Relationship Quality,Commitment, and Stability in Long‐Distance Relationships

Using a nationally representative sample (N = 870), the present study compared long‐distance romantic relationships to close‐proximity romantic relationships in terms of relationship quality, commitment, and stability. Individuals in long‐distance relationships generally reported higher levels of relationship quality on a number of relationship quality variables, as well as higher levels of dedication to their relationships and lower levels of feeling trapped (i.e., felt constraint), but were similar to individuals in close‐proximity relationships in terms of perceived and material constraints. Although individuals in long‐distance relationships perceived a lower likelihood of breaking up with their partner at the initial time point, they were as likely as the individuals in close‐proximity relationships to have broken up by the follow‐up assessment.     

Parents’ Reflections on their Child's Experiences of Emotionally Abusive Coaching Practices

The purpose of this study was to explore parents’ reflections on their child's experiences of emotionally abusive coaching practices. Semi-structured interviews were conducted with 16 parents of retired elite athletes, and data were coded using open, axial, and selective coding techniques. Parents’ reflections indicated a process of accepting disconcerting coaching practices across their child's athletic career. Findings are interpreted to suggest that parents are socialized into the culture of elite sport and can become silent bystanders to their children's experiences of emotional abuse. Implications for athlete protection are discussed.     

The effects of accountability on bias in physician decision making: Going from bad to worse

Members of the Iowa Academy of Family Physicians participated in a survey study in which they were asked to make hypothetical decisions in either high- or low-conflict treatment conditions. In the low-conflict treatment condition the options were a common medication with a referral or a referral only. In the high-conflict treatment condition the same two options were given plus another attractive medication. In addition, we manipulated accountability by asking half of the participants to provide a written defense of their treatment options, which they would then agree to discuss at a later time. The results showed that physicians in the high-conflict condition chose the referral-only option significantly more than the physicians in the low-conflict condition, thus violating the normative rule of regularity. Moreover, that pattern was significantly amplified for physicians who were held accountable for their treatment decisions. These findings replicate and extend previous research and are discussed within the framework of reason-based choice.     

Trichotillomania: impact on psychosocial functioning and quality of life

This study explored the impact of hair pulling on psychosocial functioning for patients diagnosed with trichotillomania (TTM; n = 28). TTM patients were compared to age and gender-matched groups of psychiatric patients without TTM (n = 28) and nonpsychiatric control volunteers (NC, n = 28) on measures of psychological distress, functioning/quality of life, and self-esteem. Results indicated that TTM patients reported more severe psychosocial impairments than did NC volunteers; however, these differences were mediated by differences in level of depression. Regression analyses indicated significant relationships between some measures of psychosocial functioning and severity of hair pulling, independent of level of depression. Finally, an interview of the impact of hair pulling on 6 domains of daily functioning (negative affect/negative self-evaluations, grooming, recreational activities, social interaction, work/housework productivity, and physical health) indicated common and wide-ranging impairments for both lifetime and current (i.e., past week) ratings. These results highlight the importance of promoting and improving resources for the clinical care of TTM patients, and provide some directions for clinicians to enhance assessment of interference caused by TTM.     

Differentiating anxiety and depression in older adults with generalized anxiety disorder

To examine affect and cognition in differentiating anxiety and depression, 83 older participants with generalized anxiety disorder completed the Cognitive Checklist (CCL) and the Positive and Negative Affect Schedule (PANAS). A 3-factor solution was found for the PANAS: positive affect (PA), anxiety and anger (Negative Affect 1 [NA-1]), and guilt and shame (Negative Affect 2 [NA-2]). A 2-factor structure was noted for the CCL. Correlations with anxiety and depression measures suggested that the CCL Depression (CCL-D) subscale showed stronger correlations with depression, whereas the CCL Anxiety subscale did not uniquely correlate with anxiety. The NA-1 subscale correlated positively with measures of depression and anxiety, whereas the PA subscale showed negative correlations. Hierarchical regression suggested that the CCL-D subscale was a significant predictor of self-reported depression.     

Gender differences in anger and fear as a function of situational context

Gender differences in the reported intensity of anger and fear toward hypothetical males and females were explored in three age groups (6–12 year olds, 14–16 year olds, and adults over 30) located in two different geographic areas. The samples were primarily Caucasian and included a wide range of socioeconomic groups. Subjects reported on the intensity of feelings elicited by characters in an emotion story task in which three aspects of situational context were varied: the gender of the story characters eliciting the feeling (all situations), the stereotypic gender-typed or cross-gender behavior of the eliciting character (four situations), and the affective quality of the situations (four situations). Across all three age groups, situations that were frightening, anger-provoking, or that depicted stereotypic male-negative behavior elicited the most consistent subject gender and character gender differences in reported fear and anger. Relative to males, females of all ages reported more fear in frightening, anger-producing, and male-negative stereotypic situations. Males were reported to be more frightening and anger-producing than were females in those same situations. The data also suggested that with development, females reported less intense fear of females, while males reported less intense fear of males.This research was supported by a Gender Roles grant from the Rockefeller Foundation. We appreciate their support. We would also like to thank the public school systems of Milton, Norwood, and Watertown, Massachusetts, and Saskatoon, Saskatchewan, Canada. Finally, we would like to thank Lance Davidow, John Houlihan, and Theodore Cross for statistical consultation and/or computer programming, as well as all the parents, children, and adolescents who participated in the study.     

Group performance as a function of group type,task condition and scholastic level

Studied performance on a multiple-solution anagrams task by two-member nominal, pseudo, quasi, and real groups in relation to task conditions (set versus nonset) and school grades (10th, 11th, and 12th). Nominal groups were made up of individuals working alone. Pseudo groups were made up of members sitting together but working independently for individual scores. Quasi groups were made up of members who were working together for a common or shared goal but were not allowed to communicate with each other. Real groups were the usual teams of freely interacting and mutually consulting members. Five words were presented to the subjects in the set condition (unlike in the nonset co ndition) in order to channelize their problem-solving activity in particular directions. The subjects were 192 male American high school students. The most important finding was that both nominal and pseudo groups produced more errors than real groups. Also the set condition generated more errors than the nonset condition. These and other findings were discussed and interpreted in the context of previous research.     

Cross-cultural issues in the treatment of intractable anorexia nervosa

This paper presents a case of intractable anorexia nervosa in a child burdened beyond her capabilities by unresolved conflicts in a parent. The dynamics will be assessed in the context of open systems theory of family function to suggest that the mother's conflicts, fixated at the time she left her native country, and her attempts to adapt to a new one, combined with other family members' failure to understand or appreciate the mother's cultural roots, interrupted the patient's normal maturation/development. The paper also presents a successful course of treatment of the binational anorexic girl, using a comprehensive inpatient program, emphasizing intensive family therapy with an open systems theory framework.The earlier version of this paper was presented at the Sixth World Congress of the International College of Psychosomatic Medicine, Montreal, Canada, September, 1981. Helpful comments by Regina Casper, M.D., helpful discussion by Kenneth Calestro, M.A., and support and encouragement by Katharine N. Dixon, M.D. are greatly appreciated.     

Innovations in Assessing ADHD: Development, Psychometric Properties, and Factor Structure of the ADHD Symptoms Rating Scale (ADHD-SRS)

This research involved the development of a behavior rating scale designed to measure ADHD and the investigation of the scale's psychometric properties and factor structure. This scale, the ADHD Symptoms Rating Scale (ADHD-SRS), was developed for the assessment of ADHD in the school-age (K–12) population. Participants were 1006 children and adolescents (in grades K–12) who were rated by their parents and/or teachers. The results indicate that the ADHD-SRS possesses strong internal consistency reliability and test–retest reliability and moderate cross-informant reliability. The data also suggest that the ADHD-SRS has strong content validity. Convergent validity of this instrument was also high, as demonstrated by correlations with three previously validated behavior rating scales. Significant age and gender differences in ADHD symptoms were found with both the parent and teacher respondent populations. Finally, the factor analysis of the ADHD-SRS suggested a two factor oblique rotation as the best fit for both the parent and the teacher data. After a visual inspection of the items which loaded on each factor, Factor 1 was named Hyperactive-Impulsive and Factor 2 was named Inattention. These two factors, along with the items which loaded on each factor, appear to be remarkably similar to the two categories listed in the DSM-IV for ADHD. Directions for future research, as well as clinical implications and limitations of the research are discussed.