Goal adjustment capacities, coping, and subjective well-being: The sample case of caregiving for a family member with mental illness.

This study examined the associations between goal adjustment capacities, coping, and indicators of subjective well-being in 2 waves of data from individuals who provide care for a family member with mental illness. We hypothesized that goal adjustment capacities would predict higher levels of subjective well-being by facilitating coping with caregiving stress. Results showed that goal disengagement was associated with effective care-specific coping (e.g., less self-blame and substance use). Goal reengagement was also associated with effective care-specific coping (e.g., positive reframing), but at the same time it predicted the use of less effective strategies (e.g., venting and self-distraction). Moreover, goal disengagement predicted lower levels of caregiver burden and depressive symptoms and buffered the longitudinal effect of caregiver burden on increases in depressive symptoms. Goal reengagement, by contrast, predicted higher levels of caregiver burden and purpose in life and buffered the cross-sectional association between caregiver burden and depressive symptoms. Finally, effective (and less useful) care-specific coping statistically explained the adaptive (and maladaptive) effects of goal adjustment capacities on participants' well-being. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Romantic attachment in individuals with physical disabilities.

Objective: To examine the relationship between adult attachment style and physical disability in intimate romantic relationships. Method: Participants were 50 individuals with adult-onset spinal cord injuries (SCI) and 50 individuals with congenital disabilities (CON) living in the community. The main outcome measures were adult attachment style and dyadic relationship adjustment. Results: Participants with SCI and CON did not differ in rates of secure versus insecure attachment, and the rates of neither group differed significantly from rates reported for persons without disability. Dyadic adjustment was clearly predicted by attachment variables and differed between the participants with SCI and those with CON; individuals with SCI reported greater total dyadic adjustment. Avoidance showed a strong negative association with dyadic satisfaction, but no association was found with dyadic cohesion. Social participation variables were associated with dyadic adjustment. For instance, mobility was positively associated with dyadic satisfaction. Conclusions: Dyadic adjustment in people with disabilities, as in other groups, is affected by attachment style, but disability and social participation variables may also affect dyadic adjustment. Clinicians should consider differences in attachment styles among persons with disabilities and their implications for intimate close relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Goal continuity as a mediator of early retirement adjustment: Testing a multidimensional model.

From a self-psychology perspective, adaptation to changes in life depends on the ability to maintain stable and meaningful life goals and purpose, or goal continuity. Goal continuity was hypothesized to be a mediator of early retirement adjustment (RA), being a variable between personal and social resources and life adjustment. A multidimensional model of RA was tested with self-report and interviewer indexes from a sample of 157 voluntary early retirees. Structural relations modeling indicated that social support did not directly influence adjustment but was associated with increases in goal continuity, which was linked to increases in leisure quality and life satisfaction. Implications for further research and for the role of personality in mediating midlife and early RA are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

College student drinking and meaning in the pursuit of life goals.

The current study was designed to examine the association between risky alcohol use and life goals among college students. Introductory psychology students completed a questionnaire that included measures of typical life goals and alcohol use behavior. Students listed their 5 most typical life goals and rated them each on a series of dimensions from which 2 factors were derived (i.e., Goal Meaning, Goal Efficacy). Hierarchical regression analyses showed that the lower levels of goal meaning were associated with more heavy episodic use of alcohol and alcohol-related negative consequences. Results are consistent with motivational models of drinking that depict alcohol use as a function of satisfaction from other life goals. Findings support the importance of understanding college student drinking within the broader context of life goal appraisal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial adjustment of adolescent children of a depressed, arthritic, or normal parent.

Examined the joint effects of having a parent with a psychological or physical disability and stressful life events on the mental health of 3 groups of adolescents: 16 adolescent children of a depressed parent, 16 adolescent children of a parent with rheumatoid arthritis, and 16 adolescent children of parents free from psychological or physical disability. Ss were asked to complete a battery of assessments, including the SCL-90, Rosenberg Self-Esteem Scale, Family Environment Scale, and scales assessing life events and satisfaction with school. It was found that, in contrast to the normal group, Ss with arthritic parents reported lower self-esteem, whereas Ss with depressed parents reported lower self-esteem and more symptomatology. However, the 2 risk groups did not differ in terms of mental health or family and school adjustment. Both negative and positive life events were strongly related to poorer adjustment, but only for Ss with depressed and arthritic parents. There was a significant interaction effect of parental disability (depressed vs normal) and negative life events on symptomatology, with the Ss with depressed parents who experienced few negative life events reporting symptom levels equivalent to that of the normal group. Within-group analyses revealed that a positive familial social climate was related to better adjustment among all 3 groups: satisfactory school involvements were related to better adjustment among the depressed-parent and normal groups. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are physical activity and symptoms correlates of functional limitations and disability in multiple sclerosis?

Objective: This study examined physical activity and symptoms as correlates of functional limitations and disability among individuals with multiple sclerosis (MS). The authors hypothesized that physical activity and symptoms would be interrelated and that physical activity would be indirectly associated with disability through a pathway that involved functional limitations, whereas symptoms would be directly associated with both functional limitations and disability. Methods: Individuals with MS (N=133) who were recruited through a community organization wore an accelerometer for a 7-day period and completed a paper-and-pencil survey containing the Godin Leisure-Time Exercise Questionnaire (G. Godin & R. J. Shephard, 1985), Symptom Inventory (C. E. Schwartz, T. Vollmer, & H. Lee, 1999), MS-Related Symptom Checklist (E. E. Gulick, 1989), and abbreviated Late-Life Function and Disability Inventory (E. McAuley, J. F. Konopack, R. W. Motl, K. Rosengren, & K. S. Morris, 2005). The data were analyzed using structural equation modeling in AMOS 6.0. Results: The standardized coefficients indicated that (a) physical activity and symptoms were negatively correlated (Φ=-.59); (b) those who were more physically active had better function (γ=.40); (c) those with fewer symptoms had better function (γ=-.46) and less disability (γ=-.29); and (d) those with better function had less disability (β=.63). Conclusion: Findings indicate that physical activity is associated with reduced disability through a pathway that is consistent with S. Z. Nagi's disablement model in individuals with MS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Goal instability and later life adjustment.

A series of analyses on the goal instability personality construct, as measured by the Goal Instability Scale (GIS [S. B. Robbins and M. J. Patton; see PA, Vol 72:16362]), was conducted to establish the construct validity of goal instability as it relates to older adults. This construct was derived from Heinz Kohut's psychology of the self. The sample consisted of a total of 157 voluntary early retirees representing a cross section of worker types from a manufacturing industry. In the first analysis, a series of confirmatory factor analyses supported the hypothesis that the 10-item GIS measures a unitary construct. In the second analysis, GIS was found to be similar across age groups. These findings enhance the conceptual clarity of the goal instability construct and its relevance with regard to older adults. Goal instability may represent 1 negative aspect of a quest for self-continuity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Communal behaviors and psychological adjustment of family caregivers and persons with spinal cord injury.

Objective: Examined the influence of mutual communal behaviors on the adjustment reported by persons with spinal cord injury (SCI) and their family caregivers. Previous research has found that persons who have a history of mutually communal behaviors in relationships may react differently to relationship changes after an acquired physical disability than dyads with few communal behaviors. Method: Family caregivers and persons with SCI were administered measures of mutual communal behaviors, depression, and life satisfaction. Structural equation modeling was used to test the relations among caregivers' communal behaviors and care recipients' communal behaviors, depression, and life satisfaction. Results: Caregiver and care recipient reports of communal behaviors were not significantly correlated. Significant paths indicated that care recipients' communal behavior scores were positively associated with their life satisfaction, and care recipients' depression was inversely associated with their life satisfaction. Caregivers' communal behavior scores were unrelated to their self-reported adjustment. Conclusions: Caregiver-care recipient dyads may differ in their perceptions of communal behaviors in their relationships. Although care recipient reports of communal behavior may be related to their life satisfaction, communal behaviors may not serve a similar function among caregivers of persons with SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Individual viewpoints of stressful life events.

Large sample average ratings of the amount of life change caused by experiencing selected events (e.g., marriage, loss of job, and change of residence) have become a popular means for indexing levels of stress in studies relating social factors to physical disease and psychiatric disability. The present investigation assessed whether change alone provides an adequate representation of the salient qualities of life events and whether individuals differ systematically in their perceptions of qualitative features of events. A 3-mode factor analysis was applied to ratings by 85 undergraduates of 44 events on 6 bipolar scales. Three S factors, 3 event factors, and 3 scale factors were obtained, with the pattern of interrelations among the 3 sets of factors indicating that different types of individuals rated qualities of events in different ways. It is concluded that important characteristics of events may vary widely among individuals and that future assessment of the properties of life stress be both multidimensional and specific for individuals. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbal Learning Ability and Adjustment to Recent-Onset Spinal Cord Injury.

Objective: Investigate the relation between verbal learning and adjustment in individuals in inpatient spinal cord injury (SCI) rehabilitation. Setting: A rehabilitation hospital in the southeastern United States. Study Design: At admission, verbal learning ability and depressive behavior were evaluated. Prior to discharge, acceptance of disability was assessed. Participants: One hundred seven individuals (age range=18-65; 82 men, 25 women; 73 Caucasian, 34 African American). Results: Verbal learning ability accounted for 7% of the variance in acceptance of disability after controlling for demographic variables and depressive behavior. Higher levels of verbal learning ability were associated with disability acceptance. Conclusions: Verbal learning ability is associated with adjustment. Assessment of verbal learning abilities may provide useful information concerning individuals at risk for more complicated adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Education and the risk of physical disability and mortality among men and women aged 65 to 84: the Italian Longitudinal Study on Aging

BACKGROUND: Most studies report that people with higher education enjoy better health and longer life. Although it is well known that most risk factors are more common among individuals with a lower level of education, the underlying mechanism of this association is not fully understood. The objective of this study was to assess the association between education, disability, and mortality. METHODS: We analyzed data on 1,817 men and 1,643 women, aged 65-84 years, to assess the association of educational level with physical disability and mortality adjusting for age, sex, smoking habit, occupation, and major chronic conditions. RESULTS: The association between educational level and disability was characterized by a dose-response effect, with the relative odds significantly decreased by about 30%, 60%, and 79% in those with 4 or 5, 6 to 8, and more than 8 years of education, compared to those with 3 or less years of education. Death rates were lower among persons with 4 or more years of education compared to those with less education. However, after adjusting for disability status, education was no longer associated with mortality (RR=0.97, CI=0.65-1.43). CONCLUSIONS: The strong association of low education with disability found in this study may explain the inverse association with mortality reported in previous studies. Disability, indeed, seems to be the mediator between education and mortality and might be due to the higher severity level of diseases, leading to death, in the lower educated group.     

Longitudinal analysis of physical activity and symptoms as predictors of change in functional limitations and disability in multiple sclerosis.

Objective: This longitudinal, observational study examined changes in physical activity and symptoms as correlates of changes in functional limitations and disability across a 6-month period among individuals with multiple sclerosis (MS). Method: Individuals with MS wore an accelerometer for a 7-day period and completed a battery of measures including the Godin Leisure-Time Exercise Questionnaire (Godin & Shephard, 1985), Symptom Inventory (Schwartz, Vollmer, & Lee, 1999), MS-Related Symptom Checklist (Gulick, 1989), and abbreviated Late-Life Function and Disability Inventory (McAuley, Konopack, Motl, Rosengren, & Morris, 2005) at baseline (n = 292) and 6-month follow-up (n = 276). The data were analyzed using panel analysis with latent variables in AMOS 16.0. Results: The standardized coefficients indicated that (a) change in physical activity was associated with residual change in function (β = .22), (b) change in symptoms was associated with residual changes in both function (β = –.29) and disability (γ = –.15), and (c) change in function was associated with residual change in disability (β = .20). Conclusion: Our findings indicate that change in physical activity is associated with change in disability through a pathway that is consistent with Nagi’s (1976) Disablement Model and its extension in individuals with MS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Autoimmune hyperthyroidism in prepubertal children and adolescents: comparison of clinical and biochemical features at diagnosis and responses to medical therapy

The purpose of this study was: (i) to examine the impact of the clinical severity, anatomical location and treatment of psoriasis on patients' quality of life, and (ii) to investigate the effects of perceptions of psoriasis-related stress on patients' physical and mental health and on areas of disability in everyday life. All patients (n = 204) attending a psoriasis specialty clinic were invited to complete a multidimensional quality of life assessment comprising the Psoriasis Disability Index (PDI), the SF-36 Health Survey and the Psoriasis Life Stress Inventory (PLSI). Results (n = 150) indicated that overall clinical severity of psoriasis as assessed by the Psoriasis Area and Severity Index, and duration of psoriasis, were unrelated to impairment in any areas of quality of life. Anatomical location (social visibility) of psoriasis was associated with self-report of poor physical health (P = 0.01), and there was a modest association with patients' mental health (P = 0.04); however, anatomical location of psoriasis was not significantly associated with self-reported disability in everyday life, or stress scores. Patients who were classified as more reactive to the stress associated with psoriasis (78% of the sample) were functioning less well in terms of their mental health (P = 0.001) and also experienced significantly more disability in all areas of everyday life (P = 0.001). Differences in method of treatment for psoriasis did not significantly affect scores on the psoriasis-specific (PDI; PLSI) or generic (SF-36) quality of life measures. A multiple regression analysis demonstrated that stress resulting from anticipating other people's reactions to their psoriasis contributed more to the variance in patients' disability in everyday life than any other medical or health status variable. The results support the importance of assessing the effects of stress in patients' adjustment to their condition and may indicate a role for adjunctive psychological stress management training for a significant number of patients with psoriasis.     

Imbalance in need structure and maladjustment.

4 studies are reported which replicate the test of the hypothesis that extreme imbalance within a need structure is associated with poorer adjustment. The Rotter Incomplete Sentences Blank (ISB) was the adjustment-maladjustment measure. Imbalance in need structure was measured by Liverant's Goal Preference Inventory which assesses the relative strength of Affection and Recognition needs. Extremely imbalanced and extremely balanced need groups were compared on ISB scores in each of the 4 independent studies. All results were in the predicted direction, with 11 out of 16 comparisons statistically significant. Within the limitations of the measures, the studies provide support for the hypothesis that a structural characteristic of a personality need system—extreme imbalance—is associated with poorer adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Possible Selves of Individuals With Alzheimer's Disease.

This study is one of the first to examine self-goals and their relationship to affect among individuals with Alzheimer's disease (AD). Using the construct of possible selves, the authors collected data from 50 participants with mild to moderate AD and 50 demographically similar cognitively intact older adults. Findings suggest a resourcefulness and flexibility of the self-system in response to the presence of dementia-related concerns. Positive affect was associated with family-related self-goals of AD participants, indicating particular importance of this domain. Some of these responses may represent goal modifications that result in a more satisfactory adjustment to the illness; further inquiry may lead to a better understanding of resiliency and quality of life in persons with AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validity of the Goal Instability scale (modified) as a predictor of adjustment in retirement-age adults.

The validity of the Goal Instability scale as a predictor of adjustment among a retirement-aged population of industrial workers was investigated. A two-part study was conducted (a) to establish the norms and internal reliability of a modified version of the scale with this age group and (b) to examine the predictive validity of the scale within a hierarchical model. Although questions remain, results generally support the validity of the Goal Instability scale as a predictor of adjustment with older adult and retired workers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's pursuit of personal goals in daily life with fibromyalgia: A value-expectancy analysis.

Eighty-nine women with fibromyalgia completed the Life Orientation Test, identified health and social goals, and answered questions from the Goal Systems Assessment Battery (P. Karoly & L. Ruehlman, 1995) about their valuation of, and self-efficiency in attaining, each goal. For 30 days, they responded to palm-top computer interviews about their pain and fatigue and rated their goal effort, goal progress, and pain- and fatigue-related goal barriers. Goal barriers increased and goal efforts and progress decreased on days with greater pain and fatigue; goals valued more highly were pursued more effortfully and successfully; more optimistic individuals were less likely to perceive goal barriers and, on days that were more fatiguing than usual, were less likely to reduce their effort and to retreat from progress in achieving their health goal; and more pessimistic individuals perceived greater goal barriers on days that were less painful than usual. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The results of a 6-month treatment for depression on symptoms, life satisfaction, and community activities among individuals aging with a disability.

Objective: To evaluate the results of treating major depression in individuals aging with a disability. Design: Pre-post quasi-experimental design with a treatment and comparison group over 6 months. Participants: Participants were people with a disability living in a community in Southern California. Fifty-four participants who accepted treatment were compared with 22 individuals who declined treatment. Interventions: Combination of psychotherapy and antidepressant medication. Measures: Depressive symptoms, life satisfaction, and community activities. Results: Treated individuals improved significantly on all 3 measures. Average depression scores declined 50% (p = .001). There was a nonsignificant 12% decline in the comparison group. Conclusion: These results suggest that depression is treatable in this population. Studies that overcome obstacles to randomized clinical trials are needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjustment in aging: The roles of life stress, hassles, and self-efficacy.

Examined the relationship of life stress, daily hassles, and perceived self-efficacy to adjustment in a community sample of 32 men and 32 women (aged 65–75 yrs). In a structured interview, negative life change events, daily hassles, self-efficacy, depression, psychosomatic symptoms, and negative well-being were assessed. Both negative life events and daily hassles were related to psychological distress and physical symptoms for men, and hassles were associated with psychological distress and physical symptoms for women. An inverse relationship between self-efficacy and maladjustment was also found. Hassles showed the most powerful relationship to distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)