The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors.

This paper informs practice in community-based home visiting workforce development by describing the development and evaluation of a university-based training certificate program for home visitors and supervisors. The Interactive Systems Framework for Dissemination and Implementation (ISF; Wandersman et al., 2008) guides our conceptualization and paper organization. The ISF describes the components involved in translating research findings into effective implementation of prevention programs. We describe implementation and lessons learned from seven development activities: (a) review of the literature, (b) survey of other training initiatives across the country, (c) focus groups with home visitors and supervisors, (d) consultation with individual home visitors, (e) creation of a state advisory board of home visiting providers and stakeholders, (f) evaluation of two pilot trainings, and (g) video development. We then present evaluation data from 49 home visitors and 23 supervisors who completed the training certificate program after the pilot trainings. Both home visitors and supervisors rated training satisfaction highly, reported significant increases in self-efficacy related to the training topics, and reported extensive use of motivational communication techniques, which are the foundational skills of the training content. These and other favorable results reflect the benefits of building on advances in theory and science-based practice and of involving providers and stakeholders repeatedly throughout the development process.

Associations Between Family Caregiving and Romantic Relationships: An Exploratory Study With Nondistressed Couples Caring for an Outside Family Member.

BACKGROUND AND OBJECTIVES: Family caregiving-providing emotional and physical health care for a family member or friend with an illness or disability-can result in many outcomes, including stress and beneficial experiences. Both romantic and caregiving relationships are complex and varied. Nevertheless, little research has examined how caregiving and romantic relationships influence one another. The purpose of this study was to understand ways romantic partners who care for a family member outside of their romantic relationship perceive that their romantic relationship and caregiving experiences influence one another. RESEARCH DESIGN AND METHODS: A qualitative study using thematic analysis was conducted. A sample of 5 couples where one or both partners were caring for a relative with dementia participated in interviews about their experiences in family caregiving and in their romantic relationship, as well as how the 2 roles interacted with each other. Couple members were interviewed separately and together. RESULTS: From these interviews, themes reflecting ways that caregiving influences romantic relationships, as well as ways romantic relationships influence caregiving emerged. Themes about caregiving influencing romantic relationships were caregiver stress interacting in the romantic relationship, the romantic relationship becoming less of a priority, and benefits experienced in the romantic relationship due to caregiving. Themes about romantic relationships influencing caregiving were partners improving the caregiving experience, and workload inequality. DISCUSSION AND IMPLICATIONS: These findings broaden our understanding of how dyadic coping affects family caregiving and may suggest ways that the mutual influences caregivers experience between romantic relationships and caregiving benefits and challenges.

Women's Disengagement Behaviors During Couple Conflict: Investigating Risk Indicators of Intimate Partner Violence.

Intimate partner violence (IPV) is a major public health concern, leading to prevention efforts focused on identifying risk indicators of escalating conflict between partners. Certain behaviors during conflict discussions have been uniquely linked to IPV, and there is evidence that disengagement behaviors-an emerging construct-are associated with IPV as well. However, research on disengagement and IPV has largely been limited to self-report, and available observational research is largely cross-sectional. Addressing these limitations, this study prospectively examined the association between observed disengagement behaviors during couple's conflict discussions and IPV 1 year later, using a sample of 83 heterosexual married or cohabitating partners. Behavioral coding was used to assess each partner's observed disengagement behaviors and each partner's psychological and physical IPV was assessed via questionnaire 1 year later. Linear regressions were used to investigate links between indicators of engagement (i.e., listening, questions, eye contact) and psychological and physical IPV perpetration and victimization. Less question asking and higher eye contact by women were associated with greater psychological and physical IPV perpetrated by both women and men 1 year later. Lower listening behaviors by women were associated with greater psychological (but not physical) IPV perpetrated by men 1 year later. In contrast, no disengagement behaviors displayed by men were significantly related to IPV. Applying a latent change score framework using baseline IPV data, findings indicated replicability of results, though with less consistency, suggesting that women's disengagement behaviors may reflect a larger pattern of abuse that predates and follows disengaged couple interactions. Findings suggest that a unique blend of verbal and nonverbal indicators of women's disengagement during couple conflict provides a meaningful signal of the emotional climate of the relationship.

Psychometric Properties and Factor Analysis of a Short Form of the Multidimensional Measure of Emotional Abuse.

The 28-item Multidimensional Measure of Emotional Abuse (MMEA) assesses four common forms of emotional abuse in intimate relationships and has been used extensively to study the development of intimate partner violence (IPV), the consequences of emotional abuse, and the outcomes of IPV interventions. The current study provides psychometric analyses of a shortened version of the MMEA using self-report data from a sample of men receiving treatment at a community-based relationship violence intervention program (RVIP; N = 467) and reports from their relationship partners (N = 252), and data from a sample of undergraduate students (N = 194) who reported on their own and their partners' abusive behavior. Theoretical and statistical considerations, including internal consistency after item deletion, were used to select items for the shortened version. In the clinic sample (for self- and partner reports) and in the undergraduate sample (for self-report only), the 16-item MMEA-Short Form (MMEA-SF) retains the 4-factor structure of the 28-item MMEA. In both samples and across reporting methods (self and partner), the 16-item MMEA-SF has good internal consistency, good concurrent validity with the Revised Conflict Tactics Scales (CTS2) psychological aggression subscale, and similar correlations with CTS2 physical assault subscale as the original 28-item MMEA version. The MMEA-SF can reduce assessment burden while maintaining good domain coverage and strong psychometric properties and will be an asset to researchers and practitioners who need a brief, multifaceted measure of emotional relationship abuse in both clinic and undergraduate samples.

Children's genotypes interact with maternal responsive care in predicting children's competence: diathesis-stress or differential susceptibility?

We examined Genotype × Environment (G × E) interactions between children's genotypes (the serotonin transporter linked promoter region [5-HTTLPR] gene) and maternal responsive care observed at 15, 25, 38, and 52 months on three aspects of children's competence at 67 months: academic skills and school engagement, social functioning with peers, and moral internalization that encompassed prosocial moral cognition and the moral self. Academic and social competence outcomes were reported by both parents, and moral internalization was observed in children's narratives elicited by hypothetical stories and in a puppet interview. Analyses revealed robust G × E interactions, such that children's genotype moderated the effects of maternal responsive care on all aspects of children's competence. Among children with a short 5-HTTLPR allele (ss/sl), those whose mothers were more responsive were significantly more competent than those whose mothers were less responsive. Responsiveness had no effect for children with two long alleles (ll). For academic and social competence, the G × E interactions resembled the diathesis-stress model: ss/sl children of unresponsive mothers had particularly unfavorable outcomes, but ss/sl children of responsive mothers had no worse outcomes than ll children. For moral internalization, the G × E interaction reflected the differential susceptibility model: whereas ss/sl children of unresponsive mothers again had particularly unfavorable outcomes, ss/sl children of responsive mothers had significantly better outcomes than ll children.

The relation between mindfulness and perceived partner responsiveness during couples' vulnerability discussions.

Intimacy develops when a person discloses vulnerability and perceives their partner's response as supportive. However, a published experimental study found that individuals report their partners as less supportive in response to disclosures of specific examples of vulnerability that involve the partner (i.e., partner-inclusive) compared to disclosures that do not involve the partner (i.e., partner-exclusive). This research is an extension of findings from that experimental study and examines how individual differences in mindfulness and disclosure specificity are associated with perceived partner responsiveness during disclosures of partner-inclusive and partner-exclusive vulnerabilities. Cohabiting couples (N = 82) were randomly assigned to engage in either partner-inclusive or -exclusive vulnerability discussions. Each couple engaged in 2 video-recorded discussions so that each person took a turn as discloser and responder. Trained coders rated disclosures for specificity (i.e., whether or not the discloser used specific examples). Following each discussion, couples rated perceived partner responsiveness. Hypotheses were tested with multilevel modeling. Findings suggest that individuals perceived their partners' reactions as less responsive when they disclosed specific, partner-inclusive vulnerabilities and their partners had lower mindfulness. When partners had higher mindfulness, individuals perceived their partners as similarly responsive when disclosing partner-inclusive and -exclusive vulnerabilities, regardless of specificity. Mindfulness may enable couples to remain engaged during partner-inclusive vulnerability discussions leading to higher perceived responsiveness-an integral component of intimacy development. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Testing a self-determination theory perspective of informal caregiving: A preliminary study.

Informal caregivers provide valuable care for ill or disabled adults. Nevertheless, many caregivers experience negative consequences from caregiving such as reduced mental health. Balancing personal costs of caregiving with caregivers' desires or obligations to provide care, is necessary to promote the well-being of these individuals and their care recipients. Drawing on a self-determination theory (SDT) perspective, caregivers whose psychological needs for relatedness, autonomy, and competence are satisfied with their care recipient, and their care recipients' healthcare providers, should be more autonomously motivated to care. Greater autonomous motivation should promote better mental health. This study tested mediation models in a sample of 158 caregivers in the United States. Autonomous motivation was examined as a mediator of the (a) associations between caregivers' need satisfaction with their care recipient and caregiver burden and depressive symptoms, and (b) associations between caregivers' autonomy support received from their care recipients' healthcare providers and caregiver burden and depressive symptoms. Next, specific types of motivation that vary in their relative autonomy were examined as unique mediators. Support was found for models using autonomous motivation as the mediator. Additionally, caregivers' autonomy support and female caregivers' need satisfaction were positively associated with intrinsic motivation to care which was negatively associated with burden. Although much research suggests caregivers' outcomes stem from the care recipients' condition, such as their functional dependence on others, the present study focused on the caregivers' relationships and motivations. Results support an SDT perspective of caregiving. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Positive socialization mechanisms in secure and insecure parent-child dyads: two longitudinal studies.

BACKGROUND: Implications of early attachment have been extensively studied, but little is known about its long-term indirect sequelae, where early security organization moderates future parent-child relationships, serving as a catalyst for adaptive and maladaptive processes. Two longitudinal multi-trait multi-method studies examined whether early security amplified beneficial effects of children's willing, receptive stance toward the parent on socialization outcomes. METHODS: We examined parent-child early attachment organization, assessed in the Strange Situation at 14-15 months, as moderating links between children's willing stance toward parents and socialization outcomes in Study 1 (108 mothers and children, followed to 73 months) and Study 2 (101 mothers, fathers, and children, followed to 80 months). Children's willing stance was observed as committed compliance at 14 and 22 months in Study 1, and as responsiveness to the parent in naturalistic interactions and teaching contexts at 25 and 67 months in Study 2. Socialization outcomes included children's internalization of maternal prohibition, observed at 33, 45, and 56 months, and maternal ratings of children's externalizing problems at 73 months in Study 1, and mothers' and fathers' ratings of children's oppositional defiant disorder and conduct disorder symptoms at 80 months in Study 2. RESULTS: Indirect effects of attachment were replicated across both studies and diverse measures: Attachment security significantly amplified the links between children's willing stance to mothers and all outcomes. Secure children's willing, cooperative stance to mothers predicted future successful socialization outcomes. Insecure children's willing stance conferred no beneficial effects. CONCLUSIONS: Implications of early attachment extend to long-term, indirect developmental sequelae. Security in the first year serves as a catalyst for future positive socialization processes.

A Dyadic Analysis of Attachment Insecurities and Romantic Disengagement among Couples Seeking Relationship Therapy.

This study sought to assess the role of attachment insecurities on romantic disengagement among couples seeking relationship therapy. Dyadic associations were examined between attachment insecurities and romantic disengagement, accounting for depression, relationship satisfaction, and commitment, using a sample of 171 couples. Partners completed the Experiences in Close Relationships Scale and the Romantic Disengagement Scale. Path analysis revealed that attachment-related avoidance, but not anxiety, was associated with romantic disengagement. Men's attachment-related anxiety was related to greater disengagement in their partner. The combination of men's attachment-related avoidance and women's attachment-related anxiety was also significantly associated with women's romantic disengagement. Although attachment insecurities were associated with romantic disengagement, contextual and intrapersonal factors also contributed to our understanding of disengagement. Findings are discussed in light of clinical interventions for couple therapy.

Interplay of genes and early mother-child relationship in the development of self-regulation from toddler to preschool age.

BACKGROUND: A broad capacity for deliberate self-regulation plays a key role in emotion regulation. This longitudinal investigation from infancy to preschool age examines genotype by environment (G x E) interaction in the development of self-regulation, using molecular measures of children's genotypes and observed measures of the quality of early mother-child relationship, as reflected in attachment organization in infancy. METHODS: In 89 children, we assessed the polymorphism in the serotonin transporter gene (5-HTTLPR, ss/sl vs. ll allele status), security of attachment to mothers at 15 months in the Strange Situation, and children's ability for self-regulation at 25, 38, and 52 months, using behavioral batteries of tasks that called for deliberately suppressing a dominant response and performing instead a sub-dominant response. RESULTS: There was a robust G x E interaction between genetic risk and the quality of early relationship. Among children who carried a short 5-HTTLPR allele (ss/sl ), those who were insecurely attached developed poor regulatory capacities, but those who were securely attached developed as good regulatory capacities as children who were homozygotic for the long allele (ll ). There was no effect of security for ll homozygotes. CONCLUSIONS: Those findings, consistent with diathesis-stress model, bridge research on self-regulation in typically developing children with research on non-human primates and research on psychopathology. They also indicate that a secure attachment relationship can serve as a protective factor in the presence of risk conferred by a genotype.

Guilt and effortful control: two mechanisms that prevent disruptive developmental trajectories.

Children's guilt associated with transgressions and their capacity for effortful control are both powerful forces that inhibit disruptive conduct. The authors examined how guilt and effortful control, repeatedly observed from toddlerhood to preschool age, jointly predicted children's disruptive outcomes in 2 multimethod, multitrait longitudinal studies (Ns = 57 and 99). Disruptive outcomes were rated by mothers at 73 months (Study 1) and mothers, fathers, and teachers at 52 and 67 months (Study 2). In both studies, guilt moderated effects of effortful control: For highly guilt-prone children, variations in effortful control were unrelated to future disruptive outcomes, but for children who were less guilt prone, effortful control predicted such outcomes. Guilt may inhibit transgressions through an automatic response due to negative arousal triggered by memories of past wrongdoing, regardless of child capacity for deliberate inhibition. Effortful control that engages a deliberate restraint may offset risk for disruptive conduct conferred by low guilt.

Early attachment organization moderates the parent-child mutually coercive pathway to children's antisocial conduct.

This multimethod study of 101 mothers, fathers, and children elucidates poorly understood role of children's attachment security as moderating a common maladaptive trajectory: from parental power assertion, to child resentful opposition, to child antisocial conduct. Children's security was assessed at 15 months, parents' power assertion observed at 25 and 38 months, children's resentful opposition to parents observed at 52 months, and antisocial conduct rated by parents at 67 months. Moderated mediation analyses indicated that in insecure dyads, parental power assertion predicted children's resentful opposition, which then predicted antisocial conduct. This mechanism was absent in secure dyads. Early insecurity acts as a catalyst for a dyad embarking on mutually adversarial path toward antisocial outcomes, whereas early security defuses this maladaptive trajectory.

Validity and utility of a multidimensional model of received support in intimate relationships.

The authors of the present study statistically address the largely conceptual debate about the multidimensional nature of received support in intimate relationships. The Support in Intimate Relationships Rating Scale (SIRRS) was factor analyzed in 3 samples of dating and married couples. A novel, 4-factor structure of support types was generated that constituted esteem/emotional, physical comfort, informational, and tangible support types. This structure was reliable and valid in dating and marital relationships, across men and women, and across time. Each support type also demonstrated incremental validity for explaining marital adjustment, depression symptoms, and anxiety symptoms longitudinally. This study is among the first to generate and cross-validate a factor analytically derived set of support types for received support and the first to do so regarding partner support specifically. This is also the first study to replicate a distinct set of support types across different types of intimate relationships, across both sexes, and over time within relationships. Implications for enhancing functional theories of support and for augmenting the construct validity of a multidimensional model of received support are discussed.

Pulling away: Links among disengaged couple communication, relationship distress, and depressive symptoms.

Interpersonal theories of depression suggest that how couples communicate helps to explain bidirectional links between depressive symptoms and relationship distress. Disengaged and aversive couple communication should help explain these links. However, most research examining associations among couple communication, depressive symptoms and relationship distress have focused on aversive communication behaviors. Thus, this research examined associations among depressive symptoms, disengaged couple communication, and relationship distress in 2 studies. Study 1 examined cross-sectional associations using 2 heterogeneous samples of individuals in romantic relationships assessed via online survey. Study 2 examined the associations over 2 time points using Actor-Partner Interdependence Modeling with data provided by newlywed couples. The first aim was to examine whether depressive symptoms were uniquely associated with disengaged couple communication after controlling for relationship distress and aversive couple communication. The second aim was to test whether disengaged couple communication explained the bidirectional associations between depressive symptoms and relationship distress controlling for aversive communication. Results for Aim 1 were consistent across studies. Depressive symptoms were uniquely associated with disengaged couple communication. Results for Aim 2 indicate that disengaged couple communication uniquely explains bidirectional associations between co-occurring relationship distress and depressive symptoms; and husbands' disengaged communication explains the association between husbands' depressive symptoms and husbands decline in relationship satisfaction. Results indicate there are unique contributions of disengaged couple communication for interpersonal theories of depression and suggest the importance of helping couple-members to effectively and meaningfully engage with one another. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Skills for Healthy Adult Relationships at the University of Maryland, Baltimore County: Program Development and Preliminary Data.

The present study examines the development and preliminary pilot findings of Skills for Healthy Adult Relationships at the University of Maryland, Baltimore County (SHARe@UMBC)-an intimate partner violence prevention program for college students. SHARe@UMBC is based on an integrative cognitive-behavioral model of communication and emotion regulation in close interpersonal relationships. There were four aims of the present study: first, to describe program development; second, to examine program acceptability and participant satisfaction; third, to examine the extent to which participants acquired relationship skills and their level of confidence in using those skills; and fourth, to examine perpetration and victimization of physical, sexual, and psychological aggression. These aims utilized data collected before program initiation, immediately after program completion, and at a follow-up 9 to 15 months after program completion. Findings from two pilot groups (15 students in total; eight women and seven men) indicated high ratings of program acceptability and satisfaction, reductions in negative communication, improvements in confidence using conflict management strategies with romantic partners and peers, and confidence initiating new romantic relationships. In addition, large effect sizes were observed for confidence providing emotional support to a romantic partner and self-disclosure with peers. Participants reported no incidents of physical, sexual, or psychological aggression perpetration or victimization at follow-up. Pilot implementation and initial uncontrolled results are encouraging and provide support for initiating a more extensive controlled investigation of program efficacy.

A developmental model of maternal and child contributions to disruptive conduct: the first six years.

BACKGROUND: The parent-child relationship is considered important for children's future conscience, and conscience is seen as protecting them from disruptive behavior problems, but specific mechanisms of this developmental process are rarely studied. METHODS: This multi-trait multi-method study examined, in a longitudinal design, paths linking early maternal responsiveness to the child with the child's future conscience and disruptive behavior in 102 mother-child dyads. We tested a conceptual model where maternal responsiveness to the child, observed at 7 and 15 months, engenders a responsive stance in the child, observed at 25 and 38 months; that stance, in turn, becomes enduring and generalized, promoting multiple aspects of the child's conscience, observed at 52 months. In turn, conscience serves as a protective factor from disruptive behavior problems, rated by mothers and fathers at 67 months. RESULTS: The postulated paths were examined using sequential regressions and mediation effects were tested using bootstrapping analyses. Child responsive stance at 25-38 months fully mediated the link between maternal responsiveness in infancy and conscience at 52 months, and conscience fully mediated the link between child responsive stance and future disruptive behavior at 67 months. CONCLUSIONS: Examination of developmental links among early maternal behavior, the child's responsive stance toward the mother, conscience, and disruptive behavior is a promising step toward elucidating mechanisms of children's adaptive and maladaptive trajectories.

G x E interaction in the organization of attachment: mothers' responsiveness as a moderator of children's genotypes.

BACKGROUND: Scholars acknowledge that both biologically-founded child temperament and environmental factors are influential in determining the quality of infant-mother attachment. We present evidence for gene by environment (G x E) interaction in the organization of attachment. METHODS: Participants were 88 typically developing infants and their mothers. Molecular genetic measures of the infants focused on the polymorphism in the serotonin transporter gene (5-HTTLPR, ss/sl vs. ll genotype). Mothers' responsiveness to their infants at 7 months was observed in lengthy naturalistic interactions, and was conceptualized as the environmental influence. RESULTS: For infants with a short allele (ss/sl ), variation in mothers' responsiveness was significantly associated with attachment security, assessed at 15 months in the Strange Situation. For those infants, low responsiveness predicted particularly high risk for insecure attachment, and high responsiveness offset that risk. For infants homozygous for the long allele (ll ), there was no association between responsiveness and attachment organization. CONCLUSIONS: The findings show that the quality of early care serves to amplify or offset the risk conferred by genotype.

Objective Ratings of Relationship Skills across Multiple Domains as Predictors of Marital Satisfaction Trajectories.

Expanding upon social-learning and vulnerability-stress-adaptation approaches to marriage, the impact of multiple dyadic behaviors on marital satisfaction trajectories was examined in 101 couples. Semi-structured interviews were administered separately to husbands and wives at 3 months of marriage. Interviewers generated objective ratings for five domains: emotional closeness/intimacy, sexual intimacy/sensuality, interspousal support, decision-making/relational control, and communication/conflict management. Marital satisfaction was assessed four times over three years. Dyadic behaviors were associated with initial levels and rates of change in satisfaction, demonstrating the unique contributions of each relational skill on marital development. For husbands, sexual intimacy was the strongest predictor of change whereas for wives, communication/conflict management was the strongest predictor of change compared to other domains. Theoretical, methodological and clinical implications are discussed.

More or less: Newlyweds' preferred and received social support, affect, and relationship satisfaction.

Matching theories of social support suggest that receiving the amount and type of support one prefers from one's romantic partner promotes more favorable affect and higher relationship satisfaction. Individuals who feel they are provided with less support from their partner than they desire (underprovision) generally experience less positive affect, more negative affect, and tend to be less satisfied in their relationships. However, research findings are mixed with regard to whether receiving more of a particular type of support from one's partner than one desires (overprovision) is associated with more favorable affect and higher relationship satisfaction. The purpose of the present study was to examine whether underprovision and overprovision of two theoretically important types of social support from spouses-emotional or informational support-were associated with more favorable affect and higher relationship satisfaction in a sample of newlywed couples. Participants were 114 newlywed couples. Data were analyzed using Actor-Partner Interdependence Moderation Models. Results suggested that receiving more emotional support was associated with more favorable affect and higher relationship satisfaction regardless of support preferences. Also, wives who received more informational support from their husbands had higher relationship satisfaction regardless of support preferences. In contrast to findings for relationship satisfaction, the association between informational support and affect were consistent with matching hypotheses. Husbands who experienced underprovision of informational support from their wives, experienced less favorable affect. In contrast, wives who experienced overprovision of informational support from their husbands experienced higher depressive symptoms. Implications for research, theory, and practice are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Links among attachment dimensions, affect, the self, and perceived support for broadly generalized attachment styles and specific bonds.

Measures of adult attachment reflect both respondents' broadly generalized styles as well as bonds with specific attachment figures. Using Cronbach, Gleser, Nanda, and Rajaratnam's (1972) Multivariate Generalizability analyses, the authors estimated the extent to which correlations among attachment, affect, the self, and perceived social support occurred for both styles and bonds. In two studies, participants rated attachment, affect, the self, and perceived support when thinking about their mothers, fathers, and romantic partners. In both studies, attachment dimensions reflected specific bonds much more so than generalized styles. When correlations reflected specific bonds, both anxious and avoidant dimensions were strongly linked to high negative affect, low positive affect, and low perceived support. In contrast, evidence for links between attachment and affect was inconclusive when correlations reflected generalized styles. Links between attachment and the self depended on the type of self-construct and whether styles or bonds were analyzed.