Incongruent perceptions of the care values of hospitalized persons with dementia: a pilot study of patient-family caregiver dyads.

OBJECTIVE: Many difficult decisions are made in the inpatient hospital setting regarding the daily care of persons with dementia (PWDs). Incongruent perceptions of the PWD's care values limit the family caregiver's ability to make surrogate decisions. The objectives of this pilot study were to describe and identify determinants of incongruent perceptions in the hospital setting. METHODS: Using multilevel modeling (MLM), we examined cross-sectional data collected from 42 PWD-family caregiver dyads. RESULTS: There was a significant amount of incongruence, on average, for all four subscales representing the PWD's care values: autonomy = -0.33 (p < .001); burden = -.49 (p < .001); safety/quality of care = -.26 (p < .001); and social interactions = -.21 (p = .004). Family caregivers (CG) rated the importance of care values to the PWD as lower than the PWD rated the importance. Determinants of greater incongruence included higher relationship strain and fewer positive dyadic interactions. CONCLUSION: Our findings reveal significant levels of incongruence in perceptions of the PWD's values among dementia care dyads in the hospital setting. Our analysis suggests a potential impact of relationship variables on incongruence. Further research is needed around this overlooked interpersonal context for supporting the dementia care dyad in the hospital setting.

Interpersonal Behaviors Questionnaire (IBQ) applied to parenting of emerging adults: dimensional structure and criterion validity.

BACKGROUND: The prolonged transitions to adulthood strengthen interest in parenting characteristics that can shape emerging adults' development and progression to full-fledged adulthood. It also strengthens interest in instruments suitable for measuring such parenting characteristics. The current study contributes to this area of research by applying the Interpersonal Behavior Questionnaire (IBQ), to assess parenting behaviors that are pertinent for emerging adults' development and wellbeing, and seeks evidence of its dimensional structure and criterion validity. METHOD: The sample of the study consisted of 600 emerging adults (Mage = 24.94, SDage = 3.03, range 19-29 years; 52.3% women). The dimensionality of IBQ was assessed by testing a sequence of theoretically plausible models representing alternative factor score structures. Criterion validity was investigated by exploring the associations between the IBQ dimensions and basic psychological need satisfaction and frustration, negative affectivity, and thriving. RESULTS: The findings provide evidence of a hypothesized six-factor structure, but advocate for the use of exploratory structural equation as it may more accurately reflect associations between the six dimensions. Findings also provide evidence of criterion validity. CONCLUSIONS: The findings indicate that IBQ applied to parenting targets dimensions highly relevant for EAs' flourishing or impoverished functioning. Findings also offer evidence of structure and criterion validity for the IBQ applied to emerging adults' parent behaviors. As such, researchers may find IBQ attractive, as it is relatively concise yet also a holistic measure that captures the behaviors that both support and thwart an emerging adult's need for autonomy, competence, and relatedness. Findings also shed light on the process of becoming an adult, the shift in parent-child relationships during this process, and emerging adults' wellbeing.

Perceptions About Quality of Interpersonal Processes and Practice Activities in Youth Sport Are Interdependent.

Despite calls in the literature, little is known about how dimensions of a social and task nature relate to each other in school and out-of-school learning environments. This study explored whether interpersonal and task dimensions of the youth sport environment, as perceived by young people, are related, and, if so, how they are related. We used data from 310 adolescent sport participants from eastern Canada (Mage = 14.69 ± 1.60 years; 54.8% girls). Participants completed comprehensive assessments of interpersonal dimensions of the sport environment and the characteristics of learning activities they do in practices. We used canonical correlation analysis to examine the multivariate shared relationship between the variable sets. The relationship was largely captured by the first three functions in the canonical model. The first two functions revealed areas of intersection between perceptions of interpersonal and practice-based activity factors in the form of supports and challenges for the learning and development process in sport. Accounting for the participants' age, the third function displayed characteristics consistent with recent descriptions of complex environments in youth sport. The findings suggest that adolescents' perceptions of interpersonal- and task-related features of sport are interdependent, and highlight the relevance of including variables assessing both factors in studies that attempt to characterize and understand learning environments in sport and other achievement domains. Findings also afford new insights into whether dimensions of a social and task nature are complementary, and inadequacies in one dimension can be attenuated by strengths in another or not.

"Taking Care of Ourselves": The Experiences of Black Women Approaching and Encouraging Male Partners to Test for HIV.

Sixty percent of young adults living with HIV in the United States are unaware of their status despite recommendations to screen everyone. Effective approaches to encourage partner testing may increase status awareness. The purpose of our study was to understand young Black women's experiences when encouraging a partner to test for HIV, preferred approaches, and whether interpersonal context influenced the approach. Black women (n = 26) participated in the study in Boston-area focus groups (n = 6). Discussions ranged from difficult and stressful to positive and empowering. A variety of approaches (expressing caring, seeking understanding, leveraging the relationship, ultimatums, subtlety) were described in varied interpersonal contexts. Testing and sharing results fostered trust and relationship growth. If a partner was resistant, some ended relationships while others tested themselves and interpreted their results as their partners' status. Our findings could encourage HIV prevention initiatives to consider varied interpersonal contexts and enhance partner testing.

An experimental investigation of contamination-related reassurance seeking: Familiar versus unfamiliar others.

BACKGROUND AND OBJECTIVES: Repeated reassurance seeking (RS) is a hallmark feature of obsessive-compulsive disorder (OCD). Research in related areas of psychopathology suggests that familiarity with a partner can influence symptom expression. We hypothesized that participants in the company of a familiar (vs. unfamiliar) partner would seek more reassurance following an ambiguous task involving contamination-related threat. METHODS: Participants completed an ambiguous dishwashing task in the company of a familiar or unfamiliar other, and were subsequently given an opportunity to seek reassurance. Participants and their assigned partners completed a measure of RS wherein they reported the number of times the participant sought reassurance; actual reassurance seeking was coded based on a recording of the interaction. RESULTS: Results demonstrated that participants sought more reassurance from familiar (vs. unfamiliar) others F(3, 86) = 9.20, p < .001, partial η(2) = .24); this effect was robust when partner-reported (F(1, 88) = 27.04, p < .001, partial η(2) = .24), a trend when participant-reported (F(1, 88) = 2.72, p = .10, partial η(2) = .03), but not significant when using objectively-coded data (F(1, 88) = 0.14, p = .71, partial η(2) = .00). LIMITATIONS: As this experiment was a preliminary attempt to examine RS in an interpersonal context, the study may not have captured compulsive or excessive RS. CONCLUSIONS: Overall, results suggest that RS may be perceived as more excessive by familiar (versus unfamiliar) others, which may contribute to the distress experienced by carers of individuals with OCD.

The presence of a culturally similar or dissimilar social partner affects neural responses to emotional stimuli.

BACKGROUND: Emotional responding is sensitive to social context; however, little emphasis has been placed on the mechanisms by which social context effects changes in emotional responding. OBJECTIVE: We aimed to investigate the effects of social context on neural responses to emotional stimuli to inform on the mechanisms underpinning context-linked changes in emotional responding. DESIGN: We measured event-related potential (ERP) components known to index specific emotion processes and self-reports of explicit emotion regulation strategies and emotional arousal. Female Chinese university students observed positive, negative, and neutral photographs, whilst alone or accompanied by a culturally similar (Chinese) or dissimilar researcher (British). RESULTS: There was a reduction in the positive versus neutral differential N1 amplitude (indexing attentional capture by positive stimuli) in the dissimilar relative to alone context. In this context, there was also a corresponding increase in amplitude of a frontal late positive potential (LPP) component (indexing engagement of cognitive control resources). In the similar relative to alone context, these effects on differential N1 and frontal LPP amplitudes were less pronounced, but there was an additional decrease in the amplitude of a parietal LPP component (indexing motivational relevance) in response to positive stimuli. In response to negative stimuli, the differential N1 component was increased in the similar relative to dissimilar and alone (trend) context. CONCLUSION: These data suggest that neural processes engaged in response to emotional stimuli are modulated by social context. Possible mechanisms for the social-context-linked changes in attentional capture by emotional stimuli include a context-directed modulation of the focus of attention, or an altered interpretation of the emotional stimuli based on additional information proportioned by the context.