Assessing Agreement between the K10 and MHI-5 Measures of Psychological Wellbeing

Responses to the Kessler Psychological Distress Scale (K10) and the Mental Health Index-5 (MHI-5) mental health subscale of the Medical Outcomes Study Short Form (SF-36) survey cover broadly similar constructs. The aim of this paper is to use the equipercentile method to produce a concordance between K10 and MHI-5 across the whole score distribution. Comparisons were made using survey data from the Australian Longitudinal Study on Women’s Health (ALSWH) and the Household, Income and Labour Dynamics in Australia (HILDA) survey, which used both the K10 and the MHI-5 measures at the same time for the same participants. Agreement was assessed with Bland-Altman plots. The differences between MHI-5 scores and transformed K10 scores were assessed with paired t-tests. For the ALSWH data there is good agreement between MHI-5 scores and scores equated from the K10. The mean of the differences is −0.15 with standard deviation 10.8. Using the ALSWH transformation on the HILDA data for different age groups and genders, the mean differences ranged from 0.43 to 3.38 with corresponding standard deviations of 11.1 to 9.9. The concordance table was very similar to one obtained by the more complicated item response theory method. The results suggest that longitudinal surveys of the same respondents that previously used MHI-5 could adopt the K10 (or vice versa) without loss of comparability.

     

Sexual Perfectionism and Women’s Sexual Assertiveness: Understanding the Unique Effects of Perfectionistic Expectations about Sex Originating from and Directed toward the Sexual Partner

Marriage has significantly changed since Becker proposed his specialization model yet some scholars maintain that specialization characterizes modern couples. Specialization occurs when one partner, traditionally the man, concentrates on market work while the other partner, traditionally the woman, focuses on nonmarket work such as housework or childcare. Using innovative time diary data from primarily highly-educated, White, dual-earner U.S. couples, we examine how couples manage their time in market and household work and leisure across a momentous, gendered life course turning point—the transition to parenthood. We find little evidence of specialization, but stronger evidence of nonspecialization where both partners concurrently engaged in market work or leisure. Yet gender still mattered. Men enjoyed more leisure time, particularly on nonworkdays, whereas their partners performed more nonmarket work. Our study is the first known to uncover exactly what men were doing while women performed additional minutes of housework and childcare. On nonworkdays, fathers engaged in leisure 47% and 35% of the time during which mothers performed childcare and routine housework, respectively. Mothers engaged in leisure only about 16% to 19% of the time that fathers performed childcare and routine housework. In sum, although our study challenges economic theories of specialization by suggesting that nonspecialization is the norm for new parents’ time among highly-educated, dual-earner couples, persistent gender inequalities continue to characterize family work and leisure time.     

Dispositional and stressor-related emotion regulation in the context of a chronic, life-limiting stressor

In the context of efforts to regulate emotion during chronic stressors, both dispositional response tendencies (affect intensity, negative and positive expressivity) and stressor‐related coping through emotional approach (processing and expressing emotions) are relevant to adjustment. In women with metastatic breast cancer (N = 103), contributions of self‐reported emotional processing and expression related to cancer, as well as dispositional expressivity to adaptive outcomes across 3 months were examined. In the context of high dispositional expressivity, an increase in emotional expression predicted improvements in depressive symptoms and life satisfaction. Emotional processing at study entry predicted increased depressive symptoms and intrusive thoughts, and declining life satisfaction among highly expressive women. Increasing emotional processing predicted improved depressive symptoms in the context of high expressivity. Increases in emotional approach coping were associated with a more arduous cancer experience. Findings highlight the importance of the person‐situation fit in linking emotion‐related constructs to adjustment during unremitting stressors.     

An Approach to Examining the Proximal and Intermediate Outcomes of an Intensive Family Preservation Program

This study examined the effects of the Boys Town In-Home Family Program (BT-IHFP) on parenting skills, family functioning, and child behavior for at-risk families involved with child protective services. The BT-IHFP is designed as a home-based, family-centered alternative to out-of-home placement with the goal of improving family functioning, keeping families together, and preventing further involvement with child protective services. The model uses a hands-on cognitive-behavioral approach, promotes family engagement, provides 24/7 services to families, and links families to community resources. While it is essential to examine ultimate, long-term outcomes such as family preservation, it is also important to investigate the proximal and intermediate outcomes that address the key changes in behavior that support successful long-term outcomes. The goals of this study were to (1) examine the pre-post change of proximal and intermediate outcomes and (2) examine if improvements in parenting skills, parental roles, and parental stress (proximal outcomes) will be related to improvements in child behavior at home, child behavior at school, and family functioning (intermediate outcomes). Inspecting intake and discharge data for 44 families, 94% were intact at discharge and significant pre-post improvements were found in proximal and intermediate outcomes. These findings suggest that this six-week intensive BT-IHFP holds promise for teaching at-risk families skills to promote positive family functioning.     

Emotional inertia contributes to depressive symptoms beyond perseverative thinking

The autocorrelation or inertia of negative affect reflects how much negative emotions carry over from moment to moment and has been associated with increased depressive symptoms. In this study, we posed three challenges to this association by examining: (1) whether emotional inertia is relevant for depressive symptoms when assessed on a longer timescale than usual; (2) whether inertia is uniquely related to depressive symptoms after controlling for perseverative thoughts; and (3) whether inertia is related to depressive symptoms over and above the within-person association between affect and perseverative thoughts. Participants (N = 101) provided ratings of affect and perseverative thoughts for 100 days; depressive symptoms were reported before and after the study, and again after 2.5 years. Day-to-day emotional inertia was related to depressive symptoms over and above trait and state perseverative thoughts. Moreover, inertia predicted depressive symptoms when adjusting for its association with perseverative thoughts. These findings establish the relevance of emotional inertia in depressive symptoms independent of perseverative thoughts.     

Design-Based Research on Digital Media in a Museum Environment

ABSTRACT

This article describes the application of a design-based research approach at the Deutsches Museum, a German science and technology museum, in a collaborative project examining how digital media can support museum learning. Design-based research is an integrative approach that combines the development of theoretical knowledge and the research-practice transfer. The application of a design-based research approach is discussed in the context of the history of visitor studies at the Deutsches Museum. Three projects examining the educational potential of media exhibits serve as examples of how this approach has been implemented, and illustrate how design-based research can address the problems and questions of practitioners as well as relevant psychological research issues. Finally, conclusions are drawn regarding the challenges and opportunities related to this new approach.     

Early Understanding of Normativity and Freedom to Act in Turkish Toddlers

Two studies investigated young 2- and 3-year-old Turkish children's developing understanding of normativity and freedom to act in games. As expected, children, especially 3-year-olds, protested more when there was a norm violation than when there was none. Surprisingly, however, no decrease in normative protest was observed even when the actor violated the norms due to a physical constraint, and not due to unwillingness. The increase in helping responses in this case lends support to the idea that at these ages, children could not yet incorporate an actor's freedom to act in line with his will as they respond to norm transgressions. The results of the two studies are discussed in the light of two general research issues: a) the importance of cross-cultural research, and b) the interaction of the cognitive system with the emotional-empathic system in development.     

Reasonable People,Double Jeopardy,and Justice

The equipoise requirement in clinical research demands that, if patients are to be randomly assigned to one of two interventions in a clinical trial, there must be genuine doubt about which is better. This reflects the traditional view that physicians must never knowingly compromise the care of their patients, even for the sake of future patients. Equipoise has proven to be deeply problematic, especially in the Third World. Some recent critics have argued against equipoise on the grounds that clinical research is fundamentally distinct from clinical care, and thus should be governed by different norms. I argue against this “difference position,” and instead take issue with the traditional, exclusively patient-centered account of physicians' obligations that equipoise presupposes. In place of this traditional view, I propose a Kantian test for the reasonable partiality that physicians should show their patients, focusing on its application in clinical research and medical education.     

Adverse childhood experiences and autonomic regulation in response to acute stress: the role of the sympathetic and parasympathetic nervous systems

Background and objectives: After a previous report demonstrated blunted heart rate (HR) reactivity in association with adverse childhood experiences (ACEs) [Voellmin, A., Winzeler, K., Hug, E., Wilhelm, F. H., Schaefer, V., Gaab, J.,?…?Bader, K. (2015). Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity. Psychoneuroendocrinology, 51, 58–67. doi:10.1016/j.psyneuen.2014.09.008], the present analysis aimed at clarifying the role of the sympathetic and parasympathetic branches of the autonomic nervous system in this relationship.

Design and Methods: One hundred eighteen healthy young women provided data on ACEs and underwent psychosocial stress testing. Systolic blood pressure (SBP) and respiratory sinus arrhythmia (RSA, quantified by high-frequency HR variability) were assessed as measures of sympathetic and parasympathetic cardiovascular activity, respectively. A mediation model was calculated to test the indirect effects of ACEs on HR via SBP and RSA.

Results: The effect of ACEs on HR reactivity was mediated by SBP reactivity but not by RSA reactivity. ACEs were associated with reduced SBP at rest.

Conclusions: ACEs were associated with down-regulation in a measure of sympathetic but no alteration in a measure of parasympathetic cardiovascular stress reactivity in adulthood. Future research will need to clarify whether this indicates risk or resilience.