Antecedents and consequences of sexual harassment in organizations: A test of an integrated model.

Sexual harassment of women in organizational settings has recently become a topic of interest to researchers and the general public alike. Although numerous studies document its frequency, the development of conceptual models identifying antecedents and consequences of harassment has proceeded at a slower pace. In this article, an empirical test of a recently proposed conceptual model is described. According to the model, organizational climate for sexual harassment and job gender context are critical antecedents of sexual harassment; harassment, in turn, influences work-related variables (e.g., job satisfaction); psychological states (e.g., anxiety and depression); and physical health. On the basis of a sample of women employed at a large, regulated utility company, the model's predictions were generally supported. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How does sexual minority stigma “get under the skin”? A psychological mediation framework.

Sexual minorities are at increased risk for multiple mental health burdens compared with heterosexuals. The field has identified 2 distinct determinants of this risk, including group-specific minority stressors and general psychological processes that are common across sexual orientations. The goal of the present article is to develop a theoretical framework that integrates the important insights from these literatures. The framework postulates that (a) sexual minorities confront increased stress exposure resulting from stigma; (b) this stigma-related stress creates elevations in general emotion dysregulation, social/interpersonal problems, and cognitive processes conferring risk for psychopathology; and (c) these processes in turn mediate the relationship between stigma-related stress and psychopathology. It is argued that this framework can, theoretically, illuminate how stigma adversely affects mental health and, practically, inform clinical interventions. Evidence for the predictive validity of this framework is reviewed, with particular attention paid to illustrative examples from research on depression, anxiety, and alcohol-use disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescents who work: Health and behavioral consequences of job stress.

Compared 212 10th and 11th graders holding their 1st part-time jobs with 319 youngsters who had never worked, with respect to self-reported frequency of psychological and physical health symptoms, school absence, and use of cigarettes, alcohol, marihuana, and other drugs. These aspects of health and well-being, along with job absence, were examined in the workers as a function of exposure to 6 types of job stress and to significant life changes. Findings indicate that workers, especially boys, reported fewer somatic symptoms than nonworkers; and that boys who worked under stress reported fewer somatic and psychological symptoms than boys who held less stressful jobs. Exposure to job stress was related to alcohol and marihuana use for both boys and girls. Although poor environmental conditions appeared to operate as a stressor for both sexes, some stressors were sex-specific: Constraints on autonomy adversely affected boys but not girls, whereas an impersonal work setting adversely affected girls but not boys. No support was found for the hypothesis that the effects of job stress are accentuated by more general life stress. These findings indicate that adolescents who work experience both benefits and disadvantages. However, closer examination of the apparent positive effects of working on boy's health suggests alternative explanations. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's health: Review and research agenda as we approach the 21st century.

This article reviews past research and projects future research directions regarding women's health. Sex differences in mortality and morbidity, along with evidence that the quality and quantity of these differences are changing, are examined. Over the past decade, concurrent with dramatic changes in lifestyle and social roles for women, mortality rates have shifted, resulting in a decreasing advantage for women. Explaining the consequences of these dynamic changes requires understanding the health effects of such variables as perceived control, the experience of life roles, perceived and actual social support, and redefinition of gender roles. The future portends additional changes that will significantly affect women's health. In establishing an explicit psychological research agenda on women's health, (a) general recommendations for research are provided and (b) important issues that have not yet received a great deal of research attention (e.g., women and acquired immune deficiency syndrome [AIDS], psychopharmacology, reproductive technologies) are highlighted. This article expands the current discourse in health psychology and raises a number of issues for serious consideration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A relationship between childhood sexual abuse and professional sexual misconduct.

This article identifies specific factors that place therapists at risk for engaging in sexual activity with clients and provides guidelines to minimize the likelihood of such behavior. In a national, randomly drawn sample of 323 mental health practitioners, 3 of 5 men who reported severe childhood sexual abuse and whose psychological symptoms met the criteria for a high degree of psychological distress reported sexual boundary violations with clients. High-risk clinicians should avoid the isolation of private practice, closely monitor their boundaries with clients, obtain ongoing professional supervision, and seek personal psychotherapy to address any remaining abuse-related issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexism in the theory and practice of clinical psychology.

Examines the major schools of clinical psychology with regard to implications for the psychology of women. Theoretical orientations are compared in terms of the emphasis placed on biographical vs social determinants of personality development and psychopathology. It is concluded that a purely psychological approach is indadequate and that a model integrating sociological and psychological factors is necessary for understanding and treating mental health problems in women. The attitudes and values of individual professionals will be a major influence in maintaining or eliminating sexism in clinical psychology. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual self-schema and sexual morbidity among gynecologic cancer survivors.

Longitudinal research indicates that approximately 50% of women treated for gynecologic cancer have sexual dysfunctions as they recover and become cancer survivors. This outcome occurs in the context of satisfactory quality of life in other domains. This study, comparing gynecologic cancer survivors (n?=?61) and gynecologically healthy women (n?=?74), documents the reliability of the latter observations with measures of quality of life (general, depressive symptoms, social contacts, and stress), sexual functioning, and health. Of added importance are analyses focused on variables that may predict risk for sexual morbidity. Specifically, sexual self-schema is tested as an important, sexually relevant individual difference. In regression analyses that controlled for estimates of precancer sexual behavior (intercourse frequency), extent of disease–treatment, and menopausal symptoms, sexual self-schema accounted for significant variance in predicting current sexual behavior and responsiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Methodological issues in the study of sexual abuse effects.

Despite its relative infancy, child abuse research has provided a substantial literature on the psychological sequelae of sexual molestation. These findings have been helpful in informing social policy and guiding mental health practice. Because of the recency of interest in this area, however, as well as the costs and time investment associated with more rigorous longitudinal research, many of these studies have used correlational designs and retrospective reports of abuse. The implications of this methodology are outlined, and remedies are suggested where possible. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial aspects of selected issues in women's reproductive health: Current status and future directions.

Emphasizing research published in the past decade, this article presents a summary and evaluation of psychosocial investigations of women's reproductive health, with a focus on selected aspects of menstruation, pregnancy and birth, infertility, and menopause. In some areas, studies have focused on negative physical and psychological concomitants of these health issues. However, research reveals substantial individual variability, with most women adapting well to reproductive health changes. Although methodological and conceptual shortcomings have limited firm conclusions, research has advanced our understanding of the multivariate biological, psychological, and social influences on women's reproductive health and associated outcomes. Understanding and promoting women's reproductive health across the lifespan requires biopsychosocial approaches to research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of minority stress on mental health and substance use among sexual minority women.

Objective: We examined the direct and indirect impact of minority stress on mental health and substance use among sexual minority women. Method: A combination of snowball and targeted sampling strategies was used to recruit lesbian and bisexual women (N = 1,381) for a cross-sectional, online survey. Participants (M age = 33.54 years; 74% White) completed a questionnaire assessing gender expression, minority stressors (i.e., victimization, internalized homophobia, and concealment), social–psychological resources (i.e., social support, spirituality), and health-related outcomes. We used structural equation modeling to test associations among these factors, with gender expression as an antecedent and social–psychological resources as a mediator between minority stress and health. Results: The final model demonstrated acceptable fit, χ2(79) = 414.00, p confirmatory fit index = .93, Tucker–Lewis index = .91, standardized root-mean-square residual = .05, root-mean-square error of approximation = .06, accounting for significant portions of the variance in mental health problems (56%) and substance use (14%), as well as the mediator social–psychological resources (24%). Beyond indirect effects of minority stress on health outcomes, direct links emerged between victimization and substance use and between internalized homophobia and substance use. Conclusions: Findings indicate a significant impact of minority stressors and social–psychological resources on mental health and substance use among sexual minority women. The results improve understanding of the distinct role of various minority stressors and their mechanisms on health outcomes. Health care professionals should assess for minority stress and coping resources and refer for evidence-based psychosocial treatments. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Sexual issues and aging within the context of work with older adult patients.

Recent studies suggest that the majority of older men and women maintain moderate or high levels of sexual interest well into their 70s but often experience sexual dysfunction. Given the burgeoning of the older adult population, psychologists are increasingly likely to find older patients in their practice with questions or concerns about sexuality. The goal of this article is to provide psychologists with current information regarding sexuality and aging, including general prevalence data, age-related biological changes (e.g., menopause), incontinence, erectile dysfunction, prostate changes, male performance-enhancing drugs (e.g., Viagra), medications' sexual side effects, and sexually transmitted diseases, including HIV/AIDS. Practice guidelines endorse a biopsychosocial perspective, in which stereotypes, gender, partner availability, socioeconomic status, ethnicity, religious beliefs, and sexual orientation are examined. Clinicians' potentially negative countertransference also should be recognized and worked through. Case examples illustrate many of these concepts, and directions for future research and patient care are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life transitions and mental health in a national cohort of young Australian women.

Young adulthood, a time of major life transitions and risk of poor mental health, may affect emotional well-being throughout adult life. This article uses longitudinal survey data to examine young Australian women's transitions across 4 domains: residential independence, relationships, work and study, and motherhood. Changes over 3 years in health-related quality of life, optimism, depressive symptoms, stress, and life satisfaction, were examined in relation to these transitions among 7,619 young adult participants in the nationally representative Australian Longitudinal Study on Women's Health. Positive changes in mental health occurred for women moving into cohabitation and marriage, whereas reductions were observed among those experiencing marital separation or divorce and those taking on or remaining in traditionally "feminine" roles (out of the workforce, motherhood). The data suggest that women cope well with major life changes at this life stage, but reductions in psychological well-being are associated with some transitions. The findings suggest that preventive interventions to improve women's resilience and coping might target women undergoing these transitions and that social structures may not be providing sufficient support for women making traditional life choices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's health in midlife: the influence of the menopause, social factors and health in earlier life

OBJECTIVE: To describe the health symptoms of a large representative sample of British women at age 47 years, and to examine the influence of the menopause allowing for social factors and health in earlier adult life. DESIGN: A national prospective birth cohort study. Information on health problems, menstrual cycle, use of hormone replacement therapy and life stress at 47 years was collected using a postal questionnaire. Information on health, smoking behaviour and educational attainment earlier in life had been collected at previous home visits. SETTING: England, Scotland and Wales. POPULATION: A general population sample of 1498 women, 84% of those sent a questionnaire. MAIN OUTCOME MEASURE: Twenty self-reported health symptoms over the previous 12 months. RESULTS: Women who had experienced an early natural menopause had a strongly raised risk of vasomotor symptoms (hot flushes or night sweats), sexual difficulties (vaginal dryness or difficulties with intercourse) and trouble sleeping. However, there was little or no excess risk of other somatic or psychological symptoms. In contrast, all types of symptoms were more common among women who had had a hysterectomy or were users of hormone replacement therapy. Women with the least education, stressful lives, or a previous history of poor physical and psychological health at age 36 also reported more symptoms at 47 years compared with other women, but adjustment for these factors in a logistic regression model did not affect the relations between symptoms and current menopausal status. For vasomotor symptoms, postmenopausal women had an adjusted odds ratio of 4.7 (95% CI 2.6-8.5) and perimenopausal women had an adjusted odds ratio of 2.6 (95% CI 1.9-3.5) compared with premenopausal women. Corresponding adjusted odds ratios for sexual difficulties were 3.9 (95% CI 2.1-7.1) and 2.2 (95% CI 1.4-3.2), and for trouble sleeping were 3.4 (95% CI 1.9-6.2) and 1.5 (95% CI 1.1-2.0). CONCLUSIONS: Specific symptoms were clearly associated with the natural menopause. More general health concerns were common among women in middle life, particularly among those with stressful lives, or those who had had a hysterectomy or started taking hormone replacement therapy before they were postmenopausal. Appropriate advice and support needs to be easily accessible.     

Roles of perceived sexist events and perceived social support in the mental health of women seeking counseling.

The authors of the present study contribute to research on the role of sexist events in women's mental health by examining the sexism-distress relation (a) with a sample of women who are seeking mental health services and (b) in the context of the additional roles of perceived social support in positive self-appraisal (i.e., empowerment and self-esteem) and psychological distress. A path analysis was conducted with data from 157 women who were seeking counseling services. Results supported the generalizability of previously observed links between the frequency of perceived sexist events and psychological distress. Results also indicated that the sexism-distress link was significant in the context of an additional significant indirect relation of perceived social support with psychological distress, which was mediated through empowerment but not through self-esteem. Implications for future research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health professionals versus non-mental-health professionals: Childhood trauma and adult functioning.

Research on childhood family environments of mental health professionals suggests that therapists are often raised in dysfunctional families and experience significant psychological distress in adult life. This study examined the prevalence of childhood trauma, family dysfunction, and current psychological distress among female mental health professionals (N?=?340) and compared it with the prevalence among women working in other professions (N?=?2,623). Psychotherapists reported higher rates of physical abuse, sexual molestation, parental alcoholism, psychiatric hospitalization of a parent, death of a family member, and greater family dysfunction in their families of origin than did other professionals. As adults, psychotherapists experienced less anxiety, depression, dissociation, sleep disturbance, and impairment in interpersonal relationships than did women in professions other than mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between prior sexual abuse and reactions to sexual harrassment: Literature review and empirical study.

This article examines whether individuals who have had prior sexual abuse experiences, including sexual harassment (SH) and child sexual abuse, are hypersensitive to potential SH-related stimuli or overreact to social sexual experiences. Some psychologists and legal scholars suggest that previous sexual abuse or exposure to violence against women produces altered perceptions of current interactions and situations in those women. The review of the extant empirical literature examining such relationships and the findings presented here in an interrelated set of 5 studies provide little general or consistent support for a relationship between prior abuse experiences and current perceptions about SH. Caution is advised in judging either the veracity of an SH complaint or the objectivity of a potential juror's reaction to such a claim on the basis of her prior sexual abuse experiences. The literature review and empirical study lend weight to the irrelevance of such inquiries in judging credibility of SH complainants. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Violence against women by male partners: Prevalence, outcomes, and policy implications.

Violence against women has only recently been addressed in national policy and legislation. Responses by most societal institutions to women assaulted by male partners are still based primarily on a lack of knowledge about the prevalence, severity, and outcomes of violence perpetrated by men against female intimates. Although well suited to make a vital contribution, psychologists still rarely involve themselves in proactive interventions with women victims. This article reviews empirical literature on the physical and sexual assault of women by their male intimates and discusses potential physical and psychological outcomes, with a focus on linking what is known about abused women's reactions with the rich literature on survivors' responses to trauma. Implications for research, treatment interventions, and policy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dimensions of subjective adjustment.

"A representative sample of the resident population of adults in the United States was interviewed about their feelings of distress in different life areas: perceptions of the self; symptoms of distress; adjustment in marriage parenthood, and work." Factor analysis of these data revealed the presence of 5 separate dimensions through which distress may be expressed: anxiety, unhappiness, sense of social inadequacy, lack of identity, and physical ill health. Men and women were distinguished by distress being expressed through physical ill health for men, psychological symptoms for women. The study indicates that psychological adjustment is multi-rather than unidimensional. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Violence in the lives of women having abortions: Implications for practice and public policy.

What do professional psychologists need to know to treat women who once had an abortion? Analyses of responses from 2,525 women revealed that women who reported an abortion were more likely than others to report symptoms of depression and lower life satisfaction. However, they were also more likely to experience rape, childhood physical and sexual abuse, and a violent partner. When history of abuse, partner characteristics, and background variables were controlled, abortion was not related to poorer mental health. This underscores the need to explore the effects of violence in women's lives to avoid misattributing psychological distress to abortion experiences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Guidelines for Psychological Practice With Older Adults.

Presents the American Psychological Association Guidelines for psychological practice with older adults. The present document is intended to assist psychologists in evaluating their own readiness for working clinically with older adults and in seeking and using appropriate education and training to increase their knowledge, skills, and experience relevant to this area of practice, when desired and appropriate. The specific goals of these guidelines are to provide practitioners with (a) a frame of reference for engaging in clinical work with older adults and (b) basic information and further references in the areas of attitudes, general aspects of aging, clinical issues, assessment, intervention, consultation, and continuing education and training relative to work with older adults. These guidelines build on, and are intended to be entirely consistent with, the APA's (2002a) "Ethical Principles of Psychologists and Code of Conduct" and other APA policies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)