Frank J. Floyd

Factor Analysis in the Development and Refinement of Clinical Assessment Instruments

The goals of both exploratory and confirmatory factor analysis are described and procedural guidelines for each approach are summarized, emphasizing the use of factor analysis in developing and refining clinical measures. For exploratory factor analysis, a rationale is presented for selecting between principal components analysis and common factor analysis depending on whether the research goal involves either identification of latent constructs or data reduction. Confirmatory factor analysis using structural equation modeling is described for use in validating the dimensional structure of a measure. Additionally, the uses of confirmatory factor analysis for assessing the invariance of measures across samples and for evaluating multitrait-multimethod data are also briefly described. Suggestions are offered for handling common problems with item-level data, and examples illustrating potential difficulties with confirming dimensional structures from initial exploratory analyses are reviewed.

Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up

This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow-up, intervention, as compared with control, couples had higher levels of positive and lower levels of negative communication skills and lower levels of marital violence. Data are also presented on couples who declined the program. Issues are discussed concerning selection effects, change mechanisms, and future directions for prevention research.

Life course impacts of parenting a child with a disability.

We contrasted parents who had a child with a developmental disability, a serious mental health problem, and a normative comparison group with respect to parental attainment and well-being at mid-life. Data are from the Wisconsin Longitudinal Study, collected when the respondents were 18, 36, and 53 or 54, on average. Although similar at age 18, group patterns of attainment and well-being diverged thereafter. Parents of a child with a developmental disability had lower rates of employment, larger families, and lower rates of social participation but were similar to parents without a child with a disability in educational and marital status, physical health, and psychological well-being. Parents whose child had a serious mental health problem had normative patterns of educational and occupational attainment and marriage, but elevated levels of physical symptoms, depression, and alcohol symptoms at mid-life.

The Relative Risk and Timing of Divorce in Families of Children With an Autism Spectrum Disorder

We compared the occurrence and timing of divorce in 391 parents of children with an autism spectrum disorder (ASD) and a matched representative sample of parents of children without disabilities using a survival analysis. Parents of children with an ASD had a higher rate of divorce than the comparison group (23.5% vs. 13.8%). The rate of divorce remained high throughout the sons or daughters childhood, adolescence, and early adulthood for parents of children with an ASD, whereas it decreased following the sons or daughters childhood (after about age 8 years) in the comparison group. Younger maternal age when the child with ASD was born and having the child born later in the birth order were positively predictive of divorce for parents of children with an ASD. Findings have implications for interventions focused on ameliorating ongoing and long-term marital strains for parents of children with an ASD.

Sexual Orientation Identity Formation among Gay, Lesbian, and Bisexual Youths: Multiple Patterns of Milestone Experiences

This study examined variations in “coming out” for gay, lesbian, and bisexual youths (N= 72), ages 16 to 27. To indicate the timing and sequence of developmental stages, the respondents reported the ages at which they had completed 10 milestone events involving self-awareness, sexual experiences, and disclosure to others, and also reported on current immersion in gay/lesbian/bisexual social networks. Cluster analysis identified five patterns of experiences. Three groups had generally early trajectories, two of which had specific delays in either sexual activity or disclosure. Two other clusters had relatively late trajectories, one of which also reported the lowest levels of gay/lesbian/bisexual social immersion. Comfort with sexual orientation was greatest in persons with early patterns and lowest within the group with late trajectories and limited gay/lesbian/bisexual social immersion.

Evaluating behavioral marital therapy for male alcoholics: Effects on marital adjustment and communication from before to after treatment

Married couples, in which the husband had recently begun individual outpatient alcoholism counseling, were randomly assigned to a no-marital-treatment control group or to 10 weekly sessions of either a behavioral or an interactional couples therapy group. Couples who received the behavioral marital therapy (BMT) improved significantly from before to after treatment on overall marital adjustment, extent of desired relationship change, marital stability, and positiveness of communication when discussing a current marital problem. Interactionally treated couples improved on extent of desired relationship change and positive communication while discussing vignettes from the Inventory of Marital Conflicts. The control couples did not improve on any of the marital relationship variables. BMT produced better results than no marital therapy on marital adjustment and

Long-term effects of the death of a child on parents' adjustment in midlife.

The death of a child is a traumatic event that can have long-term effects on the lives of parents. This study examined bereaved parents of deceased children (infancy to age 34) and comparison parents with similar backgrounds (n = 428 per group) identified in the Wisconsin Longitudinal Study. An average of 18.05 years following the death, when parents were age 53, bereaved parents reported more depressive symptoms, poorer well-being, and more health problems and were more likely to have experienced a depressive episode and marital disruption than were comparison parents. Recovery from grief was associated with having a sense of life purpose and having additional children but was unrelated to the cause of death or the amount of time since the death. The results point to the need for detection and intervention to help those parents who are experiencing lasting grief.

Economic implications of caregiving at midlife: comparing parents with and without children who have developmental disabilities.

We compared the economic well-being and maternal employment of parents whose children did or did not have developmental disabilities. This prospective study is a secondary analysis of data from the Wisconsin Longitudinal Study, collected when respondents were aged 18, 36, and 53, on average. Although the two groups were similar at age 18, income and savings differed markedly by age 53, but statistically significant differences were not found on other measures. Mothers of children with disabilities were less likely to have job spells lasting more than 5 years and had lower earnings when they were 36 years old. Further, there was a trend for them to be less likely to have full-time jobs as their children grew older.

Trajectories of Emotional Well-Being in Mothers of Adolescents and Adults with Autism.

Raising an adolescent or adult child with a developmental disability confers exceptional caregiving challenges on parents. We examined trajectories of 2 indicators of emotional well-being (depressive symptoms and anxiety) in a sample of primarily Caucasian mothers (N = 379; M age = 51.22 years at Time 1) of adolescent and adult children with an autism spectrum disorder (ASD; M age = 21.91 years at Time 1, 73.2% male). We also investigated within-person associations of child context time-varying covariates (autism symptoms, behavior problems, residential status) and maternal context time-varying covariates (social support network size and stressful family events) with the trajectories of emotional well-being. Data were collected on 5 occasions across a 10-year period. Average patterns of stable (depressive symptoms) and improved (anxiety) emotional well-being were evident, and well-being trajectories were sensitive to fluctuations in both child and maternal context variables. On occasions when behavior problems were higher, depressive symptoms and anxiety were higher. On occasions after which the grown child moved out of the family home, anxiety was lower. Anxiety was higher on occasions when social support networks were smaller and when more stressful life events were experienced. These results have implications for midlife and aging families of children with an ASD and those who provide services to these families.

Developmental milestones and disclosure of sexual orientation among gay, lesbian, and bisexual youths

Abstract A total of 63 males and 54 females from the southeastern United States who averaged 20 years of age (range=14–27) answered a questionnaire concerned with coming-out milestones, disclosure, and self-esteem for gay, lesbian, and bisexual youths. The mean ages for first awareness of same-sex attraction (11 years), first same-sex sexual contact (16 years), and first disclosure of their sexual identity (17 years) were similar to other recent young samples. The order of these milestones varied among subgroups of gays, lesbians, and bisexuals, and proportions who were out to one or both parents differed for bisexuals and African Americans. The findings suggest diverse individual trajectories as opposed to an invariant sequence of coming-out experiences and highlight the need for greater attention to individual differences in sexual orientation identity development.