Self-acceptance and self-disclosure of sexual orientation in lesbian, gay, and bisexual adults: An attachment perspective.

A model linking attachment variables with self-acceptance and self-disclosure of sexual orientation was tested using data from 489 lesbian, gay, and bisexual (LGB) adults. The model included the following 4 domains of variables: (a) representations of childhood attachment experiences with parents, (b) perceptions of parental support for sexual orientation, (c) general working model of attachment, and (d) LGB variables. Results generally supported the proposed model. For example, attachment avoidance and anxiety were associated with self-acceptance difficulties, and avoidance was associated with low levels of outness in everyday life. Parental attachment had an indirect effect on identity and outness through its associations with parental LGB support and general attachment. Some results varied depending on participants' gender and parental religious affiliation. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Pink triangles: Antecedents and consequences of perceived workplace discrimination against gay and lesbian employees.

A model of perceived sexual orientation discrimination was tested in a national sample of 534 gay and lesbian employees. The effects of legislation, organizational policies and practices, and work group composition on perceived sexual orientation discrimination were examined, as well as the attitudinal and organizational outcomes associated with discrimination. Gay employees were more likely to report discrimination when employed in groups that were primarily heterosexual and in organizations that lacked supportive policies and were not covered by protective legislation. Disclosure of sexual orientation at work was related to discrimination and antecedent variables. Perceived discrimination was associated with negative work attitudes and fewer promotions. Organizational policies and practices had the strongest impact on perceived discrimination and were directly related to outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression.

Despite their apparent implications for social functioning, adult attachment styles have never been specifically explored among persons with social anxiety disorder. In the current study, a cluster analysis of the Revised Adult Attachment Scale (N. L. Collins, 1996) revealed that 118 patients with social anxiety (58.6% males and 41.4% females, mean age 32.43 yrs) were best represented by anxious and secure attachment style clusters. Members of the anxious attachment cluster exhibited more severe social anxiety and avoidance, greater depression, greater impairment, and lower life satisfaction than members of the secure attachment cluster. This pattern was replicated in a separate sample of 56 patients and compared with the pattern found in 36 control participants. Social anxiety mediated the association between attachment insecurity and depression. Findings are discussed in the context of their relevance to the etiology, maintenance, and cognitive-behavioral treatment of social anxiety disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants.

Home visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home visiting have yielded mixed findings. One promising strategy for explicating the effects of early home visiting is to examine moderators of program impacts. This study assessed the roles of maternal depression and attachment insecurity as moderators of the impacts of Healthy Families Alaska home visiting services for at-risk mothers and their infants. At-risk families (N = 325) were randomly assigned to home visiting or community services as usual (n = 162 and 163, respectively). Maternal depression and attachment insecurity (attachment anxiety and discomfort with trust/dependence) were measured at baseline. Maternal psychosocial and parenting outcomes were measured when children were 2 years old via maternal self-report, observation, and review of substantiated reports of child maltreatment. Maternal depression and attachment insecurity interacted in their moderation of program impacts. For several outcomes, home visiting impacts were greatest for nondepressed mothers with moderate-to-high discomfort with trust/dependence and for depressed mothers with low discomfort with trust/dependence. Implications for practice and policy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the association between sexual attraction and adolescent risk behavior involvement: Examining mediation and moderation.

On the basis of a large-scale survey of high-school youth, the authors compared adolescents reporting exclusively heterosexual, mostly heterosexual, bisexual, and predominately same-sex attraction based on high-risk involvement across a range of risk behaviors. Bisexual and same-sex attracted groups were characterized by heightened high-risk involvement relative to the other two groups. Mediation analysis was used to determine whether these group disparities were explained by a set of normative predictive factors spanning multiple life domains. Differences among a combined exclusively/mostly heterosexual attraction group and both the bisexual and same-sex attraction groups were attenuated (66% and 50%, respectively) after incorporating the hypothesized intervening predictive factors, providing evidence of partial mediation. Primary mediators included intrapersonal (attitudes toward risk-taking; academic orientation), interpersonal (peer victimization; parental relationships; unstructured activities), and environmental (substance availability) factors. Mediation results were consistent across participant age and sex. Implications, limitations, and directions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult Attachment, Shame, Depression, and Loneliness: The Mediation Role of Basic Psychological Needs Satisfaction.

This study examined basic psychological needs satisfaction (i.e., the need for autonomy, competence, and relatedness) as a mediator between adult attachment (i.e., anxiety and avoidance) and distress (i.e., shame, depression, and loneliness). A total of 299 undergraduates from a Midwestern university participated. Results from structural equation modeling analysis indicated that basic psychological needs satisfaction partially mediated the relationship between attachment anxiety and shame, depression, and loneliness and fully mediated the relationship between attachment avoidance and shame, depression, and loneliness. Bootstrap methods were used to assess the magnitude of these indirect effects. Attachment anxiety and avoidance explained 35% of the variance in basic psychological needs satisfaction, and attachment anxiety and basic psychological needs satisfaction explained 51%, 72%, and 74% of the variance in shame, depression, and loneliness, respectively. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Predictors of psychotherapeutic benefit of lesbian, gay, and bisexual clients: The effects of sexual orientation matching and other factors": Correction to Jones et al. (2003).

Reports an error in "Predictors of Psychotherapeutic Benefit of Lesbian, Gay, and Bisexual Clients: The Effects of Sexual Orientation Matching and Other Factors" by Mary Ann Jones, Michael Botsko and Bernard S. Gorman (Psychotherapy: Theory, Research, Practice, Training, 2003[Win], Vol 40[4], 289-301). On page 293, Table 3 is incorrectly identified as Table 2, and on pages 294-295, Table 2 is incorrectly identified as Table 3. (The following abstract of the original article appeared in record 2003-11058-004.) Predictors of the level of benefit derived from nearly 2,000 psychotherapy episodes reported by a nationwide, nonprobability sample of 600 lesbian, gay, and bisexual clients were analyzed using ordinary least squares regression, corrected by generalized-estimating-equation (GEE) procedures for lack of independence in the data. Among the positive predictors of benefit are the following: the year the episode began; the number of sessions in the episode; the client's identifying him- or herself as gay, lesbian, or bisexual at the beginning of the episode and being unconflicted about it; and having a therapist who is female, gay, or lesbian or who trained as a social worker or a psychologist. Negative predictors include having a therapist who is an analyst, who uses reparative therapy, or who violates sexual boundaries. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult attachment orientations, self–other boundary regulation, and splitting tendencies in a college sample.

In a sample of 247 college students, the contributions of adult attachment orientations and several other boundary regulation variables to measures of self-splitting (i.e., the tendency to report diffuse and chaotic self-experiences) and other-splitting (i.e., the tendency to acknowledge unstable perceptions of and feelings toward one's friends) were explored. Adult attachment orientations and self-other boundary regulation variables, respectively, explained unique variance in each criterion measure. High levels of attachment anxiety and self-concealment and low levels of self-other differentiation contributed most prominently to self-splitting, whereas high attachment anxiety, low emotional reactivity, and high needs for social approval best predicted other-splitting. Implications of these findings for advancing a more delineated understanding of splitting tendencies are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stigma, social context, and mental health: Lesbian and gay couples across the transition to adoptive parenthood.

This is the first study to examine change in depression and anxiety across the first year of adoptive parenthood in same-sex couples (90 couples: 52 lesbian, 38 gay male). Given that sexual minorities uniquely contend with sexual orientation-related stigma, this study examined how both internalized and enacted forms of stigma affect the mental health of lesbians and gay men during the transition to parenthood. In addition, the role of contextual support was examined. Higher perceived workplace support, family support, and relationship quality were related to lower depressive and anxious symptoms at the time of the adoption, and higher perceived friend support was related to lower anxiety symptoms. Lower internalized homophobia and higher perceived neighborhood gay-friendliness were related to lower depressive symptoms. Finally, individuals with high internalized homophobia who lived in states with unfavorable legal climates regarding gay adoption experienced the steepest increases in depressive and anxious symptoms. Findings have important implications for counselors working with sexual minorities, especially those experiencing the transition to parenthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The mediating roles of anticipated risks, anticipated benefits, and attitudes on the decision to seek professional help: An attachment perspective.

This study examined the mediating effects of anticipated risks, benefits, and attitudes toward seeking counseling on the link between adult attachment and help-seeking intentions for psychological and interpersonal concerns in a sample of 821 undergraduates. The structural equation modeling results indicated that the link between higher attachment avoidance and less intent to seek help was mediated by lower anticipated benefits, higher anticipated risks, and less positive attitudes toward seeking help. Conversely, the link between higher attachment anxiety and greater intent to seek help was mediated by higher anticipated benefits and risks and more positive attitudes toward seeking help. Thus, attachment contributed to perceptions of the benefits and risks of counseling, which, in turn, influenced help-seeking attitudes and, eventually, help-seeking intentions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: A minority stress model for Asian international students.

This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N = 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining dynamic links between perceived control and health: Longitudinal evidence for differential effects in midlife and old age.

Perceived control and health are often closely linked in adulthood and old age. Little is known, however, about their time-ordered interplay at various phases of adult life. By applying dynamic models to four waves of data over 15.5 years from the Americans' Changing Lives Study, we examined time-ordered relations between perceived control and health in midlife and old age. Results revealed that levels of perceived control predict subsequent changes in health over time in old age (65+ years of age; n = 1,238) but not in midlife (25–64 years of age; n = 2,364). No evidence was found for predictive effects of health for changes in perceived control in either age group. These age-differential findings were corroborated with nested-model comparisons. Predictive effects of perceived control for health were attenuated to the null in models covarying for sociodemographic and psychosocial factors (physical activity, memory, emotional support, and depressive symptoms), suggesting that these variables play an important role in control-health relations. Our discussion focuses on the importance of perceived control for healthy living in old age and the differential implications of perceived control for health in midlife and old age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The experience of power: Examining the effects of power on approach and inhibition tendencies.

Two studies of task-focused dyads tested the approach/inhibition theory of power (P. Keltner, D. H. Gruenfeld, & C. Anderson, in press), which posits that having power increases the tendency to approach and decreases the tendency to inhibit. Results provided preliminary support for the theory: Participants higher in personality dominance or assigned control over resources expressed their true attitudes, experienced more positive and less negative emotion, were more likely to perceive rewards (i.e., that their partner liked them), and were less likely to perceive threats (e.g., that their partner felt anger toward them). Most of these effects were mediated by the sense of power, suggesting that subjective feelings of power are an important component in the effects of power. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Caregiver models of self and others, coping, and depression: Predictors of depression in children with chronic pain.

In a sample of 59 chronically ill pediatric patients and their maternal caregivers, both child-reported pain and caregiver-reported depression predicted child-reported depression. Results further suggested that the association between pain and depression in children is ameliorated by caregiver coping strategies and that how caregivers cope is a function of their attachment-related representations of the self and others. Caregivers with a negative model of the self were more depressed, and those with a negative model of others were more prone to use avoidant coping strategies, and, in turn, to be more depressed. However, the extent to which caregivers with negative models of self used more avoidant and less approach coping appeared to depend on whether they perceived that others were likely to respond to their needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of neonatal striate lesions and visual experience on form discrimination in the rat.

In two experiments the behaviour of light- and dark-reared infant- and adult-operated striate rats was compared on four discrimination tasks and a variety of related transfer and discrimination reversal tests. Infant-operated rats learned all of the discriminations significantly faster and with less failure than did adult-operated animals. Post-operative rearing condition was not found to play a significant role in this performance difference due to age of operation. Though results of transfer tests for neonatal striate animals were comparable to those of controls, results of initial discrimination (and reversal) revealed significant differences in performance between infant operates and control groups. These results are discussed in terms of specification of the nature of the partial "recovery" of sensory and non-sensory functions by the neonatal operate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression ratings, reported sexual risk behaviors, and methamphetamine use: Latent growth curve models of positive change among gay and bisexual men in an outpatient treatment program.

Although the cessation of substance use is the principal concern of drug treatment programs, many individuals in treatment experience co-occurring problems such as mood disruptions and sexual risk behaviors that may complicate their recovery process. This study assessed relationships among dynamic changes tracked over time in methamphetamine use, depression symptoms, and sexual risk behaviors (unprotected anal intercourse) in a sample of 145 methamphetamine-dependent gay and bisexual males enrolled in a 16-week outpatient drug treatment research program. Participants were randomly assigned into 1 of 4 conditions: contingency management (CM), cognitive behavioral therapy (CBT; the control condition), combined CM and CBT, and a tailored gay-specific version of the CBT condition. Using latent growth curve models, the authors assessed the relationship of means (intercepts) and the slopes of the 3 measures of interest over time to test whether changes in methamphetamine use predicted declining rates of depression and risky sexual behavior in tandem. Participants with the greatest downward trajectory in methamphetamine use (urine verified) reported the greatest and quickest decreases in reported depressive symptoms and sexual risk behaviors. The control group reported the most methamphetamine use over the 16 weeks; the tailored gay-specific group reported a more rapidly decreasing slope in methamphetamine use than the other participants. Findings indicate that lowering methamphetamine use itself has a concurrent and synergistic effect on depressive symptoms and risky sexual behavior patterns. This suggests that some users who respond well to treatment may show improvement in these co-occurring problems without a need for more intensive targeted interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of nicotine dose, instructional set, and outcome expectancies on the subjective effects of smoking in the presence of a stressor.

The balanced placebo design (BPD) was used to evaluate the independent effects of nicotine dose and smoking-related expectancies on self-reported anxiety, urge to smoke, and withdrawal symptoms. After anxious mood was induced, participants smoked either a de-nicotinized cigarette or one with standard nicotine content. Nicotine dose was crossed with instructions that the cigarette was either de-nicotinized or standard. Nicotine cigarettes produced greater anxiety reduction than de-nicotinized cigarettes. Nicotine instructions attenuated anxiety only among those who held relevant expectancies. Nicotine dose and instructional set interacted such that either nicotine cigarettes or instructions that the cigarettes contained nicotine were sufficient to reduce urge to smoke. Implications of these findings and methodological issues regarding use of the BPD with cigarettes are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The efficacy of using music in children of divorce groups: Impact on anxiety, depression, and irrational beliefs about divorce.

This study examined the efficacy of a children of divorce group using music as an intervention in comparison to a more traditional psychoeducational children of divorce group. It was predicted that children of divorce groups that utilized music would have a significantly greater impact on the children's levels of anxiety, depression, and irrational beliefs about divorce after the group ended and at a 3-month follow-up assessment. Both interventions significantly decreased cognitive and social anxiety and all irrational beliefs about divorce, except hope of reunification. Depression did not decrease for all participants but when the relationship between depression and irrational beliefs was examined, irrational beliefs were found to be mediators of depression for children of divorce. These results suggest that current interventions for children of divorce do decrease anxiety and irrational beliefs in general, but specifically addressing irrational beliefs may also decrease depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The verbal threat information pathway to fear in children: The longitudinal effects on fear cognitions and the immediate effects on avoidance behavior.

Verbal information has long been assumed to be an indirect pathway to fear. Children (aged 6-8 or 12-13 years) were exposed to threat, positive, or no information about 3 novel animals to see the long-term impact on their fear cognitions and the immediate impact on avoidance behavior. Their directly (self-report) and indirectly (implicit association task) measured attitudes toward the animals changed congruent with the information provided, and the changes persisted up to 6 months later. Verbal threat information also induced behavioral avoidance of the animal. Younger children formed stronger animal- threat and animal-safe associations because of threat and positive verbal information than older children, but there were negligible age effects on self-reported fear beliefs and avoidance behaviors. These results support theories of fear acquisition that suppose that verbal information affects components of the fear emotion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Links in the chain of adversity following job loss: How financial strain and loss of personal control lead to depression, impaired functioning, and poor health.

The authors tested hypotheses concerning risk mechanisms that follow involuntary job loss resulting in depression and the link between depression and poor health and functioning. A 2-year longitudinal study of 756 people experiencing job loss indicates that the critical mediating mechanisms in the chain of adversity from job loss to poor health and functioning are financial strain (FS) and a reduction in personal control (PC). FS mediates the relationship of job loss with depression and PC, whereas reduced PC mediates the adverse impacts of FS and depression on poor functioning and self-reports of poor health. Results suggest that loss of PC is a pathway through which economic adversity is transformed into chronic problems of poor health and impaired role and emotional functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)