Perceptions of Stress,Coping, and Intervention Preferences among Caregivers of Disadvantaged Children with Asthma

Asthma remains the most prevalent chronic illness among children. Despite the substantial body of literature examining children with asthma, few studies have examined parents’ perspectives of the condition and experiences of caregiver stress. Parents of children with chronic illnesses experience elevated stress and may have limited opportunities to cope with complex emotions while caring for children with asthma. Drawing from focus groups and interviews with African American and Hispanic parents of children with asthma, this qualitative study was conducted as part of a patient-centered engagement process to inform the refinement of an intervention aimed at reducing stress among parents of children with asthma. All data were transcribed and underwent three waves of inductive analysis. The content analysis indicated that the unpredictable nature of asthma and the caregiving burden associated with managing children’s asthma contributed to parents’ stress, and external contexts compounded the impact of these stressors. Parents also reported having difficulty identifying how they coped with stress and employed approaches to coping with stress that they applied intermittently but encountered several barriers to enacting known or available coping strategies. Analyses also revealed that parents desired a multimodal stress reduction intervention that emphasized building relationships, allowed for flexibility, and encouraged staff-parent communication. Whereas African American and Hispanic parents’ experiences of stress and coping strategies were similar, their preferences differed in regards to incorporating technology into the intervention, the credentials of facilitators, and the salience of language preferences. Understanding the complexities of stressors facing caregivers is important for developing interventions to support parents and children coping with asthma, and in particular when working with families from diverse backgrounds.     

Emotional intelligence and relationship quality among couples

To assess whether emotional intelligence (EI) is related to self‐assessed relationship quality, an ability test of EI and measures of relationship quality were administered to 86 heterosexual couples in a university setting. Results indicated that female partners were significantly higher in EI than male partners and that EI scores were uncorrelated within couples. Two 2 × 2 multiple analyses of variance (performed separately for positive and negative outcomes) assessed how relationship quality measures differed across four different types of couples (high‐EI female/high‐EI male, low‐EI female/low‐EI male, etc.). As predicted, couples with both partners low on EI tended to have the lowest scores on depth, support, and positive relationship quality and the highest scores on conflict and negative relationship quality. Counter to our hypotheses, couples with both partners high on EI did not consistently have higher scores on positive outcomes and lower scores on negative outcomes than couples with one high‐EI partner.     

A family-focused randomized controlled trial to prevent adolescent alcohol and tobacco use: The moderating roles of positive parenting and adolescent gender

Four years of longitudinal data from 2,153 families with a 5th- or 6th-grade preadolescent participating in a family-focused pediatric primary-care-based prevention program were used to examine whether prevention effects were moderated by positive parenting and/or adolescent gender. Alcohol and tobacco use, internalizing problems, and externalizing problems were examined. Although findings revealed no main effect of the prevention program, positive parenting and adolescent gender were moderators of internalizing problems and adolescent gender was a moderator of externalizing problems. Clinical implications and future directions for research are discussed.     

Rumination and dysphoria: The buffering role of adaptive forms of humor

The current study examines the effects of rumination and humor on individuals’ dysphoria level. Measures of humor (affiliative and self-enhancing), rumination, and depressive symptoms were completed by 303 undergraduate students. Consistent with our hypothesis, both affiliative humor and rumination independently accounted for variance in dysphoria levels. In addition, self-enhancing humor and rumination were independently associated with dysphoria. Moreover, significant interactions between affiliative humor and rumination, and self-enhancing humor and rumination, on dysphoria also emerged. Results indicated that among individuals with high rumination, those with high affiliative and/or self-enhancing humor had significantly lower levels of dysphoria than individuals with low affiliative and/or self-enhancing humor. The combination of low affiliative and/or self-enhancing humor and high rumination led to substantially higher levels of dysphoria than any other combination. Implications for psychotherapy and research in this area are discussed.     

Intrinsicalism and Conditionalism about Final Value

The paper distinguishes between two rival views about the nature of final value (i.e. the value something has for its own sake) — intrinsicalism and conditionalism. The former view (which is the one adopted by G.E. Moore and several later writers) holds that the final value of any F supervenes solely on features intrinsic to F, while the latter view allows that the final value of F may supervene on features non-intrinsic to F. Conditionalism thus allows the final value of F to vary according to the context in which F appears. Given the plausible assumption that there is an intimate tie between final values and appropriate attitudinal responses, it appears that conditionalism is the better approach for mainly the following three reasons: First, intrinsicalism is too indiscriminate, which makes it subject to what I call ‘location problems’ of final value. I illustrate this problem by discussing alleged examples of Moorean organic unities. Second, intrinsicalism evokes symptoms of ‘evaluative schizophrenia’. Third, considerations of theoretical economy tell in favour of conditionalism. Thereafter I respond to some recent challenges to conditionalism. An appendix surveys some meritorious implications that conditionalism offers for various substantial versions of such structurally different views about value as monism, pluralism, and particularism.     

A pilot study of the DBT coach: an interactive mobile phone application for individuals with borderline personality disorder and substance use disorder

Dialectical behavior therapy (DBT) has received strong empirical support and is practiced widely as a treatment for borderline personality disorder (BPD) and BPD with comorbid substance use disorders (BPD-SUD). Therapeutic success in DBT requires that individuals generalize newly acquired skills to their natural environment. However, there have been only a limited number of options available to achieve this end. The primary goal of this research was to develop and test the feasibility of the DBT Coach, a software application for a smartphone, designed specifically to enhance generalization of a specific DBT skill (opposite action) among individuals with BPD-SUD. We conducted a quasiexperimental study in which 22 individuals who were enrolled in DBT treatment programs received a smartphone with the DBT Coach for 10 to 14 days and were instructed to use it as needed. Participants used the DBT Coach an average of nearly 15 times and gave high ratings of helpfulness and usability. Results indicate that both emotion intensity and urges to use substances significantly decreased within each coaching session. Furthermore, over the trial period, participants reported a decrease in depression and general distress. Mobile technology offering in vivo skills coaching may be a useful tool for reducing urges to use substances and engage in other maladaptive behavior by directly teaching and coaching in alternative, adaptive coping behavior.     

Unique roles of antisocial personality disorder and psychopathic traits in distress tolerance

Previous research indicates that individuals with antisocial personality disorder (ASPD) evidence low distress tolerance, which signifies impaired ability to persist in goal-directed behavior during an aversive situation, and is associated with a variety of poor interpersonal and drug use outcomes. Based on theory and research indicating that psychopathic traits are associated with hypo-reactivity in emotional responding, a unique hypothesis emerges where psychopathic traits should have the opposite effect of ASPD and be related to high levels of distress tolerance. In a sample of 107 substance-dependent patients in an inner-city substance use residential treatment facility, this hypothesis was supported. ASPD was related to lower distress tolerance, while psychopathic traits were related to higher distress tolerance, with each contributing unique variance. Findings are discussed in relation to different presentations of distress tolerance as a function of psychopathic traits among those with an ASPD diagnosis.     

A Friend in Creed: Does the Religious Composition of Geographic Areas Affect the Religious Composition of a Person's Close Friends?

Numerous theories of religion rest on the assumption that the religious composition of local populations influences the religious identities of a person's close friends, but there have been few empirical tests of this assumption. Using a combination of data on the religious identity of close friends (from the 1988 and 1998 General Social Survey) and information on the religious composition of counties (from the U.S. Religious Congregations and Membership Study) we find that despite tendencies toward religious homogeneity, the religious composition of the surrounding population has an effect on the proportion of a respondent’s same‐religion friends and on the proportion of friends belonging to specific other religious groups. Local population characteristics are unrelated to the proportion of respondents’ friends known in congregational settings. Results have implications for a broad range of sociological theories of religion as well as research examining the impact of same‐congregation and same‐religion friends (e.g., health and well‐being).