Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension

African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, M_age = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.     

Relationships between study organization, retrieval organization, and general and strategy-specific memory knowledge in young children

The present study examined relationships between young children's memory knowledge and their use of taxonomic and color memory organization. Forty-eight 5-, 6-, and 7-year-olds were administered metamemory tests of organization-strategy knowledge and general memory knowledge, and were tested on two study-recall tasks before, and two study-recall tasks after, training in the use of color or taxonomic organization. Study organization (grouping) scores were low before training, but improved significantly in post-training tasks. Training effects were less pronounced for retrieval organization (clustering) and did not occur for item recall. Relationships between taxonomic study and retrieval organization were apparent only for the 7-year-olds, while relationships between color organization at study and retrieval were not apparent at any age level. Relationships between metamemory, strategy-use, and recall proficiency were evident on some tasks for 7-year-olds, but not for younger children. Although teacher ratings of the children's mastery orientations were also found to be related to recall proficiency for the older subjects, specific strategy knowledge was a more consistent correlate of strategy use and amount recalled.