The Caregivers' Attachment and Relationship Education Class: A New and Promising Group Therapy for Caregivers of Individuals with Parkinson's Disease

The authors examined whether a newly developed group therapy, based on principles of attachment theory and emotionally focused couples therapy, can potentially address the unique mental health and relationship difficulties in caregivers of individuals with Parkinson's disease. A comprehensive outreach effort, involving a review of 251 military veterans' medical records, yielded enrollment of seven spousal caregivers in the group therapy. At 1-month follow-up, caregivers who initially reported mild or greater levels of caregiver burden demonstrated statistically reliable declines in psychological distress, relationship distress, or both. Posttreatment surveys indicated positive perceptions in overall helpfulness of treatment goals, as well as positive changes in insight (e.g., greater understanding of the patient's attachment needs) and behaviors (e.g., greater social contact and self-care of the caregiver). Results are considered in the context of inadequate access to treatment for caregivers of spouses with Parkinson's disease or other major medical issues.     

A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas

Depression is a significant problem for ethnic minorities that remains understudied partly due to a lack of strong measures with established psychometric properties. One screening tool, the Patient Health Questionnaire-9 (PHQ-9), which was developed for use in primary care has also gained popularity in research settings. The reliability and validity of the PHQ-9 has been well established among predominantly Caucasian samples, in addition to many minority groups. However, there is little evidence regarding its utility among Hispanic Americans, a large and growing cultural group in the United States. In this study, we investigated the reliability and structural validity of the PHQ-9 in Hispanic American women. A community sample of 479 Latina women from southern California completed the PHQ-9 in their preferred language of English or Spanish. Cronbach's alphas suggested that there was good internal consistency for both the English- and Spanish-language versions. Structural validity was investigated using multigroup confirmatory factor analysis. Results support a similar one-factor structure with equivalent response patterns and variances among English- and Spanish-speaking Latinas. These results suggest that the PHQ-9 can be used with confidence in both English and Spanish versions to screen Latinas for depression.     

Cross-cultural comparison of drivers’ tendency to commit different aberrant driving behaviours

The first aim of the present study was to identify key items which are rated differently by drivers from Finland, Sweden, Greece and Turkey. The second aim was to examine how these key items relate to drivers’ self-reported accident involvement. Similar comparisons have previously been conducted in Europe but these have only included items classified as violations and errors, but not lapses. A sample of Finnish (N = 200), Swedish (N = 200), Greek (N = 200) and Turkish (N = 200) drivers completed the driver behaviour questionnaire (DBQ) and reported their accident involvement during the previous 3 years. The results showed that nine key items (which drivers from different countries rated differently) could be identified. These items included two aggressive violations, four ordinary violations, three lapses, but no errors. Out of these nine items, five items (Become angered by a certain type of driver and indicate your hostility by whatever means you can, Disregard the speed limit on a motorway, Overtake a slow driver on the inside, Pull out of a junction so far that the driver with right of way has to stop and let you out and Get into the wrong lane approaching a roundabout or a junction) could explain differences in drivers’ self-reported yearly accident involvement when all four countries were taken together. At the same time, none of the items could explain differences in self-reported yearly accident involvement in Finland and Sweden while one of the items (Overtake a slow driver on the inside) could explain differences in self-reported yearly accident involvement in Greece and two of the items (Become angered by a certain type of driver and indicate your hostility by whatever means you can and Disregard the speed limit on a residential road) could explain differences in self-reported yearly accident involvement in Turkey. This shows that different countries have different problems with regard to aberrant driving behaviours which need to be taken into account when promoting traffic safety interventions and the driver behaviour questionnaire (DBQ) can be used to diagnose risk areas and to better inform road safety practitioners within and between countries.     

The acquisition of scientific knowledge: the influence of methods of questioning and analysis on the interpretation of children's conceptions of the earth

Studies of children's knowledge of the Earth have led to very different conclusions: some appear to show that children construct their own, non‐scientific ‘theories’ (mental models) of the flat, hollow or dual Earth. Others indicate that many young children have some understanding of the spherical (scientific) Earth, and that their knowledge lacks the coherence of mental models. The reasons for these contrasting views were tested by interviewing French children (N = 178) aged 5–11 years and varying the different methods used in previous research, namely the types of questions (open and forced‐choice), the form of representation (two‐dimensional pictures and three‐dimensional models), and the method of analysis (the mental model theorists' coding scheme and a statistical test for associations using MANOVA). Forced‐choice questions resulted in higher proportions of scientific answers than open questions, and children appeared to have naïve mental models of the Earth only when the mental model theorists' coding scheme was used. These findings support the view that children tend to have ‘fragments’ of scientific knowledge, and that naïve mental models of the Earth are methodological artifacts. Copyright © 2011 John Wiley & Sons, Ltd.     

The Core Emotion Themes of Conjugal Loss

Previous studies have associated emotion and appraisal with long-term bereavement outcome. The present study extended this research by coding conjugal bereavement narratives for core relational themes (CRT) that served as emotional summaries of unique combinations of appraisal features. A range of CRTs was evidenced at 6 months after loss, with positive CRTs, such as love/affection and pride, occurring most frequently. As a way to examine competing models of coping with loss, CRTs were grouped by goal-congruence (positive/negative) and appraisal features (self/interpersonal) into four thematic categories, and they were compared with 6-, 14-, and 25-month outcome. Results contradicted the traditional grief work perspective, but they were consistent with the alternative view that recovery is fostered by identity continuity and a continued emotional bond with the deceased. With initial symptoms and Dyadic Adjustment Scale scores controlled, enhanced self themes (e.g., self-pride) and interpersonal affirmation themes (e.g., pride in the deceased) were each associated with improved functioning over time, whereas interpersonal discord themes (e.g., anger at the deceased) were associated with chronic grief.     

Exploring goal taxonomies using the goal-based outcome tool in children and young people's mental health settings

Formulating goals in therapy may facilitate young people and parents/carers' engagement in mental health support settings. A number of goal taxonomies have been developed, which involve organising goals set at the outset of therapy into themes. Goal taxonomies are considered useful for service planning and outcome purposes. In order to build on the knowledge about what young people choose as goals, and to best support good practice, it is important to explore the links and differences between the existing goal taxonomies. A systematic review was conducted to identify goal taxonomies based on goals set using the goal-based outcome (GBO) tool. Framework analysis was conducted to investigate the extracted goal taxonomies. Overall, four core concepts were identified: “Goals targeting specific issues, symptoms, emotions, and behaviours,” “Return and engage in activities,” “Personal growth goals” and “Interpersonal goals.” Goals regarding specific issues, personal growth and interpersonal relationships were present in most studies. Using these overarching core concepts could be useful for practitioner-level, or service-level organisation of goal data, for activities such as service planning and delivery.     

Daily Responsiveness,Expectations, and Self-disclosure: How the Average Levels and Within-person Variability of Three Relationship Components Mediate Personality–Relationship Transactions in Romantic Couples

The associations between couple members' personality and their relationship satisfaction can be conceptualized as reciprocal transactions. To better understand these transactions, we focused on both partners' interpersonal vulnerabilities (i.e. neuroticism, low self-esteem, and insecure attachment); daily emotional, cognitive, and behavioural relationship components (i.e. perceived responsiveness, positive expectations, and self-disclosure); and relationship satisfaction. Specifically, we examined whether the average levels and within-person variability of the relationship components mediated the transactions between interpersonal vulnerabilities and relationship satisfaction. Data came from 689 female–male couples aged 18 to 81 years who participated in three measurement occasions across 12 months, including a 14-day diary phase. We used mediated dyadic bivariate latent change score models to test the level–change and change–change transactions and mediations. The findings partly supported our hypotheses: Couple members with interpersonal vulnerabilities had lower average levels (but not higher within-person variability) of the relationship components, and less satisfied couple members had lower average levels and higher within-person variability of these components. The lower average levels but not the variability mediated between a lower level of relationship satisfaction and an increase in avoidant attachment. No other mediations were observed. We discuss the importance of studying daily relationship components for better understanding reciprocal transactions in couples. © 2020 European Association of Personality Psychology     

Revisiting Viktor Frankl: his contributions to the contemporary interest in spirituality and health care

The case is made for location of spirituality to be in the body, and at the same time for the power of the spirit to transcend the body when it is afflicted. The author highlights Viktor Frankl's strongest convictions that one can survive through the shear power of one's spirit. Correspondingly, the promise of resurrection can help a Christian to maintain a vision of life, stay courageous though there may be no hope of tomorrow as we have known it. The author asserts the role of the hospital chaplain in helping the sick person to draw upon his or her spiritual strength to cope with their physical illness or affliction.