavian Journal of Psychology 51, 488–494. The present study examined the validity of self‐ and teacher‐reported social status and its relations to self‐esteem and temperament in a geographically representative cohort of Finnish adolescents (N = 3941, mean age 15.1 years). High agreement was found between self‐ and teacher‐rated social status (r = 0.42). Different aspects of self‐esteem were differently related to social status. When other temperament and self‐esteem variables were included in the analyses, strongest predictor for self‐rated social status in both genders was social self‐esteem (p < 0.01) and for teacher‐rated social status general self‐esteem (p < 0.01). The strongest temperamental predictors of social status were lower inhibition in girls (p < 0.01, self‐ and teacher‐rated) and higher impulsivity (p < 0.01, self‐rated) and activity (p < 0.01, teacher‐rated) in boys. The present findings are consistent with the view that social functioning and peer relations are associated with individual differences in self‐concept and temperament dimensions.     

Personality – a resource or risk for successful development

Personality as a resource or risk for development was discussed in the light of the results of the ongoing Finnish Jyväskylä Longitudinal Study of Personality and Social Development (FJYLS) which the author has conducted since 1968 when the participants (N = 369, b. 1959) were 8 years of age. A general hypothesis presented within a two‐dimensional framework of self‐control and activity was that the child’s high self‐control of emotions and behavior would be associated with adaptive behavior in adulthood. The results have provided evidence in support for and limitations to the hypothesis. High self‐control was a resource and low self‐control was a risk for development, but there were gender differences that came out consistently in variable‐oriented and person‐oriented analyses. A resource factor for male adult social functioning was, compared to females, a broader construct of self‐control in childhood covering both more passive (compliant) and active (constructive) behavior; only active well‐controlled (constructive) behavior was a resource for female functioning. A risk factor for female functioning was low self‐control combined with passivity (internalizing behavior), whereas low self‐control combined with activity (externalizing behavior) was a risk factor for male functioning. Childhood self‐control was not directly associated with adult psychological functioning such as well‐being but indirectly through social functioning such as career development. Low self‐control in childhood was an antecedent of criminal behavior but only for those male offenders who committed offences in adulthood, not for those who had limited their offending to adolescence.     

Distinguishing Between Subgroups of Adolescents Who Self‐Harm

The differences in factors associated with subgroups of adolescents in the continuum of deliberate self‐harm (DSH) phenomena were investigated. In an anonymous self‐report survey of 6,020 adolescents aged 15 and 16 years, 3.2% of adolescents (5.3% females, 1.3% males) reported DSH with intent to die, 2.8% (4.3% females; 1.5% males) reported DSH without intent to die, and 15% (22.4% females; 8.5% males) reported thoughts of DSH without acts. Regression analysis indicated considerable overlap in vulnerability factors along the spectrum of DSH thoughts and acts. A uniquely distinct relationship was found between DSH of a friend and DSH without intent to die on one hand and DSH of a family member with DSH with intent to die on the other. Results indicate that familial and nonfamilial social influences on DSH behavior may be important in designing prevention programs and that educational programs for the promotion of psychological well‐being may be helpful for adolescents at any point along the spectrum of DSH that was examined.     

Individual and parental factors related to meaning in life among Hungarian minority adolescents from Romania

Understanding how adolescents achieve meaning in life has important implications for their psychological development. A social cognitive model of meaning development was tested by assessing psychological (self‐efficacy, self‐regulation and social comparison) and parental (parental responsiveness, demandingness, and social support) variables in a sample of 1944 adolescents (aged 15–19 years; 47.8% males) from secondary schools of the Middle Transylvanian Region, Romania. Both psychological and parental factors were significantly related to meaning in life. For both boys and girls, self‐efficacy, self‐regulation, and maternal responsiveness related positively with meaning in life, and paternal demandingness related inversely to meaning in life. However, social comparison related positively to meaning only among boys, and paternal responsiveness related positively to meaning only among girls. Results point to a possible meaning‐supporting role played by social cognitive variables, as well as parental autonomy support. The gender differences observed here suggest that existing theories of meaning development may need to be elaborated to include family of origin and gender.     

Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag Health Study

Derdikman‐Eiron, R., Indredavik, M. S., Bratberg, G. H., Taraldsen, G., Bakken, I. J. & Colton, M. (2011). Gender differences in subjective well‐being, self‐esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: Findings from the Nord‐Trøndelag health study. Scandinavian Journal of Psychology52, 261–267. Gender differences in the prevalence of symptoms of anxiety and depression during adolescence are well documented. However, little attention has been given to differences in subjective well‐being, self‐esteem and psychosocial functioning between boys and girls with symptoms of anxiety and depression. The aim of this study was to investigate gender differences in the associations between such symptoms and subjective well‐being, self‐esteem, school functioning and social relations in adolescents. Data were taken from a major population‐based Norwegian study, the Nord‐Trøndelag Health study (HUNT), in which 8984 (91% of all invited) adolescents, aged 13–19 years, completed an extensive self‐report questionnaire. Although prevalence rates of symptoms of anxiety and depression were higher in girls than in boys, a significant interaction between gender and symptoms of anxiety and depression was found in respect of each of the following outcome variables: subjective well‐being, self‐esteem, academic problems, frequency of meeting friends and the feeling of not having enough friends. These interactions indicate that the associations between symptoms of anxiety and depression and lower subjective well‐being and self‐esteem, more academic problems in school and lower social functioning were stronger for boys than for girls. Our findings may contribute to an earlier assessment and more efficient treatment of male adolescent anxiety and depression.     

Self‐Concept Clarity in Adolescents and Parents: A Six‐Wave Longitudinal and Multi‐Informant Study on Development and Intergenerational Transmission

The purpose of this study was twofold: (a) to disentangle patterns of change and stability in self‐concept clarity (SCC) in adolescents and in their parents and (b) to examine processes of intergenerational transmission of SCC in families with adolescents. Participants were 497 Dutch families including the father (baseline M_age = 46.74), the mother (baseline M_age = 44.41), and their adolescent child (56.9% males; baseline M_age = 13.03). Each family member completed the SCC scale for six waves, with a one‐year interval between each wave. Latent growth curve analyses indicated that adolescent boys reported higher SCC than girls. Furthermore, fathers and mothers reported higher SCC than their children, and it increased over time. Indices of SCC rank‐order stability were high and increased from T1 to T2, T2 to T3, etc., for each family member, especially for adolescents. Multivariate latent growth curve analyses and cross‐lagged models highlighted a unidirectional transmission process, with fathers’ and mothers’ SCC influencing adolescents’ SCC. This result was not moderated by adolescent gender. These findings indicate that self‐concept clarity is transmitted from parents to children.     

Coping Strategies With Minor Stressors in Adolescence: Relationships With Social Support,Self‐Efficacy,and Psychological Well‐Being

This study examined age and gender differences in coping strategies used by adolescents (N = 342; age = 14–19 years) in dealing with everyday minor stressors. Relationships with coping resources (self‐efficacy, social support) and the impact of coping on psychological well‐being were assessed. Coping strategies were measured using the Coping Across Situations Questionnaire (CASQ; Seiffge‐Krenke, 1995 ). Results showed that adolescents' coping strategies differed according to problem domain. The most frequently used strategies were active and internally focused. Females used a wider range of coping strategies than did males. Significant correlations were found among coping strategies and coping resources. Moreover, the adoption of some strategies significantly affected adolescents' psychological well‐being.     

Emotional availability and psychosocial correlates among mothers in substance‐abuse treatment and their young infants

Emotional availability (EA) was investigated among low‐income mothers enrolled in substance‐abuse treatment and their young infants (n = 21) compared with a demographically matched group of mother–infant pairs who, by self‐report, were not at risk for substance abuse (n = 27). The mother–infant dyads in the treatment group generally demonstrated poorer EA functioning than those in the comparison group, but few differences between the groups on individual dimensions of EA were significant. This finding was notable considering that mothers in treatment reported significantly higher levels of depressive symptoms and psychological stress. Treatment effects may have buffered the negative impact of depression and psychological stress on mothers' EA scores. The clinical implications of the findings are discussed as they relate to substance‐abuse‐treatment services for pregnant and parenting women.     

Evidence from a homosexual sample for a sex‐specific rival‐oriented mechanism: Jealousy as a function of a rival's physical attractiveness and dominance

Among heterosexual women in particular, a rival's physical attractiveness evokes jealousy, whereas among heterosexual men in particular, a rival's dominance evokes feelings of jealousy. The present study conducted with gay men and lesbian women examined whether these sex‐differentiated responses reflect an evolved sex‐specific rival‐oriented mechanism according to which males and females pay attention to different rival characteristics or an evolved general partner‐oriented mechanism, according to which males and females pay attention to those characteristics that their actual and potential partners find important. In an experiment, using a 2 (Participant Sex) × 2 (Rival Physical Attractiveness) × 2 (Rival Dominance) mixed factor design, homosexual participants were presented with a scenario in which their partners were flirting with an individual of the same sex. Lesbian women, but not gay men, reported more jealousy when they were exposed to a physically attractive rival as compared with a physically unattractive rival. Gay males, but not lesbian women, reported more jealousy when they were exposed to a rival high in dominance as compared with a rival low in dominance, especially when exposed to a physically unattractive rival. In addition, among women high in dominance, a dominant rival evoked relatively less jealousy, and among women high in social comparison orientation, an unattractive rival evoked relatively more jealousy. It is concluded that males and females posses an evolved sex‐specific rival‐oriented mechanism through which they respond more or less automatically to those rival characteristics that have been important in sexual selection in our evolutionary past.     

Predicting dating behavior from aggression and self‐perceived social status in adolescence

We investigated the longitudinal associations between self‐reported aggression, self‐perceived social status, and dating in adolescence using an intrasexual competition theoretical framework. Participants consisted of 536 students in Grade 9 (age 15), recruited from a community sample, who were assessed on a yearly basis until they were in Grade 11 (age 17). Adolescents self‐reported their use of direct and indirect aggression, social status, and number of dating partners. A cross‐lagged panel model that controlled for within‐time covariance and across‐time stability while examining cross‐lagged pathways was used to analyze the data. The findings revealed that direct aggression did not predict dating behavior and was negatively associated with self‐perceived social status in Grade 10. Self‐perceived social status in Grade 9 was positively associated with greater use of indirect aggression in Grade 10. Regarding dating, in Grade 9, self‐perceived social status positively predicted more dating partners the following year, while in Grade 10, it was higher levels of indirect aggression that predicted greater dating activity the following year. Overall, there were no significant sex differences in the model. The study supports the utility of evolutionary psychological theory in explaining peer aggression, and suggests that although social status can increase dating opportunities, as adolescents mature, indirect aggression becomes the most successful and strategic means of competing intrasexually and gaining mating advantages.

     

The relationship of social support to physical and psychological aspects of AIDS

Abstract

This study explored the social support networks of 50 homosexual males with Acquired Immune Deficiency Syndrome (AIDS). Data gathered by self report questionnaires and medical records included diagnosis, number of medical symptoms, sociodemographics, extensive information about social support networks, mood state and physical health status. Variables associated with good psychological and physical adaptation included satisfaction with support, instrumental support and emotional support. Results of this study conflict with previous studies in that worse physical condition was not positively associated with satisfaction with support, was related to less instrumental support and was not associated with increased quantitative support. The measures of satisfaction with support, instrumental support and emotional support were all quite high, even though network size was small.     

Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

The main aim of this study was to investigate the individual contributions of neurocognitive and social‐cognitive domains to self‐reported and informant‐reported functional outcome in early psychosis. We also sought to further characterize the nature of cognitive impairments in this sample and explore the interrelationships between the social‐cognitive measures and how they correlate with measures of neurocognition and clinical symptoms. In this study, 70 patients (mean age: 24.1; 87.1% males) with primary psychotic disorder diagnosed in the previous 5 years were assessed on multiple neurocognitive (processing speed, attention, working memory, immediate verbal memory, delayed recall, visual reasoning, inhibition, planning, cognitive flexibility), and social‐cognitive domains (theory of mind (ToM), emotion recognition, attributional style, metacognitive overconfidence) as well as measures of clinical symptoms. Functional outcome was assessed with three self‐reports and two informant‐reports. On average, patients performed one or more SD below healthy controls on measures of delayed recall, ToM and metacognitive overconfidence. Emotion recognition and ToM were intercorrelated and correlated with multiple neurocognitive domains and negative symptoms. Attributional style correlated with positive symptoms. In the context of multiple variables, self‐reported functional outcomes were predicted by attributional style, whereas emotion recognition and immediate verbal memory predicted variance in informant‐reported community functioning. These results support the suggestion of a likely distinction between the predictive factors for self‐reported and informant‐reported functional outcome in early psychosis and suggest that consideration of self‐assessment of functional outcome is critical when attempting to evaluate the effects attributional style has on functional disability.     

General self‐efficacy in various domains of human functioning: Evidence from five countries

Based on social‐cognitive theory ( 1 Bandura, 1997), this paper examined whether perceived self‐efficacy is a universal psychological construct that accounts for variance within various domains of human functioning. Perceived self‐efficacy is not only of a task‐specific nature, but it can also be identified at a more general level of functioning. General self‐efficacy (GSE) is the belief in one's competence to tackle novel tasks and to cope with adversity in a broad range of stressful or challenging encounters, as opposed to specific self‐efficacy, which is constrained to a particular task at hand. The study aimed at exploring the relations between GSE and a variety of other psychological constructs across several countries. Relations between general self‐efficacy and personality, well‐being, stress appraisals, social relations, and achievements were examined among 8796 participants from Costa Rica, Germany, Poland, Turkey, and the USA. Across countries, the findings provide evidence for associations between perceived general self‐efficacy and the selected variables. The highest positive associations were with optimism, self‐regulation, and self‐esteem, whereas the highest negative associations emerged with depression and anxiety. Academic performance is also associated with self‐efficacy as hypothesized. The replication across languages or cultures adds significance to these findings. The relations between self‐efficacy and other personality measures remained stable across cultures and samples. Thus, perceived general self‐efficacy appears to be a universal construct that yields meaningful relations with other psychological constructs.     

Specificity of peer difficulties to social anxiety in early adolescence: categorical and dimensional analyses with clinical and community samples

Background and Objectives: We investigated the specificity of social difficulties to social anxiety by testing associations of social anxiety and other anxiety presentations with peer acceptance and victimization in community and treatment-seeking samples of adolescents aged 12–14 years.

Design: Cross-sectional, quantitative survey.

Methods: Adolescents from the community (n?=?116) and a clinical setting (n?=?154) completed ratings of anxiety symptoms, perceived social acceptance, and peer victimization. Their parents also completed ratings of the adolescents’ anxiety and social acceptance.

Results: Social acceptance was lowest among adolescents with social anxiety disorder (SAD) and lower among adolescents with other anxiety disorders than in the community sample. Anxiety symptoms were negatively correlated with social acceptance, but these associations were not unique to social anxiety symptoms. Girls in the community sample reported more overt victimization than girls with SAD and with other anxiety diagnoses. Relational victimization was associated with social and nonsocial anxiety symptoms only in the community sample.

Conclusions: Our findings supplement recent laboratory-based observational studies on social functioning among adolescents with SAD and other anxiety disorders. Although social anxiety may be associated with unique social skill deficits and impairment, concerns about peer relations should also be considered among adolescents with other anxiety symptoms.     

Effects of Trait Self‐Control on Response Conflict About Healthy and Unhealthy Food

Self‐control leads to positive life outcomes, but it is poorly understood. While previous research has focused on self‐control failure, self‐control success remains unexplored. The current studies aim to shed more light on the mechanisms of self‐control by focusing on the resolution of response conflict as a key component in self‐control success. Trait self‐control was measured, and participants reported on the magnitude of response conflict they experienced about healthy and unhealthy foods in Study 1 (N = 146; M_age = 33.03; 59 females, 83 males, 4 unknown). The response conflict process was assessed in Study 2 (N = 118; M_age = 21.45; 68 females, 41 males, 9 unknown). Outcomes showed that self‐reported evaluative response conflict about food items was smaller for people high in trait self‐control. Study 2 revealed that higher trait self‐control predicted faster resolution of self‐control conflict, and an earlier peak of the response conflict. Taken together, these results provide insight into what makes people with high trait self‐control successful, namely, how they handle response conflict. Implications for self‐control theories and future directions are discussed.     

Heterosexual and homosexual activity among gay males

Abstract

A total of 150 adult self‐professed homosexual men, age 20 to 40, living in three locales‐Manhattan, Suffolk County, (N.Y.), and Minneapolis‐were interviewed, in part to determine their heterosexual and homosexual activities. About two‐thirds (65%) said they had experienced intercourse with a woman at least once, but only 6% had done so in the year prior to the survey. The respondents with heterosexual experience (especially with several women) were more homosexually active currently than were those without it. This pattern holds true even when residence, age, bargoing, and education are controlled. The authors speculate that “action seeking” and sexual desirability account for the observed relationships. Even prior to taking on a homosexual identity, some men are more sexually active and seek out sexual “action” and are, in addition, sought out sexually. In a heterosexual sphere their activities will be heterosexual, but in a homosexual sphere their activities will be homosexual.     

Adolescents' self‐attributed moral emotions following a moral transgression: Relations with delinquency,confidence in moral judgment and age

The study investigates adolescents' self‐attributed moral emotions following a moral transgression by expanding research with children on the happy‐victimizer phenomenon. In a sample of 200 German adolescents from Grades 7, 9, 11, and 13 (M = 16.18 years, SD = 2.41), participants were confronted with various scenarios describing different moral rule violations and asked to judge the behaviour from a moral point of view. Subsequently, participants' strength of self‐evaluative emotional reactions was assessed as they were asked to imagine that they had committed the moral transgression by themselves. Results indicate that the intensity of self‐attributed moral emotions predicted adolescents' self‐reported delinquent behaviour even when social desirability response bias was controlled. Further, as adolescents' metacognitive understanding of moral beliefs developed, self‐attributed moral emotions and confidence in moral judgment became more closely associated. No general age‐related change in adolescents' self‐attributed moral emotions was found. Overall, the study provides evidence for a coordination process of moral judgment and moral emotion attributions that continues well beyond childhood and that corresponds with the more general notion of the formation of a moral self in adolescence.     

Avoidant coping as a mediator between appearance‐related victimization and self‐esteem in young Australian adolescents

Peer victimization, especially appearance‐related bullying, is a highly stressful experience for a young person and is associated with significant negative outcomes. Perhaps, the most common consequence of peer victimization in adolescence is lowered self‐esteem. Evidence supports the role of low self‐esteem as a non‐specific risk factor and high self‐esteem as a protective factor in the development of mental disorders and social problems in adolescence. Moreover, the literature indicates a robust negative relationship between avoidant coping (i.e. distracting oneself, wishing the situation would go away) and psychological well‐being. In this paper, we test a mediational model of the associations between appearance‐related victimization, avoidance coping and self‐esteem in young Australian adolescents. Boys (N = 194) and girls (N = 185) with a mean age of 11 years completed measures assessing self‐esteem, appearance‐related victimization and styles of coping. The results showed that avoidant coping partially mediates the association between appearance‐related bullying problems and self‐esteem among young adolescents. This finding provides a specific target for psychosocial interventions in schools.     

A Developmental Psychopathology and Neurobiological Model of Borderline Personality Disorder in Adolescence

The antecedents and risk factors and for developing borderline personality disorder (BPD) are now well documented, but there is a paucity of developmental models to understand the key processes through which they impact on the development of BPD in adolescents. In this article, we present a developmental psychopathology model of BPD in adolescence and link the difficulties adolescents with BPD have with impulsivity and self regulation, with risk factors such as genetic vulnerability, parenting and trauma. We propose a number of psychological processes through which these risk factors undermine personal and interpersonal functioning, and makes it particularly difficult to engage with the challenges of adolescence. These key psychological processes undermine the integration of the self, with extreme unintegrated affects and extreme representations of self and others, undermining the capacity to mentalize. We then make links to possible neurobiological underpinnings of the disturbances in affect, Theory of Mind and interpersonal difficulties in adolescents with BPD.