Spouse criticism and support: their association with coping and psychological adjustment among women with rheumatoid arthritis

Examined whether psychological adjustment of women with rheumatoid arthritis would be related to the support and criticism the patient received from the husband. Interviews were conducted with the husbands of 103 women with rheumatoid arthritis. Spouse interviews were content coded for critical remarks. Wives completed a revised version of the Ways of Coping Scale and a scale of the perceived supportiveness of the spouse. Husbands completed rating scales assessing their perceived vulnerability to illness and the degree of burden they experienced in providing assistance to their wives. Path analyses revealed that patient adjustment was significantly related to the attitude of the spouse. Patients with a highly critical spouse engaged in more maladaptive coping behaviors and reported a poorer psychological adjustment. Independent of spousal criticism, patients who perceived their spouse as being supportive engaged in more adaptive coping. A path model was fit to the data that suggested that the spouse may affect adjustment indirectly through influencing the patient's selection of adaptive or maladaptive coping responses.     

Risk of domestic violence after flood impact: Effects of social support,age, and history of domestic violence

Community professionals observed an increase in domestic violence during the aftermath of the 1997 Grand Forks flood. In the past, research has documented emotional symptoms which result from natural disaster, and separate studies have observed domestic violence to result from these same emotional symptoms. No research was found, however, specifically on the effects of natural disaster on domestic violence. The purpose of the current study was to test the effects of a model of variables on domestic violence, including flood impact, the emotional symptoms, as well as other intervening variables which might act as a buffer against the effects of flood impact. Results of this cross-sectional survey of 140 Grand Forks adults indicated that domestic violence was significantly greater among respondents after the flood. Flood impact led to increased levels of anxiety, depression, and hostility. Whether these emotional symptoms subsequently led to increased domestic violence depended on the level of social support, the age of the respondent, and whether he/she had a history of domestic violence before the flood. Those with lower social support, the elderly, and those with a prior history of violence were most affected. The results have implications for work with the elderly, with domestic violence treatment and prevention programs, and with communities affected by flood.     

Posttraumatic stress disorder among battered women: analysis of legal implications

The diagnosis of posttraumatic stress disorder (PTSD) has recently been applied to the psychological experiences of victims of intimate violence, including physical and sexual assault. The use of trauma theory to explain battered women's responses to violence has laid a foundation for expert testimony on PTSD, where relevant, within more general testimony concerning partner violence. This article discusses the relevance of the PTSD diagnosis within the legal context for explaining battered women's responses to violence.     

Cognitive therapy with battered women

Violence toward women by their male partners occurs so frequently that it must be considered seriously by every psychotherapist treating women clients. The paper addresses cognitive therapy with women when there has been a history of domestic violence toward them regardless of whether the danger is imminent and regardless of whether they initially identify battering as the presenting problem. Some cognitions which a woman may hold prior to the onset of abuse may contribute to an increased vulnerability once the violence occurs. A second category of cognitions develops through the battering experience itself, including perceptions of severity of abuse, attributions about the cause of the violence, and attributions about the solution to the problem. Working effectively with battered women requires not only an understanding of the dysfunctional cognitions that they may hold, but also a recognition of the dysfunctional cognitions to which therapists ascribe. It is important for a battered woman to accept responsibility for control of a solution to her victimization, not because the responsibility of the cause is hers, but because it represents empowerment over her own life. A third category of cognitions includes the negative psychological effects of violence. It is imperative to keep as the primary goal of intervention that of safety. Although dysfunctional cognitions may be important to alter, it is necessary never to lose sight of the real dangers the battered woman faces.     

Coping and social support and health related quality of life in women with breast cancer in Turkey

This study aims to investigate the role of social support and coping in explaining health related quality of life (HRQoL) among Turkish breast cancer patients. A cross-sectional sample of 188 women from three hospitals in Turkey completed the Multidimensional Scale of Perceived Social Support, the Ways of Coping Inventory, and the Short Form 36 Health Survey. Socio-demographic and medical information was also collected. Results indicated high HRQoL levels, with 7 of the 10 SF-36 scores being within 1 SD of population mean. Correlations showed that helplessness coping was inversely associated with HRQoL whereas social support, religious coping, optimistic coping and problem focused coping were positively associated with HRQoL. Multiple regressions indicated that time since diagnosis, time since operation, stage of cancer, post-operative treatment, social support and problem solving coping were significant predictors of HRQoL accounting for 54.7% to 46.4% of the variance in physical and emotional HRQoL. Coping and social support have an independent effect on HRQoL over and above sociodemographic and medical variables and should be targeted by appropriate interventions.     

Social support,coping, and psychological adjustment among caregivers of head-injured patients

Abstract

The purpose of this study was to test a mediational model of risk and protective factors associated with the psychological adjustment of caregivers of head-injured patients. Forty-three caregivers of patients who had suffered a head injury participated in the study. Findings strongly supported hypotheses. Caregiver burden was associated with poorer psychological adjustment. Social support and a higher percentage of approach coping strategies relative to overall coping strategies were associated with better psychological adjustment. As predicted, caregiver burden showed a direct relationship to psychological adjustment, while social support showed an indirect relationship to adjustment mediated by percentage approach coping.     

Saliva testosterone and criminal violence among women

Free testosterone concentrations were measured in the saliva of 84 female inmates and 15 female college students. Testosterone differed among inmates convicted of unprovoked violence, defensive violence, theft, drugs, and a set of other crimes. It was highest with unprovoked violence and lowest with defensive violence, where inmates had reacted violently after being physically assaulted. Testosterone was also related to number of prior charges and to Parole Board decisions about length of time to serve before being released on parole. Mean testosterone levels were similar for inmates and college students.     

Relations between Hand Test variables and the psychological characteristics and behaviors of battered women

Battered and nonbattered women were administered the Hand Test to determine which psychological test variables could distinguish between these groups. Compared to the nonbattered group, the battered group produced substantially more fear responses. We also found significant positive relationships between the amount of fear responses produced and frequency of abuse, number of previous visits to a battered women's shelter, and medical treatment sought following an abusive incident. We discuss these results in the context of previous findings and their implications for the personality of battered women. We speculate that lowered environmental interest might be a personality factor that prolonged the abuse and that fear is a basic reaction to anticipated bodily harm.     

Social support and psychological well-being in young adults: the multi-dimensional support scale

A large sample (N = 483) of community-living adults (M age = 23.6 years) responded to questions about the frequency and adequacy of emotional, practical, and informational support during the past month from three sources-confidants, peers, and supervisors-using the Multi-Dimensional Support Scale. Factor analysis was used to distinguish meaningful regularities in item responses, and the resulting five scales have high internal reliability. Scores correlated significantly with measures of self-esteem, depressive affect, and psychological disturbance according to the General Health Questionnaire. To investigate what contribution support measures could make to the prediction of psychological well-being, hierarchical regression analyses were carried out with stressors entered first and support scores entered second. As expected, respondents' psychological well-being was related to their level of life stress; however, the addition of social support measures doubled the explained variance in measures of psychological well-being. The support measure with the strongest association with well-being was the frequency of supportive behaviors toward the respondent by close family and friends.     

The complex relationship between dependency and domestic violence: converging psychological factors and social forces

Research indicates that economic dependency in women and emotional dependency in men independently contribute to domestic-partner abuse risk and that high levels of emotional dependency in an abused partner may reduce the likelihood that the victimized person will terminate the relationship. An analysis of psychological factors and social forces that contribute to domestic violence suggests that multimodal intervention strategies are needed to combat this complex problem.     

Social control, health risk taking, and psychological distress among the elderly

Most research on older adults' social networks has focused on the support-providing function of social relationships. Little gerontological research has addressed social control, or the role of social bonds in regulating deviant or risky behavior. Drawing on sociological theory, this study examined the hypothesis that social control discourages risky health practices while provoking psychological distress. Structured interviews conducted with 162 community-residing older adults assessed social control (direct attempts by other to influence participants' health practices and the existence of significant role obligations to others), health risk taking (medication misuse, alcohol consumption, cigarette smoking, and the overall level of unsound health practices), psychological functioning (depression, loneliness, and self-esteem), and interpersonal satisfaction (satisfaction with friends and family members). Analyses revealed little support for the hypothesis. Social control was only weakly related to participants' health practices and, contrary to expectation, was generally related to less psychological distress and to greater interpersonal satisfaction. Implications for social control theory and for further research are addressed.     

Social support,psychological vulnerability,and HIV risk among African American men who have sex with men

Previous research has suggested a need to understand the social-psychological factors contributing to HIV risk among African American men who have sex with men (MSM). We conducted individual in-depth interviews with 34 adult African American MSM to examine their personal experiences about: (i) sources of social support, (ii) psychological responses to the presence or absence of social support and (iii) influences of social support on sexual behaviours. The majority of participants described limited positive encouragement and lack of emotional support from family, as well as few meaningful personal relationships. Feelings of isolation and mistrust about personal relationships led many participants to avoid emotional intimacy and seek physical intimacy through sexual encounters. Findings highlight a need for multilevel interventions that enhance social support networks and address the social-psychological, emotional and interpersonal factors that contribute to HIV risk among African American MSM.     

Perceived frequency of domestic violence against women and neighbourhood social disorder

Regression analyses from a nationally representative sample of 10,235 adult Spaniards, provided in 1995 from the Spanish Demands of Security and Victimization Survey, showed a small and positive relationship between high neighbourhood social disorder and perceived frequency of domestic violence against women in Spanish families, after controlling for sociodemographic variables and size of city. Among sociodemographic variables, sex had the strongest association with neighbourhood social disorder, being more than twice as large as neighbourhood social disorder.     

Analysis of early representations and personality among victims of domestic violence

IntroductionThis exploratory study analyses the individual elements of the victims of domestic violence through life events, early dysfunctional representations and personality.ObjectivesThis research aims, firstly, to show the existence of early traumatic experiences for the victims of domestic violence. Secondly, it aims to measure the prevalence of early maladaptive schema and identify personality traits in these subjects. Finally, our aim is to highlight that depending on the violence carried out within the couple (reciprocal/unilateral), activated schemas and personality traits are different.MethodOur sample consists of 80 female subjects, non-abused women (n = 40) and victims of domestic violence (n = 40), of which 22 victims of unilateral violence and 18 victims of reciprocal violence. Participants filled out an initial questionnaire as well as the scales and self-report questionnaires as follows: Life events (Amiel-Lebigre, 1984); TCI (Cloninger et al., 1993); YSQ-S3 (Young et al., 2005). The data were subject to statistical analysis and were processed using the software SPSS 22.ResultsThe results show that the victims have experienced more early traumas than non-victims, that schemas (emotional deprivation, mistrust and abuse, subjugation, self-sacrifice) are more active. We note also different personality traits according to the different groups (victims/non-victims) and subgroups (reciprocal violence/unilateral violence).ConclusionOur study sheds light on the role of the individual elements of the victims on the perception of the relationship and on the process of engagement and disengagement of women in abusive relationships. Limits and expectations of the study are discussed.     

Employment and health among married women with children

A sample of nearly 500 urban married women with children was used to evaluate the possible effect of outside-the-home employment on the mental and physical health of married mothers. Six measures of health were used, some drawn from interviews with the women, others from a medical examination. After controlling for ethnicity, education, and age of the women, the husband's occupation, number of children in the family, and length of time the woman has been married, it was found that wives who had been employed for more than a year were healthier than wives not employed outside the home and wives who had worked less than one year. Housewives who had never worked outside the home were healthier, on the whole, than wives who had been employed at some time in the past. Poor marital relationships and having no preschool age children seemed to increase the health advantage of long-term employed wives over those in the housewife categories. The occupational status of wife and husband did not seem to change these health differences very much.An earlier version of this paper was presented at the annual meeting of the Southwest Social Science Association, San Antonio, March 1975. The authors would like to thank Donna Duvall, Ministry of State for Urban Affairs, Ottawa; Elaine Hess, University of Nebraska at Omaha; and David R. Johnson, University of Nebraska — Lincoln for their comments. Gilles Robert and Marie Josepha Hebert ably assisted with various aspects of this project. Support for the project was provided by the Ministry of State for Urban Affairs, but the views expressed here are those of the authors and not necessarily those of the Ministry.     

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.     

Myths and stereotypes of actors involved in domestic violence: Implications for domestic violence culpability attributions

Stereotypes exist about actors involved in domestic violence, particularly women of color. It has been suggested that Black women are more aggressive and accustomed to violence than White women. Moreover, victim resistance, marital status, and perceiver’s sex have all been found to influence perceptions of domestic violence culpability. Since the 1970s, when domestic violence was acknowledged as a social problem, researchers have examined how the lay person’s perceptions of battered women and their batterers are influenced by extralegal factors. Although research on perceptions of domestic violence when White women and men are involved has increased dramatically in recent years, there is a dearth of research on perceptions of such violence when women and men of color are participants. The available findings on the influence of stereotypical notions concerning victims and batterers upon perceptions of domestic violence are examined. This review will provide the available evidence and suggest research areas where information is needed to more fully address the needs of people of color in understanding their own victimization and how actors in the legal system can guard against biased responding.     

Coping with a threat to life: A longitudinal study of self-concept,social support,and psychological distress

The relationship of self-concept (self-esteem and mastery) and social support to psychological distress was studied among 68 Israeli women immediately prior to undergoing biopsy for suspected cancer (acute stress) and 3 months later for the noncancer group (everyday stress). It was predicted that women with stronger self-concepts and more social support would experience less state depression and state anxiety during the acute crisis than women with weaker self-concepts and less social support. It was further predicted that self-concept would be more critical than social support due to the acute nature of the event. Finally, self-concept was predicted to be related to psychological distress both during the acute and everyday stress situations (a direct effect), while social support was predicted to be related to psychological distress only during the acute stress situation (a buffering effect). The hypotheses were generally confirmed. However, self-concept and social support were seen as complexly related to psychological distress during the acute phase, one not necessarily being more critical than the other. The selective employment of available resistance resources to fit the situation and implications for preventive intervention were discussed.