Family of Origin Predictors of Marital Outcomes Among Coptic Orthodox Christian Egyptian-American Couples

Despite the importance of family within the Coptic community, the extant literature on Coptic family relationships is remarkably limited. The purpose of this study was to explore parental marital quality and family of origin (FOO) quality as predictors of marital satisfaction and marital stability among Coptic Orthodox Christian Egyptian-American couples. Self-report survey data from 255 married Coptic couples living in the United States were analyzed using an actor-partner interdependence model. Results indicated husband FOO quality predicted both marital satisfaction (β =.51, SE?=?.18, p?=?.005) and marital stability (β?=?.51, SE?=?.22, p?=?.022) among Coptic husbands but not among Coptic wives. Results further indicated wife parental marital quality, wife FOO quality, and husband parental marital quality were not predictive of marital satisfaction or marital stability among Coptic husbands or wives. Clinical implications, limitations, and recommendations for future research are discussed.     

Depressive symptoms in outpatients with heart failure: Importance of inflammatory biomarkers,disease severity and personality

Objective: Depressive symptoms are highly prevalent in heart failure (HF) patients, however the underlying etiology of depression in HF patients remains yet unclear. Hence, the goal is to examine the relative importance of inflammation, disease severity and personality as predictors of depression in HF patients. Design: Depressive symptoms (Hospital Anxiety and Depression Scale, depression subscale) were assessed at baseline and one-year follow-up in 268 HF patients (75.6% men; mean age?=?66.7?±?8.7). Markers of inflammation (TNFα, sTNFr1, sTNFr2, IL-6 and IL-10), disease severity (e.g. New York Heart Association (NYHA) classification) and personality (Type D personality, loneliness) were assessed at baseline. Results: At baseline, NYHA class, body mass index, educational level, Type D personality and loneliness were significantly associated with depression. Higher NYHA class (B?=?2.25; SE?=?.83), higher educational level (B?=?1.41; SE?=?.48), Type D personality (B?=?2.56; SE?=?.60) and loneliness (B?=?.19; SE?=?.05) were also independently associated with higher depression levels at one-year follow-up (all p-values?<?.005). Inflammation, brain natriuretic peptide and left ventricular ejection fraction were not related to depression over time. Conclusions: Personality factors, but not inflammation, were independent concomitants of depressive symptoms in patients with HF. Gaining more insight into the etiology of depression in HF patients is important in order to identify potential targets for novel interventions.     

The Significance of Religion in Lasting Marriages

ABSTRACT

The significance of religion in marriage has been studied in different ways. The research on which this paper is based used in-depth interviews to explore the significance of religion to a culturally diverse sample of husbands and wives who had been married to each other for over 20 years (M = 35.25, SD = 8.25). We asked individual spouses to discuss the importance to unimportance of religion in their marriages and the role that it may have played in their relationships. Both quantitative and qualitative procedures were used. An analysis of demographic and relational factors that may have shaped the importance of religion in recent years is presented. A second level of analysis was then employed to identify themes about the significance of religion in these marriages from the perspectives of each spouse. Three themes were identified: mixed to no significance of religion on marriage, religion as supportive and emerging spirituality.     

Referrals to chaplains: The role of religion and spirituality in healthcare settings

Given the increasing importance of understanding how healthcare workers interact with the principal person designated to meet patients’ spiritual needs— the chaplain— the current study provides an inter-disciplinary perspective of the role of chaplains (and spirituality) in patients’ emotional, physical, and spiritual health. The study surveyed a randomly selected national sample of hospital directors in four disciplines: medicine (n?=?278), nursing (n?=?230), social services (n?=?229), and pastoral care (n?=?470). Participants rated the importance of referring patients to chaplains for four different areas: pain/depression, anxiety/anger, treatment issues, and loss/death/meaning. Results revealed significant differences in referral patterns for type of hospital, professional discipline, the hospital's religious affiliation, and self-reported spirituality. Results are discussed in relation to historical views of spirituality and religion within the different disciplines.     

The role of appraisal in dysphoric affect reactivity to positive laboratory films and daily life events in depression

Hedonic deficits are linked to protracted dysphoric affect (DA) in depression, a disorder characterised by emotion context insensitivity (ECI). Recent findings from daily life studies contradict the ECI view. This study longitudinally investigated DA across laboratory and daily life contexts and the conditions associated with discrepancies in DA reactivity. Thirty-three healthy controls and 41 adults with major depressive disorder (MDD) provided responses to neutral and positive (a) films viewed in the laboratory and (b) daily events recorded over the course of three days using ecological momentary assessment (EMA) methodology. The current study reports on participants’ appraisals of films and events and their subsequent DA, both rated individually after each task and daily event. Despite large group similarities in appraisals of the positive film and life events, MDDs appraised the neutral film and neutral life events as less important (film: d?=?.58; event: η²?=?.07) and less pleasant (film: d?=?.56; event: η²?=?.18) relative to controls. While MDDs reported higher DA both in the laboratory and in daily life, they experienced larger decreases in DA during positive life events (B?=??.77, SE?=?.28, t(73)?=??2.70, p?=?.009), but not in response to the positive film relative to controls. Results indicate that higher pleasantness appraisals in daily life predicted larger decreases in DA among MDDs than controls (B?=??.24, SE?=?.06, t(73)?=??4.10, p?B?=?1.28, SE?=?.46, t(73)?=?2.77, p?=?.006). The implications of valence and relevance of context for DA reactivity and mood repair are discussed.     

Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer

The aim of this study was to examine the impact of end-of-life (EoL) circumstances on grief and internalizing symptoms among bereaved siblings. Bereaved families (N?=?88) were recruited from three sites 3–12 months (M?=?11.57, SD?=?3.48) after their child’s death from cancer. One sibling per family aged 8–17 years (M?=?12.41, SD?=?2.64) was randomly selected to participate. Families completed measures of siblings’ grief and internalizing symptoms, as well as a structured interview about circumstances surrounding the death. Mother and sibling reports of EoL circumstances were generally concordant, except there was a discrepancy between mothers and children about whether or not children expected their sibling’s death (t(75)?=?1.52, p?=?.018). Mother reports of sibling internalizing symptoms were above the normative mean (t(83)?=?4.44, p?≤?.001 (M?=?56.01?±?12.48), with 39% (n?=?33) in the borderline/clinical range. Sibling opportunity to say goodbye was associated with greater grief-related growth (t(79)?=?? 1.95, p?=?.05). Presence at the death and wishing they had done something differently were both associated with greater grief (t(80)?=?? 2.08, p?=?.04 and t(80)?=?? 2.24, p?=?.028, respectively) and grief-related growth (t(80)?=?? 2.01, p?=?.048 and t(80)?=?? 2.31, p?=?.024, respectively). However, findings were primarily unique to sibling report, with few mother-reported effects. The adjustment of bereaved siblings may be affected by certain modifiable circumstances surrounding the death of their brother or sister. A proportion of bereaved siblings had elevated internalizing symptoms irrespective of circumstances at EoL. Further work is needed to understand predictors of adjustment among bereaved siblings to provide better support and optimize their outcomes.

     

Metabolic Syndrome and Cognitive Function in Healthy Middle-Aged and Older Adults without Diabetes

ABSTRACT

Objective: Few studies have addressed whether the metabolic syndrome (MetS) and its individual components are associated with cognitive function in middle-aged and older populations, as well as whether specific areas of cognition are more affected than others. We examined the cross-sectional association between MetS and six areas of cognitive function in healthy cognitively intact adults without diabetes (n?=?853, mean age 61 years) randomized in two intervention trials. Methods: The National Cholesterol Education Program (NCEP) criteria were used to identify subjects with MetS. Cognitive function was assessed with a neuropsychological battery. A principal components analysis was used to extract five uncorrelated factors interpreted to represent five areas of cognition, and a measure of global cognition was calculated. Results: MetS was weakly but non-significantly associated with lower verbal learning (β?=??.14 [SE(β)?=?0.09], p?=?.15). As the number of MetS criteria increased, scores on global cognition (p trend?=?.01), verbal learning (p trend?=?.06) and semantic memory (p trend?=?.04) decreased. Hypertension was the only MetS risk factor that was independently correlated with lower verbal learning (β?=??.17 [SE(β) =?0.08], p?=?.04), semantic memory (β?=??.26 [SE(β)?=?0.08], p?=?.001) and global cognition (β?=??.15 [SE(β)?=?0.07], p?=?.04). Conclusion: This study adds to the evidence of an association between MetS and lower cognitive function among healthy middle-aged and older adults without CVD and diabetes, as well as confirms the correlation between hypertension and lower cognition.     

Tired,moody and pregnant? Exercise may be the answer

Negative psychological states such as depression, fatigue and anxiety are experienced by many women during pregnancy. This study examined whether engaging in an exercise programme during pregnancy is associated with improvements in psychological well-being among previously inactive women (n?=?56, M age?=?30.34, SD?=?4.57; M weeks pregnant?=?22.58, SD?=?5.32). Participants completed the Profile of Mood States–Short Form and State Trait Anxiety Scale-Trait version at baseline and after four weeks of exercise. Exercise was assessed using accelerometers and these data were used to determine bouts of 30-min of moderate-to-vigorous exercise. Factorial repeated measures ANOVAs demonstrated that participants who met Canadian guidelines for exercise during pregnancy at week four (n?=?17) experienced significant decreases in depression (p?=?.004, η²?=?.13), anger (p?=?.03, η²?=?.08), tension (p?=?.03, η²?=?.08), fatigue (p?=?.01, η²?=?.10), trait anxiety (p?=?.01, η²?=?.12) and increases in vigour (p?=?.001, η²?=?.19) compared to those who were not meeting guidelines (n?=?39). From a psychological health perspective, these findings highlight the importance of continuing to promote exercise during pregnancy.     

The role of partner characteristics in attachment insecurity and depressive symptoms

Depression is associated with marital distress and attachment insecurity in romantic relationships. In this article, I propose an attachment‐theory model of depression, which links the characteristics of romantic partners to attachment insecurity and depression. I hypothesized that individuals who are avoidant of closeness and/or who devalue their spouses will be perceived as unresponsive to their spouses’ vulnerability, which will increase the spouse's attachment insecurity. Attachment insecurity was then proposed to contribute to depressive symptoms over time. A sample of married or cohabiting couples was recruited to complete questionnaires at an Internet Web site at 2 time points, approximately 3 months apart. Path analysis showed that for both husbands (N= 82) and wives (N= 99), avoidance of closeness in 1 partner was associated with perceived unresponsiveness to vulnerability and attachment insecurity in the other partner. In addition, for husbands, attachment insecurity at T1 predicted depressive symptoms at T2, above and beyond baseline levels of depression. These results provide encouraging support for an attachment‐theory approach to the study and treatment of depression, particularly among married or cohabiting men.     

Psychological and existential vulnerability among clinical young women: a quantitative comparison of depression-related subgroups

The objective was to explore psychological and existential vulnerability among clinical young women in Sweden. Females (n?=?53) with depression as the most common preliminary diagnosis were investigated through an online questionnaire. Included measures were Karolinska Scales of Personality, Self-concept, Strategies to Handle Negative Emotions, Sense of Coherence, and questions pertaining to existential meaning-making, including religious/spiritual belief. The sample was divided into High (n?=?35) and Low/Inter (n?=?18) groups according to scores on the anxiety- and depression-related personality scale Inhibition of aggression. Using independent samples t-test, the High group showed signs of significantly higher psychological and existential vulnerability than the Low/Inter group. Salutogenic factors being (1) coming from socially and societally engaged families and (2) being in a functional existential meaning-making process. The conclusion is that vulnerabilities in the psychological and existential domains are linked, especially in individuals high on depression-like aspects of personality. However, no significant differences for religion/spirituality were found. Treatment implications were addressed.     

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.     

Assessing the health of a dyadic relationship in heterosexual and same‐sex partners

The purpose of this study was to assess characteristics of a measure of monitoring the health of a dyadic relationship based on data from self‐report surveys completed by both partners from dating heterosexual, married heterosexual, cohabiting gay male, and cohabiting lesbian couples from the United States (Ns = 127, 46, 81, and 224, respectively). Covariation among the measure’s 7 items conformed to 1 latent factor. Intraclass correlations between partners from the same couple were positive. Gender effects occurred only for married couples, with wives having higher scores than husbands. One’s own and one’s partner’s monitoring accounted for unique variance in one’s own commitment, even with controls for other variables. Monitoring buffered the negative effects of neuroticism on commitment.     

Associations of ethnic discrimination with symptoms of anxiety and depression among Hispanic emerging adults: a moderated mediation model

Background and Objectives: Emerging adulthood is often marked with elevated symptoms of anxiety and depression. Hispanic emerging adults may face cultural stressors such as ethnic discrimination that further increase levels of anxiety and depression symptoms. The study aims were to examine if (a) self-esteem mediated effects of ethnic discrimination on symptoms of anxiety and depression, and (b) if gender moderated the indirect effects of discrimination. Design: The study design was cross-sectional self-report. Method: Two moderated mediation models were tested, with 1084 Hispanic emerging adults (ages 18–25) enrolled in institutions of post-secondary in the United States. Results: Results indicated that (a) higher ethnic discrimination was associated with higher anxiety symptoms (β?=?.05, p?=?.04), higher depression symptoms (β?=?.06, p?=?.02), and lower self-esteem (β?=??.30, p?Conclusions: Findings suggest that the mediating effects of self-esteem linking ethnic discrimination with symptoms of anxiety and depression vary between genders.     

The Use of a Child-Based Acceptance and Commitment Therapy Curriculum to Increase Attention

Acceptance and Commitment Therapy (ACT) is a treatment that integrates mindfulness and acceptance training with behavior change processes. One of the core processes in ACT is contact with the present moment which involves shifting attention to what is happening here and now, contacting both internal and external stimuli. An experimental and control group were used to determine the impact ACT had on attention. ACT participants (M?=?5.4, SD?=?9.8) showed fewer inaccuracies on the CPT-X task compared to the control group (M?=?19.75, SD?=?16.1) at posttest F(1, 38)?=?11.49, p?=?.02, ηp²?=?.232. Results of the current study demonstrate participation in the use of an ACT curriculum for children to help increase attention outcomes.     

EFL Teachers’ Verbal and Nonverbal Immediacy: A Study of its Impact on Students’ Emotional States,Cognitive Learning,and Burnout

Effective teacher–student interaction is an essential element of an ideal classroom which promotes the opportunity for expanded learning and stimulates the connections between students and teacher. The focus of the present study is on an instructional communication element that is teacher immediacy. It is defined as the mutual sensory and psychological stimulation between teacher and students. It can be verbal or nonverbal. Verbal immediacy is characterized as stylistic differences in expression from which like–dislike is inferred and includes using humor or personal examples, getting feedback, or even calling students by name. Nonverbal immediacy encompasses behaviors such as appropriate eye contact, the use of gestures, movement about the classroom, smiling, and vocal variety. In particular, the present study sought to explore the impact of English as a foreign language (EFL) teachers’ perceived verbal/nonverbal immediacy on students’ self-actualization, stress-control, and self-esteem. Moreover, it examined the role of EFL teachers’ immediacy behaviors in students’ cognitive learning and emotional exhaustion, which is a burnout subscale. To this end, 206 EFL students participated from selected universities of Mashhad, a city in northeast of Iran. The respondents were asked to complete five inventories about themselves and the previous EFL teacher they had had classes with. The results of structural equation modeling demonstrated that teacher immediacy behavior had a positive significant impact on all student-related variables: stress tolerance (β?=?.65, t?=?7.59), self-actualization (β?=?.69, t?=?8.02), self-esteem (β?=?.63, t?=?7.71), burnout (β?=?.31, t?=?4.05), and cognitive learning (β?=?.45, t?=?6.08). The highest impact was exerted on self-actualization and self-esteem.     

Age-related differences in the association between autistic sons’ challenging behaviour and maternal anxiety and depression: implications for counsellors

ABSTRACT

The associations between sons' challenging behaviour and mothers' anxiety and depression were investigated in four age-subgroups of boys with Autism Spectrum Disorder and their mothers (n?=?49). Significant correlations were found only for the 6-yr-old boys' irritability and their mothers' anxiety (r?=?.808) and depression (r?=?.762), and for the 7-yr-old boys' stereotypy and their mothers' depression (r?=?.745). MANOVA and ANOVA found no significant differences between the irritability of the 6-yr-old boys and that of the remaining boys, nor between the 7-yr-olds' stereotypy and the remaining boys, plus no significant difference in the mothers' anxiety and depression scores across age groups. Implications are drawn for counselling and psychotherapy.     

The Role of Couple Discrepancies in Cognitive and Behavioral Egalitarianism in Marital Quality

Although gender ideologies and perceptions of equity in the division of household tasks have been associated with marital quality, there is limited understanding of the relationship between discrepancies (in husbands’ and wives’ subjective ideals and accounts of the division of labor) and relationship quality. We examined cognitive egalitarianism (beliefs about gender roles), behavioral egalitarianism (perceptions of the division of household tasks and management), and marital quality among 220 heterosexual, newlywed couples (N?=?440) living in east and central regions of the United States. We used multi-level modeling to examine associations between cognitive egalitarianism, behavioral egalitarianism, and marital quality with a specific focus on discrepancies in the reports of husbands and wives. As hypothesized, both husbands and wives had lower marital quality when their cognitive egalitarianism was discrepant from their partner, and such a discrepancy had a greater influence on wives’ reports of marital quality, especially for wives with higher cognitive egalitarianism. Although we expected similar results for the associations between behavioral egalitarianism and marital quality, we found that the strength of the association between wives’ behavioral egalitarianism and marital quality decreased as the discrepancy from their husbands’ behavioral egalitarianism increased. The association between cognitive egalitarianism and marital quality also increased as behavioral egalitarianism increased for wives but not for husbands. The results of this study illustrate the central role of spousal discrepancy in perceptions and enactment of household labor.     

Antisocial Process Screening Device Subscales Predict Recidivism in an Australian Juvenile Offender Sample

The present study is the first to examine the psychometric properties of the self-report Antisocial Process Screening Device (APSD-SR), and the predictive utility of its subscales for reoffending, among Australian juvenile offenders (N?= 308, M age = 17.00, SD?=?1.49). Exploratory factor analysis supported a modified three-factor structure in which four items loaded differently to prior studies. Total APSD-SR and modified subscale scores were positively associated with criminal history and mental health problems (e.g., internalizing and externalizing problems, alcohol and substance abuse/dependence). Survival analyses indicated that youth scoring high on the APSD-SR total score were faster to reoffend nonviolently (Hazard Ratio [HR]?= 1.31, p?=?.0003) and violently (HR?=?1.42, p?=?.0003) than those scoring low. Whereas the modified grandiose-manipulative subscale predicted faster time to nonviolent recidivism (HR?=?1.18, p?=?.026) as a single predictor, when all subscales were simultaneously entered into the model only callous-unemotional (CU) traits and impulsivity predicted nonviolent recidivism (HR?=?1.19, p?=?.026 and 1.22, p?=?.015, respectively), and only impulsivity predicted violent recidivism (HR?=?1.26, p?=?.014). Findings inform current understanding of the relative contribution of adolescent psychopathy dimensions to designating a particularly high-risk group of Australian youth in custody.     

Longitudinal Test of Forgiveness and Perceived Forgiveness as Mediators between Religiosity and Marital Satisfaction in Long-Term Marital Relationships

Abstract

Substantial research has found relations between religiosity and martial satisfaction. More longitudinal studies are needed to understand the inner-workings of this relationship. Over a four-year period, dyadic data from 331 married couples was used to test the longitudinal mediating effects of spousal forgiveness and partners’ perceptions of spousal forgiveness between religiosity and marital satisfaction. Husbands’ religiosity was associated with increases in wives’ marital satisfaction but the measures of forgiveness were not significant mediators in this relationship. Wives’ religiosity was predictive of lower levels of wives’ perceptions of spousal forgiveness, which led to decreases in both wives’ and husbands’ marital satisfaction.     

Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort

The aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ² (9)?=?17.06, p?=?.05, χ²/N?=?1.90, RMSEA?=?0.05, SRMR?=?0.04, CFI?=?.99, TLI?=?.97, GFI?=?0.99), indicating the influence of gastrointestinal symptoms on QoL was mediated by illness perceptions, fear of COVID-19, adaptive and maladaptive coping, and psychological distress. Interventions targeting the fear of COVID-19 in the context of an individual’s perceptions will likely enhance QoL during the pandemic.