Hardiness and health among women with rheumatoid arthritis

The relations among hardiness (and its components) and demographic variables, objective health, disability, and perceived health were investigated for 33 women with rheumatoid arthritis. Hardiness and demographic variables were measured once while objective health, disability, and perceived health were measured at three monthly intervals. Hardiness and/or component scores were significantly (P < 0.05) related to age and to employment status but were unrelated to education and to marital status. The control dimension of hardiness was positively correlated with the average percentage of circulating T-cells (r = 0.38, P < 0.05), and with average perceived health compared to one's same age peers (r = 0.53, P < 0.01). Hardiness appears to be a useful construct for understanding adaptation to rheumatoid arthritis, and studies of patients with chronic diseases can shed light on the precursors and consequences of hardiness.     

Perceptions of married life among single never‐married,single ever‐married,and married adults

With the increasing prevalence of single adults in the United States, perceptions of marriage as the relationship “gold standard” may be diminishing. In this study (N = 6,576), we explored perceptions of married life in three subgroups of participants: Those who have never married, ever married, and currently married. Across subgroups, most did not perceive married life more positively than single life in external/tangible domains (e.g., more friends), but did in emotional experiences and frame of mind (e.g., contentment). These findings suggest conceptualizations of marriage may be changing to be less positive or less discrepant from conceptualizations of single life. However, these findings also suggest that people continue to view marital relationships as a positive source of emotional experience and support.     

Illness disclosure and mental health among women with HIV/AIDS

The current study examines two contrasting models of the relationship between illness disclosure and mental health among an ethnically‐diverse group of women with HIV/AIDS. In the first, and commonly accepted model, illness disclosure predicts enhanced mental health status. In the second or alternate model, based on the stigmatization that accompanies HIV/AIDS infection, illness disclosure predicts poorer mental health. We also explore an alternate interpretation for this second model, namely that the mental health status of participants is predictive of their levels of disclosure. A total of 176 women from three major ethnic groups were interviewed and assessed during the baseline visit for a comprehensive longitudinal study. Results showed that these women constituted a highly‐disclosed population; over one‐third of them had disclosed their HIV status to their entire social networks. Contrary to expectation, disclosure was unrelated to mental health among the African‐American (n = 72) and European‐American (n = 47) women. Among the Latina women (n = 57), however, greater disclosure was related to higher levels of depression, psychological distress, and reported pain. Regression analyses controlling for age, education, and illness severity showed that disclosure makes a small but independent contribution to the prediction of mental health status. Thus, among the Latinas, the data were consistent with both the stigma model and the hypothesis that greater distress predicts wider disclosure. General patterns of disclosure are described and possible explanations for the inconsistent relationships found between disclosure and mental health among the three ethnic groups are considered. Copyright © 2000 John Wiley & Sons, Ltd.     

Sex roles among married and unmarried couples

This article investigates sex roles among married and cohabiting couples. Male career precedence was more firmly entrenched both attitudinally and behaviorally among the former. Cohabiting women in couples planning to marry generally gave attitudinal support to their partner's career precedence, but were delaying the translation of these attitudes into concrete actions until after marriage. Cohabitors not planning to marry were essentially equalitarian, but the males in these couples were also less successful in career attainment than the other males. Male career precedence, the decision to marry, conventional allocation of household tasks, and male career success were all concomitant, although the exact causality could not be confidently established.The data for this article were collected for a doctoral dissertation in sociology at Temple University, Philadelphia, Pa.     

Interrole conflict among married women: The influence of husband and wife characteristics on conflict and coping behavior

The present research investigated the conflict that women experience between their home and nonhome roles. All of the women in the sample (N = 115) were married and living with their husbands, had at least one child living at home, and were college students. It was found that women who placed a similar level of importance on work as their husbands experienced less intense conflict than women who differed from their husbands in career orientation. In addition, the number of children at home was positively related to a woman's conflict when her husband was highly work oriented. A woman's use of reactive coping strategies was negatively related to her life satisfaction when her husband was dissatisfied with his own life.     

Dependent children and suicide of married parents.

In an attempt to analyze the relatively neglected relationship between the presence of dependent children and suicide of married parents, the suicides of both married and single persons in the Chicago-Cook County region for 1970 and 1974 were examined. Single suicides and married suicides with dependent children were compared to similar groups in the general population. It was found that while marrieds with dependent children experienced the lowest average suicide rate, they also had a larger mean number of children than the population as a whole and exhibited a tendency for having children at a very young age or children at an older age in life. These findings contradict contemporary notions that an increasing number of children in a marriage tend to inhibit suicide potential. It appears that the relationship between marital suicide and dependent children is far more complex than previously indicated and requires further research for elaboration.     

Relationship quality profiles and well-being among married adults.

The marital relationship rarely exists in isolation and yet few studies have examined the multiple relationships experienced by most married people. This study used the Convoy Model of Social Relations to examine patterns of multiple relationships and well-being among men and women ages 22 to 79 years (N = 654). Cluster analyses identified profiles of relationship quality among people with spouse, family (children, mother, father), and a best friend (N = 451) and those married with family but no best friend (N = 202). Relationship profiles differed in quality and by gender, race, and age. Among people with best friends, having at least 2 high quality relations, not necessarily with a spouse, is associated with greater well-being. In contrast, among people without best friends, the spousal relation appears to be particularly important for well-being. Although family relationships (e.g., spouse) are important for well-being, interventions should consider the composition and quality of social networks to determine which relationships may need improvement.     

Empathic accuracy and accommodative behavior among newly married couples

An established method for assessing empathic accuracy was used to examine the consequences of accurate understanding during the early years of marriage. Structural equation modeling analyses simultaneously examined within–individual and across–partner associations among variables (actor effects and partner effects). During the first year of marriage, actor effects and partner effects were observed for two presumed consequences of empathic accuracy—accommodative behavior and couple well–being. Actor effects, partner effects, or both were observed for three possible determinants of empathic accuracy—commitment level, partner perspective–taking, and psychological femininity. Levels of empathic accuracy reliably declined following the first year of marriage, as did the strength of the above–noted associations with empathic accuracy.     

Relational spirituality and depression among married couples in Antigua

The World Health Organization indicates depression is the leading cause of disability worldwide. At the same time researchers have found religion/spirituality is inversely associated with depression. However, the mechanisms by which spirituality/religion impacts mental health have not been clearly identified particularly in non-western populations. Relational spirituality is a concept that focuses attention on the ways people relate to the sacred. This study examines whether different ways of relating to the sacred are implicated in levels of depression and whether marital partners affect each other’s level of relational spirituality and depression. Ninety-one (n?=?91) married heterosexual couples in the Caribbean Island of Antigua completed measures of relational spirituality and depression. Data were analysed using path analysis and through Actor Partner Interdependence Model methods. Results of the analysis showed wives’ and husbands’ depression scores covaried (COV?=?6.59, Pearson r?=?.28, p?β?=??.24, unstandardised B?=??3.23, se?=?1.30), and higher instability scores (β?=?.49, unstandardised B?=?5.46, se?=?.96). The husbands’ disappointment (β?=?.21, unstandardised B?=?2.17, se?=?.95) and instability (β?=?.54, unstandardised B?=?4.65, se?=?.72) were positively related to their depression scores. The results demonstrate relational spirituality is a useful framework for addressing depression in individuals as well as married couples.     

Abuse, health locus of control, and perceived health among HIV-positive women.

This study of 230 predominantly poor Hispanic and African American women aged 25 to 61 years living with HIV/AIDS in New York City revealed high levels of both sexual (39%) and physical (44%) trauma before the age of 16. Both types of early trauma were correlated with later trauma, and all forms of trauma were significantly associated with current perceived health. In multivariate analyses controlling for relevant covariates, the Powerful Others and Internal Control subscales of the Multidimensional Health Locus of Control Scales (K. A. Wallston, B. S. Wallston, & R. DeVellis, 1978) acted as independent predictors of perceived health rather than (as hypothesized) mediators of the association between trauma and perceived health. Findings underscore the importance of addressing trauma and perceptions of control over one's physical health in the provision of health services to HIV-positive women.     

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.     

Predictors of mental distress and poor physical health among homeless women

Abstract

We tested a latent variable path model in which situational, personal, and social resources predicted several mediators and the key health outcomes of mental distress and poor physical health among 871 homeless women. Mental distress was predicted by risky sexual behavior, less social support, avoidant coping, less self-esteem, client abuse history, social support from deviant sources, less drug self-efficacy and health care utilization. Poor physical health was predicted by a client abuse history, less drug self-efficacy, fewer perceived rewards for drug use, higher perceived costs for drug use, and a doctor visit. Current risky sexual behavior was predicted by a parent drug abuse history, less drug self-efficacy, and more social support from deviant sources. Current drug use was predicted by parent drug abuse history, less drug self-efficacy, more social support from deviant sources and by high perceived costs for drug use. Implications of results for intervention and theory are discussed.     

Self-perception of health and fitness among French and Tunisian men and women

This work examines the effects of sex and culture on physical self-perceptions. The aim was to compare the perception of physical fitness of French and Tunisian men and women. 400 individuals ages 20 to 35 years assessed their own fitness, endurance, strength, flexibility, body composition, and health according to specific category scales by completing a questionnaire. In general, the Tunisian group rated themselves higher than the French group. It appears that perceived physical fitness was related mainly to perceived endurance for both groups. Some disparities were observed between the two nationalities. Analysis showed an interaction between sex and culture (French vs Tunisian). For French men and women and Tunisian men, perceived physical fitness was more associated with perceived endurance, whereas for Tunisian women, perceived physical fitness was more strongly associated with flexibility. These data show that self-perception of physical fitness is a dimension which varies between individuals from different cultures.