Couples Therapy for Drug Abusing Women in an Inpatient Setting: A Pilot Study

This article describes a pilot study to examine the usefulness of adding a couples therapy component to inpatient drug and alcohol treatment for women. The treatment model was modified from a 12-week integrative systems model that has been empirically supported in outpatient treatment settings. A team of student-therapists received intensive training and supervision in the modified version. This article discusses the ability of chemical dependency counselors to implement this model, includes pre and post treatment comparisons, and qualitative findings regarding the efficacy of the project. The treatment model promises to be usable, safe, and practical in inpatient settings, and merits a more thoroughgoing clinical trial.     

Memory Performance and Socio-Economic Status

Memory ability is affected by the physical, educational and health environments. The nature of these environments, in turn, differs across people with different socio-economic status (SES). Thus, it would be expected that memory performance would vary systematically with SES. However, memory researchers have yet to examine the relationship between economic variables and memory performance. This paper reviews several literatures (medical, public health, IQ, sociological and memory) to assess the relationship—if any—of socio-economic status to memory performance. The results of the review revealed that memory performance is strongly and directly correlated with SES. However, the results were not strong enough to determine whether the extent of this relationship differs across different kinds of memory. These results suggest that memory researchers should investigate further the nature of the relationship between SES and memory performance and take account of the possible influence of SES in the design and interpretation of memory data. © 1997 by John Wiley & Sons, Ltd.     

Acceptance of Illness Among Patients Pursuing Transplantation or Left Ventricular Assist Device

Acceptance of illness is related to better mental health among patients with chronic illness; however, this construct has not been evaluated as part of routine transplantation evaluations. The purpose of this study was to create a brief measure of acceptance of illness for patients pursuing organ transplantation and examine how acceptance is related to distress. Retrospective medical record reviews were conducted for 290 patients who completed a routine psychosocial evaluation prior to transplant listing which included the Illness Acceptance Scale (IAS). Internal consistency for the IAS was excellent (Cronbach’s alpha?=?.92). Illness acceptance was negatively correlated with depression, anxiety, and catastrophizing and was not related to health literacy or health numeracy. The IAS is a reliable and valid measure for patients who are pursuing thoracic transplant or left ventricular assist device. Clinicians may want to screen transplant candidates for illness acceptance and refer those with lower levels to psychological interventions.

     

Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer

The aim of this study was to examine the impact of end-of-life (EoL) circumstances on grief and internalizing symptoms among bereaved siblings. Bereaved families (N?=?88) were recruited from three sites 3–12 months (M?=?11.57, SD?=?3.48) after their child’s death from cancer. One sibling per family aged 8–17 years (M?=?12.41, SD?=?2.64) was randomly selected to participate. Families completed measures of siblings’ grief and internalizing symptoms, as well as a structured interview about circumstances surrounding the death. Mother and sibling reports of EoL circumstances were generally concordant, except there was a discrepancy between mothers and children about whether or not children expected their sibling’s death (t(75)?=?1.52, p?=?.018). Mother reports of sibling internalizing symptoms were above the normative mean (t(83)?=?4.44, p?≤?.001 (M?=?56.01?±?12.48), with 39% (n?=?33) in the borderline/clinical range. Sibling opportunity to say goodbye was associated with greater grief-related growth (t(79)?=?? 1.95, p?=?.05). Presence at the death and wishing they had done something differently were both associated with greater grief (t(80)?=?? 2.08, p?=?.04 and t(80)?=?? 2.24, p?=?.028, respectively) and grief-related growth (t(80)?=?? 2.01, p?=?.048 and t(80)?=?? 2.31, p?=?.024, respectively). However, findings were primarily unique to sibling report, with few mother-reported effects. The adjustment of bereaved siblings may be affected by certain modifiable circumstances surrounding the death of their brother or sister. A proportion of bereaved siblings had elevated internalizing symptoms irrespective of circumstances at EoL. Further work is needed to understand predictors of adjustment among bereaved siblings to provide better support and optimize their outcomes.

     

Fathering activities during early infancy

Fathering activities of 16 fathers of firstborns were surveyed via questionnaire to assess their involvement in physical caretaking, affective interaction and support of mother through participation in household tasks. Results indicated that student fathers who had previous infant care experience, whose infants were unplanned and whose wives were either employed or attending school spent the most time interacting with their infants. Other variables explored which had little effect on father's interaction time included: formal education, attendance at prenatal clases, infant's sex and method of feeding, family isolation. Fathers spent more time in affective interaction than in physical caretaking. Time spent by fathers in affective interaction was nearly equal to that of mothers, while time spent in physical caretaking was much greater for mothers.     

Noise stress and circadian arousal in self-paced computation

Previous work(Frankenhaeuser & Lundberg, 1977) has shown that unpaced mental arithmetic is performed at slower rates in noise, despite unchanged catecholamine indices of arousal; only male subjects were used, tested early in the day. Since the times of testing entail arousal effects that interact with noise stress, and the sex of subject further modifies these interactions, a new experiment was designed to include these variables. Men and women were tested on the Norinder mental arithmetic task, in quiet or in noise, either in the morning, when arousal was low, or during the early evening, when temperature curves indicate that arousal should be high. Analysis of the number of problems attempted shows a significant drop for men in noise in the morning, but an interaction due to reversal of the noise effect in the evening; there is no main effect of noise when women's scores are included. The results are compatible with interpretations combining motivation and cognition, and they demonstrate the importance of the experimental variables in explaining noise stress effects.The authors are indebted to the late David A. Shipp for his assistance in running subjects.