A longitudinal investigation of interpersonal violence in relation to mental health and substance use.

The authors examined longitudinally the mental health status of women as a function of different types and combinations of exposure to interpersonal violence. A structured telephone interview was administered to a household probability sample of 4,008 women (18-89 years of age), who were then recontacted for 1- and 2-year follow-up interviews. Interviews assessed lifetime violence history (i.e., sexual assault, physical assault, witnessed serious injury or violent death), past-year mental health functioning (i.e., posttraumatic stress disorder [PTSD], depression, and substance use problems), and new instances of violence occurring after the baseline interview. Results indicate that (a) lifetime violence exposure was associated with increased risk of PTSD, depression, and substance use problems; (b) odds of PTSD, depression, and substance use problems increased incrementally with the number of different types of violence experienced; (c) relations were fairly stable over a 2-year period; and (d) new incidents of violence between the baseline and follow-up interviews were associated with heightened risk of PTSD and substance use problems. Greater understanding of the cumulative impact of violence exposure will inform service provision for individuals at high risk. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Erratum to Glenwick.

Reports an error in the original article by David S. Glenwick (American Psychologist, 1979[June], 34[6], p.559), a misplaced line occurred in the first paragraph, third column. The paragraph should read: I share Goodstein and Sandler's (1978, p. 891) opinion that "community psychology cannot prosper within the community mental health movement" (my emphasis). Nonetheless, there are some aspects of the community mental health movement (e.g., consultation, crisis intervention, use of paraprofessionals, community education, administration of the community mental health center as an organizational system) that can prosper within community psychology, that are consonant with a community psychology orientation and can lead to mutually productive collaborative undertakings. To prevent the baby from being thrown out with the bathwater, it is these aspects of community mental health that can legitimately be embraced by community psychology without comprising its ideological integrity. (The following abstract appears in record 1990-58513-001.) Comments on L. D. Goodstein and I. Sandler's (see record 1979-22507-001) conceptual analysis of community psychology (CP), focusing on program evaluation, multidisciplinary knowledge, and the community mental health movement (CMHM). There are aspects of the CMHM that can prosper within CP, that are consonant with a CP orientation, and that can lead to mutually productive collaborative undertakings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical Decision Making About Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings.

Although there has been extensive research on psychopathy, it is unknown how, or whether, clinicians in public sector mental health settings consider the Psychopathy Checklist (PCL) for assessing violence risk. Mental health clinicians (N = 135) from 4 facilities were interviewed by using multiple methods for collecting data on decision making. Participants considered clinical information most often when assessing violence risk, indicating that these data were most readily available. Clinicians perceived formal testing results (e.g., PCL) to be least available and considered testing least often, especially if clinicians had less clinical experience. Participants did not explicitly report using the PCL but did implicitly rely on psychopathy factors when assessing violence risk. Clinicians in crisis settings reported less availability of historical data typically needed for the PCL. The data point to specific ways to improve the clinical practice of violence risk assessment in public mental health settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Aging and mental health: Business as usual?

Cautions that in developing training models in mental health and aging, psychologists must not overlook what experience has taught them about mental health intervention or what they know already about older adults. It is suggested that a life-span developmental view complements a community and preventive approach to the mental health needs of the elderly. Creation of a separate subspecialty of clinical geropsychology will not effectively serve older adults. What is needed is a synthesis of already existing expertise in areas such as life-span development, clinical psychology, and community psychology. This synthesis provides a conceptual foundation and set of intervention approaches on which to base training programs in mental health and aging. (61 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Between the laboratory and life: Child development research in Toronto, 1919-1956.

Between 1919 and 1956, psychologists at the University of Toronto built a research program in developmental psychology on a functionalist, holistic, and ecological basis. They conducted longitudinal studies on mental health in growing children in educational settings instead of in laboratories and formed strong alliances with the local educational system in order to do so. They initially defined mental health as adjustment and considered conditions within schools to be conducive to its attainment. After developing a psychological theory of personality development, they came to view educational conditions as discouraging the development of mental health. The alliance between the educational system and psychology consequently unraveled, and the program declined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of mental and physical health service utilization among Vietnam veterans.

This study investigated predictors of mental and physical health care service utilization among 1,632 male (n = 1,200) and female (n = 432) Vietnam veterans who participated in the National Vietnam Veterans Readjustment Study. Using Anderson's theory as a model (Anderson & Bartkus, 1973), the authors examined both direct and mediated relationships among predisposing factors (i.e., age, marital status, and combat exposure), enabling factors (e.g., household income and insurance), and need factors (e.g., medical and psychological symptomatology) and physical and mental health care utilization outcomes. Need factors were the most consistent and strongest mediators of predisposing variables for both physical and mental health care service utilization, although there were differences between male and female veterans. For men, combat exposure indirectly predicted mental health care utilization through the need variables (with the effects of posttraumatic stress disorder being greatest). For women, physical health problems mediated the relationship between combat exposure and physical health outpatient care utilization. These findings have implications for screening and outreach efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward a viable community health psychology: Caveats from the experiences of the community mental health movement.

Discusses opportunities and pitfalls in the development of a health psychology, with particular reference to the community mental health movement and community psychology. Health psychology in its preventive rather than curative aspects is stressed. Health psychology should adopt a community or public health perspective rather than an individual disease or individual treatment model. (7 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in emotional risk for self- and other-directed violence among externalizing adults.

Objective: Women and men generally differ in how frequently they engage in other- and self-directed physical violence and may show distinct emotional risk factors for engagement in these high-impact behaviors. To inform this area, we investigated gender differences in the relationship of emotional tendencies (i.e., anger, hostility, and anhedonic depression) that may represent risk for other-directed violence (i.e., physical fighting, attacking others unprovoked) and self-directed violence (i.e., self-injury, suicide attempts). Method: The ethnically diverse sample consisted of 372 adults (252 men and 120 women age 18–55) with a history of criminal convictions. Facets of emotional risk assessed with the Aggression Questionnaire (Buss & Warren, 2000) and Mood and Anxiety Symptom Questionnaire (Watson et al., 1995) were entered simultaneously as explanatory variables in regression analyses to investigate their unique contributions to other- and self-directed physical violence in men and women. Results: Analyses revealed that anhedonic depressive tendencies negatively predicted other-directed violence and positively predicted self-directed violence in men and women, consistent with a model of depression in which aggression is turned inward (Henriksson et al., 1993). Gender differences, however, emerged for the differential contributions of anger and hostility to other- and self-directed violence. Trait anger (i.e., difficulty controlling one's temper) was associated with other-directed violence selectively in men, whereas trait hostility (i.e., suspiciousness and alienation) was associated with self- and other-directed violence among women. Conclusions: The divergent findings for trait anger and hostility underscore the need to examine gender-specific risk factors for physical violence to avoid excluding potentially useful clinical features of these mental health outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A preliminary examination of the relationship between exposure to community violence and academic functioning.

Provides a preliminary examination of the relationship between exposure to community violence and academic functioning in a group of 45 African American children (aged 11–14 yrs) living in an impoverished urban environment. In addition, the role of family achievement expectations and religion, 2 previously identified family compensatory factors related to academic resilience, were evaluated as moderators of the relationship between community violence and academic functioning. Ss completed questionnaires about the variables mentioned above. Results suggest that exposure to community violence had a weak relationship with academic functioning in general, but that relationship was intensified under certain circumstances. Significant interactions between exposure to community violence, and both family achievement orientation and religious emphasis suggest that exposure to community violence may alter the role of previously identified compensatory factors. Children who perceived very high achievement expectations and a very strong moral-religious emphasis were most at risk for poor academic functioning as exposure to community violence increased, although children from these types of families displayed the highest academic functioning at lower levels of community violence exposure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Community mental health practice and the elderly.

Discusses some of the working knowledge necessary for a professional psychologist to provide effective mental health services for elderly community residents. The relevance of branches of psychology such as life-span developmental and health and community psychology, which can augment traditional clinical skills, are presented as critical to a psychologist's understanding and management of psychological disorders in older community residents. Also emphasized are the mobility of the psychologist and the provision of services in familiar settings. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Backstage, frontstage: an analysis of work and leisure roles of women recreational softball players

The interrelationships between experience of parental verbal aggression and physical violence during childhood and the development of low self-esteem during adulthood were explored separately for the father-daughter and mother-daughter relationships. Data were collected from 472 women between the ages of 18 and 45 during in-depth interviews drawn from five sources: outpatient alcoholism treatment, DWI (Driving While Intoxicated) education programs, shelter for battered women, outpatient mental health treatment, and randomly from the community. Control variables included respondents' alcohol problems and help-seeking behavior, parental alcohol problems, number of changes in childhood family (e.g., divorce), and respondents' race and social class. Controlling for these variables, experiences of father-to-daughter verbal aggression, moderate violence, and severe violence were found related to lower self-esteem in adulthood for women. Conversely, controlling for these variables, experiences of mother-to-daughter verbal aggression, moderate violence, and severe violence were not found related to lower self-esteem in adulthood for women.     

Exposure to interparental violence in childhood and psychosocial adjustment in young adulthood

OBJECTIVE: To study the relationships between retrospective reports of exposure to interparental violence in childhood and rates of psychosocial adjustment problems in young adulthood in a birth cohort of New Zealand subjects. METHOD: Data were gathered during the course of an 18 year longitudinal study of a birth cohort of 1,265 New Zealand children. At age 18 retrospective reports of exposure to interparental violence were obtained. At this time the cohort was also assessed on measures of psychosocial adjustment including mental health problems, substance abuse behaviors, and criminal offending. RESULTS: Young people reporting high levels of exposure to interparental violence had elevated rates of adjustment problems at age 18. These problems included mental health problems, substance abuse behaviors and criminal offending. Analyses using multiple logistic regression showed that much of this elevated risk was explained by social and contextual factors associated with exposure to interparental violence. However, even after adjustment for confounding factors, exposure to father initiated violence was associated with increased risks of anxiety, conduct disorder and property crime, while exposure to mother initiated violence was associated only with increased risks of later alcohol abuse/dependence. CONCLUSION: Children exposed to high levels of interparental violence are an at risk population for psychosocial adjustment problems in young adulthood. Much of the elevated risk of these children arises from the social context within which interparental violence occurs. Nonetheless, exposure to interparental violence, and particularly father initiated violence, may be associated with later increased risks of anxiety, conduct disorder, problems with alcohol, and criminal offending.     

Comparing factor structures of adolescent psychopathology.

Research on the structure of adolescent psychopathology can provide information on broad factors that underlie different forms of maladjustment in youths. Multiple studies from the literature on adult populations suggest that 2 factors, Internalizing and Externalizing, meaningfully comprise the factor structure of adult psychopathology (e.g., Krueger, 1999) and presumably represent broad vulnerability for co-occurring disorders. Though this research was partially inspired by early work with children and adolescents (e.g., Achenbach & Edelbrock, 1984), the role of substance use in these models of youth psychopathology has not been fully explored. Toward this goal, we recruited 223 youths (10–17 years of age, M = 14.2) from mental health agencies and the community. We found evidence for a 3-factor model of youth psychopathology, including Internalizing (depression, generalized anxiety), Externalizing (conduct disorder, attention deficit, oppositional defiant disorder), and Substance Use (alcohol and cannabis). The 3-factor model showed the best fit to the data relative to other factor models tested, including across subsamples of adolescents who differed on level of psychopathology (treatment vs. community samples). Implications for the structure of adolescent psychopathology, including important developmental considerations, are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Preventing violence in relationships: Psychological science addressing complex social issues.

This paper traces the development of a universal violence prevention initiative from its early roots in the dynamics of child abuse developmental psychopathology. My research has been devoted to preventing violence in relationships, including physical and sexual abuse of children, children who witness domestic violence, woman abuse, and dating violence in adolescence. A central theme throughout this work has been to integrate psychological knowledge about healthy, non-violent relationships with knowledge of risk factors for abuse and violence. As laws and public sentiment have challenged the generations- old status quo of family privacy and personal rights, psychology has risen to this challenge by studying aspects of abuse and violence in the lab, in analog situations, in the home, and in the clinic. This paper reflects how knowledge about the causes and consequences of violence in relationships is leading to promising educational and prevention initiatives such as the Fourth R, a universal school-based initiative aimed at early adolescence to reduce relationship violence and related risk behaviours. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Boys and violence: A gender-informed analysis.

This article discusses the phenomenon of youth violence from a psychology of gender perspective. Although other factors are discussed--including gun availability, violence-related media influence, family and caretaker factors, and effects of teasing and bullying--the intention is to highlight new thinking on the potential relationship between boys' traditional masculine socialization experiences and violence. In this new perspective, traditional masculine socialization estranges and isolates many boys from their genuine inner lives and vital connections to others, which is theorized to heighten their risk of engaging in acts of violence. The authors identify school and community programs that may be helpful in counteracting damaging socialization experiences and supporting boys' healthier emotional and psychological development. Finally, the article discusses approaches that psychologists and other mental health professionals can use to help address this vital issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Day care and early childhood settings. Fostering mental health in young children

The authors, with research supporting the relationship between experience and the developing brain, envision a new and innovative model of child care in which principles of child development and mental health play an integral role. The School of the Twenty-first Century, although housed in existing school buildings, will be far more than a traditional 8:00 AM-to-3:00 PM educational facility. It will become a hub of child and family life in the community and provide institutional and outreach services for children from birth to 12 years of age. Active developmental and mental health programs that provide education for parents, primary caretakers, and other providers are central to the model. These programs will include preventive, evaluative, and treatment services for children. The child psychiatrist is viewed as an important member of the mental health team, who helps identify, assess, and treat children with developmental and psychiatric difficulties.     

Children's Mental Health as a Primary Care and Concern: A System for Comprehensive Support and Service.

In response to the serious crisis in mental health care for children in the United States, this article proposes as a priority for psychology a comprehensive approach that treats mental health as a primary issue in child health and welfare. Consistent with the principles of a system of care and applying epidemiological, risk-development, and intervention-research findings, this approach emphasizes 4 components: easy access to effective professional clinical services for children exhibiting disorders; further development and application of sound prevention principles for high-risk youths; support for and access to short-term intervention in primary care settings; and greater recognition and promotion of mental health issues in common developmental settings and other influential systems. Integral to this approach is the need to implement these components simultaneously and to incorporate family-focused, culturally competent, evidence-based, and developmentally appropriate services. This comprehensive, simultaneous, and integrated approach is needed to achieve real progress in children's mental health in this country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Violence prediction, workplace violence, and the mental health expert.

Suggests that potential expert witnesses in civil cases arising from employee-caused work site violence should be familiar with recent findings concerning the assessment of risk for violence and with the implications of those findings. Pertinent demographic issues and the legal considerations (i.e., legislation, case law, and theories of liability) that might shape tort actions for workplace violence are reviewed. Knowledge concerning mental health professionals' ability to assess violence potential, and the practical limitations of that knowledge are summarized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Keyes's model of mental health with personal growth initiative as a parsimonious predictor.

This research addressed issues at the heart of counseling psychology: operationalizing mental health and identifying parsimonious ways of predicting levels of mental health. The primary purpose of the study was to investigate the replicability of the structure of C. L. M. Keyes's (2002) model of mental health in 2 samples of college students (total N = 244 women and 223 men). Results of confirmatory factor analyses supported this 3-factor model of psychological, social, and emotional well-being, consisting of 14 subdimensions. Furthermore, this model was found to be invariant for men and women in both samples. The secondary purpose was to assess the effectiveness of personal growth initiative (PGI; C. Robitschek, 1998) as a parsimonious predictor (i.e., 1 predictor for many outcomes) of these multiple dimensions of mental health. Results of structural equation modeling supported PGI as a parsimonious predictor of Keyes's multidimensional mental health model for men and women in both groups. Limitations are discussed, and implications for research and practice in counseling psychology are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevention and Health Promotion: Decades of Progress, New Challenges, and an Emerging Agenda.

Daily habits (e.g., smoking, diet, and exercise) and their immediate consequences (e.g., obesity) confer risk for most of the major health problems in industrialized nations. Hence, determinants of these behaviors and their modifications have been central topics in health psychology. Considerable scientific and applied progress has been made, but the field faces important challenges and opportunities in the future. These challenges and opportunities include changes in demographics and patterns of health, the need for a more comprehensive model of the domain of health behavior and prevention, the need to integrate behavioral and psychosocial risk and resilience, the incorporation of new technologies, and addressing a variety of professional and economic barriers to the implementation of prevention in health care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)