Dyadic Influence of Adverse Childhood Experiences: Counseling Implications for Mental and Relational Health

Adverse childhood experiences (ACEs) predict physical and mental health. We examined dyadic differences in intimate partner relationship health by ACE score among couples with low to moderate income enrolled in a relationship education program. Overall, we found a high prevalence of ACEs, disproportionate representation in the highest risk ACE group, and a significant effect between ACEs and indicators of mental and relational health. Implications for counselors include support for an ACE‐informed approach to couples counseling services, as well as a holistic and systemic view of mental and relational health.     

Initial goals,goal trajectories,and changes in perceived resolvability during serial arguments

This study examined how dyadic patterns of goal importance during a serial argument interaction predict changes in perceptions of argument resolvability over the course of a specific episode. Seventy romantic couples engaged in a 7‐min discussion of a current serial argument and used a video‐assisted recall method to report their goals at each minute. Although arguers' initial goals did not predict changes in perceptions of resolvability, increases in a partner's endorsement of partner‐identity goals predicted increases in individuals' own perceptions of resolvability. Conversely, increases in a partner's endorsement of self‐identity goals predicted declines in individuals' perceived resolvability. Results suggest that trajectories of identity‐focused goals during serial argument episodes may shape the progress of argument perceptions toward or away from resolvability.     

Measurement of Feminist Identity and Attitudes Over the Past Half Century: A Critical Review and Call for Further Research

Sex Roles - The study of feminism has had a long and complicated history in psychological research over the past half century. Although a number of instruments have been designed to assess...     

Cognitive Behavioral Therapy for Social Anxiety Disorder: Predictors of Treatment Outcome in a Quasi-Naturalistic Setting

We examined the outcomes of individual cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) in a sample of 93 adults seeking treatment in a university outpatient clinic specializing in CBT for SAD. Treatment followed the structure of a manual, but number of sessions varied according to client needs. After approximately 20 weeks of therapy, patients’ social anxiety had decreased and their quality of life had increased. Patients with more severe SAD or comorbid major depressive disorder (MDD) at pretreatment demonstrated higher levels of social anxiety averaged across pre- and posttreatment. However, clinician-rated severity of SAD, comorbid MDD, or comorbid generalized anxiety disorder did not predict treatment outcome. Higher pretreatment scores on measures of safety behaviors and cognitive distortions were associated with higher social anxiety averaged across pre- and posttreatment and predicted greater decreases from pre- to posttreatment on multiple social anxiety outcome measures. We found no predictors of change in quality of life. Those with high levels of safety behaviors and distorted cognitions may benefit more from CBT, perhaps due to its emphasis on targeting avoidance through exposure and changing distorted thinking patterns through cognitive restructuring methods. Our study lends support to the body of research suggesting that manualized CBT interventions can be applied flexibly in clinical settings with promising outcomes for patients over a relatively short course of therapy.     

A comparison of intervention for problematic speech using reinforcement with and without preferred topics

Previous research has shown that responding to the appropriate and problematic speech of individuals diagnosed with developmental disabilities with interested and uninterested listener responses, respectively, can promote more appropriate conversational engagement. However, Fisher et al. (2013) also responded to appropriate speech with access to preferred conversational topics. This study examined the influence of listener interest on the problematic speech of 8 participants and tested the additive effects of (Study 1) and participant preference for (Study 2) delivering preferred topics as reinforcement for appropriate speech. Interventions were equally effective with or without arranging access to preferred topics, but a majority of participants demonstrated a preference for intervention with contingent access to preferred topics. Caregivers and speech‐language pathologists rated the intervention procedures as acceptable and changes in participants' speech satisfactory.     

Informed Decision-Making in the Context of Prenatal Chromosomal Microarray

The introduction of chromosomal microarray (CMA) into the prenatal setting has involved considerable deliberation due to the wide range of possible outcomes (e.g., copy number variants of uncertain clinical significance). Such issues are typically discussed in pre-test counseling for pregnant women to support informed decision-making regarding prenatal testing options. This research study aimed to assess the level of informed decision-making with respect to prenatal CMA and the factor(s) influencing decision-making to accept CMA for the selected prenatal testing procedure (i.e., chorionic villus sampling or amniocentesis). We employed a questionnaire that was adapted from a three-dimensional measure previously used to assess informed decision-making with respect to prenatal screening for Down syndrome and neural tube defects. This measure classifies an informed decision as one that is knowledgeable, value-consistent, and deliberated. Our questionnaire also included an optional open-ended question, soliciting factors that may have influenced the participants’ decision to accept prenatal CMA; these responses were analyzed qualitatively. Data analysis on 106 participants indicated that 49% made an informed decision (i.e., meeting all three criteria of knowledgeable, deliberated, and value-consistent). Analysis of 59 responses to the open-ended question showed that “the more information the better” emerged as the dominant factor influencing both informed and uninformed participants’ decisions to accept prenatal CMA. Despite learning about the key issues in pre-test genetic counseling, our study classified a significant portion of women as making uninformed decisions due to insufficient knowledge, lack of deliberation, value-inconsistency, or a combination of these three measures. Future efforts should focus on developing educational approaches and counseling strategies to effectively increase the rate of informed decision-making among women offered prenatal CMA.     

The effects of yoga on stress and psychological health among employees: an 8- and 16-week intervention study

Background: The stresses of modern work life necessitate effective coping strategies that are accessible and affordable to the general public. Yoga has been found to reduce stress in clinical samples, but studies are needed to examine standard gym yoga classes among functional individuals.

Objectives: This study investigated the effects of 8- and 16-week gym yoga on stress and psychological health.

Design and Method: Ninety individuals reporting moderate-to-high stress were randomly assigned to 16 consecutive weeks of yoga, or to a waitlist crossover group who did not practice yoga for 8 weeks then practiced yoga for 8 weeks. Stress and psychological health variables were assessed at baseline, 8 weeks, and 16 weeks.

Results: Significant reductions in stress and all psychological health measures were found within the Yoga group over 16 weeks. When compared to the control group, yoga practitioners showed significant decreases in stress, anxiety, and general psychological health, and significant increases in well-being. The group who did not practice yoga showed significant decreases in stress, anxiety, depression, and insomnia after they crossed over and practiced yoga for 8 weeks.

Conclusions: Gym yoga appears to be effective for stress amelioration and promotion of psychological health among workers experiencing stress.     

African American and Latina Adolescent Mothers’ and their Children’s Fathers’ Reports of Coparenting and Child Behavior Problems: Child Gender as a Moderator

Coparenting, the way that parents work together in their roles to parent children, has emerged as an important area for prevention and intervention. Though research indicates that low coparenting quality is associated with increased externalizing and internalizing behavior problems in children, the existing literature is not inclusive of families diverse in sociocultural identity and structure. We examined the link between coparenting and externalizing and internalizing behavior problems and tested the moderating effect of child gender on the relationship between coparenting and child behavior problems in two-year-old children of African American and Latina adolescent mothers. One hundred and thirty five parents (69 mothers and 66 fathers) completed self-report measures of coparenting and child behavior problems when their children were two years old. While we did not find support for a direct association between coparenting quality and child behavior problems, child gender did moderate the association between mother’s report of coparenting quality and both externalizing and internalizing behavior problems. High coparenting quality was associated with lower levels of externalizing behavior problems in girls and higher levels of externalizing behavior problems in boys. High quality coparenting was associated with lower levels of internalizing behavior problems in girls, but there was no difference for boys. Though the results for boys were mixed, our findings for girls suggest that high quality coparenting may be a protective factor for the development of both internalizing and externalizing behavior problems. Implications for future research are discussed.     

The role of shape recognition in figure/ground perception in infancy

In this study we sought to determine whether infants, like adults, utilize previous experience to guide figure/ground processing. After familiarization to a shape, 5-month-olds preferentially attended to the side of an ambiguous figure/ground test stimulus corresponding to that shape, suggesting that they were viewing that portion as the figure. Infants’ failure to exhibit this preference in a control condition in which both sides of the test stimulus were displayed as figures indicated that the results in the experimental condition were not due to a preference between two figure shapes. These findings demonstrate for the first time that figure/ground processing in infancy is sensitive to top-down influence. Thus, a critical aspect of figure/ground processing is functional early in life.