Research-structured vs clinically flexible versions of social learning-based marital therapy

The purpose of this study was to compare our structured research-based version of marital therapy from a social learning perspective with a clinically flexible version of the same treatment where treatment plans were individually-based and there was no specific number of treatment sessions. Thirty distressed married couples were randomly assigned to one of these two treatments. Assessment of outcome was based on global marital satisfaction, spouse reports of functioning in specific areas, and direct observational measures of communication. At posttest there were no differences in efficacy between structured and flexible treatments, although both treatments led to significant improvements. At a 6-month follow-up couples treated with the structured format were more likely to have deteriorated and flexibly treated couples were more likely to have maintained their treatment gains.     

The utility of differentiating between mixed and pure forms of antisocial child behavior

This study examined the utility of classifying boys on the basis of a typology of antisocial behavior. A group of 195 boys, aged 10–17, was divided into four mutually exclusive groups based on their pattern of antisocial behavior. Stealing and fighting were chosen as criteria to define the four groups: (a) boys who fought but did not steal (Exclusive Fighter Group), (b) boys who stole but did not fight (Exclusive Theft Group), (c) boys who stole and fought (Versatile Antisocial Group), and (d) boys who did neither (Remaining Group). A multimethod-multirespondent study of these boys showed that (a) the Exclusive Fighter Group tended to score high on a range of overt antisocial behaviors and were relatively little involved in delinquency; (b) the Exclusive Theft Group tended to score high on some overt antisocial behaviors and were much involved in delinquency; (c) Versatile Antisocial youths scored highest among all groups on almost all overt and covert antisocial behaviors, and in terms of delinquent acts. The Versatile boys came from families with the most disturbed child-earing practices.The authors are indebted to Gerald Patterson for his inspiration and encouragement through-out the study. They acknowledge the most helpful comments they have received during earlier drafts of this paper from Drs. John Reid, Magda Stouthamer-Loeber, and Mark Weinrott.The paper was presented at the annual meeting of the American Society of Criminology, Denver, Colorado, November 10, 1983. The study has been funded by the Center for Studies in Crime and Delinquency, National Institute of Mental Health, Grants MH 32857 and MH 37940.     

The Association of Disease Severity, Functional Status, and Medical Utilization with Relationship Satisfaction among Asthma Patients and Their Partners

The association of relationship satisfaction to asthma-related illness factors was examined among 46 couples in which one person had asthma of mild-to-moderate severity. The asthma-related illness factors included measures of disease severity, functional status, and medical utilization. More asthma severity and greater use of asthma medications accounted for 27% of the variance in relationship satisfaction. These results diverge from the general notion that more illness should be associated with more relationship distress. The findings are discussed in the context of the potentially buffering effects of the relationship satisfaction among the couples in the present sample against the stress of a chronic illness.     

The Participation and Motivations of Grant Peer Reviewers: A Comprehensive Survey

Science and Engineering Ethics - Scientific peer reviewers play an integral role in the grant selection process, yet very little has been reported on the levels of participation or the motivations...     

Marital interaction and depression

In this article, patterns of marital interaction as a function of depression and marital satisfaction are examined. The purpose of the study was to separate dysfunctional marital interaction patterns that were unique to depression from those that were associated with marital distress. The presence or absence of a depressed wife was crossed with level of marital satisfaction (distressed or nondistressed) to produce four groups of subject couples. Couples in which the wife was depressed exhibited more depressive behavior than did nondepressed couples, but only during discussion of a high conflict (as opposed to neutral) topic. Sex X Depression Level X Marital Satisfaction interactions were found for aggressive behavior: Depressed women in nondistressed relationships exhibited behavior that was characteristic of maritally distressed couples (high rates of aggression). In contrast, the husbands of these women exhibited behavior that one would expect in happily married couples (low rates of aggression). We failed to replicate previous findings that depressive behavior served a coercive function, although distressed couples, regardless of depression status, exhibited all the usual signs of negative dysfunctional interaction. In general, the findings suggested that marital distress rather than depression per se may be responsible for the dysfunctional interaction patterns frequently observed in depressed couples.     

Recent developments in family behavioral marital therapy

This paper reviews recent developments in the area of behavioral marital therapy (BMT). New information is summarized regarding the long-term efficacy of BMT and the identification of predictors of positive response to treatment and to relapse. Finally, new applications of BMT techniques are reviewed (e.g., spouse-involved therapies as the sole treatment for presenting problems in which marital distress is not the primary focus such as anxiety and affective disorders).     

A Randomized Controlled Pilot Study of Motivational Interviewing to Change Attitudes about Adherence to Medications for Asthma

The day-to-day management of asthma relies on patient self-care practices; in particular, adherent use of asthma medications is fundamental for asthma management. However, most persons with asthma do not use their medications to clinically acceptable standards. The purpose of this study was to test the efficacy of a brief educational intervention to enhance knowledge and skills relevant to asthma self-care, and the efficacy of motivational interviewing to improve attitudes toward taking medications as prescribed. Twenty-five adults with asthma were randomly assigned to receive a brief educational intervention alone, or education plus motivational interviewing. Over time, all participants improved their knowledge of asthma and skills using a metered dose inhaler. Participants who received education alone showed a decreased level of readiness to adhere with their medications over time, whereas participants who received motivational interviewing were more likely to show a stable or increased level of readiness to adhere over time. Among participants who described themselves as not consistently adhering with their medications at the first evaluation, those who received motivational interviewing endorsed more positive attitudes toward taking medications over time. The results are supportive of the utility of motivational interviewing in enhancing participants' attitudes toward adherent medication use. Future research should test if attitude change is reflected in change in medication use.     

Predicting Pay Grade in the U.S. Military by Gender and Ethnic Minority Status1

This study examined predictors of pay grade for ethnic minorities and women in the U.S. military using hierarchical regression analyses. In the analysis including all personnel, being a woman and ethnic minority status were negative predictors of pay grade after controlling for education and years of service. In the analysis using enlisted personnel, the interaction between years of service and minority status showed that more years of service was associated with higher pay grade among ethnic majority enlisted personnel after controlling for education and years of service. In the model using officers, being a woman was a negative predictor of pay grade after controlling for education and years of service. Future studies, implications, limitations, and strengths are discussed.     

Intimate Partner Violence and Relationship Dissolution Among Reserve Soldiers

The military has sought to prevent intimate partner violence (IPV) and relationship dissolution. This study examined the longitudinal associations of psychosocial, demographic, and military service characteristics with IPV and relationship dissolution among 546 married or cohabiting reservist military personnel that both mobilized and demobilized during an approximate 8-month period in 2003. Over 13% reported engaging in IPV in the year prior to mobilization. Younger age and more stress were associated with IPV. Upon demobilization, 5% of the sample had experienced relationship dissolution, which was associated with less education, CONUS (continental United States) deployments, and enlisted rank. Identifying the factors associated with IPV and relationship dissolution may help detect couples at potential risk to improve family support and military readiness.