The role of cognitive variables in psychological functioning after the death of a first degree relative

The present study sought to explore the relationship between negative cognitions and emotional problems after bereavement, with a group of 329 adults who had suffered the loss of a first degree relative. The following cognitions were assessed: global negative beliefs, cognitions about self-blame, negative cognitions about other people's responses after the loss, and negative cognitions about one's own grief reactions. Results showed that each of these cognitive variables was significantly related to the severity of symptoms of traumatic grief, depression and anxiety, even when background and loss-related variables that were initially found to influence symptom severity, were statistically controlled. When the shared variance between the cognitive variables was controlled, it was found that global negative beliefs about life, the world, and the future, and threatening interpretations of grief reactions each explained a unique proportion of variance in traumatic grief symptom severity. Global negative beliefs about life, the self and the future, and threatening interpretations of grief explained most variance in depression, while negative beliefs about the self and threatening interpretations of grief explained most variance in anxiety. Overall, the findings are in support of cognitive theories of grief, and suggest that effective treatment of problematic grief will need to address negative cognitions.     

The Golombok Rust Inventory of Sexual Satisfaction (GRISS): predictive validity and construct validity in a Dutch population

The discriminant and predictive validity of the Dutch translation of the Golombok Rust Inventory of Sexual Satisfaction (GRISS; Rust and Golombok, 1985, Rust and Golombok, 1986a, Rust and Golombok, 1986b; Ter Kuile et al., (1993); Ter Kuile et al., accepted for publication) was examined in independent samples comprising sexological (357 males and 380 females) and gynaecological outpatients (156 males and 209 females). Prediction of the presence of sexual complaints with the GRISS differed in these samples. The best performance was found in the male sexology sample in which sensitivity and specificity, as well as the predictive values both positive and negative were satisfactory. The predictive characteristics in the other three samples were found to be less satisfactory and were confounded with sample characteristics concerning the presence or absence of individual sexual problems. The availability of the other partners' GRISS scores enhanced the GRISS' predictive capacities for males and females in these samples. In 320 female and 300 male sexology patients and their partners, the convergent and divergent construct validity of the GRISS scales was investigated using other instruments measuring psychological distress, marital, sexual and general life maladjustment, personality traits of psychoticism, extraversion and neuroticism and social desirability. No correlations of the GRISS with social desirability were found. GRISS subscales were found to represent relatively independent constructs. These findings were confirmed by higher-order factor analyses of subscale scores of males and females.     

Engagement in Child and Adolescent Treatment: The Role of Parental Cognitions and Attributions

Parental engagement in the treatment process is influenced by parents' beliefs about the cause of their children's problems, perceptions about their ability to handle such problems, and expectations about the ability of therapy to help them. This paper examines the role of parental cognitions related to attributions and expectations in relation to engagement in child mental health treatment. Reviewed studies indicate that parental attributions and expectations influence three aspects of treatment: help seeking, engagement and retention, and outcome. This paper integrates findings from developmental and clinical research, highlights gaps in the literature, presents the beginnings of a model regarding the parental attributional process as it relates to engagement in treatment, recommends future research directions, and discusses clinical implications.     

Factor structure,validity, and reliability of the fear questionnaire in a Hong Kong Chinese population

This study examined the factor structure, validity, and reliability of the Fear Questionnaire in Hong Kong. The sample consisted of 226 college students who were ethnic Chinese and they came from different parts of Hong Kong. Exploratory factor analysis produced three meaningful factors. Confirmatory factor analysis supported the three-factor model of Marks and Mathews (1979) in the present sample of subjects. Findings also showed that the Fear Questionnaire was both reliable and valid. Limitations of the study and implications for future research in this area were discussed. In particular, the need to assess the cross-cultural application of the Fear Questionnaire was stressed.This research project was supported by the Research and Conference Grants of the University of Hong Kong.     

Genetic counseling for a family with two distinct anomalies: A case report of a neural tube defect and 5p- syndrome in a fetus

A couple presented for genetic counseling because of an elevated maternal serum alpha fetoprotein. Ultrasound examination revealed the presence of a neural tube defect. The couple declined an amniocentesis, but chose serial ultrasound evaluations instead. Ultrasounds eventually identified microcephaly, but the couple continued to decline amniocentesis. After the child's birth, the diagnosis of 5p- syndrome was made. The couple's decision not to have an amniocentesis allowed the family their right to autonomy; however, prenatal chromosome analysis would have provided this couple with a great deal more prognostic information. We discuss the conflict between a counselor's duty to respect a client's freedom vs. duty to care for a client's welfare. We address issues of nondirective counseling and the need for more studies looking at the decision-making process in prenatal diagnosis.     

Factors Associated With Treatment Response in an Internet-Based Intervention for Prolonged Grief Disorder After Cancer Bereavement

Internet-based psychological interventions have proven effective in the treatment of prolonged grief disorder (PGD). Yet, some patients do not benefit from treatment in a clinically significant way. We aimed to examine predictors of symptom reduction in an Internet-based intervention for PGD after cancer bereavement, in order to identify possible treatment mechanisms and discern directions for future intervention design. A secondary analysis of data from a randomized wait-list controlled trial on an Internet-based intervention for PGD after cancer bereavement was conducted. Multiple regression models were used (1) to test for the influence of pretreatment PGD, working alliance, avoidance and gender on PGD symptom reduction; and (2) to explore further predictors of treatment success with a best subset selection protocol. The regression models explained 18% (Model 1) and 34% (Model 2) of variance in symptom reduction. Participants with more favorable symptom change had more severe pretreatment PGD scores and better working alliance. Those with lower social support and less posttraumatic growth experienced more PGD symptom change. In conclusion, therapeutic alliance is an important factor that should be monitored and fostered. Findings regarding social support and posttraumatic growth need further replication and clarification.     

Predictive validity of the theory of planned behaviour: the role of questionnaire format and social desirability

The present study was designed to assess the predictive validity of a theory of planned behaviour extended to include self‐identity, in the context of health‐related food choice. Following criticism of the use of questionnaires in social cognitive research, the impact of questionnaire format (random vs structured) and social desirability on questionnaire responses was assessed. Findings indicated that intention was the principal determinant of food choice; attitude, subjective norm and self‐identity were independently predictive of intention. There was only weak evidence to suggest effects of social desirability or questionnaire format on component relationships. The present study indicates that the impact of questionnaire format and social desirability on models such as the theory of planned behaviour is minimal, and that such models are robust predictors of food choice. Copyright © 1999 John Wiley & Sons, Ltd.     

A Longitudinal Analysis of Family Empowerment and Client Outcomes

We examined the relationship between family empowerment, parent satisfaction, and mental health outcome across time. Based on the Vanderbilt Family Empowerment Project Model, increased empowerment should lead to positive changes in client outcomes. Data consisted of the Family Empowerment Scale (FES), which was used to assess the caregiver's perception of empowerment, Child and Adolescent Functional Assessment Scale (CAFAS), which measures the degree of disruption in the youth's current functioning, Client Satisfaction Questionnaire (CSQ), and demographic information gathered from families receiving services from a county mental health service system at intake and discharge. The results showed that the CAFAS and CSQ were related to empowerment at intake and discharge. Results also indicated significant increases in the knowledge subscale of the FES and the CAFAS and moderate increases in the advocacy subscale of the FES and the CSQ. We discuss the implications of these findings for systems of care, such as stronger parent-professional relationships.     

Grieving the Earth as Prayer

The COVID-19 pandemic is not so much a new kind of crisis as our most recent reminder of the dysfunction of human relations with the world we inhabit. This article argues that transforming our relations with other creatures begins with an examination of the call to be human: understanding the kind of creature we are and therefore how to live alongside other creatures with natures distinct from our own. It critiques the tendency to overemphasize human distinctiveness (anthropocentrism) or creatureliness (biocentrism, ecocentrism) to the detriment of our interpretations of human nature. Employing Jean-Louis Chrétien’s phenomenology of prayer as wounded speech, it proposes that climate/ecological grief mediates the tension of our distance from and intimacy with other creatures. Speech expressing grief over the world therefore re-embeds humans in our finitude and contingency while nevertheless treating human nature as containing a particular call to participate in Christ’s transforming work.     

Complicated grief following job loss: Risk factors for its development and maintenance

Increasing evidence shows that job loss can lead to symptoms of complicated grief (CG). However, little is known about which factors relate to the development and maintenance of CG symptoms following job loss. This study aimed to examine risk factors for the development and maintenance of job loss-related CG symptoms. For this study 485 Dutch workers who had lost their job were recruited (239 men and 246 women), with an average age of 50.2 years. A subsample of 128 participants also completed questionnaires at a six-month follow-up. We conducted correlational and multiple regression analyses (MRA) to examine the influence of the former work situation, coping strategies, and negative cognitions on job loss-related CG symptoms. MRA results showed that belief in an unjust world was related to job loss-related CG symptoms, cross-sectionally and longitudinally. Further, there was a significant relationship between CG symptoms following job loss and a preference for maladaptive coping over adaptive coping styles and a low level of self-esteem. This effect remained stable over time. These findings can inform the development of interventions for and early detection of job loss-related CG symptoms.