Marriage amendments and psychological distress in lesbian, gay, and bisexual (LGB) adults.

An online survey of lesbian, gay, and bisexual (LGB) adults (N = 1,552) examined minority stress (I. H. Meyer, 2003) and psychological distress following the 2006 general election in which constitutional amendments to limit marriage to 1 man and 1 woman were on the ballot in 9 states. Following the November election, participants living in states that passed a marriage amendment reported significantly more minority stress (i.e., exposure to negative media messages and negative conversations, negative amendment-related affect, and LGB activism) and higher levels of psychological distress (negative affect, stress, and depressive symptoms) than participants living in the other states. Multiple hierarchical regression analyses revealed significant positive main effects of minority stress factors and state ballot status on psychological distress. In addition, the association between amendment-related affect and psychological distress was significantly higher in states that had passed a marriage amendment compared with other states. Discussion of these findings emphasizes that marriage amendments create an environment associated with negative psychological outcomes for LGB individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social conflict, social support, and psychological distress: Evidence of cross-domain buffering effects.

A longitudinal study examined the relative and joint effects of perceived social support and social conflict on psychological distress in 228 college students. Women had higher perceived social support from roommates and friends and less conflict with roommates than did men; there were no gender differences in level of conflict with friends or psychological distress. Roommate conflict predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from friends. Friend conflict also predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from roommates. These results show the importance of negative and positive aspects of social experiences to emotional functioning and the importance of compensatory social support for individuals facing social conflicts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships of self-esteem and efficacy to psychological distress in mothers of children with chronic physical illnesses.

This study examined relationships of children's illness-related functional limitations and 2 maternal psychological resources, self-esteem and efficacy, to symptoms of psychological distress in 365 urban mothers of 5- to 9-year-old children with diverse chronic illnesses. Multiple regression controlling for sociodemographic variables indicated that presence of functional limitations in the child and lower resources each were associated with higher maternal scores on a psychological symptom scale. Self-esteem had a main effect on maternal distress; however, a significant Efficacy?×?Functional Status interaction term suggested that mothers experienced greater distress when their children had illness-related functional limitations and maternal efficacy was low. Interventions aimed at enhancing maternal psychological resources may reduce the likelihood of distress in mothers of children with chronic illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress and health outcomes: The mediating role of negative affectivity in female health care workers.

The current study explored the interrelationships among occupational stress, family stress, poor physical health, and psychological distress and examined the mediating role of negative affectivity (NA) in the stress and health process. A cross-sectional, nonexperimental design was used and a convenience sample of 271 female health care workers was recruited from northeastern Ohio. Data were collected with a self-reported questionnaire, scanned using Teleform Software, and electronically transferred to the SPSS format. Data analyses were performed in three separate phases: preliminary, measurement model, and structural model analyses (using structural equation modeling). Results suggested that occupational stress had a significant effect on psychological distress, and family stress had a significant impact on both poor physical health and psychological distress. NA partially mediated the effect of occupational stress on psychological distress. The effects of family stress on poor physical health and psychological distress were also partially mediated through NA. The indirect to total effect ratios were 30%, 17.15%, and 28%, respectively. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining potential moderators of the link between heterosexist events and gay and bisexual men's psychological distress.

The purpose of this study was to examine (a) the relationship between heterosexist events and psychological distress and (b) the potential moderating roles of social support, avoidant coping, and self-esteem in the relationship between heterosexist events and psychological distress among 210 gay and bisexual men. Findings from the Web-based Internet survey revealed that many gay and bisexual men experienced heterosexist harassment, rejection, and discrimination at least once in a while during the past year and that these experiences were positively related to psychological distress. Results also indicated that self-esteem moderated the relationship between heterosexist events and psychological distress, with significant risk being associated with low self-esteem. No support was found for the moderating roles of social support and avoidant coping in the link between heterosexist events and psychological distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in job strain, social support at work, and psychological distress.

Using the demand-control-support model of job strain, the authors examined gender differences in the relationship between psychosocial work exposures and psychological distress in a cross-sectional sample of 7,484 employed Canadians. Compared with low-strain work, high-strain and active work were associated with a significantly higher level of distress in both men and women. Differences in psychological distress in relation to psychosocial work exposures were greater for men than for women. Low social support was associated with higher distress across all categories of job strain, and the combined effect of low social support and high job strain was associated with the greatest increase in distress. This pattern was similar in men and women. This study suggests that psychosocial work exposures may be a more significant determinant of psychological well-being in male workers compared with female workers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stressful life events, psychological distress, coping, and parenting of divorced mothers: A longitudinal study.

This was a prospective longitudinal study of the relationships among life stress, psychological distress, coping, and parenting behaviors in a sample of divorced custodial mothers. First, the differential effects of major events and daily stressors on psychological distress and parenting were explored. Second, the mediational links among stress, distress, and 3 dimensions of parenting behaviors were studied. Third, 3 coping strategies were studied as moderators of the relationship between distress and parenting. The results showed that both major and small events had significant effects on parental distress, with the effects of daily negative events being greater than those of major events. Parental distress mediated the relationships between stressful life events and parental acceptance of their children's behaviors. Parental coping strategies moderated the relationship between mothers' psychological distress and mothers' discipline practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of a supportive or an unsupportive audience on biological and psychological responses to stress.

Although social support is related to substantial benefits for health and well-being, research has uncovered qualifications to its benefits. In a test of the psychological and biological impact of an audience on responses to laboratory stress challenges, 183 participants going through the Trier Social Stress Test experienced either (a) an unsupportive audience, (b) a supportive audience, or (c) no audience. Both audience conditions produced significantly stronger cortisol, heart rate, and blood pressure responses to the stress tasks, relative to the no-audience control, even though the supportive audience was rated as supportive. Contrary to hypotheses offered by several theories, these effects were not moderated by self-esteem, individual differences in psychological resources, or baseline social support. Psychological resources and baseline social support were, however, tied to more beneficial biological and psychological profiles at baseline and at recovery in some cases. It was concluded that when one must perform stressful tasks in front of an audience, evaluative concerns may outweigh the potential benefits of a supportive audience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pre-hurricane perceived social support protects against psychological distress: A longitudinal analysis of low-income mothers.

Objective: In this study, we examined the influence of pre-disaster perceived social support on post-disaster psychological distress among survivors of Hurricane Katrina. Method: Participants (N = 386) were low-income mothers between 18 and 34 years of age at baseline (M = 26.4, SD = 4.43). The majority (84.8%) was African American; 10.4% identified as Caucasian, 3.2% identified as Hispanic, and 1.8% identified as other. Participants were enrolled in an educational intervention study in 2004 and 2005. Those who had completed a 1-year follow-up assessment prior to Hurricane Katrina were reassessed approximately 1 year after the hurricane. Measures of perceived social support and psychological distress were included in pre- and post-disaster assessments. Using structural equation modeling and multiple mediator analysis, we tested a model wherein pre-disaster perceived social support predicted post-disaster psychological distress both directly and indirectly through its effects on pre-disaster psychological distress, exposure to hurricane-related stressors, and post-disaster perceived social support. We predicted that higher pre-disaster perceived social support would be predictive of lower pre-disaster psychological distress, lower hurricane-related stressors, and higher post-disaster perceived social support, and that these variables would, in turn, predict lower post-disaster psychologically distress. Results: Our analyses provide partial support for the hypothesized model. Although pre-disaster perceived social support did not exert a direct effect on post-disaster psychological distress, the indirect effects of all 3 proposed mediators were significant. Conclusions: Pre-disaster social support can decrease both exposure to natural disasters and the negative psychological effects of natural disaster exposure. These findings underscore the importance of bolstering the post-disaster social support networks of low-income mothers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-concealment, avoidance of psychological services, and perceived likelihood of seeking professional help.

Undergraduate students (N?=?732) completed questionnaires about their perceived likelihood of seeking professional psychological help, attitudes toward psychotherapy, fears of psychotherapy, psychological distress, social support, and self-concealment. Self-concealment (a person's tendency to keep intimate information secret) was positively associated with self-reported distress and avoidance of needed psychological treatment. Although low social support was associated with greater perceived likelihood of seeking help, this effect was canceled at high levels of self-concealment. Specific types of distress selectively predicted perceived likelihood of seeking help as a function of the type of problem for which help would have been sought. Overall, the data contradicted previous findings and conclusions that suggested high self-concealers were more inclined than low self-concealers to seek psychological services. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism, stress, and social (dis)connection: A short-term study of hopelessness, depression, and academic adjustment among honors students.

This study tested models of perfectionism predicting psychological distress and academic adjustment and moderators and mediators of those associations in 2 successive cohorts of high-achieving university honors students (N = 499). Participants completed measures early and late in the semester. Adaptive (high standards) and maladaptive (self-critical perceptions of inadequacy in meeting performance expectations) dimensions of perfectionism were found to be significantly associated, in generally expected directions, with concurrent and prospective perceived stress, social connectedness, depression, hopelessness, and perceived academic adjustment. However, some perfectionism effects were reduced when earlier psychological distress and adjustment were controlled in analyses predicting later distress and adjustment. Several effects were moderated and at least partially mediated by perceived stress and social connection. The results suggest several counseling implications for high-achieving, perfectionistic students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model.

The study examined the relationship among social connectedness, dysfunctional interpersonal behaviors, and psychological distress. The authors specifically hypothesized that the direct negative effect of social connectedness on psychological distress would be mediated by dysfunctional interpersonal behaviors. Prior to testing the hypothesis, the authors revised the original Social Connectedness Scale (SCS; R. A Lee and S. B. Robbins, 1995). Studies 1 and 2 describe the revision and validation of the SCS on separate samples of college students. In Study 3, the authors surveyed 194 college students and found support for the mediation hypothesis on general psychological distress. The importance of assessing social connectedness and tailoring counseling interventions for people with low connectedness and dysfunctional interpersonal behaviors is addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social control, health risk taking, and psychological distress among the elderly.

Most research on older adults' social networks has focused on the support-providing function of social relationships. Little gerontological research has addressed social control, or the role of social bonds in regulating deviant or risky behavior. Drawing on sociological theory, this study examined the hypothesis that social control discourages risky health practices while provoking psychological distress. Structured interviews conducted with 162 community-residing older adults assessed social control (direct attempts by others to influence participants' health practices and the existence of significant role obligations to others), health risk taking (medication misuse, alcohol consumption, cigarette smoking, and the overall level of unsound health practices), psychological functioning (depression, loneliness, and self-esteem), and interpersonal satisfaction (satisfaction with friends and family members). Analyses revealed little support for the hypothesis. Social control was only weakly related to participants' health practices and, contrary to expectation, was generally related to less psychological distress and to greater interpersonal satisfaction. Implications for social control theory and for further research are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress situations, birth order, and psychological symptoms.

Recent conflicting findings raise the issue of whether observed differences in levels of psychological distress of 1st and later borns are a function of their contemporary social situation, or of basic personality defect in 1 or the other group. Hypotheses which might explain conflicting findings are derived from Schachter's work: among Ss exposed to stressors, 1st borns will show more symptoms when social isolation is enforced, and later borns when social interaction is enforced. These hypotheses are tested in a socially isolating sensory deprivation study, and in a community sample including crowded slum dwellers. Both hypotheses are supported. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prediction of psychological symptoms under high-risk psychosocial circumstances: Life events, social support, and symptom specificity.

Examined life events, perceived dimensions of events, and social support in predicting different types of psychological symptoms (e.g., depressive and anxiety symptoms), all within the context of a specific high-risk situation for psychological distress: the final-examination period for university students (N?=?167). Ss were administered a battery of tests that included the State-Trait Anxiety Inventory and the Beck Depression Inventory. Results indicate that (a) certain dimensions of events and particular aspects of social support are directly related to symptoms manifested during final-examination stress, (b) perceived dimensions of events and social support interactively predict symptoms, and (c) depressive symptoms—in contrast to general distress or anxiety symptoms—are relatively specifically a function of events and support. Findings are discussed within the context of existing research; the implications for extending similar strategies employing other high-risk psychosocial circumstances are advanced. (59 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Distress in spouses of service members with symptoms of combat-related PTSD: Secondary traumatic stress or general psychological distress?

Combat-related posttraumatic stress disorder (PTSD) is linked with elevated psychological distress in service members'/veterans' spouses. Researchers use a variety of terms to describe this distress, and recently, secondary traumatic stress and secondary traumatic stress disorder (STS/STSD) have become increasingly commonly used. Although STS/STSD connotes a specific set of symptoms that are linked to service members'/veterans' symptoms, researchers often use general measures of distress or generically worded measures of PTSD symptoms to assess STS/STSD. To determine how often scores on such measures appear to be an accurate reflection of STS/STSD, we examined responses to a measure of PTSD symptoms in 190 wives of male service members with elevated levels of PTSD symptoms. Wives rated their own PTSD symptoms, and then answered questions about their attributions for the symptoms they endorsed. Fewer than 20% of wives who endorsed symptoms on the PTSD measure attributed these symptoms completely to their husbands' military experiences. Moreover, compared with wives who attributed symptoms only to events in their own lives, wives who attributed symptoms completely or partially to their husbands' military experiences had a greater overlap between some of their responses on the PTSD measure and their responses to a measure of general psychological distress. These results suggest that most wives of service members/veterans with PTSD experience generic psychological distress that is not conceptually consistent with STS/STSD, although a subset does appear to endorse a reaction consistent with this construct. Implications of these findings for intervention and research with this vulnerable population are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Personal goals and interpersonal support and hindrance as factors in psychological distress and well-being.

This study examined psychological distress and well-being as a function of the characteristics of personal projects and project-relevant social support and social hindrance provided by the three most important people in subjects' lives. Three project factors (Project Mastery, Strain, and Self-Involvement) were found to account for significant variation in both psychological distress and well-being. Project support was generally found to be significantly related to well-being, but not to distress. However, project hindrance was found to be significantly related to both distress and well-being. Additional analyses revealed that the behavior of the most important person in a subject's life is of special significance in accounting for variations in psychological distress and well-being. Finally, evidence of the independence of support and hindrance was observed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of the relationship between general life stress, racism-related stress, and psychological health among black men.

This study explored the relationship among general life stress, racism-related stress, and psychological health in a sample of 220 Black men. Participants completed a personal data form, the Perceived Stress Scale (S. Cohen, T. Kamarck, & R. Mermelstein, 1983), a modified version of the Schedule of Racist Events (H. Landrine & E. A. Klonoff, 1996), and the Mental Health Inventory (C. T. Veit & J. E. Ware, 1983). Results of hierarchical regressions indicated that when general stress was controlled, racism-related stress predicted an additional 4% of variance in psychological distress for working class men and an additional 7% for middle-upper class men. Racism-related stress also predicted an additional 5% of variance in psychological well-being for middle-upper class men; however, it was not predictive of psychological well-being for working class men. Implications for counseling practice and future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The changing workforce, job stress, and psychological distress.

The change in the United States from a manufacturing economy to a service economy has important implications for theoretical models of the relationships between job characteristics and workers' psychological distress. A sample of 600 men and women employed full-time were recruited to test 2 theoretical models. The job demand-control model posits that jobs that are both high in job demands and low in decision latitude are associated with greater psychological distress. The job demand-service model posits that jobs that are high in job demands and low in service to others are associated with greater psychological distress. Results show that the job demand-control model is a significant predictor of psychological distress among employees in the manufacturing industry, whereas the job demand-service model is a significant predictor of psychological distress among employees in the services industries. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Resource loss, resource gain, and psychological resilience and dysfunction following cancer diagnosis: A growth mixture modeling approach.

Objective: This study investigated trajectories of psychological distress and their relationships with change in psychosocial resources in the year following cancer diagnosis. Design: Chinese colorectal cancer (CRC) patients (n = 234) were assessed within 12 weeks of diagnosis (T1) and again at 3-month (T2) and 12-month (T3) follow-ups. Growth mixture modeling was used to analyze the longitudinal data. Main Outcome Measures: Psychological distress was measured at the three time-points using Hospital Anxiety and Depression Scale (HADS). Results: Growth mixture models identified four classes: chronic distress (7–9%), delayed distress (10–13%), recovery (13–16%), and resilient (65–67%). People in chronic distress were more likely to demonstrate loss in physical functioning and social relational quality than those in delayed distress, and loss in physical functioning, optimism, and hope than those in recovery, but more likely to demonstrate stability/gain in optimistic personalities than those in delayed distress and resilient. People in resilient were more likely to report stability/gain in optimistic personalities than those in delayed distress but not those in recovery. Conclusion: Understanding differential outcome trajectories and associated change in coping resources has implications for developing ongoing psychological services for cancer patients during the diagnosis and treatment process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)