Assessment of psychological distress in Persian Gulf troops: ethnicity and gender comparisons

This study reports results of psychological assessment among military participants in Operation Desert Storm, a more diverse ethnic and gender mix of American troops than has been mobilized for previous military operations. Symptoms of current psychological distress, including negative mood states, somatic complaints, and posttraumatic stress disorder, in addition to personal and trauma characteristics, were measured in 653 Persian Gulf war-zone-exposed and 259 stateside-duty troops to test the hypothesis that ethnic minority status and female gender are associated with greater levels of psychological distress following war-zone duty. Findings point to potentially negative sequelae to war-zone stress in a portion of troops and suggest that ethnic minorities, but not necessarily women, may be more vulnerable to psychological risk.     

Psychological distress, well-being, and legal recognition in same-sex couple relationships.

Legal recognition of same-sex couple relationships provides at least some material benefits to couple members; however, few studies have examined the associations between legal recognition and psychological distress or well-being. Using an online survey sample of 2,677 lesbian, gay, bisexual (LGB) individuals, participants were placed in 4 groups: single, dating, in a committed relationship, and in a legally recognized relationship. Analyses revealed that participants in committed or legally recognized relationships reported less psychological distress (i.e., internalized homophobia, depressive symptoms, and stress) and more well-being (i.e., the presence of meaning in life) than single participants. Significant group differences and multivariate analyses indicated that participants in a legally recognized relationship reported less internalized homophobia, fewer depressive symptoms, lower levels of stress, and more meaning in their lives than those in committed relationships, even after controlling for other factors. The need for further research on the psychological benefits of legal relationship recognition for same-sex couples is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental Health of Lesbian, Gay, Bisexual, and Heterosexual Siblings: Effects of Gender, Sexual Orientation, and Family.

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victimization Over the Life Span: A Comparison of Lesbian, Gay, Bisexual, and Heterosexual Siblings.

Lifetime victimization was examined in a primarily European American sample that comprised 557 lesbian/gay, 163 bisexual, and 525 heterosexual adults. Lesbian, gay, and bisexual (LGB) participants were recruited via LGB e-mail lists, periodicals, and organizations; these participants recruited 1 or more siblings for participation in the study (81% heterosexual, 19% LGB). In hierarchical linear modeling analyses, sexual orientation was a significant predictor of most of the victimization variables. Compared with heterosexual participants, LGB participants reported more childhood psychological and physical abuse by parents or caretakers, more childhood sexual abuse, more partner psychological and physical victimization in adulthood, and more sexual assault experiences in adulthood. Sexual orientation differences in sexual victimization were greater among men than among women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Resilience in the face of coping with a severe physical injury: A study of trajectories of adjustment in a rehabilitation setting.

Objective: Despite the popularity of the concept of resilience, little research has been conducted on populations in physical rehabilitation settings. Our purpose was to identify three trajectories of psychological adjustment to an acquired severe physical injury characterized by resilience, recovery, or distress in a longitudinal design. Participants: Eighty inpatients with a severe injury at a rehabilitation hospital. The participants had spinal cord injury or multiple traumas. Design: Classification into the three trajectories was based on symptoms of psychological distress (posttraumatic stress disorder, depression, anxiety, and negative affect) and participants’ level of positive affect at admission to and discharge from the rehabilitation hospital. Results: The most common trajectory was the resilience trajectory (54%), followed by the recovery trajectory (25%) and the distress trajectory (21%). The most interesting differences between the trajectories were the result of optimism, affect, social support, and pain. Trait negative and positive affect predicted classification into the trajectories. Conclusions: An adaptation pattern characterized by resilience was found to be the most common response to an acquired severe injury, and trait affect predicts the outcome pattern. Interventions based on resilience are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Minority stress and mental health among Dutch LGBs: Examination of differences between sex and sexual orientation.

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the “gay-friendly” Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Disapproval of Proposed Amendments to APA Bylaws.

I am returning to the Election Committee my ballot on proposed amendments to the APA Bylaws with a vote to "disapprove" on the amendment that deals with the Committee on Scientific and Professional Ethics and Conduct. This vote will not, I hope, be construed as opposition to procedures being "clarified and made more realistic." I am strongly in favor of having definitive, prompt, vigorous, and forthright action by the Committee provided for in the Bylaws. I believe, however, that the proposed amendment falls short of these objectives and at the same time contains wording to which valid exception may be taken. Accordingly, I offer and make arguments for the following amendments to the proposed amendment in the hope that they can be given serious consideration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological distress, acculturation, and mental health-seeking attitudes among people of African descent in the United States: A preliminary investigation.

This article investigates the relationship between psychological distress, acculturation, and help-seeking attitudes among people of African descent (N = 130). Psychological distress was measured using the Global Severity Index from the Brief Symptom Inventory (L. R. Derogatis & N. Melisaratos, 1983), acculturation was measured using the Measurement of Acculturation Strategies for People of African Descent (E. M. Obasi, 2005), and help-seeking attitudes were measured using the Attitudes Toward Seeking Professional Psychological Help scale (E. H. Fischer & J. I. Turner, 1970). Overall, as psychological distress increased, attitudes toward seeking professional psychological services became more negative. The negative relationship between psychological distress and confidence in therapist was significantly stronger for participants who expressed a cultural maintenance of traditional beliefs. Future directions for this body of research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavior therapy and the transdermal nicotine patch: Effects on cessation outcome, affect, and coping.

The process and outcome of a smoking cessation program using behavior therapy alone (BT) or behavior therapy plus the nicotine patch (BTP) was studied in 64 participants. Participants quit smoking on a target date after a period of ad libitum smoking, cognitive-behavior therapy preparing them for cessation, and behavioral rehearsal for high-risk situations, including stress management, and coping with negative affect. Abstinence was significantly higher for the BTP group versus the BT group from the end of behavioral treatment (79% vs. 63%) through the 3-month follow-up (pp?=?.06) and 12-month marks (p?=?38% vs. 22%). More general distress was observed among BT versus BTP participants ( i.e., increased withdrawal, tension, fatigue, and coping frequency with decreased coping effort; coping-to-urge ratio). The coping behavior of the BTP group may have been more effective than that of the BT group, as indicated by their significantly higher level of self-efficacy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The “model minority myth”: Internalized racialism of positive stereotypes as correlates of psychological distress, and attitudes toward help-seeking.

Stereotypes associated with Asian Americans (model minority group) are, at times, positive. Endorsement of these stereotypes (i.e., internalized racialism) might contribute to Asian's distress and their attitudes toward seeking services. The purpose of this study was to use the theory of “status-based rejection sensitivity” as a way to examine the relationship between internalized racialism (i.e., endorsement and/or internalization of positive Asian stereotypes) and psychological distress, and attitudes toward help-seeking among 291 Asian Americans. Results indicated that higher levels of endorsement of positive Asian stereotypes were related to higher levels of psychological distress and more negative attitudes toward help-seeking. No evidence was found for the moderating roles of internalized racialism in the endorsement of positive Asian stereotypes–distress/help-seeking links. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Stressful life events, psychological well-being, and parenting in African American mothers.

The association of stressful negative life events with mothers' psychological well-being and parenting was examined in 79 African American mothers living in 1 and 2-percent households. Findings reveal that family disruption and work problems were associated with lower maternal acceptance. Family disruption was also positively associated with mothers' firm control of behavior. Family disruption and work-related stress also were negatively associated with mothers' self-esteem. Health-related stress was positively related to mothers' psychological distress. Mothers' self-esteem was positively associated with mothers' acceptance and negatively related to firm control. Mothers' self-esteem mediated the association of family disruption and work-related stress with mothers' acceptance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Balancing dangers: GLBT experience in a time of anti-GLBT legislation.

In the past few years, 26 states have changed their constitutions to restrict marriage to one man and one woman. There has been little research on the psychological effects of this political process on gay, lesbian, bisexual, and transgender (GLBT) people. In this qualitative project, 13 GLBT people were interviewed about their experience during the process of a constitutional amendment. A grounded theory analysis of these semistructured interviews was conducted. The core category, or central finding, was "GLBT people need to balance the dual dangers of engagement with GLBT advocacy and self-protection through withdrawal." Other findings focused on the experience of living in a context of painful reminders that one is seen as less than human by the government and public, and in which one's life is frequently and publicly misrepresented to advance hostile political campaigns. Social support and a process of self-acceptance helped participants to face their fears of isolation, discrimination, and aggression and to fight for social justice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Composition of the Council of Representatives: Report on the apportionment ballot for representation year 2001.

Reports on the apportionment ballot for representation in the year 20001. It is noted that beginning in the 1999 legislative year there were an additional 48 seats on the Council of Representatives as a result of the "Wildcard" bylaw amendment that was passed by membership in November of 1997. Specific quantitative information regarding the number of Council Representatives appointed from 1970 to 2001, and the apportionment ballot results for the composition of Council Representation for the year 2001 are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Composition of the Council of Representatives: Report on the apportionment ballot for representation year 2000.

Reports on the apportionment ballot for representation in the year 2000. It is noted that beginning in the 1999 legislative year there were an additional 48 seats on the Council of Representatives as a result of the "Wildcard" bylaw amendment that was passed by membership in November of 1997. Specific quantitative information regarding the number of Council Representatives appointed from 1966 to 2000, and the apportionment ballot results for the composition of Council Representation for the year 2000 are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-appraised problem-solving ability, affective states, and psychological distress.

According to the social problem-solving model, a positive problem orientation wards off negative affect and promotes positive affect to enhance problem solving. It was hypothesized that the Problem-Solving Confidence and Personal Control factors on the Problem-Solving Inventory (P. P. Heppner, 1988) constitute facets of the problem orientation component; therefore, these variables should be significantly associated with negative affect, positive affect, and psychological distress over time. In a series of studies, a positive problem orientation was prospectively associated with greater positive and lower negative affect under a variety of conditions. However, the relation of the problem orientation variables to distress appeared to be mediated by trait affectivity. Results are interpreted in light of the social problem-solving model, and implications for counseling are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Interpersonal attachment: Experiencing, expressing, and coping with stress.

From a sample of 1,157 prescreened individuals, a sample of 193 participants with clearly identifiable attachment styles completed a stress narrative, a measure of coping styles, and a measure of emotional distress. Results of the 4 (attachment style: secure, fearful, preoccupied, and dismissing)?×?2(gender) study provided general support for predictions. Compared with severe attachment, for example, preoccupied attachment was associated with higher levels of intrusive psychological symptoms and higher levels of overall psychological distress, although specific predictions concerning characteristic styles of coping received mixed support. The nature and limitations of these findings are discussed in relation to contemporary issues in attachment theory, research, and measurement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Collective self-esteem as a coping resource for male-to-female transsexuals.

The fear of experiencing discrimination often provokes symptoms of psychological distress. One coping resource is positive identification with one's social group--known as collective self-esteem. This preliminary study investigated whether collective self-esteem was related to fears regarding a transsexual identity and psychological distress among 53 self-identified male-to-female transsexuals (mean age = 50.79 years). Participants were recruited from transgender events held in Arizona and California. The majority (81%) reported living full-time as women (mean length of time living as a woman = 6.33 years). Negative feelings about the transsexual community and fears regarding the impact of a transsexual identity were positively related to psychological distress. A regression model revealed that the fear of how a transsexual identity would affect one's life was the best predictor of the severity of psychological distress. These results are consistent with findings from other historically marginalized groups, whereby the stress of being stigmatized by society adversely affects mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

First impressions count: Ethnic/racial and lesbian/gay/bisexual content of professional psychology application materials.

This article will help you learn about using application materials as one way to attract incoming ethnic/racial and lesbian/gay/bisexual (LGB) minority graduate students. Such materials are often an applicant's first exposure to psychology programs and are typically overlooked as tools to be used to communicate multicultural information. The authors demonstrate that professional psychology training programs approved by the American Psychological Association that have application packets with more ethnic/racial and LGB content have significantly higher numbers of ethnic/racial minority students. The data from this study also indicate that programs are making small gains in using application packages to communicate ethnic/racial minority concerns and almost never mention LGB-related issues. Recommendations are offered to help professional psychology programs make better use of application materials to attract greater numbers of ethnic/racial and LGB minority students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A perceived control intervention for at-risk older adults.

Models of event causation and affective processes were used to design an experimental intervention for older adults. Ss were 2 at-risk populations, recently disabled and recently bereaved, each with matched nonrisk controls. Ss were randomly assigned to a placebo-contact group, a no-contact control group, or a 4-session, 10-week intervention focused on enhancing perceived control. Dependent variables assessed were personal mastery, psychological well-being and distress, positive and negative affect, and measures of daily events and activities. The intervention was nested within a 16-month longitudinal assessment of stress and adaptation processes in a large sample of community residents. The intervention had mixed effects on reports of personal mastery, but it significantly increased engagement in desirable activities and significantly decreased psychological distress and negative affect. Effects tended to be short-lived, however. Effects of the intervention tended to be particularly significant for the disabled group. (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)