Digital Health and Caregiving Resources Used by Family Caregivers of Older Adults During the COVID-19 Pandemic.

Caregiving is often associated with negative physical and mental health outcomes, and as the COVID-19 pandemic escalated, caregivers experienced more burden and provided more care with substantially less support. Digital resources may have been one way caregivers managed demands for care and needs for information. This mixed-methods study included surveys and semi-structured interviews with caregivers (n = 11) to describe experiences and use of digital health resources during the COVID-19 pandemic. Caregivers most often provided significant physical care and experienced reduced or no social support during the pandemic. Caregivers reported the need for improving the quality of telehealth services and digital health resources. COVID-19 will not likely be the last pandemic faced by contemporary society. Measures should be taken to reduce the anticipated negative impacts on caregivers and those receiving care during future pandemics.

Developmental stasis, sensitivity, and disturbance: Linking concepts to analytic methods using impulsivity and alcohol use.

The goals of this article are to (a) describe and contrast conceptual characteristics of periods of developmental sensitivity, disturbance, and stasis, and (b) translate these concepts to testable analytic models with an example dataset. Although the concept of developmental sensitivity is widely known, the concepts of developmental stasis and disturbance have received less attention. We first define the concepts and their principles and then, using repeated measures data on impulsivity and alcohol use from adolescence to young adulthood, propose the dual latent change score (LCS) growth model as one analytic approach for evaluating evidence for key characteristics of these developmental concepts via examination of intraindividual time-varying associations.

Relational concerns and change in relationship satisfaction in a relationship education program.

Lower income couples tend to report more difficulty sustaining high-quality intimate relationships. As a result, policy initiatives have been enacted to fund relationship education (RE) programs that aim to increase lower income couples' relationship satisfaction. Generally, these programs demonstrate small, albeit statistically significant improvements in mean levels of relationship functioning. It is critical, however, to understand if RE programming influences the developmental course of intimate relationships, and if this influence depends on couples' initial levels of concerns about their relationships. Using dyadic group-based modeling and three waves of data from 6034 couples in the Supporting Healthy Marriages project, a randomized control trial of RE, we categorized couples into four relationship concern groups (No Relational Concerns, Both Relationally Concerned, Men's Relational Concerns, and Women's Relational Concerns) and explored how these groups moderated the long-term efficacy of RE programming. Results indicated that RE was associated with different developmental trajectories of satisfaction, but RE effects differed for men and women. Specifically, random assignment into RE was associated with men maintaining high levels of relationship satisfaction, whereas women's satisfaction decreased over time. These effects were not moderated by initial relationship concerns. The association between RE and relationship satisfaction trajectories was small in magnitude, suggesting that more comprehensive services are needed to strengthen lower income couples' intimate relationships.

Strengthening lower-income families: Lessons learned from policy responses to the COVID-19 pandemic.

Families are navigating an unstable economy due to COVID-19. Financial stressors have the potential to strain intimate relationships and exacerbate prior inequities across lower-income families. Notably, the economic impact of COVID-19 disproportionately influenced Black and Latinx families. As a response to families' economic adversity during the pandemic, the federal government initiated the CARES Act. This type of federal response to lower-income families, however, is not new. The purpose of this paper is to contextualize and historicize previous and current efforts to mitigate the consequences of financial hardship on families by comparing the assumptions and efficacy of the Healthy Marriages Initiative and the CARES act. We conclude with four recommendations to promote well-being in lower-income families: (1) acknowledging and reducing inequities that disproportionally impact families racialized as Black or Latinx; (2) intervening to mitigate stressors surrounding families; (3) using innovative methods to deliver relationship education; and (4) considering prevention versus intervention strategies.

Las familias están transitando una economía inestable debido a la COVID-19. Los factores desencadenantes de estrés pueden dañar las relaciones amorosas y exacerbar las desigualdades previas entre las familias de bajos recursos. Notablemente, el efecto económico de la COVID-19 influyó de manera desproporcionada en las familias negras y latinas. Como respuesta a la adversidad económica de las familias durante la pandemia, el gobierno federal aprobó la ley CARES o ley de estímulo federal. Sin embargo, este tipo de respuesta federal a las familias de bajos recursos no es nuevo. El propósito de este artículo es contextualizar e historizar los esfuerzos anteriores y actuales para mitigar las consecuencias de las dificultades económicas en las familias comparando los supuestos y la eficacia de la Iniciativa para Matrimonios Saludables (Healthy Marriages Initiative) y la ley CARES. Finalizamos con cuatro recomendaciones para promover el bienestar en las familias de bajos recursos: (1) reconocer y reducir las desigualdades que afectan desproporcionadamente a las familias racializadas como negras o latinas; (2) intervenir para mitigar los factores desencadenantes de estrés en torno a las familias; (3) utilizar métodos innovadores para impartir capacitaciones sobre las relaciones; y (4) tener en cuenta estrategias de prevención frente a estrategias de intervención.

You Aren't as Close to my Family as You Think: Discordant Perceptions about In-laws and Risk of Divorce.

In-law relationships can act as sources of both support and stress for couples. Independent of the nature of the actual relationships with in-laws, it may be that couple similarity in perceptions of these ties determines if they undermine or facilitate marital stability. The current study sought to examine how spousal connections to in-laws and concordance about these relationships early in marriage predicted marital stability in a sample of 355 Black and White married couples followed over 16 years. Husbands and wives reported on time spent with families, whose family they turn to for support, and closeness with families during their first year of marriage. Analyses revealed that discordance on these issues early in marriage was common. We found that even after controlling for husband and wife reports of connections with in-laws, discordance on closeness with the wife's family predicted divorce. Thus, when conceptualizing the costs and benefits of connections with in-laws, it is important to consider not only the nature of spouses' ties to each other's families, but the extent to which their views of these ties are concordant.

Marital Quality, Loneliness, and Depressive Symptoms Later in Life: The Moderating Role of Own and Spousal Functional Limitations.

Loneliness is a mechanism through which marital quality relates to older adults' mental health. Links between marital quality, loneliness, and depressive symptoms, however, are often examined independent of older adults' functional health. The current study therefore examines whether associations between marital quality, loneliness, and depressive symptoms are contextually dependent on individuals' own (or their spouse's) functional limitations, as well as on gender. Data came from couples (N = 1084) who participated in the Health and Retirement Study (HRS), a nationally representative dataset of older adults (age 50+). We utilized data from the 2014 leave-behind psychosocial questionnaire to measure spousal support/strain and loneliness, and interview data from 2014 to measure baseline depressive symptoms and demographic covariates (e.g., race and education). Depressive symptoms in 2016 served as the focal outcome variable. Findings from a series of path models estimated in MPLUS indicated that loneliness is a mechanism through which spousal support predicts older adults' depressive symptoms. Such linkages, however, were dependent on individuals' own functional limitations and gender. For functionally limited males in particular, spousal support was shown to reduce depressive symptoms insofar as it was associated with lower levels of loneliness; otherwise, it was associated with higher levels of depressive symptoms. Such findings reinforce the importance of taking a contextualized approach when examining associations between support and emotional well-being later in life.

Beyond "Lots of Hugs and Kisses": Expressions of Parental Love From Parents and Their Young Children in Two-Parent, Financially Stable Families.

Given that parental love is essential for children's optimal development, the current study gathered examples of how parental love was demonstrated within parent-child relationships. Fifty-eight two-parent, financially stable families consisting of a mother, father, and young child (3-7 years old) from the Midwest were interviewed regarding how they demonstrated or perceived parental love. Results from an inductive thematic analysis revealed considerable variability in how parental love was demonstrated, with five themes emerging that overlapped between parents and their children: playing or doing activities together, demonstrating affection, creating structure, helping or supporting, and giving gifts or treats. Some gendered patterns among these themes were found with mothers emphasizing physical and verbal affection and fathers highlighting their more prominent role as playmates. The lay examples provided by parents and children in this exploratory study extend previous conceptualizations of parental love and underscore the importance of parents being attuned and responsive to the specific needs of their children.

Romantic relationships and alcohol use: A long-term, developmental perspective.

This study considers the developmental origins of alcohol use in young adulthood. Despite substantial evidence linking committed romantic relationships to less problematic alcohol use in adulthood, the uniformity of these protective benefits across different romantic relationships is unclear. Further, the extent to which the establishment and maintenance of these romantic relationships is preceded by earlier adolescence alcohol use remains unknown. To address these gaps in the literature, the current study utilized multitiple-dimensional, multiple-informant data spanning 20 years on 585 individuals in the Child Development Project. Findings from both variable- and person-centered analyses support a progression of associations predicting adolescent alcohol use (ages 15-16), drinking, and romantic relationships in early adulthood (ages 18-25), and then problematic young adult alcohol use (age 27). Although adolescent alcohol use predicted greater romantic involvement and turnover in early adulthood, romantic involvement, but not turnover, appeared to reduce the likelihood of later problematic drinking. These findings remained robust even after accounting for a wide array of selection and socialization factors. Moreover, characteristics of the individuals (e.g., gender) and of their romantic relationships (e.g., partner substance use problems and romantic relationship satisfaction) did not moderate these findings. Findings underscore the importance of using a developmental-relational perspective to consider the antecedents and consequences of alcohol use early in the life span.

Marriage work in older couples: Disclosure of marital problems to spouses and friends over time.

This study examined the frequency and impact of "marriage work" (MW), or the act of discussing marital problems with spouses and friends, among a sample of older married couples (N = 64). Using actor-partner interdependence models, we examined how turning to one's spouse and one's friend was linked to changes in both spouses' marital satisfaction and conflict 1 year later. We also investigated whether satisfaction and conflict predicted change in MW for older spouses. Both wives and husbands engaged in more MW with spouses than with friends, and only husbands' MW with spouses decreased over time. Wives' MW with spouses was associated with decreased marital satisfaction for husbands, whereas husbands' MW with spouses was linked with increased satisfaction for husbands. Furthermore, wives' MW with spouses predicted increases in wives' marital conflict over time. When examining effects in the opposite direction, wives' marital satisfaction predicted decreases in wives' MW with spouse. Husbands' satisfaction was linked with increases in wives' MW with spouses, increases in wives' MW with friends, and decreases in husbands' MW with friends. Finally, husbands' conflict predicted increases in husbands' MW with friends. Findings suggest that openly engaging in discussions of marital problems may not be as uniformly helpful for aging couples as it is for their younger counterparts. Given that many older adults tend to actively avoid conflictual interactions in an attempt to maximize emotional rewards, researchers and clinicians should note that traditional approaches to working through romantic conflict may not be ideal for aging couples.

Longitudinal relations between constructive and destructive conflict and couples' sleep.

We examined longitudinal relations between interpartner constructive (negotiation) and destructive (psychological and physical aggression) conflict strategies and couples' sleep over 1 year. Toward explicating processes of effects, we assessed the intervening role of internalizing symptoms in associations between conflict tactics and couples' sleep. Participants were 135 cohabiting couples (M age = 37 years for women and 39 years for men). The sample included a large representation of couples exposed to economic adversity. Further, 68% were European American and the remainder were primarily African American. At Time 1 (T1), couples reported on their conflict and their mental health (depression, anxiety). At T1 and Time 2, sleep was examined objectively with actigraphs for 7 nights. Three sleep parameters were derived: efficiency, minutes, and latency. Actor-partner interdependence models indicated that husbands' use of constructive conflict forecasted increases in their own sleep efficiency as well as their own and their wives' sleep duration over time. Actor and partner effects emerged, and husbands' and wives' use of destructive conflict strategies generally predicted worsening of some sleep parameters over time. Several mediation and intervening effects were observed for destructive conflict strategies. Some of these relations reveal that destructive conflict is associated with internalizing symptoms, which in turn are associated with some sleep parameters longitudinally. These findings build on a small, albeit growing, literature linking sleep with marital functioning, and illustrate that consideration of relationship processes including constructive conflict holds promise for gaining a better understanding of factors that influence the sleep of men and women.

Compassionate love as a mechanism linking sacred qualities of marriage to older couples' marital satisfaction.

Previous work has underscored the robust links between sanctification of marriage and marital outcomes, and recent developments in the literature suggest that compassionate love, which is important for intimate relationships, may act as a mediator of that relationship. Accordingly, the current study used actor-partner interdependence models to examine the relationship between a spiritual cognition (i.e., perceived sacred qualities of marriage) and marital satisfaction, and to determine whether that relationship is mediated by compassionate love, in a sample of older married couples (N = 64). Results revealed that wives' greater sacred qualities of marriage were significantly and positively linked to marital satisfaction on the part of both spouses, and that these links were partially mediated by couples' reports of compassionate love. These findings highlight the importance of moving beyond simply establishing the existence of the link between global markers of involvement of religion and marriage to understanding how specific spiritual cognitions may foster better relationship quality, especially among older couples.

Exploring processes of change in couple relationship education: predictors of change in relationship quality.

In the past several decades, a number of largely atheoretical individual and meta-analytic studies of couple relationship education (CRE) programs have focused on program effectiveness without considerations of how these programs work and for whom. To address this gap in the literature, the current study drew upon assumptions from social-cognitive and behavioral theories that are implicit in CRE design to assess the influence of short-term changes from pre- to posttreatment in behaviors and commitment on changes in relationship quality among a racially and economically diverse group of 2,824 individuals who participated in a CRE program. Findings from structural equation modeling indicated that the best-fitting model for both men and women was one in which changes in behaviors predicted changes in relationship quality via their influence on changes in commitment. Further, a series of moderational analyses provided some evidence to suggest that the strength of the relationships between these variables may depend to a small extent on the social address of the participants (race, income) and to a greater extent on characteristics of the CRE experience (i.e., beginning the class at lower levels of functioning, attending with a partner). Findings help us begin to understand the influences among domains of change that occur as a result of participating in a CRE program, as well as offering some useful information to practitioners on demographic and contextual moderators of program outcomes. Implications for future research on the mechanisms of change for CRE are presented.

Romantic relationship patterns in young adulthood and their developmental antecedents.

The delayed entry into marriage that characterizes modern society raises questions about young adults' romantic relationship trajectories and whether patterns found to characterize adolescent romantic relationships persist into young adulthood. The current study traced developmental transitions into and out of romantic relationships from age 18 through age 25 in a sample of 511 young adults. The developmental antecedents of these different romantic relationship experiences in both distal and proximal family and peer domains were also examined. Analyses included both person-oriented and variable-oriented approaches. Findings show 5 distinct clusters varying in timing, duration, and frequency of participation in romantic relationships that range from those who had only recently entered into a romantic relationship to those who had been in the same relationship from age 18 to age 25. These relationship outcome trajectory clusters were predicted by variations in competence in early relationships with family and peers. Interpersonal experiences in family and peer contexts in early childhood through adolescence thus may form a scaffold on which later competence in romantic relationships develops. Findings shed light on both normative and nonnormative developmental transitions of romantic relationships in young adulthood.

Reciprocal pathways between intimate partner violence and sleep in men and women.

Toward explicating associations and directionality of effects between relationship processes and a fundamental facet of health, we examined cross-sectional and longitudinal associations between the perpetration of intimate partner violence (IPV) and men and women's sleep. During two assessments, a diverse community sample of couples reported on their perpetrated acts of psychological and physical IPV and their sleep quality. Cross-sectional associations between IPV and sleep were evident for both partners, in particular between psychological IPV and sleep. A dyadic path analysis controlling for the autoregressive effects and within-time correlations revealed longitudinal links between men's perpetration of IPV and their sleep quality. Even though high levels of stability in all IPV and sleep measures were observed over time, results indicated that sleep problems predicted increases in the perpetration of psychological IPV over time for both men and women. Cross-partner effects emerged for men, revealing that men's sleep problems were strongly affected by their partner's earlier perpetration of IPV and sleep difficulties. Findings illustrate the significance of contemporaneous, dyadic assessments of relationship processes and sleep for a better understanding of both facets of adaptation, and have implications for those wishing to understand the etiology and consequences of the perpetration of IPV for both men and women.

Sleeping with one eye open: marital abuse as an antecedent of poor sleep.

In a diverse community sample of 241 married couples, we examined received psychological abuse (PA) as a longitudinal predictor of men's and women's sleep. Participants reported on marital functioning and mental health during three assessments (T1, T2, T3) and sleep problems during two assessments (T2, T3), with 1-year lags between waves. Growth curve analyses revealed that for both spouses, higher initial levels of PA and increases in PA over time predicted greater sleep disturbances at T3. For husbands and wives, anxiety and depression mediated some of the associations between PA and sleep problems. For wives, moderation effects highlighted the importance of violence, anxiety, and depression in exacerbating sleep problems associated with PA. Results build on and contribute significantly to the scant literature implicating the importance of the marital relationship for sleep and suggest that simultaneous consideration of intrapersonal and interpersonal variables is critical when explicating sleep disruptions.

Sanctification of Parenting, Moral Socialization, and Young Children's Conscience Development.

Religion is important to most U.S. families, but is often overlooked in research on children's development. This study examined parental religious beliefs about the sanctification of parenting, parental disciplinary strategies, and the development of young children's conscience in a sample of 58 two-parent families with a preschool child. Fathers were more punitive and used less induction when disciplining their children than did mothers. Maternal and paternal reports of the sanctification of parenting were positively related to positive socialization/praise and the use of induction. When mothers and fathers in the family were both using induction, children had higher scores on moral conduct. Parents' use of positive socialization combined with a belief in the sanctification of parenting predicted children's conscience development.

Relationship Risks in Context: A Cumulative Risk Approach to Understanding Relationship Satisfaction.

Risks associated with less satisfying intimate relationships often co-occur within individuals, raising questions about approaches that consider only their independent impact. Utilizing the cumulative risk model, which acknowledges the natural covariation of risk factors, this study examined individuals in intimate relationships using the Florida Family Formation Survey (n = 2,876) and a replication sample (n = 1,048). Analyses confirmed that not only was relationship satisfaction lower among those with more risks, but the cumulative risk score was predictive above and beyond the individual risk factors. Furthermore, experiencing multiple risks exacerbated the negative associations between individual risks and relationship satisfaction, suggesting that the operation of a risk factor in a relationship is moderated by the presence or absence of other risks.

Differential parenting and sibling jealousy: Developmental correlates of young adults' romantic relationships.

Data from a survey of 200 young adults assessed whether the early nonshared environment, specifically parental differential treatment, was associated with romantic relationship distress through its effects on sibling jealousy, attachment styles, and self-esteem. Individuals who received equal affection from their parents in comparison to their sibling reported equal jealousy between themselves and their sibling, had higher self-esteem, more secure attachment styles, and less romantic relationship distress. Receiving differential parental affection, regardless of whether the participant or their sibling was favored, was associated with more negative models of self and others, which in turn were associated with greater romantic relationship distress. Results indicate that early within-family experiences may be particularly relevant for later healthy romantic relationship functioning.