依恋回避与学前儿童孤独感的关系：同伴拒绝的中介作用和师幼关系的调节作用

为了探讨学前儿童依恋回避对其孤独感的影响,以及同伴拒绝和师幼关系在其中的作用,研究采用问卷法和同伴提名法对193名学前儿童进行为期一年的追踪调查。结果表明：（1）依恋回避、同伴拒绝和孤独感之间两两显著正相关;（2）同伴拒绝在依恋回避和孤独感之间起中介作用;（3）师幼冲突调节了依恋回避通过同伴拒绝影响孤独感中介作用的前半路径。相对于师幼冲突程度较低的幼儿,高师幼冲突幼儿的依恋回避更容易导致高同伴拒绝进而体验较高的孤独感。     

亲亲为大，亲贤仍重：亲疏关系、人情取向对人际信任的影响

本文基于以往理论,提炼出人际交往中影响信任的两大因素：关系因素和个人特质因素,通过两个情景启动实验尝试探索亲疏关系、可信赖特质（能力、善意和诚信）对人际信任的影响机制及其作用的边界条件。结果发现：亲疏关系除了可以直接预测人际信任之外,还可以通过感知被信任者的可信赖特质产生间接影响。此外,个体的人情取向可以分别调节亲疏关系对感知被信任者的能力、诚信特质的效应和通过感知被信任者的能力、诚信特质影响人际信任的间接效应,并且作用的主要对象是关系网中的熟人。本研究对理解当代中国社会在多元文化交融下的人际信任具有重要意义。     

Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practicePropiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en oncología

Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship.     

Therapists’ self-reported chronic strategies of disconnection in everyday life and in counselling and psychotherapy: an exploratory study

The aim of this study was to explore how therapists believe they may relationally disconnect from other people and their clients, with an overall objective of developing methods for enhancing relational depth in counselling and psychotherapy. Participants were 168 trainee and practicing therapists, who listed their chronic strategies of disconnections (CSoDs) in everyday relationships, and then rated the presence of these CSoDs in their therapeutic work. Thirty-nine categories of self-reported everyday CSoDs emerged, organised into seven domains. Most prevalent were behavioural, passive and intrapsychic strategies. Over half of the CSoDs were rated as being present in therapy to a minimal extent, most commonly passive CSoDs, disingenuous CSoDs and humour. Male therapists, and trainee therapists, were most likely to identify their CSoDs as present in therapy.     

Exploring Conflict Resolution and Psychological Abuse Across Romantic Relationships

Although strengthening skills is recommended to improve the effectiveness of programs to prevent dating violence, little research has analyzed how conflict resolution strategies relate to victimization/perpetration trajectories. This study explores retrospectively self-reported conflict resolution strategies (positive problem-solving, engagement, and withdrawal) across 2 romantic relationships, paying special attention to possible changes. Participants were 309 college students who had been involved in 1, 2, or no abusive relationships. Based on these experiences, they were first classified into 4 groups according to their psychological victimization (non-victimized, pre-victimized, newly-victimized, and re-victimized) in each of their 2 relationships. Subsequently, they were also classified into 4 different groups according to their perpetration (non-perpetrators, pre-perpetrators, new perpetrators, and re-perpetrators). Changes in conflict resolution strategies were self-reported by both the victims and the perpetrators with a single abusive relationship, whereas persistence was detected in those involved in either 2 abusive relationships (re-victimized and re-perpetrators) or none at all. The results can help prevent dating violence across relationships and its negative consequences for health.     

The role of spousal relationships in fibromyalgia patients’ quality of life

Fibromyalgia (FM) is a chronic pain syndrome that includes debilitating symptoms such as widespread pain and tenderness, fatigue, and poor physical functioning. Research has shown FM patients’ choice of coping style and relationship quality with their spouse can impact their mental quality of life (QoL), but no known study has examined the protective nature of relationship quality and coping behaviors on both patient physical and mental QoL in the context of chronic pain. We examined 204 patients with FM on the (a) roles of coping styles and relationship quality on patient quality of life, and (b) moderating effect of relationship quality on the association between negative coping style and patient QoL. A series of multiple regressions found patients’ coping styles were not significantly associated with physical QoL, but were significantly associated with mental QoL. Patients’ relationship quality with their spouse was significantly associated with mental QoL, but not physical QoL and no significant interactions with negative coping style were found. Our results emphasize the importance of coping styles and relationship quality between patients and their spouses in the context of chronic pain. Clinicians can incorporate the patient’s relationship as part of a more holistic approach to care and improving outcomes.     

Constructive Communication Patterns and Associated Factors Among Male Couples

Constructive communication is an important correlate to examine for sexual health promotion and HIV prevention among male couples. However, few studies have examined the effect of different relationship dynamics on both partners' perceptions of constructive communication. Using dyadic data collected from 361 male couples, the present authors explore which relationship dynamics were associated with constructive communication patterns. The results highlight the relevance of investment in a sexual agreement and trust within the relationship in perceptions of constructive communication. These findings may be particularly useful to guide the development of future dyadic-focused sexual health and HIV preventive interventions for male couples.     

Media’s Influence on Self-Image and Romantic Relationship Decision-Making in College-Age Clients: What Mental Health Counselors Should Know

Research indicates that media-influenced decisions potentially assist in leading college-aged students to make negative interpersonal choices, resulting in poor intimate relationships (Storey and McDonald, 2013). However, many mental health counselors inadvertently ignore the effect of media when they work with college-aged clients. To speak to the need for mental health counselors to become aware of the issue, this study examined the phenomenological perspective of eight students. This qualitative study’s results indicate that media portrayal of successful couples and unrealistic expectations affect intimate relationship decision-making.     

The Influence of Individual‐Oriented Relationship Education on Equality and Conflict‐Related Behaviors

Intimate partner violence (IPV) is a widespread, pervasive problem that affects couples and individuals from diverse backgrounds. Effective IPV screening practices and interventions that consider IPV context have not been widely studied. Therefore, the authors examined the influence of individual‐oriented relationship education for 230 low‐income participants on equality and conflict‐related behaviors, while accounting for baseline IPV characteristics. Participants who began the intervention with more IPV experiences reported significant improvements in equality and conflict‐related behaviors postintervention.