Mental health clients' receptiveness to and recommendations for integrating physical activity discussions into therapy: a mixed methods study.

OBJECTIVE: The mental health benefits of physical activity are well-established. Integrating physical activity counseling into therapy would expand the reach of this evidence-based treatment for mental illness. This mixed methods study examined mental health clients' receptiveness and recommendations for effectively discussing physical activity in therapy. METHODS: A diverse sample of U.S. adults in therapy (N = 478) completed a survey that included the open-ended question: What specific recommendations would you have for your therapist to effectively discuss physical activity with you? We conducted a qualitative content analysis to identify their most common recommendations. RESULTS: Most participants indicated they would be comfortable discussing physical activity with their therapist. The content analysis resulted in 26 unique categories; most common recommendations included: provide information about what to do (n = 81), discuss physical activity benefits (n = 63), be understanding and nonjudgmental (n = 49), provide accountability (n = 41), and consider physical/mental health conditions (n = 35). Overarching themes emphasized making mental health central to discussions, tailoring discussions to each client, and reframing physical activity as a feasible, enjoyable activity. CONCLUSIONS: Mental health clients are open to discussing physical activity during therapy if it is approached in a supportive, understanding, and personalized way. Clients' recommendations can inform future professional development for therapists.

"There may be a problem, but I'm not going because ": examining classes of men and their rationales for not seeking mental health treatment.

BACKGROUND: Men are less likely than women to seek out mental health treatment, despite men also having mental health struggles. AIM: We examined typologies of men's reasons for not seeking treatment even though they perceived a need for treatment. METHOD: We conducted a latent class analysis using a U.S. national sample of 836 men who specifically indicated a need for mental health services, but did not seek treatment from the National Study on Drug Use and Health. RESULTS: We identified three distinct types of men and their unique rationales for not seeking treatment: positive attitudes class, perceived high behavioral control class, and negative attitudes class. CONCLUSIONS: Unique strategies to market clinical services to each of the various needs and concerns of these types of men may prove more beneficial than a generic outreach approach. We encourage mental health professionals to proactively educate men about their services and aim to reduce barriers for men seeking treatment.

Development and Evaluation of a Component Level Implementation Fidelity Rating System for the GenerationPMTO Intervention.

Empirically determining the components of evidence-based interventions contributing to positive change is a crucial, yet understudied area of research. In support of this aim, we describe the development and evaluation of an observational rating system for measuring fidelity to specific components of the evidence-based GenerationPMTO parenting intervention. A five-step process was employed to systematically develop the rating system, which included consultation with the intervention developer and input from additional GenerationPMTO experts. The rating system was then tested using 247 h of video data from 184 parenting group intervention sessions. Study findings support the psychometric properties of the new measure with regard to item performance, reliability (i.e., inter-rater reliability of items, dimensionality of components, internal consistency of component scales), and validity (i.e., content validity, convergent validity, discriminant validity, and predictive validity of the component scales) for seven of the eight scales evaluated. The seven components include clear directions, skill encouragement, emotion regulation, limit setting, effective communication, problem solving, and monitoring. Data did not support the psychometric properties of the positive involvement scale. Overall, the ability to assess component-specific fidelity allows for a more nuanced examination of change processes, with meaningful implications for research and practice.

Maternal engagement, relational closeness, and adolescent internalizing symptoms: The association of engaged mothering with adolescent depression and anxiety.

Prevalence rates of anxiety and depression have increased among adolescents in recent years. The etiology of these internalizing symptoms is complex, but mothers can play a role in the mental health of their adolescent children. Using data from Year 15 of the fragile families and child well-being study, we analyzed associations between adolescent-reported maternal engagement, mother-adolescent relationship closeness, and adolescent depression and anxiety in a sample of 3146 mother-adolescent dyads. Using structural equation modeling, the four areas of engagement, closeness, anxiety, and depression were all modeled as latent variables to test the associations between these constructs. Higher levels of maternal engagement were significantly associated with higher levels of closeness between mother and adolescent, and higher levels of closeness were significantly associated with adolescents' lower levels of both depression and anxiety. Bootstrapped indirect effects were identified. Implications and future directions are discussed.

Trajectories of incarcerated coparenting: Examining differences across race and ethnicity.

Emerging research suggests that those coparenting with an incarcerated person experience multiple challenges. Examining incarcerated coparenting among minority fathers is especially salient as their incarceration rates are substantially higher than White males. This study utilized data from the Multi-Site Family Study on Incarceration, Parenting and Partnering Study to examine changes in coparenting relationships when the male partner was incarcerated. Theoretically guided by structural family therapy, latent growth models were used to evaluate trajectories of fathers' coparenting reliability and coparenting cohesion across 34 months. Results indicated average declines within incarcerated men's reported coparenting responsibility and coparenting cohesion with their partner. Incarcerated men with higher relationship quality at T1 was significantly associated with higher initial levels of coparenting cohesion and coparenting responsibility-but not with the trajectories of coparenting change. Incarcerated fathers identifying as Hispanic and Other declined at a significantly steeper rate in coparenting responsibility than Black and White incarcerated fathers. Clinical implications and future research directions are provided.

Investigating active ingredients of the GenerationPMTO intervention: Predictors of postintervention change trajectories in parenting practices.

Empirically determining the active ingredients of evidence-based parenting interventions is a promising means for strengthening interventions and enhancing their public health impact. This study aimed to determine which distinct ingredients of the GenerationPMTO (GenPMTO) intervention were associated with subsequent changes in parenting practices. Using a sample of 153 participants randomly assigned to the GenPMTO condition, we employed multilevel modeling to identify intervention ingredients empirically linked with change trajectories in parenting practices observed across the 2 years following intervention exposure. Coercive parenting and positive parenting outcomes were examined. Study results indicated that emotion regulation, effective communication, problem solving, and monitoring each demonstrated a significant pattern of findings for coercive parenting. Differential exposure to each of these ingredients significantly predicted the level of coercive parenting immediately postintervention and/or trajectories of change in coercive parenting across the subsequent 2-year period, controlling for coercive parenting at baseline. No significant predictors were found for positive parenting trajectories. Our findings suggest four components as active ingredients of the GenPMTO intervention for coercive parenting. Identification of these active ingredients may lead to strengthening future iterations of GenPMTO by expanding the set of core components specified in the model, which may further improve public health benefits. Implications for further understanding change stemming from evidence-based parenting interventions are also discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

COVID-19 Specific Risk Markers for Intimate Partner Violence Perpetration.

Intimate partner violence (IPV) rates have grown alongside the sweeping changes, challenges, and transitions necessitated by the onset of COVID-19. The goal of this exploratory study was to examine COVID-19 related risk markers for IPV perpetration. Data were collected from a national sample of 365 U.S. individuals who were in a relationship during August 2020, in the midst of the COVID-19 epidemic. Unadjusted odds ratios were calculated for 27 unique risk markers related to lifestyle changes due to COVID-19, mental health, isolation, financial impacts, and COVID-19 diagnoses. The strongest risk markers for IPV perpetration were feelings of loneliness, followed by anxiety symptoms, perceived stress, fear, boredom, substance use and lifestyle changes. Understanding risk markers associated with an increase in IPV perpetration can aid helping professionals identify individuals who may be at risk for IPV, or target these factors to aid in IPV prevention and intervention efforts.

Suicidal ideation and behaviors in young adults: A latent profile analysis.

Suicide rates in the United States are climbing; thus, sophisticated methods that identify how risk and protective factors are associated with suicide risk are necessary. Young adults face an especially tumultuous period as they are maintaining relationships, having children, and building careers. A sample of young adults (n = 4,208) from the National Longitudinal Study of Adolescent to Adult Health (Add Health) was included in a latent profile analysis based on hypothesized risk (depressive symptoms, job demands, isolation, alcohol use, and childhood abuse) and protective indicators (relationship quality with parents and other adults, friendships, job satisfaction and alignment with goals, and religiosity). A three-profile solution yielded the following distinct profiles: Childhood Isolation (n = 594), Flourishing (n = 2,974), and Adult Isolation and Burdensomeness (n = 628). Participants in the Childhood Isolation profile were associated with an increased risk for suicidal ideation (OR = 1.61) but not for suicide attempts in the past year. Participants in the Adult Isolation and Burdensomeness profile were associated with high risk for suicidal ideation (OR = 3.53) as well as suicide attempts in the past year (OR = 2.70). The Flourishing profile was associated with a reduced risk for suicidal ideation (OR = 0.45) and past year suicide attempts (OR = 0.52). Results of this study emphasize the importance of understanding how risk and protective factors analyzed simultaneously provide new information about suicide risk in young adults. Prevention efforts addressing decreasing isolation and reducing burdensomeness are recommended for individuals at risk. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Relationship Dynamics and Perpetration of Intimate Partner Violence Among Female Chinese College Students.

In China, most intimate partner violence (IPV) research focuses on male perpetration and female victimization, whereas studies on dating violence and female IPV perpetration are less common. Although research on female IPV perpetration in China has surfaced recently, there have been limited studies examining factors related to female perpetration in dating relationships in China. In the current research, we sought to examine how relationship factors, including anger management, communication problems, relationship conflict, and relationship distress, are linked with female physical and psychological IPV perpetration. We included 857 female college students in three regions in China from the International Dating Violence database. We found that Chinese women's anger management skills and communication problems were both significantly associated with physical and psychological IPV perpetration on both minor and severe levels. Furthermore, we found that relationship conflict was significantly associated with minor and severe physical abuse perpetration and severe psychological abuse perpetration. Anger management skills moderated the negative effects of relationship conflict on minor physical IPV perpetration as well as minor and severe psychological IPV perpetration. Anger management skills also moderated the negative effects of relationship distress on minor and severe physical IPV perpetration among Chinese women. Our findings suggest that it may be important to explore the role of college women's anger management skills, communication problems, and conflict resolution skills in their dating relationships, as well as to develop female-based intervention programs to increase Chinese college women's relationship skills to reduce their levels of IPV perpetration.

Benefits of expressing gratitude: expressing gratitude to a partner changes one's view of the relationship.

This research was conducted to examine the hypothesis that expressing gratitude to a relationship partner enhances one's perception of the relationship's communal strength. In Study 1 (N = 137), a cross-sectional survey, expressing gratitude to a relationship partner was positively associated with the expresser's perception of the communal strength of the relationship. In Study 2 (N = 218), expressing gratitude predicted increases in the expresser's perceptions of the communal strength of the relationship across time. In Study 3 (N = 75), participants were randomly assigned to an experimental condition, in which they expressed gratitude to a friend, or to one of three control conditions, in which they thought grateful thoughts about a friend, thought about daily activities, or had positive interactions with a friend. At the end of the study, perceived communal strength was higher among participants in the expression-of-gratitude condition than among those in all three control conditions. We discuss the theoretical and applied implications of these findings and suggest directions for future research.

Factors Related to College Students' Decisions to Report Sexual Assault.

Sexual assault is a serious problem on college campuses. Using a sample of 266 survivors of sexual assault during their college years, results from a multinomial regression identified factors linked with the odds of making either a formal report to university officials, an informal disclosure, or telling no one of the assault. Survivors were more likely to formally report the sexual assault to university officials if they had received sexual assault training, if the assault included vaginal or anal penetration, and if the survivor had a positive perception of the overall campus climate. Survivors were less likely to formally report the assault to university officials if the perpetrator was an acquaintance, friend, or dating partner compared with a stranger. Racial or ethnic minorities were less likely to formally report or informally disclose the assault. Our findings suggest that universities can aid survivors in reporting their sexual assault through education, training, and improving the overall campus climate.

Identifying Different Ways People Change: A Latent Basis Growth Mixture Model Example Identifying Nonlinear Trajectories of Binge Drinking.

Our field of couple and family therapy focuses on change, different ways people change, and how therapists can facilitate change. Change can be modeled as an average trajectory-growth curve model-or as multiple classes of trajectories-growth mixture model. The field of MFT has not yet fully embraced implementing more advanced longitudinal modeling procedures to study what we care about most, change across time. To support our field moving in this direction, we provide a step-by-step description and example in Mplus software. Our example analysis used N = 5,958 participants from the Add Health dataset, to identify unique classifications of trajectories of binge drinking. We discuss how these analytical methods provide increased options to advance family science and clinical research.

Family Violence, PTSD, and Parent-Child Interactions: Dyadic Data Analysis with Mexican Families.

BACKGROUND: Family violence has been shown to have a dramatic impact on individual and family life in the United States and other countries. Numerous studies have assessed the influence that exposure to violence can have on family dynamics and parent-child relationships. However, less is known about the association between family violence and parent-child relationships with Mexican families. OBJECTIVE: Guided by social interaction learning theory, the purpose of this study was to explore the role of exposure to family violence on PTSD and mother-child interaction patterns. METHODS: Eighty-seven mother-child dyads from Mexico completed assessments for exposure to family violence, PTSD, and observational tasks were analyzed to assess prosocial parent-child interactions (i.e., positive communication and problem solving). We conducted an actor-partner independence model (APIM) to examine the association between exposure to family violence, PTSD and mother-child relationship dynamics. RESULTS: As expected, higher exposure to family violence was linked to higher PTSD symptoms for mothers. Unexpectedly, higher maternal PTSD symptoms were associated with better communication during dyadic interaction tasks with their children. CONCLUSIONS: The present study suggests that individuals from certain cultures (i.e., Mexico) may respond differently to experiencing family violence. The use of multiple measurement methods to assess the relational effects of trauma on family dynamics can advance the scientific understanding of trauma affected families.

Trajectories of Interracial Heterosexual Couples: A Longitudinal Analysis of Relationship Quality and Separation.

Minimal research has examined interracial couples' relationship satisfaction and dissolution patterns over time. Using dyadic data across 8 years, we examined potential differences in relationship quality trajectories through latent growth curve modeling with 1,336 couples as well as differential risks for relationship dissolution through logistic regression between same-race and interracial relationships using a different subset of 2,370 couples. Results indicated that women in interracial relationships were significantly lower in initial relationship quality than women in same-race relationships. Further, interracial couples of Black-Hispanic partnerings were twice as likely to separate across 8 years than same-race couples. These results suggest that despite interracial relationships not substantively differing from same-race couples in trajectories of relationship quality, specific Black-Hispanic interracial couples are at a higher risk of eventual separation.

The Role of Depression in the Relationship Between Psychological and Physical Intimate Partner Violence.

Physical and psychological intimate partner violence (IPV) are significant public health concerns often associated with negative consequences for individuals, families, and society. Because IPV occurs within an interpersonal relationship, it is important to better understand how each partner's depressive symptoms, marital satisfaction, and psychological and physical IPV are interlinked. The purpose of this study was to identify actor and partner effects in a dyadic data analysis association between marital satisfaction and depressive symptoms, its links to psychological IPV, and then to physical IPV. Guided by the social information processing model, this study has implications for understanding the processes leading to various types of IPV in people seeking couples therapy. Using cross-sectional data from 126 heterosexual couples, we conducted an actor-partner interdependence model (APIM) to test actor and partner effects. Indirect actor and partner effects were also assessed. More depressive symptoms were associated with lower marital satisfaction. More depressive symptoms were generally linked with increased perpetration of psychological and physical IPV. Psychological IPV was associated with an individual's use of physical IPV. Effect sizes were moderate to large in magnitude. Four specific indirect effects were identified from depressive symptoms to psychological IPV to physical IPV. Depressive symptoms may be an important factor related to psychological and physical IPV for males and females. Implications include assessing for and treating depression in both partners, and discussing preferred ways of supporting each other that do not include psychological or physical IPV.

Sexual and Relationship Satisfaction associated with Shifts in Dyadic Trajectories of Depressive Symptoms in German Couples across Four Years.

Depression is a pervasive mental health concern; thus, it is important to identify modifiable factors associated with reducing depressive symptoms across time. Using 1,876 heterosexual couples assessed annually across 4 years from the Panel Analysis of Intimate Relationships and Family Dynamics (Pairfam) study, time-varying covariate growth models tested if sexual and relationship satisfaction were linked with shifts in trajectories of depressive symptoms across time. For both men and women, higher sexual and relationship satisfaction scores were significantly associated with decreasing their own depressive symptom trajectories, but only relationship satisfaction was linked with their partners' depressive symptom trajectories. Potential clinical implications include the treatment of depressive symptoms by making changes across time in their own relationship satisfaction and sexual satisfaction.

Family Subsystems Predicting Adolescents' Perceptions of Sibling Relationship Quality Over Time.

This study examined associations between parents' relationship conflict and parent-adolescent triangulation, and changes in adolescents' perceptions of sibling affection and hostility. The goal was to learn whether conflict in parents' relationships spills over to siblings' relationships, or whether siblings compensate by becoming less hostile and more affectionate. Using a subsample (N = 400) from the Flourishing Families Project (FFP), we found a trend for mother-adolescent triangulation predicting an increase in sibling hostility across 2 years. Fathers' reports of relationship conflict were related to increased levels of initial sibling hostility, but predicted a marginal decrease in hostility over time. Findings support increased understanding of parenting dynamics associated with changes in sibling relationship quality, and have the potential to inform clinical practice.

Hope, Coping, and Relationship Quality in Mothers of Children With Down Syndrome.

Parenting a child with Down syndrome may pose unique challenges for parents' relationship quality. This study used structural equation modeling with a sample of 351 mothers of children with Down syndrome to test if hope mediated the association between mothers' various coping behaviors and mothers' relationship quality. Hope was defined as a generalized positive state that comes from a personal sense of agency. Results indicated a greater degree of religious coping and internal coping were each significantly associated with more hope, whereas support seeking was not related with more hope. Higher hope was significantly associated with greater relationship quality. Bootstrapped indirect effects from both religious coping and internal coping to hope, and then hope to relationship quality, were identified. Implications for therapists and future research are described.

Army Soldiers and Suicidal Thoughts: The Impact of Negative Relationship Dynamics Moderated by the Dissolution of Romantic Relationships.

Suicide among United States active-duty Army soldiers rapidly increased over the past two decades. Using a sample of 322 soldiers from the Army STARRS study, the researchers examined if romantic relationship factors (i.e., hostile disagreements and relationship distress) were linked with suicidal thoughts in Army soldiers, and if these associations were moderated by a recent separation or divorce. Hostile disagreements and relational distress were both significantly associated with higher rates of suicidal ideation. These associations were significantly amplified in magnitude when in the context of a recent separation or divorce. Implications include novel assessment, prevention, and treatment efforts focused on romantic relationships that may reduce the likelihood of soldiers experiencing thoughts of suicide.

The Roles of Dominance, Jealousy, and Violent Socialization in Chinese Dating Abuse.

Attitude toward women and relationship violence in Chinese societies has been shaped by a history of Confucian patriarchy. Studies suggest that this patriarchal orientation continues to influence modern-day dating behaviors and rates of relationship violence. This study examined through the lens of the intergenerational transmission of violence theory the effects of dominance and jealousy on the likelihood of physical assault and how violent socialization moderates these effects. A maximum likelihood path analysis with robust standard errors was conducted for a total of 915 individuals from Beijing, Shanghai, and Taiwan who participated in the International Dating Violence Study from 2001 to 2006. Results revealed that dominance and violent socialization were significantly associated with assault victimization and perpetration. Violent socialization also significantly amplified the associations between dominance and both minor and severe assault victimization. Jealousy, however, was only associated with severe assault perpetration. Clinical implications and further research directions are discussed.