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1.
J Fam Psychol ; 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38421762

RESUMO

Racism affects Black individuals in the United States through multiple institutional, social, and economic injustices. Relationship scientists have called for greater attention to the potentially harmful effects racism might exert on Black families. A small literature has begun to document negative associations between experiences of racism and romantic relationship functioning. However, even less empirical work has focused on a central relationship domain for many Black couples: parenting. The present study used cross-sectional data (N = 312 couples) from low-income Black couples who had recently had a child together. We examined associations between both partners' experiences of racial discrimination and their coparenting relationship quality and parenting stress. We next controlled for depression and relationship dedication as substantive covariates that could guide future research in this area. Actor-partner interdependence models revealed actor associations between discrimination and poorer parenting outcomes and a partner association specifically between one's partner's discrimination experience and own lower coparenting relationship quality. This partner effect was no longer significant, and actor effects were attenuated, when controlling for depression and relationship dedication, respectively. Our findings indicate that the negative effects of racial discrimination on Black couples' relationships are also apparent in the parenting domain, even above and beyond associations of individual depression and relationship dedication. These findings underscore the urgent need for more basic science to better understand the harms of racism for Black families, identify mechanisms that drive those effects, and highlight ways that clinical services can begin to address these impacts even now. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

2.
Mil Med ; 187(5-6): e598-e618, 2022 05 03.
Artigo em Inglês | MEDLINE | ID: mdl-34322709

RESUMO

INTRODUCTION: Military leaders are concerned that active duty members' fear of career impact deters mental health (MH) treatment-seeking. To coalesce research on the actual and perceived consequences of MH treatment on service members' careers, this systematic review of literature on the U.S. Military since 2000 has been investigating the following three research questions: (1) is the manner in which U.S. active duty military members seek MH treatment associated with career-affecting recommendations from providers? (2) Does MH treatment-seeking in U.S. active duty military members impact military careers, compared with not seeking treatment? (3) Do U.S. active duty military members perceive that seeking MH treatment is associated with negative career impacts? MATERIALS AND METHODS: A search of academic databases for keywords "military 'career impact' 'mental health'" resulted in 653 studies, and an additional 51 additional studies were identified through other sources; 61 full-text articles were assessed for eligibility. A supplemental search in Medline, PsycInfo, and Google Scholar replacing "career impact" with "stigma" was also conducted; 54 articles (comprising 61 studies) met the inclusion criteria. RESULTS: As stipulated by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, studies were summarized on the population studied (U.S. Military Service[s]), sample used, intervention type, comparison group employed, outcome variables, and findings. Self-referred, compared with command-directed, service members appear to be less likely to face career-affecting provider recommendations in non-deployed and deployed settings although the data for the latter are not consistent. Of the two studies that tested if MH treatment actually negatively impacts military careers, results showed that those who sought treatment were more likely to be discharged although the casual nature of this relationship cannot be inferred from their design. Last, over one-third of all non-deployed service members, and over half of those who screened positive for psychiatric problems, believe that seeking MH treatments will harm their careers. CONCLUSIONS: Despite considerable efforts to destigmatize MH treatment-seeking, a substantial proportion of service members believe that seeking help will negatively impact their careers. On one hand, these perceptions are somewhat backed by reality, as seeking MH treatment is associated with a higher likelihood of being involuntarily discharged. On the other hand, correlational designs cannot establish causality. Variables that increase both treatment-seeking and discharge could include (1) adverse childhood experiences; (2) elevated psychological problems (including both [a] the often-screened depression, anxiety, and posttraumatic stress problems and [b] problems that can interfere with military service: personality disorders, psychotic disorders, and bipolar disorder, among others); (3) a history of aggressive or behavioral problems; and (4) alcohol use and abuse. In addition, most referrals are self-directed and do not result in any career-affecting provider recommendations. In conclusion, the essential question of this research area-"Does seeking MH treatment, compared with not seeking treatment, cause career harm?"-has not been addressed scientifically. At a minimum, longitudinal studies before treatment initiation are required, with multiple data collection waves comprising symptom measurement, treatment, and other services obtained, and a content-valid measure of career impact.


Assuntos
Transtorno Bipolar , Transtornos Mentais , Serviços de Saúde Mental , Militares , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Saúde Mental , Estigma Social
3.
Fam Process ; 60(4): 1249-1263, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34541663

RESUMO

A large body of existing research on African American relationships perpetuates a deficit model that assumes Eurocentric norms and emphasizes between-group differences (e.g., cross-racial comparisons with the majority group-European Americans). The current study examined within-group variability and the influence of culturally unique factors, Afrocentricity, racial ideology, and perceived discrepancy between self and partner on African American relationship processes. Data were collected from 137 self-identified African American adults in same-race, cross-gender relationships. Consistent with the literature on protective values of Afrocentricity, there was an association between reported relationship quality and high levels of one's own and perceived partner's Afrocentricity. Discrepancies between self and partner Afrocentricity were not associated with relationship processes, but higher perceived discrepancies across all four subscales of racial ideology were associated with lower relationship dedication. Higher perceived discrepancies on the humanist and assimilationist subscales were also related to higher levels of conflict. These findings have important clinical implications and demonstrate a need for further research into the nuances of individual factors and dyadic processes that are unique to African American couples.


Un gran número de investigaciones existentes sobre las relaciones afroestadounidenses perpetúa un modelo deficitario que supone normas eurocéntricas y enfatiza las diferencias entre grupos (p. ej.: las comparaciones interraciales con el grupo mayoritario: los estadounidenses de ascendencia europea). El presente estudio analizó la variabilidad intragrupal y la influencia de los factores culturalmente únicos, la afrocentricidad, la ideología racial y la discrepancia percibida entre el yo y el otro integrante de la pareja en los procesos relacionales afroestadounidenses. Se recolectaron datos de 137 adultos autoidentificados como afroestadounidenses que estaban en relaciones con personas de la misma raza y de diferente género. De acuerdo con las publicaciones sobre los valores protectores de la afrocentricidad, hubo una asociación entre la calidad de la relación informada y los niveles altos de la afrocentricidad propia y de la percibida por el otro integrante de la pareja. Las discrepancias entre la afrocentricidad propia y la del otro integrante de la pareja no estuvieron asociadas con los procesos relacionales, pero las discrepancias mayores percibidas entre las cuatro subescalas de la ideología racial estuvieron asociadas con una menor dedicación a la relación. Las discrepancias mayores percibidas en las subescalas humanista y asimilacionista también estuvieron relacionadas con niveles más altos de conflicto. Estos resultados tienen consecuencias clínicas importantes e indican una necesidad de investigar más profundamente los matices de los factores individuales y los procesos diádicos que son exclusivos de las parejas afroestadounidenses.


Assuntos
Negro ou Afro-Americano , População Branca , Adulto , Identidade de Gênero , Humanos
4.
Fam Process ; 57(4): 915-926, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29577268

RESUMO

This study examined the within-family and between-family associations between fathers' military-related PTSD symptoms and parent ratings of children's behavioral and emotional problems. The sample included married couples (N = 419) with children composed of a civilian wife and an active-duty husband serving in the U.S. Army. Results indicate that changes in fathers' PTSD symptoms over time were associated with corresponding changes in both mothers' and fathers' reports of child behavioral and emotional problems. These within-family findings were independent from between-family effects, which showed that higher average PTSD symptomatology was associated with more overall behavioral and emotional problems for children. This study uses advances in statistical methodologies to increase knowledge about how PTSD symptoms and child problems are related, both across different families and over time within families.


Assuntos
Pai/psicologia , Família Militar/psicologia , Doenças Profissionais/psicologia , Relações Pais-Filho , Transtornos de Estresse Pós-Traumáticos/psicologia , Adulto , Pré-Escolar , Feminino , Humanos , Masculino , Cônjuges/psicologia , Estados Unidos
5.
J Marriage Fam ; 79(2): 451-461, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28392583

RESUMO

This study clarifies within-family and between-family links between marital functioning and child wellbeing. Expanding on existing prospective research, this study tests whether changes in parents' marital functioning are associated with corresponding changes in their children's wellbeing, independent from associations that exist when comparing different families. Participants (N = 1033) were members of married, opposite-sex couples with children who participated in five waves of a larger study of marriage in the U.S. Army. Spouses' constructive communication, verbal conflict, and marital satisfaction each showed between-family associations with parent-reported child internalizing and externalizing problems. In contrast, within-family associations were significant only for parents' communication behaviors. That is, parents who reported lower levels of marital satisfaction also reported lower child wellbeing, whereas change in parents' communication was associated with change in child wellbeing over time. Isolating within-family effects is important for understanding marital and child functioning and for identifying potential targets for effective intervention.

6.
Arch Sex Behav ; 46(2): 395-406, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27473073

RESUMO

Extradyadic sexual involvement (ESI) is associated with negative consequences for individuals and threatens couple stability. Research on ESI in unmarried samples has been marked by methodological limitations, such as examining only mean levels of sexual satisfaction or frequency to predict later ESI as opposed to changes in various aspects of the sexual relationship over time. The current study compared linear trajectories of four aspects of the sexual relationship-sexual satisfaction, frequency of sex, comfort communicating about sex, and sexual closeness-between individuals in opposite-sex, unmarried relationships who subsequently engaged in ESI (ESI group; n = 183) compared to individuals who did not engage in ESI (non-ESI group; n = 603). Trajectories of relationship adjustment were also evaluated leading up to ESI as well as controlled for in models evaluating the sexual relationship. Results indicated that relationship adjustment declined for individuals preceding ESI, but did not change for the non-ESI group. When controlling for relationship adjustment, comfort communicating about sex decreased for ESI women but increased for ESI men. Some results became nonsignificant after controlling for relationship adjustment, including that sexual satisfaction declined more steeply in the ESI group compared to the non-ESI group, and ESI women significantly decreased in sexual closeness while ESI men demonstrated no significant change. Some mean level differences were also discovered directly before ESI. Conclusions include that changes in a couple's sexual relationship and relationship adjustment are associated with ESI behaviors, providing novel information regarding normative and risk trajectories.


Assuntos
Relações Extramatrimoniais/psicologia , Comportamento Sexual/psicologia , Comportamento Sexual/estatística & dados numéricos , Adulto , Comunicação , Feminino , Humanos , Masculino , Satisfação Pessoal , Parceiros Sexuais/psicologia
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