Karen Farchaus Stein
University of Rochester
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Featured researches published by Karen Farchaus Stein.
Research and Theory for Nursing Practice | 2009
Rebecca H. Lehto; Karen Farchaus Stein
This article identifies defining attributes, antecedents, and consequences of the concept of death anxiety using Rodgers (2000) evolutionary method of concept analysis. The literature on death anxiety was systematically reviewed for the years 1980–2007. Articles were summarized and coded. Inductive data analyses resulted in defining attributes (emotion, cognitive, experiential, developmental, sociocultural shaping, and source of motivation), antecedents (stressful environments and the experience of unpredictable circumstances, diagnosis of a life-threatening illness or the experience of a life-threatening event, and experiences with death and dying), and consequences (adaptive and maladaptive presentations). Results are important because little systematic inquiry of death anxiety exists in nursing literature.
Archives of Psychiatric Nursing | 1996
Karen Farchaus Stein
This study describes the pattern of affect instability in adults with borderline personality disorder (BPD). Clinical histories and the Diagnostic Inventory for Borderlines were used to identify 3 groups: 1) BPD (N = 15), 2) Asymptomatic (N = 10), and 3) Non-BPD, Anorexia Nervosa Clinical Control (N = 4). An experience sampling procedure (Hormuth, 1986) was used to obtain 50 measures of affect over 10 days. The findings showed that BPD subjects experienced higher levels of unpleasant affects and greater short-term fluctuations in unpleasant affects than the asymptomatic subjects. However, BPD and asymptomatic subjects experienced more fluctuations in the pleasant affects than the AN subjects. These findings support the hypothesis that BPD is associated with a unique pattern of affect dysregulation.
Nursing Research | 1998
Karen Farchaus Stein; Robert Roeser; Hazel Rose Markus
BACKGROUND Although there is extensive evidence that the self-concept changes in many important ways during the adolescent years and that these changes influence behavioral choices, the majority of studies completed to date have been based on a static model in which the self-concept is viewed solely as an antecedent of the risky behaviors. OBJECTIVES To investigate the pattern of relationships between three components of the self-concept--the popular, the conventional, and the deviant selves--and risky behaviors in a sample of middle adolescents during their transition from junior high to high school. METHODS A sample of 160 adolescents completed questionnaires measuring the content of their self-schemas and possible selves and involvement in four risky behaviors (tobacco and alcohol use, sexual intercourse, poor school performance) during the winter of eighth and ninth grades. RESULTS Popular self-schema score in the eighth grade positively predicted ninth grade risky behaviors. Risky behavior involvement in the eighth grade predicted ninth-grade deviant self-schema and possible self-scores. CONCLUSIONS These findings suggest that the self-concept may not only play a role in the early stages of engagement in the risky behaviors but may also be one means through which the behaviors become structuralized into potentially enduring aspects of the self.
Archives of Psychiatric Nursing | 1996
Karen Farchaus Stein
Over the last several decades, the self-concept has been implicated as a important determinant of eating disorders (ED). Although considerable progress has been made, questions remain unanswered about the properties of self-concept that distinguish women with an ED from other populations, and mechanisms that link the self-concept to the disordered behaviors. Markuss self-schema model is presented as a theoretical approach to explore the role of the self-concept in ED. To show how the schema model can be integrated with existing work on the self-concept in ED, a framework is proposed that addresses the number, content, and accessibility of the self-schemas. More specifically, it is posited that a limited collection of positive self-schemas available in memory, in combination with a chronically and inflexibly accessible body-weight self-schema, lead to the disordered behaviors associated with anorexia nervosa and bulimia nervosa.
Archives of Psychiatric Nursing | 2003
Karen Farchaus Stein; Colleen Corte
In this report, we argue that impairments in self-concept development function as a cognitive vulnerability that contributes to the formation of the eating disorders (ED) of anorexia nervosa (AN) and bulimia nervosa (BN). More specifically we argue that impairments in development of the total collection of identities that comprise the self-concept contribute to body image disturbances which in turn, motivate the eating and body-weight attitudes and behaviors that characterize the disorders. First, we review current understandings of the role of body image disturbances in the ED and discuss limitations of this approach. Then we review theories from psychoanalytic and feminist traditions that suggest that identity disturbances are a key factor in the etiology of the ED. Next, results of studies that examine identity disturbances in the ED are reviewed. Results of a study of women with AN and BN using the schema model of the self-concept as the theoretical framework showed that women with few positive and many negative self-cognitions are particularly vulnerable to cultural messages about body weight and form weight-related cognitions about the self that contribute to disordered eating attitudes and behaviors. Finally, the implications of these findings for primary and secondary level prevention of ED are addressed.
Nursing Research | 2008
Karen Farchaus Stein; Colleen Corte
Background: There is broad consensus that the eating disorders of anorexia nervosa and bulimia nervosa stem from fundamental disturbances in identity development, but theoretically based empirical support is lacking. Objective: To extend work on the identity impairment model (Stein, 1996) by investigating the relationship between organizational properties of the self-concept and change in disordered eating behaviors (DEB) in an at-risk sample of college women transitioning between freshman and sophomore years. Methods: The number, valence, and organization of self-schemas; availability of a fat body weight self-schema; and DEB were measured at baseline in the freshman year and 6 and 12 months later in a community-based sample of college women engaged in subthreshold DEB (n = 77; control: n = 41). Repeated-measures analyses of variances were used to examine group differences, and hierarchical regression analyses were used to predict disordered eating behaviors. Results: Women in the DEB group had more negative self-schemas at baseline and showed information-processing evidence of a fat self-schema compared with the controls. The groups did not differ in the number of positive self-schemas or interrelatedness. The number of negative self-schemas predicted increases in the level of DEB at 6- and 12-month follow-up, and these effects were mediated through the fat self-schema. The number of positive self-schemas predicted the fat self-schema score but was not predictive of increases in DEB. Interrelatedness of the self-concept was not a significant predictor in this model. Discussion: Impairments in overall collection of identities are predictive of the availability in memory of a fat self-schema, which in turn is predictive of increases in DEB during the transition to college in a sample of women at risk for an eating disorder. Therefore, organizational properties of the self-concept may be an important focus for effective primary and secondary prevention.
Health Education & Behavior | 2001
Margaret Black; Karen Farchaus Stein; Carol Loveland-Cherry
This study sought to explore the contribution of the self-concept to older women’s adherence to regular mammography screening behavior. The PRECEDE and health belief model concepts were incorporated with a measure of the women’s future selves to determine whether the self-concept adds to our ability to predict screening. A self-administered questionnaire was completed by 210 community-dwelling women ages 50 to 75 years, recruited from urban and rural women’s groups. Logistic regression analyses revealed that predictors of adherence were clinical breast examination, physician recommendation, age, barriers, benefits, feared health-related possible self, and self-efficacy in the feared domain. The addition of the self measures significantly improved the overall fit of the model. Implications for theory development, practice, and future research are discussed.
Western Journal of Nursing Research | 2007
Colleen Corte; Karen Farchaus Stein
Cross-sectional relationships between content and structural properties of the self-concept and alcohol use in young adults with antisocial alcohol dependence (AAD) (n = 24), those in recovery from AAD (n = 18), and controls (n = 23) were examined using the schema model of the self-concept. Persons with AAD had a trend toward fewer positive self-schemas than did controls, and had more negative self-schemas and a trend toward higher interrelatedness than did those in recovery and controls. They also showed evidence of a drinking-related self-schema, whereas those in recovery showed evidence of a recovery-related self-schema. Finally, evidence to support a model using properties of the self-concept to predict high levels of alcohol use was found. These findings provide a beginning empirical foundation for the development of nursing interventions aimed at altering self-structure to prevent the development of and promote recovery from antisocial alcohol dependence.
Eating Behaviors | 2000
Colleen Corte; Karen Farchaus Stein
The association between the eating disorders of anorexia nervosa (AN) and bulimia nervosa (BN) and substance use disorder (SUD) has been widely investigated, however, our understanding of the relationship between the disorders remains unclear. Explanatory models have tended to focus on behaviors, yet, little is currently known about the patterns of association among disordered eating and substance use behaviors. In this exploratory study, a behavioral approach was used to investigate the cooccurrence of seven disordered eating and three substance use behaviors in women meeting current DSM-III-R criteria for AN (n=12), subthreshold AN (n=14), BN (n=29), and subthreshold BN (n=24). Results suggest that disordered eating behaviors are differentially associated with substance use behaviors. The most robust finding was that diuretic use positively predicted the current level of alcohol use regardless of diagnostic group. The findings for marijuana and tobacco use were less consistent. Results suggest that rather than being pervasive in all eating disordered women, higher levels of alcohol use may be found in those women who use diuretics.
Cognitive Therapy and Research | 1994
Karen Farchaus Stein
This study focused on complexity of the self-schema as one factor that influences peoples responses to social feedback that challenges their established view of self. Complexity refers to the number of independent attributes included in the schema. A card-sorting task (Zajonc, 1960) was used to identify the high- and low-complexity groups. Subjects were given bogus feedback relevant to the targeted domain of self-knowledge, and changes in self-descriptiveness ratings and response latency times were monitored. Results suggest that high-complexity subjects were able to attend to and encode the disconfirming feedback, while low-complexity subjects responded by rejecting the feedback and reasserting positive aspects of the self. The implications of these findings for clarifying the process of self-schema updating, revision, and change are discussed.This study focused on complexity of the self-schema as one factor that influences peoples responses to social feedback that challenges their established view of self. Complexity refers to the number of independent attributes included in the schema. A card-sorting task (Zajonc, 1960) was used to identify the high- and low-complexity groups. Subjects were given bogus feedback relevant to the targeted domain of self-knowledge, and changes in self-descriptiveness ratings and response latency times were monitored. Results suggest that high-complexity subjects were able to attend to and encode the disconfirming feedback, while low-complexity subjects responded by rejecting the feedback and reasserting positive aspects of the self. The implications of these findings for clarifying the process of self-schema updating, revision, and change are discussed.