Mary McNaughton-Cassill

DEVELOPMENT OF BRIEF STRESS MANAGEMENT SUPPORT GROUPS FOR COUPLES UNDERGOING IN VITRO FERTILIZATION TREATMENT

OBJECTIVE To develop and assess the efficacy of couples stress management groups offered concurrently with IVF treatment. DESIGN Couples in IVF treatment were given the option of participating in a biweekly stress management group. SETTING The IVF treatment clinic at Wilford Hall Medical Center, San Antonio, Texas. PATIENT(S) One or both members of 17 couples participated in the program in one of four group cycles. INTERVENTION(S) A cognitive behavioral treatment model was used to help couples process their feelings and cognitions about the impact of infertility on their life and explore their expectations about their future options for becoming parents. MAIN OUTCOME MEASURE(S) Couples were asked to anonymously evaluate the efficacy of the group after they had completed their IVF cycle. RESULT(S) Participants reported that the group helped them deal with the stress of infertility and that they valued the social bonds they formed with other group members. CONCLUSION(S) These data suggest that brief focused group therapy, offered while couples are undergoing IVF, is an effective way to help people deal with the stress of infertility treatment.

The Multidimensional Scale of Perceived Social Support: Analyses of Internal Reliability, Measurement Invariance, and Correlates Across Gender

In this study, we examined estimates of internal consistency reliability, measurement invariance, and differential correlates of the Multidimensional Scale of Perceived Social Support (MSPSS; Zimet, Dahlem, Zimet, & Farley, 1988) in samples of undergraduate men (n = 270) and women (n = 340). The MSPSS is designed to assess 3 sources of perceived social support: family, friends, and significant others. The participants ranged in age from 18 to 24 years (M age = 19.60, SD = 1.4 years). First, composite scale reliability and coefficient omega methods provided adequate estimates of internal consistency reliability for the original MSPSS total and subscale scores. Second, results of multiple-groups invariance confirmatory factor analysis provided support for configural and metric invariance. Partial measurement invariance was attained for scalar and strict measurement invariance across men and women. Additionally, given the high correlations among the first-order factors, we conducted multiple-groups bifactor item response theory (bifactor-IRT) analysis to evaluate further the performances of the individual MSPSS items across gender. Support for the bifactor model was strong. Third, we conducted a series of simultaneous regression analyses to identify potential correlates of the social support construct for women and men.

Efficacy of brief couples support groups developed to manage the stress of in vitro fertilization treatment

OBJECTIVE To assess the efficacy of brief couples support groups offered concurrently with in vitro fertilization (IVF) treatment. PATIENTS AND METHODS Couples in IVF treatment were given the option of participating in a biweekly support group at the IVF clinic at Wilford Hall Medical Center, San Antonio, Tex. At least 1 member of 26 couples participated in the brief couples support groups, and at least 1 member of 19 other couples completed the questionnaires but did not attend the support group sessions and so comprised the control group. Facilitators used cognitive behavioral techniques to help participants process their feelings and cognitions about their infertility. Emotional and cognitive factors were assessed both before and after group attendance by using the Beck Depression Inventory; the Beck Anxiety Inventory; the Life Orientation Test, which assesses optimism and pessimism; the Survey of Personal Views, which measures irrational beliefs; and the Social Provisions Scale, which measures social support. RESULTS Women who attended group sessions were significantly less anxious after the IVF treatment than they were before the cycle (P < .001). Men who attended the group sessions were more optimistic than nongroup men or the women at the completion of the IVF cycle (P < .001) but endorsed greater numbers of irrational beliefs (P < .001). CONCLUSIONS Despite the fact that the service was relatively inexpensive compared with IVF in the civilian community, the complexity of IVF treatment and the logistic and psychological stress experienced by couples made it hard to form and maintain such groups. Nevertheless, both men and women derived psychological benefit from the group: women reported less anxiety and men greater optimism on completion of the group sessions.

Meaning in life, emotional distress, suicidal ideation, and life functioning in an active duty military sample

The present study examined the relationship of meaning in life with emotional distress, suicidal ideation, and life functioning in a sample of 273 active duty Security Forces personnel assigned to two US Air Force bases. Results of regression analyses indicated that stronger meaning in life was significantly associated with less severe emotional distress (p < 0.001, ΔR 2 = 0.047) and suicidal ideation (p = 0.043, ΔR 2 = 0.017), and better functioning at work and in intimate relationships, nonfamily relationships, and recreational activities (p < 0.001, ΔR 2 = 0.073). Meaning in life showed stronger associations with outcomes relative to other predictors and covariates and explained the relationship between belonging and life functioning. Findings suggest that meaning in life is associated with less emotional distress and suicide risk, and greater success and performance across multiple domains in life among military personnel.

Agency is Associated with Decreased Emotional Distress and Suicidal Ideation in Military Personnel

Suicides in the U.S. military continue to rise at a rapid rate. Identification of protective factors that reduce risk for suicidal thoughts and behaviors among military personnel are therefore needed. Agency—the sense that one is competent, effective, and in control of ones life—has shown to reduce the effects of hopelessness and emotional distress on suicidal thoughts and attempts in non-military populations. The current study explores the association of agency with suicidal ideation in a sample (n = 273) of active duty Air Force Security Forces personnel. Results of generalized regression modeling suggest that agency is directly associated with decreased emotional distress and severity of suicidal ideation, but does not moderate the effect of emotional distress on suicidal ideation.

The news media and psychological distress

Abstract The twentieth century has been marked by advances in communications technology as well as mounting psychological distress. This study explored the premise that exposure to negative news via the media contributes to anxiety and depression. Levels of news media exposure, stress levels, irrational beliefs, optimism-pessimism, anxiety, and depression were assessed (n=239) and analyzed using multiple regression techniques. Negative stress was directly related to anxiety and depression. News media exposure and anxiety were positively related at low levels of irrationality. News media exposure was predictive of trait anxiety at low levels of optimism. However, media exposure was not predictive of depression. The implications of the findings for understanding how the news media impacts stress and the cognitive factors that effect this relationship are discussed.

The role of collectivism among Latino American college students

ABSTRACT In an attempt to explain the lower Latino college graduation rate, the current study focuses on collectivism in kin and nonkin helping situations. The sample comprised 60 students at a 4-year college in the southwestern United States. Results revealed significance between ethnicity and nonkin collectivism: Latino American college students were significantly more collectivistic toward nonkin groups compared to their non–Latino American counterparts. The use of various support systems may shed some light on the necessary remedy for Latinos’ lower college graduation rate. Implications are discussed for cultural sensitivity training and program development to foster the experience and success of Latino American college students.

Life meaning following combat among air force security forces personnel

An active duty Air Force ground combat unit (n = 189) completed surveys about trauma and combat exposure, mood symptoms, and meaning in life. Two dimensions of deployment-related traumas were assessed: combat (e.g., firing weapons, being fired upon) and aftermath (e.g., seeing dead bodies, injury). Results of regression analyses indicated that Airmen who experienced more intense combat reported less presence of meaning in life, although the significant interaction with gender suggested declines in meaning in life were especially pronounced among males with higher combat intensity. In contrast, more intense aftermath exposure was associated with slightly stronger meaning in life, with no differences by gender. Intensity of combat exposure might differentially affect perceived meaning in life for male versus female combatants.

Self-blame and stress in undergraduate college students: The mediating role of proactive coping

Abstract Objective: This study aimed to examine the mediating relationship of proactive coping on self-blame and stress among US undergraduate college students. Participants: The sample of undergraduate college students (n = 261) were recruited through their Introduction to Psychology course and registered for the study through a research-based computer program utilized at the university in the fall 2010 and spring 2011 semesters. Methods: Participants voluntarily completed a battery of self-report questionnaires that measured self-blame, proactive coping, and stress. Correlation and regression-based mediation analyses were utilized to address the study objectives. Demographic differences were explored using comparative analyses. Results: Proactive coping was identified as a mediator between self-blame and stress. Correlation analyses revealed self-blame, proactive coping, and stress were interrelated with one another. Ethnicity differences were observed on proactive coping. Conclusions: Proactive coping mediated the relationship between self-blame and stress and was negatively related to the other included behavioral constructs.