Prediction of marital distress: A 5-year follow-up.

26 couples (mean age 20.3 yrs) planning marriage participated in the initial stage of the study, and 9 of the 21 couples remaining intact during the study completed data (including the Marital Relationship Inventory) at all 3 follow-up points. A correlation coefficient of .59 was obtained, indicating that the more positively premarital couples had rated their communication, the more satisfied they were with their relationship 5? yrs later. Findings are consistent with the social learning model of marriage hypothesis that communication deficits precede the development of marital distress. (4 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Linkages between spouses' psychological distress and marital conflict in the home.

To elucidate the processes that underlie the established association between psychopathology and marital functioning, researchers have given attention to how symptomatic individuals manage their interpersonal contexts, particularly during the handling of disagreements. In the current study, the authors evaluate the role of marital conflict strategies in relation to wives' and husbands' psychological distress levels. A sample of 100 community-based couples completed assessments of psychological distress and diaries describing marital conflict that occurred at home during a 15-day reporting period. Findings from multilevel modeling of dyadic data revealed associations between both spouses' psychological distress and multiple behavioral and emotional conflict expressions in the home. Psychological symptoms uniquely predicted the occurrence of certain conflict expressions, even when accounting for global negative marital sentiments. The findings encourage subsequent consideration of marital conflict expressions and resolution strategies when studying processes involved in the marriage-psychological adjustment link. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevention of marital distress: A longitudinal investigation.

This study examines the impact of an intervention designed to prevent divorce and marital distress. Both short- and long-term effects of a cognitive-behavioral marital distress prevention program were assessed. Forty-two couples planning marriage were matched and randomly assigned to intervention (n?=?21) and control (n?=?21) conditions. Couples participated in pre- and postintervention assessment sessions and in similar assessment sessions 1? years and 3 years later. The intervention emphasized communication and problem-solving skills, clarifying and sharing expectations, and sensual/sexual enhancement. Although postintervention results indicated that couples learned the skills taught in the program, no group differences emerged on self-report measures of relationship quality. At 1? years, intervention couples showed higher levels of relationship satisfaction than control couples. At 3 years, intervention couples showed higher levels of both relationship satisfaction and sexual satisfaction and lower levels of problem intensity. These data support cost-effective prevention programs for attacking the major social problem of divorce. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Subcostal, 3-4 cm, mini-cholecystectomy. A 3-year follow-up

The authors report the results of mini-cholecystectomy performed through a 3 to 4 cm long subcostal incision in 29 patients with the diagnosis of acute or chronic cholecystitis, from February 1991 to November 1922. Some of the patients were obese, diabetics or presented as emergency cases. The patients were operated on in the morning, as in laparoscopic cholecystectomy, began oral intake in the afternoon and were discharged on the day after surgery. Dissection of the gallbladder was facilitated by the use of a modified gynecologic valve and long thin instruments. Duration of surgery varied from 40 to 140 minutes. Patients could return to work on the third day after surgery. Notably, the costs/benefits were on the third more favorable than those of laparoscopic cholecystectomy.     

Predicting marital dissolution: A 5-year prospective longitudinal study of newlywed couples.

Examined how well marital dissolution was predicted by husbands' and wives' personal demographic scores, couple demographic scores, husbands' and wives' individual-differences scores, husbands' and wives' interdependence scores, and the size of the discrepancy between spouses' individual-differences scores as well as their interdependence scores. Over 5 annual assessments, 222 newlywed couples remained together and 64 dissolved their marriages. Variables from each of the 4 sets of scores reliably discriminated between stable and unstable couples. For a subsample of couples on whom multiple assessments were available, husbands and wives who would dissolve their marriage showed a greater decline in interdependence scores and had greater increases in discrepancies on interdependence variables than did husbands and wives from stable couples who were assessed at comparable times. Marital dissolution is discussed in terms of interrelated distal and proximal risk factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mom and dad are at it again: Adolescent perceptions of marital conflict and adolescent psychological distress.

In these two studies. the authors used children's perceptions of family relationships to examine simultaneously direct and indirect links between marital conflict and child adjustment. With data pertaining to 146 sixth and seventh graders, Study 1 supported direct and indirect effects of perceptions of marital conflict on internalizing behaviors, and indirect effects for externalizing behaviors. In Study 2, data analyzed from 451 families showed indirect effects of marital conflict and parent-to-child hostility, through adolescent perceptions of such behavior, on both current distress and distress 12 months later in 3 of 4 models estimated. Direct and indirect effects were found for boys' concurrent internalizing behavior. Implications and limitations of both studies are discussed to address the need for a more sophisticated theoretical approach to examine why an association exists between marital conflict and child adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Misunderstandings in marital communication: A study of couples' nonverbal communication.

Each member of 48 married couples (Cs) sent a standard set of ambiguous messages to his or her spouse and decoded a similar set received from the spouse. The ambiguous messages were designed so that the verbal content could have a positive, neutral, or negative meaning depending on the nonverbal communication that accompanied it. All messages were rated by groups of judges who categorized each error as related to encoding or decoding. Females were better encoders than males, particularly with regard to positive messages. Cs with high marital adjustment were able to communicate more effectively, especially in the case of the husbands who sent more clear messages and made fewer errors than those in the low marital adjustment group. Females also had a higher percentage of the errors on their messages accounted for by their spouses' decoding than did males. (49 ref) (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Gender and conflict structure in marital interaction: A replication and extension.

29 married couples engaged in 2 videotaped discussions: 1 in which the husband requested a change in the wife and 1 in which the wife requested a change in the husband. Conflict behavior was assessed by self-report and observer ratings. Neither conflict structure (who requested the change) nor gender was associated with the positivity or negativity of spouses' behavior. During discussions of husbands' issues, wives and husbands did not differ in demand/withdraw behavior, whereas when discussing wives' issues, wives were more demanding and husbands were more withdrawing. Husband-demand/wife-withdraw interaction predicted an increase in wives' satisfaction 1 yr later, whereas wife-demand/husband-withdraw interaction predicted a decline in wives' satisfaction 1 yr later. These results replicate and extend those of an earlier study (A. Christensen and C. L. Heavey; see record 1991-01045-001). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The premarital communication roots of marital distress and divorce: The first five years of marriage.

Using data from 210 couples who provided data across the first 5 years of marriage, we examined how premarital communication quality was related to divorce and later distress. The results showed that premarital observed negative and positive communication nearly reached significance as predictors of divorce, while self-reported negative communication was significantly associated with divorce. In terms of marital adjustment, we found that both premarital observed and self-reported negative premarital communication (but not observed positive communication) were associated with lower adjustment during the first 5 years of marriage. The most important questions addressed in this study pertain to how positive and negative dimensions of communication change over time and how these changes are related to being distressed or nondistressed after 5 years of marriage. This is the first study, to our knowledge, to examine the changes in communication over time that are so central to theories of the development of marital distress and for research-based interventions. We found that all couples showed decreases in negative communication over time, but the nondistressed group declined significantly more than the distressed group in negative communication, suggesting they are handling negative emotions better. Implications for future research on the development of relationship distress and for enhancing research-based couples' intervention programs are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coparenting: A link between marital conflict and parenting in two-parent families.

Coparenting is examined as an explanatory link between marital conflict and parent–child relations in 2-parent families. Data were collected from 3 samples (pilot sample, n?=?220 mothers; preadolescent sample, n?=?75 couples; preschool sample, n?=?172 couples) by using the Coparenting Questionnaire (G. Margolin, 1992b) to assess parents' perceptions of one another on 3 dimensions—cooperation, triangulation, and conflict. Main effects for child's age and for parents' gender were found for cooperation, and an interaction between parent and child gender was found for triangulation. Regression analyses were consistent with a model of coparenting mediating the relationship between marital conflict and parenting. Discussion addresses the theoretical and clinical importance of viewing coparenting as conceptually separate from other family processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family and individual therapy in anorexia nervosa. A 5-year follow-up

The high prevalence of premature attrition from psychotherapy is a phenomenon which has been well recognized in the psychological literature. The pressing concern that a number of clients may not be benefiting from treatment because they are dropping out has led to a plethora of research in the area of individual psychotherapy. No studies, however, have attempted to investigate the characteristics of dropout in group cognitive behaviour therapy for depression. To address this gap in research, the present study examined the factors associated with dropout in a group cognitive behaviour therapy for depression, using 131 Ss who went through the group therapy for 12 weeks. The results showed that sociodemographic measures (e.g. age) and measures of depressive symptoms (e.g. depression scores) did not discriminate dropouts from completers. An investigation of patterns of mood changes in the course of the therapy also failed to find significant differences between the dropouts and completers. However, weekly therapist rating of client participation revealed that dropouts participated significantly less than completers during the therapy sessions. The results are discussed in light of the findings of current literature and future research in premature attrition.     

Borderline disorder in Turkey: a 2- to 4-year follow-up

1. Conventional and germ-free rats were fed a fibre-free elemental diet with or without the addition of fermentable dietary fibres. We have previously reported that fibre was associated with greatly increased epithelial cell proliferation, but only in the conventional group, implying that it is the breakdown of fibre by the colonic microflora that is the main determinant of mucosal proliferation in the hind gut. The relationship of these changes to various plasma hormones implicated in intestinal growth control are described in this paper. 2. The most dramatic finding was that plasma levels of enteroglucagon and peptide YY were greatly increased in the germ-free groups. The response of these rats to fibre differed in that fibre decreased levels of enteroglucagon and peptide YY in the germ-free animals, but increased them in the conventional rats. Gastrin and insulin levels were significantly lowered in the fibre-supplemented groups, but were not affected by the microflora. 3. These results corroborate our previous findings that the effects of fibre and its fermentation are dynamically complex, and demonstrate that, like proliferation, direct effects and indirect fermentation-derived effects on plasma hormones also coexist.     

Children's responses to adult–adult and mother–child arguments: The role of parental marital conflict and distress.

Children's responses to verbal and physical conflict between adult–adult, mother–girl, and mother–boy participants were examined as a function of parental marital conflict. Seven- to 9-year-olds viewed videotaped arguments and were then interviewed. In comparison with children from low-conflict homes, children from high-conflict homes perceived the actors engaged in both the interadult and mother–child disputes as more angry and reported feeling more fearful during these arguments. The results extend support for the sensitization hypothesis and indicate that parental marital conflict exacerbates children's perceptions of conflict and fear responding to not only interadult disputes but also to mother–girl and mother–boy conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A component analysis of behavioral marital therapy: The relative effectiveness of behavior exchange and communication/problem-solving training.

Compared the relative effectiveness of behavioral marital therapy (BMT) with 2 of its major components, behavior exchange (BE) and communication/problem-solving training (CPT), each presented in isolation. 33 married couples seeking therapy were randomly assigned to 1 of these 3 treatments or to a waiting-list control group. Three doctoral candidates and 1 masters-level counselor served as therapists. All treatments involved 12–26 therapy sessions. The effects of therapy were evaluated using measures of global marital satisfaction (Dyadic Adjustment Scale), presenting problem checklists, and spouse reports of behavior at home. Treated couples showed significant improvement, relative to untreated couples. Complete BMT was no more effective than either BE or CPT at posttest. BE led to significantly greater increases in positive behavior than CPT. At a 6-mo follow-up, there was a tendency for BE couples to reverse their progress, whereas couples receiving CPT—either alone or in conjunction with BE—generally maintained their treatment gains or continued to improve. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A 12-month follow-up of homogeneous and heterogeneous anxiety management training.

Reports the 12-mo follow-up of a study that compared the effectiveness of homogeneous or heterogeneous anxiety management training (AMT) in the reduction of targeted (test or speech) and nontargeted anxieties in 87 college students. At this follow-up, both forms of AMT led to continued reports of significantly less debilitating test or speech anxiety than exhibited by controls. Whereas neither the test nor speech anxious samples alone evidenced nontargeted anxiety reduction at the extended follow-up, the combined AMT group reported significantly less nontargeted anxiety than the combined control group on 1 of 2 nontargeted anxiety measures. No significant differences among groups were found for university retention or grades. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A prospective 4- to 5-year study of DSM-III-R hypochondriasis

BACKGROUND: Although hypochondriasis is generally thought to be a chronic and stable condition with a relatively low remission rate, this disorder remains understudied. METHODS: This is a 4- to 5-year prospective case-control study of DSM-III-R hypochondriasis. Medical outpatients meeting DSM diagnostic criteria for hypochondriasis completed an extensive research battery assessing hypochondriacal symptoms, medical and psychiatric comorbidity, functional status and role impairment, and medical care. A comparison group of nonhypochondriacal patients from the same setting underwent the same battery. Four to 5 years later, both cohorts were re-interviewed. RESULTS: One hundred twenty hypochondriacal and 133 nonhypochondriacal comparison patients were originally studied. Follow-up was obtained on 73.5% (n = 186) of all patients. At follow-up, the hypochondriacal sample was significantly (P<.001) less hypochondriacal and had less somatization (P<.001) and disability than at inception, but 63.5% (n = 54) still met DSM-III-R diagnostic criteria. When compared with the comparison group using repeated measures multivariate analysis of variance, these changes remained statistically significant (P<.0001). Changes in medical and psychiatric comorbidity did not differ between the 2 groups. When hypochondriacal patients who did and did not meet diagnostic criteria at follow-up were compared, the latter had significantly less disease conviction (P<.05) and somatization (P<.01) at inception, and their incidence of major medical illness during the follow-up period was significantly (P<.05) greater. CONCLUSIONS: Hypochondriacal patients show a considerable decline in symptoms and improvement in role functioning over 4 to 5 years but two thirds of them still meet diagnostic criteria. Hypochondriasis, therefore, carries a very substantial, long-term burden of morbidity, functional impairment, and personal distress.     

Predicting marital distress and dissolution: Refining the two-factor hypothesis.

Measures of communication, hostility, and neuroticism taken from 85 couples from Germany before marriage were used to predict marital outcomes 5 years later. Hostility and neuroticism discriminated between couples who separated or divorced after 5 years and those who remained married, whereas communication discriminated between married-satisfied and married- dissatisfied couples. Only hostility and neuroticism predicted marital satisfaction at 18 months, suggesting that these factors contribute to rapid, early declines in marital functioning. The authors conclude that poor communication alone cannot account for the full range of marital outcomes and that skill-based models of marriage can be strengthened by considering relatively rare exchanges between partners (e.g., aggression) and their enduring vulnerabilities (e.g., neuroticism). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations between spouses' depressive symptoms and marital conflict: A longitudinal investigation of the role of conflict resolution styles.

This study investigated longitudinal relations between spouses' depressive symptoms and styles of conflict resolution displayed by husbands and wives in marital conflict, including angry, depressive, and constructive patterns of expression. Behavioral observations were made from a community sample of 276 couples during marital conflict resolution tasks once a year for 3 years. Couples were observed engaging in a major and minor conflict resolution task. Constructive, angry, and depressive conflict resolution styles were derived from the behavioral observation coding. Couples self-reported on depressive symptoms and marital dissatisfaction. Path analyses provided support for an extension of the marital discord model of depression (Beach, Sandeen, & O'Leary, 1990). Specifically, angry, depressive, and constructive styles of conflict each mediated the link between marital dissatisfaction and depressive symptoms. Significant cross-spouse effects were found. Implications for the treatment of depressed and/or relationally discordant couples are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Conjunctival nevi in Denmark 1960-1980. A 21-year follow-up

The clinicopathological characteristics of 343 naevi of the conjunctiva were studied. A significant increase in the number of naevi excised per year was observed. This may have been caused by an increased exposure to actinic rays. An approximately even distribution was found between the three main locations: caruncle, limbal area and eye ball. Intrastromal naevi were excised at a higher median age than compound naevi, and the lowest median age at excision was for junction naevi, which is in accordance with the known histopathological nature of naevi. Recurrence occurred in nine patients (2.7%), and one had transformed into a malignant melanoma. Eight of the recurring naevi were located in the limbal area. Eight of the nine patients were women, suggesting hormonal factors as a possible cause. Recommendations for the handling of conjunctival naevi are given, based on the present findings and on previous reports.     

Stability of intelligence: A 40-year follow-up.

Readministered the Revised Examination "M," a measure of intelligence, to 260 men approximately 40 yrs after they had received this test as World War II army recruits. Their average age and educational level was 64.7 yrs and Grade 8.7, respectively. Three sets of scores were compared: those obtained at the time of army enlistment; current scores obtained within the regular time limits of the test; and current scores obtained within double the test's regular time limits. Results indicate a reliable but minor decline in total score in the regular speeded condition and a reliable improvement over wartime total scores in the double-time conditions. Test–retest correlation coefficients, in general, attested to the long-term stability of individual differences among members of the sample. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)