Jean-Philippe Laurenceau

Intimacy as an Interpersonal Process" The Importance of Self-Disclosure, Partner Disclosure, and Perceived Partner Responsiveness in Interpersonal Exchanges

H. T. Reis and P. Shavers (1988) interpersonal process model of intimacy suggests that both self-disclosure and partner responsiveness contribute to the experience of intimacy in interactions. Two studies tested this model using an event-contingent diary methodology in which participants provided information immediately after their social interactions over 1 (Study 1) or 2 (Study 2) weeks. For each interaction, participants reported on their self-disclosures, partner disclosures, perceived partner responsiveness, and degree of intimacy experienced in the interaction. Overall, the findings strongly supported the conceptualization of intimacy as a combination of self-disclosure and partner disclosure at the level of individual interactions with partner responsiveness as a partial mediator in this process. Additionally, in Study 2, self-disclosure of emotion emerged as a more important predictor of intimacy than did self-disclosure of facts and information.

Using Diary Methods to Study Marital and Family Processes

Diary methods allow researchers to study marital and family processes within the context of daily life in a way that is not possible with more traditional methods. The authors review applications of diary designs in marital and family research and detail the types of research questions that can uniquely be asked of dyadic/family diary data. Technological developments for the use of electronic palm-top devices for implementing diary methods are also reviewed. Additionally, the authors discuss specific issues relevant to the analysis of diary data that come from dyads or families. Last, the authors raise unresolved issues and directions for future research in the use of diary methods for studying marital and family processes.

The Interpersonal Process Model of Intimacy in Marriage: A Daily-Diary and Multilevel Modeling Approach

This study used daily reports of interactions in marriage to examine predictions from the conceptualization of intimacy as the outcome of an interpersonal process. Both partners of 96 married couples completed daily diaries assessing self-disclosure, partner disclosure, perceived partner responsiveness, and intimacy on each of 42 consecutive days. Multivariate multilevel modeling revealed that self-disclosure and partner disclosure both significantly and uniquely contributed to the contemporaneous prediction of intimacy. Perceived partner responsiveness partially mediated the effects of self-disclosure and partner disclosure on intimacy. Global marital satisfaction, relationship intimacy, and demand-withdraw communication were related to daily levels of intimacy. Implications for the importance of perceived partner responsiveness in the intimacy process for married partners are discussed.

Psychosocial factors predict CD4 and viral load change in men and women with human immunodeficiency virus in the era of highly active antiretroviral treatment.

Objective: Most previous longitudinal studies demonstrating relationships between psychosocial variables and human immunodeficiency virus (HIV) disease progression utilized samples of gay men accrued before the era of highly active antiretroviral treatment (HAART), without including viral load (VL) as an indicator of disease progression or assessing the impact of medication adherence. This study sought to determine whether psychosocial variables would predict both CD4 and VL changes in a diverse sample assessed entirely during the era of HAART and accounting for adherence effects. Methods: This longitudinal study assessed a multiethnic HIV+ sample (n = 177) of men and women in the midrange of illness (CD4 number between 150 and 500; no previous acquired immunodeficiency syndrome [AIDS]–defining symptom) every 6 months for 2 years. Hierarchical linear modeling was used to model change in CD4 and VL controlling for sociodemographics (age, gender, ethnicity, education) and medical variables (baseline CD4/VL, antiretroviral medications at each time point, adherence). Results: Baseline depression, hopelessness, and education predicted the slope of CD4 and VL. Avoidant coping and life event stress predicted VL change. Cumulative variables produced stronger relationships (depression, avoidant coping, and hopelessness with CD4/VL slope and life events stress with VL slope). High cumulative depression and avoidant coping were associated with approximately twice the rate of decline in CD4 as low scorers and greater relative increases in VL. Social support was not significantly related to CD4 or VL slope. Conclusions: Psychosocial factors contribute significantly to the variance in HIV disease progression (assessed through CD4 number and VL) in a diverse sample, accounting for adherence and do so in the era of HAART. HAART = highly active antiretroviral treatment; VL = viral load; HIV = human immunodeficiency virus; AIDS = acquired immunodeficiency syndrome; PI = protease inhibitor; HLM = hierarchical linear modeling; DR = decline ratio; SES = socioeconomic status; BDI = Beck Depression Inventory; BHS = Beck Hopelessness Scale; N/A = not applicable.

Modeling General and Specific Variance in Multifaceted Constructs: A Comparison of the Bifactor Model to Other Approaches

This article recommends an alternative method for testing multifaceted constructs. Researchers often have to choose between two problematic approaches for analyzing multifaceted constructs: the total score approach and the individual score approach. Both approaches can result in conceptual ambiguity. The proposed bifactor model assesses simultaneously the general construct shared by the facets and the specific facets, over and above the general construct. We illustrate the bifactor model by examining the construct of Extraversion as measured by the Revised NEO Personality Inventory (NEO-PI-R; Costa & McCrae, 1992), with two college samples (N = 383 and 378). The analysis reveals that the facets of the NEO-PI-R Extraversion correlate with criteria in opposite directions after partialling out the general construct. The direction of gender differences also varies by facets. Bifactor models combine the advantages but avoid the drawbacks of the 2 existing methods and can lead to greater conceptual clarity.

Accelerating the development of emotion competence in Head Start children: Effects on adaptive and maladaptive behavior

Separate studies of rural and urban Head Start systems tested the hypothesis that an emotion-based prevention program (EBP) would accelerate the development of emotion and social competence and decrease agonistic behavior and potential precursors of psychopathology. In both studies, Head Start centers were randomly assigned to treatment and control/comparison group conditions. In Study 1 (rural community), results of hierarchical linear modeling analyses showed that compared to the control condition (Head Start as usual), EBP produced greater increases in emotion knowledge and emotion regulation and greater decreases in childrens negative emotion expressions, aggression, anxious/depressed behavior, and negative peer and adult interactions. In Study 2 (inner city), compared to the established prevention program I Can Problem Solve, EBP led to greater increases in emotion knowledge, emotion regulation, positive emotion expression, and social competence. In Study 2, emotion knowledge mediated the effects of EBP on emotion regulation, and emotion competence (an aggregate of emotion knowledge and emotion regulation) mediated the effects of EBP on social competence.

Anxiety Characteristics Independently and Prospectively Predict Myocardial Infarction in Men: The Unique Contribution of Anxiety Among Psychologic Factors

OBJECTIVES This study investigated whether anxiety characteristics independently predicted the onset of myocardial infarction (MI) over an average of 12.4 years and whether this relationship was independent of other psychologic variables and risk factors. BACKGROUND Although several psychosocial factors have been associated with risk for MI, anxiety has not been examined extensively. Earlier studies also rarely addressed whether the association between a psychologic variable and MI was specific and independent of other psychosocial correlates. METHODS Participants were 735 older men (mean age 60 years) without a history of coronary disease or diabetes at baseline from the Normative Aging Study. Anxiety characteristics were assessed with 4 scales (psychasthenia, social introversion, phobia, and manifest anxiety) and an overall anxiety factor derived from these scales. RESULTS Anxiety characteristics independently and prospectively predicted MI incidence after controlling for age, education, marital status, fasting glucose, body mass index, high-density lipoprotein cholesterol, and systolic blood pressure in proportional hazards models. The adjusted relative risk (95% confidence interval [CI]) of MI associated with each standard deviation increase in anxiety variable was 1.37 (95% CI 1.12 to 1.68) for psychasthenia, 1.31 (95% CI 1.05 to 1.63) for social introversion, 1.36 (95% CI 1.10 to 1.68) for phobia, 1.42 (95% CI 1.14 to 1.76) for manifest anxiety, and 1.43 (95% CI 1.17 to 1.75) for overall anxiety. These relationships remained significant after further adjusting for health behaviors (drinking, smoking, and caloric intake), medications for hypertension, high cholesterol, and diabetes during follow-up and additional psychologic variables (depression, type A behavior, hostility, anger, and negative emotion). CONCLUSIONS Anxiety-prone dispositions appear to be a robust and independent risk factor of MI among older men.

Discontinuities and Cognitive Changes in an Exposure-Based Cognitive Therapy for Depression

Significant shifts or discontinuities in symptom course can mark points of transition and reveal important change processes. The authors investigated 2 patterns of change in depression-the rapid early response and a transient period of apparent worsening that the authors call a depression spike. Participants were 29 patients diagnosed with major depressive disorder who enrolled in an open trial of an exposure-based cognitive therapy. Hierarchical linear modeling revealed an overall cubic shape of symptom change and that both the rapid response and spike patterns predicted lower posttreatment depression. Patients wrote weekly narratives about their depression. Early narratives of rapid responders were coded as having more hope than those of nonrapid responders. The narratives of patients with a depression spike had more cognitive-emotional processing during this period of arousal than those without a spike. Findings are discussed in the context of cognitive-emotional processing theories in depression and anxiety disorders.

Gender and the Natural History of Self-Rated Health: A 59-Year Longitudinal Study

Self-ratings of health are uniquely predictive of morbidity and mortality, and they encompass peoples evaluations of many medical, psychological, and social conditions in their lives. However, the longitudinal trajectory of self-rated health has not been evaluated to date. In the present study, 59-year longitudinal multilevel analyses (1940-1999) of data from 1,411 men and women revealed that self-rated health was relatively stable until age 50 and then began to decrease in an accelerating fashion through the rest of the life course. Men had higher self-rated health throughout most of adulthood than did women but had steeper linear rates of decline. As a result, the gender difference in self-rated health disappeared by late adulthood.

Integrative Cognitive Therapy for Depression: A Preliminary Investigation

This study is a preliminary investigation of an integrative treatment aimed atimproving the efficacy of cognitive therapy (CT) for depression. The devel-opment of the treatment protocol was based on process findings, whichsuggested that strategies used in CT to resolve alliance ruptures may actuallyexacerbate problems in the therapeutic relationship. The protocol integrates,within the traditional CT treatment manual, procedures to repair allianceruptures that are derived from or consistent with humanistic and interper-sonal therapies. Although conducted by inexperienced therapists, the inte-grative treatment led to greater improvement than a waiting-list condition.The results also compare favorably to previous findings for CT.