Effect of couple illness perception congruence on psychological adjustment in women with rheumatoid arthritis.

OBJECTIVE: To characterize similarities and differences in illness perceptions between women with rheumatoid arthritis (RA) and their husbands, and examine whether illness perception congruence predicted wives' subsequent psychological adjustment. DESIGN: Women with RA and their husbands (N=190 couples) recruited from community and clinical settings completed mailed surveys at baseline and 4-month follow-up. MAIN OUTCOME MEASURES: Data for this investigation included illness perceptions in partners and illness severity, marital variables, and psychological adjustment in wives. RESULTS: In general, wives and husbands had similar views of RA. Couple congruence concerning women's personal control over RA and its cyclic nature predicted better psychological adjustment in women 4 months later. Post hoc tests showed better psychological adjustment in wives from couples with similar optimistic beliefs about personal control, illness coherence, and RA consequences, when compared to those in couples with similar pessimistic beliefs. Furthermore, when partners disagreed about RA's consequences, wives fared better when husbands overestimated rather than underestimated their beliefs. In contrast, couple congruence about the emotions and timeline of RA was unrelated to adjustment. CONCLUSION: It may be important for husbands to understand wives' views on their control over RA and its cyclic nature. Furthermore, wives may benefit when they share optimistic views with their husbands about RA, and when their husbands avoid underestimating RA's consequences. Developing interventions to enhance partners' illness understanding may be beneficial.     

Collaborative coping and daily mood in couples dealing with prostate cancer

Collaborative coping (i.e., spouses pooling resources and problem solving jointly) may be associated with better daily mood because of heightened perceptions of efficacy in coping with stressful events. The study examined the daily processes of collaborative coping (individuals' perceptions that the spouse collaborated), perceived coping effectiveness (ratings of how well they dealt with the event), and mood (i.e., Positive and Negative Affect Scale) across 14 days in 57 older couples coping with stressors involving the husband's prostate cancer and daily life in general. In hierarchical multivariate linear models, collaborative coping was associated with more positive same-day mood for both husbands and wives and less negative mood for wives only. These associations were partially mediated by heightened perceptions of coping effectiveness. Exploratory analyses revealed that collaborative coping was more frequent among wives who performed more poorly on cognitive tests and couples who reported greater marital satisfaction and more frequently using collaboration to make decisions. The results suggest that older couples may benefit from collaborative coping in dealing with problems surrounding illness.     

Facilitating Recovery from Disaster-Work Experiences

Over the past ten years, increasing attention has been given by both employers and researchers to the psychological problems which can be experienced by first-line disaster workers. These developments are briefly charted. Following a discussion of the nature of psychological trauma, the role of the professional counsellor is explored in connection with (a) preparing rescue and emergency staff for working in a disaster situation, (b) supporting them at the scene of a disaster, and (c) providing psychological assistance in the days and weeks after a disaster. Attention is then turned to the kind of preparation and self-management that might be called for in the counsellors who offer such support.     

Psychological dynamics and self-perceptions of vasectomy candidates.

Growing concern with population control has focused attention on various methods of contraception including vasectomy. Psychological research on this topic is scant, however. In this study, 9 vasectomy candidates who were undergoing the operation were compared to 9 husbands whose wives were about to have a tubal ligation. Their responses on the Marlowe-Crowne Social Desirability Scale and the Adjective Check List were compared. Most of the data showed no significant differences except on one scale of Counseling Readiness. The results, and others, indicate that vasectomy candidates may have a tendency to deny the anxiety connected with the operation due to its irreversible nature.     

脑功能可塑性与灾后心理功能康复

神经系统具有惊人的可塑性,这种可塑性可以终生保留。大脑不仅可因个体的经验与行为而改变,也可因内在思维、放松和注意的不同而发生改变。如汶川地震这样的大型自然灾害,因其突发性和巨变性,可使身临其境的人大脑功能状态在瞬间就发生持久的改变,从而表现为认知、情感等心理功能的改变。反过来,利用有关神经可塑性的认识,同样可使受损的大脑得以修复,使发育障碍的个体增强功能,亦可使由各种内外因素导致的心灵扭曲重新舒展开来。利用放松、修复、重建的3R脑功能重塑技术,可望解决包括地震灾后心理健康重建在内的各种神经和心理问题,具有广泛的应用前景     

Wives' higher neuroticism scores: Some more relevant factors

Findings from two studies suggest two factors that may contribute to statictics showing wives as having higher levels of neuroticism than husbands: firstly, brides have higher scores than grooms at the point of marriage and thereafter their scores appear to fall in these cross-sectional samples; the problem of wives' higher scores may therefore be partly determined by a factor opearting prior to marriage. The second factor appears to be marital divergence on E, which is positively correlated with N scores in wives but not in husbands. Additionally, marital divergence is associated with poor communication, and divergence appears to be better predictor of wives' neuroticism than whether or not wives are employed outside the home.     

Neuroticism and marital satisfaction: the mediating role played by the sexual relationship

Why is Neuroticism so harmful to marriage and other intimate relationships? Given that such relationships generally involve a sexual component, the current longitudinal study explored whether the apparent negative impact of own and partner's Neuroticism on marriage could be explained by dissatisfaction with the sexual relationship. Just after their weddings, 72 couples reported their marital satisfaction, sexual satisfaction, and Neuroticism. One year later, they again reported their marital and sexual satisfaction. Own Neuroticism predicted lower levels of concurrent marital and sexual satisfaction among husbands and wives, declines in sexual satisfaction among husbands and wives, and declines in marital satisfaction among wives. Partner's Neuroticism predicted lower levels of concurrent marital satisfaction among husbands and wives, lower levels of concurrent sexual satisfaction among husbands, and declines in sexual satisfaction among husbands. Consistent with predictions, sexual satisfaction mediated every effect of own and partner Neuroticism on marital satisfaction. Results highlight the prominent role played by the sexual relationship in accounting for marital outcomes and thus suggest specific processes through which Neuroticism may affect the marriage.     

Perceived Marital Problems in Taiwan

With the expansion of the practice of marriage and family therapy outside of the U.S. and Western Europe, it important to gain a better understanding of family interaction and processes in other cultures and countries. Several studies have examined the problems that couples experience in the United States, but little is understood about problems that couples in Asia experience. In this study, perceptions of relationship problems experienced by 213 married couples living in urban Taiwan were examined. Results indicated that raising children and communication were the two problems most frequently reported by both husbands and wives. Among eight relationship problem areas, the only gender difference was in the area of communication, with wives significantly more likely to report it as a problem. An examination of within-dyad agreement indicated that couples generally had high consensus regarding relationship problems. Implications of this research for culturally-sensitive MFT practice are discussed.     

Explaining the Sense of Family Coherence Among Husbands and Wives: The Israeli Case

ABSTRACT

This study examined variables belonging to the family environment that explain the sense of family coherence among husbands (n = 133) and wives (n = 133) in Israel. Specifically, the explanatory variables tested were spousal power relations (as expressed in equality in the division of household labor and decision making), and perceived family conflict. In general, the sense of family coherence among spouses was found to be high. Perceived family conflict contributed to explaining the sense of family coherence for both husbands and wives. Equality in the division of household labor and in decision making had a greater impact on husbands than wives. Family coherence correlated negatively with age for husbands and positively with income for wives. The explanatory variables had a greater impact on the sense of family coherence among husbands than among wives.     

Family Therapy with a Multiparental/Multispousal Family

This article examines therapy with a Bedouin-Arab family from the Negev, Israel, which consisted of 69 members: a husband, 8 wives, and 60 siblings. The husband, who lived with his youngest wife, paid little attention to his other wives and their children. There was considerable competition, hostility, and jealousy among the wives; no communication between the co-wives or the children of different wives; and a variety of behavioral and psychosocial problems among family members. I describe the varied strategies and systems involved in family therapy. The main strategies were to establish good relationships among the co-wives and to build a coalition among them, including the youngest wife, through group therapy in a medical clinic. A secondary strategy was using the children's problems to get the husband involved in the therapy. With improvement of the children's functioning, and with reduced intra-subfamily hostility, the husband's relationships with his children and wives improved.     

Help-seeking behaviour and attitudes towards counselling: a qualitative study among Hong Kong Chinese university students

This study examined Hong Kong university students’ perception of general help-seeking and seeking of professional help. Thirty-two students, aged from 25 to 46 years were interviewed. A grounded theory approach was adopted. The results indicated four domains to categorise culture-influenced factors: attitudes towards speaking, relational concern, nature of the problem and assumptions about counselling. Hong Kong students are not reluctant to receive help but are reluctant to seek help from outsiders. Help is expected to be received from those within their social network. Passive coping strategies are normally adopted for finding relief and solving problems. These issues may greatly hinder people from consulting professional counsellors, or may limit the counselling process to something superficial and short term. The implications for counsellors are discussed.     

Violence in close relationships--development of a research area: comment on Archer (2000)

A brief history of empirical research on violence in close relationships is presented. Assumptions of and conclusions made by feminist researchers about the problems of battered wives are reviewed. It is argued that their focus on marital violence as a form of aggression against women by men and their concern for severely beaten wives may have caused them to ignore high levels of female violence in marriage and dating. J. Archer's (2000) meta-analysis of studies of marital and dating violence showed that both sexes display violence in these relationships, although women are more likely to be injured. An expansion of Archer's definition of heterosexual violence (or violence in close relationships) to include sexual aggression and stalking is suggested. Reasons for relatively high levels of female violence in close relationships relative to violence toward strangers are briefly discussed. It is argued that more attention needs to be given to male victims of violence from their partners.     

Coorientation of body image among older married couples

This study examined how older husbands and wives perceived their bodies and appearance in the framework of coorientation effect. Data were collected via a mail survey of older married couples residing in three metropolitan areas in Florida. A total of 94 married couples who were 60 years older participated in this study. Results indicated that older husbands’ self-assessment of appearance was positively correlated with wives’ self-assessment of appearance. Husbands’ evaluation of their wives’ appearance was positively associated with wives’ self-assessment of their own appearance (self-other agreement), and wives’ evaluation of their husbands’ appearance was also positively correlated with husbands’ self-assessment of their own appearance (self-other agreement). In addition, husbands’ evaluation of their wives’ appearance corresponded to wives’ evaluation of their husbands’ appearance (reciprocity). These results indicated that the agreement in two spouses’ self-assessment of appearance can be explained by the two coorientation effects (self-other agreement and reciprocity) occurred in two partners of married couples.     

Sex differences in depression

The role of housewife has been hypothesized as the source of excess mental illness among married women as compared with married men. The present study found both housewives and working wives significantly more depressed than working husbands. Although working wives report that they do more housework than husbands, this factor was not significantly related to depression for either wives or husbands. It is suggested that the risk factors for depression, including marriage for women, may be better understood in the context of clinical theories of depression, especially the learned helplessness model.     

Comparing the social support behaviors of violent and nonviolent husbands during discussions of wife personal problems

To compare the social support behaviors of violent and nonviolent husbands, we recruited four groups of couples-violent and distressed (VD); violent/nondistressed (VND); nonviolent/distressed (NVD);and nonviolent/nondistressed (NVND). Two systems were used to code couples’discussions of wives’personal problems. Using the Social Support Interaction Coding System (Bradbury & Pasch, 1994), no violent-nonviolent group differences emerged; however, as listeners, NVND husbands were the most positive and tended to be the least negative. Using a coding system designed for this study (i.e., Social Support Behavior/Affect Rating System), we confirmed the hypothesis that violent husbands would offer less social support than would nonviolent husbands. Relative to nonviolent men, violent husbands were less positive, more belligerent/domineering, more contemptuous/disgusted, and more upset by the wife's problem. Relative to NVND husbands, violent husbands displayed more anger and tension, VND husbands were more critical of their wives’problem, and VD men were more critical of the possible solutions wives offered. We discuss differences in the two coding systems relevant to the detection of violent-nonviolent group differences. Across both systems, few group differences in wife behavior emerged, suggesting that husband behavior better differentiates violent from nonviolent couples when wives are discussing personal problems.     

Relationships between marital satisfaction,resources, and power strategies

A study was conducted to determine usefulness of the Falbo and Peplau model for understanding the power strategies and marital satisfaction of 42 nonstudent married couples. In addition, this study examined the impact of imbalanced resources on power strategy use and marital satisfaction. Overall, the results supported the hypothesis that people who see themselves as Equal Partners are more satisfied with their relationship than Traditional Partners. The results also indicated that Equal Partners reported using fewer strategies overall in trying to get their way. Thus, the greater use of power strategies may be associated with being in an imbalanced resource relationship, such as a traditional marriage. Furthermore, the results of this study supported the expectation that marital dissatisfaction is associated with the use of indirect strategies. Although husbands and wives overall were not found to differ in their power strategy use, there was a suggestion that traditional wives used more power strategies, regardless of type, than traditional husbands.This research was based upon the first author's doctoral dissertation at the University of Texas at Austin.     

From front line to home front: a study of secondary traumatization.

While the long-term effects of combat trauma on veterans have been studied extensively, its impact on veterans' wives has yet to be investigated. This study examined the implications of combat-induced psychopathology--wartime combat stress reaction (CSR) and current posttraumatic stress disorder (PTSD)--in a sample of 205 wives of Israeli combat veterans of the 1982 Lebanon war. Results show that both CSR and PTSD were associated with increased psychiatric symptoms in the wives. In addition, current PTSD was particularly found to contribute to impaired social relations among veterans' wives in a broad range of contexts, from inner feelings of loneliness, through impaired marital and family relations, and extending to the wider social network. Implications of these findings for treatment and further research are discussed.     

The 1997 Red River Valley Flood: Impact on marital relationships

This research note explores the deleterious social effects of the 1997 Red River Valley Flood on married couples from the Upper Great Plains cities of Grand Forks, North Dakota and East Grand Forks, Minnesota. Through in-depth interviews with husbands and wives (N = 10 couples), two major findings emerged: (1) the results indicate that the flood had a noticeable impact on marital relationships and the impact appeared to be mediated by the state of the couples' relationship prior to the flood. Strong pre-flood relationships emerged stronger in the aftermath while weak pre-flood relationships emerged weaker in the aftermath; and (2) at the time of the interview (five to eight months post-flood), the relationship of couples with little and total flood-related damage fared somewhat better than couples with moderate levels of flood-damage (e.g., flooded basements). The results are discussed relative to implications for disaster service providers.