Helen Land

Role Strain, Coping, and Marital Satisfaction of Stepparents

The relationship among role strain, coping, and marital satisfaction is examined in a cross-sectional sample of 73 stepparents. New information is discussed pertaining to differential types of role strain identified in stepparent groups. The association between types of role strain and differential types of coping strategies and coping resources is analyzed. Results document the association between coping resources of self-esteem and self-efficacy and certain dimensions of role strain. An inverse relationship between role strain and marital satisfaction is noted. Based on study results, the authors identify vulnerable subgroups and suggest implications for practice with stepfamilies.

AIDS and Women of Color

The challenges involved in meeting the service needs of HIV-infected persons have changed dramatically over the past decade. In the past several years, HIV/AIDS has had a particularly devastating impact on women of color of childbearing age, particularly African Americans and Hispanics. The author analyzes differences among women of color infected with HIV and presents implications for delivering culturally sensitive services.

The Development of a Role Strain Index for Stepparents

The stepparent role has been identified with chronic strain throughout the literature. Although various aspects of role strain have been anecdotally reported, its specific nature and most problematic aspects for stepparents have not been examined empirically. This article reports the initial phases in the development of an instrument that measures the strain thought to be integral to the stepparent role. Descriptive findings point to the importance of role strain in informing our knowledge of and service to stepfamilies.

Stressful life events and predictors of post-traumatic growth among high-risk early emerging adults

Stressful life events (SLEs) may elicit positive psychosocial change among youth, referred to as post-traumatic growth (PTG). We assessed types of SLEs experienced, degree to which participants reported PTG, and variables predicting PTG across 24 months among a sample of high-risk, ethnically diverse, early emerging adults. Participants were recruited from alternative high schools (n = 564; mean age = 16.8; 65% Hispanic). Multi-level regression models were constructed to examine the impact of environmental (SLE quantity, severity) and personal factors (hedonic ability, perceived stress, developmental stage, future time orientation) on a composite score of PTG. The majority of participants reported that positive changes resulted from their most life-altering SLE of the past two years. Predictors of PTG included fewer SLEs, less general stress, having a future time perspective, and greater identification with the developmental stage of emerging adulthood. Findings suggest intervention targets to foster positive adaptation among early emerging adults who experience frequent SLEs.

HIV serostatus and factors related to physical and mental well-being in Latina family AIDS caregivers

In a survey of 154 Latina AIDS caregivers living in Los Angeles, we examined differences in the stress process for those who were HIV seropositive, seronegative, and those with an unknown serostatus. Most caregivers were monolingual, poor, suffered from chronic physical illness unrelated to HIV, and received few services. All three subsamples reached clinical cut-off levels for depression on the brief symptom inventory. In the sample as a whole and in all three groups we examined differences in primary and secondary stressors as predictors of mental and physical well-being; differences in background factors as they relate to mental and physical well-being; and differences in predictive value of various factors that may attenuate the relationship between stress and mental and physical well-being. Models predicting both mental and physical well-being differ across subsamples divided on the basis of serostatus. Based on these findings, we discuss implications for service provision designed to target these underserved Latina AIDS caregivers.

An Exploratory Factor Analysis of the Burden Assessment Scale with a Sample of African-American Families

It remains unclear if the factor structures of commonly used caregiver burden scales normed on white samples are similar with samples from different ethnic communities. Our study tests the factor structure of the Burden Assessment Scale (BAS) using Exploratory Factor Analysis (EFA) with data from low-income, African American families caring for a family member with schizophrenia. The EFA solution included a 2 factor structure of subjective burden and objective burden with strong loadings demonstrating a clear differentiation between the factors. Our results suggest that low income, African American families appear to experience caregiving burden as one major or broad component in their lives similar to other areas that demand ongoing coping and adaptation. Likewise, the factor structure found with this sample as compared to the factor structure found with white samples suggests differences in the perception of and/or the reporting of burden. Study limitations as well as implications for practice are provided.

School-based interventions with depressed minority adolescents

School-based approaches to intervention with depressed minority adolescents is discussed within a preventive framework. The symptomatology and epidemiology of depression is presented as it pertains to minority group adolescents. Specific suggestions for school-based services, the uses of school-based mental health professionals, and for coordination with mental health agencies are provided.

Post-traumatic growth, stressful life events, and relationships with substance use behaviors among alternative high school students: a prospective study.

A highly stressful life event (SLE) can elicit positive psychosocial growth, referred to as post-traumatic growth (PTG) among youth. We examined PTG and the number of SLEs for their influence on substance use behaviours among a sample of older, diverse alternative high school students participating in a drug prevention programme (n = 564; mean age = 16.8; 49% female; 65% Hispanic). Surveys assessed PTG, SLEs and substance use behaviours at the two-year follow-up. Multilevel regression models were run to examine the effect of PTG and the number of SLEs on frequency of substance use at the two-year follow-up, controlling for baseline substance use, sociodemographic variables, peer substance use, attrition propensity and treatment group. Greater PTG scores were associated with lower frequencies of alcohol use, getting drunk on alcohol, binge drinking, marijuana use and less substance abuse at the two-year follow-up, but not associated with cigarette or hard drug use. Also, PTG did not moderate the relationship between cumulative number of SLEs and substance use behaviours, rather PTG appears to be protective against negative effects of a single, life-altering SLE. Fostering PTG from a particularly poignant SLE may be useful for prevention programmes targeting alcohol, marijuana and substance abuse behaviours among high-risk youth.

Stress, coping, and depressive symptomatology in Latina and Anglo aids caregivers

In a survey of 432 AIDS caregivers, we examined differences in the stress and coping process and predictors of depressive symptomatology by ethnicity and gender. Our sample included 192 Anglo gay and bisexual male partners, 86 Anglo women, and 154 Latina family caregivers. We examined differences in primary and secondary stressors as predictors of depression; differences in sociodemographic and background factors, and differences in the predictive value and mediating influences of factors that may attenuate the relationship between stress and depression. Results indicate substantial differences in predictors and mediators of depression across groups. While all groups evidenced moderate levels of depression, background factors influenced depression mostly for Latinas. Depression in gay and bisexual partners was more influenced by primary objective stressors such as assisting with activities of daily living (ADLs). Service acquisition appears to be shaped by access, knowledge, and cultural acceptance. Based on our findings, we suggest that service provision for caregivers must also vary and be attuned to cultural and gender differences that may influence perception of stress and depression for caregivers.

A Support Group for Partners of Persons with AIDS

In the field and in the professional literature, profound concern exists about the multiple needs of persons with AIDS. Less attention has been focused on another vulnerable population: the gay partners who provide care for those with AIDS. The authors present a support-group model for lowering stress and improving functioning in members of this vulnerable group. Phases of group development, follow-up, and evaluation are examined in light of caregiver issues.