MMPI-2 typology of pregnant drug-dependent women in treatment

The present study examined the validity of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) typology for pregnant drug-dependent women. A 3-cluster solution based on 7 MMPI-2 clinical scales emerged as the best model and was replicated across split-half samples and different primary substance-use diagnoses and treatment modalities. The 3 subtypes identified included Type I (n = 40, 24%) with no clinical elevation, Type II (n = 72, 42%) with elevated psychopathic deviate scale, and Type III (n = 58, 34%) with elevations on all 7 scales. Analyses with interview and self-report measures showed good concurrent validity. Type II had higher retention than Type I and Type III across methadone and medication-free treatments, showing some predictive validity. An a priori method for classifying new cases on the basis of the proposed typology was developed and validated. Study findings support MMPI-2's use with pregnant drug-dependent women for assessment and possibly treatment planning.     

Attachment and information seeking in romantic relationships

Testing predictions derived from attachment theory, this research investigated how adult attachment orientations are associated with selective exposure to information about the self, one's partner, and one's relationship. The results of two studies revealed that (a) more avoidantly attached individuals have limited interest in knowing their partner's intimate thoughts and feelings, (b) more anxiously attached individuals selectively prefer information on intimate topics pertaining to their partner and relationship and focus on information that highlights their own as well as their partner's shortcomings, and (c) regardless of attachment orientation, individuals express interest in learning about the negative relationship behaviors and characteristics of their insecurely attached partners. These findings suggest that selective information seeking may have important effects on relationships and may help explain how attachment orientations affect important relationship outcomes.     

Knowledge about suicide and local suicide prevalence: comparison of Estonia and Austria

Knowledge about suicide might be positively correlated with local suicide prevalence. This hypothesis was tested with a sample of 107 medical and social science undergraduates from Estonia, a country with a high suicide rate, using Hubbard and McIntosh's 1992 Revised Facts on Suicide Quiz. Compared (independent-groups t tests) with a sample of undergraduates from Austria, which has a markedly lower suicide rate, Estonians presented significantly higher overall knowledge about suicide (d = 0.39), particularly concerning demographic and epidemiological facts about suicide (d = 0.77) but not pertaining to clinical and interpersonal knowledge contents (d = -0.06). Study limitations and suggestions for extension of this preliminary inquiry are discussed.     

Using Concept Mapping to Operationalize Mental Well-Being for Men and Boys

A primary purpose of many prevention-oriented interventions is to improve the general well-being and quality of life for individuals and their communities. Unfortunately, well-being is often poorly defined, with definitions embracing related issues of quality of life, happiness, and physical health. Mental well-being as a concept is also poorly defined, particularly for different population groups. As part of a larger study to assess community-level prevention efforts aimed at men and boys, a participatory approach was used to operationalize mental well-being from a male-centered, community-based perspective using concept mapping. A set of 96 statements perceived as important aspects of mental well-being for men and boys were developed and sorted by 90 participants from the study communities. The 8-cluster solution was selected as the most parsimonious and the best conceptual fit in relation to the mental well-being concept, namely, positive self-worth, supportive community, community connections, positive masculinity, responsive institutions, strong social connection, dignity and respect, and safety. These eight clusters of mental well-being, which were classified into two overarching domains of socio-environmental and emotional well-being, can provide a basis by which to assess community-based programs aimed at this population.     

Frequency and impact of trauma in older women: A military and nonmilitary sample

Understanding the impact of trauma on late-life functioning in older females is needed in order to provide best care. We explored the impact of trauma on late-life psychological and physical health and functioning among older women (n = 48) who served in the military, or participated in a military lifestyle. Eleven of these women were not veterans, but married to military personnel. Number of traumatic exposures and types of events experienced was associated with increased trauma symptom severity. Trauma symptom severity was associated with decreased physical functioning and increased pain. Increased numbing and avoidance was significantly associated with poorer physical functioning and increased pain. Older women in this study remained at risk of experiencing negative consequences of trauma in terms of increased quantity and severity of trauma symptoms and physical decline and pain. Clinical and research implications are discussed.     

Strategies for effective patient care: Integrating quality communication with the patient‐centered approach

Advancements in medicine and health technology have transformed the roles and dynamics of patient–provider interactions and communication in healthcare. To date, the health communication literature contains two distinct approaches to modern healthcare delivery, with earlier empirical works emphasizing features of effective communication and more recent studies endorsing patient‐centered care. Despite substantial overlap in both aims and methods, no work to date has considered these two approaches in tandem as complementary strategies for improving healthcare delivery. Thus, this study offers a novel framework, the person‐centered communication model of care, in an effort to integrate these two approaches to offer a unified and concise structure for future studies and development of innovative interventions to improve healthcare quality.     

Australian normative data for the Overall Assessment of the Speaker's Experience of Stuttering

People who stutter often report negative impacts on their wellbeing as a result of their chronic fluency disorder. The need for a comprehensive assessment of the wellbeing and experience of stuttering should be a prime consideration when measuring treatment outcomes. One such measure designed to evaluate wellbeing and aspects of the individual's experience of his or her stuttering is the Overall Assessment of the Speaker's Experience of Stuttering (OASES). Normative data for the OASES Adult version (OASES-A; and hereafter referred to simply as the OASES) has begun to be collected over the past 10 years, though none are available for an Australian population. This paper presents Australian normative data for the OASES for 200 adult males and females who stutter, aged between 18 and 85 years. Additionally, the influence of age, sex, and frequency of stuttering on the Australian OASES scores are also presented. No significant relationships between OASES scores were found for sex and age, which is in keeping with the USA original dataset. However, those participants who had more severe stuttering were more likely to have higher negative impacts for 'General Information', Communication in Daily Situations,' and for the overall OASES score. Implications for further research are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (i) describe the purpose of the Overall Experience of the Speaker's Experience of Stuttering for Adults (OASES), (ii) evaluate the relevance of the OASES to treatment planning and the evaluation of stuttering treatment outcomes in the adult population, and (iii) compare Australian normative dataset with the USA and Dutch normative datasets for the OASES.     

Coping,Reasons for Living,and Suicide in Black College Students

The authors examined the roles of reasons for living and coping in protecting against suicidal behaviors among 361 Black college students. Results of a path analysis revealed that reasons for living mediated against suicidal ideation through an inverse effect on depression. Results also indicated that greater use of emotion‐oriented coping may lead to suicidal ideation through increased depression and decreased reasons for living, whereas avoidance‐oriented coping protected against suicide. Implications for these results are further discussed.