Ilan Roziner

Crossover of Marital Dissatisfaction During Military Downsizing Among Russian Army Officers and Their Spouses

This study examined mechanisms of strain crossover within couples and the moderating role of gender. Data were collected at a time of military downsizing from a sample of 1,250 Russian army officers and their spouses. The authors tested a model that incorporated 3 mechanisms for the crossover of marital dissatisfaction among dual-earner couples. The model provided support for 2 suggested crossover mechanisms: direct reactions of crossover and indirect mediated effects through social undermining. Strong evidence was also provided for gender asymmetry in the crossover process. Marital dissatisfaction crossed over from husbands to wives but not vice versa, and social undermining behavior played a role in the process of crossover of marital dissatisfaction for husbands but not for wives.

The crossover of perceived health between spouses.

The current study examined the crossover of perceived health between spouses and the mediating roles of self-esteem and undermining in this process. Data were collected from a sample of 2,108 couples from the Russian Longitudinal Monitoring survey. Using structural equation modeling, the authors tested a crossover model that incorporated three mechanisms: bidirectional crossover of perceived health between spouses, common stressors (income), and indirect mediated effects (social undermining). The model showed an acceptable fit to the data and provided support for all three-crossover mechanisms. Furthermore, self-esteem mediated the relationship between economic hardship and perceived health. The authors discuss theoretical aspects of the crossover of perceived health and implications of our findings for the design of preventive interventions to help family members cope more effectively with economic hardship.

Crossover of job demands and emotional exhaustion within teams: A longitudinal multilevel study

This study investigated the crossover of job demands and emotional exhaustion among team members and the moderating effect of cohesiveness and social support on this process. Participants were 310 employees of an employment agency in the Netherlands, working in one of 100 teams. Multilevel analysis using a longitudinal design did not reveal a main effect of crossover. However, consistent with the studys hypotheses, the results showed a moderating effect of team cohesiveness and social support. We detected crossover of job demands and emotional exhaustion across time from the group to individual team members only in teams characterized by high levels of cohesiveness and social support. Teams characterized by low levels of cohesiveness and social support showed no crossover of job demands and exhaustion. The findings demonstrate that team-level moderators play an important role in crossover processes. Moreover, social support and cohesiveness may not always be positive.

Substance Abuse and Other Adverse Outcomes for Military-Connected Youth in California: Results From a Large-Scale Normative Population Survey

IMPORTANCE Military families and military-connected youth exhibit significant strengths; however, a sizeable proportion of these families appear to be struggling in the face of war-related stressors. Understanding the consequences of war is critical as a public health concern and because additional resources may be needed to support military families. OBJECTIVE To determine whether rates of adverse outcomes are higher for military-connected adolescents during war compared with nonmilitary peers. DESIGN, SETTING, AND PARTICIPANTS This study is a secondary data analysis of a large, normative, and geographically comprehensive administrative data set (2013 California Healthy Kids Survey) to determine whether military-connected youth are at risk for adverse outcomes, including substance use, experiencing violence and harassment, and weapon carrying, during wartime. These outcomes are of particular concern because they affect socioemotional adjustment and academic success. Data were collected in March and April 2013 and participants included 54,679 military-connected and 634,034 nonmilitary-connected secondary school students from public civilian schools in every county and almost all school districts in California. MAIN OUTCOMES AND MEASURES Outcomes included lifetime and recent use of alcohol, tobacco, marijuana, prescription medications, and other drugs, as well as experiences of physical and nonphysical violence and harassment and weapon carrying during the last year. RESULTS Multivariable logistic regression models indicated that military-connected youth had greater odds of substance use, experience of physical violence and nonphysical harassment, and weapon carrying. For example, military-connected youth had 73% greater odds of recent other drug use (eg, cocaine and lysergic acid diethylamide; odds ratio [OR], 1.73; 95% CI, 1.66-1.80) and twice the odds of bringing a gun to school (OR, 2.20; 95% CI, 2.10-2.30) compared with nonmilitary-connected peers. Their odds of being threatened with a weapon or being in a fight were also significantly higher than their civilian counterparts (OR, 1.87; 95% CI, 1.80-1.95 and OR, 1.67; 95% CI, 1.62-1.71, respectively). CONCLUSIONS AND RELEVANCE Most military-connected youth demonstrate resilience. However, results suggest that during wartime, military-connected youth are at increased risk for adverse outcomes. Further, when compared with data from 2011, the rates of these negative outcomes appear to be increasing. These findings suggest a need to identify and intervene with military-connected adolescents and reflect a larger concern regarding the well-being of military families during wartime.

Predicting Expatriate Adjustment Israel as a Host Country

This study assumes that the frequently applied model, developed in North America, predicting expatriate adjustment to foreign host countries is applicable crossnationally. This assumption is tested using Israel as a host country, an environment far removed from North American culture, and one that represents a particularly highly heterogeneous society in values, ethnic identities, languages, and religions. Expatriates from 14 different countries stationed in Israel were studied during the term of their foreign assignment. Tested were various behavioral and attitudinal constructs, which include personal, cultural, and work variables. Despite the cultural milieu Israel poses, the predictive model was reconfirmed in most of its aspects. As expected, the findings indicated that spouses adjustment and expatriates adjustment are highly correlated. However, it was found that interaction adjustment and environmental adjustment are two distinct processes and are predicted by different behavioral and attitudinal attributes. Work adjustment constitutes a separate criterion and can be predicted by work attitudinal variables. The theoretical and applied implications of these findings are discussed.

Familiarity breeds discontent: Senior hospital doctors' attitudes towards complementary/ alternative medicine

UNLABELLED Studies have shown that many general medical practitioners refer their patients to complementary/alternative medicine (CAM) practitioners and believe in the therapeutic benefit of these modalities. However, there is less information concerning the beliefs and practices of senior hospital doctors. OBJECTIVES In view of the increasing institutionalization of CAM and moves to incorporate CAM into secondary and tertiary healthcare settings, the objective of this study is to understand the attitudes and practices of senior hospital doctors, a sector whose members are often responsible for formulating and implementing institutional policy. DESIGN AND SETTING A questionnaire was administered to 294 directors of hospital departments and their deputies on their attitudes and practices concerning CAM. Response rate was 70%. Almost all general hospitals in Israel participated in the study. RESULTS The findings show, in general, that while senior hospital physicians in Israel hold positive attitudes towards CAM, they are not well disposed towards co-operation with CAM practitioners. Incorporating a CAM clinic into the hospital site does not seem to enhance clinical co-operation between conventional physicians and CAM practitioners. In hospitals that had functioning CAM clinics, doctors were consistently and significantly more opposed to co-operation with CAM than in hospitals without CAM clinics.

Social relationship satisfaction and PTSD: which is the chicken and which is the egg?

Background Impaired social relationships are linked with higher levels of posttraumatic stress disorder (PTSD), but the associations underlying dynamics are unknown. PTSD may impair social relationships, and, vice versa, poorer relationship quality may interfere with the recovery from PTSD. Objective This work longitudinally evaluates the simultaneous progression of PTSD symptoms and social relationship satisfaction (SRS) in a large cohort of recent trauma survivors. It also explores the effect of cognitive behavior therapy (CBT) on the association between the two. Method Consecutive emergency department trauma admissions with qualifying PTSD symptoms (n=501) were assessed 3 weeks and 5 months after trauma admission. The World Health Organization Quality of Life evaluated SRS and the Clinician Administered PTSD Scale evaluated PTSD symptom severity. Ninety-eight survivors received CBT between measurement sessions. We used Structural Equation Modeling to evaluate cross-lagged effects between the SRS and PTSD symptoms. Results The cross-lagged effect of SRS on PTSD was statistically significant (β=−0.12, p=0.01) among survivors who did not receive treatment whilst the effect of PTDS on SRS was nil (β=−0.02, p=0.67). Both relationships were non-significant among survivors who received CBT. Discussion SRS and PTSD are highly associated, and this study shows that changes in SRS in the early aftermath of traumatic events contribute to changes in PTSD, rather than vice versa. SRS impacts natural recovery, but not effective treatment. This study suggests that being satisfied with ones relationships might be considered as an important factor in natural recovery from trauma, as well as in intervention.

A cross-lagged model of the reciprocal associations of loneliness and memory functioning.

The study was designed to evaluate the reciprocal associations of loneliness and memory functioning using a cross-lagged model. The study was based on the psychosocial questionnaire of the Health and Retirement Study, which is a U.S. nationally representative survey of individuals over the age of 50 and their spouses of any age. A total of 1,225 respondents had complete data on the loneliness measure in 2004 and at least in 1 of the subsequent waves (e.g., 2008, 2012) and were maintained for analysis. A cross-lagged model was estimated to examine the reciprocal associations of loneliness and memory functioning, controlling for age, gender, education, depressive symptoms, number of medical conditions, and the number of close social relationships. The model had adequate fit indices: χ2(860, N = 1,225) = 1,401.54, p < .001, Tucker-Lewis index = .957, comparative fit index = .963, and root mean square error of approximation = .023 (90% confidence interval [.021, .025]). The lagged effect of loneliness on memory functioning was nonsignificant, B(SE) = -.11(.08), p = .15, whereas the lagged effect of memory functioning on loneliness was significant, B(SE) = -.06(.02), p = .01, indicating that lower levels of memory functioning precede higher levels of loneliness 4 years afterward. Further research is required to better understand the mechanisms responsible for the temporal association between reduced memory functioning and increased loneliness. (PsycINFO Database Record

Testing the Causal Links Between School Climate, School Violence, and School Academic Performance A Cross-Lagged Panel Autoregressive Model

The present study explores the causal link between school climate, school violence, and a school’s general academic performance over time using a school-level, cross-lagged panel autoregressive modeling design. We hypothesized that reductions in school violence and climate improvement would lead to schools’ overall improved academic performance. School-level secondary analysis of the California Healthy Kids Survey was conducted at three points in time. Findings offer credible evidence that a school’s overall improvement in academic performance is a central causal factor in reducing violence and enhancing a school’s climate. In the discussion, we suggest that when strong efforts to improve academics are taken, schools may tend to include issues of climate and victimization as part of those academic reform efforts.

Satisfaction with the relationship from the perspectives of family caregivers, older adults and their home care workers

Objectives: Given the increasing reliance on both formal (paid) and informal (unpaid) assistance for the care of older adults and the close relationships which are often formed with home care workers, the present study evaluated satisfaction with the relationship from the perspectives of the three members that make up the home caregiving triad: older adults, their family members and their home care workers. Methods: We relied on a representative sample of 223 complete caregiving triads composed of an older adult, a family member and a home care worker. Each of the members rated his or her level of satisfaction with all other members in the unit, using a seven-item self-report satisfaction with the relationship scale (e.g., satisfaction with communication, intimacy). The Social Relations Model (SRM) was used to partial out the specific variance associated with each of the members as either an actor (i.e., the average satisfaction as a rater, unrelated to whom the person rates) or a partner (i.e., the unique satisfaction level elicited by a person, which is consistent across all ratings of this person). Results: The structural equations model yielded acceptable results: χ2(3) = 6.94, p = .07. Our analysis revealed that the variability associated with the worker as partner was significantly greater than the variability associated with the older adult as partner (∆χ2[1] = 9.21, p = .002) or with the family member as partner (∆χ2[1] = 8.46, p = .004). Conclusions: The study highlights the importance of studying satisfaction with the relationship in the home care setting and calls for further examination of the entire caregiving triad. The home care worker plays a key role in ensuring the overall satisfaction in the caregiving triad.