Processes of appraisal and coping in the development and maintenance of Premenstrual Dysphoric Disorder

This article examines the role of appraisal and coping strategies in relation to women's subjective negotiation of premenstrual changes, drawing on a series of narrative interviews conducted with women who met diagnostic criteria for Premenstrual Dysphoric Disorder (PMDD). The major themes that emerged from the interviews were: the PMDD sufferer as split; over‐responsibility is linked to PMDD; PMDD = lack of control; methods of coping; attributions for symptoms; and PMDD as a relational issue. This article draws on each of these narrative themes, in order to illustrate three interrelated psychological processes of appraisal and coping central to the development and maintenance of ‘PMDD’ or ‘PMS’ (Premenstrual Syndrome). The first process is awareness of changes in psychological or physical experiences, ability to cope, or reactivity to others, premenstrually. The second process involves expectations and perceptions of premenstrual changes. The third is women's response and ways of coping. This study thus stands in contrast to research positioned within a positivist epistemological framework, where PMDD is viewed as a fixed entity; and women's subjective experience of premenstrual changes, is marginalized or negated. It is argued that premenstrual changes evolve in the context of an ongoing interaction between internal experiences, perceptions, reactions, relationships, and cultural expectations, that differ between women, across menstrual cycles, and can shift within a specific cycle: described as a material‐discursive‐intrapsychic interaction. Copyright © 2002 John Wiley & Sons, Ltd.     

Menstrual-related perceptual changes in women with premenstrual syndrome: Factors to consider in treatment

The state-dependent model of premenstrual syndrome (PMS) suggests that women's perceptions of daily stressors are affected by menstrual cycle phase. Our objective was to further examine the applicability of this model to perceptions of specific kinds of daily stressors and to explore its generalizability to perceptions involving significant others. Thirty-two undergraduate women, 10 PMS and 22 asymptomatic controls, completed the Daily Stress Inventory (DSI) and the Daily Rating Form (DRF) for 35 days. Questionnaires measuring perceived social support and self-esteem were completed premenstrually and postmenstrually. Results indicated that all women perceived a greater number of stressors as being severe premenstrually as compared to postmenstrually. Furthermore, all women perceived a lesser number of signifcant others as being present in their social support network premenstrually. However, only the PMS women were less satisfied with their social support and had more negative self-esteem premenstrually as compared to postmenstrually. Results are discussed within the context of designing treatment intermentions for women with PMS.     

IS SEXUAL ORIENTATION A MATTER OF CHOICE?

Ninety women in lesbian and heterosexual couples were compared on relationship values, views of same-gender and cross-gender intimate relationships, and perceived choice of sexual orientation. Both groups reported similar values, levels of self-esteem, and capacity for intimacy. The majority in both groups described their relationships with women as more emotionally and intellectually intimate than those with men. A majority of women in lesbian couples (58%) and a third of women in heterosexual couples reported choosing the orientation of their current sexual relationship. Women with male partners did not perceive major differences between homosexual and heterosexual relationships, citing sexual attraction as the primary reason they chose a male partner. In contrast, many women with female partners characterized lesbian relationships as more intimate and equal, and less gender-role stereotyped, frequently citing these characteristics, along with sexual attraction, as reasons for their relationship preference.     

Adjustment to relationship dissolution in gay,lesbian, and heterosexual partners

Twenty-six gay, 24 lesbian, and 49 heterosexual (19 male and 30 female) individuals who were separated from their relationship partner for about 6 months provided reasons why their relationship ended and rated their current separation distress. Relative to partners in heterosexual couples, those in gay or lesbian couples did not differ in reasons for the separation or in level of separation distress. Aspects of relationship quality assessed shortly before the separation occurred did not predict later separation distress. However, individuals who indicated that problems with intimacy were the cause of the separation were unlikely to be distressed by the separation, whereas individuals who indicated that problems with communication were the cause of the separation were likely to be distressed by the separation. Separation distress was positively related to the severity of neurotic symptoms reported when the relationship was intact and was negatively related to the extent to which the separation was expected. It is concluded that separation distress is more strongly related to personal strategies for coping with stress than to relationship-related events leading to separation.     

Once-Married Lesbians: Facilitating Changing Life Patterns

Many women have undergone a significant life transition from a heterosexual marriage to a lesbian life pattern. As facilitators of life transitions, counselors can play an important role in minimizing the pain and maximizing the growth involved in such a change. This article provides counselors with information about the diversity of this life transition and then discusses three areas in which counselors may facilitate this process by helping clients to (a) develop a positive identity as a lesbian, (b) adapt to their relationships with women partners, and (c) deal with work-related issues arising from the changed life pattern.     

Sexual coercion in lesbian and gay relationships: A review and critique

Sexual coercion, or pressure to engage in unwanted sexual behavior, has been a popular research topic for social scientists interested in heterosexual relationships. Only recently have researchers turned their attention to lesbian and gay couples. Several research studies are reviewed to assess rates, causes, and effects of sexual coercion in lesbian and gay relationships. Several methodological issues that limit usefulness of findings on homosexual sexual coercion are discussed as well as reasons why social scientists have been reluctant to investigate sexual coercion in lesbian and gay relationships.     

Sexual Debut Ages in Heterosexual,Lesbian, Gay,and Bisexual Young Adults in Norway

This study estimates sexual debut ages in young heterosexual, lesbian, gay, and bisexual men and women in Norway. A questionnaire survey was completed online by 27.2 % of a representative national web sample of 2090 persons aged 18–29 years. Three self-selected samples of 924 respondents completed an extended version of the survey online. Lesbian and bisexual women reported earlier experience of orgasm through masturbation than heterosexual women (median 13.1 vs. 15.2 years), and heterosexual men (median 13.5) reported earlier debut than heterosexual women. There was a statistically significant difference between heterosexual and lesbian and bisexual women’s age at the first experience of receptive vaginal sex (median 16.8 vs. 15.4 years). As regards experience of insertive vaginal sex, a significantly higher percentage of heterosexual men than women, and of heterosexual and lesbian and bisexual women, reported experience. It was more common among lesbian and bisexual women than heterosexual women to have had oral sex with another woman, but in neither group did the cumulative percent reach 50 % by the age of 29 years and the median could not be estimated. Gay and bisexual men reported earlier receptive anal sex debut than heterosexual men. With regard to insertive anal sex, gay and bisexual men accumulated experience earlier than heterosexual men, and lesbian and bisexual women acquired this experience earlier than heterosexual women. Compared to heterosexuals, LGB persons of both genders engage in more varied sexual activities. Lesbian and gay persons have same-sex experiences at an earlier age than bisexuals.     

What Do We Know About Gay and Lesbian Couples?

Abstract— Research on gay and lesbian couples is highlighted with regard to household labor, conflict, satisfaction, perceived social support, stability, and the variables that predict relationship quality. Relative to partners from married heterosexual couples, partners from gay and lesbian couples tend to assign household labor more fairly, resolve conflict more constructively, experience similar levels of satisfaction, and perceive less support from family members but more support from friends. The limited data available indicate that gay and lesbian couples may be less stable than married heterosexual couples. The factors that predict relationship quality tend to be the same for gay, lesbian, and heterosexual married couples. Overall, research paints a positive picture of gay and lesbian couples and indicates that they tend to be more similar to than different from heterosexual couples.     

PREVALENCE AND PREDICTORS OF CYCLIC AND NONCYCLIC AFFECTIVE CHANGE

The prevalence of cyclic and week-to-week affective change was prospectively assessed over two consecutive menstrual cycles in a nonclinical sample of 101 employed women. Although 40% perceived themselves to have premenstrual syndrome (PMS), none showed a recurrent pattern of marked premenstrual affective change. Marked affective change was as likely to occur in the postmenstrual as the premenstrual phase. Weekly marked change was as prevalent as cyclic change. Although social health (perceived quantity and quality of interpersonal relationships) and subjective stress consistently predicted both cyclic and weekly affective states, the contribution of social health was 10 times greater than that of stress. The role of social health requires further examination, as does the widespread misuse of the PMS label to account for occasional changes in affect.     

Mental health service use by African American women: exploration of subpopulation differences

Studies focusing on mental health service use have consistently viewed African American women as a homogeneous population, and very few studies have examined subgroup differences. However, important differences exist both within and between groups in lifestyle, stressors, type and availability of support resources, societal interactions, and risk-taking behaviors. This study examined rates and patterns of mental health service use by African American lesbian women and a matched sample of heterosexual women. Results suggest both similarities and differences in factors associated with use of services. Despite evidence of substantial emotional distress, relatively few African American lesbian and heterosexual women reported current use of mental health services. These findings are consistent with past reports on African American heterosexual women but differ from other published reports on lesbians' use of therapy. Findings from this study, including clear differences between lesbians and heterosexual women in past use of therapy and preferences for mental health providers, have important implications for service provision.     

The Relationship Between Premenstrual Distress and Anxiety Sensitivity: The Mediating Role of Rumination

Given that premenstrual distress is reported by large numbers of women, research has focused on the identification of biological and psychological factors that influence its severity. Previous research suggests that women who are high in anxiety sensitivity also report greater levels of premenstrual distress and negative affect. According to the menstrual reactivity hypothesis, women who have a tendency to self-focus and catastrophize about physical sensations are more likely to report greater levels of premenstrual distress. Cognitive schemas surrounding the menstrual cycle develop that are influenced by gender roles, cultural stereotypes, and expectations about bodily sensations. Another cognitive process, rumination, may also be linked to increased reports of premenstrual distress. Conceptually, the constructs of anxiety sensitivity and rumination share the tendency to self-focus on internal states. The goal of this study was to investigate how these two constructs relate to the prediction of premenstrual distress in a large sample of healthy undergraduate women (N = 478). Using mediational modeling, support was found for a mediational model; women who reported high levels of rumination and anxiety sensitivity reported the greatest premenstrual distress. These results are discussed within the framework of the menstrual reactivity hypothesis, a diathesis-stress model of premenstrual distress.     

WHO FILLS OUT A "LESBIAN" QUESTIONNAIRE?

Most research on lesbians has used self-report questionnaires, and assumed that respondents who complete a "lesbian" questionnaire self-identify as lesbians and engage in sexual relationships with women. The present study examined the degree to which 2,393 women who answered a "Lesbian Wellness Survey" are distributed on five aspects of lesbian sexuality and the coming-out process. The five aspects were: (a) Sexual Orientation (numerical rating of sexual identity from exclusively lesbian/gay to exclusively heterosexual); (b) Years Out (length of time of self-identity as lesbian/gay/bisexual); (c) Outness/Disclosure (amount of disclosure of sexual orientation to others); (d) Sexual Experience (proportion of sexual relationships with women); and (e) Lesbian Activities (extent of participation in lesbian community events). Mild but significant correlations were found among these dimensions, indicating that being lesbian is not a homogeneous experience. Closer examination by the demographic characteristics of race/ethnicity and age revealed a diversity of experience. African American, Native American, and Latina respondents had moderate correlations among these aspects of lesbian experience, whereas White and Asian American respondents evidenced only mild or nonsignificant correlations. The results indicate that researchers who are studying one aspect of the lesbian experience (e.g., outness to others) need to ensure that they are not assuming such behavior based on other dimensions (such as frequent participation in lesbian community activities or years of being out), especially among White and Asian American lesbians.     

The importance of feeling sexually attractive: Can it predict an individual's experience of their sexuality and sexual relationships across gender and sexual orientation?

Limited research exists on the implications of feeling sexually attractive for various aspects of sexuality and sexual relationships. This article examined associations between self‐perceived sexual attractiveness and sexual esteem, sexual satisfaction and amount of sexual experience, among both men and women who identified as heterosexual (n = 1017), gay or lesbian (n = 1225) or bisexual (n = 651). Results of the study demonstrated that positive self‐perceptions of sexual attractiveness predicted greater sexual esteem, greater sexual satisfaction, a higher frequency of sexual activity with others and a larger number of sexual partners among both men and women who identified as heterosexual, gay, lesbian or bisexual. The findings suggest that feeling sexually attractive may have implications for how an individual experiences their sexuality and sexual relationships regardless of their gender or sexual orientation. The importance of considering an individual's self‐perceptions of sexual attractiveness when they present with concerns related to their sexual experiences or relationships, and the potential benefits of educational and therapeutic interventions designed to enhance self‐perceptions of sexual attractiveness are discussed.     

PREDICTORS AND EFFECTS OF SELF-OBJECTIFICATION IN LESBIANS

The majority of research on self-objectification has focused on heterosexual women's experiences. This study sought to examine experiences of self-objectification in lesbian women. A path model was developed to examine the relationships between participants' feminist self-identification, levels of internalized heterosexism, objectified body consciousness, and the clinically relevant variables of negative eating attitudes and depression. As has been found with heterosexual women, body surveillance led to shame, which led to negative clinical outcomes. A direct path was also found between levels of surveillance and negative eating attitudes, consistent with previous research on self-objectification among lesbians. Feminist self-identification was not significantly related to the other variables, in contrast to previous research with heterosexual women. Internalized heterosexism was related to negative clinical outcomes, both indirectly through objectification variables and directly to depressive symptomatology. These results provide evidence that self-objectification and internalized heterosexism have negative impacts on the mental health of lesbian women.     

The influence of the menstrual cycle on reactivity to a CO2 challenge among women with and without premenstrual symptoms

Clinically significant premenstrual symptoms (PMS) is conceptualized as a depressive disorder in DSM-5, however, it may share pathophysiological processes with anxiety- and fear-related disorders. Specifically, women with PMS panic at higher rates during biological challenge procedures. It is unclear if this increased interoceptive sensitivity is a general vulnerability or specific to the premenstrual phase. The current study examined the role of menstrual cycle phase on reactivity to a CO₂ challenge among women with (n = 11) and without (n = 26) clinically significant PMS (N = 37). During the late follicular phase (days 6–12), women with and without PMS responded similarly to the CO₂ challenge, whereas during the premenstrual phase (within 5 days before menses), women with PMS reported significantly more intense panic symptoms in response to the challenge than women without PMS. Vulnerability to panic in women with PMS may be specific to the premenstrual phase. Potential psychological and neurobiological mechanisms underlying this phenomenon are discussed.     

Facial resemblances between heterosexual, gay, and lesbian couples

Researchers have noted a physical resemblance (homophily) between human sex partners. To date, these studies and their related interpretations have been based on heterosexual couples. The present study compared physical resemblances between gay, lesbian, and heterosexual couples, using 40 photographs of each from national newspapers, which were rated by 34 men and 56 women (M age = 53 yr., SD = 12.1). Half the photographs were of actual couples and half were randomly mixed within each group. Actual couples were rated as significantly more similar in appearance than random pairings of people. Ratings of similarity were significantly higher (indicating greater perceived homophily) for gay couples than heterosexual couples, while there was no statistically significant difference in similarity ratings between lesbian couples versus gay and heterosexual couples. The results were interpreted in terms of evolutionary and parental imprinting hypotheses.     

Sexual preference,feminism, and women's perceptions of their parents

In an attempt to clarify the relation between parental variables, sexual preference, and sex-role attitudes, three groups of women were studied: lesbian feminists, heterosexual feminists, and heterosexual traditional women. The women were asked about their perceptions of their parents when they were in high school. The groups differed more from each other with respect to their perceptions of their fathers than their mothers. The perceived attitudes of the father were much more important in differentiating lesbian feminists from heterosexuals than in differentiating heterosexual feminists from heterosexual traditionals. Both the heterosexual groups (feminist and traditionals) reported having a more affectionate and involved father who also encouraged them more in the expression of anger than the lesbian feminists reported. The results suggest women's father relationships must not be obscured in research and support Johnson's hypothesis that the father relationship is more central than the mother relationship in sex typing and especially in the specifically sexual aspects of sex typing.     

DO COPING STYLES MODERATE OR MEDIATE THE RELATIONSHIP BETWEEN INTERNALIZED HETEROSEXISM AND SEXUAL MINORITY WOMEN'S PSYCHOLOGICAL DISTRESS?

The purpose of this study was to test tenets of both minority stress and lesbian feminist/sexual identity development theories by examining the potential moderating and mediating roles of individual coping styles (i.e., problem-solving and avoidant coping) in the relationship between internalized heterosexism and lesbian and bisexual (sexual minority) women's psychological distress. Participants included 323 sexual minority women who completed an Internet survey. Results revealed that avoidant coping partially mediated the relationship between internalized heterosexism and psychological distress. No support was found for the mediating role of problem-solving coping or for the moderating roles of problem-solving and avoidant coping in the link between internalized heterosexism and psychological distress. Feminist strategies that may be useful for clinicians working with clients to reduce internalized heterosexism are provided.     

The Effect of Intracouple Coping Concordance on Psychological and Marital Distress in Infertility Patients

The effect of intracouple coping concordance on psychological and marital distress was examined in a sample of 46 couples undergoing different stages of infertility treatment. Results indicate that the effect of coping similarity within couples is dependent on both the type of coping examined and the stage of the stressor. Specifically, for women the use of high levels of task-oriented coping by their partners and themselves is associated with the highest level of marital satisfaction. The findings also indicate that the use of high emotion-oriented coping by both partners is associated with the most psychological distress for men. Finally, the results show that marital satisfaction among women undergoing late stage treatment is highest in couples where the males are using low levels of emotion-oriented coping. Interestingly, the least satisfaction for women is evident when the woman is using less emotion-oriented coping while her partner is using more, rather than when both partners are using more emotion-oriented coping strategies. Clinical implications of the findings are discussed.     

COMMITMENT IN AGE-GAP HETEROSEXUAL ROMANTIC RELATIONSHIPS: A TEST OF EVOLUTIONARY AND SOCIO-CULTURAL PREDICTIONS

Little research has addressed age-gap romantic relationships (romantic involvements characterized by substantial age differences between partners). Drawing on evolutionary and socio-cultural perspectives, the present study examined normative beliefs and commitment processes among heterosexual women involved in age-gap and age-concordant relationships. Results indicated that woman-older partners were the most satisfied with and committed to their relationships, relative to woman-younger and similarly aged partners, consistent with socio-cultural predictions. Additional analyses revealed that satisfaction, alternatives, investments, and normative beliefs accounted for differing degrees of variance in the prediction of commitment among age-gap and similarly aged partners, with greater explained variance among partners of similar ages. Thus, among female heterosexual age-gap partners, factors beyond traditional predictors of commitment may be important in understanding the maintenance of these relationships.